July/August 2014
NEWSLETTER
For the Bariatric Weight Loss Center
At Northeast Georgia Medical Center
In This Issue:
DIETITIAN: Food
Journaling 101
A Monthly Newsletter for the Bariatric Surgery Population
What Should You Write in Your Journal?
What you ate: Everything that you put in your mouth needs to be
written down.
MANAGER’S
MINUTE
How much you ate of each food. It’s best to measure rather than
RECIPE: Ideas for
leftover veggies
calculate calories.
guess.
Calories: Don’t guess. Make sure you measure, read the labels and
Protein: Make sure that you are eating protein first and getting at
IMPORTANCE OF
LONG TERM
FOLLOW UP
least 60 grams daily
CLOTHING SWAP
Time of day: Write down the time that you eat. If you are snacking,
KIDNEY STONES:
Dietary Treatment
SUPPORT GROUP
DATES
Contact Us:
Bariatric Outpatient
Services
675 White Sulphur Road
Suite 260
Gainesville, GA 30501
Lorita Shingleton, RN, CBN
Bariatric Program Manager
[email protected]
770-219-0446
Vicki Hope, RD, LD
Bariatric Program Dietitian
[email protected]
770-219-0597
Fluids: Again, don’t guess. Drink from measured containers so that
you know how many ounces you drink every day. Fluids should be
calorie-free, for the most part.
grazing or eating a meal, write it down, with the time of day.
Mood: Your mood can play a big part in your eating patterns. If you
can see on paper how your mood affects your eating, it’s easier to
develop a plan to deal with it.
Vitamins: Make sure you record taking your vitamins and protein
supplement intake.
Exercise: Track what you did and for how long. Make a plan for
exercise and make it a priority.
Personal Goals: Set goals for yourself each week along with what
things
you’ll LOSS
do to SURGERY
achieve those
goals.
WEIGHT
VETERANS:
Join us on July 21st for the
Veteran’s Support Group meeting. The meeting will be held in the
NGHS Employee Wellness Building. Dr. Amber French, DO, will be
talking about her book, Wellness 100. Wellness 100 refers to the
maximum daily intake of grams of carbohydrates that is the core of
the program (100 total: 30 at each meal and 10 in snacks) and the
100 recipes that are examples of how to eat according to the
guidelines.
Employee Wellness is located at the corner of Jesse Jewell Pkwy &
Wisteria, Suite D (backside of NGHS Surgical Associates) 1075
Jesse Jewell Parkway.
Manager’s Minute
Optimism! Are you a glass half empty person, or are you a glass half full kind of person? Did you know
that if you are optimistic and see the glass as half full, you are more likely to eat healthier? Notice I
said eat healthier; now, take your eyes off of the wine because you know, that after weight loss
surgery we advise you not to drink alcohol for at least 18 months, or whenever
your surgeon has Okayed you having an adult beverage. If you do enjoy a drink,
make sure that you do not drink and drive. Understand that if you decide to drink
alcohol, you may become intoxicated very quickly. Drink responsibly.
Now back to optimism or pessimism. Studies have shown that someone with a
positive attitude is more likely to make better food choices. Just because someone
may not be jolly or positive all of the time is not an indicator that they do not make healthy choices.
The person with a sunny personality is more likely to make the appropriate lifestyle changes that will
make them feel better. People who want to make a significant lifestyle change (such as weight loss
surgery) should focus on skill-based factors that are associated with optimism.
If you want to be healthier, then do those things that lead to improved health. Eat less fat, eat more
lean protein, eat well balanced “bariatric friendly” meals every day. Avoid snacking or grazing during
the day or evening. Exercise daily and make that a part of your daily routine. Avoid alcohol and do not
drink and drive. Make a new plan to avoid buying unhealthy food for your family. Help your family to
become healthy along with you. Get plenty of water; drink at least 64 ounces of fluid a day. Make sure
you get plenty of sleep at least 8 hours a night. Find a new hobby that will help you take your mind off
of food. Call a friend or better yet, call that friend and go for a walk and talk about the events of the
day. Then after you arrive back home, have a nice cup of decaf tea or coffee and relax and let the
stress of the day leave your mind and your body.
Stay focused on the end result of weight loss surgery and that is improved health and a better quality
of life. So keep your glass half full and think about what you have gained from having weight loss
surgery and stay focused on continued good health. “Stay thirsty my friends” (author unknown). Stay
thirsty for better health and a happier day. So are you an optimist or a pessimist? No matter, you can
be successful with weight loss surgery, just keep a picture of health in your mind, and look at it every
day. Enjoy today because it is a gift, that’s why we call it the “present”. We are with you on this
wonderful journey.
Rita
Grilled Veggies: Leftover Logic
Great ideas to use leftover veggies from the night before!
Cut grilled veggies into pieces and use them in low fat, low carb tortilla
Toss with a little balsamic vinegar, add veggies to couscous
Add grilled veggies to whole wheat sandwich bread
Make a homemade pizza
http://www.recipe.com/blogs/cooking/grilled-vegetables-leftover-logic/
Would you like to receive an emailed version of our newsletter along with
reminders of upcoming meetings/events? If so, please go to
www.nghs.com/weightloss and enter your email in the box.
