close

NEED HELP?

Chat with us Online or Give us a Call
Live chat by AliveChat
 
HELP

July 3, 2009

Are you considered a Candidate for Bariatric Surgery?

Filed under: Doctor's Corner, Obesity Research, Psychology, Focus28 Experts Blog — Focus 28 Team @ 7:00 am

Many overweight people have the same story and have struggled with the same issues when trying to lose weight.  This can leave many people feeling helpless and chained to their extra pounds.  After years of trying and failing to get to a healthy weight many people give up and decide to just live with their weight problems.  Is it any wonder after they have tried every diet, exercise program and diet pill with little or no results that they would want to give up.  When you reach this point, try one more option.  Research bariatric surgery to help you with your weight control troubles. Bariatric surgery is not for everybody so you need to know what the doctor will want in a perfect candidate for the procedure.  The first condition for bariatric surgery is that the patient has to be at least one hundred pounds over their ideal body weight.  Along with that, the doctor will check you body mass index, which will have to be at least thirty-five.  If your BMI is thirty-five the doctor will look for other weight related problems such as diabetes.  If your BMI is as high as forty then no further test need to be done.  The doctor will also want to see proof that you have exhausted every other option for loosing weight and failed.  Since the surgery is followed by a lifetime diet change the doctor will want to be positive that you are ready to commit to the drastic changes you will have to make in your lifestyle. 

Bariatric surgery alone can achieve some success but the diet and changes in behavior that are required are a huge part of the overall treatment.  The most important information that you will receive from the doctor are the facts about the surgical risk and benefits.  The surgeon will make sure that you are intimately aware of all factors involved with the surgery before he will perform the procedure.  The surgeon will want you to try one more medically controlled diet also.  He will control the diet himself to determine if the weight can be taken off by methods other than surgery.  The surgeon will also want you to meet with a psychologist, dietician, and other specialist to ensure that you are mentally as well as physically ready to make the commitment to the surgery.  The reason for all the caution is that once you have the surgery you will have to make lifelong changes in your diet and lifestyle or you could cause more complications for yourself.

Focus 28 Team

www.focus28.com



July 1, 2009

Selecting a Doctor for Bariatric Surgery

Filed under: Doctor's Corner, Obesity Research, Focus28 Experts Blog — Focus 28 Team @ 7:00 am

If you are considering bariatric surgery, one of the biggest decisions you will have to make is what doctor to have perform the operation.  Choosing to have bariatric surgery no matter what doctor performs the surgery should not be taken lightly.  Like all surgeries, there are risks to this type of operation.  Along with the normal risk of all surgeries, bariatric surgery requires some significant lifestyle changes to be effective.  You will be required to follow a strict diet and strict intake of food depending on which of the bariatric surgeries your doctor decides is best for you.  With some of the bariatric procedures if you do not follow the doctors’ diet closely you can cause more trouble for yourself.   Once you have decided to have bariatric surgery there are two places to start your search for a well-qualified obesity surgeon.  The first is the American College of Surgeons or the ACS the other is the American Society of Metabolic and Bariatric Surgery or ASMBS.  Either of these two renowned organizations can give you a lot of information on qualified surgeons.  You can do a search by geographical region but do not be reluctant to go a little further out from your home to find the right surgeon to work with.  Finding the proper doctor is critical when it comes to any surgery but especially bariatric surgery since you will be working closely with the doctor for close to a year. 

You will want to make a list of several candidates do not choose the first name you come across.  You will then want to contact the office of each surgeon and ask if the doctor is taking new patients and if so ask for a list of references that you can contact.  Once you have the list start calling the contacts and get information about the doctor.  You will want to find out if the people were satisfied with their surgery and if they liked the doctor.  You will also want to determine if the doctor will accept your insurance.  Another powerful tool at your disposal is the internet.  No matter what type of doctor you are searching for the internet can be a huge help in finding the right doctor for you.   

       

Focus 28 Team

www.focus28.com



June 29, 2009

Should you have Bariatric Surgery?

Filed under: Doctor's Corner, Obesity Research, Focus28 Experts Blog — Focus 28 Team @ 9:35 am

Are you overweight?  Are you considering bariatric surgery?  Then you need to know what the standards are for having bariatric surgery.  The first step is to visit your doctor and consult with him and he will help you decide if the surgery is right for you.  Your doctor will determine if you are overweight enough to have the surgery. 

