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Issue #177 |
November
15,
2009 |

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In This Issue |
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* Birth Control Pills Following Gastric Bypass
Surgery
* Tis the Season for Emotional Eating
* Big Medicine Returns
* Recipe: Sauteed Chicken with Olives and Capers
* Success
Story: Colleen West |

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Following Gastric Bypass Surgery |
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Hi Barbara,
I have a question regarding the effectiveness of taking birth
control pills after gastric bypass surgery. I am 5 years post-op
and have been using the NuvaRing, but don't like it. I was thinking
of asking my gynecologist about switching to birth control pills, but wasn't sure
if they would be as effective. Any information would be greatly
appreciated!
Thanks,
Denise
Hi Denise,
I have heard many stories of patients taking birth control pills
right after surgery and becoming pregnant. I don’t know whether
that level of malabsorption continues after 5 years.
To my knowledge, there have been no research
studies that definitively deal with the absorption of birth control
pills following gastric bypass surgery. There have been studies that
indicate we do not absorb medications as effectively following
surgery. Whether that degree of malabsorption would allow you to
become pregnant, I don’t know, and personally I wouldn’t want to take
the chance. For this reason, barrier methods such as IUD’s and
condoms combined with spermicide are recommended.
I know it seems like an unnecessary
inconvenience, but consider the alternative!
Barbara |

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Tis the Season for Emotional Eating |
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Why do we eat mindlessly? That is something
we all ponder from time to time. We have food in front of us, and even
though we are not hungry, we still grab for it, and eat it. We may not
even like the food, but it is still food, and that irresistible urge
comes over us that we sometimes can’t control.
There are many reasons why we do this.
They range from having an emptiness to fill within us, to wanting to
self sabotage our best efforts. But what makes matters worse is having
the availability of food to grab.
Next week will be the start of the eating
season with the Thanksgiving Day kick off. And the season doesn’t end
until January 2nd. We spend time with family and friends, people visit
and we want to be able to feed them. We visit with others and we hate
to refuse food that is offered after it has been so lovingly prepared.
Then after the guests have left or after we return home, we have this
sickening feeling of failure.
We take food home from parties, or we want
to have special holiday treats to share, and there is food all around
us. Instead of being able to escape the temptation when we go to work,
it is worse. Everyone is bring food in.
Don’t let this holiday be like so many in
the past. Let this be the year that you discover more about yourself,
and why you are plagued with emotional eating. For that, I highly
recommend a CD in which I interviewed Dr. Denise Lamothe, author of
Taming of the Chew.
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In
this hour-long CD you will learn: |
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How to stop
emotional overeating |
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How to stop
obsessing about food |
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How to start
feeling in control |
If that sounds exactly what you need, then
order my CD now.
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End Emotional Eating Audio CD
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Big Medicine Returns to Discovery |
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Health Wednesday, Nov. 18th |
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If you have never seen an episode of Big Medicine, you have really
missed something! Big Medicine is a program which aired for 2 seasons
and is about people who are preparing for weight loss surgery and
following them after surgery. You hear their stories, and get to know
and understand their struggles. They are people that we can all
relate to.
The show helped people who were considering surgery better understand
it. The show also helped dissolve some stereotypes and showed patients
to be motivated and intelligent people suffering from a disease.
The surgeon on the program, Dr. Garth Davis, has contacted me with a
special request for all of you. Big Medicine is being considered for a
third expanded season and the continuation of the show will depend
upon how well the first episode does.
Please tune in to Big Medicine on the Discovery Health Channel in your
area on Wednesday November 18th at 9:00 PM eastern time.
The show will feature an all new episode, “Where Are They Now,” which
will allow you to see how some of your favorites from the past 2
episodes are doing. It is essential that the show get huge ratings.
So tune in, and have your friends and family tune in as well. Let’s
make sure Big Medicine continues!
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Save Big Medicine |
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Watch Wednesday Nov. 18th,
9:00 PM Eastern Time |
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on your Discovery Health Channel |
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Sautéed Chicken with Olives and Capers
Ingredients:
2 teaspoons olive oil
4 skinless, boneless chicken breast halves (about 1 pound total)
1 green bell pepper, cut into wide strips
2 cloves of garlic, slivered
1 cup canned crushed tomatoes
2 Tablespoons pitted and slivered black olives
2 teaspoons anchovy paste (optional)
1 teaspoon capers, rinsed and drained
½ teaspoon dried oregano
½ teaspoon dried rosemary
Preparation:
1. In a
large nonstick skillet, heat the oil until hot but not smoking over
medium heat. Add the chicken and cook until browned, about 2 minutes per
side. Transfer the chicken to a plate.
2. Add
the bell peppers and garlic to the skillet and cook, stirring
occasionally, until the peppers are softened, about 4 minutes. Add the
tomatoes, olives, anchovy paste, capers, oregano, and rosemary and bring
to a boil. Return the chicken to the pan, reduce to a simmer, and cook
until the chicken is just cooked through and the sauce is richly
flavored, about 8 minutes.
Serves 4
Nutritional Information per serving:
181
calories, 6 grams carbohydrates, 28 grams protein, 5 grams fat
If you have a recipe that you would like to share in future issues of
this newsletter, please send it to me at
Barbara@WLScenter.com |


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This is not one of the success stories that
I normally include. It is a story of someone who is trying to deal
with the issue of body image. There are many who experience this, and
I felt it important to share this message.
I recently spoke to a conference of
psychologists on body image, and what we go through following
surgery. I want to thank the many of you for sharing your stories and
pictures with me so that I, in turn, could share them with the
attendees. Colleen West was one of those who responded. I want to
offer her a special thank you for sharing her story.
Dear Barbara,
I had my gastric bypass surgery in 2006, and lost 120 pounds
during the first year. While I am healthier than I have been in a
long time, and can now wear smaller sizes, the excess skin I have
continues to be a huge issue for me. I don't think most people
realize how much their skin has actually stretched over the years,
and how horrible it looks once it is just hanging there.
I have issues with shopping for shirts. The
sleeves have to be long enough to cover the hanging skin. I still,
to this day, do not feel comfortable in a bathing suit because of my
flabby thighs. I think the biggest issue is intimacy with my
husband. I feel that I am more self conscious now then when I was
heavier. My breasts look like deflated balloons. While I am
fortunate that I don't have the "skirt" on my stomach that a lot of
people have, I do have a lot of excess skin in that area, that I try
to cover with such garments as girdles and Spanx.
Although people tell me I look great, and my
husband tells me I'm sexy, I just don't see it when I look in the
mirror. I only see flab and fat, and can't imagine that it would be
attractive to anyone. I do exercise and try to tone, but with extra
skin with no elasticity, it just doesn't tone up.
I think that when going through the
psychological tests prior to having surgery, patients should be made
aware that this can and most likely will happen. It may prepare them
for the shock of seeing what the after effects of losing so much
weight will be.
I have looked into plastic surgery and hope
to one day be able to afford it, but at this point, I just
camouflage the best I can, and make the best of what I have!
Colleen West
Colleen.West.Ctr@Dfas.mil
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Congratulations Colleen |
I love good news. If you have good news, a success story
to share, or
inspiration, please send it to me at
Barbara@wlscenter.com so that I can
include it in future issues. |
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