Gary W Smith

My husband would like to get training to be a mentor. He had the gastric sleeve in September. Since December 2013, he has lost 100 lbs. He has another 100 to go. Do you know where or how to get training, we live in the Sacramento area.

eggbeaters may be a great soft food easily like a puree, maybe if cooked plain and added some liquids it will be soupy enough to pass at some point during a puree thing. I do how ever, fry them as are in a Pan made by Ozeri, a german company that has no stick ceramic pot's and pan's. Great pan, you put no Oil's or large quantity sauces and it does fry that what you put into it for sure, just is the fact you have to get used to the zero buttery flavor or no oil flavor's added. I put in shred low calorie cheese or parm with the eggbeaters, and an example would be I fry onion's by adding small amounts Water during cooking and salt, no carmelization to speak of but nicely browned and softened onions after cooking, also browns any meat well enough too.

Cheryl Ann Borne hit a high weight of 285 pounds, and got the gastric bypass surgery in 2003. She maintained her weight loss, but the extra skin didn’t go away on its own. In 2013 she began a series of plastic surgeries including a Tummy Tuck, total body contouring, and facial surgery, and is now a size 2.


Cheryl is an obesity health activist who writes as My Bariatric Life on Health Central and PM360 Online. She recently launched her new site, My Bariatric Life, and you can follow her on social media, including on Twitter @MyBariatricLife and on Google+.
Weight Gain, Gastric Bypass Surgery, and Lasting Weight Loss
Cheryl was an active teen, but she went from “fit to fat” as she turned to processed food. At 5’7”, she got up to a weight of 285 pounds and a size 24W. Cheryl got the gastric bypass surgery in 2003. She had diabetes, celiac disease, depression, acid reflux, asthma, and hypertension. She lost over 100 pounds, managed to get off of 9 of her 10 prescription drugs, and does not have chronic back pain anymore. You can see before and after pictures documenting her transformation by watching this video.
A Typical Day in Cheryl’s Life
As proof that you can follow a diet without red meat and stick to a high-protein weight loss surgery diet, here is a sample day’s diet in Cheryl’s life. The following day has 1,789 calories, 165 grams of Protein, and 79 grams of carbohydrates.
Breakfast
2-egg omelet with homemade creamed spinach (dairy-free) and turkey bacon
Snack
coffee with coconut milk, roasted coconut juice, and egg white Protein Powder
Mineral Water
Vitamins/supplements
Scivation Xtend intraworkout drink with branched chain amino acids
Lunch
tuna salad
Baby spring mix and grape tomatoes with lemon vinaigrette
Terra Real vegetable chips
Dinner
Smoked turkey leg, no skin
1 cup turnip greens
Snack
Egg white protein powder in water
Getting Rid of the Traces of Obesity
After losing over 100 pounds after the gastric bypass surgery in 2003, Cheryl had a lot of extra skin. In 2006, she met a plastic surgeon whom she really liked. In 2013, she decided to get a tummy tuck. The extra skin hadn’t gone away after weight loss surgery, and she wanted to get rid of it. As she describes below, she was delighted with her surgeon and the results of the tummy tuck, and decided to go further.
I went from a size 14 jeans being tight to a perfect size 8 in just 4-months. I was so thrilled with the transformation that I decided to do "all of me." In October 2013, Dr. Joseph F. Capella revised the tummy tuck to a lower body lift, and performed a medial thigh lift, extended arm lift, and breast lift. Dr. Capella removed 11 pounds of skin and one liter of fat, and this enabled me to get active in ways that I was unable to with my hanging pannis and inner thighs that rubbed together. I ran my first 3k with my daughter and granddaughter and eventually I was running 5k. What's more, the muscle plication from the tummy tuck placed renewed constriction on my pouch so I am full with less food, as well, I tightened up on my diet by doing Whole30 [a strict 30-day low-carb diet] and going Paleo. In total, I lost 50 inches and 50 pounds after my body contouring plastic surgery. Today I am a size 2, down from a 24W before my gastric bypass surgery.
You can go to HealthCentral to read about Cheryl’s decision to get total body contouring after her tummy tuck. She describes the emotional rollercoaster of the experience, the surgery, and her long road to recovery. She is still dealing with complications from her brachioplasty, but stresses the end goal and her luck in finding a fantastic surgeon who cares about her.
She didn’t stop there, and instead decided “to reach for the stars” and see a facial plastic surgeon.
In one surgery, Dr. Catherine Winslow took about 15 years off my face, restoring the once pretty face that I had when I was thin. I had a total of 10 procedures: deep plane face lift, neck lift, upper eye lid lift, SMAS (superficial muscular aponeurotic system) to tear troughs and lips, lip lift, chin implant, 35% TCA peel, Botox and filler. I go back from time to time to Nurse Triste at Dr. Winslow's practice for filler and Botox. I look at this maintenance routine along the same vein as maintaining my hair cut and color.
Destined to Be a Healer
Do you believe in fate? When Cheryl visited Guatemala in May of 2011, a Mayan shaman told her her Mayan symbols showed she was a healer. She could, he said, heal herself and others. As Cheryl tells it below, she wasn’t so sure at first. Then she figured it out.
I visited a Mayan Shaman when I was in Guatemala back in May 2011. He said my Mayan symbols told that I am a healer. I can heal myself and I can heal others. He said that I needed to heal others, to not keep this gift to myself, or else I would experience sickness or pain and that this was the only way to cure my chronic back pain, which I had suffered with for years. The Shaman said that I need to realize my true self. The Shaman also said the symbols revealed that I am creative — that I knew for sure, but I wondered was he right about me being a healer?
So I tried to heal my beloved mother who was stricken with a rare disease. And I tried to heal my beloved boxer dog, Cindi Lu, who was stricken with an aggressive cancer. But I could not save them and felt that I had failed my destiny.
Then in 2012 during a personal development training, I discussed this matter with the instructor. And he replied that maybe I was meant to heal people with my words. I did not give much thought to it after that until one night in 2013, I bolted up from my bed and realized that both the shaman and the instructor were right!
Healing with Words
Cheryl’s work has exploded. She describes the growth of her writing and advocacy career since finding her voice.