First off, you have to be one hundred pounds over your ideal body weight.  Your body mass index has to be greater than thirty-five. Your doctor will also have to determine if you are willing to accept the lifestyle changes, and rules that have to be followed after you have the surgery. Morbid obesity is a serious condition that can ultimately lead to other life shortening diseases.  If you are morbidly obese, you run the risk of high blood pressure, high cholesterol, diabetes, increased chance of cancer, arthritis and other complications.  If you qualify for bariatric surgery, you can look for all of these conditions to improve leading to a longer healthier life.  You will have to abide by the diet and restrictions on what you can eat for the surgery to have a lasting effect.  In addition, if you do not follow your doctors’ instructions it can lead to complications.  All of this will be explained before you have the surgery.   Bariatric surgery is the only medically recognized long-term weight loss method for the morbidly obese. 

If you do elect to have bariatric surgery, there are several types to choose from.  Your doctor will help you determine which method is best for you.  The most popular type is laparoscopic or lap band surgery.  This type of bariatric surgery is attractive to most people because of the advantages that it offers over by-pass surgery.  For one laparoscopic surgery has a shorter stay in the hospital.  It requires less recovery time, and it causes less pain.  No matter which type of surgery you choose they all require some recovery time.  Laparoscopic requires seven to ten days and the by-pass surgery requires two to three weeks before you are back on your feet.  Even then, you can expect to have some restrictions on lifting and other strenuous activities for a while longer.

Focus 28 Team

www.focus28.com



June 27, 2009

Necessary Lifestyle Changes after Bariatric Surgery

Filed under: Diabetes, Image, Bariatric Shakes, Protein, Reflections, Obesity Research, Nutrition, Fitness, Focus28 Experts Blog — Focus 28 Team @ 7:00 am

When someone decides to go forth with a Bariatric procedure they will understand that the surgery alone will not be the only contributing factor to losing weight. Healthcare professionals will assist in the process of transforming the patient’s life which includes diet and exercise. This is great for having accurate information to succeed along with having support to achieve the final weight-loss goal and keep a healthy lifestyle in the future.

Who wants to go through a surgery and the healing process and see little results? This may happen for those who continue to eat junk. Keeping old eating habits even if the stomach is smaller is not good for anyone’s health. Yes, a greasy hamburger from a popular food chain can be considered tastier and more convenient than cooking at home, but what good is it doing to your body? There are a lot of people who grow up eating the typical junk foods and stray away from healthier options such as vegetables and fruits. For people who have Bariatric surgery, changing their eating habits can be quite a challenge since it could be years that they have eaten unhealthy. A good Bariatric program will have a dietitian assist the patient. They will provide information on which foods are good to eat, as well as other diet support.Exercise is another lifestyle change that needs to happen. For many overweight individuals they do not have the strength and energy to exercise, but once the surgery is done they have to add it to their daily routine to insure weight-loss and a healthy lifestyle. This does not mean the patient has to become a triathlete. Most Bariatric programs will include fitness experts who will provide the patient an individual plan to keep shedding the pounds away.

Exercise may be difficult soon after surgery, but any kind of movement is beneficial. Eventually the most common exercise that individuals add to their lifestyle is 30 minute walks. Not only is it healthy for losing and maintaining a healthy weight, but it is good for getting out of the house and enjoying Mother Nature.   

Fortunately, many patients have tried other weight-loss options and take Bariatric surgery very seriously. Not only will professionals help to succeed, but also support groups. This allows the individual to talk with others who are going through the same journey and get new ideas to succeed. All of these factors come together as a positive motivation tool. Changing diet and exercise will make the person’s weight-loss goals become a reality and will transform their overall health for the better.      

Focus 28 Team

www.focus28.com



June 25, 2009

Pregnancy after Bariatric Surgery

Filed under: Diabetes, Doctor's Corner, Nutrition, Obesity Research, Focus28 Experts Blog — Focus 28 Team @ 7:00 am

Bariatric surgery has become a very common procedure over the past few years. For many, this is the last resort. No one wants to endure a major surgery, but after other options have failed, the decision becomes clear. There is a wide spectrum of patients from young adults to senior citizens who all share in one similarity which is start the process of successfully changing their life. But what about the young women who have yet to find the love of their life or are married and looking forward to starting a family? How will Bariatric surgery affect getting pregnant and the 9 months after?  

