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Study: Obesity Surgery In Younger Patients Could Reverse Cardiac Problems

“What we found was that the cardiac structure and function in these extremely obese adolescents scheduled for bariatric surgery was much more impaired than one might have thought,” said John Bauer, PhD with Nationwide Children’s Hospital.

The hearts and function of super-morbidly obese adolescents before undergoing bariatric surgery -- were that of middle-aged persons. 

After bariatric surgery -- the teens' hearts underwent change -- reverting to a healthier state.

GOOD NEWS.


Post bariatric food apathy or obsession

I have often described myself as a food apathetic since weight loss surgery.  

I never seemed to connect the gathering, preparation and cooking of food the way others did since my bariatric surgery.  

I am not typical.  There are reasons.

I believe what sealed this for me was when I was told that I should not be using utensils, stoves and other "dangerous" materials since my seizures have been uncontrolled even while heavily medicated.  I am not supposed to cook or prepare anything while unsupervised.  This makes cooking not much fun FOR ME.  I rarely cook unless the whole family is around.  It's really not a huge deal -- but it makes me spend a lot of time watching other people's preparation and food behaviors.  For me, meal preparation is often:  open microwave, heat, eat.  When you can't -- you just don't.  You learn to cope around your situation, I eat a bit like an old person.

Post bariatric patients (and not... however my interest is in the weight loss surgery patient) spend hours collecting recipes, pinning them to websites, sharing photos of food, baking, cooking, talking about cooking, posting about cooking, etc. etc. and I know many spend hours watching cooking shows, and even leave it on as background noise at home.

I distinctly remember a time when the cooking channel was the only channel I wanted to watch.  This was in the first few months.  But it passed.  I was speaking with an elderly aunt yesterday - who lives vicariously through the cooking shows.  She is the kind of person who never COOKS a thing on these shows, but loves to watch them.  I wondered -- is this how bariatric patients live?  

I am her.  She is me.  I am that old lady.  But I don't cook  much now nor care about the food one iota.  She obsesses -- watches the shows ALL day long.  She also wonders about what "we are going to have for lunch" just as soon as we leave the house.  I told her to make the choice for lunch yesterday - and she could not get over the fact that I didn't care where we ate.  "You really can eat anywhere, and don't care?"  Yep.  I just doesn't matter - so long as I get fed with something of quality. 

Do we live vicariously through what we might have -- obsessively -- through recipe blogs, cooking networks, photographs and talking about food?  What of this constant preoccupation with food and the sourcing of - and preparation of - and the eating of - do you think it has any impact on our success in our weight loss and weight maintenance in the long term?

I do.  

I know when I was thinking about food all the time - I was eating it.  My weight chart shows a different mindset and so do my pants.  

What about you?  

 


Gastric Sleeve Surgery Long Term - It Works - Mostly!

Study from Medpage -  via SOARD 

VSG surgery works - mostly!

Gastric Sleeve Gastrectomy

In a single-center study, patients who underwent the procedure lost an average 57.4% of excessive body mass index (BMI) over 5 years, Ralph Peterli, MD, of Claraspital in Basel in Switzerland, and colleagues reported online in the journalSurgery for Obesity and Related Diseases.

Laparoscopic sleeve gastrectomy, first developed about a decade ago, "was initially intended to be a primary intervention in high-risk patients before laparoscopic Roux-en-Y gastric bypass or as the first step of biliopancreatic diversion duodenal switch," the authors noted in their introduction. But evidence has been mounting that sleeve gastrectomy itself is an effective surgery for weight loss.

Indeed, joint guidelines from the American Association of Clinical Endocrinologists, the Obesity Society, and the American Society for Metabolic and Bariatric Surgery were upgraded to reflect the utility of the procedure.

But there is still a dearth of long-term evidence for its benefit -- one reason Peterli and colleagues conducted a retrospective analysis of a cohort from their facility that had a minimum of 5 years' follow-up.

A total of 68 patients had laparoscopic sleeve gastrectomy at their center as either a primary bariatric procedure or as a re-operation after failed laparoscopic gastric banding between August 2004 and December 2007.

At the time of sleeve gastrectomy, mean BMI was 43 and 78% of patients were female. They had a mean follow-up of 5.9 years.

Overall, Peterli and colleagues found that the average excessive BMI lost after 1 year was 61.5%, and then 61.1% after 2 years.

