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

Which One's Best?

ImageWith so many butters, margarine, spreads and sprays on the market it might be confusing to pick the best one. To keep it simple: Look for one that does not contain partially hydrogenated oil with as little saturated fat as possible.

"I Can''t Believe It''s Not Butter! Fat Free" and "Promise Fat Free" tubs of butter are made without partially hydrogenated oil. Per tablespoon they both contain 5 calories, 0 grams saturated fat, and 0 grams trans fat.

For Cooking/Baking sprays, "I Can''t Believe It''s Not Butter!" has no calories and "PAM" cooking spray has only 10 calories, 0 grams saturated fat and 0 grams trans fat in a 1 second spray.

Use these minimally of course, but the above mentioned brands are going to be your best choice.

A Way To Get Involved

Image"Allergan, Inc. (the makers of Lap-Band) launches a public awareness and advocacy campaign to urge greater attention to critical need for both prevention and treatment to effectively address adult obesity."

More than 70 million Americans are obese (with approximately 15 million of them being 100 pounds or more overweight). The C.H.O.I.C.E. Campaigne (Choosing Health over Obesity Inspiring Change through Empowerment) aims to educate the public that "until the stigma associated with obesity is removed and it is recognized as a complex disease that necessitates a focus on both prevention and treatment, including weight-loss surgery, these startling statistics will continue to rise."

To learn more about joining the cause, please email Amy at

Honorable Mention!

ImageCongratulations, Sue! She will be returning to her 50th High School Reunion at the same weight she was when she graduated. Sue had the Vertical Sleeve Gastrectomy 4 years ago this August and has maintained a stable weight!

Are You a People Pleaser?

People Pleasers are those that have trouble saying “NO” to others. As a result, they end up putting everyone else’s needs before their own. This often leaves them last on their own “to do” list particularly when it comes to their own health and self-care.

There are lots of reasons People Pleasers struggle with saying "no." Some feel bound by obligation or by the fear of hurting someone's feelings. Others believe they really can do it all. Other People Pleasers are simply looking for approval in an effort to be liked and accepted by others.

Following WLS, it is important for People Pleasers to make a strong commitment to self-care and learn how to make their own needs a priority. These needs may include time to be alone and to rest, time to exercise, and time to plan healthful meals. People Pleasers must recognize that taking care of oneself is NOT selfish, but is an outgrowth of self-love and wanting to be as healthy as possible.

Participating in self-care also requires assertiveness and the ability to say “no” to others when needed. Being assertive is a healthy trait because it means that you are respecting your own feelings and values as much as you are respecting the feelings and values of others.

For most People Pleasers, saying “no” takes practice and requires pushing past some uncomfortable feelings. Here are four tips for saying NO assertively that don’t include making up an excuse:

1) “I can’t right now.” This allows for the possibility of doing it at another time but is a softer way of saying “no.”

2) “My plate is too full to commit to anything else right now.” This shows that your honor your commitments and most people can relate to this.

3) “I’m not able to but maybe I can help find someone else who can.” You set a boundary while still showing concern.

4) "I don't want to take on what I can't fully commit to doing well." This is a yes to higher standards.

Initially, you might be met with some resistance from people who are confused by the change in you. However, keep focused on what you’re trying to accomplish. You’re not only making personal changes but are modifying the expectations of others around you.

For additional tips or assistance with assertiveness training, please feel free to contact Tara Griffith, MFT at (415) 923-6524.

Salmon with Citrus Salsa

ImageThis is a great summertime recipe with only 280 calories per serving, 27 grams of protein, and 12 grams of carbohydrates. Makes 4 servings.


1 orange
1 lime
1/4 small red onion, thinly sliced
1 jalapeno, seeded and minced (optional)
1/4 cup cilantro leaves
2 Tbs. canola oil, divided
2 bell peppers, sliced
1/2 lb. zucchini, sliced
1/2 tsp. salt, divided
freshly ground black pepper
1 lb. wild salmon, cut into 4 pieces

For the Salsa: Segment the orange and lime and cut into quarters. Toss in bowl with onions, jalapeno, and cilantro.

Heat 1 Tbs. of oil in a large non-stick skillet over med-high heat. Saute the peppers and zucchini until well browned (3-5 mins). Season with 1/3 tsp salt and pepper. Remove vegetables and keep warm. Wipe remaining oil out of pan with paper towel.

Heat remaining 1 Tbs. of oil. Season the fish on both sides with remaining 1/4 tsp. salt and pepper and add to skillet, skin side up. Cook until golden brown on the bottom (about 3 mins). Turn and cook for another 3 min, or until just cooked through. Transfer to plate and serve with the vegetables.

Memorial Day

ImageJust a reminder that our office will be closed on Monday, May 31st for Memorial Day.

Upcoming Seminars & Support Groups

Eureka Seminar & Support Group
Thursday, May 20th from 7-9pm
Red Lion Hotel
1929 4th Street (4 blocks from downtown)

San Jose Seminar & Support Group
Wednesday, May 26th from 6-8pm
2425 Samaritan Drive
*Located in the teleconference trailers in the East parking lot

Honolulu Seminar & Support Group
Saturday, June 5th from 10am - 12pm
Oahu Veteran''s Center
1298 Kukila Street, Honolulu 96818

San Francisco Seminar & Support Group
Monday, June 14th from 6-8pm
2100 Webster Street, Suite 106 in the Spivey Room
*Please arrive before 7pm as doors automatically lock.

Monterey Seminar & Support Group
Monday, June 14th from 7-9pm
Hyatt Regency Monterey
1 Old Golf Course

Petaluma Seminar & Support Group
Saturday, June 19th from 9-11:30am
Sheraton Sonoma County Petaluma, 4th Floor
745 Baywood Drive

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
Courtyard Marriott
3252 West March Lane

click here for calendar of events

--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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