Archive for the ‘Bariatric Support’ Category

How to Eat Healthy Foods on a Budget

Wednesday, April 7th, 2010

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In this tough economy, it’s important to make sure we don’t forgo healthy habits for cheaper, less nutritious foods. In this article, printed with the permission of the Obesity Action Coalition, Pam Helmlinger discusses how to manage your waistline without breaking the bank.


How to Eat Healthy Foods on a Budget

by Pam Helmlinger, RD, LDN

Healthy eating may seem challenging when penny-pinching, yet with careful planning you can monitor both your waistline and your budget. The perception that healthy food costs more is not valid if you are always shopping for a good deal and planning ahead. Incorporate these tips for a frugally-fit diet:

Determine a Weekly Grocery Budget – set aside the allotted cash in a special envelope. Plan meals and snacks for your family ahead of time and write down a detailed shopping list from that plan.

Comparison Shop and Take Advantage of Store Incentives – Choose generic store brands except when the brand name product is on sale for less. Refer to the item’s unit price displayed to compare costs between brands and multiple-sized packages.

Meal Planning – a great way to cut costs is to plan the week’s meals based on weekly store flyers’ sale prices along with any coupons which apply from the newspaper or online. Paperclip applicable coupons to your grocery budget envelope.

Bulk Buying – Warehouse clubs are one way to save when buying in bulk, however, if the savings would not exceed the cost of the membership, you can stock up on sale items at the grocery store and purchase produce by the bag rather than in pieces (onions, apples, grapefruit, etc.). Frozen fruits and vegetables are also beneficial for equal nutrient value and to eliminate the concern for spoilage before they are eaten. Frozen berries are an excellent choice year-round when fresh berries are out of season.

Purchase Plain Meats and Skin and Season them on Your Own – Try using canned chicken and fish for salads. Use medium shrimp for cooking fajitas or to make a seafood salad. Extend your budget further by eating at least two meatless meals per week. Give tofu and/or tempeh a try for an inexpensive, nutritional substitute for meat and cheese. Beans are also a low-cost and versatile source of protein and fiber. For maximum savings and a low sodium option, use dried beans versus canned beans.

Avoid Pre-packaged Foods and Beverages – While drinking diet soda may not affect your weight, it can be draining your family budget. Instead, brew your own tea or fill reusable water bottles with filtered water at home. If you purchase coffee at a coffee shop, consider buying whole bean coffee in bulk, grinding it at home and mixing with a splash of skim milk, an ounce of sugar-free coffee syrup and a packet of artificial sweetener for your own “Skinny Latte.” These products at home will go a long way and make many cups for the price of one cup at a coffee shop.

Avoid Waste by Purchasing Only What You Need for the Week – use scraps to make other meals, such as leftover chicken to make chicken salad.

Cook at Home and Reserve Eating out for Special Occasions – A single night at a restaurant may cost you as much as the week’s groceries. Studies show that home-cooked meals are more nutritious and that families who eat together have better communication.

Cook extra portions for freezing and utilize leftovers throughout the week. The extra effort will result in time savings later and is perfect for those with a hectic schedule. Get creative and try limiting recipes to just a few basic ingredients.

Make Your Own Convenience Foods – Although buying washed and bagged lettuce, cabbage and carrots is convenient, it costs much more for less quantity. Try making your own convenience foods by dicing and chopping vegetables on the weekends to quickly add to a recipe or salad on a weeknight.

Plant a Garden – Another way to save on vegetables is to plant a garden. It takes some time but can be a fun hobby. If you have never planted before, try starting with tomatoes and some fresh herbs.

According to the February 2009 issue of Consumer Reports magazine, here are some nutritious foods and cost per serving:

Cooked Black Beans – 114 calories per serving, 7 cents per serving, high in fiber/B vitamins/protein
Egg – 78 calories per egg, 9 cents per egg, high in protein/iron/B-12/choline
Cooked Broccoli – 27 calories per half cup, 33 cents per serving, high in vitamins C & A/fiber/phytochemicals
Chicken Breast – 142 calories per 4 oz portion, 50 cents per serving, high in protein/iron

With some creativity and planning, you can keep your kitchen well stocked with lean protein, high fiber, fresh and frozen goods and seasonal produce. Eating well is manageable for everyone and sets one up for a healthy meal plan without the temptations that come with excess food on hand.

