Lap Band Test

Jul 06, 2008


Thinking Thin

Jul 05, 2008

  1. Strategy is Stronger than Willpower.

    The winners at weight control do not have more willpower than those who fail - they have more strategies. These are the strategies that I have learned from the winners

     

  2. Think Historically, Not Calorically.

    If you just think calorically, you will probably fail. It's not just how many calories in a cookie or a candy, but how many or how much of this food do you typically eat. Always ask yourself, not just about the calories, but what is my history with this food? and you will not find yourself among the millions of dieters who gain back the same weight again and again with the same foods.

     

  3. The problem may be in the food, not in you.

    Certain foods affect the neurochemistry of the brain and actually trigger cravings and appetite especially in those who are genetically sensitive to such foods. Knowing this scientific fact helps you to understand. It may not be your lack of willpower or character, but your hypersensitivity to the taste or texture of a certain food which is actually creating losses of control and excess eating. Remember the potato chip commercial - "we bet you can't have just one"?

     

  4. Structure Gives Control.

    The structure of 3 meals and 2 to 3 snacks a day promotes metabolic efficiency and helps with cravings and going longer than 3-4 hours without a healthy snack or meal promotes cravings, hunger and failure.

     

  5. Separate Mood from Food.

    Sometimes eating is not about food. You can lose all the weight in the world but, if the next time you get upset you turn to food, your success at weight control will be temporary.

     

  6. Take control of your favorite foods.

    To succeed at a diet does not mean you have to give up your favorite foods but, if you have a long history of overeating them, you need new strategies to take control of them rather than letting them continue to control you.

     

  7. The slips should teach you, not defeat you.

    Thin is a life-management skill. It is not about being "good" or "bad" It is about learning what works. Part of any learning process involves making mistakes. This Commandment teaches you how to learn from those mistakes and never again to make the greatest mistake of all - saying "I blew it" and giving up.

     

  8. Stop feeling deprived.

    Dieting has always been associated with deprivation. This commandment teaches you how to overcome that feeling and to fully appreciate that in the end it is not about deprivation but about liberation.

    The greatest deprivation of all is to spend a lifetime of being heavy when you could have easily succeeded with strategies that could have worked for you

     

  9. Treat your calories like dollars.

    This commandment deals with the truth that our bodies have a budget like our checkbook. It teaches us the insider tips and foods that allow you to stretch your calorie budget so you can eat more and weigh less.

     

  10. Losing weight is half the job.

    Keeping it off is the other half. If you're 30 or 40 or 50 or 60 and lose weight today how do you keep this weight off for the decades to come? This concerns maintenance and the strategies that work best to keep it off for a lifetime without cravings or deprivation. It's about living in the world of food as a thin person.


Adjustments

Nov 30, 2007

Adjustments

How to Tell When You Are Perfectly Adjusted
You are losing 1-2 pounds per week.

If you are not losing 1-2 pounds per week:

A. You may need an eating adjustment

1. Are you eating 60 grams of protein a day
2. Are you eating 25 grams of fiber
3. Are you avoiding all liquid calories

a. Soup can be sign of “soft calorie syndrome”
b. Alcohol contains a lot of calories – 7 calories per gram
(1) It’s also a stomach irritant
c. Fruit juice is just sugar water
4. Are you making healthy food choices from a wide variety of
foods?

a. Are you avoiding soft foods
b. You can’t just eat what’s easy
c. Cheese is glorified fat
5. Are you drinking 6-8 glasses of water a day between meals
6. Are you eating too much junk

a. Chips, chocolate, nuts, ice cream, cookies and other highly
processed junk foods are too calorically dense to be regular parts of a
healthy diet. But don’t avoid them completely to the point where you
feel deprived.
b. Stay out of fast food places
7. Are you getting in two servings of calcium daily
8. Do you always eat the protein first
9. Then the vegetables or fruits

a. Five servings a day
b. Potatoes are NOT a vegetable
10. Is your portion size appropriate?
a. Meat or fish
(1) 3 ounces – the size of a deck of cards
b. Vegetables
(1) ½ cup – the size of your fist
c. Starch
(1) If you eat the protein and the vegetables first you don’t need
much
(2) Avoid: rice, potatoes, pasta
11. You might try avoiding artificial sweeteners
a. Some people think that artificial sweeteners stimulate the
appetite
b. They are HUNDREDS of times sweeter than sugar
c. They teach you to like things too sweet
d. There is no evidence that people who use them are any thinner
than people who don’t
12. Avoid most diet foods
a. Real food usually tastes better
b. Real food is more satisfying than low calorie substitutes
c. When you are only eating a tiny bit the caloric savings is not
that great
(1) Use a teaspoon of real butter instead of a tablespoon of diet
margarine
(2) The body has no way to break down artificial fats
a. They may go into permanent storage
b. Some people think liposuction is the only way to remove
hydrolyzed fats from the body

