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Weight Loss Surgery:
Finding the Thin Person Hiding Inside You.
Exercise has always been the hardest thing I have
faced since my surgery. I believed in its importance, so I did it. But I
hated it! My surgery was 5 years ago. Over the years I have learned to
like exercise so much more. But fitting in the time is still a
challenge. So when I heard the new governmental recommendations on
exercise, I was not happy. How can I find the extra time to get in what
the guidelines suggest? Well, one thing I have learned in life is that if
something is important enough, you find the time to do it. And Iím finding
the time, because nothing in this journey is more important than exercise.
You can read about the new governmental recommendations on exercise in the
I hope you are surviving this winter. Stay warm!
In This Issue
* I Would Like to Ask You a Favor
* Research Article: Dietary Guidelines 2005
* Does Age Matter?
* Taming That Hungry Beast
* Recipe: Chicken Kiev
* Success Story: Tina Carter
Like to Ask
You a Favor
Could you forward this to ONE of your friends who you think may
be interested in subscribing to this FREE e-newsletter?
receive so many emails from people who love this e-newsletter.
They always tell me not only how much they enjoy it, but how
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they will thank you. And suggest that they subscribe themselves
by going to
Dietary Guidelines 2005
Did you do your 1 hour of exercise today?
That is the new recommendation from the Health and Human
Servicesí Dietary Guidelines 2005. These new guidelines come as
a result of governmental concern over the rising rate of
obesity. The guidelines come out every 5 years and provide
advice to promote health and avoid disease. Within the
guidelines, it is recommended to eat more fruits and vegetables
than before, from 5 to 13 servings per day as opposed to 5 to 9
servings. It may be hard to fit all of that into our pouches!
But the most surprising part of the
guidelines involves the exercise recommendations. There is a
dramatic increase in the amount of daily exercise. If you are
still thinking that 20 minutes of exercise 3 days a week is OK,
guess again! The new guidelines call for 60 minutes a day of
moderate to vigorous exercise most days to prevent weight gain
and 60 to 90 minutes a day to sustain
For the full report, click here
Does Age Matter?
|I received the following
question on my Blog, but want to answer it here because there
are a lot of people who have a similar concern. Here is Margeís
I am waiting now for approval for gastric bypass surgery. I
have diabetes, high blood pressure, high cholesterol, and
recently during a stress test (pre testing for the surgery)
received an abnormal reading. They found a blockage of 20-30 %
but said they felt the surgery would still be a good thing. I am
scared now but still desperate to change my life. I am 51. Is
this too old?
No, 51 is not too old. There are people in their 60ís and even
70 who are having the surgery. Some surgeonís have a cut off
age of 60, some 65, so you are well within the age limits.
It happens that during the pre testing period that some new
health problems are uncovered. It is sometimes because we avoid
going to doctors because we donít want to be weighed. It is not
unusual that you have undiscovered health problems.
You sound like an excellent candidate for surgery. Weight
loss surgery will either cure or greatly improve your diabetes,
high blood pressure and high cholesterol. And your doctor still
believes that you are a good candidate, so thatís great!
It is a big decision to have surgery. Making that decision
and then waiting for the surgery are very scary. My surgery was
5 years ago, but I can still remember how hysterical I was -
excited about having the surgery one day and scared to death the
next day. Your sentence, ďI am scared now but still desperate to
change my life,Ē is something that almost everyone who has had
this surgery has felt. Your fear just shows that you are taking
this surgery seriously. And thatís very good.
We all wish you the very best!
Taming that Hungry Beast
On Sept. 29, 2004
I had gastric bypass surgery. Here is my problem. All of a
sudden I have gotten this insatiable appetite! I am so afraid
that I am eating tooooo much and that I am stretching my
stomach! If you have any advice I would surely love to hear
it!!! PLEASE HELP ME!!!!
P.S. A friend
bought your book for me and I love it!!! Thank you for all the
Welcome to the real world. You have
reached the point following surgery when your appetite returns.
It happens to almost all of us, so donít despair. But I know
that when it starts happening, it is scary. The first thing you
think is that your surgery has failed.
There are a lot of things you can do to
minimize your hunger and get it under control. If you were
sitting beside me, I would ask you several questions so that we
might figure out what is happening. So I will try to figure this
out from a distance. Ask yourself:
1. Are you eating too many carbohydrates? I
really believe that those of us who are morbidly obese are
carbohydrate sensitive. When we eat carbohydrates, they cause
our blood sugar to rise. We may have temporary energy and our
bodies seem happy. Then when the blood sugar level drops, our
bodies send out the signal to get that blood sugar level back up
there. This is when we feel cravings. So watch your
carbohydrates. I try to delay eating carbs as late in the day
as possible. If I start my day off with carbs, I am hungry for
the entire day. Also, protein is denser and will sit in your
pouch for a longer period of time, keeping you feeling full
longer. So minimize the carbs and eat protein.
2. Are you hungry or are you thirsty? We
sometimes mix up the two sensations. So when you feel hungry,
drink a big glass of water and see if that helps.
3. You just may actually be hungry.
Sometimes we end up not eating enough. We get used to eating
these tiny portions and are afraid to increase the amount.
Well, you canít live on 2 ounces of protein and 1/4 cup of
vegetables forever. You are at the point where you may need to
increase the amount of food you are eating.
