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June 2010 posts

dr. tabor's revival soy non naughty crispy lace nibbles in smaller chin cheddar

Save 10% on any product at RevivalSoy.com

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Right off the bat I must admit to you that I was a little taken back something about the name of this product line.  I will say it FIRST so that it's out there in the open, mmkay?  (It could just be me?)  This is mostly soy based snack food, called "non-naughty nibbles," in a flavor called "smaller chin cheddar." 

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The non-naughty bit is cool with me, (I dig that, but I am a fan of naughty)  but the smaller chin part kind of tweaked me out.  The other flavors have similarly diet themed names, so it's obvious that's the point.  I get that.  But?  My 12 year old deemed it "wicked offensive."  <shrug>

The product nutrition - 

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 100 calories, 3 grams of fat, 1 gram saturated, 10 grams of carbohydrates, 2 fiber and 7 protein grams.  That's great compared to most anything else commercially available in a 100 calorie pack!  Check your little cracker/cookie packs!  

Revival Soy says - "Creamy cheese and crunchy perfection laugh in hunger's face!"

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I say, let's try it.  Opening the pack the first thing I notice is that these little suckers are BRIGHT ORANGE!  CHEETOS!  OMG THEY HAVE CHEETO CHEEZ!  CHESTER CHEETO IN THE HOUSE!  (Sigh.  That's a blast from my past.)   

The crisps smell, cheesy!  They look like super-puffed Crispix Cereal dipped in Cheeto cheese.

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And you know what?  That's what they taste like.

Almost.  ALMOST!  The non-naughty nibbles ALMOST taste like Rice-Chex/Crispix cracked out and dipped in Cheetos Cheese, but they are not, because they're not rice at all.  It's just the shape tricking me.  They're mostly soy protein.   Ah well.  

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Anyway, they were good, and I ate 'em all.    :)

  • Product - Crispy Lace Non-Naughty Nibbles in Smaller Chin Cheddar
  • Price - $1.00 each
  • Via - Shannon Watts at Revival Soy, more flavors to come.
  • Pros - OMG CHEETOS! Chex! Mix! 
  • Cons - Yeah, not so much. 
  • Coupon - Save 10% on any product at RevivalSoy.com  <--- they are on the bottom on this page.
  • Rating - Pouchworthy, MM.

"F" as in Fat: How Obesity Threatens America's Future 2010

This. pains. me.  And, it's only going to get worse.

-MM

Healthy Americans Press Release -

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Washington, D.C. June 29, 2010 - 

Adult obesity rates increased in 28 states in the past year, and declined only in the District of Columbia (D.C.), according to F as in Fat: How Obesity Threatens America's Future 2010, a report from the Trust for America's Health (TFAH) and the Robert Wood Johnson Foundation (RWJF). More than two-thirds of states (38) have adult obesity rates above 25 percent. In 1991, no state had an obesity rate above 20 percent. 

The report highlights troubling racial, ethnic, regional and income disparities in the nation's obesity epidemic. For instance, adult obesity rates for Blacks and Latinos were higher than for Whites in at least 40 states and the District of Columbia; 10 out of the 11 states with the highest rates of obesity were in the South -- with Mississippi weighing in with highest rates for all adults (33.8 percent) for the sixth year in a row; and 35.3 percent of adults earning less than $15,000 per year were obese compared with 24.5 percent of adults earning $50,000 or more per year.

"Obesity is one of the biggest public health challenges the country has ever faced, and troubling disparities exist based on race, ethnicity, region, and income," said Jeffrey Levi, PhD, executive director of TFAH.  "This report shows that the country has taken bold steps to address the obesity crisis in recent years, but the nation's response has yet to fully match the magnitude of the problem. Millions of Americans still face barriers - like the high cost of healthy foods and lack of access to safe places to be physically active - that make healthy choices challenging."   

The report also includes obesity rates among youths ages 10-17, and the results of a new poll on childhood obesity conducted by Greenberg Quinlan Rosner Research and American Viewpoint. The poll shows that 80 percent of Americans recognize that childhood obesity is a significant and growing challenge for the country, and 50 percent of Americans believe childhood obesity is such an important issue that we need to invest more to prevent it immediately. The survey also found that 84 percent of parents believe their children are at a healthy weight, but research shows nearly one-third of children and teens are obese or overweight. Obesity rates among youths ages 10-17 from the 2007 National Survey of Children's Health (NSCH) also were included in the 2009 F as in Fat report. Data collection for the next NSCH will begin in 2011. Currently, more than 12 million children and adolescents are considered obese.