I began writing as My Bariatric Life for the HealthCentral Obesity vertical in March 2011, nearly eight years after my gastric bypass. I started out writing just a few articles per month as a health guide -- a patient who would share her real world experience in defeating obesity, diabetes, hypertension, asthma, and GERD. My work grew legs. I now write 18 articles and develop two recipes per month for HealthCentral where I have a following of roughly 75,000 unique monthly readers. I also write a quarterly patient advocacy column for PM360 Magazine under my name, Cheryl Ann Borne, and I am a long-standing member of their editorial advisory board.
Cheryl also makes her voice heard by posting as My Bariatric Life on social media, including Flickr, Twitter, Google+, and Pinterest. She is active on BariatricPal and a site for cosmetic procedure patients called RealSelf. Her goal is to provide fair and trustworthy reviews.
And this month I will begin writing a monthly opinion piece as My Bariatric Life for BariatricPal. I also am exploring opportunities with the Obesity Action Coalition, and in the past have partnered with Obesity PPM and the Patient Centered Outcomes Research Institute (PCORI). !
Daring Move to a New Career as a Digital Health Strategy Consultant
Cheryl has been in the health industry since before her surgery. She explains her career as a digital health strategy consultant.
My career has been as a promotions strategist, writer, and designer in the healthcare space with the last 12-yrs in digital marketing. I’ve worked with pharmaceutical and biotech companies and digital health ad agencies and non-CME medical education agencies. I help them to understand the evolving digital health ecosystem and, based on their unique market circumstances, specifically how to communicate with patients and physicians in meaningful ways via digital channels and to ultimately achieve better health outcomes.
Cheryl is determined to help people improve their lives.
Transforming healthcare is important to me. It's is all about the patient. I want to make a difference; I want to help people live healthier lives.
When her company cut her position in 2013, she took a positive approach and decided to focus her energy on fighting obesity. She developed a business plan as a digital health strategy consultant with an emphasis on growing My Bariatric Life, her obesity health activist brand.
Paleo Follower and Recipe Developer
Cheryl believes in the benefits of the Paleolithic Diet. It is a high-protein diet that you can follow after weight loss surgery. It emphasizes meat, fish, poultry, fruits, vegetables, eggs, nuts, seeds, and oils. It forbids grains, processed foods, dairy products, and potatoes. She plans to help others follow this way of eating.
One aspect of my business plan is to launch the brand Borne Appétit in order to teach healthy eating habits and show busy families/couples/singles that it is easy to prepare real food, real simple, and break the cycle of time starvation and over reliance on convenience/processed foods and obesity. To truly understand what it means to eat healthy and break this cycle was something I had to achieve in my own life, and I want to share with people what I have learned through years of experience and experiment. I find the Paleolitihic Diet works best for me…and I enjoy the art of creating delicious recipes within those constraints. I also eat no red meat, only fish and fowl, so this adds an extra level of complexity, which I find stimulating to develop recipes that are not mundane or repetitious.
Valuable Life Lessons
You can be sure Cheryl has learned a lot of valuable lessons from her weight loss surgery and plastic surgery experiences. She knows the value of maintaining her results, living life fully, and challenging herself to live a life she loves. She also recognizes she has gained freedom and an ability to grow.
Beyond the physical transformation are (very unexpected) emotional and spiritual transformations. I’ve returned to some of my roots: ideals and philosophies around the nature of existence that I had walled off (or perhaps ate to insulate myself against) when the emotional pain became too much for my sensitive nature. Plastic surgery was very freeing for me; it freed my jailed spirit. I’ve never been a wallflower but when it came to my body I was timid because I lacked body confidence. And this trickled over into other areas of my life. There were parts of my life that I hid, or situations in which I could not share my feelings, because I was inhibited by the fear of being rejected or judged. And that’s no longer true. I am now able to be my true self, comfortable in my nakedness both physically and emotionally. I am still learning and growing in these areas, particularly in understanding soul relationships and the expression of real love.
We are here to play and experience as much as we possibly can. We are here to grow. Often it is through times of adversity that we grow the most because these times force us to get out of our comfort zones. I have come to understand that there are only two emotions. We are either acting out of love or we are acting out of fear, which is the opposite of love. All other emotions are a derivative of love (compassion, forgiveness, self-sacrifice) or a derivative of fear (selfishness, retaliation, deceit). From now on I choose always to act out of love. Do I let go of control and trust my intuition and follow my heart even when it defies my rational faculties or can’t be proven? If I am to act out of love, then yes. Otherwise I return to acting out of fear. As well, I have learned that I need to protect myself from the negative energies of toxic people — those emotional vampires who can turn my love into fear.
An Exciting Year to Come
Cheryl is expecting a big 2015 in addition to growing her presence as My Bariatric Life and working on Borne Appétit. At the Pharma Marketing Summit in Palm Beach in May, she will be presenting as My Bariatric Life and sharing her story of defeating obesity and its co-morbidities.
Also new for this year, I'll finally launch my websites, a dream I've had for a couple of years. I've already launched MyBariatricLife.org for transformative information on defeating obesity and co-morbid diseases. I'll also launch my healthy recipe site BorneAppetit.com and my eating healthy on-the-road travel site BorneVoyage.com. These sites will help a lot of people.
It definitely looks as though the Mayan shaman was right when he said Cheryl is a healer. She has come a long way toward healing herself through weight loss surgery, plastic surgery, and healthy living, and she is dedicated to helping others become healthier. Don’t forget to follow Cheryl on social media and through her channel on HealthCentral, and watch for her new monthly opinion piece to be published on BariatricPal!
Please click here to read My Bariatric Life's articles in BariatricPal's Weight Loss Surgery Magazine.