By 5 years, average excessive BMI lost was 57.4%, they reported.

Those losses correspond with a BMI reduction of 12.6 kg/m2, 12.4 kg/m2, and 11.2 kg/m2, respectively.

"The main weight loss occurred in the first postoperative year and appeared in the following years for the most part stable," they wrote.

However, 34.3% of patients who had sleeve gastrectomy as their primary procedure and 50% of those who'd had it after a failed gastric banding still had a BMI above 35 kg/m2 after 5 years.

"Patients with a prior [gastric banding] show worse results concerning weight loss," they wrote, noting, however, that international consensus considers Roux-en-Y gastric bypass [RYGB] surgery as the best option following failed banding, not sleeve gastrectomy.

The study also showed that comorbidities improved considerably, with remission of type 2 diabetes in most of the patients who had the disease before the procedure.

Among four insulin-dependent patients, only one still needed insulin therapy 5 years after laparoscopic sleeve gastrectomy. Two were able to switch to oral antidiabetic therapy, while one remained in full remission at 5 years, they reported.

In terms of complications, one patient had a leak, two had incisional hernias -- which were deemed unrelated to treatment -- and 11 patients had new onset gastroesophageal reflux disease, which typically resolved with proton pump inhibitor therapy.

Over 5 years of follow-up, 77.9% of patients developed vitamin D deficiency, 41.2% had iron deficiency, 39.7% had zinc deficiency, 39.7% had a vitamin B12 deficiency, 25% had a folic acid deficiency, and 10.3% developed anemia.

These deficiencies occurred "despite routine supplementation, in a higher rate than we had expected," the researchers wrote.

They also found that re-operation due to insufficient weight loss was needed in eight patients, or 11.8% of the study population.

But they concluded that sleeve gastrectomy is effective nearly 6 years after the initial operation, with nearly 60% of excessive BMI still gone and a "considerable improvement or even remission" of comorbidities.

"Although sleeve gastrectomy was initially only carried out as the first part of a two-step procedure," they wrote, "we could show that a rather small percentage needed a second-line procedure ... for treatment of insufficient weight loss."

Study from Medpage - via SOARD 

Background

Laparoscopic Sleeve Gastrectomy (LSG) is gaining popularity, yet long-term results are still rare.

Objectives

We present the five-year outcome concerning weight loss, modification of co-morbidities and late complications.

Setting

University affiliated teaching hospital, Switzerland.

Methods

This is a retrospective analysis of a prospective cohort with a minimal follow-up of 5 years. A total of sixty-eight patients underwent LSG either as primary bariatric procedure (n=41) or as redo-operation after failed laparoscopic gastric banding (n=27) between August 2004 and December 2007. At the time of LSG the mean body mass index (BMI) was 43.0 ±8.0 kg/m2, the mean age 43.1 ±10.1 years, and 78% were female. The follow-up rate one year postoperatively was 100%, 97% after 2, and 91% after 5 years; the mean follow-up time was 5.9 ±0.8 years.

Results

The average excessive BMI loss after 1 year was 61.5 ±23.4%, 61.1 ±23.4% after 2, and 57.4 ±24.7% after 5 years. Co-morbidities improved considerably; a remission of type 2 diabetes could be reached in 85%. The following complications were observed: one leak (1.5%), 2 incisional hernias (2.9%), and new onset gastroesophageal reflux in 11 patients (16.2%). Reoperation due to insufficient weight loss was necessary in 8 patients (11.8%).

Conclusions

LSG was effective 5.9 years postoperatively with an excessive BMI loss of almost 60% and a considerable improvement or even remission of co-morbidities.

 


Hello maintenance or the no-stress apathetic no-diet plan for long term WLS patients.

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I suppose this is maintenance.
I'll take it.  I apparently maintain at this caloric intake at this activity level.
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It's magic. 

I have also been extraordinarily "lazy"  (in Beth terms) in the last 30 days -- with very little gym time. Calorie Control.org doesn't have a setting for extraordinarily lazy - but if they did - or a setting for extraordinarily lazy post bariatric patient who eats 1200-1400 calories per day, that would be me.
PS.  I'm not really that lazy, but, I am not about to own running half-marathons up in this bitch, because, no.
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I suspect that as soon as I get back into a routine at the gym (... school is out and it's hot and we are whiny)  that one or two things will happen:
I will see a bounce up because "YAY! MUSCLE!"  Or my trend down will start again - although as it has been - very slowly.  I still have body-fat to lose while I grow/gain muscle which I desperately need.   Either option is fine with me.  I have no goal, other than health with no stress in doing so.
Welcome to the apathetic non-diet plan for WLS'ers.  
It works.  

