Celebrate Thanksgiving with Healthy Choices of Traditional Fare

You already know not to eat yourself into a stupor on Thanksgiving Day, and you’ve probably guessed that the mashed potatoes erupting with a lava flow of butter aren’t the best thing to ask for seconds and thirds of. However, believe it or not, you’ll probably find some really healthy foods on that overloaded table; those are the things your plate should beHealthy thanksgiving Dollarphotoclub_90922667 filled with. While many of the ingredients of traditional Thanksgiving feasts are good for you, the way they are prepared often makes them less so. Many holiday favorites have a lot of added sugar, fat, and salt.

Consider these healthy options on Thanksgiving:

  1. Cranberries are packed with antioxidants that help prevent cancer and many chronic degenerative diseases. They can help strengthen your immune system, lower blood pressure, and ward off urinary tract infections. Unfortunately, cranberry sauce is one of the prime candidates for sugar overload. Cut down the sugar and add some orange juice, tangy orange zest, chopped apple bits, or raisins. Try flavoring it with cinnamon, cloves, and a small amount of brown sugar.
  1. Sweet potatoes or yams are good candidates for inclusion in your diet more often. They’ve got plenty of fiber, potassium, and antioxidants. A serving contains more than your daily requirement of vitamin A. Just stop before you slather the marshmallows on top. Try roasting them, brushed with olive oil, perhaps with some other fall vegetables like squash and onions. Toss in a sprig of rosemary or some chopped fresh ginger for extra flavor.
  1. What about turkey? It’s an excellent source of protein, and it contains minerals like iron, zinc, and potassium. That tryptophan that you’ve heard makes you sleepy after a big meal can also boost your immune system. If you don’t eat the skin, turkey is also low in fat.
  1. Pumpkin pie and other traditional desserts tend to be high in calories, although if they are made with healthy ingredients they’re not bad for you. Pumpkin has fiber and lots of vitamin A and C. Since most of the calories and fat are in the crust, try a pumpkin pie without a crust this year.
  1. Above all, don’t eat like you won’t have another meal for a week. Save some for later. And instead of falling into a food coma, go for a brisk walk!


Have a healthy, safe, and happy Thanksgiving from Dr. Shawn Tsuda!


Savor the Flavors of Thanksgiving – Try this Low-Calorie, Delicious Pumpkin Pie

When you are trying to eat healthy, lose weight, or maintain a restricted diet of any kind, holidays like Thanksgiving, which revolve around food, can seem like something to dread rather than something to look forward to. Fortunately, if you make good choices, the Thanksgiving feast doesn’t have to loom as a terrible temptation. Fill your plate with turkey (no skin), veggies (avoid the ones loaded with creamy sauces, sugar, and butter), and volunteer to make this low-calorie pumpkin dessert!

Low-Cal Pumpkin Pie


  • 1 egg
  • 2 egg whites
  • 1 can (15 ounces) solid-pack pumpkinPumpkin pie Dollarphotoclub_73860588
  • Sugar substitute equivalent to 3/4 cup sugar
  • 1/2 cup reduced-fat biscuit/baking mix
  • 1 teaspoon vanilla extract
  • 1 teaspoon ground cinnamon
  • 1/2 teaspoon ground ginger
  • 1/4 teaspoon ground cloves
  • 1 can (12 ounces) fat-free evaporated milk
  • 1 cup reduced-fat whipped topping


  1. In a large bowl, combine the egg, egg whites, pumpkin, sugar substitute, biscuit mix, vanilla, and spices until smooth. Gradually stir in evaporated milk.
  2. Pour into a 9-in. pie plate coated with cooking spray. Bake at 350° for 35-40 minutes or until knife inserted near the center comes out clean. Cool on a wire rack. Dollop with whipped topping before serving. Refrigerate leftovers. Yield: 8 servings.

Nutritional Facts

1 piece with 2 tablespoons topping equals 124 calories, 2 g fat (1 g saturated fat), 28 mg cholesterol, 160 mg sodium, 19 g carbohydrate, 3 g fiber, 6 g protein. Diabetic Exchange: 1-1/2 starch.

Find more healthy Thanksgiving recipes at: http://www.eatingwell.com/recipes_menus/collections/thanksgiving_collection_1

Dr. Heidi Ryan and her team wish all of you a healthy and happy Thanksgiving. If you are considering bariatric surgery in the Las Vegas, Nevada area, schedule an appointment with Dr. Ryan. She is the area’s first and only female bariatric surgeon.