Let’s Compare!

The following is an example of both cost comparison and nutrition facts comparison for a couple of different meals…

Meal A

1 piece meat lasagna (1/12 recipe)
2 slices garlic bread
2 cups romaine lettuce
2 tsp. shredded parmesan
2 oz. Caesar salad dressing
Per Serving: 938 calories, 47g fat, 97g carbohydrates, 31g protein
Cost/serving: $3.98

Meal B

1 Morningstar Farms Sun dried Tomato & Basil Pizza Burger pattie
1 oz. marinara sauce
1 slice mozzarella cheese melted on top
2 c. romaine lettuce
2 tsp. shredded Parmesan cheese
10 sprays Caesar Delight Vinaigrette Spritzer
Per Serving: 279 calories, 14g fat, 12g carbohydrates, 22g protein
Cost/serving: $2.85

You can consider your calorie intake a budget just like your checkbook for your financial budget. In this case, you would have saved $1.13 per person for meal B and your calorie savings would be 659!

As you can see, it is possible to eat healthy on a budget. It takes an awareness while you grocery shop and while you eat/dine out to make this possible.
The key is that you need to get creative and look at labels and prices. So, next time you are at the grocery, take these important tips with you to help you determine what is the healthiest and most economical option for you and your family!

About the Author:

Pam Helmlinger, RD, LDN, has worked with the Center for the Treatment of Obesity at Centennial Medical Center since 2006. She is specialized in bariatric surgery and holds a certificate of training in adult weight management. Currently, she provides pre and post-op nutritional counseling in addition to education for patients in a medical weight-loss program.

The Surgical Specialists of Louisiana are committed to helping our patients achieve a healthy lifestyle and a healthy weight. Whether you are interested in weight loss surgery or medically supervised weight loss counseling, we can help you take control of your eating and your weight. Join us for a free seminar or take a weight loss quiz to help you get started.

Your Weight Matters Because It’s Your Health!

Wednesday, March 24th, 2010

YWM Logo

A National Public Awareness Campaign Brought to You by the OAC

Your Weight Matters is a National web-based awareness campaign proudly produced and presented by the Obesity Action Coalition (OAC). The goal of the campaign is to get the public talking about weight as it relates to their health and to challenge each and every American to talk to their doctor about their weight.

Why Does My Weight Matter?

Weight and health go hand-in-hand. Many Americans are not aware of the health risks associated with excess weight and how weight plays a key role in their health. That’s why it’s important for YOU to get involved in the Your Weight Matters Campaign, assess your weight and talk to your doctor!

What the Campaign Offers

The web-based campaign has all the information you need:

• Tools to measure your weight
• Health risks associated with weight
• Health and wellness tips
• A section dedicated just to kids
• And much more!

Get Started and Take the Challenge

The easy-to-navigate web site guides you step-by-step through measuring your weight and gives you tips for talking to your doctor. Once you take the challenge, you will receive a link to the e-toolkit which includes:

• Sample questions to ask your doctor
• Questions your doctor may ask you
• Food log journal
• Health and wellness quick tips
• Helpful resources
• BMI chart for adults
• And much more!

About the Obesity Action Coalition (OAC)

The OAC is a National nonprofit charity dedicated to helping those affected by obesity. The OAC brings together individual struggling with weight and provides educational and advocacy resources.

TAKE THE CHALLENGE! Visit www.yourweightmatters.org today and take the Campaign challenge!

The Surgical Specialists of Louisiana is a proud supporter of the Walk From Obesity, whose funds support the OAC. In addition, Laura Boyer, RN, CBN, and Director of Clinical Systems for the Surgical Specialists, is a previous Advisory Board Member for the OAC. Laura and James Redmann, MD, FACS, are contributing authors to the OAC.

Learn more about the Surgical Specialists of Louisiana. You can get more information on weight loss surgery such as gastric banding, gastric bypass or medically supervised weight loss programs by contacting one of our patient advocates today. The Surgical Specialists of Louisiana are committed to helping you reach your weight loss goals. Register for a free seminar and see which one of our weight loss programs has proven to be the most effective for resolving weight related health conditions.

The Surgical Specialists of Louisiana “Second Chance Symposium” Make Your Comeback!