A dilemma-monade #fitbloggin #procrastination

It's 94 degrees in my bedroom right now where I should be packing my suitcase in anticipation for my flight out to fitbloggin' 2013 tomorrow morning.  However instead of packing I am playing the "until the very last minute" game because -

  • It is 94 degrees in my bedroom
  • And I am avoiding all things boob sweat.  (I am currently sweating, sitting still.)

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There is also this one thing --  I weighed in at 183 pounds last summer to fall.

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fitbloggin' 2012

I now weigh 144 pounds and that is a visible size difference.  
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2013

The thing is -- I've been wearing the same clothing regardless of its fit -- which means I probably look a mess quite often in a size 12-14 on a size 8 body.  I likely rock the plumbers crack.  #thumbsup

 

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I could use some clothes that fit, but I would rather not until I know I am settled into a size that I am staying in unless I find super-inexpensive deals.  I bought clothing prior to the last set of events I attended - and they're too big now.  

As someone who is pretty much stuck-at-home since I do not drive due to my seizures, I don't shop much at all, and rarely shop online either.  Also:  with five other people in the house, you don't just SHOP for clothes, you have to consider everyone, and we have a list seven miles long of "needs, wants and like-to-haves..." and my stuff sometimes gets bumped.  That's just the long way of saying I can't just run out and shop.  I do not have that luxury.  If I were an employed adult with a dependable weekly paycheck, who could drive myself to the mall?  I suppose I might consider it more often, but I know I'd likely end up spending on the kids first because that's what parents do.  School's out this week.  #brainimplodes  #sendababypool #sendairconditioning #help 

Do you like how I am avoiding?  

It is working.  

I am still sitting here.  

The suitcase is empty.  

I will also mention that it is empty because I did not get a sponsor for this event.  In the spirit of being honest:  I did not try very hard to gain a sponsor.  I did not ask much.  I was quite disheartened after the last event I attended and sort of gave up.   I promised myself that I would not attend another blog conference (...or otherwise) after paying out of pocket in full for the last one that went completely belly-up on me and my entire support group.  I swore I would never do it again, until this time.

I suppose I should attempt to put some poorly fitted clothes in a suitcase now that the sun has moved a bit.   (Still. trying. to. waste. time. here.)

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However, I've had two good experiences with fitbloggin'.    (A post from last year.)

I am off to Portland, Oregon in the wee hours tomorrow for fitbloggin' 2013 - which is my third trip to fitbloggin' - because they sort of rock.  I went in 2010, 2012 and now this year.  I will be live-blogging a session sponsored by #soyjoy about snacking!  *shrug*  

I like snacking.  

Many blog-friends will also be there!  Check out the list!  WLS bloggers in attendance:

 Watch the blogs - and

 

 


Ending TOMORROW - Nominations are open! #OAC #YWM2013

Via OAC -  Nominations END tomorrow!

We are proud to open the nomination process for the OAC’s 2013 Annual Awards that will be presented on Saturday evening, August 17, at the 2nd Annual Your Weight Matters National Convention in Phoenix, AZ.

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Last year, the OAC unveiled its Annual Awards Program as a way to honor outstanding OAC members and volunteers for their tireless efforts to advance the cause of obesity and help individuals affected through education, advocacy and support. Our members truly drive the successes of the OAC, and we are excited to celebrate the individuals that have made a direct impact in furthering the goals and mission of the OAC.

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During this year’s awards ceremony held in conjunction with the 2013 National Convention in Phoenix, we will present seven awards in key areas of focus for the OAC. A complete list of the awards to be presented may be found to the right. Of the seven awards, four are open to the membership to submit nominations. The remaining award recipients will be selected by the Annual Awards Program Review Committee.

If you know someone who is deserving of one or more of the OAC’s awards, we encourage you to submit a nomination using the below links. Self-nominations are also welcomed and accepted.

