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TIME TO THROW OUT SOME OLD MYTHS It’s time to throw out some old myths about the adjustable gastric band, but before we start flinging those myths around, let’s all agree on what a myth is. The traditional definition is that a myth is an ancient story of unverifiable, supposedly historical events. A myth expresses the world view of a people or explains a practice, belief, or natural phenomenon. For example, the Greek god Zeus had powers over lightning and storms, and could make a storm to show his anger. If you think myths are dry stuff found only in schoolbooks, think again. They surround just about every aspect of our lives, and travel much faster now, in the age of technology, than they did in the dusty old days of ancient Greece and Rome. They’re a way for us to make sense of a chaotic world, both past, present and future. They affect thoughts, beliefs, emotions and assumptions in our everyday lives, coming alive in our minds as we, and the people around us, seem to act them out. Some myths are helpful because they give us a shared sense of security and express our fundamental values and beliefs, but some myths are just plain wrong and can be harmful to us and to others. A good example is the myth that having weight loss surgery is taking the easy way out. Every time I hear that one repeated, I want to laugh and scream at the same time. If you’re a post-op, you know why. Weight loss is hard no matter how you do it (surgery, diet pills, prayer, magic cleanses, and so on). On the other hand, WLS is supposed to be easy, compared to the dozens or hundreds of weight loss attempts in our past. Why on earth would I put myself through a major surgery if it wasn’t going to help me lose weight and keep it off? Now that we’ve shared a little laugh (or scream) over a WLS myth we can all agree upon, let’s test out some band myths whose validity may not be as clear. This kind of examination can be uncomfortable, but believing in a falsehood is almost guaranteed to make your WLS journey bumpier than it needs to be. Let’s start with the myths that are easiest to digest and end with the ones that can be tougher for a bandster to swallow. #1 – THE BAND IS THE LEAST INVASIVE WLS PROCEDURE I believed this one at first, mainly because I knew little about the other WLS procedures back in 2007. It’s still a widely-circulated myth, one that even my surgeon’s well-intentioned dietitian endorses. So, what’s the truth according to Jean? Face it: any surgery done on an anesthetized patient, during which a surgeon cuts into the belly in several places, does some dissection (more cutting) and suturing (stitching) of the internal anatomy, and implants a medical device (the dreaded “foreign object”), is invasive. It is true that band placement generally involves less internal dissection and suturing than other weight loss surgeries, but neither is it on the same level medically as having your teeth cleaned. So while the invasiveness of a surgery is worth considering, you do yourself a disservice if you let that override other considerations. A bariatric surgery might last 45-60 minutes, with recovery lasting a week or so, but its effect on your health and lifestyle last a lifetime. Or I sure hope it does. Some people associate invasiveness with irreversibility. Although the band is meant to stay put once clamped to your stomach, it can indeed be removed if medically necessary. Gastric bypass (RNY) surgery can also be reversed, while the sleeve (VSG) cannot and only the “switch” (malabsorptive feature) of the duodenal switch (DS) can be reversed. Removal or reversal is not as easy as operating on a “virgin belly” (as my surgeon so colorfully puts it), so it’s important to weigh the benefits against the risks of reversal or revision surgery. #2 – BAND WEIGHT LOSS TAKES TOO MUCH WORK Aside from the desire for instant and effortless weight loss (which is a fairy tale if I ever heard one) that so many obese people share (me among them), this is a myth that often turns people away from the band and towards other WLS procedures. While this myth may be true in the first 12-18 months after surgery, eventually everyone ends up in the same boat, rowing hard against the powerful tide of obesity. Weight loss and weight maintenance is hard no matter how you achieve it. A dietitian who spoke at a band support group meeting I attended a few years ago said that while band patients must change their lifestyle immediately in order to succeed, every WLS patient must do that sooner or later. It’s a pay-me-now or pay-me-later deal. You can slice it, dice it, sauté it and serve it on your grandmother’s best china. However you serve it, weight loss and maintenance is a lifetime project because obesity is a chronic disease with no cure. No matter how successful we are as new post-ops, all of us must face the possibility of regain. That’s why I cringe when someone proudly crows, “XXX pounds gone forever!” #3 – THE BAND’S SLOWER WEIGHT LOSS PREVENTS SAGGING SKIN This is a fairy tale. According to several plastic surgeons I’ve heard speak on the subject. The effect of weight loss on skin depends mostly on your genetics and your age (because skin loses elasticity as we age). Other factors can be how obese you were, how long you were obese, how you carried your weight, and how much (and how) you exercise as you lose weight. I’ve heard women say that they’d rather be obese than have sagging or excess skin. To