Start Small for Big Results

If you are obese or overweight, exercise can be a tricky topic. Often, working out with extra weight becomes a vicious, negative cycle. Excess body weight puts stress on your joints, bones, and connective tissue, so when you do try to start a regular exercise routine, you end up hurting yourself, making many workouts too uncomfortable or even impossible to do. However, even though your knees probably hurt, your back probably hurts, and you probably already don’t feel good, you must start somewhere.

At the risk of generalizing, often gyms just aren’t that big-person friendly. When you’re obese, walking into a space where other people are already fit can be quite intimidating. On the other hand, for some, going to the gym is what motivates them, and there are certainly good choices for overweight and obese people. Cross-trainers and recumbent bikes all alleviate impact on the joints and lower back as do swimming and aqua aerobics.

For those who wish for something that doesn’t require machines or specialized equipment, here are some simple ways to get started at home:

  • Make A Plan Find the smallest thing you can do right now and commit to doing it every day. “Today I will walk around the block.” Or “Today I will spend 10 minutes doing chair exercises.”  Once you’ve met your small goal for the week, you can always add just a little more to it.
  • Enlist Support — Find someone in your life – a colleague, family member, or next-door neighbor – who will support and encourage you. The use of social support is an undisputed strategy for success. You don’t need another lecture about the health dangers of being overweight; you need positive motivation to make healthier choices.
  • Start Slow — The goal is to start exercising little by little, not to overdo it and end up frustrated, burnt out, or hurt right away. Gentle, easy exercise is the way to begin!

Just as not exercising becomes a routine, so can doing simple and easy workouts. Soon you’ll be craving something a little more challenging. Listen to your body and be aware of problems, but the bottom line is that most of us can do some kind of physical activity to make us healthier.



Resolve to Happy and Healthy in 2018

The new year can be an exciting time — the promise of new beginnings and fresh starts. It’s also a good time to recommit to your health and well-being. Creating health resolutions is easy enough. Sticking to them past the month of January, however, is another story.

These are the resolutions health professionals wish you would make and keep in 2018:

  • Practice mindful eating – In these days of technology and devices, it’s common to eat with your eyes glued to a screen. Unfortunately, distracted eating often leads to overeating. Slow down and pay attention to your food, pausing to put down the fork or spoon between bites. It’s easier to notice when you feel full, plus you’re more likely to enjoy the foods you eat. Resolve to cut down on guilty pleasures, but don’t prohibit them completely. Enjoy your cravings once in a while, and it will make staying on track the rest of the time easier.
  • Chill out and rest up — According to Johns Hopkins sleep expert Rachel Salas, M.D., when it’s time to sleep, it’s time to chill – literally. Lowering the thermostat to 68 degrees or colder before you tuck into bed can help you sleep better. Darken your room by drawing the curtains or dimming the display on your alarm clock to really get that quality sleep. If vowing to get eight hours of sleep every night is totally unrealistic, tell yourself you’ll go to bed 15 minutes earlier than your usual 2018 goals listbedtime. Keep shifting that number earlier and earlier. If you keep doing it, eventually you will be going to sleep at an hour that makes better sense for your life.
  • Be grateful — Take some time at the beginning or end of the day to reflect on what you’re grateful for. Reminding ourselves of the small, everyday positive aspects of our lives helps to develop a sense of balance and perspective that can enhance well-being. Research has shown that those who regularly journal what they’re grateful for sleep better, work out more, and visit the doctor less. If keeping a journal isn’t for you, you can download gratitude-centric apps for your smartphone.
  • Find 30 minutes a day to walk — Getting the recommended 30 minutes of exercise each day can be as simple as taking a walk. If you’re very busy, take three 10-minute walks throughout your day. Make it fun! Grab a partner at work to get you through your lunch routine, or have a friend or family member meet you for an evening stroll. Instead of worrying about working out during the week, focus on accumulating more steps during your day-to-day activities. Even 500 extra steps for five days can lead to significant changes. You can schedule breaks during the day to stroll around the block or walk to your coworkers’ desks instead of emailing. This way, you’re focusing on overall wellness rather than just shedding pounds. Making small, daily changes such as taking the stairs instead of the elevator may seem minor, but they can make a big difference for your heart in the long run.