B. You may need a behavior adjustment

1. Are you eating only when you are hungry?
a. If you’re not sure drink 8 ounces of water and wait.
2. Are you eating three meals a day?
a. With maybe 1 or 2 small snacks
3. Are you sitting down to eat?
4. Are you eating consciously?

a. No distractions, turn off the TV, put the book or newspaper
away, pay attention to your food and your companions
5. Are you eating slowly?
a. Put the fork down between bites
b. Take 20 to 30 minutes to finish a meal
c. Taking longer might cause the pouch to begin emptying
6. Are you taking small bites?
a. Tiny spoon, chopsticks, cocktail fork
7. Are you chewing well?
8. Are you drinking with your meals or too soon after your meals?

a. Practice water loading between meals
b. You won’t be thirsty if you are well hydrated before the meal
9. Are you stopping at the first sign of fullness?
a. Sometimes it’s a whisper: not hungry, had enough
b. Hard stop versus soft stop
10. Do not eat between meals. Stop grazing.
11. Do not eat when you are not hungry

C. You may need an activity adjustment

1. Are you getting in 30 minutes of physical activity at least 3
times a week?

a. Over and above what you would do in the usual course of your day
b. Could you make it 4 or 5 times a week?
c. Could you make it 45 or 60 minutes?
2. Are you taking advantage of opportunities to increase your
physical activity?

a. Taking the stairs instead of the elevators or escalators
b. Walking on the escalators instead of riding
c. Parking your car further away from the entrance
d. Getting out of the car instead of using the drive through
e. Getting off the bus one stop before your destination
f. Washing you car by hand instead of the car wash
g. Playing with your kids

D. You may need an attitude adjustment

1. Are you committed to your weight loss journey?
2. Are you totally honest with yourself about how much you are
eating and exercising?

a. Log your food and activity on ww.fitday.com for 3 days
3. Are you using food inappropriately to deal with emotional
issues?

a. Have you identified what the emotions are that drive your
eating?
b. Can you think of more appropriate ways to deal with those
emotions?
c. Are you willing to seek help from a qualified counselor?
4. Are you attending and participating in support group meetings?
5. Have you drummed up some support from your family and friends?
6. Have you dealt with saboteurs realistically?
7. Do you have realistic expectations about the weight loss
journey?
8. Are you still obsessing about food, weight, dieting, eating?

a. Obsessive – compulsive thoughts
(1) Obsess about something else
b. Perfectionism
(1) All or none, black and white thinking
c. Patience with the pace of healthy weight loss
9. Are you acknowledging your successes with non-food rewards?
10. Have you learned how to take a compliment?
11. Are you giving up diet mentality?

a. Stop weighing yourself several times a day or every day
b. Stop dieting
c. Stop depriving yourself
d. Stop defining food as “good” and “bad”
e. Stop rewarding and punishing yourself with food
12. How do you feel about all the changes taking place?

E. You may need a band adjustment

1. You feel like you are making healthy food choices in appropriate
portion sizes but getting hungry between meals?
2. You can still eat white bread, fibrous vegetables and large
portions.
3. You are having to struggle to lose
4. You are gaining weight in spite of eating right, exercising and
having a good mind set.