my mind, that’s a sad statement, because I’d rather have sagging or excess skin (as long as it didn’t interfere with my ambulation or activities) than excess weight. Don’t get me wrong: I loathe the excess flab on my midsection (whose nickname is “The Danish Pastry”) and I’m not thrilled about my batwings, throat wattles, or anything else that’s happened to my skin in the past few years (during which I’ve undergone the double-whammy of weight loss and the fast approach of my 60’s). On the other hand, I think I look pretty good for a woman my age, especially when I conceal my figure flaws in flattering clothing which, I might add, no longer needs to be purchased at Lane Giant. #4 – TO LOSE WEIGHT, YOU HAVE TO FIND YOUR SWEET SPOT I used to wonder how the Sweet Spot Myth could survive in the face of so much clinical evidence against it, but last year I heard the “you gotta find your sweet spot” claim uttered by a bariatric dietitian, so apparently this is a myth being validated by medical professionals who ought to know better. Instead of the sweet spot, Allergan (the first to introduce the band in the USA) uses a zone chart to illustrate band restriction, with not enough restriction in the yellow zone, good restriction in the green zone, and too much restriction in the red zone. In other words, restriction happens in a range of experience, not at a single static point. That experience changes over time as we lose weight, deal with ordinary processes such as hormonal fluctuations, hydration changes, stress, medications, time of day, and so on. It’s also affected by our food choices (solid vs soft/liquid food). In my banded days, I traveled through and around a sweet spot many times. It might last for 30 minutes, 3 days, 3 weeks, but it never stayed exactly the same, and yet I still lost weight! I don’t actually want to stay exactly the same for the rest of my life (throat wattles notwithstanding). As any Parkinson’s disease patient will tell you (if they’re able to speak), a body that gets stuck in time is a very big problem (and with my luck, I’d get stuck in the worst sinus infection or case of the flu of my life). Some people who are very sensitive to their band and its fills find sudden or unexpected changes in restriction to be very, very frustrating, and I wouldn’t wish that on anyone, either. To read more about the sweet spot, click here to go to an article, The Elusive Sweet Spot. http://www.lapbandtalk.com/page/index.html/_/support/post-op-support/the-elusive-sweet-spot-r59 #5 – NO SIDE EFFECTS MEAN MY BAND ISN’T WORKING Equating side effects with a properly working band is very common, and potentially very harmful. The two most significant signs of the band’s proper functioning are (1) early satiety and (2) prolonged satiety. Those signs are rarely expressed in large, bold, uppercase letters, such as STOP EATING NOW! Those signs won’t be accompanied by clanging bells or flashing lights, either. In fact, the less noise and distraction (such as “Why don’t I have stuck episodes?”), the more likely you are to be able to recognize early and prolonged satiety. Before I tell you why the no side effects = broken band worry is a sign of mythical thinking, let’s make sure we agree on the definition of a side effect, and how that relates to complications. A side effect is an unintentional or unwanted effect of a medical treatment, and it’s usually exceeded (or at least balanced) by the benefits (the intentional, wanted effects) of that treatment. For example, antibiotics can cause diarrhea. That’s an unpleasant side effect, but an untreated infection can have far worse consequences for the patient. Side effects can often be managed by tweaking or changing the treatment, and they are rarely worse than the original condition. A complication, on the other hand, is a more acute, serious consequence of a medical treatment, and usually needs a more aggressive approach, including surgery to fix the problem. Now let’s go back to the antibiotic example. An allergic, anaphylactic reaction to the antibiotic can be fatal without prompt medical treatment. That’s a complication, and it’s far worse than the original condition. So in the context of all that, it seems strange to me when bandsters long for side effects like regurgitation (PB’s), stuck episodes, and sliming. Instead of looking for more subtle clues from their bodies (like early and prolonged satiety), they go looking for problems, and worse than that, they tend to “test” their band with foolish eating and/or overeating, hoping to provoke a side effect that will signal to them that they really do have a band in there. One of the many problems with that approach is that it can also provoke a complication. And that brings us to the final myth in today’s article: #6 – THE MORE FILL, THE BETTER I’ve heard bariatric surgeons comment that some band patients seem to be addicted to fills. I can identify with that because I had a good relationship with my band surgeon who not only administered my fills but gave me a lot of encouragement as well as answers to my many questions. I left each fill appointment with a renewed sense of commitment and hope. How can you not get hooked on something good like that? The problem with equating fills with weight loss success is that more fill is not always better. In fact, too much fill (which varies from one patient to the next, and also varies in a single patient as time goes on and the patient’s body keeps changing) can be downright