 

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Supporting the #WalkFromObesity for the OAC and ASMBS Foundation with the #BBGC

Deadline to Submit Your Nomination: Friday, July 19

 

Candidates for the below awards are nominated by the OAC membership and will be submitted for final review by the OAC Annual Awards Program Review Committee. Self-nominations are accepted. The description, qualifications and criteria for review are available once you click the link provided for the respective award. 

 

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#YWM2012 Awards Night with Michelle Vicari

 

  • The deadline to submit a nomination is Friday, July 19. 

We hope you submit a nomination for the OAC’s Annual Awards and invite you to join us in Phoenix for the presentation. Here are the details of this year’s Awards Ceremony:

Saturday, August 17
7:00 pm – Arizona Grand Ballroom – Conference Center at Arizona Grand

Arizona Grand Resort & Spa
8000 South Arizona Grand
Phoenix, AZ 85044
Plated Sit-down Dinner

Tickets to the 2nd Annual OAC Awards Dinner are included in Full Convention Registration and can also be purchased separately. To learn more about registering for the Convention and this event, please visit the official Convention Web site at www.YWMConvention.com.

  • To view the recipients of the 2012 OAC Annual Awards, please CLICK HERE.



Please judge everything.

It's a funny thing when you post your lowest-to-date weight, instant comments happen.  I suppose I should expect it.  I watch the comments scroll on other people's blogs, pages, etc and I try to ignore them but I do wonder what the guidelines or cut offs are for making judgements on a person's shape/size.

  • "Now don't you go wasting away on us!"  (I am a nine year and two month bariatric surgery post op, I think I have this whole cyclic regain pattern pretty much DOWN to a science.)
  • "Gosh, I hope you are not going anorexic over there!"  (Wait, what?!  No, really,  WHAT?)
  • "I NEED TO KNOW EXACTLY WHAT YOU EAT EVERY SINGLE DAY."
  • "What do you eat?  600-800 calories?  Show me."
  • "OMGoodness aren't you just a little thing!" 
  • "I hope you calculated your excess skin in there!"  (Um.  It's about 5-7 lbs.  If I take Skilsaw to my arms, belly and thighs, I will be in exactly the top range of normal body weight.  I'd probably become Super Anemia Girl too.)

I don't think it matters which direction you go - there is a comment somewhere.   

And it just proves that we are SO INDIVIDUAL.  You cannot judge your path against someone else.  Please don't try.

*cue Britney Bitch* 

Why do other people feel compelled to immediately (No, seriously, THE SECOND YOU TAKE A BIG SHIT AND POST YOUR WEIGHT LOSS...) judge themselves against you?  

Oh my goodness, aren't you a crass little creature!  *unsubscribe*

I have never (in my life) seen 145 lbs.  I am a short woman, which makes 145 lbs "overweight."  May I own it for five seconds before I sabotage it?

Please do not make body comments about anyone.  Ever.  You have NO idea what kind of lasting impression it has on them.   I am stronger than most.

“The process is the goal.” 
― Geneen Roth

 


Win An All-Expenses Paid Trip To #YWM2013 - JOIN US!

From the OAC -
YOU ARE INVITED to join us for the 2nd Annual Your Weight Matters National Convention, taking place this year in Phoenix, AZ, August 15 – 18 at the beautiful Arizona Grand Resort & Spa!

“Rise to the Challenge” with the Obesity Action Coalition (OAC) in Phoenix, where you can learn from the country’s leading experts and arm yourself with the knowledge to better manage your weight and your health!

The Your Weight Matters National Convention is the largest National meeting dedicated to providing evidence-based strategies for individuals impacted by excess weight and obesity, proudly brought to you OAC. As a National non-profit organization, the OAC is dedicated to helping the millions of Americans impacted by excess weight and obesity through education, advocacy and support.

The OAC’s National Convention is a 3-day educational event designed to bring together all individuals who struggle or are concerned with weight-related issues. The entire weekend is dedicated to presenting a comprehensive agenda, comprised of diverse topics that are designed to help any individual who has ever had a concern about their weight. We bring-in the country’s leading experts on weight and health and give you the RIGHT tools to be successful in your lifelong journey with weight.

Would you join us?   Please do.  

The OAC invites you to “Rise to the Challenge” and have the opportunity to win an all-expenses paid trip to the 2013 Convention in Phoenix.

