*Gayle's Now and Then Pics
*Amanda's Now and Then Pics

News
We will meet at 7 PM every first Monday of the month.

Place: Uthoff Valley Elem. School at 1600 Uthoff Drive Fenton,MO 63026.

In Feb. we will have a personal trainer visiting our support group!

November 2009
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Group Leaders

leader:
Amanda White
OH Leader:
Gayle Rice

Links Section


OBESITY HELP

NEW START

LIVING AFTER WLS

TRISA'S SITE, WLS 4 HEALTH

POUCH TEST

BARIATICS
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Welcome to The ACHIEVERS web site. 

We are a new weight loss surgery support group in West St. Louis County. Your leaders have both had Laparoscopic Roux-en-y Gastric Bypass Surgery through New Start, the center for surgical weight management. (RYGBP) Is a combined restrictive and malabsorption procedure. We invite you to attend our next group meeting.

Studies have shown Bariatic surgery can significantly reduce health conditions related to obesity; such as type 2 diabetes, high blood presser, heart disease, osteoarthritis of weight-bearing joints, Sleep apnea, respiratory problems, depression, gastroesphageal reflex, infertility, fatty liver or hepatic lipidosis, skin breakdown, swollen legs, urinary stress incontience, menstral irregularities, lower extremity venous stasis, IIH, Dyslipidemia, pilmonary embolus and cancer. Thus resulting in a longer more quality life.

 
Daily Essentials for those who have had Weight Loss Surgery

  PROTEIN, WATER, VITAMIN SUPPLEMENT & EXERCISE

* Protein is the body's "building blocks". It is critical to many functions of your body including immune system function, blood pressure control, hair and nail growth, and muscle maintenance to name a few. Good sources of protein are low fat dairy, meats, eggs, beans, tofu and protein supplements. You need MORE than 65 grams of protein per day or you will start experiancing hair loss, fluid retention, loss of muscle strenght and a decreased ability to fight infection.

*Water (lots of it) is a must. At the very lest you should be drinking 62oz a day. It flushes out waste products and prevents dehydration. Adequate hydration is critical. If you are thirsty, you are already showing signs of mild dehydration. If your urine is of little quanity or dark yellow in color you are not drinking enough to provide your body the fluid it needs to function properly.

* Vitamins and minerals are necessary to ensure each body system is functioning properly. Deficiencies are rearly seen in Gastric Bypass patients IF THEY FOLLOW SUPPLEMENT GUIDELINES.

*Exercize is important for weight loss and keeping it off. It increases the amount of time that your metabolism is active and helps control appetite. It releases endorphins, improves flexibility, strenght and improves balance.

Lifestyle Changes Following Surgery

Why is exercise so important? When you have bariatric surgery , you lose weight as the amount of food energy (calories) you can eat becomes much less than your body needs. Your body has to make up the difference by burning unused fat or muscle tissue. Your body will tend to burn any unused muscle before it begins to burn the fat it has saved up. Without daily exercise, your body will burn unused muscle, and you will lose muscle mass and strength. Daily aerobic exercise for 20 minutes will tell your body to use your muscles and force it to burn the fat.

How much exercise is needed after bariatric surgery? Exercise is an important part of success after surgery. Exercise actually begins on the afternoon of bariatric surgery––the patient must be out of bed and start walking. The goal is to walk further every day after that, including the first few weeks at home. You may be encouraged to begin exercising, limited only by discomfort, about two weeks after surgery. The type of exercise depends on your overall condition. Some patients who have severe knee problems can't walk well, but may be able to swim or bicycle. Many patients begin with low-stress forms of exercise and move on to more demanding activity when they are able.

Why is it so important to drink so much water? When you are losing weight, there are many waste products to eliminate, mostly in the urine. Some of these substances tend to form crystals, which can cause kidney stones. A high water intake protects you and helps your body rid itself of waste efficiently, promoting better weight loss. Water also fills your stomach and helps create a feeling of fullness. If you feel a desire to eat between meals, it may be because you did not drink enough water in the hour before.