"Obesity rates among the current generation of young people are unacceptably high and a very serious problem," said Risa Lavizzo-Mourey, M.D., M.B.A., RWJF president and CEO. "To reverse this national epidemic, we have to make every community a healthy community. Americans are increasingly ready and willing to make that investment."

Additional key findings include:

  • Adult obesity rates for Blacks topped 40 percent in nine states, 35 percent in 34 states, and 30 percent in 43 states and D.C.
  • Rates of adult obesity for Latinos were above 35 percent in two states (North Dakota and Tennessee) and at 30 percent and above in 19 states.
  • Ten of the 11 states with the highest rates of diabetes are in the South, as are the 10 states with the highest rates of hypertension.
  • No state had rates of adult obesity above 35 percent for Whites. Only one state-West Virginia-had an adult obesity rate for Whites greater than 30 percent.
  • The number of states where adult obesity rates exceed 30 percent doubled in the past year, from four to eight --Alabama, Arkansas, Kentucky, Louisiana, Mississippi, Oklahoma, Tennessee and West Virginia. 
  • Northeastern and Western states had the lowest adult obesity rates; Colorado remained the lowest at 19.1 percent.

The report found that the federal government and many states are undertaking a wide range of policy initiatives to address the obesity crisis.  Some key findings include that:

At the federal level:

  • The new health reform law, the Patient Protection and Affordable Care Act of 2010, has the potential to address the obesity epidemic through a number of prevention and wellness provisions, expand coverage to millions of uninsured Americans, and create a reliable funding stream through the creation of the Prevention and Public Health Fund;
  • Community Transformation grants have the potential to help leverage the success of existing evidence-based disease prevention programs;
  • President Barack Obama created a White House Task Force on Childhood Obesity,  which issued a new national obesity strategy that contained concrete measures and roles for every agency in the federal government; and.
  • First Lady Michelle Obama launched the "Let's Move" initiative to solve childhood obesity within a generation.

And at the state level: 

  • Twenty states and D.C. set nutritional standards for school lunches, breakfasts and snacks that are stricter than current United States Department of Agriculture requirements.  Five years ago, only four states had legislation requiring stricter standards.
  • Twenty-eight states and D.C. have nutritional standards for competitive foods sold in schools on à la carte lines, in vending machines, in school stores, or through school bake sales.  Five years ago, only six states had nutritional standards for competitive foods.
  • Every state has some form of physical education requirement for schools, but these requirements are often limited, not enforced or do not meet adequate quality standards.
  • Twenty states have passed requirements for body mass index screenings of children and adolescents or have passed legislation requiring other forms of weight and/or fitness related assessments in schools.  Five years ago, only four states had passed screening requirements.

To enhance the prevention of obesity and related diseases, TFAH and RWJF provide a list of recommended actions in the report. Some key policy recommendations include:

  • Support obesity- and disease-prevention programs through the new health reform law's Prevention and Public Health Fund, which provides $15 billion in mandatory appropriations for public health and prevention programs over the next 10 years.
  • Align federal policies and legislation with the goals of the forthcoming National Prevention and Health Promotion Strategy.  Opportunities to do this can be found through key pieces of federal legislation that are up for reauthorization in the next few years, including the Child Nutrition and WIC Reauthorization Act; the Elementary and Secondary Education Act; and the Surface Transportation Authorization Act.
  • Expand the commitment to community-based prevention programs initiated under the American Recovery and Reinvestment Act of 2009 through new provisions in the health reform law, such as Community Transformation grants and the National Diabetes Prevention Program.
  • Continue to invest in research and evaluation on nutrition, physical activity, obesity and obesity-related health outcomes and associated interventions.  

The full report with state rankings in all categories is available on TFAH's Web site atwww.healthyamericans.org and RWJF's Web site at www.rwjf.org. The report was supported by a grant from RWJF.

