Peppermint Shake

1 pkg. MyWeight French Vanilla Shake
1cup cold water
5 ice cubes
½ tsp peppermint extract
¼ tsp vanilla extract
1 drop green food coloring

Place all ingredients in a blender, mix, and serve.


French Vanilla Lime Cooler

1 pkg. MyWeight French Vanilla Shake Mix
8 oz water
2 Tbsp Lime Juice
4 Ice cubes
Place all ingredients in a blender and blend until smooth

Peachy Smoothie

1 pkg. MyWeight French Vanilla Shake
2 oz Vanilla low-fat yogurt
6 oz cold water
1 fresh peach, skinned and cut up
4 Ice cubes

Mix all ingredients in blender on medium speed.

Almond Joy

1 pkg. MyWeight Swiss Chocolate Shake
8 oz. water
½ tsp almond extract
½ tsp coconut extract

Mix all ingredients in blender on medium speed.

Tips for Success When Eating Out

• Keep Your Portions Small
• When ordering entrees, have the waiter box ½ before serving the other ½
• Use a salad plate to decrease the portion size
• Have the waiter bring your salad with your entrée
• Have the waiter remove the bread from the table, or DECLINE it when he serves it
• Take 3 bites of protein for every 1 bite of carbs or fats
• Count Cocktails as dessert
• Choose to splurge on a day when you can exercise
• Research the web for restaurant menu and healthy choice/low carb selections
• Have a protein drink before you leave to go out
• Keep reference books for calorie counting and low carb selections handy.  Check out: www.calorieking.com or www.atkins.com for calorie and carbohydrate measurements

The Surgical Specialists of Louisiana offers nutritional drinks, supplements, meal replacements, protein bars and various other items through our MyWeight program at each of our locations.  If you are interested in learning more about our products contact Bethany at bdulski@whyweight.com.

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.

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.