What is dumping syndrome? Eating simple sugars (such as sugar, honey, and corn syrup), high-fat foods, or other small-particle foods can cause dumping syndrome in those patients who have had gastric bypass surgery. This occurs when these products, which have a small particle size, are “dumped” from the stomach into the intestine at a rapid rate. Water then is pulled into the intestine from the bloodstream to dilute the sugar load. This flush of water causes symptoms that can include diarrhea, rapid heart rate, hot flashes or sweating and clammy skin, dizziness, or the feeling of needing to lie down. Some individuals experience some or all of these symptoms after eating more than 3 to 5 grams of sugar, alcohol sugar, or greasy foods, while others can handle greater amounts.

Though the symptoms are unpleasant, dumping syndrome is a helpful condition. Some patients will avoid sugar because of the very unpleasant symptoms it can cause. Dumping syndrome generally occurs 10 to 30 minutes after eating and the symptoms can last for 30 minutes to two hours. The best treatment is prevention by avoiding foods that cause dumping syndrome. If you have dumping syndrome, lie down for a short while to lessen the symptoms. Dumping syndrome is a positive side effect of the surgery; it helps you learn to eat healthy!

 
Our Group Poem


I am an achiever

I watch what I eat

I make healthy choices

Like eating lean meat

I drink lots of water

I'm now eating to live

NOT living to to eat

Taking my vitamins

keeps me on my feet

moving and grooving

along with the beat

I am an achiever!

WORDS OF WISDOM

To the world you may just be one person, but to one person you may be the world. Make yourself a blessing to someone. Josephine Billings

This is true in everyday life as it is in battle: We are given one life and the decision is ours whether to wait for circumstances to make up our mind, or wheather to act and, in acting, to live. Omar Bradley

Hardship often prepares an ordinary person for an extraordinary destiny. CS Lewis

I believe in the sun even if it isn't shinning. I believe in love even when I am alone. I believe in God even when He is silent. WW II Refugee

12 STEPS FOR EXERCISE SUCCESS:

1. Choose activities that are fun. Exercise doesn't have to be a chore and the more fun it is, the more likely you are to stick with it. Have you ever noticed that children don’t need to be reminded to play? Make your exercise program more like “play.”

2. Variety is key! Don't just find one thing and stick to it... you can bored or burned out. Find a couple different types of exercise that you enjoy (swimming, biking, weight training, yoga, group exercise classes, etc.) and alternate activities!

3. Keep a record of your activities. Set small "achievable" goals and reward yourself. Whether it is walking around the block or training for an organized fitness event such as a local 5K or 10K walk/run in your area, create a fitness goal. This goal can be great motivation to exercise on a regular basis. Don't think you can't do it...YOU CAN! Nothing motivates and keeps you going like the momentum of continual success!

4. Make it a lifestyle! Short-term diets and fitness kicks don't work. Lifestyle changes that are part of your routine are important for long-term success.

5. Make an appointment with yourself. Keep this appointment like you would a doctor appointment or lunch with your best friend. Pick a time that's convenient and try to stick to it. If your habit is to work out before work or walking during your lunch hour... you're more likely to stick with it.

6. Don't be too hard on yourself. If you miss exercising, try to work something else in rather than feeling down. If a lunch meeting interferes with your regular walk... go for a walk after dinner.

7. Stay entertained. Music is a great motivator and can make exercise more fun. Create your own CD's with your favorite music and listen to them when you're working out. Many people also like to watch TV while on a treadmill. Associate something pleasurable during your exercise.

8. Listen to a recorded version of a book. Promise yourself that you will listen to the book only while you are exercising. This will encourage greater frequency and longer periods of exercising.

9. Surround yourself with supportive people. Share your activity with others who want to see you succeed and will be encouraging. You may walk with a co-worker over lunch or find a workout partner. If you're at the gym at the same time everyday, look for people that may have similar goals. Since your schedules are the same, maybe he/she is looking for a workout partner?

10. Slow and steady wins the race. Don't risk injury by pushing yourself too hard too quickly. Start with low to moderate level activities and gradually increase the duration and intensity of your workouts as you become more and more fit.