Tuesday, March 2nd, 2010

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Weight regain after weight loss surgery is more common than you think. The Seminar to be held this Saturday, March 6, 2010, will equip you with the necessary skills to make a “comeback”. At this seminar we will explore why the weight returned after surgery and offer realistic solutions to help you make your comeback.

Even the most successful surgical weight loss patients occasionally regain weight. There are many complex factors contributing to this as the body will do everything in its power to avoid starvation and weight loss.

The tool we provided you with during surgery may not be as effective as it was early in your post operative period. Changes in the anatomy take place in the form of a pouch that has stretched or an opening to the small intestine that has enlarged.

The team of speakers who will meet with you include, Dr. Scott Eckholdt, Dr. Stan Owens, Dr. Carson Cunningham and Jill Hurley, OTR/L. Dr. Eckholdt will discuss relapse prevention while occupational therapist, Jill Hurley will help you develop healthy habits for living. Dr. Owens created the PresciptFit Medical Nutritional Therapy program designed to focus on both behavior and physiological elements of maintaining a health weight. Dr. Cunningham will introduce the exciting new incisionless revisional procedure called ROSE.

The symposium will be held at the Fitzsimons Auditorium at Our Lady of Lourdes Regional Medical Center in Lafayette, Louisiana on Saturday, March 6, 2010 from 9:30 a.m. to 1:30 p.m. For more information please call 225-289-4677 or toll free at 866-935-8040.

Fight Against Childhood Obesity makes progress with Michelle Obama announcing Let’s Move Campaign

Tuesday, February 16th, 2010

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The Surgical Specialists of Louisiana are thrilled to share with you some exciting news out of Washington. The Obesity Action Coalition (OAC) was one of the few select organizations to attend First Lady, Michelle Obama’s kick-off event for her National Campaign that will take a stand against childhood obesity. The new campaign, Let’s Move will get kids moving and will promote healthy weight loss in obese children. Below is an official Statement from the OAC.

Obesity Action Coalition Attends First Lady Michelle Obama’s Launch of her Childhood Obesity Initiative at the White House

Today was a step in the right direction when it comes to tackling the childhood obesity epidemic, giving it the National attention it needs. And, the OAC is proud to say that we were a part of this important step to help solve this growing problem.

This afternoon, First Lady Michelle Obama officially launched her National initiative to take on childhood obesity, unveiling her nationwide campaign – Let’s Move. The OAC was among the select few organizations to receive a personal invitation to the White House to attend the First Lady’s kick-off event for her National Campaign.

The goal of the Let’s Move Campaign is to solve the challenge of childhood obesity in our country through a partnered effort among communities, organizations, schools, government, parents and children. First Lady Obama mapped out many of the challenges that our country faces with this rising epidemic, along with the complex nature of solving this problem to positively impact the health of our nation’s children.

OAC was Proud to Attend

OAC President/CEO Joe Nadglowski was just rows away from the First Lady as she laid out her approach to help our country’s children. Joe was also accompanied by many high profile participants, including members of the President’s cabinet such as Health and Human Services Secretary Sebelius, Education Secretary Duncan and Surgeon General Regina Benjamin. In addition, the crowd also included members of Congress, Mayors from across the nation and leaders from the media, medical, sports, entertainment and business communities who have an interest in helping the childhood obesity epidemic.

The OAC is happy that our nation’s First Lady is making childhood obesity a priority and that she plans to include a variety of individuals in the discussion to solve this problem. We are honored that we were among the select few invited to witness this important announcement first-hand and plan to be included in future discussions on this issue with the White House.

The OAC encourages you to visit the Let’s Move Campaign Web site at www.letsmove.gov to learn more about this campaign and our nation’s childhood obesity epidemic and how you can start to make a difference.

Conclusion

Childhood obesity most often starts in the home so Louisiana based OAC encourages you, and your loved ones, to instill healthy eating, exercise and diet habits in children at a young age. By helping children develop good habits, you will help to make a difference in America’s childhood obesity epidemic. See what weight loss tools and information you can share with the people you love from the new Let’s Move Campaign today.

Reproduced with permission from Obesity Action Coalition. Please visit www.oac.org

The Surgical Specialists of Louisiana are committed to helping our patients achieve a healthy lifestyle and a healthy weight. Whether you are interested in weight loss surgery or medically supervised weight loss counseling, we can help you take control of your eating and your weight. Join us for a free seminar or take a weight loss quiz to help you get started.

