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Archive for January, 2010

Drive-thru Dieting

Thursday, January 28th, 2010

Hi there, Prudence Ticknor here again! You might remember me from the Special Edition Marathon Series blogs.  As Bariatric Dietitian at the Gastric Band Institute of Las Vegas, I will now be regularly blogging on nutritional topics.  If there is anything you’d like me to write about, please leave a comment here.  Now onto my latest post…

  

Taco Bell recently started promoting its new “Drive-Thru Diet” after a 27-year-old woman in Florida claimed to lose weight on a diet of fast food tacos. But what does “drive-thru dieting” really mean? This woman did not lose weight in a quick period of time because she was eating healthy food.  She lost weight over an extended period of time because she reduced her caloric intake by choosing from Taco Bell’s menu of lower calories items.  Reducing caloric intake is what leads to weight loss success and how you reduce those calories is all relative.  

 

Most of us want immediate results when we decide to go on a diet. We expect to get on the scale at the end of the week and see 5 pounds lost with no thought of whether that comes from water or muscles loss, which does not support long term weight loss but will hinder future weight loss.  We are just happy that the scale number is lower.  Such quick and easy weight loss is unrealistic for long term success.  Small changes that can be made are just as important as any big change.  Choosing fast food, but being mindful of your choices and choosing a lower calorie or smaller portion option will assist you in reaching and maintaining a healthy weight. How you get there is all relative to how much of a change you want to make with your food choices.  

 

I’ve noticed that when ordering fast food many of us choose the “super size,” or the largest option over the small.  The key for any long term change is to find a balance in what you are doing. Instead of cutting certain foods out completely, you can still feel the enjoyment and satisfaction from what you are eating by simply cutting back. Yes, this does include fast food!

 

A common recommendation is to cut back 500 calories per day to lose ½ pound per week.  If you do eat a lot of fast food, it could be pretty simple to do this and not just at Taco Bell.  Below are some helpful tips to cut back your calories on your next fast food visit:

 

  • Passing on McDonalds dipping sauces eliminates approximately 75 calories.
  • Changing from a large French fry to a small saves you 270 calories.
  • Choosing a 6piece chicken nugget meal instead of a 10piece meal saves you 200 calories
  • Most sauces on the sandwiches, like a quarter pounder, add an additional 100 – 200 calories.
  • Changing from a large frappuccino to a small saves you 300 calories.
  • Changing from a large regular latte to a small skinny latte saves you 170 calories.

I think you get the point!  See how easy it would be to cut back the 500 calories but still enjoy your treats?  Not only will you be decreasing caloric intake but by choosing smaller options you will also decrease sugar, sodium, trans fats, etc. that affect our health in the end.

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Hypnoband

Friday, January 22nd, 2010

 

Recently, there have been reports about Gastric Band Hypnosis.  Basically, a hypnotherapist recreates a gastric band operation on a patient while under hypnosis and when they awake they believe that they have actually had the procedure.  Some hypnotherapists go to great lengths to recreate an actual operation scenario, including placing the patient in a hospital gown and mimicking the operating room setting.  I find it flattering that the success of the gastric band has lead to this “pretend” band procedure.  The description of the procedure that I read actually takes longer than the 20-30 minutes it takes to perform a real band procedure.  In my professional opinion, nothing can compare to the long term success of the real gastric band.  For now, Dr. Atkinson and I will continue only performing real gastric band procedures.

 

– Dr. Darren Soong

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Gastroesophageal Reflux Disease

Friday, January 15th, 2010

 

Patients who suffer from Gastroesophageal Reflux Disease, or GERD, often find that their symptoms are immediately and dramatically improved after receiving the gastric band.  Many of them no longer need to take daily medications like Nexium, Prilosec, and Protonix.  It seems that the restriction of the band helps prevent the backflow of acidic fluid made in the stomach to aid digestion from refluxing back into the esophagus.  Also, if our patients have a hiatal hernia, which most of the patients with GERD do, we can easily repair the hernia defect at the time of surgery with just a few minutes added onto the operation time.  If you have questions about your reflux and potential for improvement after surgery, be sure to ask at your consultation visit, or give our physician assistant, Melissa Moyer, a call at 702-313-8446.

 

– Dr. Darren Soong

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The TOGA Procedure

Tuesday, January 5th, 2010

 

One of the latest potential weight loss techniques currently being evaluated in clinical trials is the TOGA System by Satiety, Inc.  Recent news articles have raised awareness about the device and early results show at least some initial benefit following the procedure.  The transoral gastroplasty is done by inserting a stapling device through the mouth into the stomach and creating a smaller pouch to hold food.  The advantage of this technique is the avoidance of the tiny laproscopic abdominal incisions needed to perform gastric banding, bypass, and sleeve gastrectomies.  However, like the other procedures, general anesthesia is still currently required with the TOGA procedure. 

Whereas the durability of the weight loss from bypass, gastric band, and sleeve gastrectomy is well documented, whether this will hold true for the TOGA procedure is still very much undetermined.  The TOGA procedure is most similar to the gastric stapling procedure, which was abandoned 20 years ago because the majority of patients regained their weight as the staple lines eventually reopened.  This does not occur with a properly performed sleeve gastrectomy or gastric bypass as the stomach is completed divided, not just stapled. 

It is still too soon to tell if the TOGA procedure will have long term benefits.  As we have always done, Dr. Atkinson and I will continue to monitor the newest weight loss techniques to decide if they can be of benefit to our patients in Las Vegas. 

– Dr. Darren Soong

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