Caesar demands - asks...

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  • If you refer 10 or more registrants to the 2013 Your Weight Matters National Convention, you will be entered-in to a Grand Prize drawing for an all-expenses paid trip to the Convention! The individual whose name is drawn will receive airfare, three-nights hotel stay and a Full Event Registration. Participants must recruit a minimum of 10 registrants to be eligible to enter the raffle for the Grand Prize.  

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  • All individuals who refer at least one registrant will be entered-in to a Runner-up drawing for a complimentary Full Convention Registration and a free OAC Membership (or renewal). You will receive one entry into the Runner-up drawing for each registrant who indicates that you referred them to Convention.  
  • GET ENTERED!  GET THERE.  We want to see you!  

(If you have not watched this - DO - embed the words inside your brain - that little dance - can you?  Would you?)

Have you already registered for #YWM2013?  (GO YOU!)  

  • If you HAVE?  
  • Please please please shoot the OAC a quick email to convention@obesityaction.org and provide the name of the individual that recruited you to attend.  Because, they get a shot at winning the trip - and that's super-helpful.  The more the better.  
  • Spread the love.  And see you at #YWM2013!  

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  • Related articles

Carnie Wilson Speaks At WLSFA 2013 Las Vegas Luncheon

Carnie Wilson Speaks At WLSFA 2013 Las Vegas Luncheon


Null and Void. #WLSFA2013 Post #1 Good Tried To Do Good

PHILANTHROPY is based on voluntary action for the common good. It is a tradition of giving and sharing that is primary to the quality of life. To assure that philanthropy merits the respect and trust of the general public, and that donors and prospective donors can have full confidence in the not-for-profit organizations and causes they are asked to support, we declare that all donors have these rights:

BBGC Donates to the WLSFA
Donating $1000 to the WLSFA


  1. To be informed of the organization's mission, of the way the organization intends to use donated resources, and of its capacity to use donations effectively for their intended purposes.
  2. To be informed of the identity of those serving on the organization's governing board, and to expect the board to exercise prudent judgment in its stewardship responsibilities.
  3. To have access to the organization's most recent financial statements.
  4. To be assured their gifts will be used for the purposes for which they were given.
  5. To receive appropriate acknowledgement and recognition.
  6. To be assured that information about their donations is handled with respect and with confidentiality to the extent provided by law.
  7. To expect that all relationships with individuals representing organizations of interest to the donor will be professional in nature.
  8. To be informed whether those seeking donations are volunteers, employees of the organization or hired solicitors.
  9. To have the opportunity for their names to be deleted from mailing lists that an organization may intend to share.
  10. To feel free to ask questions when making a donation and to receive prompt, truthful and forthright answers.

I'm going to add one more:

Don't do this to your donors - particularly when they're YOUR PEOPLE.

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That is a scanned image of the check I donated to the Weight Loss Surgery Foundation of America or WLSFA organization.  

I was not home twenty-four hours before I received a letter from the CEO of the foundation and this image with the letters V O I D enscribed across it.  I have not slept much yet - so - forgive my even sharing this with you -

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I especially like how I wronged the sponsors.  Because many of them are also mine.  (*See sidebar.  I love my sponsors.  Click their links.  Buy stuff.)

That feels really good, Antonia.  That makes my heart swell with pride and stuff.

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It's a day later and I've received no response as to what I did, aside from hand the WLSFA $1000 in a non-confrontational manner.   I actually had to beg them to take it - we were skipped over in the first round of donation announcements - they took it publicly and gave it back like this.  

The event itself?  Was a non-issue.  I only have two or three issues that I'd concern myself with -- and they wouldn't involve this check.  At all.  One issue was big enough for me to want to blog - but - I've refrained so far.

My bariatric support group's fundraising is obviously not wanted in this exclusionary non-profit.  I do not know if it's legal to shun a cash donation from legal fundraising.  Lawyers?

As a group we are more than disgusted.  I have spent hours promoting this event, and spent thousands of dollars, and frankly I sit here ashamed that I asked my peers to donate to the cause.  

Consider for a second how much I spent just for myself -

  • BBGC Donation - $1000
  • WLSFA Ticket - $150
  • Carnie Wilson Luncheon - $99
  • Flight - $600
  • Hotel - $100+ night
  • Travel (Shuttle, cabs, etc.)
  • Food
  • Discretionary stuff
  • Ticket for a friend 

I am more sickened that I suggested friends JOIN ME at the event -- and asked them to spend their hard-earned money on the event as well just to be shunned so specifically.  Friends brought husbands -- this isn't cheap.  