It is safe to have children after having Bariatric surgery, but this should wait until the woman’s weight is stable. Following surgery, the body can go through a stressful experience and have issues with nutrients which would not be good for a developing unborn baby. It is not recommended to become pregnant until rapid weight-loss settles. This often occurs after 18 months after surgery. Doing so will allow the Mother to provide enough nutrition for her baby which will result in a healthy and normal sized newborn. 

For women who have infertility, Bariatric surgery can offer more than weight-loss. Those who have fertility problems linked to obesity that undergo the surgery can begin to regularly ovulate after years of issues. This may not be a good thing for some women who got use to avoiding birth control and accidently become pregnant before the recommended 18 month wait period. 

Once pregnant, women who have had Bariatric surgery lessen their risks of complications, but have to be monitored closely by their OBGYN. The chances of developing pregnancy-induced hypertension or diabetes are more in the range of healthy-weight women. But since women who have undergone a weight-loss surgery often are still considered plus-size, there is still a higher risk, but lower than if she did not have the surgery.  

Women who have had weight-loss surgery are more likely to have a cesarean. There is no for-sure explanation as to why this occurs more frequently with these patients, but it should be discussed with the healthcare provider. They may consider the woman having a high-risk pregnancy which can result in a cesarean birth. There are ways to decrease the chance of having this major surgery by maintaining the doctor’s recommended weight-gain, as well as exercising regularly through the pregnancy. 

Many young women find relief in knowing that they can still have a family after Bariatric surgery. It is important to plan the pregnancy so that not only will the baby be healthy but also the Mother. Doing so will add to another positive life-changing event besides the weight-loss surgery.      

Focus 28 Team

www.focus28.com



June 23, 2009

Tummy Tuck Surgery after Weight-loss

Filed under: Doctor's Corner, Obesity Research, Focus28 Experts Blog — Focus 28 Team @ 7:00 am

For many overweight people, they try various ways of losing weight, but never achieve their ideal weight-loss goal. This can cause them to consider putting themselves through a life-changing weight-loss surgery that will assist them in reaching their dream. You would think that someone who successfully loses all their excess weight and are maintaining a healthy lifestyle would be happy with how their body looks and have a boosted self-esteem, but for many this is far from the truth. It is because underneath their clothes is their proof of once being obese. 

Since significant weight-loss has occurred, the person will have excess skin in areas of the body where the skin’s elasticity cannot reshape itself back how it once was before weight-gain. Muscles can also become loose after a Bariatric surgery which can result in large amounts of skin to accumulate throughout the body. This can cause the individual to continue to dislike how their body looks and also create hygiene issues which can cause self-esteem issues. This is why many patients of weight-loss surgery choose to undergo various cosmetic procedures to achieve the body shape they always wanted. Since it is common for people who had weight-loss to have skin problems in many areas of their body, they often will go through numerous cosmetic procedures to fix them. 

One common problem area is the abdomen. After weight-loss surgery there can be excess skin that hangs and can even cause health issues. Since moisture can accumulate in the folds of the extra abdomen skin, a condition known as intertriginous dermatitis can occur. This is when rubbing of the skin folds cause inflammation. The skin can flake, bleed, and become infected. If one does not have a Tummy Tuck to remove the excess skin, he or she will have to make sure the skin is dry and wear loose and light fitting clothing which can become a hassle after awhile.  

During the Tummy Tuck procedure, the surgeon manually tightens the abdominal wall muscles and sutures them into place. Then he or she will remove any excess skin from the patient’s abdomen which will result in a flatter and firmer midsection.  

Most patients are thrilled with the results. Surgeons can hide the surgical scars so that they can easily be covered and not even noticeable when wearing a bathing suit. Patients who were once disgusted with their stomach region gain confidence with their new flattened look. They can enjoy activities they once could not do with all the excess skin, and also love being able to find clothing that actually fits. 

For many individuals who have had Bariatric surgery they do not feel successful until their self goal is achieved. Having excess skin can hamper their feelings of success even after losing all their extra weight. Fortunately, there are many cosmetic procedures to assist in the journey of transforming one’s body.   

Focus 28 Team

www.focus28.com  



June 21, 2009

Breast Lifts and Augmentations after Weight-Loss

Filed under: Doctor's Corner, Obesity Research, Focus28 Experts Blog — Focus 28 Team @ 7:00 am

After Bariatric surgery people feel their body has changed, but not always for the better. Yes, the weight is gone, but what is often times left is excess skin that hangs. This can cause the individual to continue to feel negative about their appearance even though they have changed their lifestyle to a healthier one and should be proud of themselves for accomplishing their weight-loss goals. If left untreated, the person may still have low confidence and lack self-esteem. 

