Eat Healthy/Live Healthy

One of the ways that weight loss surgery works is that after one has had a bariatric procedure, it takes less food to fill up and keep satisfied. As time goes on, though, it will take more food to make you feel full. This a normal part of the process. During the first two years after surgery, the capacity for food you can eat will go up from a few teaspoons to 1 cup to 1 1/2 cups of food. Whether you eat a little or a lot, eating healthy is the most important element.

A healthy eating plan gives your body the nutrients it needs every day while staying within your daily calorie goal for weight loss. A healthy eating plan:

  • Emphasizes vegetables, fruits, whole grains, and fat-free or low-fat dairy products
  • Includes lean meats, poultry, fish, beans, eggs, and nuts
  • Limits saturated and trans fats, sodium, and added sugars
  • Controls portion sizes

If you’re trying to lose weight or maintain a healthy weight, finding the right kind of foods is essential. The goal should be to eat healthy foods that will fill you up for the longest amount of time.

Feeling hungry every 3 to 4 hours is normal. You’re supposed to feel hungry that often, and eating the right types of foods helps to keep blood sugar levels balanced.

Fruits and vegetables are filling. They are not only low-calorie, but also high in fiber. Foods such as carrots and hummus have fiber, flavor, and fat to keep you feeling full longer. They also help us absorb nutrients. Nuts like pistachios, almonds, pecans, and seeds all offer healthy fats as well as protein. Proteins can be a healthy snack choice as well as a meal option. Foods high in protein, such as lean chicken, ham or turkey will help satisfy hunger.

 If you are looking for ways to treat obesity in the Las Vegas area, schedule an appointment at VIP Surg. Their team of experts can help find the right treatment for you.

Selection of healthy food on rustic wooden background

Is Weight-Loss Surgery Right for You?

Weight-loss surgery, also known as bariatric surgery, is a safe and effective treatment for individuals suffering from morbid obesity, a serious health condition that can interfere with basic physical functions such as breathing or walking. Obesity puts people 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, you 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. These are important for qualifying for a bariatric procedure.

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, surgery alone is often not enough to turn your life around. Significant behavior modifications are necessary.

To decide about the gastric bypass procedure and to find out if you are a good candidate for weight loss surgery, talk to the doctors at VIP SURG. Their experts can help you find the right weight-loss treatment for your unique situation.

Bariatric Surgery - medical concept

Motivation: Scientific Secrets to Success

Researchers have been trying to figure out what compels us to do something repeatedly we don’t always want to do – like exercise. Here are some scientifically-proven strategies to help your workout motivation:

  • Give Yourself a Real Reward – Give yourself tangible, immediate benefits to working out, such as treating yourself to an episode of your favorite TV show or a healthy smoothie after you exercise. These kinds of rewards are powerful because your brain starts to link the reward to the behavior making it seem worthwhile. Over time, the motivation becomes the workout itself, as the brain begins to associate sweat and pain with the surge of endorphins — those feel-good chemicals released in the brain that are responsible for that exhilarating rush you get after a great exercise session. Once you’ve trained your brain to recognize that the workout itself is the reward, you won’t even need the treat.
  • Sign a Commitment Contract — Research shows we’re more likely to follow through with pledges when we make them in front of friends. You can up the ante even more by signing a contract agreeing to pay a pal $20 every time you skip your planned workout. Studies of people who created contracts found that those who signed longer contracts ended up exercising more than those who agreed to shorter time spans. Once we get past the initial pain and discomfort, it’s much easier to recognize the benefits of sticking to the routine.
  • Rethink Positive Thinking — Believers in the power of positive thinking also believe in the power of positive imaging, where you actual visualize the behavior and the beneficial outcomes of it as well. For example, when deciding whether to get out of bed to go running in the morning, it helps to imagine how the sun will feel on your face as you run. Or visualize your happiness as you see the results of your fitness routine. You can also visualize the obstacles to getting in the workouts you desire. Once you have those images, it’s easier to find solutions to work around the things blocking your wellness path. 
  • Find Your Fitness Tribe — What will ultimately inspire you to get up and start moving is a strong, supportive community. The laughs, high fives, and words of encouragement from the bonds people make are things that can’t be replicated. Find a workout that makes you feel good and surround yourself with people that help build your confidence as much as your strength. 

If you’re in the Las Vegas area and are considering weight-loss surgery, schedule an appointment at VIPSurg. Dr. Tsuda and his team of experts will find the right treatment for you.

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Aging and Obesity: Is Bariatric Surgery an Option for the Elderly Patient?

The good news is that improved life expectancy is allowing baby boomers to enter their golden years in unprecedented numbers. The bad news is that rates of obesity among this aging demographic are climbing in never-before-seen numbers as well, putting this population at risk of developing cancer, heart disease, diabetes, lower extremity arthritis, sleep apnea, and stroke, all of which can lead to disability. Treatment guidelines to lose weight in the elderly have been difficult to define, yet it is very clear that obesity in the elderly contributes to worsening of multiple parameters which along with the metabolic problems mentioned already, include cognition, functionality and quality of life. While ample evidence supports the safety and effectiveness of weight-loss aka bariatric surgery in the general adult population, more information is needed in patients age 60 years and older.