dangerous. An overfilled band, and the side effects it causes (see #5 above), can lead to a complication like a band slip, esophageal dilation, or stomach dilation. While complications can come out of nowhere, most bariatric surgeons agree that too much saline in the band puts too much pressure on the stomach. Eventually something’s got to give. That’s often hastened by the patient’s efforts to eat around the problem, and it is absolutely not a guarantee of weight loss. I gained weight several times because of what’s called Soft Calorie Syndrome. My band was too tight and I was dealing with it by consuming mostly soft and liquid calories that offered little or no satiety. The human body is an incredible organism, capable of amazing feats of growth and healing that we take mostly for granted, but it’s not endlessly forgiving. Too much fill in your band, too many eating problems, too much inflammation and irritation in the upper GI tract, can compromise your body’s ability to recover from a complication like a band slip. Sometimes a complication can be treated conservatively, with an unfill and rest period, but sometimes it requires a surgical fix, including removal of the band. And after all you’ve gone through to get that band wrapped around your stomach, shouldn’t you be doing your utmost to treat it (and your body) with respect? Finally, the fill myth can cause us to overlook a very important guest at your WLS party….you. If you are going to succeed with your band, lose weight and keep it off and keep that band safe and sound inside you, sooner or later you will have to take personal responsibility for your success. Expecting your band alone to carry you to your goal weight is like expecting your car to safely deliver your child to school without anybody in the driver’s seat. And I sure hope that you are a very important person in your life!

Amy (Renewed) And another thing... When you register don't check the bariatric surgery checkbox. If you do it won't let you go further with the registration unless you have clearance from their site dietician, Gay Riley. I talked with her about it and she agreed that that box is more for people who have had bypass and such and have malabsorption issues. Let me know when you get it, I'm sure you will LOOOOVVVEEE it.

I am in the same boat you are in. My doctor on Monday, however, hinted that HPN's PPO service (Sierra Health of NV) "MAY" begin to cover more of the bariatric procedures after October. He said to call around and check in October when the renewals start. He quoted anywhere from "2500-6000" out of pocket. Compared to the 11K that it is now, it is definitely more doable. Good luck!! I will definitely let those on here know when I know more!! In the mean time, I'm going to start saving some cash!!

Well it is THAT morning for 3 of my Bari-Buds. Thinking of you @gr8ful 1 in Virginia, @ Laura7 in Delaware, and especially my young Bari-bud @mercmerc at Nationwide Children Hospital in Columbus Ohio where my surgeon Dr Bradley J Needleman is scrubbing with his friend Dr Marc the chief of Adolescent Bariatric Medicine there. Just a tiny wee bit " jelly" mercmerc gets to use Dr Brad's services before I do! But I trust that he and Dr Marc will work their magic and give our mercmerc the beautiful perfect RnY she needs and deserves. Having had my own pre surgery chat with Dr Bradley I can reassure the world she is in the hands of a wonderful surgical team. So today I am lifting all 3 of you up in prayer, wrapping you in a blanket of love, and trusting in 3 different surgical teams for 3 different ladies in 3 different cities United in the search for new renewed health and wonderful futures ahead. And a teeny tear- today would have been the 75th Wedding Anniversary of my parents Clifford and Aleta Week let. They did their best to raise their one little chickadee- me- to strong healthy albeit plump adulthood. Although the diet I received from them by today's standards was over- abundant and calorie laden they did their very best with the knowledge of that times so I can't fault them for that. And I am grateful to God I did have 2 parents who stuck by me and tried to raise me right. So I still shed a few tears, I wish they could be here to watch and emotionally support me as I inch toward my bypass surgery. I can only hope they would be so proud of me , their little Frustr8, the sunshine of their lives. And since they are no longer with me , I share the love they gave me with others and pray it is sufficent for each ones needs. And in that way I honor both of their lives.💦👼💦

Ohhhh, I hadn't forgotten. I just wasn't sure how to get the topic back on track. I agree with you about her friends. It *would* be embarrassing to admit that you fell for something like that hook, link, and sinker. There is a topic over there that typically brings about flame wars and that is protein drinks. Sandy has repeatedly claimed that MOST doctors are anti-protein supplements and she bases that on Inamed for the most part. Inamed does not suggest protein supplements as the idea behind the band is to keep you full on solid proteins. Well, that does not mean MOST docs agree. Most of those threads have people that chime in and say their doc is pro or anti protein shakes and the majority of those people say their doc is pro protein drinks. So even her own threads don't begin to prove her claims of what MOST docs believe. There are some people that just plain don't feel satisfied after a protein