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5 tips for Lap Band success

Written by Keith McEwen, M.D. on 11/24/2014 6:00:00 AM

Bariatric patientBy the time I meet you, you have already developed many food habits. Food may be a comfort. Food may be a way to handle stress or isolation. Rarely do my patients think of food as fuel to give our body energy to do the things we want to do. That is why changing your eating behavior shouldn’t be a “cold turkey” approach.

Tip 1 - It's never a good idea to starve yourself of food or deny yourself of a balanced diet. 
What the Lap Band® does is help control the hunger while reducing the portion size of what you are eating at each meal or snack. It's my experience after 10 years of focusing on this type of proven weight management that gradual weight loss (1-3 pounds per week) is safer.

Tip 2 - The band doesn't do all the work, it's a team effort.
The truly successful Lap Band patient learns how to modify eating behaviors, make healthier lifestyle changes and select healthier food choices at the monthly appointments and with the day-to-day support of our office staff. The result can be long-term sustained weight loss and the reversal of many obesity-related health problems like high blood pressure, cholesterol and joint pain, to name a few.

Tip 3 - The “cold turkey” mentality doesn’t work because it’s all about what you can’t eat instead of what you can eat.
The Lap Band program is about creating a positive eating experience. It also means learning how to identify food triggers and then selecting satisfying foods that also support weight loss.

Did you know there are more than 20,000 different food items in a grocery store? There are only a handful of foods that we ask you to avoid (primarily bread, it doesn't pass through the band easily).

Tip 4 – Find a different "go to" drink instead of sodacontinue reading ...

Kristen Shaw's story: The obstacle is not just weight

Written by Community Bariatric Services on 11/18/2014 6:30:00 AM

Kirsten Shaw is a dedicated wife and mother and in the mix of daily life she didn't prioritize her health. She had Lap Band® surgery in August of 2012.

Kristen Shaw before and after Lap BandI grew up in a family where my mom and dad were overweight. I struggled with my weight from adolescence on, in part because I was abused. I felt if I was "chubby" I wouldn't be hurt. I had become an emotional eater and food was my drug of choice numbing the reality.

Then, as a mom of a 13-year-old daughter and wife to a wonderful man, taking care of them became my job. With them as my main priority, I did not prioritize my own personal health.

I tried Weight Watchers and other diets without success. I had lost and regained 75 pounds over and over again. I knew there had to be a solution out there that worked - bariatric weight loss surgery was that solution. After speaking with Dr. McEwen, I felt the Lap Band surgery was the best choice. So, I made the decision to have Lap Band for my health when I reached 296 pounds in August of 2012.

But, I made one mistake upfront. I didn't prepare myself for the after care.

I had the tool (the Lap Band), the education, and the support of the office staff, but I needed to really embrace the Lap Band lifestyle. continue reading ...

How to ward off the flu

Written by Keith McEwen, M.D. on 11/17/2014 6:00:00 AM

Female with fluThe signs are out – 'get your flu shot today!' According to the CDC, influenza has been reported sporadically throughout Indiana, and adults who are overweight are typically more susceptible to the flu because they usually have other health issues. 

I think every Lap Band® patient needs to focus on eating healthy nutritious foods that boost our immunity. Remember to stay well hydrated and wash your hands often. Flu season typically doesn't peak until January, February or even March. So it's a long flu season, be prepared.

The next time you are in the office talk to Gina Goodwin, registered dietitian, about what to eat when flu symptoms persist. When we get sick, everything changes – especially one’s appetite and energy level. From sore throats to stomach viruses, these medical conditions can be especially challenging when you are focused on making your weight loss goals.

It’s more important to regain your health following the flu. And remember, we are here to help you throughout the entire experience.

Also remember if you experience weight loss during the flu, it is only temporary. If any weight is lost, most of it is only water weight. This could be due to the volume of water you lose with diarrhea and vomiting as well as due to lack of appetite. Typically, the weight will return after normal eating habits resume.

Always remember to drink plenty of caffeine-free, low-calorie beverages during this type of illness to help prevent dehydration. 

If you do experience the stomach virus, watch for symptoms of band slippage due to excessive vomiting: continue reading ...

Bariatric surgery after cancer shows benefits

Written by Community Bariatric Services on 11/14/2014 6:00:00 AM

A recent study performed by Stanford University with more than 1,000 bariatric patients reveals that obese cancer survivors who have bariatric surgery get a similar benefit to non-cancer patients who have bariatric surgery.

Overall better quality of life is achieved through safe, sustained weight loss. Additional studies have shown that losing weight after completing the cancer treatment can reduce the risk of cancer recurrence or secondary cancers.

Source: Obesity Week Conference 2014, Boston | ASMBS Abstract 5128

Added sugar consumption on the rise

Written by Community Bariatric Services on 11/12/2014 11:00:00 AM

In just 30 years, sugar consumption has exploded within the American diet. 

Added sugar is defined as sugars and syrups mixed into foods and drinks when they are processed or prepared. We are not just talking about candy, soft drinks and sport drinks. Sugar is also found in ketchup, salad dressing and pasta sauces.