STATE-BY-STATE ADULT OBESITY RANKINGS

Note: 1 = Highest rate of adult obesity, 51 = lowest rate of adult obesity. Rankings are based on combining three years of data (2007-2009) from the U.S. Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System to "stabilize" data for comparison purposes. This methodology, recommended by the CDC, compensates for any potential anomalies or usual changes due to the specific sample in any given year in any given state.  States with statistically significant (p<0.05) increases for one year are noted with an asterisk (*), states with statistically significant increases for two years in a row are noted with two asterisks (**), states with statistically significant increases for three years in a row are noted with three asterisks (***). Additional information about methodologies and confidence intervals is available in the report.  Individuals with a body mass index (BMI) (a calculation based on weight and height ratios) of 30 or higher are considered obese.

1.Mississippi*** (33.8%); 2. (tie) Alabama (31.6%); and Tennessee*** (31.6%); 4. West Virginia (31.3%); 5. Louisiana* (31.2%); 6.Oklahoma*** (30.6%); 7. Kentucky* (30.5%); 8. Arkansas* (30.1%); 9. South Carolina (29.9%); 10. (tie) Michigan (29.4%); and North Carolina*** (29.4%); 12. Missouri* (29.3%); 13. (tie) Ohio (29.0%); and  Texas* (29.0%); 15. South Dakota*** (28.5%); 16. Kansas*** (28.2%); 17. (tie) Georgia (28.1%); Indiana* (28.1%); and Pennsylvania*** (28.1%); 20. Delaware (27.9%); 21. North Dakota** (27.7%); 22. Iowa* (27.6%); 23. Nebraska (27.3%); 24. (tie) Alaska (26.9%); and Wisconsin (26.9%); 26. (tie) Illinois* (26.6%); and Maryland (26.6%); 28. Washington*** (26.3%); 29. (tie) Arizona (25.8%); and Maine** (25.8%); 31. Nevada (25.6%); 32. (tie) Minnesota (25.5%); New Mexico*** (25.5%); and Virginia (25.5%); 35. New Hampshire* (25.4%); 36. (tie) Florida** (25.1%); Idaho (25.1%); and New York (25.1%); 39. (tie) Oregon (25.0%); and Wyoming (25.0%); 41. California* (24.4%); 42. New Jersey (23.9%); 43. Montana*** (23.5%); 44. Utah* (23.2%); 45. Rhode Island* (22.9%); 46. Vermont*** (22.8%); 47. Hawaii** (22.6%); 48. Massachusetts* (21.7%); 49. District of Columbia. (21.5%); 50. Connecticut (21.4%); 51. Colorado (19.1%)


ASMBS: If Gastric Band Fails Drug Therapy May Help

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http://www.medpagetoday.com/MeetingCoverage/ASMBS/20935

By Charles Bankhead, Staff Writer, MedPage Today
Published: June 28, 2010
Reviewed by Adam J. Carinci, MD; Instructor, Harvard Medical School and
Dorothy Caputo, MA, RN, BC-ADM, CDE, Nurse Planner

LAS VEGAS -- Weight loss increased by 50% in obese patients treated with medical therapy after failure of laparoscopic adjustable gastric banding, data from a retrospective cohort study showed.

Total weight loss before medical augmentation averaged 30% of excess body weight, increasing to 45% after augmentation. All of the commonly used drugs helped jump start weight loss from plateaus, but combination therapy was most effective, more than doubling weight loss from plateau levels, Michael Rothkopf, MD, of Morristown (NJ) Memorial Hospital, said here at the American Society of Metabolic and Bariatric Surgery meeting.

Continue reading "ASMBS: If Gastric Band Fails Drug Therapy May Help" »


BariatricTV's ASMBS Video Series!

(I love the BTV crew. The gorgeous ladies of BTV and Big Mike took T and I out yesterday and brought us to the airport last night.  They deserve a big gold star. ) 

Check out the wicked cool videos they have ALREADY MADE from this week's ASMBS Conference!  Mike was editing and uploading his little fingers away!  (Yes, they got me on camera, AGAIN, after I ran away.)

Teresa chatting about Celebrate Vites -

Vic G. who gets a really big gold star for putting up with ME this week, discussing Celebrate -

Dr. J from Bariatric Advantage! I love her. She called and gave me personalized advice a while back and she's the cutest woman, ever.

And, check out Allison and Michelle from Building Blocks! :D

Isopure Plus!


Seizures in Vegas!

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Epilepsy is fun.