Guidelines for Gall Bladders and Gastric Bypass

You might know that the gallbladder is one of those organs that we can live without, but how does it affect us when it is removed? If you are considering gastric bypass, learning about the digestive system and how it works is very important.

The gallbladder is a digestive organ located under the right side of the liver and connected to the common bile duct. Bile is a digestive juice secreted by the liver that helps digest fats along with other functions. The gallbladder acts as a bile reservoir. It collects bile between meals, and then squirts it out, as needed, during meals to help digest food. When you are not eating, the bile is diverted into the gallbladder. When you eat, bile is released into the intestine. When the gallbladder has been removed, the bile simply goes into the system a little at a time, all day long.

Tsuda 11-18The gallbladder was probably very important to primitive humans who ate large quantities of raw fat. Now we tend to cut away fat and cook our food, so fat intake is dramatically reduced. Having a large quantity of bile present at meal time is no longer critical. People generally get along well without the gallbladder.

Gallstones form when there is an imbalance in the bile causing a high ratio of cholesterol compared to bile salts. This type of imbalance often occurs when people are on very restrictive diets. Such is the case during the first 6 – 18 months after gastric bypass. Studies have shown that 30 percent of gastric bypass patients will develop gallstones, and 10 percent of patients will develop symptoms requiring surgical gall bladder removal (cholecystectomy).

Gallstone development following gastric bypass can be prevented two ways. First, the gallbladder can be removed at the time of surgery. Second, one can take a medication. Talk to Dr. Tsuda to see what’s right for you.

To lower the risk, bariatric patients can do a few things:
• Eat a moderate amount of healthy fat as part of your diet. Your nutritionist can advise you on the appropriate amounts and types of fat.
• Work out. If you’re able, you should be getting an hour to 90 minutes of moderate-to-vigorous exercise nearly every day. If not, you should be working up to that goal. Exercise benefits your body in so many ways, including weight management and gallbladder health.

Read more on this topic online at: http://www.ncbi.nlm.nih.gov/pubmed/17483774

Go Out to Eat – Not off your Eating Plan

With the holidays just around the corner, a lot of us have a lot of celebrations coming up. We not only have the big, family meals at home, but we also have to figure out how to navigate our way through numerous office, club, and organization  outings at restaurants. However, eating out doesn’t have to wreak havoc on your healthy diet.

Try some of the following tactics to help make restaurant foods fit into your own eating plan:

  • Try an appetizer, half an entrée, or share a meal with a friend and order an extra side salad.
  • Ask for half your entrée to be wrapped up to go before the food is brought to the table.
  • Order each item separately (a la carte) to get exactly what you want.
  • Learn to spot which dishes are made with lower calorie cooking methods.
  • Ask how dishes are prepared and can they can do it your way: grill the chicken, steam the vegetables, bring sauces and salad dressings on the side, put just a dollop of cream sauce on the pasta primavera and order extra grilled vegetables.
  • Ask if you can make healthy substitutions, for instance, a baked potato instead of fries, or a salad or fresh fruit instead of coleslaw.
  • Limit alcohol. It’s high calorie, has few nutrients, and can weaken your will power.

The following foods and methods of preparation are great choices to help you stay within your healthy eating plan:

  • Steamed vegetables with a slice of lemon; grilled veggies if not drenched in oil.
  • Meats that are grilled, broiled, roasted, or baked without added fat. Choose seafood that is broiled, baked, steamed, blackened, or poached.
  • A reasonable portion of steak—3 to 6 oz.; other lean meat cuts served au jus, with a flavorful fruit sauce, or stir-fried with vegetables. Again, go easy on the rich sauces.
  • A baked potato can be topped with broccoli, low-fat chili, or salsa.
  • Fresh fruit, sherbet, and angel food cake are good choices for dessert.

Avoid foods with descriptions like pan-fried, sautéed, battered, breaded, au gratin, cheesy, creamy, buttered, deep-fried, béarnaise, or crispy.

If you are considering bariatric surgery in the Las Vegas area, schedule an appointment with Dr. Heidi Ryan. She Dollarphotoclub_90240311and her expert team can help you find the perfect weight-loss treatment for you.

Read more online at: http://www.nhlbi.nih.gov/health/educational/lose_wt/eat/tips_dine_out.htm

Let LINX End Your Search for Relief from GERD

We know Halloween is behind us, but when you suffer from Gastroesophageal Reflux Disease or GERD, your favorite foods can start to feel scary all year long. The good news is that your health doesn’t have to be a horror story. While millions of Americans suffer from GERD, Sunrise Hospital in Las Vegas offers a new and effective treatment alternative to cut this evil villain out of the picture. We are here to help you vanquish the nightmare of heartburn, acid reflux, and GERD once and for all!