F. You may need your band loosened

1. There are times when you can’t get fluids down
2. You are vomiting too much

a. How much is too much?
3. Do you have frequent reflux or heartburn at night?
a. Do not lie flat or bend over soon after eating
b. Do not eat late at night or just before bedtime
c. Rinse your pouch with a glass or water an hour before bedtime
d. Certain foods or drinks are more likely to cause reflux:
(1) Rich, spicy, fatty and fried foods
(2) Chocolate
(3) Caffeine
(4) Alcohol
(5) Some fruits and vegetables
a. Oranges, lemons, tomatoes, peppers
(6) Peppermint
a. Baking soda toothpaste
(7) Carbonated drinks
e. Eat slowly and do not eat big meals
f. If you smoke, quit smoking
g. Reduce stress
h. Exercise promotes digestion
i. Raise the head of your bed
j. Wear loose fitting clothing around your waist
k. Stress increases reflux
l. Take estrogen containing medications in the morning
m. Avoid aspirin, Aleve and ibuprofen at bedtime
(1) Tylenol is OK
n. Take an antacid (Pepcid complete) before retiring
o. Try other over-the-counter heartburn medications
p. See your health care provider
4. See your health care provider immediately (or call 911) if
a. You have a squeezing, tightness or heaviness in your chest,
especially if the discomfort spreads to your shoulder, arm or jaw or is
accompanied by shortness of breath, sweating, irregular or fast
heartbeat or nausea. These could be symptoms of a heart attack.
b. If your symptoms are triggered by exercise.
c. If your pain localizes to your right side, especially if you
also have nausea or fever
d. If you throw up vomit that looks like black sand or coffee
grounds. Or if your stool is black, deep red or looks like it has tar
in it. These are symptoms of bleeding and need immediate attention.

(Note: Pepto-Bismol or other medications with bismuth will turn your
stool black. Iron supplements can also make the stool tarry.)
e. If your pain is severe

This was written by
Jessie H. Ahroni, Ph.D., A.R.N.P., C.D.E., B.C.-A.D.M.

 


Good Web Sites

Oct 25, 2007


What Have You Lost?

Sep 05, 2007

How Much Weight Have You Lost?

Your weight loss =

1 pound = a Guinea Pig
1.5 pounds = a dozen Krispy Kreme glazed donuts
2 pounds = a rack of baby back ribs
3 pounds = an average human brain
4 pounds = an ostrich egg
5 pounds = a Chihuahua
6 pounds = a human skin
7.5 pounds = an average newborn
8 pounds = a human head
10 pounds= chemical additives an American consumes each year
11 pounds = an average housecat
12 pounds = a Bald Eagle
15 pounds = 10 dozen large eggs
16 pounds = a sperm whale's brain
20 pounds = an automobile tire
23 pounds = amount of pizza an average American eats in a year
24 pounds = a 3-gallon tub of super premium ice cream
25 pounds = an average 2 year old
30 pounds = amount of cheese an average American eats in a year
33 pounds = a cinder block
36 pounds = a mid-size microwave
40 pounds = a 5-gallon bottle of water or an average human leg
44 pounds = an elephant's heart
50 pounds = a small bale of hay
55 pounds = a 5000 BTU air conditioner
60 pounds = an elephant's penis
66 pounds = fats and oils an average American eats in a year
70 pounds = an Irish Setter
77 pounds = a gold brick
80 pounds = the World's Largest Ball of Tape
90 pounds = a newborn calf
100 pounds = a 2 month old horse
111 pounds = red meat an average American eats in a year
117 pounds = an average fashion model (and she's 5'11")
118 pounds = the complete Encyclopedia Britannica
120 pounds = amount of trash you throw away in a month
130 pounds = a newborn giraffe
138 pounds = potatoes an average American eats in a year
140 pounds = refined sugar an average American eats in a year
144 pounds = an average adult woman (and she's 5'4")
150 pounds = the complete Oxford English Dictionary
187 pounds = an average adult man
200 pounds = 2 Bloodhounds
235 pounds = Arnold Schwarzenegger
300 pounds = an average football lineman
400 pounds = a Welsh pony

For example, a loss of 128 pounds means you've lost almost a newborn giraffe or:
(10) dozen large eggs
(4) dozen Krispy Kreme glazed donuts
(2) Chihuahuas
(2) Guinea pigs
(1) elephant penis
(1) average 2-year-old
(1) human head
(1) rack baby back ribs

Beginning the Plastic Surgery Journey

Sep 02, 2007

Here is some suggested reading material.

The Smart Woman's Guide to Plastic Surgery : Essential Information from a Female Plastic Surgeon by Jean Loftus, MD
all the pros , cons etc and descriptions of about any surgery you can think of


Science on Trial by Marcia Angell
about the silicone breast implant controversy



The Best Breast: The Ultimate, Discriminating Woman's Guide to Breast Augmentation by John Tebbits
Lots of info about breast surgery.



also the website

www.implantinfo.com
has everything you ever needed to know before getting implants, and hundreds of photos in the photo gallery.

I have compiled a list of questions of what I think is important to ask a plastic surgeon. Many of the questions could equally apply to any surgeon/doctor.