Surgical treatment of obesity in the elderly, particularly over 65, remains controversial; this is explained by the increased surgical risk or the lack of data demonstrating its long-term benefit. Few studies have evaluated the clinical effects of bariatric surgery in this population.

The risk of any surgical intervention increases as one gets older. However, weight-loss surgery is very safe, and the potential benefits routinely outweigh any of the associated risks if there are no other health issues that would dramatically increase the risk of surgery.

Ideally, a comprehensive assessment would focus on psychosocial and functional status in addition to physical data. An excellent support system of family, friends, or caregiver resources is imperative. The selected patient should be capable of engaging in physical interventions focusing on mitigating muscle loss and osteoporosis and of maintaining changes in eating behavior as needed as well. A recommended “pre-habilitation” program may include a physical therapist to assist with strength and endurance training and a nutritionist to aide in enhancing protein intake, vitamin D, and other nutrient sufficiency.

Identifying goals of care, quality of life, and improved function should be considered as primary objectives of undergoing surgery. Goals of the surgery include not only weight loss but also improvements in physiological function, comorbidity, and quality of life, and reduction in institutionalization.

If you live in the Las Vegas area and are considering bariatric surgery, VIPSurg is here to help. Dr. Tsuda and his team of experts can find the best treatment for your unique situation.

Old obese woman walking with stick

 

 

 

Obesity in America: The Unhealthy Truth

Most Americans are overweight. Most – let that sink in for a minute. The majority of American adults are at least carrying around a few more pounds than is considered healthy. Severe obesity is also on the rise across the country. Unfortunately, these stats tell a story that won’t have a happy ending unless something changes:

  • Nearly 40% of adults and close to 20% of adolescents are obese in America. 
  • A body that is 20% overweight is prone to major health problems. 
  • Life expectancy is greatly reduced in someone who is obese.
  • The obesity problem is growing everywhere, but rural areas tend to have both higher obesity rates and much greater rates of what medical researchers term “severe obesity,” which is a BMI of 40 or more.

The main concern with this alarming trend is that being overweight affects all areas of your health. Carrying around extra weight not only make you feel heavy, but it also contributes to other health problems like sleep apnea, diabetes, high cholesterol, painful joints, and heart disease.

 The good news is that these risk factors can be eliminated by losing weight and maintaining a healthy lifestyle. The bad news is that changing behavior long-term is extremely difficult for all but the most committed. For the very obese, even commitment and willpower often aren’t enough.

Eating the wrong foods, eating too much food, lack of exercise, genetics, stress, emotional eating, and a slow metabolism are the major contributing factors in obesity. Nevertheless, even though we are more aware than ever that nutrition and health value should be playing a bigger role in our selections when it comes to choosing what we eat, most Americans surveyed still listed convenience as their number 1 priority when deciding.

Whatever its causes, believing severe obesity can be managed or eliminated by having a low-fat diet and engaging in exercise is a bit naïve. When a person is 50, 70, or 100+ pounds overweight, it can be difficult to impossible to diet and exercise enough to lose the troublesome weight. 

Unfortunately, diet, exercise, and weight-loss pills are generally ineffective for severely obese people. Studies have demonstrated that when the BMI reaches 40, the chances of success with medical therapy for weight loss are approximately 1%. 

Since 1991, the National Institute of Health has supported bariatric surgery as a treatment for morbid obesity when combined with a healthy diet and exercise.

Surgery can help a person lose weight so that they are able to exercise better to maintain a healthy weight loss. Some obese people need weight-loss surgery because, despite drug therapy, exercise, and behavioral modifications, they still have increased risk of comorbid conditions including heart disease and diabetes. These are the people who are often candidates for bariatric (weight-loss) surgery.  

Obesity is a common and complex medical condition, losing weight isn’t easy to do, and there’s really no magic cure. If it were simple, everyone would be healthy and trim. However, if you are at an unhealthy weight, you must start somewhere. Going it alone into a crash diet isn’t a good idea. You will put the weight back on, and chances are you’ll gain even more than you lost. Checking with your doctor, who can advise you on a plan that is safe and right for you, is a good way to begin your journey to a healthier, happier you.  

If you’ve tried diet and exercise but still aren’t losing the weight you need to lose to be healthy, schedule an appointment with VIPSurg. Dr. Tsuda and his team of experts can help find the right treatment for you.

Lady eats hamburger

Benefits of Bariatric Surgery: More than Just Weight Loss

Do you think you’d eat less if you felt full after eating just a small amount of food? That’s exactly what bariatric surgery does. That’s why people lose weight and keep it off after weight-loss surgery. Bariatric surgery reduces the stomach’s storage capacity, limiting food intake and helping you feel full much sooner than usual.

