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Greetings to our Friends and Family of Laparoscopic Associates and Surgical Weight Loss Center of Hawaii

The holidays are here again! However, so are the joys and challenges of holiday eating! Below are some helpful tips to help you make it through holiday season without jeopardizing all of the hard work that has gone into reaching a healthier weight. Remember the importance of exercising too! Don't let your running shoes end up in the back of the closet. Keep the exercise going through the holiday season by walking the mall, ice skating, walking with family and friends, or participating in a holiday running or walking event.

Diabetes update

The 1st World Congress on Interventional Therapies for Type 2 Diabetes was held in New York on September 15-16th of this year. Over 1,000 medical professionals from 46 countries attended. Summarized below are some interesting points from the meeting.

o 25% of hospital inpatients have Diabetes
o Diabetes is the number one cause of death in Mexico
o 246 million people have diabetes(24 million Americans)
o The United States will spend over 6.6 trillion dollars over the next 30 years on comlplications related to diabetes.
o Bariatric Surgery for Diabetes reduced mortality(death) by up to 89%.
o Bariatric Surgery for patients with a BMI under 35 was superior to dieting.

For the last 10 years, we have been safely performing all 4 weight loss operations on our patients and have realized diabetic cure rates over 90%. The bypass procedures tend to cure diabetes slightly better than the banding procedures. The discussions from conferences like Diabetes Congress truly confirm what we often tell our patients: If you are diabetic, you should seriously consider having weight loss surgery over a lifetime of diabetic medications and progressive disease. One only needs to attend one of our support groups or go online to find a grateful, formerly diabetic patient. Even the few patients who still have diabetes, have managed to reduce their medications and control their blood sugars much better.

~Dr. Jossart

EsophyX is now available!

ImageDr. Cirangle is the first and only specialist in San Francisco to be trained on the EsophyX™ procedure. This is the first device for incisionless reconstructive surgical treatment of gastroesophageal reflux disease (GERD) and heartburn, and is based on the principals of surgical repair of the gastroesophageal junction. Many reflux patients are unable to consume carbonated beverages, caffeine, rich foods or fruit without triggering reflux. They also sleep sitting up to reduce nighttime reflux. After the EsophyX procedure, clinical trials show that most patients can eat and drink foods they avoided for many years. Reflux no longer impacts their life like it previously did. Patients can get back to living.

Click here for more EsophyX information

Give These a Try: Turkey Meatballs

Take advantage of grocery store's frozen protein options. For example, Trader Joe's sells Turkey Meatballs. They are juice, healthy, and very easy to make. Keep them in the freezer and microwave them for a meal.

2 Turkey Meatballs = 100 calories
5 grams carbohydrate
12 grams protein

While you're in the frozen protein section, check out other products such as pre-portioned fish fillets, skinless boneless chicken tenders, and frozen shrimp. Always go for the skinless and non-breaded version for the best protein and lowest carbohydrate.


Eating & Surviving the Holidays

ImagePLAN ON NOT CUTTING BACK AFTER THE NEW YEAR: Anticipation of dieting or food restriction sets you up for binge-type eating over the holidays. As you navigate the through the holidays, keep your long term goals in mind.
BE PREPARED FOR PUSHERS: Reflect on past holiday experiences and evaluate what lies ahead this year for you. Be prepared for food pushers and practice how you will respond to them!
ANTICIPATE THE FOOD: Reflect on past holiday foods that are always provided to you within your social circle. Identify your triggers and predetermine what you WILL eat and what you WON'T eat.
BRING YOUR OWN ESSENTIALS: Take along your own treats and drinks that are WLS-Friendly. Don't request an extra effort on your host.
NEVER TRY ANYTHING NEW: Not knowing how you will react to the food carries the high risk of making you ill and calling for a quick retreat to the bathroom or feeling sick for an hour or so.
WATCH YOUR PORTIONS: Try to avoid the feeling that you have to stuff yourself during meals because you won't have the opportunity for another year. This type of "all or nothing" thinking can make you act in ways you might not otherwise.
DON’T LOSE TRACK: Because the holidays involve a lot of parties, conversation, and occasional drinking, it can be very easy to get distracted by the mood and "forget" what you have consumed. Make sure to do your socializing away from the bar or buffet table.
TALK MORE THAN YOU EAT: The holidays should be about PEOPLE, not food. Be social. Focus on the people; laugh with them, tell stories, listen to their tall tales, play games, etc.
BE THE SLOWEST EATER: Keep your eye on others… be the last to start and the last to finish. You will enjoy the food more (texture, smell, taste) and will feel satisfied with less.
CHANGE THE FOOD SUBJECT: Don't' allow anyone to pity you for not eating like you used to eat. Rather than mourn the loss of your favorite holiday treats, brag on the fact that you're feeling so much healthier, your clothes are getting baggier, and you're dreaming again of all the great things that are in store for you now that you are slimming down.
MAKE NEW TRADITIONS: Many people have food traditions that make the holidays special, but this is usually only a dish or two. Go ahead and keep some old traditions but make some new ones too. Incorporate some exercise...walk with your family to look at Christmas lights, organize a game of Frisbee, or dance to some holiday music.
FINALLY, FEED AND NOURISH YOURSELF IN OTHER WAYS: Don’t allow the holidays to happen to you – take an active role in creating the experiences that you hope to have. Define your goals for the holiday and see them through. Visualize yourself on January 1, feeling on-track and with a well-nourished body, mind, and spirit.

Image Vitamin Water

Before you go for Vitamin water or any fruity drink that appears to be healthy, take a look at the nutrition facts. The average Vitamin water has 125 calories and 32.5 grams of carbohydrate. Generally, after weight loss surgery its suggested to stay under 40 grams of carbohydrate a day. Therefor, a Vitamin water is not going to be the best choice!

Keep in mind that when reading labels, take a look at how many servings are in each container. For example, with the Vitamin water, it states there are 80 calories per serving. However, there are 2.5 servings in a container. This means you must multiply 80 calories by 2.5 to get the total calories.

Seminars & Support Groups

Honolulu Seminar & Support Group
*Oahu Patients:
Honolulu Seminar & Support Group this Saturday has been canceled due to the holidays.
*Kauai Patients: There will be no group/plastic surgeon speaker this time due to lack of patients. If you would like to have a seminar and/or have him come out in February, please respond to this email.
*We will be opening a Hilo office starting in February!

San Francisco Seminar & Support Group
Monday, December 8th starting at 5:30pm - 8pm
Tara Griffith, MFT will speak at 5:30 pm
Amy Ingols, RD will speak at 6:00
2333 Buchanan St, Lobby Level, Board Room
*Schedule your follow up appointment with Dr. Jossart and stay for support group.

Monterey Seminar & Support Group
Monday, December 15th from 1-3pm
Hyatt Regency Monterey, 1 Old Golf Course Road

San Jose Seminar & Support Group
Wednesday, December 17th from 6-8 pm
Good Samaritan Hospital, 2425 Samaritan Drive in the teleconference trailers in the east parking lot.

Sacramento Seminar & Support Group
Saturday, December 20th from 9-11 am
Red Lion Hotel at Arden Village
1401 Arden Way

Petaluma Seminar & Support Group
Saturday, December 20th from 9am-12pm
Sheraton Sonoma County Petaluma
745 Baywood Drive.
New patient seminar at 9am.
Support Group at 10:30am.

Stockton Seminar & Support Group
Saturday, December 20th from 1-3pm
Courtyard Marriott, 3252 West March Lane
Stockton, CA

click here for the calendar


--The Team at Laparoscopic Associates of San Francisco

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

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