Dear Friends and Family of Laparoscopic Associates of San Francisco,

Welcome to our online newsletter. We hope to offer lots of helpful tips for weight loss surgery patients as well as success stories and invitations to our events! Please feel free to submit your tips or your success story with pictures to

Walk from Obesity

The American Society for Bariatric Surgery Foundation is sponsoring the 4th annual Walk From Obesity on September 30th at San Francisco's Crissy Field. All LAPSF patients and their families are encouraged to attend!

This fundraising event is designed to reduce disability, death, and discrimination of people who suffer from obesity by educating the public and healthcare professionals about effective treatments. Participants and volunteers are needed for the event, and we urge you to come join us!

To register on-line to participate in the walk, go to Just click on "join a walk" and look for the San Francisco link.

***Please email LAPSF if you are interested in participating at: We need a tentative headcount.***

click here to register for the walk

New Protein Drink for Coffe Lovers- Achiev One
There's a new protein drink available for those that like their coffee! Achiev One contains 20g of Protein, 5g of Carbs, 0g of Fat, 19 essential vitamins and minerals and 120 calories. Enjoy the creamy, rich flavor you want from a coffee drink plus a whole lot more.
You can purchase this at or (**Product does contain caffeine & made with milk.**)

Client Educational Resources

Interested in Monthly Magazines/Newsletters filled with information regarding Obesity & Obesity Surgery? Check out the following-

Beyond Change- One Year Subscription (12 issues) for $25

Beyond Change is published monthly by J.K.S. Associates to inform, educate, support and encourage the obese individual, many of whom are in weight management programs or those who have had or perhaps planning to have bariatric (obesity) surgery.

This publication offers advice from professionals, information of the most current treatments of obesity, and in general, provides avenues that would allow individuals the ability to make informed choices.

For more info and to subscribe:

OH Magazine- One Year Subscription (6 issues) for $25

The magazine was launched to expand the ability of to reach out and provide education and support to the millions of people worldwide who suffer from obesity. OH Magazine is like an ongoing support group, full of hope, inspiration, and information.

For more information & to subscribe:

WLS Lifestyles Magazine- One Year Subscription (4 issues) for $24.95

WLS Lifestyles covers the real challenges one faces being obese and the myriad of emotions you'll go through as you embark on this life-changing journey.

From the heart-felt personal struggles and triumphs to the latest in medical advancements and procedures, fitness & wellness, nutrition, mind & spirit and healthy lifestyle habits.

Each issue features articles written by Physicians/Surgeons, Dieticians/Nutritionists, Psychologists, Fitness & Wellness Experts, Post-Op Patients and other industry professionals... providing you with non-biased, medical-fact based information.

For more info and to subscribe:

News Flash: Recent Studies regarding Bariatric Surgery



August 10, 2006 - A recent study published in Elsevier found mortality rates in morbidly obese people who defer bariatric surgical intervention was more than 9 times the expected rate.

Mortality from bariatric surgery for the morbidly obese has been widely reported, but little was known about mortality rates in morbidly obese patients who deferred the different available surgical weight-loss options: roux-en-y gastric bypass, vertical gastrectomy, LapBand® and duodenal switch.

Selected from a master bariatric surgery database of 1,438 patients between 1997 and 2004, the study identified 207 patients who, while meeting National Institutes of Health (NIH) guidelines for surgical intervention, never returned to their medical practitioners for a bariatric surgical procedure.

The results revealed that of the 207 morbidly obese patients screened for the study, 16 (nearly 8%) died within the study period. Given the age distribution of this population, the study expected the number of deaths to be less than one. The study concluded that, for morbidly obese patients who defer surgical weight-loss intervention, the mortality rate is more than 9 times the expected rate.


August 10, 2006- Another article published in Elsevier found that obese individuals with a body mass index (i.e. BMI) of less than 35 kg/m2 can benefit from weight loss surgery.

The current criteria for the surgical treatment of obesity, set forth by the National Institutes of Health in 1991, include only patients with a body mass index of greater than 35 kg/m2 who have significant associated obesity related conditions (for example high blood pressure and/or diabetes, to name a few). Since these guidelines exclude patients with a body mass index of less than 35 kg/m2 who have life-threatening obesity related conditions (or co-morbid conditions), these individuals can often be left with few treatment options when non-surgical methods of weight loss have been unsuccessful.