There are several types of bariatric surgery. Options include gastric bypass, sleeve gastrectomy, and gastric banding. Your doctor can help determine if you’re a candidate for one of these procedures, and, if so, which surgery is best for you.

Losing weight and keeping it off is extremely important for mitigating the potential health problems associated with obesity. You must keep the weight off for a minimum of five years to consider weight loss a success and one that can result in potentially lifesaving benefits resulting in a healthier you.

Benefits of sustained weight loss through bariatric surgery include:

  • Long-term remission for type 2 diabetes. A recent Cleveland Clinic study suggests that bariatric surgery causes long-term remission of difficult-to-control type 2 diabetes. The results of this study show the procedure is highly effective for obese patients with type 2 diabetes, allowing almost all patients to remain free of insulin and adjunct medications for at least three years after surgery.
  • Improved cardiovascular health. Weight loss surgery decreases a person’s risk of coronary heart disease, stroke, and peripheral heart disease. Blood pressure and cholesterol levels can return to normal, or near normal after surgery, reducing these risks and improving overall well-being, 
  • Relief of depression. Many obese people feel depressed because of poor body image and social stigma. Even younger people who carry significant excess weight find it difficult to participate in activities they might otherwise enjoy, leading to social isolation and depression. Losing this excess weight can improve emotional health in these patients.
  • Eliminate obstructive sleep apnea. Achieving and sustaining a normal weight range often allows people with sleep apnea to stop using a CPAP machine at bedtime.
  • Joint pain relief. Carrying around excessive weight puts a lot of stress on your weight-bearing joints, often causing chronic pain and joint damage. The significant and sustained weight loss that occurs after bariatric surgery relieves the stress on joints and often allows people to stop using pain medications and enjoy much more mobility, 
  • Improve fertility. Weight loss surgery can also improve fertility during childbearing years.
  • Alleviate other medical conditions. Weight loss surgery can alleviate metabolic syndrome, pregnancy complications, gallbladder disease, and more.

To learn more about bariatric surgery and if it might be right for you, contact VIPSurg for a consultation. Dr. Tsuda and his team of experts can help find the proper treatment for your unique situation.

Woman power! Strong confident women.

High Blood Pressure AKA Hypertension: What You Need to Know

High blood pressure (aka hypertension) is dangerous because it makes the heart work too hard and contributes to atherosclerosis (hardening of the arteries). It increases the risk of heart disease and stroke, which are the first- and third-leading causes of death among Americans. High blood pressure also can result in other conditions such as congestive heart failure, kidney disease, and blindness. About two-thirds of people over age 65 have high blood pressure. 

If you have high blood pressure, you and your health care provider need to work together as a team to reduce it. The two of you need to agree on goals and make a plan and timetable for reaching your goals. 

Blood pressure is usually measured in millimeters of mercury (mmHg) and is recorded blood pressureas two numbers—systolic pressure (as the heart beats) “over” diastolic pressure (as the heart relaxes between beats)—for example, 130/80 mmHg. Monitoring your blood pressure at home between visits to your doctor can be helpful. 

Being overweight or obese increases your risk of developing high blood pressure. In fact, your blood pressure rises as your body weight increases. Losing even 10 pounds can lower your blood pressure—and losing weight has the biggest effect on those who are overweight and already have hypertension.

Being physically active is one of the most important things you can do to prevent or control high blood pressure. All you need is 30 minutes of moderate-level physical activity on most days of the week. Examples of such activities are brisk walking, bicycling, raking leaves, and gardening. You can even divide the 30 minutes into shorter periods of at least 10 minutes each. 

What you eat affects your chances of getting high blood pressure. A healthy eating plan can both reduce the risk of developing high blood pressure and lower a blood pressure that is already too high. For an overall eating plan, consider the DASH diet, which stands for “Dietary Approaches to Stop Hypertension.” You can reduce your blood pressure by eating foods that are low in saturated fat, total fat, and cholesterol, and high in fruits, vegetables, and low-fat dairy foods. The DASH eating plan includes whole grains, poultry, fish, and nuts, and has low amounts of fats, red meats, sweets, and sugared beverages. It is also high in potassium, calcium, and magnesium, as well as protein and fiber. Eating foods lower in salt and sodium also can reduce blood pressure.

If you have high blood pressure, unfortunately the lifestyle habits noted above may not be enough to lower your blood pressure to a healthy level. In addition to eating healthy and staying active, you may need to take medication. There are many drugs available to lower blood pressure. They work in various ways. Often patients need to use two or more drugs to bring their blood pressure down enough to be healthy.

If you are suffering from obesity, and diet and exercise alone aren’t working to lower your weight, schedule an appointment at VIPSurg. Our experts can help you find a treatment to fits your unique situation. Call (702) 487-6000 to schedule an appointment.