11. Don't get lazy! While pushing yourself too hard is bad... not doing enough is equally bad! There is a fine line between staying on a plateau and providing enough activity so your body will grow. You should gradually increase the amount of weight you lift, the length of your cardio exercise, etc. to keep you moving towards your goal.

12. Create your own “Personal Reasons List." Write down EVERY reason you think of that you want to get healthy/get fit/lose weight through consistent exercise. When you actually think of real life reasons why you want to practice a regular exercise regime, you will have your own personal list to refer to when your motivation is low.

www.obesityhelp.com

  Basic Nutritional Suppliments are a must.


Iron (ferrous fumerate) only, not ferrous sulfate

2-3 Calcium CITRATE,1200-1500 mg. Not calcium carbonate

2 Multi vitamins, "high potency" or "bariatric-specific"

1 monthly B-12 injection is best, but you can take a 1000 micrograms, subligual on a daily basis.(cobalamin concentrate)

These are the minimums, you may want to add at A, E, D, C and zinc.

Here is a daily schedule you might try:

AM: 2 Iron (25 mg each) (ferrous FUMERATE, Carbonyl Iron, or elemental iron, Vit. C (1000 mg)ascobic with rosehips

Mid-day: Calcium CITRATE(500 mg)with Vit D and Magnesium (250mg) Vit. E (4000 IU E alpha tocopheryl sucinate) 1 multi-vitamin

Evening: Calcium CITRATE (500 mg) with Vit D and Magnesium (250 mg) Zinc (50 mg zinc gluconate, chelated) 1 vitamin A&D (10,000 IU Vitamin A & 400 IU Vitamin D3)

Bedtime: Calcium CITRATE (500 mg) with Vitamin D and Magnesium (250 mg)

B Complex tabs daily are helpful for more energy and never forget you monthy B-12 injection or daily (1000 mg) sublingual B-12(cobalamin concentrate)

Be sure to choose dry tablets or chewables.

Keep in mind we do not absorb oil gel caps or time released vitamins.

Please keep your lab results and compare them. You have to make it your mission to make sure ALL your labs are in their target range. This should be done at least every THREE months. Your health depends upon it!

Remember because of Malabsorption we only receive about 50% of the nutrients we ingest,at best.

Doctors suggest not drinking fluids with your meals.

If one does not get the proper amount of nutrition/suppliments, eventually they may need a blood transfusion. Follow the rules to avoid deficiencies that lead to anemia and malnutrition.

HOW TO FAIL AFTER WLS

1. Assume you are different, and what works for the successful people doesn’t or won’t work for you.

2. Make excuses. For everything. Tell everyone you know how your predicament isn’t your fault.

3. Don’t exercise. You are a busy person and don’t have time. Besides, you hate it.

4. End every excuse-filled sentence with “I must be doing something right, I’m still losing weight.”

5. Test the limits of your surgery. Overeat. Graze.

6. Eat sugar. You can get used to a little nausea.

7. Eat bread, rice, potatoes & pasta. You shouldn’t have to deprive yourself of anything.

8. Fall for the packaging and advertising gimmicks. “All natural” means it’s good for me, right?

9. Whine. Think and talk about all the things you have to give up. Dwell on them.

10. Take the cheapest vitamins you can find. Stop taking them after a year because you are tired of the routine.

11. Don’t follow any advice or directions from your surgeon or anyone else. You know best.

12. Eat that holiday candy. It would be a shame for it to go to waste.< P> 13. Don’t use your pouch. Try diet pills instead.

14. Forget protein. It tastes bad. Bring on the sandwiches!

15. Don’t educate yourself. Just follow your doctors blindly.

16. Drink soda. Preferably with meals. It’s just too hard not to drink something for that half hour three times a day.

17. Eat everything offered to you when visiting others. You wouldn’t want to hurt their feelings.

18. Drink alcohol. Daily. You have earned the right to enjoy yourself.

19. Be content with losing 50% of your excess. Losing the other 50% is too much work, and you didn’t do this to have to be on a diet for the rest of your life.

20) my pouch stretched out and allowed me to eat more and more over time, thus causing me to regain.