Is Obesity the Last Acceptable Form of Discrimination?

Wednesday, February 10th, 2010

weightdiscriminationprevalent

Obesity remains a socially acceptable injustice and often referred to as “the last acceptable form of discrimination.” Overweight individuals are often the subject of jokes in the media which can translate to real life discrimination. In this article, printed with permission of the Obesity Action Coalition, Rebecca Phul, PhD discusses the difference between “stigma” and “discrimination” and what legal ramifications, if any, can take place to protect overweight individuals.

Weight Discrimination: A Socially Acceptable Injustice

By Rebecca Puhl, PhD

Obesity is highly stigmatized in our society. Overweight and obese individuals are vulnerable to negative bias, prejudice and discrimination in many different settings, including the workplace, educational institutions, healthcare facilities and even within interpersonal relationships.

Unfortunately, weight bias remains very socially acceptable in North American culture; it is rarely challenged, and often ignored. As a result, thousands of obese individuals are at risk for unfair treatment, and there are few outlets available to provide support or protection.

What is the difference between “stigma” and “discrimination?”

Weight stigma or bias generally refers to negative weight-related attitudes toward an overweight or obese individual. These attitudes are often manifested by negative stereotypes (e.g., that obese persons are “lazy” or “lacking in willpower”), social rejection and prejudice. Weight stigma includes verbal teasing (e.g., name calling, derogatory remarks, being made fun of, etc.), physical aggression (e.g., hitting, kicking, pushing, shoving, etc.) and relational victimization (e.g., social exclusion, being ignored, avoided, or the target of rumors).

Many obese individuals report being treated with less respect or courtesy than thinner persons and being called names or insults because of their weight. Thus, weight stigma can emerge in subtle forms, or it can be expressed directly.

Discrimination is distinct from stigma and negative attitudes, and specifically refers to unequal, unfair treatment of people because of their weight. For example, an obese person who is qualified for a job but is not hired for the position because of his or her weight may have been the victim of weight discrimination.

Other examples include being denied a job promotion or fired from a job because of one’s weight; being denied certain medical procedures or provided inferior medical care because of one’s weight; or being denied a scholarship, a bank loan or prevented from renting or buying a home because of one’s weight.

In each of these cases, the behaviors directed toward the obese individual depict inequitable treatment with no justifiable cause, and legal recourse may be an appropriate response in these situations.

Obesity Discrimination on the Rise

Despite the increasing prevalence of obesity, it appears that incidences of weight discrimination are only becoming worse.

In our research, we examined trends of weight discrimination throughout a 10 year period from 1995-2005 and found that the prevalence increased by 66 percent during this decade, from 7-12 percent of the general population. This finding was not a result of increasing obesity rates, but rather specifically demonstrates that more people are experiencing weight discrimination.

How common is weight discrimination?

Given the social acceptability of negative attitudes toward obese individuals, it may not be surprising to learn that weight discrimination is common in the United States.

In a recent study, we examined the prevalence of multiple forms of discrimination in a nationally representative sample of 2,290 American adults and found that weight discrimination is common among Americans, with rates relatively close to the prevalence of race and age discrimination. Among women, weight discrimination was even more common than racial discrimination. Among all adults in the study, weight discrimination was more prevalent than discrimination due to ethnicity, sexual orientation and physical disability. Almost 60 percent of participants in our study who reported weight discrimination experienced at least one occurrence of employment-based discrimination, such as not being hired for a job.

On average, a person’s chances of being discriminated against because of weight become higher as their body weight increases. In our study, 10 percent of overweight women reported weight discrimination, 20 percent of obese women reported weight discrimination and 45 percent of very obese women reported weight discrimination.

Rates for men were lower, with 3 percent of overweight, 6 percent of obese and 28 percent of very obese men reporting weight discrimination. This finding also tells us that women begin experiencing weight discrimination at lower levels of body weight than men.

What legal action can be taken for victims of weight discrimination?

Unfortunately, there are few legal options available for individuals who suffer weight discrimination. Currently, there are no federal laws that exist to prohibit discrimination based on weight.

