JFK Bariatric
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The Bariatric Wellness and Surgical Institute at JFK Medical Center is dedicated to helping patients achieve their weight loss goals.

What to Do When You Reach a Weight Loss Plateau After Gastric Bypass Surgery

Many dieters express frustration about weight loss plateaus. A plateau occurs when an individual is successfully losing weight, but then the weight loss ceases. It is not uncommon for a bariatric surgery patient to reach one or more weight loss plateaus following gastric bypass surgery or another procedure. Although a plateau can be frustrating for patients, there are ways of overcoming this obstacle.

Evaluate Your Habits

After gastric bypass surgery, patients must make significant adjustments to their lifestyle, including making dietary changes and implementing an exercise program. Although you may have strictly followed your new diet after surgery, over time, you may have unknowingly begun to adopt some of your unhealthy habits. For example, you may have started eating larger portions, choosing sugary snacks, or drinking high-calorie beverages. Re-evaluate your habits by keeping a food journal for a couple of weeks. Record what you eat and how much of it you eat, and remember to record your beverage choices.

Consult Your Physician

If your food journal reveals that your weight loss plateau may be due to reaching for an extra snack or two, using excessive amounts of condiments, or choosing high-calorie beverages, you can readjust your diet to overcome the plateau. Sometimes, however, a weight loss plateau occurs because your metabolism has naturally adjusted to your new, lower caloric intake and weight. Before making significant changes to your diet to compensate for this, consider talking to your physician or a dietician. It’s important to make sure you get all the nutrients you need with a lower caloric intake.

Increase Your Caloric Burn

Another way to get past a weight loss plateau after gastric bypass surgery is to incorporate more physical activity into your daily routine. If you’re already exercising on most days of the week, consider increasing the intensity of your workout. Parking your car on the far side of parking lots to increase your walking distance, taking the stairs instead of the elevator, and finding other little ways of increasing your activity can also help.

In addition to providing procedures such as sleeve gastrectomy, gastric bypass surgery, and gastric band surgery in Atlantis, The JFK Bariatric Wellness & Surgical Institute provides comprehensive support services. Our bariatric surgery patients have access to psychological and nutritional counseling, physical therapy, and more. To speak with a registered nurse about bariatric surgery, call (561) 548-BARI (2274).


Why Is Sleeve Gastrectomy Ideal in Cases of Extreme Obesity

There are many factors to consider before having bariatric surgery. Among them is which type of weight loss surgery to have. When you meet with your bariatric surgeon, he or she can recommend a procedure that is right for your unique needs. If you have morbid obesity, your surgeon may recommend sleeve gastrectomy. Laparoscopic sleeve gastrectomy involves removing about 75 percent of the stomach. What remains is a narrow “sleeve” that can hold considerably less food than before, preventing patients from taking in too many calories.

Patient Safety

Laparoscopic sleeve gastrectomy is typically recommended for patients with a body mass index (BMI) of 60 or higher because it may be safer than other surgeries. One reason for this is that the procedure itself takes less time to complete than other weight loss surgeries, which may mean there is less risk to the patient. In addition to being safer for patients with a very high BMI, sleeve gastrectomy is ideal for those with severe heart, lung, or liver disease, inflammatory bowel disease, or advanced age. Sometimes, surgeons beginning to perform a gastric bypass on a patient must switch to sleeve gastrectomy because of the presence of an enlarged liver or severe intestinal scarring

Post-Surgical Outcome

Another reason why sleeve gastrectomy may be particularly ideal for very obese patients is because it is known to result in an average of 40 to 50 percent of excess weight within two years, according to the Obesity Action Coalition. The average patient will lose 125 pounds during this time, provided the BMI is over 60.

First-Stage Procedure

Sleeve gastrectomy is widely regarded by bariatric surgeons as an ideal first-stage procedure. This means that a high risk patient might undergo this procedure first. As health improves with weight loss, that patient might then undergo a gastric bypass when it is safer for him or her to do so.

The highly trained bariatric surgeons at The JFK Bariatric Wellness & Surgical Institute regularly perform different types of weight loss surgeries, including sleeve gastrectomy near Atlantis. If you’re considering having bariatric surgery or you’ve already had a procedure, you’ll find a comprehensive range of support services within our weight loss program . Browse our website for more information about surgeries, such as sleeve gastrectomy and gastric bypass surgery or call (561) 548-2274.

Learning to Prevent Dumping Syndrome After Bariatric Surgery

Some patients who have undergone weight loss surgeries such as gastric bypass surgery may experience dumping syndrome. Dumping syndrome, or rapid gastric emptying, occurs when food moves too quickly from the stomach to the small intestine. The symptoms of dumping syndrome may include nausea, diarrhea, faintness, and weakness. However, there are steps bariatric surgery patients can take to prevent this problem.

Adjust the Timing of Your Meals

Your bariatric surgeon will instruct you to eat about six smaller meals and snacks each day, rather than three large meals. For example, you could eat a one-half cup of oatmeal for breakfast, followed by a piece of fruit for a snack later on. Changing the timing and size of your meals can help your body get the nutrition it needs while reducing the possibility of rapid gastric emptying.