I am not a happy MM.  I apologize to YOU.  We learned a hard lesson here.

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We have have offers to take our GOOD elsewhere, of course.   I got offers of help in the middle of the night.  And we will, if you donated or made a purchase - your money is going to another reputable non-profit.  Thank you.  


Goooooooooooooooooooooooooooooooooooooal.

 

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I am there.  This is my lowest adult weight.  I was here once before at one-year post gastric bypass many years ago for a very short time, I think it lasted one day.  My BMI is 26.2 at this weight, and I am just a few pounds away from a "normal" BMI, which I have never seen.
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I'll take it, even if it takes fooooorrreeevveeerrrr to get each ounce off at this stage.

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Chris Christie Joins Team WLS - gets a band! (Got a band, months ago!)

New Jersey Governor Chris Christie has come to the dark side. 

He got banded.   Go him.   Good for him.

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New York Post -

New Jersey Gov. Chris Christie secretly underwent lap-band stomach surgery to aggressively slim down for the sake of his wife and kids, he revealed to The Post last night.

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The Garden State governor agreed to the operation at the urging of family and friends after turning 50 last September. He told The Post he was thinking of his four kids and how it was time to start improving his health when he decided to have the procedure.

“I’ve struggled with this issue for 20 years,” he said. “For me, this is about turning 50 and looking at my children and wanting to be there for them.”

He also insisted that, contrary to what observers may say, the effort to slim down was not motivated by thoughts of a presidential bid.

“It’s so much more important than that,” he said.

Christie checked in to a surgery center on Feb. 16. A source said he registered under a false name.

The operation included placing a silicone tube around the top of his stomach, where it restricts the amount of food he can eat at one time and makes him feel fuller, faster.

“A week or two ago, I went to a steakhouse and ordered a steak and ate about a third of it and I was full,” he said of his newly tamed appetite. He declined to say how much he lost, but sources said he has already shed nearly 40 pounds.

Christie has struggled with his weight for decades. He sometimes jokes about it, while other times, it’s a sensitive topic. Insiders said it was the only thing keeping the straight-talking executive from higher office.

Despite Christie’s denials, political fund-raisers say that the surgery is a clear sign that he’s going to join the 2016 race — and will do whatever it takes to win.

“This means he’s running for president. He’s showing people he can get his weight in control. It was the one thing holding him back,” a top political donor told The Post.

Sources said Christie didn’t make the decision lightly — he even had private conversations about the operation with once-rotund Jet coach Rex Ryan.

Ryan lost about 100 pounds — down from a massive 350 — after he had the same procedure done in 2010.

Christie has never revealed his weight, but estimates have run from about 300 to 350 pounds.

He hired the same ace laparoscopic and bariatric surgeon as Ryan — Dr. George Fielding, head of NYU Medical Center’s Weight Management Program.

Read more:

New Jersey Gov. Christie has stomach surgery as part of weight-loss plan - NYPOST.com

http://www.nypost.com/p/news/national/chris_cuts_waist_oAUDrJ8Sm1fY6awWgFY6nN#ixzz2SbUfkYFX


Katie Jay Keynote Speaking at Southcoast Center for Weight Loss - Video

Katie Jay of www.nawls.com was the keynote speaker at an event at Southcoast Center for Weight Loss in Wareham, MA yesterday.

She is amazing.  

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Thank you, Katie.  

Here we are -

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150 patients returned to the Southcoast Center for Weight Loss Saturday for a reunion as the group marked its own milestone: 3,500 patients since Dr. Rayford Kruger launched the unit nine years ago.It is now the largest and busiest bariatric surgery program in New England, with three surgeons who perform about 650 procedures at Wareham's Tobey Hospital a year.

 


Apathy and failure

Recently when I saw a fresh weight loss and posted it, I was confronted with a commenter who asked me why I posted my body-weight.  It is a fair question and I do not challenge her asking it, because it's been asked of me many times when I have posted my actual weight-as-a-number.

