WLS Center E-Newsletter
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Weight Loss Surgery:
Finding the Thin Person Hiding Inside You.
The Voice of Obesity
When we have weight loss surgery, we need to recognize that we are
making a life-long commitment to
ourselves to take the very best care of our bodies that we can.
That means that we have to eat right, exercise and be checked to
make sure that our bodies are responding in a healthy way to our
new configuration. To do that, we must book follow up appointments
with our surgeons. In an
article below, I report on copper deficiency that is now being
detected in some patients. Your primary care physician will not
know to look for things like this, but your surgeon will. Check
back with your surgeon at least once a year.
In This Issue
* Paradise Cruise
* Research Article: Copper Deficiency
* Milwaukee Retreat
* Puzzle It Out
* Your Inner Child
* Recipe: Ginger Sweet Potato Casserole
Success Story: Marie Worthen
* Spreading the Word in New York; Park Rapids, MN; Milwaukee;
Greenville, PA; and the Western Caribbean
Copper deficiencies have been showing up as
a side effect of weight loss surgery. It is however a rare
occurrence, but one that you should be aware of. Patients will
show symptoms of numbness or tingling in the feet or hands.
Although these symptoms are normally seen as side effects of B12
deficiency, patients will have normal levels of B12.
Copper is an essential mineral in the
formation of blood and for the nervous system. Copper
deficiencies have been found in studies done that included
patients who had other kinds of stomach surgeries such as the
removal of the stomach for medical reasons.
A lack of copper is linked to iron
deficiency because copper is required in the proper absorption
of iron. Low levels of copper can also cause osteoporosis.
Copper can be found in oysters and shellfish and in bygone eras,
the major sources of copper came from copper pipes from through
which drinking water flowed.
Too much copper can cause nausea and
vomiting, so it is not recommended that you take copper
supplements without the advice of your doctor. There is a
difference of opinion whether wearing a
copper bracelet works or
not. An Australian double blind study found these bracelets to
be effective despite most doctors saying the contrary.
So if you are having tingling sensations
and your B12 levels are fine, ask your doctor to check your
copper levels. We are still learning what to look out for
following weight loss surgery. The research continues.
et al, “Copper Deficiency as a Cause of Unexplained Hematologic
and Neurologic Deficits in Patient with Prior Gastrointestinal
Surgery. Journal of the American Board of Family Medicine,
et al., “An Investigation of the Therapeutic Value of the
‘Copper Bracelet’ - Dermal Assimilation of Copper in Arthritic/
Rheumatoid Conditions. Agents and Actions, 6, 454-458,
Puzzle It Out
If you like crossword puzzles, you’ll
enjoy this. Click here and test
your knowledge of the basics!
|She looked at the small pile of
Hershey Kisses that were left over from Valentine’s Day. They
were the new kind that has the soft cherry cream center. Without
thinking, she started to grab one, and then stopped. What was
she thinking? But then that feeling came over her. She
remembered that feeling of anger and hurt that she would feel
when her father would tell her that if she didn’t lose weight,
no man would ever want her. She had that same feeling now and
she heard that little voice and thought, “I don’t care and no
one is going to tell me what to do.”
Does this scenario sound
familiar? Do you have an inner child that keeps you from
exercising, drinking water or controlling grazing? Ignoring that
inner child does little good. That child will eventually win
out. She (or he) is extremely strong.
I recognize this scenario because I have an inner child
myself. The more you try, the worse it gets. Your inner child is
stomping her foot and saying, "No one is going to tell me what
to do. If I want something, I'm going to eat it." Try to
recognize that inner child and have a gentle loving talk with
her when she appears. Tell her that you don't want to eat
whatever it might be because it will hurt your body and you want
to be good to your body and treat your body with love and
respect. Try to get her to understand that.
The only way to control your inner child is through love and
understanding; otherwise your inner child will control you and
sabotage your best efforts.
If you would like
to receive 6 months worth of tips like this, weekly
lessons, telephone seminars and a community of people that
you can turn to daily, join my Back on Track Internet
Click here for more information.
Ginger Sweet Potato Casserole
Ginger Sweet Potato Casserole
4 medium sweet potatoes (about 3 1/2 pounds), scrubbed
2 teaspoons minced fresh ginger
Salt and black pepper
1 tablespoon Splenda® or sugar substitute
2 large egg yolks
1/2 cup nonfat milk
Nonstick cooking spray
1/3 cup chopped pecans
oven to 400°F. Line a baking sheet with foil. Pierce potatoes with
fork and place on sheet. Bake 75 minutes, until very tender.
Remove from oven; cut in half lengthwise and let cool 10 minutes.
