To Weigh or Not To Weigh?
Happy New Year to all, I know it is a little late….but as they say, better late than never! Actually the reason this is late is because I moved over the Holidays (piece of free advice don't EVER move over the Holidays! ). Anyway, I am finally moved in (sort of) and getting back to a 'normal' routine.
Just as an aside the reason I moved is to focus more on our Ocean County office. Our commitment is to be out of our Bayville office and in a new office (most likely in Toms River) by April 1st (April Fool's Day…I know) so stay tuned, it will be a topic for a future newsletter.
So. back to the topic at hand….To Weigh or Not To Weigh, that is the question?
"Doc, your scale is different than my scale?" or "My weight at my other doctors office was different?" are questions I get quite frequently, so I wanted to spend a little time discussing how to weigh yourself. Seems like a simple enough concept but there are definitely a few do's and don'ts. By the way, the do's and don'ts that follow are just for the first year after surgery, after the first year different rules apply.
Ok, so the first (and most important) "Don't"…don't weigh yourself everyday (or worse several times per day!). The change in your weight between 8 o'clock in the morning and 8 o'clock at night (if there is a change) is meaningless. I mention this because many patients (particularly right after surgery) get in the habit of weighing themselves every day or several times per day (bad habit to get into). In the first couple of weeks after surgery your weight may indeed change everyday or so, but this obviously won't continue forever. Then about 3 or 4 weeks after surgery comes the day that your weight doesn't change and most patients then panic….."OMG the surgery isn't working!!"…don't worry the surgery is working just fine. The weight loss will slow down after the first month (that is normal), but if you are weighing yourself everyday you will just give yourself unnecessary worry and stress.
Now the first "Do"…do weigh yourself…just not everyday! ðŸ™‚ The reason I say that is because I have patients who go to the other extreme and never weigh themselves (they basically only get weighed when they come to the office). Never weighing yourself is no good because you won't know if what you are doing is working or not working. Basic rule of thumb is in the first year after surgery most patients should be losing a pound or so a week (this is just a very rough rule of thumb). How much weight you lose in a week depends on several things including what weight you started at, what surgery you had and how far out from surgery you are.
Ok, so how often should you weigh yourself? There is no hard and fast rule here but once per week (or maybe every other week) is probably about right. As I mentioned above in the first year after surgery we should see some weight change every week or so. That means that if it has been 2 (or 3 or 4) weeks without any weight change it might be time to come to the office or make some other adjustments and see if there is something you need to do, or it may just be that you've reached your final weight. Either way, however, if you are less than one year out from surgery and your weight hasn't changed for a month you should definitely come in for a check up.
Ok, so the rest of the "Do's"…do weigh yourself on the same scale each time (different scales will often give different weights). Do weigh yourself on the same day each week and at the same time of day (Sunday morning is a good time, but anytime of the week when you are not in a rush). And the last "Do" is do wear the same (or if at home) no clothes when you weigh yourself. So, to summarize…same scale, same time each week and same (or no) clothes each time you weigh yourself.
Quick word on "Body fat" scales. Many patients go out and spend extra money on a body fat scale, these are scales that supposedly measure your percent of body fat. Save yourself the money and don't bother, just use a regular scale that measures your weight. The results the body fat scales give are very variable and not very accurate. To give you an idea "Consumer Reports" (the magazine that tests consumer products) no longer tests body fat scales because of how inaccurate they are. Bottom line, don't waste money on a body fat scale.
That's it for this week..next time we'll talk about that New Year's resolution (you know, the one about losing weight!!) and how to make sure the people in your life are successful (HINT: it has something to do with the voucher you see to your right, the one that says "Garden State Bariatrics" and "1% club").
Below you'll see a funny picture…no particular reason just thought it was cute…and Glynn Fluitt has his "From the Gut" column (watch out, he just got the flu) and Marisol has a bariatric friendly recipe to start off the New Year.
Animals do the darndest things, don't they?…..Funny Pic
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!
I forgot …. now I remember!
This past weekend my system finally sent me a body slam. It started slowly, just a tickle in my throat on Friday night. By Saturday afternoon I couldn't get out of bed. And there I stayed, until mid-day on Monday.
Blah blah blah everyone gets sick. And whoohoo! this is the time of the year when it is a naturally occurring event.
The reason I mention it here is that, except for the few crackers I nibbled on, my entire diet was Gatorade and water. For 2 days. And I wasn't hungry!!
Some of it, of course, was that I didn't feel well and the thought of food seemed too tiring but mainly uninteresting. The OTHER part of it is — we really don't need to eat as much as we do!! We're not starving!!!!
