MountianGirl

I don't just think it's length. With better circulation and cardio fitness it's harder. Harder means thicker. My motto now is "Longer, thicker, harder for longer"

Weight loss surgery can be a godsend. Getting the surgery could be the best decision you ever make. It can give you your life back and help you become healthier than you have been in years – or ever before. But what you need to do to stick to your new lifestyle isn’t so different from what other healthy people need to do. If you want to be thin and fit, you need to think and act like a thin and fit person.


Bariatric Surgery: Necessary But Not Sufficient
Weight loss surgery is a significant part of the solution to surgery. If you can’t lose weight without it, it’s necessary. But, on its own, it’s not sufficient for weight loss. As every weight loss surgery patient knows, weight loss surgery only works when you add other components, like a healthier lifestyle, to lose weight permanently.
Don’t Give Up
It’s easy to start feeling sorry for yourself when regular diets don’t work for you. You may feel that your doctor’s recommendation to get weight loss surgery is official recognition that your obesity is out of your control. After weight loss surgery, it can seem like you’re still working harder than the “skinny” people, and you may feel like giving up. There’s no point in feeling doomed to obesity. Don’t bother resenting your “bad luck” with obesity. The truth is that most fit and healthy people need to work hard at it, just like you do.
Have a Plan
Don’t leave things up to chance. Skinny people may not have as many dietary restrictions and requirements as you, but you can bet many of them think carefully about what they eat. They plan what they’ll order at a restaurant, and you should, too. They’ll also compensate for oversized meals by exercising a little extra or eating a little less at the next meal.
Be Honest
Are you really acting like a skinny person? Their behaviors are the same as many of the rules you’re supposed to be following on your weight loss diet. If you’re not losing weight like you think you should be, look carefully at your habits.
Are you ending your meal when you’re barely full, or eating for another reason, such as eating to keep everyone else company while they eat?
Are you driving straight home, or passing through the drive-thru?
Are you drinking only water between planned meals and snacks, or are you getting in calories from juice and sweetened coffee drinks?
Are you eating only at the table, or are you nibbling while standing?

Watch your skinny coworkers and even housemates carefully, and you may start to notice some of their good habits. They may be lucky enough have those habits formed naturally while you need to work a little harder on them, but you can do it.
Ask Away
Yes, you’ll see a lot of skinny people doing a lot of things you wouldn’t dare try because you’d be afraid of gaining weight. They may pack away a hot dog, an ice cream sandwich, and a few beers at a baseball game, or munch their way through a bag of potato chips with dip while watching television.
Ask them how they get away with it if it’s your friend or someone in your family and you feel comfortable enough. You may get a frustrating answer (“I eat whatever I want and don’t worry about it.”), but you may get something helpful (“I eat very carefully six days a week so I can veg out and eat chips on Sunday” or “I knew I wanted to relax and enjoy myself at the game, so I worked out for an extra hour this morning to burn a few extra calories”).
These tips can reinforce the strategies you already know and add to your collection of strategies. They can also help you realize that everyone works hard at staying fit and thin – weight loss surgery or not. You may not be allowed to eat an ice cream sandwich and drink beer on your weight loss surgery diet, but you can exercise ahead of time as a strategy against
If You Can’t Beat ‘Em, Join ‘Em
Until you hit goal weight, you may be most self-conscious about your weight when you’re at the gym. You’re likely to be surrounded by fit people with strong-looking and lean bodies. Don’t just think of these people as another species. Instead, use them to your advantage.
Strike up a conversation with them, being careful not to interrupt their workouts. Catch them while you’re both on the elliptical, bike, or treadmill, or when they’re done with their workout.
Some people will let you know that they’re not interested in making friends at the gym. Don’t take it personally – it has nothing to do with your fitness level, weight, or personality. Some people just go to the gym because they want to feel alone.
Other people will be delighted to talk to you. Most people love talking about themselves, including their workout schedule and goals. They’ll be happy to give you pointers. You can learn what they do to stay in shape, and how often they hit the gym. Possibly most inspirational of all is what you’ll learn about their dedication to their health. They had to get up just as early as you, they’re just as busy as you, and they worry about their diets just as much as you – and they make it a priority to get to the gym almost every day.
It Comes Down to Attitude
So much of your weight loss journey success depends on your attitude. When you feel like you’re working harder than everyone else, you may be tempted to stop trying. Once you realize that everyone needs to work hard to be fit and healthy, you’re more likely to stay committed. Act skinny, and you’ll hit your goal weight.