drink. There are some (like me) that do. I can drink a protein shake and I'm good to go for several hours. Isn't that the ultimate goal? She may well be one that doesn't feel "full" or satisfied after drinking one but she isn't everyone. Her "band rules" are what make me crazy and I could not possibly disagree with her more on what is a "rule". People are individual and unique, we all have different desires, goals, needs, requirements, etc. Just because someone is banded does not mean they will not do well if they don't do things Sandy's way. There are band GUIDELINES and if someone is banded, they are getting all nutrition in, their weight loss is not too fast or too slow, and both the patient and doc are happy... then to hell with her silly rules. They are not rules and we do not all need to follow them such as the protein shakes. Timed eating is another. She believes everyone should start eating and finish in 20 minutes. That's another load. If I did that I'd get 300 calories in daily at best. Some people take much longer to eat their food. Some take less. But to sit and eat with a timer is bizarre and simply stupid. She just has a lot of rigid thinking that isn't realistic. It's not how things work in real time, it's how they worked for HER perhaps, but not everyone. So there is no such thing as band rules, they are guidelines and each person has to work with their doc (instead of Sandy) and find what works for them. Another thing she does that is sheer stupidity is telling people their doc is wrong and she is correct. I remember a gal that got a fill and the day of the fill she ate pork chops. She said it was a bit painful and was that normal. I suggested she stick to fluids for a day or two and see how it went after the swelling went down. Now, understand... this girl wasn't barfing, sliming, foaming... none of that. She said it was sore after eating pork chops. Sandy came on and threw a fit and explained that she was too tight and needed an unfill immediately. This was 10PM at night and the gal didn't need an unfill, she wasn't even sliming! The gal ended up calling her bariatric surgeon at home that night and the surgeon said to go on liquids and give it a few days. JUST as I had written. She posted this and said she was happy with that. Sandy followed up writing that her surgeon was wrong and she needed an unfill before her band slipped and this was dangerous and blah blah blah. She knew damn well she was giving bad info but she was trying to discredit me. She would rather give someone bad information than to admit she made a mistake. It goes to credibility and integrity and that woman has neither. Bottom line, she has no scruples whatsoever. Yet the cheerleaders (who are experienced bandsters) will cheer for her to the very end. I don't get it. Where is the honesty? Where is the concern for banded folks? Where is the sincerity? There isn't any. That's just another reason OH sucks so bad. It's not a matter of quality information for unique individuals, it is all about cliques and groupies. If the best the cheerleaders have is Sandy, what does that say for the cheerleaders? There is one person I PMed after discovering Sandy was not licensed as she claimed, she has a criminal record, she lied on her licensing renewal, she's been banned from numerous boards, etc. She seemed surprised and said she was pretty good on a computer and if what I was saying was true, she'd call Sandy out herself on the boards. I gave her all the info she needed to confirm what I was writing. Never heard another word from her. When someone else asked her she suddenly claimed it was no longer important. Yeah, right. Just another cheerleader with their POM POMs that doesn't have the integrity to admit she was duped by a very manipulative liar on OH.

I went to Renew Bariatrics in Tijuana Mexico. AMAZINGGGG! Dr Perez is the best! Double board certified in the US and Mexico. $4,600 total. Includes pick up from San Diego airport, surgery, 2 nights hospital stay, 1 night hotel stay (optional, I opted out to get home:) and transportation back to San Diego airport. Absolute AMAZING experience. I can't express that enough. I'm down 22 lbs in 16 days and started with a low BMI, 31. No pain after surgery whatsoever. Swear I was questioning the doc like, did you even do anything lol Best experience ever. The worst part was the 2nd night at the hospital bc I felt so normal I just wanted to go hommmmme lol Feel free to email me. I'll send pics n all. They have a FB group that can be joined where thousands of ppl share their experiences. Here's my email to reach out directly. Totally forgot I even joined this forum until I got a random notification today lol Cjones61985 @yahoo.com

I meant renew bariatrics also Dr. Jaime Ponce de Leon does it. Dr. Ponce is well know for his expertise. I don't know who does it at renew bariatrics. Hope this helps other's if not you, even though my reply is years later. Hope you found a great Dr. Sent from my SM-G991U1 using BariatricPal mobile app

