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Archive for the ‘Psychological’ Category

Staying Full Between Meals

Monday, June 21st, 2010

protein

Do you find that you are physically hungry between meals? While many patients have become aware of their mindless snacking patterns throughout the day, others may actually be experiencing physical hunger. If this applies to you, please take a few minutes to think about the recommendations below to assist in alleviating hunger between meals.

Are you getting enough protein?

I know many of you have been told to eat 60 grams of protein per day, 20 grams per meal. Sixty grams of protein is for minimal health, not optimal health goals. Research is now showing that for optimal weight loss and minimal muscle loss, the magic number is 90 grams of protein per day. Keep in mind that for every pound of muscle, your body burns calories 4 times as fast. Many of you may have lost an initial amount of weight but cannot seem to lose the rest. This could possibly be due to muscle loss.

 

How does a bariatric patient get 90 grams of protein?

Following the 4 ounce rule (3 ounces in protein + 1 ounce of additional food) you receive approximately 60 grams of protein per day. We are now recommending that you have 3 meals plus the addition of a protein shake each day. The shake will add the extra 30 grams of protein you need to your diet. Please note that the protein shake is not equivalent to a fourth meal.

 

After bariatric surgery it is difficult to get the recommended fiber intake of 21 – 35 grams per day.

Fiber has the great benefits of filling you up and assisting you with staying satisfied between meals. Bariatric patients can consume the recommended amount of fiber by adding Chia seeds to their meal plan. Chia seeds expand in your stomach pouch making you feel as if you are full. We recommend consuming one tablespoon 3 times per day to reach the minimum requirement of 21 grams of fiber. Remember, when eating Chia seeds you need to make sure you are drinking water. Chia seeds can be added to water, protein drinks or other foods. You can purchase Chia seeds in the GBI office or at Whole Foods.

 

Are you still experiencing hunger in-between meals?

After assessing your protein and fiber intake, band patients who still feel physically hungry may need to make an appointment for a fill.

 

Please feel free to contact me with any questions, or post a comment here!

 

Prudence

PrudenceT@bandandbypass.com

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Introducing Dr. Donald Tice, DO

Thursday, June 3rd, 2010

dr-tice

Hello. You may have heard about the new medical weight loss center at the Gastric Band Institute.  My name is Dr. Donald Tice and I am the Medical Director of the WhyDiet Weight Management and Wellness Center, an all-encompassing weight management institute to serve individuals of all medical backgrounds and body types in efforts to promote healthy weight loss options.  You will learn more from me about the new center in a video introduction soon to come.  I will be joining Dr. Soong and our nutritionist, Prudence Ticknor, in lending my professional expertise on obesity and weight management here on this blog. Take a look at my first post and feel free to share your thoughts, or ask questions, by leaving me a comment below.

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Obesity and Sexuality in Women

Thursday, June 3rd, 2010

The rising rate of obesity in the U.S. adult population creates a need for more attention to be given to sexuality and sexual function.  There are many myths and misconceptions concerning women and higher body mass indexes.  It appears there is a notion of a negative relationship between hip and waist size and sexual frequency and that women with larger body sizes have a more difficult time finding partners than leaner women do.  Several studies have looked into these notions and found they are NOT true.

The conclusions of a study reviewed* are as follows:

1. Overweight and obese women do not report a decrease in the frequency of sexual encounters as compared with their leaner counterparts.

2. Overweight or obese women are not shunned more by their sexual partners.

3. If you are one of those women who feel that your weight is interfering with your sexual activity, according to the studies, it has less to do with your weight than you might think.  The numbers in almost all sexually based categories studied between women with BMI’s less than 25, between 25 and 30 and higher than 30 are the same.  There is little to no statistical difference in the age range under 45 years of age that was studied.  In one category, “Lifetime history of sexual intercourse with a male,” the women with a BMI of 25-30 and higher had a significantly higher percentage than women under a 25 BMI. 

*Kaneshiro B, et al. Obstst and Gynecol. 2008

The point I take from this is that a woman is, or can be sexual, according to her own attitude and self-confidence.  If you are having difficulty with how sexually attractive you feel, consider whether it could have more to do with your own perception of yourself as reinforced by society, Hollywood and advertising, than it is with fact. Feel free to share your thoughts or questions here.

– Dr. Donald Tice

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New Health Law Will Force Restaurants to Provide Calorie Counts

Friday, May 21st, 2010

alg_mcdonalds

A new law tucked into the U.S. health reform bill requires that restaurants with 20 locations or more display calorie counts on menus, menu boards and drive-throughs.  Although many restaurants already display calorie counts on a wall, or their website, the new law makes this information more visible.  The purpose is to make sure customers see calorie information as they are ordering to help them make the most informed decisions.

I am very excited about this new requirement and I think it will be a huge eye- opener for most people when they see calorie counts start popping up on menus. I believe it will make people stop and think about the choice they are making and hopefully reconsider opting for the unhealthy items.  Oftentimes we don’t understand why we weigh as much as we do.  We may think that we are making healthy choices, but then learn that the cappuccino we regularly pick up from Starbucks or the salad we ate for lunch at Wendy’s could be hindering us from having a healthy, low-calorie, diet. My hope is that this new law will also force restaurants to provide more low-calorie, healthy menu items for their patrons because of customer demand and a reduction in the sale of the unhealthiest items.

Fighting our nation’s obesity epidemic requires health education.  I see this as a great step in leading our country to become better educated about the food they are placing in their bodies. Of course, unhealthy food options will still be available in restaurants, but we will be more enlightened to make the best decision possible if we seek to make healthy choices.  

More on the new health law can be found here.

– Dr. Darren Soong

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Mind Focus

Monday, March 8th, 2010

 

When most of us take time to analyze ourselves, we focus on our weight, skin or signs of aging.  We rarely think about our mind; how we feel, how we make decisions or how we view the world.  However, it is actually our mind that is the key to an overall healthy lifestyle. 

 

“To look and feel your best, you MUST first think about and optimize your brain.”

– Daniel G. Amen, M.D.

 

Your mind is in charge of everything that you do.  Every bite of food, every critical thought you allow yourself to dwell on or every workout you choose to complete or skip are all choices that start with the mind.  Once you begin to change your focus from the external to the internal by focusing on your mind, you will start to notice changes in your behavior.

 

There are two things you can begin doing to assist you in taking charge of your mind and health:

 

1.  Get mind gratitude!  Take time to appreciate your mind and all the power and abilities that it has.

 

2.  Begin a daily mindful breathing or mediation practice.

 

Meditation is a great way to exercise your brain.  It activates the parts of the brain that are the most thoughtful.  With daily meditation you make more thought-out, self-controlled decisions.  Research has shown that focusing on the mind by practicing basic meditation and/or breathing techniques can relax your entire body and put it into a calm state.  Simply focusing on breathing from the diaphragm can decrease stress levels.  If you are an emotional eater, for example, similar mind exercises are more successful for assisting you as you work through a food craving than willpower alone.  When you begin to focus on the mind you will be amazed at how you will transform to an overall healthier, more energetic and more satisfied you!

 

For more information about mindfulness, meditation and your mind, contact me at PrudenceT@bandandbypass.com.

 

- Prudence

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