21) my stomach stretched out, and all of the food I ate dumped directly into my intestines causing me to be hungry all the time. I ate to satisfy this natural hunger, because it was a real biological need, and I regained weight.

22)I had a staple line disruption and/or a fistula developed between my old stomach and my pouch...this basically undid my RNY.

23) the dumping I expected to have after the RNY, never appeared, or it disappeared in a few months after my body adjusted to the surgery. Thus limiting the already negotiable effects that dumping was suppose to have in changing my behavior.

 
50 things to do instead of snacking


1. Imagine the new healthier you 2. Walk around the block

3. Call a friend 4. Make a list of your Top Ten Reasons to Lose Weight

5. Make a To Do list 6. Turn on music and dance

7. Jot a thank you note to someone 8. Go to bed early or take a nap

9. Read a book 10. Blog or journal 11. Give yourself a manicure or pedicure

12. Plan a healthy meal for your family 13. Surf the Internet 14. Finish an unfinished project

15. Walk your dog, pet your cat, feed your fish 16. Brush your teeth

17. Balance your checkbook 18. Say a prayer 19. Chop veggies to keep on hand

20. Give a massage 21. Clean out a junk drawer 22. Play a game with your kids

23. Try a new route on your walk 24. Drink a glass of water 25. Kiss someone

26. Try on some of your clothes 27. Look at old pictures 28. Rent a video

29. Wash your car 30. Take a hot, soothing bath 31. Update your calendar

32. Work in your yard 33. Start your holiday shopping list 34. Count your blessings

35. Write a letter 36. Fold some laundry 37. Check your e-mail 38. Give your dog a bath

39. Send a birthday card 40. Meditate 41. Hug someone

42. Rearrange some furniture 43. Light a fire or some candles

44. Put your pictures in an album 45. Plan a trip (real or imaginary)

46. Straighten a closet 47. Clean out a files 48. Visit a friend

49. Clean out your trunk 50. Do something nice for someone.

  Keys to Weight Loss Success


DO NOT DRINK AND EAT AT THE SAME TIME! It will wash the food through your pouch causing you to get hungry sooner. Keep your food intake around 4 oz. Over eating can stretch your pouch leading to the ability to eat more food at one time.

Take small bites

CHEW! CHEW! CHEW!

Eat and drink slowly.

Commit to daily exercise. Walking and some kind of strenght training

Read food lables.

Pre-plan your menus.

Do not snack between meals

Seek support. Successful patients do not begin thier weight lose journey alone. Attending a support group and find a fellow weight loss surgery patient to talk to.

Be sure to check out the great links below our calendar to the left.

Other tid-bits of information we have gathered:

Did you know that:

* Loosing extra pounds can reduce your risk of breast cancer by 29%. Excess fat produces estogen and growth factors that fuel the growth of abnormal cells. Plus, cancer causing toxins are stored in body fat. So the less fat you have the fewer toxins your body harbors.

*1/2 cup of beans can lower the risk of cancer by 33% because they're loaded with fiber, which binds to toxins in the digestive tract sweeping them out of the body before they can be absorbed.

 

The Achievers Sample Pattern for Eating Daily


30 mins before breakfast: Milk or water

Breakfast: 4 oz. protein with fruit

mid-morning: 4-8 oz. liquid protein or protien bar

Lunch: 4 oz. protien with salad

Mid-afternoon: 4-8 oz. liqiud protein or a protien bar

Dinner: small well balanced meal, protein first-stopping at the first sign of fullness always.

Eat only nutritious foods. (Eating to live, NOT living to eat)

Drink plenty of water between meals. If you think you are hungry, drink 8oz. of water first and wait 30 mins. If you are still hungry eat protein.

***Avoid simple carbs, sauces, fried foods, carbonated drinks, sweets, and liquors.

*** Look for low fat, whole wheat, and sugar free items. Learn to read lables.

*** Write down everything you eat and drink. See how many caleries you are actually consuming. Please check with your dietition for the proper calorie intake for you.


 
 WLS ACHIEVERS SUPPORT GROUP
1600 Uthoff Drive  •  Fenton, MO 63026
phone: 636-257-3733

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