A lot of weight loss surgery patients struggle with weight for their entire lives before deciding to get surgery. The same is true for Michele Elbertson. The difference is that Michele was only 23 when she hit 427 pounds and got her wake-up call. She got the lap-band, changed her lifestyle, and dropped 260 pounds. She’s run 6 marathons in the past two and a half years, and is training for her first Ironman triathlon this spring.


Bigger from Birth…And Then College Hit
Michele was always big. She was at the top of her height and weight charts from the time she was an infant. She remembers times in her childhood when she couldn’t or wouldn’t participate because she was so big. She didn’t like physical education or sports, and the other children teased her.
food was a comfort. Michele describes the situation as a vicious cycle. The more kids teased her, the worse she felt. The worse she felt, the more she ate. The more she ate, the more she weighed. The more she weighed, the more she got teased.
College was a disaster in terms of her weight. Forget about the freshman 15. What about the freshman 40? And the sophomore 40? Add to that the junior 40, the senior 40, and, for good measure, the super-senior (fifth-year) 67, and you now know how Michele Elbertson got to be 427 pounds at the age of 22 years.
A Young Weight Loss Surgery Patient with New Relationships
Michele made the decision to get the lap-band on her own. She needed a tool to help her control how much she ate, but understood that it was up to her to control what she ate. She only told her parents about her decision after she was sure about it. They were supportive, and have been since then.
Michele has taken full advantage of and responsibility for the band. She has lost 260 pounds – 260 pounds! – in less than four years. As she says, she’s a determined person who will accomplish anything she sets her mind to.
Michele began to “eat to live” rather than “live to eat.” As her relationships with food and exercise changed, so did her relationships with some friends. She lost some friends whose relationships centered only on food. She gained many more, though, through her new activities. She says the friends she’s gained through running and fitness far outweigh those she lost by changing her lifestyle.
An Athlete Is Born
Michele ran her first 5k after losing 100 pounds – when she was still 327 pounds. She was hooked. She loved the training, the atmosphere of the race, and the accomplishment. She has never looked back. Since then, she has run countless other races, including 38 half-marathons, 6 marathons, and a 50-miler ultra-marathon. She has also competed in triathlons.
Now at an athletic 159 pounds, Michele has her sights on even greater challenges. In the near future, she wants to run a 100-miler and complete an Ironman. Both are feats that most people wouldn’t even dream of.
Marathons, Ultras, and Ironmans
Now, not everyone’s a distance runner or triathlete, so to understand Michele’s accomplishments, here are a few facts about these endurance sports.
A marathon is 26.2 miles. All marathons are 26.2 miles.
An ultra-marathon is anything over 26.2 miles. Michele’s recently completed ultra-marathon was 50 miles, and she is training for a 100-miler.
A triathlon includes swimming, biking, and running. An Ironman triathlon consists of a 2.4-mile swim, a 112-mile bike ride, and a 26.2-mile marathon.

