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 weightloss@lapsf.com.



Website Support Group Calendars- LAPSF & Hawaii
We've added a new calendar to the LAPSF & Hawaii Weight Loss websites that has an up-to-date lists of Seminars/Support Groups and other activities.

Please check the website frequently for any updates or changes.

LAPSF Website Calendar:
http://lapsf.com/seminars-support-groups.php

Hawaii Website Calendar: http://hawaiiweightloss.com/weight-loss-support-groups.php

click here to go to the LAPSF Calendar

BodyMint- Internal Deodorant

BodyMint tablets are made from an all-natural, highly specialized, derivative of chlorophyll. BodyMint’s unique formulation gives it the uncommon power to reduce body odors from multiple sources. Bariatric surgery patients who suffer from malabsorption have found this helpful with stool odors & flatulence.

BodyMint may be purchased online at www.bodymint.com & now available at Long's Drugstores, Sav-on/Albertsons, Whole Foods, Raley's, and Eckerd Drugs in California.
click here to go to the BodyMint website

New Item of the Month- Profect Protein Shake

Profect is one of the newest protein drinks on the market. Each ready-to-drink vial provides more protein per ounce than any other beverage on the market: 25 grams of protein in less than 3 fluid ounces!

Actinase, the 25-gram protein complex in Profect, is a complete, enzymatically hydrolyzed formula containing all essential amino acids.

Profect is carbohydrate-free, fat-free, and fortified with water-soluble vitamins. It contains only 100 calories per vial and comes in 4 great tasting flavors: Blue Raspberry Swirl, Cool melon Splash, Fresh Citrus Berry, and Grapefruit Mango.

You may access the Profect website through our LAPSF E-store. Just click on the advertisement at the bottom of the e-store web page. **When ordering online, please enter the LAPSF Referral Code: 223 for discounts.**


Patient Success Story: Marta Martinez

October 1, 2002 was my second chance at a new life, that's the day I had my Duodenal Switch surgery. The highest weight I ever got was 352 pounds. I had sleep apnea; needed a knee replacement; I could hardly breathe when I walked, and I couldn't play with my friends' kids. With the old fashion dieting, I could lose 50 pounds; plateau; get frustrated and gain 80 back. I did yo-yo dieting for years. So for me, surgery was my last option.

Sitting in the OR waiting room, I thought I could just leave and no one would know. Knowing that at 34, I would never get the opportunity again to better my health. So after surgery, I tried to do everything that the LAPSF surgeons asked me to do and the weight started to come off.

Now, almost three and half years later, I've lost 165 pounds and have managed to keep it off by dieting and exercising. I now enjoy exercising (bite my tongue), I can run a 12 minute mile on an elliptical machine and ride a stationery bike five miles in 20 minutes. Three and half years ago, that would only by a dream.

I've always been a very social person, so after surgery I was fearful of going to events that had food. I have found my friends and family to be very supportive. I still get a plate; I still put food on it, but its all protein now and I don't need to eat it all. When eating in a restaurant with friends, I either share my meal or take half home. So I can be a really cheap date or a very expensive one. It seems hard at first being out eating with other people, but it gets easier with time, because you are considered "normal".

I had no post-op complications, which I am grateful, so I would do this surgery even if I had complications. I no longer have sleep apnea, no knee pain, I wear out my friends' kids, and I have gotten my life back. In January 2005, I had my circumferential lower body lift (tummy tuck), which aided me in losing another 20 pounds; gave me a new belly button, and no more rashes and breakdown because of my apron. Now I have a flat stomach, which I have never experienced before, but to keep it flat I must eat my protein, watch my carbs, take my vitamins and exercise. I do want to say thank you to the LAPSF doctors for being very compassionate and caring physicians who have chosen this profession, because without them I would not have this second chance at life. To the office staff, thank you for being so patient with my phone calls and questions, I'm grateful to you all. Thank you..........Marta Martinez

Calorie Counter Website & Resources
CalorieKing also offers great free tools that you can use:

Their Award Winning Free Food Database - With over 40,000 items, and including popular fast food chains and restaurants, this is a great free resource to help you track your daily calories, protein, and carbohydrate intake.