Over the course of that weekend I lost a few pounds. I was inactive, so I know I didn't BURN it off, and some was just plain water weight, right? Point is, it was enough to remind me that perhaps I had started falling back i
nto old habits of just "eating for eating's sake". The antithesis of what my goal should be!
So as I got past the weekend, I consciously continued the pursuit of making certain I had a baseline of protein and carbs, taking my vitamins and supplements, and drinking my water — (and diet coke, shhhhhhh!). I'm still not hungry!!!
This is like being post-surgery. No hunger. I remember now!!!!
I noticed that when my wife and I had an argument, my first subconscious inclination was to go downstairs and get some crackers and cheese — visceral. I didn't. I just gave myself permission to go get it later. Then — I forgot! I wasn't hungry. I was just lashing out.
Over the now week-plus period, I've lost six and a half pounds that I had reestablished. Some temporary, some not.
But I'm not hungry.
MARISOL'S NUTRITIONAL CORNER
Cold temperatures call for warm, hearty and healthy soups. Here is another recipe from Ellie Kriegers cook book "Comfort Food Fix".
Serving size 1 cup – makes 6
2 teaspoons olive oil
1 medium onion, chopped1 clove garlic, minced
1/2 teaspoon ground nutmeg
1 large head broccoli, florets and tender part of stems, chopped (about 6 cups)
3 cups low-sodium chicken broth
2 cups low-fat (1%) milk
2 tablespoons all-purpose flour
1 1/4 cups lightly packed shredded low-fat extra sharp cheddar cheese (5 ounces)
1/2 teaspoon salt
1/4 teaspoon freshly ground black pepper, plus more to taste
Heat the oil in a soup pot over medium heat
Add the onion and cook, stirring, until softened and translucent, about 4 minutes
Add the garlic and nutmeg and cook for 30 seconds
Add the broccoli and chicken broth and bring the mixture to a boil
Reduce the heat to medium-low and cook until the broccoli is tender, about 5 minutes
Remove from the heat and allow to cool slightly, about 15 minutes
Meanwhile, in a small saucepan, whisk together the milk and flour until the flour dissolves
Heat the mixture over medium-high heat, stirring constantly, and bring to a gentle boil
Reduce the heat to medium-low and cook, stirring occasionally, until the mixture has thickened, about 3 minutes.
Add one cup of the cheese and cook, stirring, until melted, 2 minutes more
Remove from the heat and cover to keep warm
Working with about 1 cup at a time, puree the broccoli mixture in a blender until it is smooth, and then transfer it to another pot. (Alternatively, you can use an immersion blender.)
Stir the cheese mixture into the broccoli puree, season with salt and black pepper and cook over medium-low heat until warmed through, 3 to 5 minutes more
Serve garnished with the remaining cheese.
Click Here for More Recipes to Enjoy!
*** FREE SMARTPHONE APPLICATION ***
Patients are frequently asking for suggestions on how to keep track of what they eat and how they know the mix of what is in what they eat – Protein, Sodium, Fiber,Carbs, Good and Bad Fats) especially when they are out or do not have access to the labels of the food they are eating. If you want a mobile application to assist you when on the run, out eating or just like having it at your fingertips at all times…there is a Free Smartphone App called "LOSE IT!" that I have been suggesting to patients as an option to work the menu and menu the work for before, during and after surgery. I have reviewed the app and find it to be a good way to help you work your plan.
If you are using it now – would love to hear how it is working for you.
We are not associated with the app in any way or receive any compensation for recommending the application ðŸ™‚ –
Upcoming Free Informational Seminars
The next Free Informational seminar is at our Millburn office on Wednesday February 6th, 2013 starting at 6:30pm. Dr. Yurcisin leads the discussion on weight loss, your surgical options and if 'Bariatric Surgery is Right for Me?'.
In This Issue Funny PictureFrom 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!!!!
More About Us
GSBWC Office Happenings
January 2013 Team Happenings!
Thanks to all our patients that have taken on the 2013 Goal of Paying it Forward – sharing what is possible and giving the FREE Voucher to people in their lives! The staff has been busy, busy, busy welcoming new patients to the GSBWC family! Keep Sharing – We are Here for you and yours!
people in arms
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: firstname.lastname@example.org to get started.
Upcoming Dates and Locations of Support Group in Your Area:
Next Support Group at ACC in Livingston, NJ is February 13th, 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!
"If you are too busy to laugh, you are too busy". –Proverb
"Laughter is the sun that drives winter from the human face". –Victor Hugo
" It is bad to suppress laughter. It goes back down to your hips". –Author Unknown
"Dogs laugh, but they laugh with their tails. What puts man in a higher state of evolution is that he has got his laugh on the right end" –Max Eastman
Yours in Good Health,
Michael Bilof, MD
Basil Yurcisin, MD