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.
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.
Several patients were in the office today who have done very well with their weight loss using the gastric band.Losing the last 15-20lbs is usually more about food choices, exercise and avoiding high calorie snacks than it is about finding a perfect band “adjustment.”Most patients learn this by having their bands adjusted too tight and needing a little bit taken out.When I see patients undergo a series of tiny fluid adjustments and complaining of stagnant weight loss, usually they are depending too much on the band and need to depend more on their food choices.Our support groups and Mindful Eating classes, taught by our nutritionist Prudence Ticknor, are a great way to refocus for those last few pounds.To sign up for the Mindful Eating series or to find out more about our support groups, give us a call at 702-313-8446.
After several months and many, many short run/walks, group run/walks and strength training sessions, Team GBI crossed the Half Marathon finish line December 6, 2009. Excitement, accomplishment and even a little relief were felt as each GBI patient finished the 13.1 mile Rock ‘n’ Roll Half Marathon course. Below are some photos from race day.
On Friday, December 11, 2009, Dr. Atkinson, Dr. Soong, Marathon Coach Prudence Ticknor and Team GBI gathered to celebrate and share stories about their marathon training and race experience. Food, support and friendship were shared at this congratulatory event! Below are some photos and a video from the dinner.
Congratulations team and good luck in your future trainings and races!
Congratulations on completing your half-marathon training for this year’s Rock ‘n’ Roll Marathon on the Las Vegas Strip! We are very proud of you, your weight loss success and your dedication to healthy lifestyle changes. That’s what Gastric Band Institute’s philosophy is all about.
Remember to have fun on race day and keep your friends and family close by for extra support. Also, be sure to share your training and marathon success stories with others.Your journey is an inspiration to us all.
Congratulations to everyone for making it to this point. I know many of you did not make it to the last few group long runs but I am happy to hear you were training on your own. Way to stay focused and determined!
My blogs this week will focus on getting us ready for race day. Today, let’s make sure we all prepare our feet properly to have an enjoyable 13.1 mile walk/run. Below are tips to get your feet ready for race day and to prevent black toenails and blisters.
1. Your running shoes should be half a size larger than what size you would normally wear. Hopefully you already have been wearing a good pair of supportive running sneakers.
2.Trim your toenails as smooth as possible along the natural shape of your toes. Make sure the nail is not hanging over on any toe. I know some of us are worried about our toes being cute – but trust me, a trim will look much cuter than a black toe nail!
3.Keep your feet dry by wearing the correct socks. If you have not already done so, purchase wicking material (Teflon, cool-max) socks. NO COTTON SOCKS.
4.Do not treat yourself to a pedicure prior to the marathon. Any calluses that you may have are a protection from future blisters.(Save your pedi for an after race bonus!)
5.Make sure you lace your shoes tightly to prevent sliding around in your shoes.
6.Use body glide, blister powder or athletic tape over areas of your feet that are prone to blisters. Be mindful not to use too much body glide or if you plan to use tape, it needs to be smooth and wrinkle free.
7.Stay off your feet as much as possible the day before the race.Other than going to the expo, let Saturday be a rest day.
Congratulations, we are on the downward slope and are tapering off our miles as we head towards the big day!It is important to remember that as we decrease our training mileage, our carbohydrate intake should be decreasing as well. These next three weeks you want to gradually decrease your carbohydrate intake to approximately 40% of your total intake; choosing low glycemic index choices like whole grain starches, beans, and vegetables to help maintain a steady blood glucose level. This week will be the last week we will need our sports drinks, gel packs, sports beans, etc.After our long run this week, 6 miles, you will not need the simple sugars again until race day.
Eating too much, eating not enough or choosing foods that may not be suitable for you can all affect how you perform race day. Follow the article below for great nutrition tips to consider in these last few weeks before race day.
As the temperature drops and the seasons change, we can sometimes be deceived into drinking less water during our training, which may lead to dehydration. Be careful that the cold weather is not masking the amount of fluid you are losing during your training.
Being dehydrated can affect your performance during training as well as on race day. Did you know that even a 1% dehydration level is a 2-lb loss for a 200lb person? Dehydration can also affect the rate at which your body metabolizes calories. With a 1% dehydration rate your body can decrease its ability of burning calories up to 5% of its efficiency. Although you may not feel the sweat while you are training your body is still losing fluids. Therefore, we need to remember to continue to stay hydrated.Below are a few hydration tips to prevent performance decline during your training:
1.Do not wait until you are thirsty to start drinking water. If you feel thirsty you are already at a 3% dehydration rate and possibly up to a 15% decline in performance activity.
