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


TeleReach Program

Just a reminder to join me, Jeannette Kotrys, RD, in our first ever TeleReach Program. The topic to be discussed at this time will be:

“Nutrition Basics”

Date: June 6, 2008 (Friday)
Time: 12:00-12:30 pm
Toll-Free Number: 1-866-642-1665
Passcode: 456561

To join in on the TeleReach Program, please call the toll-free number listed above, enter in the passcode when directed and listed to all the nutritional information provided. A brief question and answer session will be addressed at the end of the phone call.

If you have any suggestions or comments on future TeleReach Program topics, please e-mail Jeannette Kotrys, RD at

For all the locals in San Francisco, be sure to check back on the LapSF Calendar for our first Lunch Bunch! We will pick a restaurant to dine in at, review the menu with the Registered Dietitian and enjoy sharing stories among each other. Participants to pay for their own meal, but conversation is complimentary!

Calendar of Events

Image Attention Kauai Residents!

Don't forget the support group on Thursday night, June 5th at 6:00pm.

Also, Dr. Cirangle will be having a radio show on KONG radio, FM 93.5 on Thursday, June 5th from 1:00pm-2:00pm. He will be talking about weight loss surgery, curing diabetes, and health and lifestyle benefits. I encourage our patients or friends to call in at (808) 245-5757.

I am also looking for happy patients to call in to start the hour off. Please email Nicole at to participate!!

Calendar of Events

LapSF news

ImageDr. Jossart and Dr. Cirangle will be busy in May and June presenting our data on the world's largest series of Vertical Sleeve Gastrectomy (over 1000 patients!) in Cabo San Lucas, San Diego, Las Vegas and Washington D.C. in May and June. The results are excellent to date and prove that the weight loss and resolution of medical comorbidities with the sleeve gastrectomy are similar to the Roux en Y Gastric Bypass and the Duodenal Switch at 3 years postop.

Image Support Groups

Monterey: Saturday, May 31st 1:00pm - 3:00pm
Monterey Seminar and Support Group, Hyatt Regency Monterey, 1 Old Golf Course Road

Honolulu: Saturday, June 7th 10:00am - 12:00pm
Oahu Veteran's Center, 1298 Kukila Street, Honolulu.

Kauai: Thursday, June 5th 6:00pm-8:00pm
Hilton Kauai Beach Resort,
4331 Kauai Beach Drive, Lihue, HI 96766

San Francisco: Monday, June 9th 6:00pm-8:00pm
San Francisco Seminar and Support Group, 2333 Buchanan St Lobby Level Enright Room

Calendar of Events


We are migrating to an electronic medical record that will improve our communication and responsiveness to our patients. Please bear with us for the next month or two as we move away from the old system to the new system. We apologize in advance for any patients who are inconvenienced!

Call LapSF

Image Emotional Eating: How To Cope by Jeannette Kotrys, RD

Any time you consume food when you are not hungry or need nutrition.

According to the University of Texas Counseling and Mental Health Center website, there are several differences between emotion hunger and physical hunger.

1.Emotional hunger comes on suddenly; physical hunger occurs gradually.

2.When you are eating to fill a void that isn’t related to an empty stomach, you crave a specific food, such as pizza or ice cream, and only that food will meet your need. When you eat because you are actually hungry, your open to options are not tied down to one specific food.

3.Emotional hunger feels like it needs to be satisfied instantly with the food you crave; physical hunger can wait.

4.Even when you are full, if you’re eating to satisfy an emotional need, you’re more likely to keep eating. When you’re eating because your hungry, you’re more likely to stop when you’re full.

5.Emotional eating can leave behind feelings of guilt; eating when you are physically hungry does not.

Pay attention to the type of food you consume when you are emotionally eating. Certain types and textures of foods can be related to your current mental staus.

Chewy or Crunchy Foods: Usually consumed when you are frustrated or angry.

Smooth or Creamy Foods: Usually consumed when you are lonely, depressed, bored or restless.

Comfort Foods: These are foods a person eats to obtain or maintain a feeling. Comfort foods are wrongly associated with negative moods such feeling depressed or down, but comfort foods are also consumed to maintain good moods.

1.Learn how to recognize emotional eating and figure out what is triggering this behavior.

2.Keep a food log or personal journal with you to write down your food intake and/or thoughts. With your food journal, rank you hunger from 1-10 each time you put something in your mouth to help you distinguish the type of hunger you are experiencing. If the number is low on your list, think of an enjoyable activity, other than eating, that would help to relieve you mind from the issues you may be experiencing.

3.Try walking, calling a friend or doing something productive to take your mind off the craving-even taking a nap.

4.When you do get the urge to eat when you’re not hungry, find a comfort food that is somewhat healthier than junk food. It is not mandatory that your comfort food be an unhealthy choice.

5.If you cannot fight the urge of consuming comfort food, pre-portion the food you are about to consume. Smaller containers/portions can prevent temptation from indulging in a larger amount.

6.Remember, comfort foods do not taste any better after the first couple bites!

Share about emotional eating at the next support group


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

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

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