Here's a great article by Kaye Bailey re snacking: LivingAfterWLS Weekly Digest The Four Rules: #3 No Snacking When snacking hurts; When snacking helps February 9, 2011 Greetings! I hope this newsletter finds you warm and well this second week of February. Today we continue our discussion of the Four Rules - we are at Number 3: No Snacking. It's a tough one and I dare say most of will or have struggled with snacking following weight loss surgery. And, as you will see from the articles in this newsletter, not all bariatric centers follow the same Four Rules that include no snacking. But what is consistent, across the front lines of those of us living with weight loss surgery, is that out-of-control snacking on poorly chosen foods leads to a stall in weight loss and may possibly lead to weight gain. So please, take a look at the information here and revisit the information you were provided at the time of your surgery. Find your personal position on the "No Snacking" rule based on knowledge, experience, and environment -- it is the most empowering thing you can do for yourself in this ongoing battle of weight management in a world where it is much easier to be fat. Happy 2011 - We are all in this together! Kaye KayeBailey@LivingAfterWLS.com A Note: We have received the fourth printing of the LivingAfterWLS Neighborhood cookbook earlier than anticipated. We are processing backorders as quickly as possible - so look for yours in the next few days delivered by US Postal Service. Thanks for your patience! Link to view the previously published Weekly Digests in our 2011 Four Rules Series: Rule #1 - Protein First: LivingAfterWLS Weekly Digest January 20, 2011 <P style="MARGIN-TOP: 0px; MARGIN-BOTTOM: 0px"> Rule #2 - Lots of Water LivingAfterWLS Weekly Digest February 2, 2011 The Four Rules: Before surgery most of us were taught the Four Rules we must follow in order to achieve the best results with weight loss surgery - any procedure. Those rules (with minor variations from one bariatric surgeon to the next) are: Protein First Lots of Water No Snacking Daily Exercise In order to maintain weight loss and keep the obesity from which we suffer in remission we must follow these rules for life. When we meet patients who have maintained a healthy body weight for several years with weight loss surgery we learn that in most cases they live by the Four Rules. If it has been a while since you have given consideration to the Four Rules I invite you today to spend a little time refreshing your knowledge and enthusiasm about Protein First. Actually, this is my favorite rule because it means good food without the guilt! Link to the articles of interest and take a look at some of our great WLS recipes. There is something for everyone as we get excited again about the Four Rules! Every now and again it serves us well to step back into our pre-op mindset when we were hell-bent on making surgery work to achieve weight loss and improve our health and quality of living. Take a look at this article with your pre-surgery eyes. I think it will help renew your enthusiasm for working "the tool" and living well today: Understand the Four Rules of WLS Before Going Under the Knife Weight loss surgery is frequently perceived as an easy means to weight loss that requires little or no effort by the patient. However, patients who undergo bariatric surgery are prescribed Four Rules of dietary and lifestyle management that they will follow for the rest of their life if they wish to lose weight and maintain a healthy weight. Here is what you need to know about the Four Rules of weight loss surgery before going under the knife. LivingAfterWLS Weekly Digest The Four Rules: #3 No Snacking When snacking hurts; When snacking helps February 9, 2011 No Snacking. It is the rule that works. Rule #3 - No Snacking Excerpted with permission from Day 6: Beyond the 5 Day Pouch Test by Kaye Bailey Pages 43-45 - Copyright 2009 - Kaye Bailey - All Rights Reserved "Without a doubt, the "No Snacking" rule is the most divisive in the weight loss surgery community. In fact, I've received more angry letters on this topic than any other of the Four Rules. One school of thought is that snacking is absolutely forbidden. The other school swears that three meals plus two Snacks a day are essential for the nutritional survival of the weight loss surgery patient. "I am not a doctor and I am not a nutritionist. But I work on the front lines with weight loss surgery patients every day, patients who are many years out from surgery; patients who have lost touch with their bariatric centers. What I do know for certain is this: patients who snack and who are not engaged in extreme athletics gain weight. There is a fine line between snacking intelligently and grazing and few, if any, of us have the self-control to toe the line. In my experience and in my opinion there is no reason for the average person post-WLS to ever engage in snacking. If we follow the I {heart} DIET we will not be hungry in the 4-6 hours between planned meals; there will not be a blood glucose emergency and there will not be a physiological need to snack. "This may be a very unpopular stand for me to take. But I have spent the last six years working with my fellow weight loss surgery patients and in every case of weight regain snacking has been involved. And in most cases the initial instructions from the bariatric center were for the patient to eat every 3 to 4 hours and somewhere along the third year things went wrong. Snacking on Protein Bars or nuts became grazing on pretzels and crackers washed down with soda, coffee or tea. Slider foods overruled sensibility. "No Snacking. It is the rule that works. "Now, I'm obligated to tell you to follow the very specific instructions given you by your bariatric center. If they instructed you to have three meals a day and two snacks a day that's fine: please do not feel I'm beating you up here. But please, go get your