I recently posted an article titled “The Biggest Loser:” Irresponsible Weight Loss Surgery Comments? . We received many fantastic comments from our concerned members. I've decided to follow up our article with an Open Letter to Dr. Robert Huizenga or Dr. H as he's known on the show. The letter will also be sent to the shows producers and staff members.


Dear Dr. Huizenga,
I am the founder of BariatricPal, the world’s largest online community for weight loss surgery patients and potential patients.
I am writing to you today regarding your role as an expert on “The Biggest Loser.” I am asking you to please stop publicly portraying weight loss surgery in a negative light without any explanation. Most recently, during the Season 16 Finale, you stated that losing weight using methods used on the show were far healthier than turning to weight loss surgery. The implication was that bariatric surgery is under no circumstances the best choice for individuals struggling with obesity.
I am asking you to stop making comments like this. You and “The Biggest Loser” have a significant amount of influence on America. The season finale attracted 5.4 million live viewers, with untold millions watching the show at a later time. Given that one-third of American adults are obese, it is almost certain that many viewers have obesity.
“The Biggest Loser” reaches out to this audience throughout the show. Contestants, trainers, and health experts like yourself directly address viewers who need to lose weight, offering encouragement and tips. As you know, positive gestures like this can motivate people to change their lives.
Unfortunately, the derogatory comments about bariatric surgery can have just as much impact, but in a negative way. Your statement at the Season 16 finale of “The Biggest Loser” and similar ones make weight loss surgery sound like a shameful, dangerous, and ineffective choice in all cases, with no further explanation.
According to the Weight-Control Information Network (WIN), 4% of men and 8% of women in the U.S. have extreme obesity (BMI over 40). That translates to about 20 million American adults who are potentially eligible for weight loss surgery. This figure does not include the approximately 60 million Americans whose BMIs are between 30 and 40, and who might be eligible for surgery due to the existence of a co-morbidity.
Not all of these individuals are eligible for and interested in weight loss surgery, but many are. BariatricPal alone, for example, has a quarter-million members who are weight loss surgery patients or who are considering surgery.
For weight loss surgery patients, your comments can be hurtful. Weight loss surgery is not the “easy way out.” It is a tool to help control food intake. Eligibility criteria include a requirement that patients be committed to the strict dietary changes necessary to lose weight after bariatric surgery. I and millions of other weight loss surgery patients who have successfully used weight loss surgery as a tool against obesity worked hard to get where we are today. We do not deserve for you and your colleagues to suggest that we have cheated to lose weight.
Comments that groundlessly condemn weight loss surgery can harm potential patients just as much if not more. Eligible candidates might decide not to get the surgery in part because of your position. First, your comments can lead to a feeling of shame for even considering bariatric surgery to fight obesity. This is unjust, since the post-surgery diet is strict and requires a lifetime of attention, just as “The Biggest Loser” contestants must modify their own diets for the rest of their lives to maintain weight loss.
Secondly, your comments on the show seem to imply weight loss surgery does not work. While there are patients who do not respond to surgery, and complications are always a threat, the scientific literature overwhelmingly agrees that weight loss surgery is a viable option for the treatment of morbid obesity.
Furthermore, the scientific community largely agrees that weight loss surgery can improve health and metabolic parameters. To varying degrees, methods such as gastric bypass, adjustable gastric band, and gastric sleeve have been linked to improvements in diabetes and other obesity-related conditions, such as hypertension, sleep apnea, and dyslipidemia. The UK’s healthcare system, known as the National Health System or NHS, is so convinced of bariatric surgery’s effectiveness, safety, and cost savings potential it covers bariatric surgery procedures.
Unconditionally stating that weight loss surgery is the wrong choice is particularly unfair given that “The Biggest Loser” contestants do not always achieve or maintain their goal weights. An article on Today.com, which is owned by NBC, looked at initial, finale, and current weights of selected contestants from the first 11 seasons of the show. Of the 56 contestants they highlighted, 20 were within 10 pounds of their finale weights, and 8 had gained back at least 40 pounds since the finale.
These results are impressive but not perfect. And, “The Biggest Loser” is not for everyone. So far, only hundreds of individuals have been lucky enough to have the opportunity to lose weight on the show. For a few others, losing weight at one of the Biggest Loser resorts is an option – but not a practical one for most people. At $3,000 per week, it could take $50,000 or $100,000 or more to reach goal weight, not including time out from work and life.
Weight loss surgery may be the only practical choice for people who have work and family obligations, and who live within a budget. People struggling with obesity do not choose weight loss surgery because they think it will be easy. They choose it because they have no other choice. Nothing else has worked for them. For me and hundreds of thousands of other weight loss surgery patients, it worked.
Because of this, I ask you again to please stop publicly attacking weight loss surgery without explanation. You and I and everyone else who is connected to obesity knows what a terrible disease it is. We should join forces in fighting it. Let’s work together to get the greatest possible number of people healthy, and not work against each other with derogatory and divisive comments.
Thank you for all of your hard work and commitment to fighting obesity. You have established yourself as one of the most influential health experts in obesity, and I hope you will use your voice in a positive way. Thank you for considering this.
Sincerely,
Alex Brecher
Founder, BariatricPal

