New Year’s Resolution for a New You


Losing weight is arguably the most common New Year’s resolution year after year, and 2015 will be no exception. Many will start another diet or exercise routine, only to let their resolve fizzle out in a week or a month. How can you make this year the one in which you finally succeed?

If you are 100 pounds or more over your ideal body weight, and you have tried to lose weight unsuccessfully in the past, bariatric surgery may help you break this vicious cycle. Having weight-loss surgery is not a decision to be made impulsively, but the commitment to undergo bariatric surgery may be one of the best New Year’s resolutions you can make.

Cancer, diabetes, high blood pressure, heart disease, joint problems, infertility, and sleep apnea are just a few of the serious medical issues linked to obesity. Although staying obese does not necessarily mean you will experience these specific conditions, at the very least it will lead to poor health. Many people resolve to diet and start working out on January 1 in order to drop that nagging ten pounds. But when an obese person has reached a certain size, they are often incapable of losing enough weight through dieting alone, and sudden exercise could present a health risk.

Like other New Year’s resolutions, the commitment to make changes after having weight-loss surgery can be broken. In choosing to have weight-loss surgery, you are resolving to do things differently. Although the procedure will help you shed pounds very quickly, you still need to follow your doctor’s dietary guidelines carefully and get regular physical exercise, not only for the first year after surgery, but for the rest of your life. You are resolving to change the way you live, and that can lead to a very happy New Year!

Keeping Active during the Holidays

santa runThe holidays are here, and keeping on track for your diet and fitness goals can be even more challenging than ever. Traditional holiday feasts, along with extra errands can send your eating plan and workout routine spinning out of control, but it doesn’t have to be like that – especially when it concerns exercise. Here are some tips for getting in those essential workouts while still getting all of your holiday preparations done.

Keeping in mind that you don’t have to do your workout all at once but that it can be just as effective in chunks, shopping is the perfect time to get in plenty of walking. Park as far away from the door as possible, consider parking on the opposite end of the mall from your shopping destination and walking the length of the mall, and walk briskly to save time and pump up that heart rate.

Don’t discount the extra work around the house either. Did you vacuum before everyone came over? Did you spend an afternoon outside stringing lights? When you ask yourself if you are getting enough exercise during the holidays, remember all the time you spent on your feet cooking and bringing decoration up from the basement or down from the attic. It all counts!

Try to incorporate activity into your family traditions too. If the weather permits, Christmas caroling through the neighborhood gets everyone out for a nice walk. Start a tradition of having a flag football game after holiday brunch. Even a rousing game of charades can get folks up and moving. There are many ways to keep everyone active in a fun way.

Finally, don’t ignore your needs during this busy time. We often have so many notions of what’s expected of us from our families that we sacrifice the time we need to keep ourselves happy and energized. This year, make time for the things that are important to you and your health. If you have to give up something, skip the screen time, and go for a walk instead.

Lifestyle Improvements with Weight-loss Treatments and Bariatric Surgery

tsudaIf you find yourself among the nearly 70% of Americans over the age of 20 who are overweight or obese, educating yourself about the weight-loss treatment options available could be the first step to a healthier lifestyle. To know what treatment (or combination of treatments) will work best, start by determining your body mass index (BMI). The BMI is calculated from your height and weight ( ).

  • A person with a BMI between 25 and 29.9 is considered overweight
  • A person with a BMI of 30 or greater is considered to be obese

Based on your measurements and your medical history, Dr. Tsuda and his team can determine what combination of weight loss treatments would work best for you. Treatments may include changes in lifestyle, exercise, dieting and, in some cases, weight-loss medicines or weight-loss surgery.

