WLS Surgical Associates   

  December 2011 
 Greetings!

Come, eat, meet, and be Merry.  Christmas and the Holidays are Here!!! See Below for the Party Details.  We'll be there with Bells ringings.  

Read more below.

Sincerely,  Joseph A. Kuhn, MD



Christmas and the Holidays:  What to Do?


First of all, make plans to come to the Christmas/Holiday party to celebrate time together.  This is a chance to dress up and enjoy the following:

Music and a DJ for Dancing
Food (all healthy)
Door Prizes
Words of encouragement from the Docs
Time to Meet new people



Christmas




When:   THIS THURSDAY  Dec 15,  7:00 to 9:00 pm

Where:  Medical City Children's Atrium (near Bldg A)
             7777 Forest Lane, Dallas Tx 75230

What:     DJ and Music
              FOOD
              Door Prizes
              Fellowship with the Docs and All old Friends
              New Friends
    

 Please Block out now, RSVP to Heather Hunt  

 

 MUST Email Heather on MONDAY please to RSVP:


RSVP now please

or call 972 566 6749 (Heather Hunt)






 

      Holiday Cheer

What to Watch out For!!

       SUGAR.  Read below
         



During these holidays, people tend to hand out sweets in large quantities.  Cookies, cakes, candies, drinks.  Sugar is everywhere.  However, the sugar does cause so much more than cavities. 

Refined sugar includes table sugar and all of the foods with high fructose corn syrup.  Sugar has been shown to:
- suppress the immune system
- promote inflammation
- suppress human growth hormone (increase aging)
- promotes glycation (increase aging and wrinkles)
- raises insulin levels

Modern Dieticians do allow for small amounts of sugar equivalent to 50 grams, or the amount in a 20 ounce bottle of soda or a single sweet.  A Sleeve or Band patient might do OK with this.  However, the effect of even 7-8 grams of sugar in a gastric bypass patient could lead to an episode of hypoglycemia (shaky, lightheaded, jittery) about 1 hour after consumption.

What about Artificial Sweeteners?  Really, they are probably quite safe, given the intensity of the regulatory agencies.  However, they can cause headaches, fatigue, or more hunger.  Truly, hard to avoid, since now included in many foods to lower calories.

What about Stevia?  Stevia was derived from an herb leaf in South America.  It is refined and purified and may still have an aftertaste.  The newest stevia-based sweeteners (Truvia and PureVia) mix in some sugar alcohols to improve the flavor without adding calories.  We still don't know if agents like Stevia might increase hunger in some ways.  Still, it is felt to be a safer, more natural sweetener.

Finally, What about Sugar Alcohols?  They are natural sugars and include maltitol, xylitol, erythritol, and sorbitol.  They are lower in calories, but not calorie-free.  Importantly, they do NOT cause an increase in blood sugar, which makes them quite helpful for diabetics.  Overall, these sugars are felt to be acceptable for all types of bariatric patients. 

 

            

 

  

 

      Regarding News story about the government removing an obese child from her home . . .    
   



Today, there are more than 93 million Americans affected by obesity and one in three children is affected by childhood obesity. With the growing epidemic, reports of children being removed from their parents related to obesity are rare but becoming more common. The OAC encourages officials and the public to recognize the complexity of obesity before making determinations of parental neglect in such circumstances. The causes of obesity are numerous and much more complicated than child or parental behavior including societal, biological, genetic and environmental factors. In addition, the treatment of obesity, especially in children, is extremely complicated and made very difficult by the lack of effective treatment options, lack of knowledge by the medical community and lack of insurance reimbursement for such services.

In my opinion, the process of placing the blame for obesity on the parents or the child ignores the biological and genetic factors which are involved.  There are over 70 genes which predispose to obesity.  I believe that it is unfair to assume child neglect in these cases.  Much greater research and attention on the genetics, societal influences, advertising, manufacturing industries is required. 

 

  See Link for CNN article on Child Neglect/Obesity

 
New Referrals

 
 
 
For new referrals, we will mail a DVD to a potential person who is considering their options or who simply wants to learn more about bariatric surgery.
 
You can Email our new patient coordinator to assist with mailings:
 
 
COE emblem
 
 

Sincerely,


Joseph Kuhn, MD,  FACS Medical Director

Gregory Barnes, MD, FACS

WLS Surgical Associates
Not Fat Because I
Wanna Be

words from a 7 year old
A seven year-old girl wrote a book about being overweight.  It is called:  Not Fat Because I wanna be. 



Link to book from LaNiyah




New Data On "Fat Gene"
impact of exercise
Variations of the fat mass and obesity associated (FTO) gene were first linked to obesity in 2007, and since then dozens of studies have explored the effect of this "fat gene" on weight ant obesity.    Loos and her colleagues sought out the authors of 54 of these studies and, with their assistance, re-analyzed raw data on more than 218,000 adults and 19,000 children.

Having a copy of the FTO gene variation increased an adult's odds of being obese by 30%, the researchers found. If the person was physically active, however, the odds of obesity dropped to 22%-a 27% reduction. Similarly, physical activity lowered the odds of being obese from 70% to 49% among adults who inherited two copies of the gene variation.

This study shows that regular daily exercise can definitely help put you back in some control of your destiny. 

Link to Fat Gene article


exercise


Link To Walk Photos!!!!!

StateWide Support Group Availability


The State Chapter has already put together a link to allow you to attend any of the "OPEN" Support group meetings throughout the state.

LINK to Support Groups in the State

TABS Banner
Obesity Action
electronic
newsletter
and
Magazine
Wow.  these are great.
December Obesity Action Newsletter


If this were the only link on the newsletter, it would be wonderful.

Obesity Magazine Link (also Great)

Quick Links

obesityhelp
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 If you know about one of our former patients who is not getting these emails, feel free to forward using the link above.  They can add themselves to the mailing list.