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Surgical Weight Loss Surgery Patient Success Stories - Picture of a Gentleman Happy About His Weight Loss

Posts Tagged ‘las vegas’

The hardest lifestyle change to make after gastric band

Monday, March 1st, 2010

 

At the most recent support group meeting, several patients who have not yet had gastric band surgery were in attendance.  To the approximately 40 gastric band patients in attendance, these pre-op patients posed the question:  “What was the hardest lifestyle change they needed to make to be successful with their weight loss?”  

 

Not a single post-op patient raised their hand when asked if better food choices and avoiding junk food and sweets was the hardest lifestyle change after gastric band surgery.  No one raised their hand when asked if exercising and being more active was the hardest lifestyle change they had to make.  But all forty patients raised their hand when asked if eating slower and taking smaller bites was the most difficult change.  If you are thinking about having surgery and know someone who already has a gastric band, ask them this question.  

 

If you are preparing to undergo a weight loss surgery, please consider all the changes you will need to make to be successful with your weight loss and maintaining that weight loss.  If you feel you may struggle with instituting those changes, you should seek the support of others who have done the same.  If you are not willing to make those lifestyle changes, then weight loss surgery is not for you and will not be able to help you.  Weight loss surgery is a tool, not a miracle cure.  If you are interested in attending the Gastric Band Institute of Las Vegas support groups, please call us for a schedule 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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Mind over matter

Thursday, December 3rd, 2009

 

It’s finally almost here: the big race day!  Many of our minds have already started racing with doubts of not being able to finish or walk/run the race fast enough and we are a bundle of nerves.  On race day, instead of focusing on running/walking the total 13.1 miles, focus on doing a mile at a time.  Your goal is to get to the next drink station, then the next and the next.  We all can do one mile.  Before you know it, you will be at the finish line.  Remind yourself that words and thoughts create feelings and feelings do not always tell the truth. Here are a few techniques you can do to keep yourself strong now and throughout the race.

 

The night before or the morning of the race take a few minutes to visualize yourself walking/running 13.1 miles.  See yourself crossing the finish line with all of your friends and family and the crowds cheering you on.  Visualize yourself waking up full of energy, feeling vibrant and energetic throughout the marathon.  Visualize yourself finishing without any injuries and a smooth easy journey.  Remember whether you think you can or you think you can’t, you’re right.

Take some time to come up with positive mantras to counteract the negative internal dialogue creating the fear, nerves and doubt. Saying these mantras the night before will allow you to get a bit more sleep and will assist you during the race to the finish line. Remind yourself you have done the training, you are physically ready, fear is just a false expectation appearing real and that pain is temporary while this accomplishment is for a lifetime.  Find a few mantras that will work for you and when you notice you are focusing on anything negative, switch focus to the mantras you have picked for yourself.

You should all be proud of yourselves for getting to this point.  You all have the mental toughness, focus and determination it takes to finish. See you at the finish line!

Prudence

 

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Preparing for Race Day: The Countdown on what to Eat and Drink

Tuesday, November 24th, 2009

We want to make sure that we are fueled to capacity to give us that extra edge we can get from being properly fueled and hydrated! Therefore, I’ve put together a few tips for the days leading up to the marathon as well as the morning of the race.

 

2 days prior to race: Friday 12/04

 

1.  Load up on fluids.  Stay away from alcohol as it dehydrates you and interferes with the proper storage of glycogen.  Do a hydration check:  Do you urinate frequently and is your urine pale yellow in color?  If so, you are hydrating enough.  If you do not urinate frequently and your urine is dark in color, you need to increase your fluids.

 

2.  Avoid high fiber foods like beans, bran cereals, gassy vegetables or hard to digest foods like fried foods or meats.

 

3.  At this point, don’t try anything new. Eat what you already know works for you.

 

Day before race: Saturday 12/05

 

1.  This is not a day to overeat.  It is not about the amount of food but the types of foods you choose.

 

2.  Think mostly carbohydrates with only a little fat or protein.  If you have a hard time with carbohydrates like rice, bread or pasta, then use a white flat bread, pita bread, grits or you can use your sports drinks or gels that you have been using during training.

 

3.  Choose your carbohydrate meal for a late lunch, like around 3pm. Stick with a light dinner.

 

Race Day Nutrition & Hydration 12/06

 

1.  Staying hydrated is most important.  Drink 2–3 cups of water two hours before the race and 1–2 cups 15 minutes prior to the race.

 

2.  Think about drinking fluids about every 20 minutes or at every race station. Whether you are carrying your own drink or not, let the stations be a reminder to drink.  Do not pass up hydrating at a station.

 

3.  The race starts at 6am.  You may want to eat something light like a piece of toast and a half a banana or a small amount of oatmeal or grits with a little honey 3 hours prior to the race.  Stop eating solids 3 hours prior to the race to give your body time to digest.  Stick with liquids after the 3 hour mark prior to the race.

 

4.  Stick to the sports drinks, gels or beans you have been using during training.  Do not use anything new.  Your sports drinks will provide you the carbohydrates and sodium that is needed.  The American College of Sports Medicine recommends drinks that contain between 4 – 8% carbohydrates in the form of glucose, sucrose or maltodextrins.  Great choices would be Gatorade, All Sport, or Powerade.

 

Happy and Healthy Training,

 

Prudence

 

 

 

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Preparing for Race Day: Feet

Monday, November 23rd, 2009

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.

