Dear Friends and Family of Laparoscopic Associates of San Francisco,

Welcome to our new 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

The Docs of Laparoscopic Associates of San Francisco
Dr. Jossart, Dr. Cirangle and want to welcome you to our January newsletter, our first official online newsletter. 2004 was a busy year for us and we are moving even farther into the future with our new high tech newsletter. We still want to see you face to face at the support group meetings and at your follow up visits. We always love to receive before and after pictures as well, we got a lot over the holidays -- keep them coming! May 2005 be your happiest and healthiest ever.
To learn more about the doctors, click here.

SUCCESS STORY : Janice Gets Her Life Back After the Vertical Gastrectomy
Janice decided to have weight loss surgery with Dr. Jossart in July of 2003. Her BMI was 52. She has struggled with obesity for many years and was in need of double hip replacement. She had been told that her hips could not be replaced until she lost a significant amount of weight. However, Janice was a high risk patient for weight loss surgery because she had a previous triple heart bypass surgery. Janice decided that the Restrictive Vertical Gastrectomy would pose the lowest risk to her health and the greatest benefit to her weight loss. She came through the surgery with flying colors and after just four months had already lowered her BMI eight points from 52 to 44. After one year, her BMI was down to 33 and now 18 months after surgery, her BMI is 30. Janice was able to have both hips replaced and is doing extremely well after surgery. She frequently attends the Petaluma support group meeting, see you next month Janice!

Find out more about the Vertical Gastrectomy Procedure

Image Worried About Post Op Hairloss?

Weightloss surgery patients can suffer from hairloss, the causes are usually hormonal. Hormones are stored in fat, when a rapid weight loss occurs, this can cause thinning hair. Some patients experience it, some don't. If it does occur, it will usually happen at about 6-9 months post operatively and cease about 12-18 months out. IT WILL GROW BACK. Here are some helpful suggestions regarding hairloss: (GNC has a "Hair and Nails" formula that contains most of these items. )

These Things May Slow or Deter Hair-loss

1. Co-Enzyme Q/10 50mg per day

2. Biotin 300mcg per day

3. Flax Seed Oil 1-2 grams per day, gel-tabs, oil or sprinkles

4. Primrose Oil 1 gel tab per day

5. Zinc 50mg/day

Our online chat is the perfect forum to ask the docs questions about post operative issues like hairloss. Don't forget to tune into the chat on Thursday nights (except the last Thursday of the month when the docs are at the SF support group meeting) at 9pm PST.

Follow this link to our Thursday night chat room.

Image January's High Protein Weight Loss Surgery Recipe - Skillet Chicken Dijon


4 skinless chicken breasts
3 Tbs olive oil
2 cloves garlic minced
3 Tbs white wine
2 Tbs soy sauce
2 Tbs Dijon mustard

Heat oil in a skillet. Add minced garlic and cook 3 minutes, stirring often. Add chicken breasts and brown. In a separate bowl, combine wine, soy sauce and mustard and mix well. Pour generously over chicken. Cover and cook until alcohol is cooked out and chicken is done.

Do you have a high protein weight loss surgery recipe? Please send it in to us at Extra credit if you include a picture!!

Click here to go to our website and submit a recipe.

Don't Forget to Get Your Yearly Lab Work Done Early!

Image 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.

Seminars and Support Group Dates 2005
We have monthly seminars and support groups in 6 different locations.

SAN JOSE: We meet on the third Wednesday of the month at 6pm for pre-ops and 7pm for post-ops. All meetings are at the Courtyard Marriott by the San Jose Airport, 1727 Technology Drive in San Jose.

SACRAMENTO: Our support group meeting is on the third Wednesday of the month at the Sutter Cancer Center at 2800 L Street in Sacramento at the Buhler Board Room on the 7th Floor. It starts at 7pm, we hope to see you there!

PETALUMA: Our Petaluma support group meets the third Saturday of the month at Groverman Hall at Petaluma Valley Hospital on North McDowell in Petaluma at 10:30am. New patient seminar at 9am. The only exception is April, when the support group will be on the 23rd.

EUREKA: Our Eureka support group meets at 7pm on the Thursday evening that our doctors are seeing patients in Eureka. They meet at General Hospital, in the Burre Conference Room on the roof. Please call or check our website to confirm the date.

EAST BAY: Our East Bay support group meets at 745pm on the second Tuesday of the month at the Mt. Diablo Regional YMCA in Pleasant Hill at 350 Civic Drive in the Lions Den Room.

SAN FRANCISCO: Our SF support group normally meets the last Thursday of the month at 6pm at the Cathedral Hill Hotel in San Francisco, at the corner of Van Ness and Geary. Parking is validated.

Click here to see our Seminars and Support Groups listed on our website.

Image Satellite Office Locations

We have office locations in 6 different Northern California areas. The doctors see patients in most of these offices once a month. If you live near one of these locales, feel free to call our main office number to make an appointment for a satellite clinic day. We'll see you there!

Eureka - 2607 Harrison Street, Suite B Eureka, CA
February 10th and 11th, March 10th and 11th

Chico - 111 Raley Blvd. Suite 120 Chico, CA
Call for dates

Sacramento - 631 Fulton Ave, Sacramento, CA
February 4th and 25th

Stockton - 415 East Harding Way, Suite G Stockton, CA
Call for dates

Petaluma - 1456 Professional Drive, Suite 406 Petaluma, CA
February 18th and March 18th

San Jose - 3803 South Bascom Ave, Suite 100 Campbell, CA
February 16th and March 16th

Click here for a list of our locations and driving directions.

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


Dr. Gregg Jossart ~ Dr. Paul Cirangle
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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