When you eat a meal, eat until you feel
full. Take your time and make sure that the sensation you feel
is fullness and not something stuck. Do not overeat and stretch
your pouch. Just eat until you have that sensation in your chest
of fullness. Do a food journal and count your calories. At 4
months post-op, you should be eating about 900 calories per
day. Where do you stand? If you are getting in less than that,
increase the amount of food that you are eating. If you are
eating more calories than that, donít decrease the amount of
food you are eating, just decrease the calories.
calorie selections so that you can have more food.
David Fouts, who is a bariatric chef and
patient did a telephone seminar on food with me. During the
hour David gave terrific tips on how you can get all of that
protein in. We also talked about common eating
problems and hunger issues
that we all seem to go through. If you are interested in taming
that hunger beast, order this audio CD. To find out more about
the CD and to read testimonials, go to
I hope this helped. Let me know how you
are doing. I can report it back to the group.
1/4 cup low calorie margarine
2 Tbs. fresh parsley, minced
1/4 tsp. dried rosemary
1/8 tsp. garlic powder
2 boneless skinless chicken breasts, halved
2 Tbs. plus 2 tsp. skim milk
3-1/2 Tbs. fine breadcrumbs
3/4 lemon, cut into wedges
round wooden toothpick
Combine the margarine, parsley, rosemary and
garlic. Shape the margarine into a 2 inch long block and quarter
into 4 2-inch long sticks. Freeze the sticks.
Flatten the chicken breasts using a mallet
until they are 1/4 inch thick. Place 1 2-inch
long stick of margarine into
each breast half. Roll up and secure with a toothpick.
Dip breast rolls in the milk and then in the
breadcrumbs. Bake at 400ļ for 25 minutes or until browned. Spoon
pan juices over the chicken, garnish with lemon wedges and enjoy.
Makes 4 servings. Each serving:
183 calories, 22.5 grams of protein, 7 grams
If you have a recipe that you would like to share in future
issues of this newsletter, please send
it to me at
Story: Tina Carter
I want to offer a special thanks to Tina Carter. Here is her
On October 9, 2001, I had open gastric
bypass surgery. I weighed 415 pounds at the time. For years I had
tried all kinds of diets with total failure. I was 36 years old and
aside from a few positive things in my life, I lived a life of pain
and isolation. My health was failing fast and I knew I had to
transform the status of my health.
I have always been overweight. When I
went to kindergarten, I was the largest kid in my class. I was
teased and ridiculed. As I went through school, I remained the
largest person in my class. I had few friends, and I participated in
very few social activities.
I sank into a world of isolation where
I felt safe, away from judgmental people who glared, stared, and
called me hurtful names. The extra weight on my body did not cushion
me from the pain the outside world had caused. I became depressed. I
rejected everyone. I never hated myself, but I did hate the fat that
held me back from so many things life has to offer, and I hated my
inability to take weight off and keep it off.
Genetics plays a definite role in
obesity. Both my father and mother were morbidly obese. Health
problems related to obesity caused the death of my father. My mother
is still living but has fought high blood pressure and has had a
heart attack. I felt that any of these conditions could affect me at
I am 5' 4Ē and weighed 415 pounds. I
had severe difficulty standing, asthma, joint pain, severe lower
back pain, sleep apnea, depression, high blood pressure and stress
incontinence. I also had severe problems with hygiene when going to
the bathroom. I had to use huge amounts of powder to keep my skin
dry and odor free. I had terrible skin rashes and external yeast
infections that were very painful.
Every day activities were also
difficult. I had difficulty fitting in my car to drive. I always sat
down carefully for fear of breaking a chair. I couldn't fit in most
chairs and was forced to stand. And of course the emotional pain
which accompanies obesity was overwhelming and all-consuming. Each
day was a struggle to live. Depression was a constant reminder that
something was wrong with me.
I was constantly challenged by my
emotions. I faced repeated failures with dieting, disapproval from
my family, friends and even sneers from strangers on the street. The
anxiety and depression which accompanies this condition are all
inclusive. I lived with the reality of it on a daily basis.
My weight loss surgery was the first
step in a long journey to find my health as well as to find my self.
I wanted to live for many reason. I wanted to experience things I
had never done before. I wanted to clean my entire house. I wanted
to paint my toenails and buy normal size clothes. I wanted to wear a
swimsuit in public. I wanted to ride a roller coaster and have the
bar close on my lap. I wanted to take a bath and be surrounded by
water. I wanted to live without fear that I will embarrass myself or
my family by being clumsy with my weight. I wanted to cross my legs.
I wanted to hold my head up high and smile and feel good about
myself. I wanted to do thing that normal people take for granted. I
wanted to live and I wanted my freedom. I wanted to become a
productive person and I didn't want to continue on the downward
spiral of declining health.
Well it is now 52 months later and I
have lost 225 pounds. I now weigh 190 pounds. It hasnít been easy,
but I would do it all over again. This surgery has saved my life.
Life has changed so much for me in so many ways. My health is much
better. I am no longer on oxygen. I have no more sleep apnea or
swollen feet. I still have joint pain, but my blood pressure is much
better. I am now facing an abdominoplasty to remove massive amounts
of skin hanging from my abdomen. But over all I am doing very well.
I dared to dream and found that dreams
do come true. I am so very thankful to God for giving me a second
chance at life.
I love good news. If you have good news, a
success story to share, or inspiration,
please send it to me at
Barbara@WLScenter.com so that I can
include it in future issues.
You may reprint any items from this newsletter in your own print or
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from Barbara Thompsonís free e-newsletter featuring helpful
information and research material to help patients succeed following
weight loss surgery.
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