original notes and instructions. Review the list of approved snacks. Copy that list and post it on your refrigerator to keep your memory refreshed. The snacks your center permitted during the phase of weight loss are the only snacks you are allowed for the rest of your life if you want to maintain your weight loss. "I personally feel the "NO Snacking" rule is a tremendous relief. For several years of my adult life, prior to surgery, I had a 40-minute commute to and from work each day. My morbidly obese irrational thinking had me convinced that I could not last that commute without a large soda and giant cookie: both morning and night. Looking back that was about 1,200 calories of snacking I was taking each day just to "survive" my commute. Twelve hundred calories is equal to our full day caloric allowance after surgery! How was it again, that I became morbidly obese? Hmmm. My car was always full of crumbs and the back seat littered with empty cups and cookie wrappers, not to mention the expense of my snacking habit. What a relief when "No Snacking" took that burden from me. "One reason we are prone to break the "No Snacking" rule is because traditional snack foods are ever present in our society and they tend to set more comfortably in our stomach pouch than protein dense food. Have you found yourself able to eat an endless bag of crackers or chips yet struggle to get a few bites of roast chicken down? The crackers are soft and when consumed with liquid create slurry that never compacts in the pouch the way protein does. The cracker slurry slides right through in a steady stream: slider food (more on this in Part II: I {heart} DIET Basics). Solid protein, on the other hand, settles in the pouch like an unwelcome second cousin on your sofa and lingers just a little too long. So naturally we prefer to eat something that gives us comfort, not discomfort. "But the fact is, the pouch when it is used correctly, is supposed to be a little bit uncomfortable. The discomfort is the signal to stop eating. When we are snacking on slider foods we do not get that signal and we do not stop eating." LivingAfterWLS Weekly Digest The Four Rules: #3 No Snacking When snacking hurts; When snacking helps February 9, 2011 Greetings! I hope this newsletter finds you warm and well this second week of February. Today we continue our discussion of the Four Rules - we are at Number 3: No Snacking. It's a tough one and I dare say most of will or have struggled with snacking following weight loss surgery. And, as you will see from the articles in this newsletter, not all bariatric centers follow the same Four Rules that include no snacking. But what is consistent, across the front lines of those of us living with weight loss surgery, is that out-of-control snacking on poorly chosen foods leads to a stall in weight loss and may possibly lead to weight gain. So please, take a look at the information here and revisit the information you were provided at the time of your surgery. Find your personal position on the "No Snacking" rule based on knowledge, experience, and environment -- it is the most empowering thing you can do for yourself in this ongoing battle of weight management in a world where it is much easier to be fat. Happy 2011 - We are all in this together! Kaye KayeBailey@LivingAfterWLS.com A Note: We have received the fourth printing of the LivingAfterWLS Neighborhood cookbook earlier than anticipated. We are processing backorders as quickly as possible - so look for yours in the next few days delivered by US Postal Service. Thanks for your patience! Link to view the previously published Weekly Digests in our 2011 Four Rules Series: Rule #1 - Protein First: LivingAfterWLS Weekly Digest January 20, 2011 <P style="MARGIN-TOP: 0px; MARGIN-BOTTOM: 0px"> Rule #2 - Lots of Water LivingAfterWLS Weekly Digest February 2, 2011 The Four Rules: Before surgery most of us were taught the Four Rules we must follow in order to achieve the best results with weight loss surgery - any procedure. Those rules (with minor variations from one bariatric surgeon to the next) are: Protein First Lots of Water No Snacking Daily Exercise In order to maintain weight loss and keep the obesity from which we suffer in remission we must follow these rules for life. When we meet patients who have maintained a healthy body weight for several years with weight loss surgery we learn that in most cases they live by the Four Rules. If it has been a while since you have given consideration to the Four Rules I invite you today to spend a little time refreshing your knowledge and enthusiasm about Protein First. Actually, this is my favorite rule because it means good food without the guilt! Link to the articles of interest and take a look at some of our great WLS recipes. There is something for everyone as we get excited again about the Four Rules! Every now and again it serves us well to step back into our pre-op mindset when we were hell-bent on making surgery work to achieve weight loss and improve our health and quality of living. Take a look at this article with your pre-surgery eyes. I think it will help renew your enthusiasm for working "the tool" and living well today: Understand the Four Rules of WLS Before Going Under the Knife Weight loss surgery is frequently perceived as an easy means to weight loss that requires little or no effort by the patient. However, patients who undergo bariatric surgery are prescribed Four Rules of dietary and lifestyle management