With the exception of one state law (Michigan) and a few local jurisdictions that address discrimination on the basis of weight or appearance (e.g., San Francisco), the vast majority of people who experience weight discrimination in the U.S. must pursue legal recourse through other indirect avenues.

In particular, obese individuals have depended on the Rehabilitation Act of 1973 (RA) and the Americans with Disabilities Act of 1990 (ADA). Most cases filed under these categories pertain to weight-based discrimination in employment settings, and only a few cases have been successful. In addition, whether it is appropriate for obesity to be considered a “disability” under the ADA is questionable and could perpetuate bias further.

Overweight people who are not “morbidly obese,” but who experience weight discrimination cannot file claims under the ADA because they are not considered disabled under this law. It places an unfair burden for individuals to prove that their obesity is debilitating and disabling in order to obtain fair and equitable treatment in the workplace.

These unresolved issues, in addition to public perceptions that place blame on obese people, have led to inconsistent court rulings and often deter obese individuals from taking any legal action.

Clearly, legislation is badly needed to protect individuals from weight discrimination. Massachusetts recently introduced legislation (House Bill 1844) to prohibit weight-based discrimination in employment settings. The hearing was held on March 25th 2008, with no opposition present at the hearing, and all expert testimonies were in favor of the bill. No decision has yet been made, but if this bill passes, it will be an important step in encouraging other states to follow suit.

Reducing weight bias requires major shifts in societal attitudes, and national actions are needed to establish meaningful legislation to ensure that obese persons receive the equitable treatment they deserve.

This article first appeared on www.OAC.org. Reproduced with permission from Obesity Action Coalition. Please visit www.oac.org

The Surgical Specialists of Louisiana are committed to helping our patients achieve a healthy lifestyle and a healthy weight. Whether you are interested in weight loss surgery or medically supervised weight loss counseling, we can help you take control of your eating and your weight. Join us for a free seminar or take a weight loss quiz to help you get started.

About the Author:

Rebecca Puhl, PhD, is the Director of Research and Weight Stigma Initiatives at the Rudd Center for Food Policy and Obesity at Yale University. Dr. Puhl is responsible for coordinating research and policy efforts aimed at reducing weight bias.

References:

Puhl R, Brownell KD. (2001). Bias, discrimination, and obesity. Obesity Research, 9:788-805.

Puhl, R.M., Andreyeva, T., & Brownell, K.D (2008). Perceptions of weight discrimination: prevalence and comparison to race and gender discrimination in America. International Journal of Obesity. doi: 10.1038/ijo.2008.22

Andreyeva, T., Puhl, R.M., & Brownell, K.D (2008). Changes in Perceived Weight Discrimination Among Americans, 1995-1996 through 2004-2006. Obesity. oi:10.1038/oby.2008.35

Brownell, K.D., Puhl, R., Schwartz, M.B., Rudd, L. (Eds.) (2005). Weight Bias: Nature, Consequences, and Remedies. New York: Guilford Publications.

Food Labels – A Primer: Part Two

Tuesday, January 26th, 2010

Nutirtion facts

Are you taking the time to learn what exactly is in the food you eat? Last week the Surgical Specialists of Louisiana shared the first part of a feature article by Jacqueline Jacques, ND that explained the types of items consumers should look for in a food label. This week are are pleased to share the conclusion of this article and reprinted with the permission of the Obesity Action Coalition.

The Nutrition Facts Box

If you know what to look at, the Nutrition Facts Box actually provides a lot of information.
Nutrition Information that Should be Present in the Nutrition Facts Box

Mandatory Items:

• Total calories
• Calories from fat
• Total fat
• Saturated fat
• Trans fat
• Cholesterol
• Sodium
• Total carbohydrate
• Sugars
• Protein
• Vitamin A
• Vitamin C
• Calcium
• Iron

Non- mandatory items that should be included:

• Calories from saturated fat
• Polyunsaturated fat
• Monounsaturated fat
• Potassium
• Dietary fiber
• Soluble fiber
• Insoluble fiber
• Sugar alcohol (i.e. xylitol, mannitol and sorbitol)
• Other carbohydrate (difference between total carbohydrate and sum of dietary fiber, sugars, and sugar alcohol if declared)
• Percent of vitamin A present as beta-carotene
• Other essential vitamins and minerals

From the top of the box, you can start by looking at the serving size and the number of servings in a container. For products like bread, where the serving is usually one slice, this is typically easy to understand. For foods that don’t come in neat portions, consumers often do not use the serving size that the manufacturer recommends.