2.Two hours prior to your runs/walks, hydrate yourself with an additional 16oz. of water.
3.During the cold weather training, warm your core by drinking herbal tea or hot chocolate made with no added sugar cocoa and warm milk. This works great to replenish electrolytes.
4.Know how much you sweat during your trainings and replenish accordingly. Track both pre and post work out weight naked. For every pound lost due to exercise you need 16oz. of additional fluid.
5.For trainings that will be more than 90 minutes, remember to replenish with an additional electrolyte drink, gel, beans, etc.The most important electrolytes to be concerned with are sodium, chloride, potassium, magnesium and calcium.
Remember our goal is not to weigh less after our training. If you do, it only means you have dehydrated yourself which means you will more than likely perform at a slower rate and slow down the rate at which your body burns calories. Before cold weather trainings think about having a nice hot cup of herbal tea or no added sugar hot chocolate made with low fat milk.
We have officially entered the holiday season with Thanksgiving around the corner.The holidays are a busy time filled with planning, shopping and attending many holiday parties.The holiday season sometimes is an excuse to skip exercise.However, we must beware of these thoughts so that we can move past them and continue our marathon journey.Giving into these thoughts and skipping multiple marathon training sessions can cause you to fall too far behind to catch up.Here are some suggestions to implement into your thought process this holiday season in order to stay on track and cross that finish line.
1.Remember your excitement and your commitment to train when you signed up for the marathon?Committing to training for a half marathon can be a metaphor for so many other areas of your life because it is about changing old thinking, habits and your lifestyle.
2.Realize you are a new you.Old thought patterns and behaviors do not support your new lifestyle.Take the time to stop and think about yourself.The more you take care of yourself the more you will have to give to others.
3.As the holiday season gets closer, start to write down what you need to do for the week so you can see it on paper.Be sure to include your training.Writing it down helps to make sure we achieve what’s on the list.
4.The positives have to outweigh the negatives. Take a minute each morning to write down the reasons you decided to do the half marathon. This will help you re-inspire yourself each morning and assist you in staying focused.
5.It is never too late to find an accountability partner! Call your marathon training buddy or a family member who knows you have committed to this training.
6.Remember today is a new day! Rid yourself of negative internal talk that does not support your goals. Become aware of it and let it go. There is always time to get back on track with your training, but stay focused on today vs. being focused on the past.
Staying focused does not come easy to many of us. It’s natural to go through phases of being unenthusiastic and feelings of being burned out. However, it’s important to find a balance during this holiday season. It is not about saying no to every holiday party or only staying an hour just to say hi. It is about changing that traditional holiday ritual of making cookies for your entire staff. If you find yourself saying, “I do not have time,” step back and find what is most important to you at this moment.
Look forward to seeing everyone on Sunday at our 10 mile run/walk this week!
“Running is the greatest metaphor for life because you get out of it what you put into it.”
-Oprah Winfrey
For months Team GBI has put forth amazing training efforts that include stretching, cross training, cardio training and distance training.Go Team GBI! However, today I’d like to remind everyone that what you put into your training also includes what you do on your rest days. Rest days are important in order to allow our muscles to relax and rejuvenate as injury is the #1 mistake of beginning marathon runners. Remember that our muscles are resting on these days but our nutritional habits should remain consistent.
The brain is a powerful thing which can help or sometimes hinder us. For some of us when we hear the word “rest” we think “take a break” and sometimes this includes a break from being focused on what you are eating. Keep in mind that rest days are not meant to be rest days with food. You may even need to focus more on nutrition during rest days because while your body is not exercising, beta endorphins are not being produced. The production of beta endorphins causes the “feel good” rush you have after exercise. Another reason you may need additional nutritional focus on rest days is that you may have more down time during rest days. This can create an environment for possible snacking. Remember that mental stamina is an essential part of training.
What to do during rest days:
1.Stay mentally focused by reading motivational books, taking the time to do a meditation, journal your training progress or stretch.
2.If you have injuries or sore muscles do light swimming, biking or stretching. Keeping the body in motion may alleviate the soreness. Remember to be mindful not to overdo it.
3.Continue to stay focused on hydrating yourself and eating foods that will support your goals like complex carbohydrates and healthy proteins. Remember, what you eat on rest days will affect how you run the next day. A perfect example may be our last long run on Sunday. It was our smallest turn out since we started training. Halloween was the day before. I trained that day but I have to say that was the hardest training day for me since we started the training. I ate more candy on Saturday than I usually do which I know affected my run on Sunday.
It’s all about awareness and making choices that will support your intentions as well as creating an environment for enjoying the process of training. Let’s keep up our good work and give it all we’ve got!