that they will follow for the rest of their life if they wish to lose weight and maintain a healthy weight. Here is what you need to know about the Four Rules of weight loss surgery before going under the knife. LivingAfterWLS Weekly Digest The Four Rules: #3 No Snacking When snacking hurts; When snacking helps February 9, 2011 Greetings! I hope this newsletter finds you warm and well this second week of February. Today we continue our discussion of the Four Rules - we are at Number 3: No Snacking. It's a tough one and I dare say most of will or have struggled with snacking following weight loss surgery. And, as you will see from the articles in this newsletter, not all bariatric centers follow the same Four Rules that include no snacking. But what is consistent, across the front lines of those of us living with weight loss surgery, is that out-of-control snacking on poorly chosen foods leads to a stall in weight loss and may possibly lead to weight gain. So please, take a look at the information here and revisit the information you were provided at the time of your surgery. Find your personal position on the "No Snacking" rule based on knowledge, experience, and environment -- it is the most empowering thing you can do for yourself in this ongoing battle of weight management in a world where it is much easier to be fat. Happy 2011 - We are all in this together! Kaye KayeBailey@LivingAfterWLS.com A Note: We have received the fourth printing of the LivingAfterWLS Neighborhood cookbook earlier than anticipated. We are processing backorders as quickly as possible - so look for yours in the next few days delivered by US Postal Service. Thanks for your patience! Link to view the previously published Weekly Digests in our 2011 Four Rules Series: Rule #1 - Protein First: LivingAfterWLS Weekly Digest January 20, 2011 <P style="MARGIN-TOP: 0px; MARGIN-BOTTOM: 0px"> Rule #2 - Lots of Water LivingAfterWLS Weekly Digest February 2, 2011 The Four Rules: Before surgery most of us were taught the Four Rules we must follow in order to achieve the best results with weight loss surgery - any procedure. Those rules (with minor variations from one bariatric surgeon to the next) are: Protein First Lots of Water No Snacking Daily Exercise In order to maintain weight loss and keep the obesity from which we suffer in remission we must follow these rules for life. When we meet patients who have maintained a healthy body weight for several years with weight loss surgery we learn that in most cases they live by the Four Rules. If it has been a while since you have given consideration to the Four Rules I invite you today to spend a little time refreshing your knowledge and enthusiasm about Protein First. Actually, this is my favorite rule because it means good food without the guilt! Link to the articles of interest and take a look at some of our great WLS recipes. There is something for everyone as we get excited again about the Four Rules! Every now and again it serves us well to step back into our pre-op mindset when we were hell-bent on making surgery work to achieve weight loss and improve our health and quality of living. Take a look at this article with your pre-surgery eyes. I think it will help renew your enthusiasm for working "the tool" and living well today: Understand the Four Rules of WLS Before Going Under the Knife Weight loss surgery is frequently perceived as an easy means to weight loss that requires little or no effort by the patient. However, patients who undergo bariatric surgery are prescribed Four Rules of dietary and lifestyle management that they will follow for the rest of their life if they wish to lose weight and maintain a healthy weight. Here is what you need to know about the Four Rules of weight loss surgery before going under the knife. LivingAfterWLS Weekly Digest The Four Rules: #3 No Snacking When snacking hurts; When snacking helps February 9, 2011 Greetings! I hope this newsletter finds you warm and well this second week of February. Today we continue our discussion of the Four Rules - we are at Number 3: No Snacking. It's a tough one and I dare say most of will or have struggled with snacking following weight loss surgery. And, as you will see from the articles in this newsletter, not all bariatric centers follow the same Four Rules that include no snacking. But what is consistent, across the front lines of those of us living with weight loss surgery, is that out-of-control snacking on poorly chosen foods leads to a stall in weight loss and may possibly lead to weight gain. So please, take a look at the information here and revisit the information you were provided at the time of your surgery. Find your personal position on the "No Snacking" rule based on knowledge, experience, and environment -- it is the most empowering thing you can do for yourself in this ongoing battle of weight management in a world where it is much easier to be fat. Happy 2011 - We are all in this together! Kaye KayeBailey@LivingAfterWLS.com A Note: We have received the fourth printing of the LivingAfterWLS Neighborhood cookbook earlier than anticipated. We are processing backorders as quickly as possible - so look for yours in the next few days delivered by US Postal Service. Thanks for your patience! Link to view the previously published Weekly Digests in our 2011 Four Rules Series: Rule #1 - Protein First: LivingAfterWLS Weekly Digest January 20, 2011 <P style="MARGIN-TOP: 0px; MARGIN-BOTTOM: 0px"> Rule #2 - Lots of