Preparing for Weight Loss Surgery

July 25, 2016

Deciding to have weight loss surgery is a major step and one that shouldn’t be taken lightly.  If you have struggled with obesity for most of your life, you have experienced the frustration of many diet and exercise failures.  Now that you have decided to proceed with surgery, you are hopeful that “this time” is going to be different.

As you prepare for surgery, here are a few things to keep in mind:

  • Your weight loss journey doesn’t start and end with surgery – there will be challenges and opportunities for the rest of your life.
  • Weight loss surgery is not a quick fix for all the problems in your life, i.e. your spouse, family or friends, job, or social life. Surgery will help you with one part of your life, your health. Changing the rest is up to you, if you so choose.
  • Inform yourself on the process, both before and after surgery. Don’t hesitate to ask questions of your surgeon or bariatric team. We are here to help and support you.
  • Communicate with your friends and family as much as possible about your surgery and goals. Also share with them your worries and insecurities. This may help them better understand your decision to have weight loss surgery and even be more supportive.
  • If you smoke, you will have to stop prior to surgery. We will strongly advise you to quit. Smoking, vaping and chewing tobacco are all bad for you and when you factor surgery into the equation, the risks of complications are considerable. If you are having difficulty quitting, ask for help, but don’t hide it.
  • You should attend a support group before your weight loss procedure. You can find the schedule on our website. You will find it to be very helpful and you’ll have the whole group congratulating you on your decision and offering their support and best wishes.
  • Try to up your activity, just a bit, before surgery. It will improve your circulation and make your recovery easier. It will also help you after surgery, when the time comes for you to exercise.
  • Try to eat healthier in the months before surgery. As your surgery date approaches, we will probably have you start a pre-operative diet. If you have already been eating healthier, then you will find the whole process much easier. Those that haven’t adjusted their diet, or are going on a “farewell tour” of all their favorite restaurants will make their lives more difficult. Your favorite restaurant will most likely continue to exist as well and you’ll be able to enjoy it, in moderation, in the future.

So, please remember that weight loss surgery is a tool. The surgery will do its part but you have to do yours. Understanding that lifestyle changes have to be made is vital to your success in achieving and maintaining your weight loss. In the meantime, congratulations on a decision to change your life! We’ll be right alongside you throughout the process and long into the future.

Your Liquid Diet Expectations

July 12, 2016

You are thinking about weight loss surgery. You’re tired of dieting, losing weight and then hitting a plateau. You’re frustrated that you’ve been going to the gym and working so hard with minimal results. Your weight is going up and down then up even higher. The only predictable part of the whole process is frustration.

At this point, you may have decided that bariatric surgery is an option for you. You found a doctor and had your consultation and you’re informed that you’ll have to embark on a liquid diet before surgery. What? Yes, a liquid diet.

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The Effects Of Obesity On The Heart

September 2, 2015

Heart disease is the leading killer of men and women in the United States accounting for almost a quarter of all deaths in the US in 2008. Unlike many other diseases, cardiovascular disease is well known, highly predictable and often preventable with simple and straightforward lifestyle change.

The simple fact is that obesity and excess weight contributes to heart disease in a very significant way. Not only can excess weight, on its own, cause an increased risk of heart disease, but its comorbid conditions can too. Let’s explore:

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How To Prepare For Your First Consultation

June 25, 2015


Your first consultation represents a very important start to the weight loss surgery process. You will have been introduced to our practice and some of our staff by attending one of our seminars with Dr. Muhammad Feteiha, Dr. Joao Lopes or Dr. James Lopes. And while attending a bariatric seminar offers a degree of insight into the options, benefits and risks of each bariatric procedure we offer, it is not it does not mean that you necessarily qualify for bariatric surgery. In fact, a number of tests to evaluate your suitability for surgery will be performed in the lead up to the procedure itself. The first step in that process, is to sit down with one of our surgeons for a consultation.

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Nutritional Deficiencies after Bariatric Surgery

April 7, 2015

Vitamin deficiencies are a possible side effect of bariatric surgery. The degree to which a patient may experience nutritional deficiencies largely depends on several factors. First, is the person himself or herself – many people have difficulty with the absorption of one vitamin or another. Some have chronic Vitamin B12 deficiencies while others will have trouble retaining Vitamin D. Over the course of time, with proper testing, we will be able to understand the root of these deficiencies and address them.

Second is the procedure performed. The malabsorptive components (where part of the small intestine is bypassed) of a gastric bypass or duodenal switch lend themselves to a greater chance for nutritional deficiencies than purely restrictive procedures such as the gastric band or gastric sleeve.

Finally, your lifestyle will play a key role. Remember, after surgery, you will likely not be able to get all of your vitamins and minerals from food alone – even those that are nutrient dense.

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Choosing the Right Recipes After Bariatric Surgery

March 25, 2015


There’s no shortage of recipes or cookbooks out there and as a bariatric surgery patient looking to expand your culinary horizons, you may be tempted to try quite a few of them. Many recipes tout their unique “tastes great and healthy for you!” qualities, while others guarantee weight loss using exotic “proven” techniques. It is imperative that we dig a little deeper to understand exactly what we’re eating, how we’re eating it and how it will ultimately affect our bodies.

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Obesity and Type II Diabetes

September 18, 2014

Along with the exponential spread of obesity in the United States has come a staggering increase in a silent, but dangerous disease – Type 2 diabetes.

Type 2 diabetes, also called adult-onset diabetes, is generally caused by a person’s lifestyle – usually a lack of proper diet and exercise. While untreated type-II diabetes is a killer disease in the long-term, even the early stages can be devastating and life changing.  The disease has been known to claim people’s eyesight and even limbs, as circulation throughout the body is reduced, giving way to infection.

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Making This Labor Day a Happy and Healthy One

September 1, 2014

Summer holidays such as Labor Day give us a very welcome break from a busy summer. These are the times that we can spend with our families and friends, celebrating the last few weeks of decidedly warm weather. Holidays can also be a very stressful time for those that have undergone bariatric surgery, since there is a tendency to overeat, drink a little too much and generally peel away from the strict diet that we may have been adhering to for a long time. Holidays do not have to cause us angst, especially if we prepare for them a couple days in advance. So, starting this weekend, go ahead and look forward to Labor Day by mapping out a plan for how you will indulge (just a bit), yet largely stick to your post-bariatric surgery plan.

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High Blood Pressure – What Does It Mean?

August 8, 2014

High blood pressure occurs when the pressure in the arteries begins to rise – often a result of the narrowing of arteries and veins throughout the body. High blood pressure can be particularly dangerous to those predisposed to heart disease – resulting from genetic or environmental factors. This is because high blood pressure forces the heart to pump harder. Since the heart is a muscle, just like any other in our bodies, increased pumping leads to enlargement. As the heart swells, it becomes less effective at pushing blood and oxygen throughout the circulatory system. The result, over time, is actually a weakening of the heart muscle, which in turn can lead to a significant cardiovascular event such as congestive heart failure. The arteries in the body are also under added strain due to the increased pressure. This weakening can cause heart attacks, strokes or aneurysms – all sudden and deadly problems.

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Is Bariatric Surgery A Drastic Measure?

July 29, 2014


Many prospective bariatric surgery patients believe that surgical intervention for obesity is a drastic measure. They’re concerns are understandable because surgery is, after all, invasive. Consequently, there are risks associated with any surgery including a weight loss procedure. It is important to remember, however, that while surgery is a last resort, it is also currently the most effective long-term method to combat obesity.

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