A great example is cereal. For many cereals, the serving size is 1/3 to 1/2 cup. That’s about a medium handful for most adults – and it doesn’t even come close to filling your cereal bowl. When pouring cereal, many of use three to four times the “serving” size. Same goes for foods like juice, pasta, chips, crackers, nuts, ice cream and other things where the serving size may differ a lot from what most people eat.

Two examples that I find bothersome are bottled drinks and nutrition bars. Many bottled drinks (from juice to soda) and packaged bars that look like single servings are actually 1 ½ to 2 servings per container. So, if you eat the entire contents of the package, you need to multiply the calories, fat content, etc by 1.5 or 2 to know what you are actually eating.

Everything else in the Nutrition Facts box is based on a single serving of the product – not on the amount that you typically eat. As you move through the box, keep this in mind. If you are trying to limit calories, fat, salt (sodium) or cholesterol, you can now much more easily know how much you are getting. If you want to make sure you get enough protein or fiber every day, you can see that as well.

Finally, you can also use the box to know how much iron, calcium, vitamin A and vitamin C you are getting each day. Other nutrients such as B-vitamins, vitamin E, D, K, and most minerals are not required, but can be listed voluntarily by the manufacturer.

You also see some percentages (%) in the Nutrition Facts box. These percentages tell you that for the listed nutrients how much of the Recommended Daily Value you get with a serving of that food. The Daily Value (DV) is the suggested amount of a nutrient (a vitamin, mineral, protein, fat, fiber or carbohydrate) that you should get each day. The Percent Daily Value (% DV) is the amount of that nutrient you should get based on an assumed calorie intake. For all nutrients, if they provide 5 percent or less of the DV, the food is low in that nutrient; if they provide 20 percent or more, they are high in that nutrient.

The FDA (Food and Drug Administration) generally assumes an intake of 2,000 calories for an average adult. Optionally, the manufacturer can show you percentages based on an intake of 2,500 calories as well. Also voluntary, but commonly shown, are the number of calories per gram of fat, carbohydrate and protein.

The Ingredients

The Nutrition Facts box is helpful, but the information in it is still limited. Foods are also required to have a complete listing of all the ingredients that they contain. This is required for all foods that have more than one ingredient. Usually this information is listed directly below or adjacent to the Nutrition Facts box. Ingredients are listed by weight.

While fewer ingredients don’t always make a healthier food, it is not uncommon to find that foods with long, complicated ingredient lists contain more additive, more fillers and more non-nutritional ingredients.

By reading this list carefully, it can help you to compare not just the simple nutrition facts in the box, but also the quality of your food. You might be amazed when you start to compare foods like catsups, breads, soups and more just how much variation there is for individual types of foods.

Allergens

The newest label regulations require specific information for ingredients that have been identified as potentially harmful allergens. The allergens that must be declared on food labels are:

• Milk
• Eggs
• Fish (e.g., bass, flounder, cod)
• Crustacean shellfish (e.g., crab, lobster, shrimp)
• Tree nuts (e.g., almonds, walnuts, pecans)
• Peanuts
• Wheat
• Soybeans

Manufacturers can declare the source of the ingredient directly in the ingredient list, or they can place this information in a separate statement following the ingredient list. (This will usually be preceded by the phrase “This product contains…”) While wheat is on this list, many medical authorities have commented that gluten is not, and perhaps should be. The FDA is currently reviewing the criteria for adding gluten to this list as well as looking to clearly define “gluten-free.”

Nutrient Content Claims and Health Claims

It is becoming increasingly common for manufacturers to market health claims about their food. Whether it is margarine that helps your heart, cereal that lowers cholesterol or simply something that is “healthy” compared to the other choices on the shelf. You might be surprised at how regulated this language is by the FDA.

A nutrient content claim is one that tells you that compared to a similar food, the food from brand X is lower in something (like fat or sugar), free of something (like sodium or cholesterol) or provides a better than average source of a nutrient (like calcium or protein). Virtually every term from “light” to “high” has a strict definition that manufacturers must meet to use the term, or they risk serious penalties and fines.