Water LivingAfterWLS Weekly Digest February 2, 2011 The Four Rules: Before surgery most of us were taught the Four Rules we must follow in order to achieve the best results with weight loss surgery - any procedure. Those rules (with minor variations from one bariatric surgeon to the next) are: Protein First Lots of Water No Snacking Daily Exercise In order to maintain weight loss and keep the obesity from which we suffer in remission we must follow these rules for life. When we meet patients who have maintained a healthy body weight for several years with weight loss surgery we learn that in most cases they live by the Four Rules. If it has been a while since you have given consideration to the Four Rules I invite you today to spend a little time refreshing your knowledge and enthusiasm about Protein First. Actually, this is my favorite rule because it means good food without the guilt! Link to the articles of interest and take a look at some of our great WLS recipes. There is something for everyone as we get excited again about the Four Rules! Every now and again it serves us well to step back into our pre-op mindset when we were hell-bent on making surgery work to achieve weight loss and improve our health and quality of living. Take a look at this article with your pre-surgery eyes. I think it will help renew your enthusiasm for working "the tool" and living well today: Understand the Four Rules of WLS Before Going Under the Knife Weight loss surgery is frequently perceived as an easy means to weight loss that requires little or no effort by the patient. However, patients who undergo bariatric surgery are prescribed Four Rules of dietary and lifestyle management that they will follow for the rest of their life if they wish to lose weight and maintain a healthy weight. Here is what you need to know about the Four Rules of weight loss surgery before going under the knife. LivingAfterWLS Weekly Digest The Four Rules: #3 No Snacking When snacking hurts; When snacking helps February 9, 2011 Greetings! I hope this newsletter finds you warm and well this second week of February. Today we continue our discussion of the Four Rules - we are at Number 3: No Snacking. It's a tough one and I dare say most of will or have struggled with snacking following weight loss surgery. And, as you will see from the articles in this newsletter, not all bariatric centers follow the same Four Rules that include no snacking. But what is consistent, across the front lines of those of us living with weight loss surgery, is that out-of-control snacking on poorly chosen foods leads to a stall in weight loss and may possibly lead to weight gain. So please, take a look at the information here and revisit the information you were provided at the time of your surgery. Find your personal position on the "No Snacking" rule based on knowledge, experience, and environment -- it is the most empowering thing you can do for yourself in this ongoing battle of weight management in a world where it is much easier to be fat. Happy 2011 - We are all in this together! Kaye KayeBailey@LivingAfterWLS.com A Note: We have received the fourth printing of the LivingAfterWLS Neighborhood cookbook earlier than anticipated. We are processing backorders as quickly as possible - so look for yours in the next few days delivered by US Postal Service. Thanks for your patience! Link to view the previously published Weekly Digests in our 2011 Four Rules Series: Rule #1 - Protein First: LivingAfterWLS Weekly Digest January 20, 2011 <P style="MARGIN-TOP: 0px; MARGIN-BOTTOM: 0px"> Rule #2 - Lots of Water LivingAfterWLS Weekly Digest February 2, 2011 The Four Rules: Before surgery most of us were taught the Four Rules we must follow in order to achieve the best results with weight loss surgery - any procedure. Those rules (with minor variations from one bariatric surgeon to the next) are: Protein First Lots of Water No Snacking Daily Exercise In order to maintain weight loss and keep the obesity from which we suffer in remission we must follow these rules for life. When we meet patients who have maintained a healthy body weight for several years with weight loss surgery we learn that in most cases they live by the Four Rules. If it has been a while since you have given consideration to the Four Rules I invite you today to spend a little time refreshing your knowledge and enthusiasm about Protein First. Actually, this is my favorite rule because it means good food without the guilt! Link to the articles of interest and take a look at some of our great WLS recipes. There is something for everyone as we get excited again about the Four Rules! Every now and again it serves us well to step back into our pre-op mindset when we were hell-bent on making surgery work to achieve weight loss and improve our health and quality of living. Take a look at this article with your pre-surgery eyes. I think it will help renew your enthusiasm for working "the tool" and living well today: Understand the Four Rules of WLS Before Going Under the Knife Weight loss surgery is frequently perceived as an easy means to weight loss that requires little or no effort by the patient. However, patients who undergo bariatric surgery are prescribed Four Rules of dietary and lifestyle management that they will follow for the rest of their life if they wish to lose weight and maintain a healthy weight. Here is what you need to know about the Four Rules of weight loss surgery before going under the knife.