Because?  Sometimes you don't have a warning of when you are going to have a seizure.  

My grand mal seizures have been well-controlled on medication for a very long time now, but I am still having complex partial seizures at least once a week while on two drugs.

This means, I may drop into a semi non-coherent state pretty immediately at any given time.  

FUN!

(Don't tell anyone.)

Now do you understand why I hesitate and avoid going out alone?  Yeah.  That's why.  I've dropped in Starbucks, The Apple Store, Wal Mart, the Bank, The Post Office, Pet Smart, in the car, etc.  Super fun.  

This is why I brought Beth-sitters with me to events last year.  But, it's gotten very old.  I live with this.

The latest attraction, in the ARIA Hotel while on the phone with my daughter early in the morning a few days ago.  

We were chit-chatting while Miss Teresa was in the bathroom putting her face on.  At some point I started having a seizure, and announced to my daughter on the phone, "I'm sorry," and dropped the phone.  

That's my usual thing.  I always repeat "I'm sorry," or "I need sugar."  

Teresa says she had no idea that I was seizing - she thought I got some bad news from home - because I was TOTALLY BLANK and that all energy had been SUCKED FROM THE ROOM, and was sitting down.  (Where I am typically a ball of fire, or at least a sparkler.)

When I came "to" and was aware of my surroundings, I could not find my phone.  I had no idea anything had occurred, nor that I had dropped the phone.  I asked Teresa where the phone went and she asked me if I had gotten bad news.  I was like -

"What?  I was just talking to my daughter, WAIT A MINUTE..."

And then I noticed the Red Bull.  

A half-empty full sugar Red Bull can.  

It seemed that in my quest for "sugar" I hit up the mini-bar for an $8.00 can of sugar and started to guzzle.

I guess I am glad it was a simply energy drink (a easily recognizable can shape, I drink the sugar free ones often) and not the $50.00 champagne bottle.  O-o  

Typically, my hands are close enough to a glucose tablet, and that is what goes in my mouth, HOWEVER! in next to a MINI BAR IN VEGAS?  A MINI BAR GOES IN MY MOUTH.  Sorry, Vic.  I can't tell you if the Red Bull was worth it because I don't remember it.

Epilepsy is fun.  You should try it.

PS.  A day or two after, it happened during the event while I was sitting down talking to Kim G. from Obesity Help.  But, I "felt" the onslaught of it coming, it felt like a really fast oncoming hypoglycemic event.  I whipped out the glucose meter and stabbed myself.  116 mg.  High.  

I ate two glucose tabs anyway and tried to focus on Kim's face while she spoke.  I didn't hear a WORD she said.  I know that I told her that I felt funny, but she knows all about my problem.  She didn't even blink.  :)

Interestingly - I had no events in the casinos.  THANK GOODNESS.  But, I walked through with one eye closed.


Excess Skin Video

I am simply amazed at the bravery of this woman, putting her skin out there like this. She is awesome, because you know what? SO MANY WOMEN LOOK JUST LIKE HER and are scared to show themselves. (Including me, who goes out with 3/4 length tees and pants at all times.)

BRAVO, Sarah.

Continue reading "Excess Skin Video" »


ASMBS: Bypass, Sleeve Top Banding for Weight Loss

ASMBS: Bypass, Sleeve Top Banding for Weight Loss

Published: June 28, 2010
Reviewed by Dori F. Zaleznik, MD; Associate Clinical Professor of Medicine, Harvard Medical School, Boston and
Dorothy Caputo, MA, RN, BC-ADM, CDE, Nurse Planner

LAS VEGAS -- Gastric bypass surgery leads to the greatest weight loss among the three most commonly used bariatric procedures, investigators in two large cohort studies concluded.

Continue reading "ASMBS: Bypass, Sleeve Top Banding for Weight Loss" »


I went to Vegas and look who I found!

fIt was SO great to meet many of my website sponsors in person at ASMBS. I got to meet some of these fine peeps for the first time!

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The Celebrate Vitamins Gang!  You guys rock, and thanks to Vic for putting up with me and paying for my $8.00 Red Bull.  <g>  (Watch for that blog post.  It's later.  Note to self, don't seize in Vegas.)

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Obesity Help.com! Pictured here, Bo with Jamie Dukes!

