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Greetings!
Have you been struggling to lose lately or has your weight loss plan been working well this summer? Summer is a great time to re-evaulate your plan and make sure you are on the right track.
This month I want to review our current thinking regarding weight loss medications and weight loss surgery. |
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Medications:
Are They Safe for Weight Loss?
Have you ever wondered if there was something extra you could do to help jumpstart your weight loss efforts? Many people try various over the counter weight loss aids as well as prescription medications for weight loss. While this is a complex topic, I will share some basic thoughts here.
It is important to understand that most weight loss medications are temporary aids to weight loss. This applies to both over the counter and some prescription weight loss medications. This is because many of the metabolic stimulants used for weight loss only seem to work for a few months when used continuously, then lose their effectiveness. The brain adjusts to the presence of metabolic stimulants fairly quickly. In Ohio, physicians are permitted only to prescribe these medications for up to 12 weeks. Despite these limitations, these medications can be powerful aids for weight loss when combined with a program of daily physical activity, behavior modification, and nutritional education. Since these medications can stimulate the metabolism (possibly raising heart rate and blood pressure), they have to be used only in persons who can safely take them after proper screening.
On the flip side of the coin, many commonly prescribed medications cause weight gain. Anti-depressants are the most common culprit. Others include diabetes medications and beta blockers (used for heart disease and high blood pressure). If you are on these medications, don't stop them suddenly without consulting your physician. I often work together with patients referred to our clinic and their primary care physicians to adjust or discontinue these medications.
There are only a few medications approved for long term use for weight loss. These include Meridia and Xenical (the prescription strength form of Ally). While these medications work more slowly, they have a valuable role in preserving weight loss. |
Surgery for Weight Loss
Have you ever considered a surgical option for weight loss? It seems like there are more and more ads for surgery in the paper and on the Internet every week.
While surgery is a radical treatment for obesity, it is a valuable option for some patients. Recent improvements in bariatric surgery have significantly lowered the risk of complications from these procedures.
Basically, there are two procedures performed by most centers for bariatric surgery. First, there is the Lap Band. This is the simplest procedure, which often is done as an outpatient surgery and only takes 1-2 hours to perform. This risk of complications is less than other weight loss surgery. In this procedure, a small inflatable band is placed around the upper stomach to restrict the size of the stomach. This procedure results in a loss of about 30% excess weight on average. There is higher weight regain with this procedure than others.
 Gastric bypass requires a hospital stay of 2-4 days and takes longer to perform. In this procedure, part of the stomach and the first part of the small intestine is "bypassed" by reconnecting the upper stomach to the lower intestine. While the complication and death rate is slightly higher from this procedure, weight loss will often reach over 50% of excess weight loss with occasional dramatic results.
So who should consider surgery? While there is no simple answer, patients who have more than 100 pounds overweight may benefit most from these procedures. Also, persons with severe obesity and diabetes may see dramatic health improvements from this procedure.
Can we help? While we do not perform surgeries at NEO Bariatric Medicine, we do provide pre-operative medical evaluations and provide post-operative long term follow up for those who have had surgical treatment for weight loss. |
Coming Soon -- Online Store Nutrition Resources  Over the next 3 months, we will be rolling out our online store where you can purchase protein supplements and other items to aid in your weight loss efforts. We will only offer items which are safe and effective. Items will be available for sale to those who are currently enrolled in one of our programs, or who have been evaluated within the past year. We will update you when this becomes available. |
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Recipe of the Month
Low Carb
Berry Pie
(Note: This is another "low carb" recipe. It is NOT low in fat. It is important to reduce total caloric intake while also reducing intake of "quick carbs"--sugars and refined grains.)
I make this pie with blackberries, but I think it would work great with raspberries. (Actually, my very favorite is the olallieberry, a variety of blackberry which grows near the West Coast of the United States.) The filling is mostly uncooked, with just a glaze for the fresh berries. I use the almond pie crust for this recipe.
Ingredients:
- 1 almond pie crust, baked (see link above)
- 1 quart (4 cups) blackberries
- dash of salt
- 3/4 cup water
- 4 teaspoons corn starch
- 1 Tablespoon butter (optional, but recommended)
- Sugar substitute to taste - about 3/4 cup - liquid form of Splenda preferred*
- *for example, you could use 3/4 cup Da Vinci's Simple Syrup instead of water
Preparation:
1) Mix the water, one cup of berries, salt, and sweetener in a saucepan (it should be big enough to eventually hold all the berries). Bring the mixture to a boil and cook for 2 to 3 minutes. Berries should be softening and the liquid berry-colored. 2) Whisk cornstarch into mixture. Make sure it is fully dissolved. Cook until mixture darkens and clarifies (in other words, most of the lightness from the cornstarch goes away). 3) Add butter, and stir until melted. Add the rest of the berries, and stir until coated with the glaze. 4) Pour into baked shell and chill. Makes 8 servings. Serving suggestion: top with whipped cream flavored with a bit of vanilla and sweetener. How to Make Whipped CreamNutritional Information: Each serving has 5.5 grams effective carbohydrate plus 6 grams fiber, 5 grams protein, and 189 calories. Recipe from: Laura Dolson www.about.com
http://lowcarbdiets.about.com/od/desserts/r/lowcarbberrypie.htm |
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If you have any questions, comments, or suggestions for future newsletters, please contact me. Have a great March...I hope it goes out like a lamb!
Sincerely,
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Robert Hart, MD Northeast Ohio Bariatric Medicine |
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