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Dear Friends & Family of LapSF & the Surgical Weight Loss Center of Hawaii,

Book Suggestion

ImageThe book "How to Never Look Fat Again" by Charla Krupp was recommended by one of our patients. It is true that once you've lost weight, you might still be trying on and purchasing clothes that are too big. Or maybe there's a better way to accentuate your smaller waste! It provides ideas on how to improve your personal style and dress for your body type. Check this out if you want some help discovering and celebrating your slimmer side!

Great News!

ImageAs of April 2010, Aetna insurance is now approving the Vertical Sleeve Gastrectomy. Tell any friends or family who may be interested!

The Benefits of Swimming- Reasons to Take the Plunge

ImageBesides being fun and refreshing, spending time in the water has numerous benefits both physically and psychologically.

Why exercise in water?

- Buoyancy: This water property allows you to do exercises that are difficult on land. Ninety of your body is buoyant when in the water up to your neck, so you are not hitting the floor as hard as you would on land.
- Resistance: There is continual resistance to every move you make. The water offers 12% - 14% more resistance than when you exercise on land. Resistance does not allow for sudden body movements.
- The physiological changes that occur in the body from swimming include improved cardiovascular fitness, a lower resting heart rate, higher volumes of blood being pumped and lower blood pressure. Additionally, injury rates are generally lower since there is no gravitational pull affecting the joints and soft body tissue.

From a psychological standpoint, swimming is like a form of mediation. It is a focused activity that cannot be combined with distractions. Being underwater and away from outside noise allows you to fully escape into yourself.

Additionally, swimming forces you to regulate your breathing and allows you to focus on nothing but the rhythm of your stroke. Therefore, it reduces stress and leaves you feeling relaxed and refreshed. Psychological studies have shown that swimmers report significantly less tension, depression, anger, confusion, and they gain more energy than in other types of exercise. This was experienced by both new and experienced swimmers.

Exercise options for the water:

*Water Walking: Moving forward, backward, and sideways, using regular, short, quick, or long steps, in waist-deep or chest-deep water.
*Water Aerobics: Full body rhythmic exercises conducted in shallow and/or deep water for 20 minutes or more, designed to provide cardiovascular benefits.
*Water Toning/Strength Toning: Upper and lower body moves designed to strengthen, firm, and sculpt the muscles.
*Flexibility Training: Large movements using each body part's full range of motion, along with full body stretches.
*Water Yoga & Relaxation: Gentle, easy-flowing moves using the water as a relaxation medium.
Deep Water Running: Simulating land running in the water depth where the feet do not touch the bottom of the pool. Flotation devices are used.
*Wall Exercise (Deep or Shallow): Using the pool wall for support to isolate various body parts.
*Lap Swimming: If the individual is a proficient swimmer, swimming back and forth using various swimming strokes is a possibility. However, we suggest that lap swimmers also consider other forms of water exercise in addition to lap swimming.

Source: The United States Water Fitness Association

At the Restaurant
There are things to consider when dining out after weight loss surgery. Since roughly 4 ounces fills you up, you can still be left with quit a bit on your plate at most restaurants. This often results in wait staff asking if you don't like the meal or other members of the table concerned you're not eating enough.

Other times, you might feel like you're stuck with what's on the menu. This is false! There are simple requests you can make to alter your meal making it lower in carbohydrate and a healthier choice in general. Here are some helpful hints our patients have shared.

- Request no bun if you'd like. If ordering a turkey burger, veggie burger, chicken burger or sandwich- you can always ask for it to be served without the bun. Not only does it save on waste, but it saves calories, carbs, and you'll still get the lettuce and tomato.

- Replace the fries with a salad or steamed vegetables. This is a common substitution available at almost all restaurants.

- Request for the to-go box to be brought with the meal. That way you won't be tempted or discouraged by the large portion, and it might stop the waiter from asking if why you didn't eat more of the meal. One meal can become 3!

- Sharing a meal is always an option!

* Remember to bring your LapSF Wallet Card to get a half-priced meal, or order off the appetizer or Senior Citizen menu.

Upcoming Seminars & Support Groups

San Francisco Seminar & Support Group
Monday, June 14th from 6-8pm
2100 Webster Street, Suite 106 in the Spivey Room

San Jose Seminar & Support Group
Wednesday, June 16th from 6-8pm
2425 Samaritan Drive. Located in the teleconference trailers in the East Parking lot.
*Tara Griffith, MFT to attend*

Petaluma Seminar & Support Group
Saturday, June 19th from 9am - 12pm
Sheraton Sonoma County Petaluma, 4th floor
745 Baywood Drive
New Patient Seminar at 9am
Support Group at 10:30am

Sacramento Seminar & Support Group
Saturday, June 26th from 9-11am
Red Lion Hotel at Arden Village, 1401 Arden Way

Stockton Seminar & Support Group
Saturday, June 26th from 1-3pm
The Residence Inn Mariott
3240 West March Lane, in the Pacific Room

*Upcoming Hawaii Seminars & Support Groups dates to be announced!*

--The Team at Laparoscopic Associates of San Francisco and the Surgical Weight Loss Center of Hawaii

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

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