Happy, Healthy, New Year from all of us at VIP Surg!

Exercise: How Much is Enough?

Our bodies were meant to move — they actually crave exercise. As a matter of fact, regular exercise is necessary for physical fitness and good health. It reduces the risk of heart disease, cancer, high blood pressure, diabetes and other diseases, and it can improve your appearance and delay the aging process. So why aren’t we all doing it?

Many say lack of time is their single biggest obstacle to fitness, but experts say you may be overestimating how much exercise you really need to get at one time. Many think exercise means you have to hit the point where you’re completely out of breath and panting after you’ve finished, and you can do that, but for the majority of health benefits, it’s not necessary.

People often assume that more is better. On the contrary; doing too much too soon or performing intense exercises on a daily basis can have harmful effects, such as muscle/tendon strains, loss of lean tissue, and fitness-level plateaus. However, if you don’t exercise at all, your muscles will become flabby and weak, your heart and lungs won’t function efficiently, and your joints will be stiff and easily injured.

If you are overweight or obese, your fitness goals probably go beyond lowering your risk for disease, but even if losing weight is your primary goal, it’s nice to know what research actually shows when it comes to how much exercise you should be doing each week for better health.

Here are a few statistics to consider:

  • 30 minutes of interval training per week (broken into 3 workouts) reduces the risk of type 2 diabetes.
  • 150 minutes of moderate exercise per week reduces the risk of cancer.
  • 120 minutes of moderate aerobic exercise per week offers improvements in memory.

People seem to have heard the message that you need 30 minutes of exercise, five days a Exercise tracking device Dollarphotoclub_101019544 (2)week according to federal guidelines. If you get that, you’ll get 85% of the health benefits we talk about. However, the misconception is that it’s all or nothing. It’s also important to note that federal guidelines call for moderate-intensity exercise, which means you don’t have to be killing yourself with long runs, boot camp, or spin class five days a week in order to relish the rewards. Being consistent with exercise is probably the most important factor in achieving desired results.

If you’re obese and looking for ways to get fit and lower your risk of disease, schedule an appointment at VIP SURG. We can help you find the right treatment.

High Blood Pressure: Do these Things Now to Prevent Future Problems

Blood pressure is the force of blood against the walls of arteries, and it’s normal for it to rise and fall throughout the day. However, when blood pressure stays elevated over time, it’s called hypertension (aka high blood pressure). High blood pressure 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. This means that even if you don’t have high blood pressure now, you are likely to develop it in the future unless you adopt a healthy lifestyle.

  • Maintain a healthy weight – 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.
  • Be physically active – Being physically active is one of the most important things you can do to prevent or control high blood pressure. Try to engage in physical activity for a total of 30 minutes on most days of the week. You can do this by combining everyday chores with moderate-level sporting activities, such as walking.
  • Follow a healthy eating plan – What you eat affects your chances of getting hightape-403593__340 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. An important part of healthy eating is choosing foods that are low in salt (sodium chloride) and other forms of sodium. Using less sodium is key to keeping blood pressure at a healthy level. Use spices, garlic, and onions to add flavor to your meals without adding more sodium. Set up a healthy eating plan with foods low in saturated fat,total fat, and cholesterol, and high in fruits, vegetables, and low-fat dairy foods.
  • Drink alcohol only in moderation – In addition to raising blood pressure, too much alcohol can add unneeded calories to your diet. If you drink alcoholic beverages, have only a moderate amount—one drink a day for women, two drinks a day for men.
  • Take prescribed medications as directed – If you need drugs to help lower your
    lood pressure, you still should follow the lifestyle changes mentioned above. Use notes and other reminders to help you remember to take your meds. Ask your family to help you with reminder phone calls and messages.

These are just a few of the relatively easy things you can do to help lower or prevent hypertension. Ultimately, keeping blood pressure at healthy levels can be quite difficult – especially if you are dealing with other severe health problems such as obesity and the issues that often accompany it. If you live in the Las Vegas area and are considering weight-loss surgery, schedule a consultation with VIP SURG. We can help find the right treatment for you.