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Tom Kinder, Jacqueline Jacques and the Bariatric Advantage Crew... (Above, Jonathan + I)

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The Isopure Boys!

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Marc and the Bariatric Fusion gals!

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Jerome and Martha and the lovely UNJURY + opurity ladies!  

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The Building Blocks Fam!

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The Obesity Action Coaltion

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Teresa, myself and Shannon Watts from Revival Soy

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And, of course the fine Bariatric TV ladies - Lynnda (above) Toni and BTV guy, Mike!


MM went to Vegas and took 600 photos.

Here's about 375 of them.  I really did.  Because, that's what I do.  I'm attempting to sort them and make a VEGAS pile and a ASMBS conference pile and put them on separate slideshows, but for now, enjoy? LMAO.


ASMBS: Bariatric Surgery Riskier for Smokers

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Medpage - ASMBS: Bariatric Surgery Riskier For Smokers -

LAS VEGAS -- Smoking appears to make bariatric surgery more risky, particularly with respect to development of strictures and surgical-margin ulcers, data from a large cohort study suggest.

Continue reading "ASMBS: Bariatric Surgery Riskier for Smokers" »


ASMBS: Gastric Banding Gets Low Marks

ASMBS:  Gastric Banding Gets Low Marks

LAS VEGAS -- Adjustable gastric banding achieves only modest weight loss, and even that benefit deteriorates over time in most patients, a Dutch surgeon said here.

Five years after surgery, about two thirds of patients maintained 25% excess weight loss. At 10 years the success rate dropped to less than a third (31%).

Continue reading "ASMBS: Gastric Banding Gets Low Marks" »


ASMBS: Women's Sex Life Better After Bariatric Surgery

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 Medical News: ASMBS: Women's Sex Life Better After Bariatric Surgery - in Meeting Coverage, ASMBS from MedPage Today
.

LAS VEGAS -- Sexual function improved in almost 70% of obese women who underwent bariatric surgery, according to data from a small prospective cohort study.

Continue reading "ASMBS: Women's Sex Life Better After Bariatric Surgery" »


In room dining!

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 It's our last day here and our first day getting any room service!  We are living HIGH ON THE HORSE.  Or at least it smells like a horse out in the hallway.  For a Very Nice Hotel this particular floor must be within the vent system for the kitchen.  It smells like old BBQ all day long.

Last night, pastrami dipped in blue cheese and black truffle mayo and pickles dipped in mustard at Todd English, my first-ever (I think) GELATO (with not a single reaction, I love you Coconut Gelato!  Photos to follow!  Remember, "Gelato is not allowed!"  SARCASM.  I had about four bites...) and English Muffin and bacon this morning! 

Then, some brand-whoring, as a tried to take photos of chandeliers inside the stores inside this mall and got booted from Louis Vuitton.  That's what I get for looking at $$$$ crap.  Teresa asked me why I had to put the camera away -- and I said I guess it was because they were concerned that I'd go home and make fake Louis bags and sell them on the street.

LOTS MORE to come - I have about 400 photos - it's the last few hours of the event now - Teresa and I both fly home tonight - we're missing the last event, but... sleeping on the planes is, uh, fun?


What I have learned about Revision at ASMBS

Although I am here at the conference as a non-professional, there are countless educational sessions going on this week for the professionals.  (This is why they come.)  As much as I would love to have learned about many things discussed here - there is a trickle down effect.  

And, yesterday there was one.  Dr. Garth Davis had attended a session regarding hypoglycemia after roux en y gastric bypass and revision surgery.  He shared with me that there is much promise for gastric sleeve surgery as an option in slowing and reversing reactive hypoglycemia.  This would mean a revision, but not a "reversal."  I would lose the malabsorption of the RNY but regain the stoma and keep a small capacity.

Remember, I ASKED my surgeon to revise me.  He said no.  Now, to be fair, I believe I asked for a DS, because I thought that would help me.  And, then I asked for anything that would help.

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 Revising to gastric sleeve, has a chance at helping stop whatever is triggering my seizures.  Again, I have no evidence that my seizures are AT ALL RELATED.  But, if I keep my blood sugar STABLE, perhaps my seizure threshold wouldn't be so low.  And, if it STOPS THEM?  Perhaps it will keep the scalpel out of my BRAIN.

Dr. G offered to do the revision.  I am going to give it serious consideration.