Therefore the main goal of this study was to evaluate how safe and effective the laparoscopic Roux-en-Y gastric bypass was in patients with a body mass index lower than 35 kg/m2, who have significant obesity related medical conditions, compared to patients with a body mass index greater then or equal to 35 kg/m2.

These results provide support to the growing consensus that the National Institutes of Health should revise their current guidelines on weight loss surgery, to include patients with a body mass index of less than 35kg/m2 who have severe co-morbidities. This would provide a successful treatment option for these patients when all other options have been exhausted and the patient has life-threatening obesity related conditions

Recipes of the Month
WLS serving, 1/2 cup: Calories 90, fat 2 gr, carbs 6gr, protein 12 gr
2 cups low-fat buttermilk
1 1/2 tsp dry mustard
1/4 packet artificial sweetener
1/2 lb cookd shrimp, peeled & cleaned
1/2 cup cucumber, peeled, seeded & chopped
1T fresh chives, minced
Salt & Pepper to taste
In a food processor, combine all ingredients and puree until smooth.
Chill for 1 hr in refrigerator before serving.

WLS serving, 4 ounces: Calories 185, fat 8 gr, carbs 5 gr, protein 22 gr
Serves 4
1 whole chicken, cut up, or 8 chicken thighs, skin removed
One 8-ounce can Libby's Splenda Sweetened Crushed Pineapple
1/4 cup soy sauce
1 teaspoon sesame oil
2 garlic cloves, minced
1/2 teaspoon grated fresh ginger
Blend together the pineapple and juice, soy sauce, sesame oil, garlic, and ginger and pour over the chicken pieces in a shallow bowl or plastic bag. Cover and refrigerate 2 to 4 hours, or overnight.

Preheat the over to 400 degrees. Drain the chicken pieces, reserving the marinade; arrange in a baking dish and roast 35-45 minutes, until the juices run clear and the chicken is golden. Reduce the reserved marinade in a small saucepan over medium high heat until a thick glaze forms.
Spoon a little sauce over the roasted chicken just before serving.
Copyright©2006 by Susan Maria Leach. All rights reserved.

Serving Size 4-6: calories 109; fat 3gr ; protein 14g; carbohydrate 8gr
1 pound bay scallops
1 teaspoon olive oil
1 teaspoon salt and pepper
1/2 teaspoon cracked black pepper
1 medium red onion, sliced 1/2 thick
1 medium tomato, cut into 2 pieces
1/2 cup black olives, cut in half
1 medium zucchini, cut into 2 pieces
1/2 cup black olives, cut in half
1 medium zucchini, cut into 2 pieces
1/2 teaspoon celery seed
1/4 cup fresh lemon juice
In a large saut© pan, heat olive oil on medium-high heat
Next, add scallops, salt and pepper. Saut© for three minutes. The scallops will begin to brown. (Cooking time will vary depending on the size of the scallops. Shrimp can also be used.)
Add the onion, tomato, zucchini and black olives. Saut© until onions become clear.
Once onions are tender, add celery seed and lemon juice. Saut© for another three minutes.
*CHEF'S NOTE: This dish is also fantastic when topped with shredded, smoked gouda cheese and chopped scallions. (Recipe courtesy of Chef Dave Fouts-


website Support Group Calendars- LAPSF & Hawaii
Just a reminder- Please be sure to check the website calendar frequently for the most updated list of support group dates.
LAPSF Website Calendar:
Hawaii Website Calendar:
click here to go to the LAPSF Calendar

Annual Lab Work
We are busy gathering yearly lab statistics from our patients. Believe it or not, the lab where you get your lab work done takes 3-4 weeks to get us the results of your complicated one year labs. This means that you should schedule your one year lab tests at least one month before your one year appointment. Don't forget to stop taking your vitamins 3 days before your annual lab tests. Please see our website or the link below for an annual lab form. If you cannot download it, call our offices and speak to Michelle. We appreciate you getting your labs done on time!

Click here for your annual lab form.


Thank you for your support to date, see you at the next support group meeting!


Dr. Gregg Jossart ~ Dr. Paul Cirangle ~ Dr. John Husted
Khristi Autajay, RD
Laparoscopic Associates of San Francisco
2100 Webster Street, Suite 518
San Francisco, CA 94115
866-957-3627/(415) 561-1713 fax

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