Losing weight is a 24/7 job, make no mistake. And along the way, you will be forced out of your comfort zone. One of the biggest challenges my patients face is the buffet. Whether you are attending a special event, visiting a restaurant or enjoying that long-awaited cruise, the buffet can be a friend ─ or foe.


I’d like to share some of my tips, along with those of my dietitians, to help.
Plan Your Strategy Beforehand
Before you head out the door, decide how you will eat a small portion of the right kinds of food and drinks for you. If anyone comments about your smaller portions, feel free to say you like to eat "tapas" style where you try small portions of several foods.
Stick to Proportions
Divide your meal into three distinct sections—mostly veggies, a sampling of a few proteins topped off with a bite or two of carbs, if that's in your weight loss plan. Stick to these proportions and you’ll feel satisfied, full and enjoy a variety of foods in moderation.
Take a Tour
Insider tip: The most expensive (i.e. healthiest) are “hidden” at the end or up at the top of the buffet and the least expensive (carbohydrate-laden) selections are usually right at the beginning. Therefore, stroll around the buffet before making your final choices.
Forego the typical foods you eat regularly (green salad, common cooked vegetables) and sample some new items or those that you might not normally eat. Dining should be fun and interesting. The game is to also make it healthy.
Let Others Go First
If you’re first in line for the buffet, you’ll also be the first one eating. By the time everyone has served themselves, you’ll be staring at an empty dinner plate, possibly considering a repeat performance. Try to time your meal so you are choosing your foods about midway through the meal. At that point, there will be ample servings of your favorite foods and you’ll finish eating with the other guests.
Keep it Simple
Chicken, fish and high quality, lean cuts of beef (steak) are both excellent sources of lean protein ─ but not when they’re drenched in creamy sauces, wrapped in bacon, or hidden under layers of cheese. Stick to foods simply seasoned with herbs and spices or lightly tossed in olive oil.
With a strong emphasis on healthier eating, the buffet is no longer the enemy. It’s actually a rather fun game to fill your plate with delicious and nutritious food.
You’ll be surprised how easy it is to make a delicious plate without feeling like you’re missing out!
@sterlingsurgnj Follow Dr. Adeyeri for his tips and commentary about bariatric weight loss surgery.
Image courtesy of Rosen Georgiev at freedigitalphotos.net.

Once upon a time, eggs yolks were the bad guys in heart disease. What’s up with eggs, these days? So, what’s the good news? 70 calories. 13 essential vitamins and minerals. 6 grams of a high quality protein. All of the essential amino acids, which are the ones we have to eat because our bodies can’t make them. 210 mg cholesterol in the egg yolk. 5 grams total fat, mostly unsaturated. Zero carbohydrates. Less than 20¢ per egg.


