Baby Weight


Happy Memorial Day!..Hope everyone is enjoying the traditional first weekend of the summer.  Friday and Saturday felt more like winter than summer to me, but the weather finally seems to be co-operating today.

Two weeks ago, I did my traditional "Mother's Day" newsletter (hope y'all enjoyed the poem :))…if not you can read it here:

Anyway, it got me to thinking….

One of the standard questions we ask every patient who comes to our office is: "When did you first start having a weight problem?"  The two most common answers are: 1) My whole life and 2) After my first (or second, or third) pregnancy.

In other words, while becoming a mother is a source of pride and joy in many of our patients lives it is simultaneously the start of an ongoing struggle to lose the "baby weight"…you know the dreaded baby weight!!

How much weight should a woman gain with pregnancy?  A little quick math tells us, the baby weighs about 8 lbs, the placenta weighs about 5 lbs and the mothers blood volume has to expand to feed the placenta and the baby (lets figure another 5 lbs).  So, we have around 18 or 20 lbs and lets put in a 'fudge factor' and say up to 25 lbs is a 'normal' weight gain for pregnancy.  If a woman gains 25 lbs during her pregnancy, when she delivers the baby she will lose around 12 to 15 lbs just with the delivery (depending on exactly how much the baby and placenta weigh).  So lets say she gained 25 lbs with the pregnancy and loses 15 at the delivery she's left losing 10 lbs which sounds manageable.

Unfortunately, what should happen and what actually happen are often two very different things.  I have patients who have gained 50 or 100 or 150 (Yikes!!) lbs during their pregnancies.  You don't need to be a doctor to know that can't be good for either mom or baby!  It increases your risks at the time of the delivery if you have gained that much weight and after the delivery it will be very difficult (if not impossible) to lose that much weight.

I know it is a cliche (but nevertheless has much truth to it) that once you become a mother your child's health becomes more important than your own.  So, in a particularly cruel twist of fate, not only does mom NOT lose the weight she gained with pregnancy, but since she is not really taking care of herself but taking care of her child…she gains more!!

Trust me when I say, one of the biggest favors you can do for your children is to make sure YOU are healthy.  You haven't done your kids a service if, as a result of your pregnancy, you are now diabetic with sleep apnea and even worse can't play with them because you gained 50 or 100 lbs and can't move around.

If you, or someone you know, is in the situation that I've just described, luckily there is a very effective solution….it is called bariatric surgery!  And if you (or someone you know) IS in the situation of trying to lose over 100 lbs that was gained during pregnancy (or for any other reason, for that matter) you should seriously consider bariatric surgery.  It is by far the most effective treatment for losing 100 lbs or more.

But, in all honesty, my purpose today isn't to put in a plug for bariatric surgery (although as a bariatric surgeon it is hard to resist doing so..) but to hopefully prevent a few people from ever needing my services at all by making sure they don't gain that amount of weight in the first place.  So, for all the mom's to be out there….20 to 25 lbs of weight gain is just fine with the pregnancy.  The best Mother's Day gift you can give yourself (and your kids) is your own good health!


Pregnancy huffington post
scale humor




From the Gut... by Glynn Fluitt
Mr. Fluitt is a patient, member of the Century Club and graciously contributes his thoughts and insights as a patient, a champion and an advocate for us all!


Southern Man and his Bacon…


I missed breakfast this morning!


I did not look up at the clock and realize "shoot! I forgot to eat breakfast today!!". I mean I MISSED breakfast!


I'm a southern boy. I grew up on a hearty breakfast. I wanted waffles overflowing with butter and maple syrup. I wanted biscuits and sausage gravy. I big plate of toast with butter and grape jelly would taste great.

I'd love a big bowl of Frosted Flakes.


And a breakfast burrito. Con pappas! Y salsa et cremme fresh.


And bacon!!!!!!


So obviously I was feeling a little deprived. That made me sit and take stock of who and what I was.


I'd been working 12 hour days. With commute I was leaving the house at 7:10 am and getting back at 9:40 pm. I'm behind on my projects because I'm short staffed. I got home last night and my wife asked I wanted her to make me something to eat. It was too late and I was tired, didn't want to go to sleep on a full stomach and be uncomfortable. So I said no.


So on this train this morning I'm feeling sorry for myself and deprived. I started calculating what I COULD get for breakfast. Then I started thinking about y'all. What would I say to YOU in this situation?