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I will say that number-sharing is the norm (...or was?) in the weight loss surgery/bariatric community as a whole for as long as I have been a part of it -- and that is at least 10-12 years that I have actively read and participated in emails, groups and chats.  I posted the question as a poll this morning on Facebook as well.  Go answer!  Come back.

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Back in the hey-day of message boards we would add a line of text to our signatures (..siggies!) to signify our -

  • HW (Highest Weight)
  • SW (Start Weight or Surgery Weight)
  • CW (Current Weight)
  • GW (Goal Weight)

They would look alot like this!

Beth 

HW - 320  SW - 298  CW - 151 - GW - 150

Don't judge the comic-sans.  

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I would go back to *my old posts circa 2003/2004 and show you, except I was banned from my message board back then, and my posts via BethLButterfly disappeared.  She posted in Comic Sans at times. Her demise is why MM exists.

Number or weight sharing is.  Was.  Always will be?  I would say that in general -- most individuals that have bariatric surgery are often proud of every single pound lost, and want to wear their "pounds lost" as a badge of honor.  Some post ops are extraordinarily proud and not only wear the pounds lost, current weight, but will add things like "LBS GONE FOREVER!"  

Losing weight is no easy feat, and after bariatric surgery -- it feels like victory. Why wouldn't someone want to own it -- even just for a while?  I suppose when you've been 500, 400, 300, 250 lbs -- wearing a newly slimmed down self is quite a change and being able to put that number out there to the universe -- even just for a while is worth it.

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Now, for me.  This commenter wondered if my posting about my actual number was an obsession - let me clear it up here.  No.  I've always weighed myself.  

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Bariatric surgery and the life afterwards is ALL ABOUT NUMBERS.  Losing pounds, inches, and sometimes counting calories, measuring food, and exercise.  If you're a pre-op that doesn't want to 'hear that' - I am sorry - but it really, truly, is.

I absolutely understand that some people take these numbers to an extreme - and extremes are unhealthy at any level -- and that is how we get into situations like: needing bariatric surgery.  Extreme caloric intake is unhealthy, an extreme sedentary lifestyle is unhealthy.  We require balance.  

It takes a very long time for some people to learn this:  example ---->  ME.

While I have always "weighed-in,"  I am also The Queen Of Avoidance, and as soon as I see the scale move up - I remove the scale.  (That's magic, if I can't see my regain, no one else can.  That is, until I SEE THE PHOTO EVIDENCE MYSELF AND SCREAM.  *See below.)  

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So what has changed?  I removed myself from the effects of negative influences -- changed my views on some things and ... GASP ...

I added ACCOUNTABILITY to my daily life.  I now weigh myself near-daily, or at LEAST weekly.  I check-in my food nearly every single day on a journal.  

Is that obsessive?  No.  Why?  Because before -- not paying attention led to weight regain.  Surrounding myself by people with negative and apathetic views on life - brought me down.

Apathy causes failure.  

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Yes, I am fully aware I am a Bariatric Bad Girl - but maybe now you understand - BAD DOES NOT EQUATE "BAD," or breaking rules, or doing things WRONG.  

It's BAD-ASS.  (Help us help, BTW.)

*June 2012 - April 2013

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But, recently I started paying attention - and seeing results:

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My brain likes to see results, black and white, literal, on paper, in lines, to show me that if I DO X - Y WILL HAPPEN.

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Because it works.  (Shut up Weight Watchers.)  And my little brain likes proof.   

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If I can see tangible results I will keep going - I will keep doing a thing if I can see a result.  I do not like to work for "free - " you see.  Does that make sense?  Here's an example, a very simple one.  I started going to the gym and doing basic exercise (...long walks on the treadmill and seated elliptical) about a month ago (...I'll check back in my Facebook check ins) and I noticed a tangible result the night before last.  My leg muscles are coming back.  This is enough to create a positive reaction to keep me motivated.  

It's not about obsessing about a number.  I don't have a goal.  


Report: Some money in Lap-Band settlement to pay for billboards on weight-loss surgery risks

AP -  Report: Some money in Lap-Band settlement to pay for billboards on weight-loss surgery risks

LOS ANGELES — A company that promoted Lap-Band weight-loss surgery has agreed to pay $1.3 million to settle a false-advertising lawsuit, with some of the money going to billboards warning the public about the risks of weight-loss surgery, a newspaper reported Thursday.