Actual health claims for foods are extremely limited. To date, there are only 12 that the FDA has allowed, though they are considering others. In addition, there are two approved claims based on authoritative statements from scientific bodies that are allowed. One is for whole grains, heart disease and cancer and states: “Diets rich in whole grain foods and other plant foods and low in total fat, saturated fat, and cholesterol may reduce the risk of heart disease and some cancers.”

This article first appeared in the OAC News Vol.2/ Issue 3 April 2007 Reproduced with permission from Obesity Action Coalition. Please visit www.oac.org

The Surgical Specialists of Louisiana are committed to helping our patients achieve a healthy lifestyle and a healthy weight. Whether you are interested in weight loss surgery or medically supervised weight loss counseling, we can help you take control of your eating and your weight. Join us for a free seminar or take a weight loss quiz to help you get started.

Body Contouring After Bariatric Surgery

Wednesday, October 28th, 2009

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Many patients undergoing bariatric surgery often wonder if they will need plastic surgery to remove excess skin after they’ve lost weight. This is not always the case. Depending on your age and the elasticity of your skin you may see your body return to a somewhat normal state. Others, however, will see an excess of saggy skin around their midsection, thighs, arms or breasts. This can present both physical and emotional concerns. Hanging skin can be uncomfortable and can cause hygiene problems. And patients who worked hard to reach their weight loss goals may find themselves, once again, embarrassed by their physical appearance. Plastic surgery could be the solution.

Body contouring after massive weight loss is on the rise. In fact, according to the American Society of Plastic Surgeons (ASPS) nearly 67,000 body contouring procedures after massive weight loss were performed in 2007. This accounts for roughly one-fourth of all bariatric surgery patients.

The most commonly performed procedures for bariatric surgery patients are panniculectomy, abdominoplasty, breast lift, brachioplasty, and vertical thigh lift.

Panniculectomy: a procedure that reduces the size of the pannus, or the excess skin that hangs in the abdominal region. This procedure is often covered by insurance companies to improve physical function.

Abdominoplasty: this procedure, like the panniculectomy, also removes excess abdominal skin but also tightens the muscle.

Breast lift: also known as a mastopexy, this is the most common plastic surgery procedure for weight loss surgery patients. Because the breast volume may have decreased with weight loss, implants are often used to lift and shape the breast.

Brachioplasty: this technique, to remove excess hanging skin from the arm, cannot be performed without creating a large scar. Many patients however, find this trade off well worth it.

Vertical thigh lift: a procedure that removes the excess tissue extending from the groin to the knee. Like the arm lift, it generally leaves a large scar.

If you are considering body contouring after your weight loss procedure, it is best to wait at least one full year after your bariatric surgery or until you have reached a stable weight. Having plastic surgery prematurely may not give you the results you are looking for and may mean revisional surgery later on. It is also advisable to reach a healthy weight. Surgery, cosmetic or otherwise, carries risks. These risks can be minimized as your Body Mass Index (BMI) decreases and any weight-related health conditions begin to resolve themselves.

Many plastic surgeons are now specializing in procedures for weight loss surgery patents. The Surgical Specialists of Louisiana can provide you with a list of recommended plastic surgeons and connect you with patients who have undergone body contouring. Additionally, the ASPS is a great resource for detailed information about these and other procedures. You can reach their site at www.plasticsurgery.org.

The Emotional Side of Weight Loss Surgery

Wednesday, October 7th, 2009

LotusFor those patients who have struggled with weight their whole life, bariatric surgery may seem like the final solution. It’s true that, for the morbidly obese, weight loss surgery is known to be the most effective and long-lasting treatment. But surgery is only the first step. Successful weight loss comes from an ongoing mental and emotional commitment to a healthier lifestyle.

Most weight loss surgeries, such as gastric bypass, adjustable gastric banding (LAP-BAND® and REALIZE Band), or gastric sleeve are all aimed at hunger control. They limit the amount of food one can eat giving patients the tool they need to lose weight.

But once surgery turns the physical hunger off, other psychological issues may surface. Many patients find that they have a complicated relationship with food and that their new approach to eating causes anxiety. Others have used food as a coping mechanism for negative emotions and must learn other ways to deal with these feelings. Surgery alone cannot repair these issues.