"You deserve to feel healthy. You don't feel great after having those other things. You've invested too much in this weight loss and surgery to go back. Sure it's only once.. but then comes the next time! Do these things really make you feel appreciated, or does it fill some other void? What else could you do to make yourself feel better?".


Well, I've been interviewing candidates for
my open positions. I delegated some work to someone else. And I gave myself permission to leave the office at 5:30 pm today. I already feel better!


So I ordered my 3″ flat bread egg white turkey and ham breakfast sandwich at Subway, with one slice of cheese.


Follow me @BariatricDude


And thanks for being there for me!!






Fish is a wonderful source of protein that is low in fat and easy to make.  The benefit to consuming fish is the omega-3 it contains which can reduce inflammation throughout the body and reduce the risk of heart disease. Below is a quick week night meal that the whole family will love.  

Broiled Halibut With Warm Lemon Shallot Sauce

Serves 4


    3/4 cup fat-free reduced sodium chicken broth
    1/2 cup finely chopped shallots
    1 1/2 Tbsp lemon juice
     2 Tbsp Promise Buttery Spread
    2 tsp finely chopped fresh parsley
    1/2 tsp grated lemon peel
     4 pieces (4oz each) halibut fillets, grilled or broiled



    Bring broth, shallots and lemon juice to a boil in 1-quart saucepan over high heat.  
    Continue boiling 10 minutes or until liquid is almost evaporated.
    Remove from heat.
    Stir in Promise Buttery Spread, parsley and lemon peel with wire whisk.
    Serve over halibut.  

Nutritional Analysis (per serving)

    Calories: 180
    Fat: 7g
    Carbs: 4g
    Protein: 24.g


Click Here for More Recipes to Enjoy!     

Upcoming Free Informational Seminars

The next Free Informational seminar  at our Millburn office is on Wednesday May 29th 2013 starting at 6:30pm.  Dr.Yurcisin leads the discussion on weight loss, your surgical options and if 'Bariatric Surgery is Right for Me? Please be sure to invite friends to attend – promise it makes a difference

to Pay it Forward! If you cannot make the May 29th seminar, be sure to check out future dates on our website: Click Here to see Upcoming Dates!

In This Issue Baby WeightFrom the GutMarisol's Nutritional CornerEnd Quotes

This Designation  is the 1st line of Defense for All Patients when looking for a Certified Center of Excellence Bariatric Surgeon.  GSBWC has proudly been Certified since we began our practice.

CLICK HERE to Share Your GSBWC Journey on Obesity Help!!!!
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GSBWC Office Happenings

JUNE  2013 Team Happenings!

JUNE Is a busy month of Birthday Kudos and Treats for the Team:
June 17th: Marisol
June 20th: Laurie
June 24th Kaitlyn
June 27th Dominga
HAPPY BIRTHDAY TO ALL IN JUNE – and to Many Many More!!!!!
people in arms


1% club  

Help your friends, family and colleagues join the 1% club and permanently cancel their membership in the 99% club.


" Never believe that a few caring people can't change the world. For, indeed, that's all who ever have"   — Margaret Mead   


Pay It Forward 2013
We will adding a new section to our website:
BIZ BUZZ?? (Please Help Us with a Great Name for the New Section on our website dedicated JUST to Patient's business):
 allowing patient's to list their businesses on our site! We know so many up to good things, creating businesses and taking on their dreams and want to give you an opportunity to let others know what you are up to in life!
If you are interested in your business being featured on our website, please email Laurie at: to get started.


Upcoming Dates and Locations of Support Group in Your Area:

Next Support Group at ACC in Livingston, NJ is June 12th, 2013 from 6pm to 7:30pm.  Support Group attendance and participation is an important part of keeping and maintaining your health and weight goals!

Thanks For Trusting Us with Your Health!

End Quotes:  

"In two decades I've lost a total of 789 pounds. I should be hanging from a charm bracelet."

— Erma Bombeck

" I'm the same weight now as I've always been-even before having children-but I have to say there's been a redistribution of the flesh! " — Francesca Annis

"We have a weight to carry and a distance we must go.
We have a weight to carry, a destination we can't know.
We have a weight to carry and can put it down nowhere.
We are the weight we carry from there to here to there."
—Dean Koontz Book of Counted Sorrows


 Yours in Good Health,  
  Michael Bilof, MD
 Basil Yurcisin, MD

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