Fitting It All in Every Day
Michele works out 6 days a week. Currently, she’s training for an ulta-marathon and is running 5 days a week and lifting weights 3 times. She also does Zumba classes. She takes a rest day once a week.
Michele has built her life to be able to accommodate her training schedule. She recently quit her teaching career to focus instead on helping others achieve their fitness and health goals. She is a personal trainer and group fitness instructor. Working at a gym is pure genius – it leaves her with no excuse not to get her workout in!
Eating Like a Bariathlete
How do you have energy to train like an athlete and work full-time while losing over 200 pounds in 4 years? Ask Michele. Here’s how she eats and works out in a typical day.
7:00 a.m. breakfast: almonds and yogurt or eggs/romaine lettuce
9:00 a.m. snack: Protein bar
Workout, such as running, lifting, or group fitness class, such as Zumba or bokwa
Noon. lunch: Soup or salad, usually the largest meal of the day
2:00 p.m. snack: cheese and crackers or something small, equivalent to 200 calories (may include a fruit or vegetable)
4:00 p.m. snack: hot tea
6:00 p.m. dinner; lean protein, veggie, possibly a carb
7:30 p.m. snack: lemon water/hot tea.

The number of calories Michele eats during a day is 1,800 (her resting metabolic rate) plus half of the calories she burns through exercise. So, if she runs 10 miles and burns 1,200 calories in exercise, she’ll eat 1,800 plus 600 calories, or 2,400 calories. She allows herself an occasional treat meal with junk food, but still counts those calories.
The Accolades
Michele is more than your typical bariatric patient, and she’s been getting the recognition she deserves for her extraordinary achievements. These are a few recent examples.
Runner’s World magazine Cover Contest Finalist.
Makeover on the Rachel Ray Show.
Local feature on 6ABC Action News in Philadelphia.

Dealing with Negativity – Don’t Worry About It
One of the most striking things about Michele is her drive. She has worked very, very hard to get where she’s at today. She’s lost 60 percent of her body weight through being very disciplined every day. And, she has run marathons. Anyone who has run a marathon can tell you that it is was harder than they had ever imagined. Anyone who hasn’t run a marathon cannot imagine how difficult it is.
But with all the publicity, Michele has receive a lot of nasty comments. How is she supposed to react when people slam her? They say she hasn’t accomplished anything, that the band has done it all. In fact, they basically say what a lot of weight loss surgery patients hear all the time from people who don’t know any better.
So how does Michele react to negativity? She doesn’t want to respond directly and add “fuel to the fire.” She knows they don’t know anything about her, and she’s probably done more exercise and worked harder than they ever have. So, she just goes about her business.
Leading by Example
Michele says she hopes her successes and story will give others hope. She describes herself as a “real person” and “very down-to-earth,” and she hopes others will see that they can accomplish what she has. In the future, she would like to travel to seminars as a motivational speaker. In the meantime, we congratulate her on her amazing story and wish her well in her 100-miler this spring!

Weight loss surgery is challenging at any time of the year. The weight loss surgery diet is strict, and following it takes a lot of discipline and planning. Acquaintances and close friends alike may make comments about your weight loss and appearance. People who don’t know the first thing about weight loss surgery may not be shy about sharing their opinions of it.