We at Surgical Specialists of Louisiana understand and are here to help. Since 2000, we have been helping our patients address the psychological side of bariatric surgery before and after their procedure.  Our team of weight loss specialists sees patients frequently for the first year after surgery to ensure they have the necessary skills to deal with physical and emotional changes. We continue to guide them through their weight loss journey as they are our patients for life.

Our patients also have unlimited access to bariatric support groups in Metairie, Slidell, Lafayette, and Covington, Louisiana, and can call the clinic staff as needed. We encourage all our patients to attend support groups as an excellent peer-to-peer forum, support network, and educational opportunity.

Ultimately, we believe that a comprehensive approach is necessary to ensure weight loss success. This is why we have a team of highly skilled surgeons, experienced patient advocates, nutritionists and psychologists available for our patients. We understand that nobody is perfect, but with ongoing commitment and communication we can help you succeed!

Bariatric Surgery Insurance and Financing

Wednesday, September 23rd, 2009

dollar signsDespite the benefits of losing weight, some people worry about weight loss surgery cost. Surgical Specialists of Louisiana understands the challenges surrounding the insurance hurdle.  To help you, we staff 7 full-time Patient Advocates who focus exclusively on acquiring bariatric insurance approval for our patients.  You will be assigned a dedicated advocate to personally contact your insurance company and address your individual needs.

For many, health insurance will cover weight loss surgery.  But, despite the medical evidence correlating bariatric surgery and improved health, some health insurance programs still do not cover laparoscopic bariatric surgery, claiming that it is elective or cosmetic or both.  In these situations, patients often feel they have exhausted their options.  This is not the case!  You have many other choices.

For example, there are several national lenders who offer a broad range of financing options to patients who want to pay for their weight loss surgery procedure when insurance coverage is not available.  Some even choose to finance their co-pay.  The weight loss surgery financing section of our website lists our preferred providers.  These companies offer convenient payment options and low interest loans to those who qualify. You can also contact our Patient Advocates for more information.

In addition, you can check with your local bank about a personal loan.  Your bank will determine how much you may borrow and at what rate, as well as the terms of repayment.

Whether you are having gastric bypass, LAP-BAND, or one of our new incisionless procedures, we want to make your bariatric surgery as affordable as possible.  Surgical Specialists of Louisiana is committed to reasonable cash pay prices for those patients who do not have insurance coverage.

Weight loss surgery may be the best investment you every make.  We’re happy to guide you through the insurance maze or financing process and see you come out healthier and happier! Contact one of our Patient Advocates today to learn more.

The Surgical Specialists of Louisiana – Announcing The New WhyWeight.com™

Tuesday, September 1st, 2009

Did you notice our new look? We’ve refreshed our WhyWeight.com™ website and, by launching this exciting new blog, now have the opportunity to share important and relevant information about our practice, weight loss and more!

Since 2000, The Surgical Specialists of Louisiana have been offering weight loss programs that suit the needs of every person interested in losing weight, improving their health, and enhancing the quality of their life.

Our experienced surgeons have performed over 3,000 advanced laparoscopic weight loss surgeries such as gastric bypass, adjustable gastric banding (LAP-BAND® and REALIZE™ Band), gastric sleeve and duodenal switch. We are also now offering groundbreaking incisionless bariatric procedures such as ROSE (Restorative Obesity Surgery, Endoscopic) and POSE (Primary Obesity Surgery, Endoscopy), which are performed entirely through the mouth without making any external incisions in to the body.

But we’re not only experts in Bariatric Surgery. MyWeight, our new non-surgical weight loss and wellness program, can help you succeed whether you have 5, 50 or 150 pounds to lose. This medically supervised weight loss program is tailored to your individual needs and provides one-on-one coaching from clinical specialists.

With offices in Covington, Metairie, Slidell, and Lafayette, Louisiana, we’re just around the corner—no matter where you are! Our seven full time patient advocates are eager to help you learn about your weight loss options or help you navigate the weight loss surgery insurance hurdle.

We encourage you and your loved ones to follow this blog and explore everything our new site has to offer. And check out the new inspirational videos from five of our successful bariatric patients – Nina, Katie, Claire, Melissa, and Stacy.

We’re looking forward to helping you achieve your weight loss and wellness goals!