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

Thank you to everyone that came out to the recent Petaluma, Monterey and San Jose seminars. The grocery store tour was a success. We have had a lot of positive feedback about our new therapist, Tara, speaking at the groups. Keep the ideas coming!

Have a safe and happy 4th of July!

Image Don't forget: Sacramento and Stockton grocery store tours this Saturday!

Saturday, June 28th

10am: GROCERY STORE TOUR WITH JEANNETTE:Safeway in Sacramento 424 Howe Avenue, Sacramento, Ca 95825
Phone: 916-925-1676
Either meet at the DoubleTree or meet us there!

2pm: GROCERY STORE TOUR WITH JEANNETTE:Safeway in Stockton, 2808 Country Club Blvd, Stockton, Ca 95204 Phone: 209-461-5555
Either meet at the Marriott or meet us there!

Calendar of Events

Image In the news: Weight Loss Surgery Can Cut Cancer Risk

The number of overweight Americans opting for gastric bypass surgery has risen dramatically over the past decade. Last year, an estimated 205,000 people had the surgery, compared with a mere 23,100 in 1997.

In addition to dramatic weight loss, gastric bypass surgery may also reduce the risk of dying from diabetes or heart disease by improving or resolving conditions such as high blood pressure and high cholesterol. While those results are impressive in and of themselves, there appears to be another added benefit: gastric bypass surgery may also reduce the risk of cancer by as much as 85 percent.

Results showed that, overall, 2 percent of patients who had surgery were diagnosed with cancer, compared with 8.5 percent of those who did not. The researchers believe that this dramatic difference may be due to the loss of excess body fat, which is thought to be responsible for increased hormone production, a major risk factor for breast and colon cancer. According to a lead researcher "The relationship between obesity and many forms of cancer is well established. This is one of the first studies to suggest that bariatric surgery might prevent the risk of cancer for a significant percentage of morbidly obese people."

Read the full story here

Image TeleReach

Our next TeleReach Seminar will be on July 11, 2008 at 12:00 pm. The dial in number will remain the same with the same passcode.

The topic to be discussed: “How to Read a Food Label”

Toll-Free Number: 1-866-642-1665
Passcode: 456561

Please email Jeannette at for more information and future topic ideas

Calendar of Events

Mark your calendar!

ImageMaui Seminar and Support Group
Friday, July 11th
Coconut Grill Maui
100 W Kaahumanu Ave.
Kahului, HI 96732

Calendar of Events

Image Getting Started with Exercise

So, you want to change your body, your mind, and your life. Maybe you have already had bariatric surgery, or maybe you are just exploring the options. Whatever your reason for reading this, the change you seek is possible!

On your journey of losing inches, weight, and clothing sizes, exercise will be vital in order for you to achieve your goal. Perhaps you have tried different exercise programs. Perhaps you have no clue where to start. Whatever your situation may be—whether you are six weeks pre-op or two years post-op, it is never too late to start. The biggest thing to remember is that this is a lifestyle change and a change of this size is not going to happen overnight. It is a building process, not a tearing down—so if you can make a conscious decision to make yourself better and understand that consistency is the key, then you will set yourself up for success.

When following the bariatric protocol of food intake, you are on your way to lose a great deal of weight very quickly. The weight that you will lose will be coming from three places: water, muscle, and fat. The goal of exercise is to improve health, maximize the amount of fat lost, and minimize the amount of muscle loss. Muscle is very important, as it is your fat burning machinery and is what fuels your metabolism. The more muscle you are able to activate and use, the better the chance you have of finding long-term weight loss and true success. This is why resistance training is important. While losing so much weight so quickly, the sooner you get started with exercise, the better off you will be.

We will be covering the basic guidelines, different types of exercise and things to remember in order for you to get started on the right foot, stay on the right foot, and be successful.

1. You are not like anyone else. Your workout intensity will be different, even your exercises may differ, so try not to compare yourself too much to others. Just realize that if you stay consistent you will improve.
2. Listen to your body—especially in the beginning phases. If exercise is new to you, then you will definitely experience some aches and pains. Identify the difference between harmless aches and pains and those signaling a possible injury. Always consult your physician before starting your exercise, and ask if there are any limitations to what you can do. Especially through the first six to eight weeks, listen to your body and stop when it says to stop.
3. Try to improve daily. Set small goals. Give yourself credit when you know you are making conscious decisions to make your day more active.
4. Plan ahead for your exercise and additional activity. My favorite tool is to plan and record using a monthly calendar. Find a “buddy” to be active with you.

Now, let’s cover the different types of exercise, the importance of each, and how to get started on a program.

Through the first six weeks following the surgery, start slowly and increase your activity at a pace you can handle. The more active you are, the healthier you will be. We start by focusing on physical activity. Physical activity is any movement that uses energy. Build physical activity into your day by taking the stairs, doing housework, doing yard work or walking the dog. Any activity counts. Aim to get 30 minutes of moderate physical activity every day of the week immediately following surgery. After doing 30 minutes of moderate physical activity for six to eight weeks, you should be ready to try aerobic activity or cardiovascular exercise (Cardio).

Cardio includes any exercise that involves rhythmic motion of your arms and legs that is performed at a pace that increases your breathing and your heart rate for at least 10 minutes. Cardiovascular activities include brisk walking, swimming, water aerobics and bike riding. These activities should be performed for at least 10 minutes at a time. Again, begin slowly. If you cannot do 10 minutes of exercise initially, increase slowly until you have met that goal. Try to increase by five minutes per week until you build up to 45 minutes. (It is always a good idea to purchase a heart rate monitor to use while doing your cardio. That way you can always make sure that you’re not over-working yourself. Safety is always first.)

Within six to eight weeks after surgery you should be ready to begin your basic resistance-training program. Most exercises can be done right in your home with little or no equipment. The importance of resistance exercises is to assist with weight loss and to prevent muscle loss and osteoporosis. Remember, the more muscle you have, the more fat-burning power you have. Don’t worry about turning into a bodybuilder or becoming too muscular, because it will not happen. Resistance training will, however, improve how you feel, your energy levels, your health and the way you look!

-Taken from Obesity Help

Need more exercise tips? Call Jeannette!


Sacramento Support Group
Saturday, June 28th
9:00am - 11:00am
Doubletree Hotel, 2001 Point West Way, near Arden Fair Mall

Stockton Seminar and Support Group
Saturday, June 28th
1:00pm - 3:00pm
Residence Inn Marriott, 3240 West March Lane, Stockton, CA.

Text Version - Link 16


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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