Exercise for Weight Loss

Being active is an important part of any weight-loss or weight-maintenance program. When you’re active, your body uses more energy (calories), and when you burn more calories than you consume, you lose weight.

Diet and exercise are both important to weight loss efforts. However, while diet has a stronger effect on weight loss than physical activity does, physical activity, including exercise, has a stronger effect in preventing weight regain after weight loss.

For most healthy adults, the Department of Health and Human Services recommends these exercise guidelines:

  • Aerobic activity. Get at least 150 minutes a week of moderate aerobic activity or 75 AdobeStock_116731872.jpegminutes a week of vigorous aerobic activity. However, to effectively lose or maintain weight, some people may need up to 300 minutes a week of moderate physical activity. You can do a combination of moderate and vigorous activity. The guidelines suggest that you spread out this exercise during the course of a week, and sessions of activity should be at least 10 minutes long.
  • Strength training. Do strength training exercises at least twice a week. No specific amount of time for each strength training session is included in the guidelines.

Moderate aerobic exercise includes such activities as brisk walking, swimming and mowing the lawn. Vigorous aerobic exercise includes such activities as running and aerobic dancing. Strength training can include use of weight machines, or activities such as carrying groceries or heavy gardening. As a general goal, aim for at least 30 minutes of overall physical activity every day.

The American College of Sports Medicine reports that you can elevate your metabolism for up to 24 hours post-exercise by adding just one little twist to your exercise routine: intervals. All you have to do is inject brief periods of intense effort into your regular walks (or runs, swims, bicycling, elliptical sessions, etc.) The intensity effectively resets your metabolism to a slightly higher rate during your workout, and it takes hours for it to slow down again. That equals ongoing calorie burn long after you’ve showered and toweled off.

If you’re a walker and you typically exercise for 30 minutes, try adding a burst of jogging for 30 seconds every 5 minutes. As you become more fit, you can increase the interval length to a minute, and decrease the walking segments to 4 minutes. For the biggest metabolism boost, you’ll want to make sure that the interval portion leaves you breathing hard.

While your heart and other organs demand fuel around the clock, there’s little you can do to increase their metabolic needs. However, your muscles—which also require constant feeding—are changeable. Make them bigger, and they will demand more calories day and night. With essential moves, adapted from findings by the American College of Sports Medicine, you can target all the major muscle groups in your body. You should be able to get through the entire routine in less than 30 minutes. Do this 2 to 3 times a week and your muscles will turn into furnaces that burn up extra calories before your body can convert them to fat.

If you live in the Las Vegas area and are struggling with obesity and considering bariatric surgery, contact Dr. Shawn Tsuda. He and his team of experts will find the right treatment for you.


Tracking Your Journey to a Healthy You

Today, many people wear a wrist band commonly called a fitness tracker to report statistics on personal activity levels. The general opinion seems to be that one either likes them or not, and many agree they can be amusing for the short term. These devices replace and expand on the idea of the pedometer, and they do a lot more. They can track other body beats, too. Some people even wear their device to bed to tell them about their sleeping habits and movements as well. However, it seems to be up to the individual user as to whether thExercise tracking device Dollarphotoclub_101019544 (2)ey truly help with weight loss.

The equation for losing weight is fairly simple: burn more calories than you consume. If you want to lose weight, you must understand and pay attention to both calories taken in and calories burned. It stands to reason then that tracking what you are burning could help you monitor what you consume.

A fitness tracker can also be an interesting and worthwhile fitness motivator. These devices are extremely useful at making us aware of habits we often don’t think about and helping us change them. Depending on personal use, it may be worth the price tag if it motivates you to move more and improve your health.

Wearable devices and smartphone apps could help you in your weight-loss efforts. They can tell you whether you’ve covered the distance you’ve set as your goal and help you track the calories you consume. The weight-loss equation may be simple, but losing weight is hard. Consider trying a wearable device and smartphone to measure your progress, make exercise a consistent habit, and celebrate your daily successes.

How many steps do you think you walked today?

Read more about activity trackers online at:

If you are obese and have tried to lose weight through conventional means to no avail, schedule an appointment with Dr. Shawn Tsuda to see if you are a good candidate for bariatric surgery. He and his team of experts can help you find the right treatment for your unique case.