Once upon a time, eggs yolks were the bad guys in heart disease. What’s up with eggs, these days? So, what’s the good news? 70 calories. 13 essential vitamins and minerals. 6 grams of a high quality protein. All of the essential amino acids, which are the ones we have to eat because our bodies can’t make them. 210 mg cholesterol in the egg yolk. 5 grams total fat, mostly unsaturated. Zero carbohydrates. Less than 20¢ per egg.
Brown eggs are not healthier than white eggs. Omega-3 fats are present only if the chickens eat a special diet. The yolk contains a robust array of nutrients that help with our health from when we are conceived to when we are old. Protein and nutrients in an egg can aid in muscle strength, brain development and function, weight management and eye health.
Not bad for a food that’s about the size of your new stomach pouch after bariatric surgery. Research now points to genetic and lifestyle (nutrition, exercise, smoking) factors having a much greater impact on the development of heart disease than how much cholesterol from egg yolks you are consuming. Newer research indicates about a third of us need to limit cholesterol. Tracking your labs is a good way to find out if you should avoid eggs or enjoy them. Those with an egg allergy need to avoid eggs.
Weight loss after bariatric surgery is one significant lifestyle change that improves cholesterol numbers. More information and recipes are available on www.incredibleegg.org or www.eggnutritioncenter.org. For bariatric patients, you can start having eggs again when you start the soft/puree foods. This means 1 week after RNY gastric bypass and 2 weeks after sleeve gastrectomy.
Image: Incredibleegg.com - Easy Hard-Boiled Eggs

Guess what? You just got a new job! Isn’t that exciting? Except…it’s a tough job: you will now be the CEO of Lifetime Weight Management. But don’t worry. You can do it, and the pay is fabulous.


We’ll get to the job news, but first I’m going to tell you a job story of my own. I’m a writer and story-teller: that’s my job. Often my stories are fiction, but every word in this story is true.
Many years ago, I attended a business luncheon with a coworker who was naturally slim. The food was delicious: a huge, flaky croissant filled with chicken and grape salad, a mountain of potato chips (I adore potato chips), and strawberry shortcake for dessert. About one-third of the way through her meal, my coworker stopped eating and pushed her plate away.
“What’s the matter?” I said. “Don’t you like the food?”
“Oh, it’s fine,” she said. “I just can’t eat any more.”
She must have seen the baffled look on my face, because she added an explanation. “I eat a certain amount, and then I reach a point where I just can’t eat another bite, so I stop eating. I’ve always been this way.”
I wanted to offer to finish her lunch for her, but was too ashamed of my own greed to suggest it, and I was busy digesting what she had just said. I couldn’t remember ever in my life reaching the point where I couldn’t eat another bite of food. And although I had tried more diets and slimming plans than I could name, it had never occurred to me that I might become slim simply by stopping eating when I became full. My coworker was effortlessly slim and I was effortlessly obese. I subsided into silent envy over her natural advantage.
I spent the next 20 years suffering from morbid obesity and developing numerous health problems as a result of it. Finally, after much research and thought, I decided that weight loss surgery was my best option. On September 19, 2007, I had adjustable gastric band surgery. Ever since then I have been learning how to eat, and live, like a slim person. During that time, I’ve accumulated a lot of information, and have cultivated a lot of opinions that may not agree with yours, but of everything I’ve learned during my weight loss journey, there’s one truth you need to heed.
Like it or not, no bariatric surgery of any description is magic. The WLS patients I know have all worked hard for their success. Adjustable gastric band. Roux-en-Y. Vertical sleeve gastrectomy. Sleeve plication. Duodenal switch. The surgical procedure happens only once (good Lord willin’ and the creek don’t rise), but one thing, common to us all, happens every day for the rest of our lives. Weight loss and weight loss maintenance require attention, commitment and action every day for the rest of our lives. It’s a job – a career – we must do or die.
A smart, mature, diligent acquaintance who did her research before she took the weight loss surgery plunge said to me once, “I had no idea how much work this was going to be.”
The work is not just in the weight loss but in lifestyle changes. The work doesn’t end once you reach your goal weight, but believe me: it is so very, very worth it. I love this new job of mine. I love the improved health and high energy and increased self-esteem and size 4 clothing, and I hope I never grow tired of it or take it all for granted.
A lifetime of work ahead of you can seem overwhelming. Think of it as a lifetime of learning. Learning is a good thing. If you stop learning, you stop growing. And if you stop growing, you die.
My mother, who struggled with obesity most of her life, used to say that there was a tall, thin brunette inside her just waiting to get out. I will always have a short, fat blonde girl inside me just waiting to get out. But having weight loss surgery has given me some wonderful tools for lifetime weight management, and I hope that proves to be the same for you.