Great recipes and articles - You'll find healthy recipes and informative articles.

Also available for purchase online: "The CalorieKing Calorie, Fat and Carbohydrate Counter" ($8.00)
- This is the most up-to-date book of food counts available
- Has 11,000 food listings
- Includes 200 fast food chains and restaurants
- Contains international foods, carnival foods and fair foods
- Uses color coding to make it quick and easy to find what you're looking for
- Contains bonus counters and practical guides, including weight control tips, essential portion control information, hints to reduce fat, calorie and carbohydrate intake, plus specialized guides on diabetes, glycemic index, calcium, protein, cholesterol, fiber, sodium, iron, caffeine and high blood pressure.

click here to go to the calorie king website
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Prealbumin- What is it?
The prealbumin test is used to help your doctor diagnose problems with your nutrition. Prealbumin most often is used to help diagnose protein-calorie malnutrition. In this condition, the body breaks down muscle, protein, and body fat.

The prealbumin test measures a protein that reflects your nutritional status, particularly before and after surgery, or if you are hospitalized or taking nutritional supplements. Albumin testing is more often used to test for liver or kidney disease or to learn if your body is not absorbing enough amino acids. Albumin can also be used to monitor nutritional status. However, prealbumin changes more quickly, making it more useful for detecting changes in short-term nutritional status than albumin.

Many patients have a decline in nutrition during their hospital stay, especially after surgery. Studies have shown that good nutrition prior to surgery helps to avoid complications, such as pneumonia and infection, after surgery. If the prealbumin test indicates that you are malnourished or have poor nutrition, your doctor can help correct your diet so you get stronger before your surgery.

Recipes of the Month
SCRAMBLED EGGS WITH HAM & CHEESE
4 oz serving- 108 calories, 18 g protein, 2 g carbs

1 cup egg substitute
1T water
4 oz low-fat cheddar cheese, diced
4 oz low-fat sliced ham, finely minced
Butter-flavored cooking spray
salt & pepper to taste

In a small bowl, beat egg substitute with water until frothy. Stir in cheese and ham. In a medium nonstick skillet, heat cooking spray until hot but not smoking. Pour in egg mixture, stirring constantly for 1-2 minutes until eggs form small curds that are soft but not runny & cheese melts. Add salt & pepper to taste.


CHICKEN ARTICHOKE SOUP
4 oz serving- 81 calories, 11 g protein, 5 g carbs

1-14oz can of artichoke hearts in brine, drained well
2 oz soft or silken tofu
3 T grated Parmesan cheese
1 1/2 T fresh lemon juice
3/4 tsp dried tarragon
2 t grated lemon peel
2 garlic cloves, minced
1/4 tsp ground nutmeg
1/4 tsp chili powder
2 cups fat-free, low-sodium chicken broth
1/2 pound cooked skinless, boneless chicken breast, cubed

Puree artichoke hearts in food processor until chunky. Add remaining ingredients and puree until smooth. Pour into large pot, cover, and simmer over low flame for 10 minutes.
TERIYAKI TURKEY BURGERS
4 oz serving- 174 calories, 29 g protein, 7 g carbs

1 pound lean ground turkey breast
1/4cup scallions, chopped
1 garlic clove, minced
1 tsp fresh ginger, grated
1/4 tsp black pepper
Cooking spray
1/4 light soy sauc
2 T rice vinegar
1/4 cup dry sherr
1 packet artificial sweetener
1 cup chopped onion
1/4 sesame oil

In a bowl, combine turkey, scallions, garlic, ginger, and pepper; then divide mixture into 4 equal patties. Coat the bottom of a medium nonstick skillet with cooking spray and heat until hot but not smoking. Cook burgers for 4 minutes on each side until cooked through. Remove burgers from pan and keep warm.
Pour soy sauce, rice vinegar, and sherry into pan and stir, scraping up any brown bits. Add sweetener and onion and simmer 5-7 min until onion is soft. Stir in sesame oil. Top burger with 2 T of sauce.


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.


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

Sincerely,

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
www.LapSF.com
weightloss@lapsf.com


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