Change the Composition of Your Meals

Candidates for bariatric surgery must be committed to adhering to sound dietary guidelines for their lifetime. Your bariatric support team has probably already instructed you to avoid foods with “empty calories” such as sodas, simple carbohydrates, and sweets. Avoiding these foods can also reduce your risk of dumping syndrome. You can further limit your sugar intake by consuming no more than a small serving of dairy per day. It can also help to consume proteins and healthy fats with your meals. Increase your fiber intake by eating foods such as apples and by taking fiber supplements if your doctor recommends this. Additionally, avoid consuming liquids for a half-hour prior to meals, during meals, and for a half-hour after meals.

Alter Your Eating Habits

The way in which you eat can have an effect on dumping syndrome. Chewing each bite of food thoroughly assists your digestion, for example. Your physician may also recommend that you lie down for a while right after eating a meal or snack. This may reduce the speed at which food moves through your stomach and into the intestines.

Patients who undergo weight loss surgery in Atlantis at The JFK Bariatric Wellness & Surgical Institute have access to extensive support services. Bariatric surgery patients receive nutritional counseling along with comprehensive pre-operative education to help them reach their weight loss goals while protecting their overall health. For a physician referral, call us at ( 561)548-BARI (2274) to speak with a registered nurse about our bariatric surgery department.


The Dangers of Untreated Type 2 Diabetes

Patients with type 2 diabetes must pay close attention to their glucose levels and adhere to a blood sugar management plan that may include medications, exercise, and dietary modifications. Unfortunately, it’s often difficult for patients to minimize blood sugar spikes. Untreated or poorly controlled type 2 diabetes can lead to severe health consequences, some of which may be life-threatening. Patients with type 2 diabetes may reduce their risk of these complications by treating obesity with bariatric surgery.

Nerve Damage

Nerve damage, or neuropathy, is a common complication of poorly managed diabetes. Nerve damage often occurs in the feet, legs, hands, and arms. The symptoms of peripheral neuropathy can include a “pins and needles” sensation, burning or shooting pains, numbness, and weakness.

Limb Loss

One of the problems of neuropathy is that the numbness may prevent the patient from sensing injuries to the feet. As a result, these injuries may go untreated. Patients may develop infections such as gangrene. This may require the amputation of the foot or leg.

Eye Problems

Without proper treatment such as weight loss with bariatric surgery, diabetic patients are at a heightened risk of eye problems. Diabetic retinopathy can cause vision loss. Additionally, diabetics may be more likely to develop glaucoma and cataracts.

Skin Complications

Individuals with poorly managed type 2 diabetes are at a higher risk of skin complications, including bacterial infections such as boils, styes, and carbuncles. They also have an increased risk of fungal infections, including Candida albicans, athlete’s foot, and ringworm. Other skin complications that are related to diabetes include diabetic dermopathy, acanthosis nigricans, and digital sclerosis.

Cardiovascular Problems

Untreated diabetes is a significant risk factor of cardiovascular disease. Diabetics may be more likely to have high blood pressure or high cholesterol. They’re also at an increased risk of stroke and heart attack.

If you have type 2 diabetes and obesity, you may be a good candidate for bariatric surgery at The JFK Bariatric Wellness & Surgical Institute. We’ve helped countless individuals improve their health through weight loss surgery options such as gastric band surgery and sleeve gastrectomy near Atlantis. You can request more information about our bariatric surgery program by calling (561) 548-2274.


Reasons Your Attempts to Lose Weight Before Surgery May Have Failed

Attempts to lose weight can be frustrating for many people. It’s not unusual to have weight loss efforts fail despite dieting and exercising, or to lose weight and then regain it. If you’re experiencing difficulty with weight loss, you should consult your physician to discuss your concerns. For some people, adjusting their weight loss strategies can help. Some patients may be good candidates for weight loss surgery.

You May Underestimate the Calories You Consume

Before having bariatric surgery, your efforts to lose weight may have failed because of inaccurate estimates of how many calories you eat. It’s easy to lose track of caloric intake, particularly for those who are in the habit of snacking or grazing on ingredients while preparing a meal. Many people find it helpful to write down everything they eat for a week, including beverages that contain calories. Doing so may help you become more aware of how much you’re eating.

You May Overestimate the Calories You Burn

Another reason why previous weight loss attempts may have failed is that you might have overestimated the number of calories used up by exercise and daily activities. Many exercises simply don’t burn as many calories as is commonly believed. Regular exercise is indeed critical for a healthy weight and overall healthy lifestyle; however, a decrease in caloric intake is necessary for weight loss. To gain a better idea of how many calories you truly burn during your workouts, consider using an electronic tracking device that attaches to your arm.

You May Experience Sleep Disturbances

Did you know that a good night’s sleep can help you achieve your weight loss goals? If you suffer from sleep disturbances, you could have hormonal imbalances. Sleep deprivation causes the body to produce higher levels of the hormone ghrelin, which increases appetite. Insomnia and other sleep disturbances also increase cortisol levels, which can contribute to weight gain, particularly around the midsection.

If you’re having trouble reaching your weight loss goals, you’re certainly not alone. You can find the help you need at The JFK Bariatric Wellness & Surgical Institute, which offers weight loss surgery options such as gastric bypass surgery and sleeve gastrectomy. For general information about reclaiming your health through weight loss surgery in Atlantis, call (561) 548-BARI (2274).


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