 

Happy and Healthy Training (and feet!),

 

Prudence

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Staying focused throughout the holidays

Thursday, November 12th, 2009

 

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!

 

Happy and Healthy Training,

 

Prudence

 

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Rest Days & Nutrition

Friday, November 6th, 2009

“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!

Happy and Healthy Running,

Prudence

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Anyone can cheer at the finish line!

Wednesday, November 4th, 2009

 

Deciding to walk/run in this year’s Las Vegas half marathon is a great feat to accomplish.  So, don’t be shy and be sure to ask your friends and family for support on race day.  You will want the encouragement of the crowd cheering you on.  What will be better than seeing a friendly face in that crowd?!  It will be a lot of fun for the spectators (and us) because this year the Las Vegas Marathon is being put on by Rock n’ Roll Marathons who will be organizing  music stations on/near the marathon path. 

 

Here are some tips to help guide your friends and family so they can make sure that they see you during the race.

 

Start/Finish Line:

This year’s race will be starting at Mandalay Bay.  The start line is actually located on Las Vegas Boulevard in front of the hotel casino.  The race will also finish at Mandalay Bay in the parking lot at the south end of the property.  So, for early or late risers this is a good spot to show their support!

 

Las Vegas Strip – Between Reno and Sahara:

This year’s course is set up so that spectators will be able to catch half marathon runners anywhere along the strip, not once, but twice!  Your friends and family can pick their favorite spot on the strip and they will have the opportunity to see you heading northbound and then southbound when headed toward the finish line.

 

Las Vegas Strip – Southbound at Spring Mountain Road:

At this point in the race, the half marathon participants will have less than three miles remaining to the finish line!   Less than half a mile north of this location there will be a band stage on the Desert Inn overpass.  This is a great spot for spectators to catch some music while also showing their support on race day!

 

Also, be sure to tell your friends and family that Las Vegas Boulevard is CLOSED for the race.  If they are coming from west to east or east to west they will need to find a parking spot on that particular side of the Strip.  Parking will most likely be jammed so be sure your friends and family have a game plan in place before leaving the house!

 

The race is only one month away.  Keep up the good work and be sure to share this blog with your friends and family!

 

Happy and Healthy Training,

 

Prudence

 

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Insurance Coverage for Sleeve Gastrectomy

Wednesday, November 4th, 2009

 

Recently, United Healthcare has become the first major insurer to recognize the Vertical Sleeve Gastrectomy as a proven, not experimental, bariatric surgical procedure.  I suspect that other insurers will soon likely follow suit.  This will open up further choices and options for our patients.  We have been performing the Sleeve Gastrectomy with great success over the last few years and as more insurance companies start covering it, I’m sure the procedure will rise in popularity. 

– Dr. Darren Soong

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Post-Marathon Health & Lifestyle

Tuesday, November 3rd, 2009

 

Many marathon runners go through mental, physical and emotional exhaustion post race day.  This is what they call the “post-marathon blues.”  This is when many runners fall into a funk after the race with no motivation to exercise.  It is important to plan your mental recovery to minimize the sense of loss you may feel after race day.  For months you are focused, planning your life around your trainings, being motivated by the excitement of the unknown and completing the race.  Then it’s just over - or is it?  It’s up to you to decide!

After the marathon, you’ll need to continue to listen to your body.  Your body will need time to rejuvenate and replenish.  Be mindful of your internal dialogue.  Your thoughts may be saying “Rest is your reward for this great accomplishment.”  Remember that while you rest, it is important to bask in your great accomplishment instead of the fact that training has come to an end.  Talk about your success, journal about it and delight in the fact that you completed your goal with great intention and focus.  Finishing is a great accomplishment, but address the definition of rest in your mind as well as how you will reward yourself. Taking the time to decide to sleep in until 9 am instead of getting up at 4 am is resting. Many people want to reward themselves with food after they have exercised; the voice is they deserve it.  If you reward yourself with food make sure it is the 1oz of ice cream, candy or whatever goes with your meal.  You may also want to think about buying a new pair of shoes, going on a mini vacation or giving yourself a weekend off to read the book you never have time to read.  There are so many ways to reward yourself!

While resting, keep in mind that the longer you step out of your training/exercising schedule, the harder it is to get back into it.  Think about cross training activities you may want to do or continue doing, i.e. swimming, spinning, yoga, etc.  You may not continue to train for distance and time but keep up the exercise days that have been working for you. Possibly sign up for another marathon or a shorter distance race to assist in keeping the motivation going.  Have a plan and be thinking about what you want to accomplish next. Your goal may be a faster time on another half marathon or something completely different. For example, in my mind I know of a sprint triathlon in April that I am already thinking about, talking about and getting excited about.  I find this helps keep the motivation going and prevents the post training blues.

Remember that for most people, exercise time decreases after race day.  If you have increased your caloric intake for your current training it will have to be adjusted after race day.  You will not need the additional calories after the race - although you may have gotten used to consuming them.  However, keep in mind that you may have gained muscled during the training and therefore your caloric intake might need to be lower than it was during training, but more than it was before training began. The key is to listen to your body; it will tell you what it needs.

The bottom line is plan ahead and be mindful.  Listen to what your body is telling you but also decide whether what it is telling you is supportive of your future goals and intentions.

Happy and Healthy Training,

Prudence

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