Harvard study author Elyse Powell reports that added sugar is now 30 percent more evident in foods than it was in the 1970s. As a result, many food choices have a lower nutrient density. Overall our sugar consumption is significantly higher than what is recommended.

So, how do you decrease the amount of added sugar in your diet? continue reading ...

Skinny pumpkin spice lattes

Written by Community Bariatric Services on 11/6/2014 6:00:00 AM

Pumpkin spice is a flavor seen all over cafe and restaurant menus during the fall. Those treats, especially that pumpkin spice latte from Starbucks, are filled with calories and fat. Instead, consider making your own pumpkin spice latte. This homemade version is dairy-free, contains actual pumpkin and has half the sugar and fat of a traditional latte.

  • 1 cup almond or coconut milk
  • 1/4 cup pumpkin puree
  • 1/2 tsp vanilla
  • 1/8 tsp of ground cinnamon, ginger and nutmeg
  • Combine all the ingredients listed above in a saucepan and bring to a gentle boil, stirring occasionally.
  • Once mixture is warm and mixed, pour half of the mixture into a cup half-filled with coffee. 
  • Makes two servings.
Source: M. Fazeli-Fard, Experience Life magazine, Oct. 2014. www.ELmag/com/pumpkinlatte

Premature death increases with growing BMI

Written by Community Bariatric Services on 10/23/2014 8:00:00 AM

A new American Cancer Society study finds white and black Americans with excess body weight are equally at risk for premature death.

This study involved nearly 1 million men and women who have never smoked and had no other existing diseases.

They also found that adults who are underweight are also at higher risk for premature death. If seemingly healthy adults later smoke, the risk of death significantly increases.

This study had 28-year follow-up and is the largest study of its kind of African Americans to date.

Source: PLOS ONE online

Lap Band patients walk to fight obesity

Written by Community Bariatric Services on 10/1/2014 5:00:00 PM

Walk from ObesitySponsored by Community Health Network, the Indianapolis Walk from Obesity takes place this Saturday, October 4. The Walk from Obesity is an event that brings together those who are directly affected by obesity and those who wish to prevent it.

Participating in the walk is key to drawing attention to obesity and the need for treatment and prevention efforts. Dr. McEwen and his staff at Community's Hamilton Bariatric Services have a team of staff and Lap Band patients participating for that very reason.

The walk is also a fun way to exercise and raise money for a worthwhile cause. The funds raised through this event support the ASMBS Foundation and the Obesity Action Council’s independent educational missions and fund programs focused on research, education and advocacy for all those affected by obesity.

If you are participating in this walk (or any activity) be sure bring water along and stay well-hydrated.

To kick-start your morning try this Paleo Pancake from Lexi Yoo, nurse practitioner at Hamilton Bariatrics. It takes just 3 ingredients: banana, egg whites and Formulx vanilla protein powder. Lexi uses coconut oil to grease the pan, and adds life brand chocolate chips (optional). This pancake will be crepe-like. continue reading ...

How 'bout them apples?

Written by Gina, registered dietitian for Keith McEwen, MD on 9/23/2014 3:45:00 PM

Strawberries and prosciutto jazz up a simple arugula saladFall is officially upon us, and we are starting to see many Indiana-grown apples in stores and farmers markets. Popular local varieties include, Red Delicious, Golden Delicious, Jonathan, Gala, Rome and Fuji.

Apples are a powerhouse of antioxidants and natural fibers. They are also a low-calorie food with only about 72 calories per medium-sized apple.

A medium size apple also contains over 4 grams of dietary fiber. Dietary fiber has been shown to help improve blood cholesterol levels, blood sugar levels, and can also help with satiety.

In order to eat mindfully, foods needs to satisfy all the senses. Try these apple creations that do just that. (A reminder to lap band patients: Cut all raw fruit and vegetables into small pieces, chew thoroughly, eat slowly and follow the portion size guidelines.)

Apple and sweet potato hash with a fried egg: Chop a firm apple, like Winesap, with a sweet potato and add to a hot skillet with a drizzle of olive oil. Cook until tender, serve with a fried egg. (Serves two.)

Apple brussels sprout slaw: Shred two to three raw brussels sprouts and one medium apple, like a Honeycrisp. Add a tablespoon of cranberries and sunflower seeds. Toss with a mixture of apple cider vinegar and low-fat mayonnaise. (Serves two.) continue reading ...

Katie Couric: Take the Fed Up Challenge

Written by Community Bariatric Services on 9/9/2014 8:00:00 AM

Fed Up Challenge to reduce sugar intake in kidsIn a recent issue of Good Housekeeping magazine Special Report: America's Food Crisis, Katie Couric, the global news anchor at Yahoo, was profiled for a documentary she co-produced, Fed Up, which chronicles the childhood obesity crisis in the U.S. This is a message that not everyone wants to hear: "The food we are eating may be undermining our health – and stealing years from our lives." Today, Sept. 9, Fed Up is available on blu-ray and DVD.

She challenges everyone, especially the moms in the house to start the Fed Up Challenge. The American Heart Association say women can have 6 teaspoons (24 grams) of added sugar a day and men can have 9 teaspoons (36 grams). If you drink a beverage, look at the label; many have 32 grams of sugar. That's 8 teaspoons right there. continue reading ...

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