This can all get more intense around the holidays. You need even more discipline and planning when there are holiday treats everywhere you turn. People may notice your weight loss even more because you may see them only once a year. And the ones who share their negative opinions of weight loss surgery may be your relatives.
It’s easy to lose sight of the big picture and get down on yourself during this season. But you’ll get through it, and come out on the other side ready to keep losing weight and following a healthy lifestyle. Staying positive helps. Here are some of the barriers you might come across, and how you can try to overcome them and stay positive.
Comments from Other People Regarding Your Weight or Weight Loss Surgery
You probably get some comments all year. People may notice your weight loss, or want to talk about your weight loss surgery once they find out about it. But during the holidays, this can get nearly unbearable. The people noticing your weight loss may be friends or family who are in town only once a year, and haven’t seen you since last year. They can be shocked at, proud of, or jealous of your weight loss, and any of these reactions can be uncomfortable if you’re not the type to enjoy attention.
The other set of comments you might get include comments on your weight loss surgery. Almost every bariatric surgery patient has heard some unfair things about bariatric surgery, such as people saying that it’s “cheating.” What makes them worse now is when they come from family members.
These comments can get you down. You may start to feel self-conscious about your body. You may feel defensive about your decisions. The negative feelings can wear you down.
What to do about it.
You have a few different options here. First, try talking to the people who are making the comments. For example, tell them:
“Thank you for complimenting me on my weight loss. I appreciate it, but it makes me feel self-conscious. Do you mind not mentioning it, especially in front of other people?”
“Thank you for your concern over my weight, but I think I’m doing okay. I’m working closely with my doctor and surgeon, and they both agree that I still have a few pounds to lose.”
“I wish weight loss surgery were a magic solution, but it’s actually not. Would you like to hear about how it works and what I have to do to lose weight?

Until you tell them directly, people may honestly not realize that it bothers you to hear comments about your weight. They may not know that weight loss surgery isn’t magic, and that you really do work hard every single day to lose weight and stay healthy.
Talking won’t solve every problem. The next step is to prepare for the comments. If you know they’re coming, you can put up your guard mentally so they don’t get a reaction out of you or make you feel bad or defensive. You can also recruit a few allies, such as close friends, your spouse, or your parents. Ask them to stick with you at parties and gatherings so they can change the subject if your weight loss or weight loss surgery come up.
Feeling Guilty.
You go to a party. You eat a bit of this and a little of that, and then find yourself in the bathroom with dumping syndrome. Or you sneak in a treat here and a taste there, and at your weekly weigh-in, you find that you’ve gained weight.
Bad eating and weight gain happen all the time during the holidays, and they can make you feel guilty. The problem is that guilt isn’t usually very productive. It’s more likely to drag you into a vicious cycle of overeating, feeling guilty, and overeating.
What to do about it.
First, forgive yourself. You can’t work with yourself if you’re mad at yourself. Admit you did something you’re not proud of, then accept your apology to yourself. It’s time to move on.
Next, focus on the future. You can’t change the past, but you can shape the future. Recognize that you feel guilty, figure out why you have been making poor choices, and think of what you can do to do better next time.
Log every bite, good or bad. Something as simple as keeping an honest record of what you eat is enough to stop you from taking that extra bite.
Predict problems, and avoid them. If you know you can’t pass up fudge, don’t walk by the candy shop with free samples in the mall.
Plan ahead. Take a salad, some chicken skewers, or a basket of mandarin oranges to your next holiday party so you can be sure there will be healthy food to eat.

Feeling Deprived.
The holidays are filled with delicious food. There’s candy at work, Christmas Cookies from your neighbors, egg nog and finger foods at parties, and feasts with family.
The problem is, you can’t have any of it. At least, you can’t eat the way you could before weight loss surgery. You’re limited to a few bites of certain treats. It’s easy to feel deprived. Your feelings can be even worse if you feel sorry for yourself for “needing” to work out, especially if you’re getting up early or staying up late to squeeze in a workout.
The solution.
This one’s not easy, but you can make it a lot better by changing your attitude. First, know that you’re not alone. Everyone feels that way. Don’t believe it? Go up to the most fit-looking person you know and ask. They will tell you that they are tempted by the holiday food, and they work very hard not to overeat. They’ll also tell you that they have to work to make exercise a priority during this busy season.
Next, try to think about what you’ve gained by changing your lifestyle, and not about what you’ve lost. Sure, you can’t eat frosted cinnamon rolls anymore because they’ll give you an obstruction or dumping syndrome, but you can keep up with your friends at the mall. Or, you can’t drink spiked eggnog at Christmas parties, but you can fit into a flattering dress or suit to wear to the party.
The holidays are about celebrating, being grateful, and appreciating friends and family, but you’re not alone if you find yourself getting down during the season. Weight loss surgery changes your life, and some of the changes can be magnified during this time. You can fight this by staying positive and planning ahead – just like you do to succeed the rest of the year.