It can be very intimidating to really interview a doctor and ask tough questions about their qualifications, experience. With each Dr. I have consulted, I checked out their credentials prior to the initial appointment. www.abms.org has their certifications. In Illinois, where I live you can look on the web site for the Department of Professional Regulation and find out if the doctor has had any disciplinary action against his license. This will only report disciplinary action. If there was a complaint that did not have enough evidence and there was no disciplinary action it is not reported. It is a fairly difficult process for the consumer to go thru the reporting process, and I think many people are intimidated out of it, or don't have the knowledge/resources to deal with it. It will not tell you whether or not he/she has been sued. That info is very difficult to find out. If you have access to a legal search engine such as Lexis-Nexus you "might" be able to get info if there was a court judgment. Most seem to be settled out of court. Also there are many good Drs. who are sued who really did nothing wrong, and it is difficult to filter that out from the ones who are really incompetent.

Go on your gut instincts. Interview several doctors. If ANYTHING you are being told makes you uncomfortable, do yourself a favor and don't proceed until you are comfortable. There are a lot of really good, really caring docs out there and you deserve the very best. This is your body and you will be living in it for the rest of your life, long after the doctor has forgotten your name.

I saw a program "Plastic Surgery Nightmares" and one of the Drs. who was fixing badly botched plastic surgeries made the statement that the bad doctors don't even know they are bad. They think they are just fine. That really struck me that a doctor might have all the right answers but not the skill to go with it.

Having a board certification in plastics tells you he has been thru an appropriate training. Be sure the certification is from the ASPS. Unfortunately any Dr. can call himself a plastic surgeon. A dermatologist can take some weekend seminars and do plastics. You need a person who was trained as a surgeon.

Here is my list of questions.

What are your certifications? ( My minimum standard , board certified in general surgery *and* Plastic surgery, & recognized by the ABMS, the only really credible certifications are recognized, If they have the certifications they are happy to brag about it. anyone who is an MD can call legally themselves a plastic surgeon whether they have the right training or not, also verify their certifications thru www.abms.org)

Where are your surgeries performed? If it is in an outpatient surgery center, Is it an accredited facility? Is he on staff at a hospital? If the Dr. Is NOT on staff at a hospital this is a major red flag.

Out patient? (I prefer to go home the same day!)

What do you think you are best at? Specialty

Who assists you in surgery? another MD , surgery tech, resident?

Experience with procedures I need? - How many, how often?

Bariatric patients - How many do you / have you done?

Pictures before & afters of procedures I want

Do you have a previous bariatric pt I can talk to about their experience?

Pros & Cons of this surgery.

what can I realistically expect?

Can I get a better result with a different procedures?

Preop procedure? Testing? When? where?

How long does this surgery take / anesthesia time

who does anesthesia? MD or CRNA? (I'd be happy with either to be honest, just like to know)

Follow up care- how soon, how often, how long?

Compression garment/ ace wraps?

Pain control? OnQ?

Return to exercise?

Cost of surgery? Including anesthesia and OR charges?

Payment plans?

Revision policy?

How do you close incisions?
Stitches under skin vs. staples (if they say staples just leave, don't go back)

Scar Care, treatment & prevention?


Any other suggestions? Anything I should have asked and didn't?


Gastric Sleeve Video

Aug 31, 2007


Web Addresses Worth Remembering

Jul 11, 2007


http://dwlz.com/restaurants.html

Jul 11, 2007

Calories for restaurants

Plateau Busting Diet

May 28, 2007

Do this for 10 days to break a plateau

Drink 2 quarts of water a day 

You may consume up to 3 oz of the following high protein foods, 5x a day

beef
pork
chicken
turkey
lamb
fish
eggs
low fat cheese
cottage cheese
plain yogurt or artificially sweetened
beans/legumes

You may also have:
sugar free popsicles
tea or coffee

sugar free soda - if allowed by your doctor
sugar free jello
broths/boullion

crystal light drinks

*If it's not on the list, you can't have it for 10 days!!!!

*Keep a food diary and get up to 30 mins of exercise daily

About Me
SC
Location
27.1
BMI
Surgery
02/22/2007
Surgery Date
Oct 13, 2006
Member Since

Friends 41

Latest Blog 14
Lap Band Test
Thinking Thin
Adjustments
Good Web Sites
What Have You Lost?
Beginning the Plastic Surgery Journey
Gastric Sleeve Video
Web Addresses Worth Remembering
http://dwlz.com/restaurants.html
Plateau Busting Diet

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