Reflux sufferers, meet LINX® — a revolutionary solution for reflux. It’s a simple device with life-changing potential. LINX is intended for patients diagnosed with reflux disease who continue to suffer symptoms despite taking medication.

GERD is a chronic, often progressive disease resulting from a weak Lower Esophageal Sphincter (LES) allowing acid and bile to reflux from the stomach into the esophagus. The LINX® Reflux Management System augments the weak LES, restoring the body’s natural barrier to reflux.

The LINX System is a small flexible band of interlinked titanium beads with magnetic cores. The magnetic attraction between the beads is intended to help the LES resist opening to gastric pressures, preventing LINX picreflux from the stomach into the esophagus. LINX is designed so that swallowing forces temporarily break the magnetic bond, allowing food and liquid to pass normally into the stomach. Magnetic attraction of the device is designed to close the LES immediately after swallowing, restoring the body’s natural barrier to reflux.

The LINX System is increasingly popular for this minimally invasive procedure:

  • This can typically be completed in less than an hour.
  • The LINX system is placed around the esophagus just above the stomach using a surgical technique called laparoscopy.
  • A precision sizing tool is used to determine the appropriate size LINX System.
  • The LINX System is positioned around the LES using suture tails.
  • The ends of the LINX System are aligned and joined for secure closure.
  • Patients are placed under general anesthesia during the procedure.
  • The LINX System does not require any anatomic alteration of the stomach.
  • Most patients go home the day after surgery and resume a normal diet.

As the first LINX trained surgeons in Las Vegas and as the first digestive institute in the area to offer the only FDA-approved treatment for GERD, Dr. Shawn Tsuda, Dr. Heidi Ryan, and Sunrise Hospital & Medical Center are ready to help you fight back against gastroesophageal reflux disease!


Learn more at: http://www.ohgerd.com/


The Season Is Changing… Get Your Exercise On!

ExercIMG_0410_2ise doesn’t have to come from conventional places, and in light of the cooler weather there are a plethora of options to get your heart rate up. Now that the blazing sun has let up, consider walking outside around the neighborhood with friends, rake leaves with your spouse, or heading to the outdoor mall for some holiday (or window) shopping. Live in freezing climates? Take your kids or pets to play in the snow. Iceskating is also excellent aerobic activity. Just make sure whatever activity you choose that your heart rate goes up and you get a little short of breath

Are You a Candidate for Bariatric Surgery?

Weight loss surgery, also known as bariatric surgery, is a safe and effective treatment for those individuals suffering from morbid obesity, a serious health condition that can interfere with basic physical functions such as breathing or walking. Those who are obese are at greater risk for illnesses including diabetes, high blood pressure, sleep apnea, gastroesophageal reflux disease (GERD), gallstones, osteoarthritis, heart disease, and cancer.

To be considered morbidly obese, he or she must have a BMI of 40 or more, or be 35 or more and experiencing obesity-related health conditions, such as high blood pressure or diabetes.

People seeking weight-loss surgery are not usually considered candidates unless they have tried and failed to lose weight through traditional forms of treatment. People at high risk for disease or who have a life-threatening condition, including those with a disabling condition from obesity, are often considered good candidates for surgeries such as gastric bypass. People with a genetic condition that causes obesity are candidates as well.

Are you a Candidate?

Weight loss surgery may be right for you if:

  • Your BMI of 40 or more.
  • Your BMI is 35 or higher, and you also suffer from one or more health problem such as Type 2 Diabetes or Hypertension.
  • Your past attempts to lose weight have been unsuccessful.
  • You do not have any other disease that may have caused your obesity.
  • You are prepared to make substantial changes in your eating habits and lifestyle.

Other guidelines can include an extremely high body mass index, obesity that exists for five or more years, no history of alcohol or drug abuse and no untreated psychiatric disorder. Candidates are typically between the ages of 18 and 65. Certain adolescents may be eligible for weight loss surgery, too.

Being a good candidate means having realistic expectations. Weight loss surgery can help reduce your risk of life-threatening conditions and improve your overall health and appearance, and these changes should improve your quality of life; however, su
rgery alone is often not enough to turn your life around. Significant behavior modifications are necessary.

Read more online at: http://www.obesityaction.org/educational-resources/resource-articles-2/weight-loss-surgery/choosing-the-right-weight-loss-surgery-procedure

To make a decision about the gastric bypass procedure and to find out if you are a good candidate for weight loss surgery, talk to Dr. Heidi Ryan. She and her team of experts can help you find the right weight-loss treatment for your unique situation.