Dietary Treatment for Kidney Stones
After Bariatric Surgery, some patients have trouble with kidney stones. Your
family doctor will provide you with specific instructions, but here are some
dietary suggestions to minimize occurrence of future stones.
FLUID Drinking lots of water helps to flush away the substances that form
stones in the kidneys.
• Oral fluid intake should produce 2 Liters (70 oz. or 8 ¾ cups) of urine
daily
• Collect urine for 24 hours on normal diet, and then determine how
much fluids needed to produce 2 Liters and drink that much daily
• You may need 12-15 cups (or 96-120 oz. per day)
CALCIUM Dietary calcium may actually bind the oxalate in foods, preventing it
from being absorbed into the blood and excreted into the urine.
• Eating calcium with meals is not harmful
• Consume a normal amount of dietary calcium (800-1000 mg daily)
CALCIUM CITRATE SUPPLEMENTS Calcium taken without food (empty
stomach) will increase urinary calcium, and increase the risk of forming
stones, but calcium taken with food (with meals) can help bind the oxalates
and reduce risk of stones.
•Take calcium citrate supplements with meals to help bind oxalates
before they are absorbed
SODIUM Extra sodium causes you to lose more calcium in your urine, putting
you at risk for developing another stone.
• Limit sodium intake to less than 2000 mg/day
CITRIC ACID Citric acid is protective because it makes urine less favorable for
the formation of stones.
• Lemons have highest citric acid content
• Make “lemonade” with 4 oz. lemon juice, 60 oz. water, and drink
throughout day
•Avoid juices like cranberry, apple, and grapefruit, and avoid all colas
PROTEIN Reducing the amount of animal proteins can help prevent kidney
stones.
• Consume a moderate amount of dietary protein- less than 75 grams
per day
• Limit animal protein (meat, chicken or fish) and eat more plant
proteins (beans, lentils, soy products, whole grains, vegetables)
OXALATE Calcium combines with oxalate in the intestines which reduces
calcium's ability to be absorbed. So calcium oxalate stones can form because
too much oxalate goes to the kidneys to be excreted.
• Some evidence to restrict dietary oxalate
• Avoid foods highest in oxalate: Spinach, Black tea/iced tea, Bran
concentrates/cereals, Rhubarb, Chocolate, Tree nuts (almonds)
Beets, Legumes (beans, peanuts, soybeans, and some soy foods)
• Boiling vegetables decreases total oxalate content by 30-87%
(However, don’t consume the water veggies were boiled in)
Bariatric Clothing
Swap
Saturday August
16, 2014
10:00 am-1:00 pm
675 White
Sulphur Road
Lanier Park
Blue Ridge Room
Set up begins at
8:30 am
Reserve your
table now!
TIME TO HOOP IT UP!
www.muschealth.com/weightlosssurgery
For more
information call
Rita Shingleton at
770-219-0446
Clothes must be
clean, folded, in
good condition
and sorted by
sizes.
If your clothes no
longer fit your
needs, share them
with others!
Importance of Post Bariatric Surgery Follow-Up
Morbid obesity is a lifelong disease. The bypass, sleeve and band are effective tools to help people
control their weight, but it is just that- a tool. It is absolutely possible to regain weight, or not achieve
your goal weight after surgery, if you don’t use the tool properly. Living with a bariatric procedure
requires lifelong responsibility. We cannot stress enough the importance of follow up care. Patients
who regularly keep their follow-up visits almost always lose more weight than those who skip their
follow-up appointments.
You will follow up with your surgeon or another clinician on our bariatric surgery team several times
in the year after surgery with annual visits indefinitely. You can also call the bariatric coordinator at
any time between visits if you have any questions or concerns. It is important to keep these
appointments for your long term success with weight loss.
Also, support groups are here for your long term success. Meetings are held twice a month and
include talks from multidisciplinary team members, such as dietitians, exercise physiologists and
behavioral health professionals. We also offer a Veterans support group for those who are more than
one year out from surgery. The Bariatric Surgery Support Group is for those who are considering
surgery and for those who have had bariatric surgery to come together to talk, share experiences and
provide emotional support for one another. We had a combined attendance of over 90 people at the
June support groups, with a combined weight loss of over 3,000 pounds! How awesome is that?
Come join us and make monthly support group meetings and regular follow-up appointments with
your surgeon apart of your successful, long term weight loss surgery journey.
Check out this app…
FOODUCATE
Looks beyond the calories and helps you eat healthy and
tasty. Scan a product barcode to see what’s really in your
food. Fooducate will also show you healthier alternatives!
Products are awarded a nutrition grade of A, B, C, or D by
an automatic algorithm. Minimally processed, real foods
with intrinsic nutrients will score better than processed
foods that are poor in built-in nutrients. Our analysis is
based on information that appears on a product’s package the nutrition facts panel and the ingredient list.
Support Group Dates
Bariatric Support Group
July 14th at 6pm
July 11th at 10am
August 11th at 6 pm
August 8th at 10am
Meetings in Blue Ridge Room
at Lanier Park Campus
Bariatric Veteran’s Support Group
(More than 1 year out from surgery)
*July 21st at 6 pm
August 18th at 6 pm
Meetings in Suite 260 at Lanier
Park Campus
*see front of newsletter