From 2009 to 2011, five patients died after Lap-Band surgeries at clinics affiliated with the 1-800-GET-THIN ad campaign, according to the Los Angeles Times (http://lat.ms/11knLBS ).

The proposed settlement still needs the approval of Los Angeles County Superior Court Judge Kenneth Freeman, who asked attorneys at a hearing Thursday to provide more information and resubmit their settlement motion before he gives the deal his OK.

Relatives of two of the dead patients, Ana Renteria and Laura Faitro, filed the lawsuit as a class action in 2011.

The lawsuit sought damages from several companies and two brothers, Michael and Julian Omidi, who court documents said owned and managed Top Surgeons, a weight-loss business.

John Hueston, an attorney for the Omidis, said the settlement was not an admission of wrongdoing.

“Under the agreement, our clients ... are dismissed without any admission of liability, and made no contribution whatsoever to the settlements,” Hueston said in a statement cited by the Times.

A lawyer for the surgery centers, Konrad Trope, said the action against the facilities was dismissed without admission of liability or financial penalty.

The proposed settlement will be paid only by Top Surgeons, one of the companies behind the GET-THIN operation, the newspaper said. The company did not immediately return a message from The Associated Press.

The lawsuits and other public documents showed that 1-800-GET-THIN was a marketing company that steered patients to a network of outpatient clinics, where thousands of weight-loss surgeries were performed.

The company used dozens of billboards — along with ads on television, radio and the Internet — to promote Lap-Band weight-loss surgery.

Some of the suits alleged that the clinics put profits above patient safety, employing physicians who were unqualified and allowing surgeries to be performed in unsanitary conditions, the Times said.

The proposed deal calls for $100,000 to be spent on billboard advertising throughout Southern California “intended to explain the risks of weight-loss surgery.” The agreement does not specify the language to be used in the ads but says it must be approved by the court.


Study - Expectations for weight loss and willingness to accept risk among patients seeking weight loss surgery.

Just a warning, this is NOT a pleasant Rainbow and Butterflies study for those in the early or research stages of weight loss surgery.
Study -

Expectations for weight loss and willingness to except risk - JAMA -

Importance  Weight loss surgery (WLS) has been shown to produce long-term weight loss but is not risk free or universally effective. The weight loss expectations and willingness to undergo perioperative risk among patients seeking WLS remain unknown.

Objectives  To examine the expectations and motivations of WLS patients and the mortality risks they are willing to undertake and to explore the demographic characteristics, clinical factors, and patient perceptions associated with high weight loss expectations and willingness to assume high surgical risk.

Design  We interviewed patients seeking WLS and conducted multivariable analyses to examine the characteristics associated with high weight loss expectations and the acceptance of mortality risks of 10% or higher.

Setting  Two WLS centers in Boston.

Participants  Six hundred fifty-four patients.

Main Outcome Measures  Disappointment with a sustained weight loss of 20% and willingness to accept a mortality risk of 10% or higher with WLS.

Results  On average, patients expected to lose as much as 38% of their weight after WLS and expressed disappointment if they did not lose at least 26%.

Most patients (84.8%) accepted some risk of dying to undergo WLS, but only 57.5% were willing to undergo a hypothetical treatment that produced a 20% weight loss.

The mean acceptable mortality risk to undergo WLS was 6.7%, but the median risk was only 0.1%; 19.5% of all patients were willing to accept a risk of at least 10%.

Women were more likely than men to be disappointed with a 20% weight loss but were less likely to accept high mortality risk.

After initial adjustment, white patients appeared more likely than African American patients to have high weight loss expectations and to be willing to accept high risk.

Patients with lower quality-of-life scores and those who perceived needing to lose more than 10% and 20% of weight to achieve “any” health benefits were more likely to have unrealistic weight loss expectations.

Low quality-of-life scores were also associated with willingness to accept high risk.

Conclusions and Relevance 

Most patients seeking WLS have high weight loss expectations and believe they need to lose substantial weight to derive any health benefits.

Educational efforts may be necessary to align expectations with clinical reality.

/end study

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NO SHIT, REALLY?!  Go back and READ IT AGAIN.

Now go read this: http://www.drsharma.ca/how-much-are-people-willing-to-risk-for-bariatric-surgery.html

WHAT HAVE WE BEEN TELLING YOU?!  Please.  START.  LISTENING.