Reduce oven temperature to 375°F.
orange, grate 1 tablespoon zest. When cool enough to handle, scoop
flesh from potatoes into bowl of food processor. Add orange zest,
ginger, salt, and pepper; process to combine. Taste, add Splenda®
as desired. Add yolks to mixture; process to combine. With motor
running, pour milk through feed tube and process until blended.
Coat a 1
1/2-quart casserole with nonstick cooking spray. Spoon potato
mixture into pan; spread to an even layer with a spatula. Sprinkle
evenly with pecans. Bake 30 minutes, until hot and topping is
156 calories: 4 g protein: 22 g carbohydrate
If you have a recipe that you would like to share in future issues
of this newsletter, please send it to me
I want to offer a special thanks to Marie
Worthen. Here is her story:
I never had a weight problem growing up. But
after the birth of my third child my thyroid became under-active and
I had to go on medications for this and for
other health reasons.
One of the side effects of these medications was weight gain.
My son was born with a serious heart disease
and I spent a lot of time in the hospital. My emotional eating
really started to take off. At 5’ 5’’ my weight topped off at 283
pounds. Dieting then became a part of my life. I would lose 40
pounds then gain 60 pounds, lose 30 pounds and gain, etc.
For 1 ½ years I researched weight loss surgery,
went to the meetings and lost the 15 pounds required in order for my
surgeon to approve me for surgery. Fortunately, my surgery was
covered by my insurance. The day of the surgery my weight was 235
At my pre-op appointment, the nurses said to me
“I can’t believe you’re having the surgery you’re not that fat.”
The nurses and the aids on the floor had the same sentiments. I
couldn’t believe they were saying that to me. I had met all the
criteria to have the surgery and was morbidly obese.
I had my surgery in November 2004. The night
of my surgery which was a Monday, I started getting violently ill.
By Thursday the doctors finally did tests and found out that my old
stomach had wrapped around my new intestines. I was barely aware of
my husband and family being with me. Every time I opened my eyes I
would throw up horrible stuff. I thought that I wasn’t going to
make it through. I was brought back to surgery to correct the
blockage. Following my second surgery, I was feeling much better and
went home after a few days.
When I went home I followed the eating plan
exactly but I couldn’t keep anything down, not even an ice cube. I
ended up in the hospital a couple of times. The last time they kept
me until I was able to keep something down. I was in the hospital
for a month and the doctors did every test but couldn’t figure out
why I was having this problem. They had to start feeding me through
a special tube in my arm.
My attitude and spirits were positive through
all of this. I didn’t really lose any weight during this time
because of all the calories they were giving me. Finally I was able
to keep some liquid down and went home. Once home I followed the
food guidelines and I have lost 143 pounds from my heaviest. I now
weight 140 pounds and have never been so healthy. I really watch
what I eat and exercise 4 to 5 times a week.
Last summer I did my first horse back riding
class at the age of 45. I have been having so much fun with my
horses. It’s so wonderful to be able to cross my legs, have pants
with a zipper and be able to feel comfortable in a bathing suit.
I’m glad that I had the surgery even after the bumpy start.
I would recommend anyone that is having the
surgery to take your measurements before and then weekly after.
That suggestion Barbara made helped me not get discouraged. When I
didn’t lose weight, the inches were still coming off. Barbara,
thank you for all your work in educating people.
You achieved your
goal, be proud and tell the world.
I am running low on success stories. If
you have a story to share, are at least 1 year post-op and
have before and after pictures, please send them to me at
Barbara@wlscenter.com so that I can include
them in a future
New York, Park Rapids,
the Western Caribbean
I have several engagements coming up
which you will be able to attend.
Wednesday March 7th, 7 PM to
8:30 PM, New York Presbyterian Hospital, Whitney 117, 525 East
68th Street, between York Avenue and the East River. Call Liz
Goldenberg, 212-746-5294 for information.
Saturday April 14th, 10 AM to
11:15 AM, sponsored by Dakota Clinic, Park Rapids, MN. Call
Laurie Hanson, 218-732-2829 for information.
Wednesday May 23rd (tentative
date) 6:00 to 8:00 PM, Thiel College Auditorium, sponsored by
UPMC Horizon, Greenville, PA
|Please Note: I am asked very often about
coming to speak for various practices. If you would like me to
speak, I am sponsored to speak by either the Hospital or by a
corporation. Call me for details 877-440-1518.
If you are a nurse and would like for me to
speak on positive patient outcomes, patient satisfaction, or
obesity sensitivity for your State Nurses Association, please
have the conference planner for your State Association contact
me. I have a corporate sponsor who will pay my fee and expenses
so it is free for your Association. I also speak for many
hospitals on the same topics.
Contact me at
Barbara@WLScenter.com or 412-851-4195.
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“Reprinted from Barbara Thompson’s free
e-newsletter featuring helpful information and research material to
help patients succeed following weight loss surgery.
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