One of the most common changes associated with weight- loss is the change of breast shape and size. Aging and gravity overtime will normally cause the breasts to sag, but when someone loses massive weight, the sagging occurs in a shorter period of time. Women who are over-weight later in life will have their glandular portion of breast tissue as fat which is less firm than regular tissue. When weight-loss occurs, much of the glandular tissue is of fat which is the culprit for the acceleration of the breasts losing its shape and size. Since the breasts cannot naturally return to a regular size, severe sagging can occur. 
 

Fortunately there are options for women who want to makeover their breasts. If there is little sagging, but larger and fuller breasts are desired, simple implants can solve the issue. Usually this does not happen by itself, though. Women become concerned with the sagging and tend to have a breast lift as well as the breast augmentation. There are a few options available for breast lifts. For small amounts of sagging, an incision is made around the areola and a cirumareolar technique is performed. For larger amounts of sagging, a vertical mastopexy is an option. An incision is made around the areola and extends to the base of the breast. For severe sagging, an anchor incision is common. This technique is similar to the other options, but also includes an incision at the base of the breast. For some women, the lift alone offers the breast size results they want and a breast augmentation is not done.

Women are not the only ones who can have sagging breasts. Obese men often will have larger breasts and suffer from the same issue as women do once weight-loss occurs which is known as, Gynecomastia. To fix this issue there is usually a two-step process. First the surgeon will perform liposuction to remove excess fat and glandular tissue. After months of recovery, the decision for the next procedure is determined on the liposuction results. If there is still excess skin, a tightening surgery will be done. Scars can be concealed in patients who have the surgery performed under their armpits. Since men grow hair on their chests, if there are scars in the region they can easily be concealed.

For many people who have had successful weight-loss, having sagging breasts can continue to be a burden on both their physical and mental state. Breast lifts and augmentations are positive options to achieving the look they dream of which will boost their self-confidence along with self-esteem.    

Focus 28 Team

www.focus28.com



June 19, 2009

Having a Facelift after Losing Weight

Filed under: Image, Reflections, Doctor's Corner, Obesity Research, Focus28 Experts Blog — Focus 28 Team @ 7:00 am

It is not easy to go from being obese, to a normal weight. Many individuals fail at weight-loss attempts and decide on having Bariatric surgery. That alone will not shed the pounds. They commit to a total lifestyle change which works together to lose the weight. Once the pounds are gone and an ideal weight is achieved you would think the person would be joyful and proud of themselves, but their appearance may have them feeling unattractive and cause depression. The culprit is often times the final outcome of the body. Obese people who lose the weight often will have excess skin which is a constant reminder of the past. Now that their life is healthier and they feel better, weight-loss successors want to look better as well. This can be done by various cosmetic procedures for every area of the body that they feel needs assistance with.  Unlike other areas of the body which can be concealed with clothing, the face cannot be masked. As people age, stress, the sun, and gravity work together to show the typical signs. For individuals who have lost weight, the tired look, wrinkles, creases, jowls, and fat deposits as well as excess skin around the neck can be magnified which can make the person feel unattractive even after successfully losing weight.  Having a facelift is an option that can decrease the excess skin on the face and neck. The results vary by individual, depending on their facial bone structure, heredity, and quality of skin. The goal of the surgeon is to create a more defined facial outline, and a more youthful and brighter appearance.  A common form of the facelift procedure consists of the surgeon making small incisions in the scalp or natural creases around and behind the ears. The small incisions offer little scarring. Excess fat is removed and the muscles are tightened, followed by the skin being pulled allowing for excess skin to be removed.  

