Click to view this email in a browser

Dear Friends and Family of Laparoscopic Associates and The Surgical Weight Loss Center of Hawaii,

There are so many exciting things going on in the next several months. Dr. Cirangle will be doing grocery store tours at his support groups, Jeannette is launching her TeleReach program, as well as speaking at support groups. Tara will also be attending the groups. Check the LapSF calendar!

The weather is beautiful! We hope you are taking advantage of all the fun outdoor activities!

Dr. Cirangle in the media

ImageDr. Cirangle is the first and only physician in San Francisco to perform an incisionless weight loss surgery procedure called StomaphyX™. This new outpatient procedure is for patients who have have previously undergone weight loss surgery and regained excess weight.

Read the press release!

Image Upcoming Support Groups

Saturday, May 15th 9:00am - 12:00pm

Petaluma Support Group
Sheraton Sonoma County Petaluma, 745 Baywood Drive. New Patient Seminar at 9am, Support Group at 10:30am.

Wednesday, May 21st 6:00pm - 8:00pm

San Jose Seminar and Support Group
Good Samaritan Hospital, 2425 Samaritan Drive *Room change:Teleconference trailers in the East Parking Lot*

Saturday, May 31st 1:00pm - 3:00pm

Monterey Seminar and Support Group
Hyatt Regency Monterey, 1 Old Golf Course Road

Calendar of Events

Back on Track: One Patient's Story

At 4 and 5 years after a great weight loss of 110 lbs from my RNY with Dr, Jossart, I found myself making bad choices. I started to put weight back on. In year 4 after I noticed a 15-20 lbs gain. I joined a fit club and went right back to basics on my eating. I did good and in March of 2007 I had my tummy tuck. I was at a good weight, my tummy tuck was looking wonderful and I fell into a false illusion of being fixed and stopped following the rules. Well, to my surprise over the next year the 15 to 20 lbs plus a bit more came back. I was angry with myself and so ashamed.

One day reading the LapSF newsletter I read about Tara's new position. I called her and talked with her. Tara pointed out some old behaviors and got me connected with Jeannette, the Dietitian. Jeannette pulled my covers and told me the truth even when I didn’t want to hear it. They both encouraged me to get my labs done and see Dr. Jossart for my annual check up. I did all that and I got back to my fit camp. In 9 weeks I have lost 13 lbs I am back on track with my eating. I am feeling great.

I realized the surgery is a tool to use and it's up to me to use it. For me, I have to stay focused on my food choices/portion size and plan ahead. The other important part for me is to stay consistent with my vitamins and exercise.

So, big thanks to the Team at LapSF. I am back on track. In the next few months I will be back at goal.

Pamela Banks
Eureka / Carlotta Ca.

Do you need to get back on track? Visit a support group!

Image What Type of Emotional Eater Are You? By Tara Griffith, MFT

Last month we looked at the difference between emotional hunger and physical hunger. If you have identified yourself as an “Emotional Eater” you will need to address your eating habits in order to achieve lasting weight loss success.

Below are some common triggers of emotional eating. As you read through the list, ask yourself how many of these apply to you and your life. The more you are familiar with these different types, the easier it will be to recognize them in the future, which means you'll have more control!

Dulling the Pain with the Food Trance
If you get really hungry when you feel angry, depressed, anxious, bored, or lonely, you use food to dull the pain that these emotions cause.

I Stick Up For Myself by Stuffing Myself Up
If you react by getting hungry when others talk down to you, take advantage of you, belittle you, or take you for granted, you eat to avoid confrontation.

Food = My One Faithful Friend
If you crave food when you have tension in your close relations, you eat to avoid feeling the pain of rejection or anger.

When I’m Chewing I Can’t Hear My Inner Critic
If you tend to become hypercritical of yourself, if you label yourself “stupid,” “lazy,” or “a loser,” you eat to stuff down self-hatred.

I Don’t Have Love but I Have Food!
If your hunger gets activated because your intimate relations don’t satisfy some basic need like trust or security, you use food to try to fill the gap.

Food Can't Fill Up the Missing Parts in My Past
If you eat to make up for the deprivation you experienced as a child, you eat to forget the past.

It’s My Pastry and I’ll Eat If I Want To… Don’t Tell Me What to Eat!
If you eat to assert your independence because you don’t want anyone telling you what to do, you eat to rebel.

I’m Too Busy Eating to Take a Risk
If your appetite kicks in when you’re faced with new challenges or if you use food to avoid rising to the test, you eat to protect yourself from fear of failure.

Fall in Love? I’d Rather Fall in Chocolate.
If you eat in order to avoid your sexuality, either to stay overweight so that nobody desires you, or to hide from intimate encounters, you eat to protect yourself from getting too close.

I Use My Body as a Battleground
Emotional eaters often eat to pay back those who have hurt them, often in the distant past. They use their bodies as battlegrounds for working out old resentments. If you do this, you eat to get revenge or control anger.

I Won’t Grow Up
If you eat to make yourself carefree, like a child, you eat to keep yourself from facing the challenges of growing up.

I’m Secretly Afraid of Being Thin
If you overeat because you fear getting thin, either consciously or unconsciously, you eat to avoid the fear of change.

You can't treat all of these very different motivations in the same way -each requires a distinct strategy. For instance, if people have talked down to you all your life, you might have become sensitive to that behavior, and your hunger gets triggered whenever someone belittles or patronizes you. Your strategy will involve finding the appropriate behavior to address the grievance directly. On the other hand, if you overeat because you want to avoid sexual intimacy, you have a very different set of motivations, and you'll need to do a different type of work.

Next month: Tips To Overcoming Emotional Eating

Adapted from

Do you need more help with overcoming emotional eating? Give Tara or Jeannette a call


Dr. Gregg Jossart ~ Dr. Paul Cirangle
Laparoscopic Associates of San Francisco
2100 Webster Street, Suite 110
San Francisco, CA 94115
(415) 561-1310/(415) 561-1713 fax

If you no longer wish to receive these emails, please reply to this message with "Unsubscribe" in the subject line or simply click on the following link: Unsubscribe

Laparoscopic Associates
2100 Webster Street, Suite 110
San Francisco, California 94115

Read the VerticalResponse marketing policy.