Weight-loss surgery, also called bariatric surgery, is reserved for people with severe obesity who have not responded to other weight-loss treatments. Weight-loss surgery is recommended for people with one of the following:

  • Severe obesity (body mass index above 40) who have not responded to diet, exercise, or weight-loss medicines
  • Body mass index between 35 and 40, along with a serious medical problem (including diabetes, severe joint pain, or sleep apnea) that would improve with weight loss

You should be sure that you understand the potential risks and benefits of weight-loss surgery. You must be motivated and willing to make lifelong changes in how you eat to reach and maintain a healthier weight after surgery. The goal of bariatric surgery is to reduce the risk of illness or death associated with obesity. Weight-loss surgery can also help you to feel and look better, reduce the amount of money you spend on medicines, and cut down on sick days. Weight-loss surgery can improve health problems related to obesity (diabetes, high blood pressure, high cholesterol, sleep apnea) to the point that you need less or no medicine at all. Finally, weight loss surgery might reduce your risk of developing heart disease, cancer, and certain infections.

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Bariatric Surgery: Benefits Outweigh Risks

Untitled As your body size increases, life expectancy decreases. Add to that the facts that individuals with severe obesity usually have a number of life-threatening conditions that greatly increase their risk of dying – type II diabetes, high blood pressure/hypertension, heart disease, high cholesterol, sleep apnea, and more. Data collected from nearly 60,000 bariatric patients and stored in the American Society for Metabolic and Bariatric Surgery (ASMBS) Centers of Excellence database show that the risk of death within the 30 days following bariatric surgery averages 0.13 percent, or in other words, approximately one out of 1,000 patients. This rate is significantly lower than many other operations, including procedures as seemingly common as gallbladder and hip replacement surgeries.

Considering the often poor health of bariatric patients prior to surgery, the chance of dying from the procedure is exceptionally low. Studies have found that the risk of death from any cause is considerably less for bariatric patients over time than for severely obese individuals who have never had the surgery. In fact, the data show up to an 89 percent reduction in mortality, as well as significant decreases in death rates due to specific diseases. Cancer mortality, for instance, is reduced by 60 percent for bariatric patients. Death from heart disease is reduced by more than 50%, and death in association with diabetes is reduced by more than 90 percent. In addition, numerous studies have found improvement or resolution of other life-threatening obesity-related diseases following bariatric surgery. The benefits of bariatric surgery, with regard to mortality, have been found to far outweigh the risks.

Any type of surgery has associated risks, such as complications or even death. But a number of recent advances have helped to minimize risks. Laparoscopic and robotic surgical procedures result in mini-incisions that heal faster, cause less pain, and significantly lessen scarring. Contact our office for a consultation at (702) 671-5150 or by clicking on Contact above and filling out the contact form.

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Finding the Weight-loss Surgery Best for Your Needs


Weight-loss (bariatric) surgery helps many lose weight and lower their risk of medical problems associated with obesity. If it is determined that bariatric surgery is a good alternative for you, there are still options and decisions to make. Which kind of surgery should you have? What will work best in your unique situation? Prepare yourself by learning as much as possible about the different procedures available to you, and talk it over with your doctor so you can make an informed decision.

Weight-loss surgery works in two main ways – through restriction and malabsorption. Restrictive surgery reduces the stomach size and physically limits the amount of food the stomach can hold, which limits the number of calories one can eat. An example of this type of procedure is adjustable banding. Malabsorptive surgery combines stomach restriction with a partial bypass of the small intestine. In these procedures, a direct connection is created from the stomach to the lower segment of the small intestine, bypassing portions of the digestive tract that absorb calories and nutrients.

The “Gold Standard” for bariatric surgery today is the Roux-en-Y Gastric Bypass Surgery which combines both restrictive and malabsorptive procedures tending to produce more weight loss than either type of procedure does on its own. Depending on the amount of weight you need to lose and other associated conditions, Dr. Tsuda can guide you regarding which procedure is right for your unique situation.

Four common types of weight-loss surgery are:

  • Roux-en-Y gastric bypass
  • Laparoscopic adjustable gastric banding
  • Sleeve gastrectomy
  • Duodenal switch with biliopancreatic diversion

What’s best for you will depend on your needs, your health, and your goals. All surgery has risks, and bariatric surgery is no different. Dr. Tsuda and his team can provide you with all the information you need so that you can consider your options carefully and make the right decision for you.