The healing process can take a few weeks, but patients feel it is worth the end results. Discoloration along with tingling and hardening of the skin are common effects of the procedure. The scars are easily hidden within the hair and with make-up.  For people who have lost weight, it is just the beginning of their body transformation. Their overall health has been changed for the better and many want a whole make-over from both the inside and the outside. Since the inside is done by changing their lifestyle to a healthier one, the outside can be transformed with the help of plastic surgery. The outcome is positive, with individuals feeling great about themselves and feeling accomplished for reaching their goals.       Focus 28 www.focus28.com



June 17, 2009

The Common Stages of Diet Following Bariatric Surgery

Filed under: Protein, Bariatric Shakes, Doctor's Corner, Nutrition, Obesity Research, Focus28 Experts Blog — Focus 28 Team @ 7:00 am

When a person makes the life-changing decision to have a Bariatric surgery they will be informed of the entire process. This includes pre-surgery, the actual procedure, and post-op. Some people may think that once the surgery is done, the weight will diminish on its own. The surgeon along with other specialists will emphasize the importance of committing to more than just the surgery. The surgery alone is not what leads to successful weight-loss. It is an important tool that needs to be assisted with changes in diet and exercise to fully work.  After surgery the patient’s diet dramatically changes. No more slices of pizza or favorite candy bars. Patients are regularly assisted in their journey with a Bariatric program that will provide information on what to eat after surgery. There are different stages of foods the patient can intake. One to two days following surgery, the patient is monitored on how well he or she intakes low-sugar beverages such as Gatorade, water, broth, or tea. It is advised to drink with a cup rather than through a straw or bottle because these can lead to swallowing too much air which results in gas.  

If the patient can handle the beverages, the surgeon will most likely go forth with the next diet step which can last up to a month post-op. This diet consists of three meals a day of purred foods, unless the individual is not hungry enough at that point. Since the stomach is smaller, there will be fewer portions. Protein and nutrients are crucial since they assist in the healing process. Many patients choose lean meats, dairy, eggs, and beans to get their daily amounts. It is more of a challenge to reach the recommended daily nutrient amount because the individual has a smaller stomach but needs the same amount of nutrients as a person who has a regular size stomach. Multivitamins and calcium supplements are usually taken. Once the month of pureed foods has past, the surgeon may recommend the patient to start a solid diet which is the final step of the post-op diet. This may be the most challenging step of the new diet because eating healthier is critical to seeing optimal results. Protein is still very important to get on a daily basis. Typical healthy foods that can be eaten for life include fish, pasta, whole-grain items, chicken, and cheese. 

Diet changes following Bariatric surgery are extremely important. Not only does it determine how successful your outcome will be, it assists in changing your overall health for the better.   

Focus 28 www.focus28.com



June 15, 2009

How to Increase Your Long-Term Success after Bariatric Surgery

Filed under: Reflections, Protein, Empowerment, Doctor's Corner, Fitness, Psychology, Obesity Research, Nutrition, Focus28 Experts Blog — Focus 28 Team @ 7:00 am

When you consider the option of Bariatric surgery to begin losing unwanted weight, it will be emphasized by the surgeon that weight-loss surgery will not work alone. You cannot continue to eat unhealthy and avoid exercise like in the past. There has to be a commitment to changing your lifestyle for the better. This includes avoiding junk food which can be a challenge to break. This is because for years you have been use to eating whatever you like, say it be from your favorite fast food restaurant or unlimited amounts of snacks at home. Vegetables and fruits may be cringed at, but they will have to become a major part of the new diet plan since they carry tons of essential nutrients that the body needs.  The chances of succeeding with the new diet can be slim if you are not guided and motivated. Fortunately, many patients can get the support and guidance through a Bariatric program. There are some behavior modification techniques that can be implemented to increase your success following the surgery. 

When it comes to grocery shopping, a list should be made and stuck to. This means not putting junk food into your cart. Buying only the necessary items and avoiding purchasing foods that other people in the household will eat will help to control the temptations of snacking on unhealthy foods at home. It is best to take a visit to the grocery store on a full stomach so that your stomach is not eyeing up the foods for you. Once at home, foods should be not visible. You are less tempted if you cannot see foods on the counter or on the kitchen table. Instead of eating too large of portions, leftovers should be quickly stored or thrown out.  

Eating slowly is very important after surgery. This is because if you eat too quickly you may vomit. Mealtimes will be longer than prior to your surgery. You may need between 30 to 60 minutes to eat your meal. Small bites that are chewed into a liquid consistency are the ideal way to eat. If you like to eat when you are bored, depressed, or anxious you should find activities to avoid eating. This can be simply by going for a walk, listening to music, doing yoga, or finding a new hobby. Anything to keep your mind away from going into the kitchen will help to avoid overeating.  

These are just a few of the ways you can try to help assist you in staying on the right path of maintaining a healthy diet and losing and keeping the weight off. Changing one’s diet can be difficult, but with the right support and knowledge, you will have the tools to accomplish your goals.   

Focus 28 www.focus28.com



Next Page »