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.



New LAPSF Message Board

There is a new message board that has been added to the LAPSF website. This is a great way to share your personal weight loss journey with others. Feel free to add your blog, questions, new products or recipes, etc.... We also encourage patients to post any before and after pictures you would like to share.

The link can be found at our website: www.lapsf.com in the Patient Resource section.

click here to be directed to the LAPSF Message Board

New East Bay Support Group Location & Change to Stockton SG Time

The Pleasant Hill Support Group has moved locations! The East Bay Support Group will now meet at the Embassy Suites in Walnut Creek at 7pm. The next date is Monday, November 13th. Embassy Suites is located at 1345 Treat Blvd., Walnut Creek 94597. For your convenience, the BART Station is located directly across the street. **Please check the website calendar for future dates.**

**Starting January 2007, the Stockton Support Group time will change to the afternoon from 2-4pm.**

click here to see the LAPSF Calendar

Calling All Recruits- LAPSF Patient Calendar
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We are in the process of producing a 12 month LAPSF Patient Calendar. Each month will feature a different LAPSF patient with their before and after pictures, along with a short success story of how Bariatric Surgery has improved their life.
If you are interested in participating, please send an email to weightloss@lapsf.com.


Image New Surgery Center Location in Monterey!

LAPSF is currently performing the Minimally Invasive Lap-Band Surgery at Monterey Doctors Surgery Center. Dr. Cirangle will hold an informational seminar at the Center on Saturday, December 16th from 1-pm. The address is 665 Munras Ave., Ste 100 in Monterey, CA 93940.

Monterey Doctors Surgery Center (MDSC) is a multi-specialty surgery center located in the heart of downtown Monterey. The facility is licensed by the state of California, certified by Medicare and accredited by the Accreditation Association for Ambulatory Health Care (AAAHC).

This state-of-the-art facility is owned by accomplished community based surgeons and staffed by compassionate professionals that strive to deliver exceptional service.

To register for the seminar, please send an email to Weightloss@lapsf.com

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New Online Patient Resources- Obesity Resource & Plus Personals

There are 2 new websites that we have found of interest for Bariatric Patients: Obesity Resource & Plus Personals.

OBESITY RESOURCE
Whether you're looking to lose a little weight or make wholesale changes in your life, The Obesity Resource Center is here to help you and millions of others like you. Here you will find a community dedicated to providing a wide variety of resources covering obesity and weight loss: medical problems, exercise and diet, Q&A with medical professionals , weight-loss surgery, forums, information and education.

There is also a directory of Bariatric Surgeons across the country, as well as Dietitians, Psychologists, and Sleep Centers.
Cut & paste the link below to go to the Obesity Resource Website: http://www.obesityresource.com/index.php

PLUS PERSONALS
Plus-Personals.com has announced the launch of a new online dating network: www.plus-personals.com. Plus-Personals.com is designed to provide a fun, comfortable and safe online environment where plus-size people can create and develop meaningful relationships with members of the community.

Plus-Personals.com provides the definitive space where single, plus-size men and women can find and meet other plus-size people in their local area or around the world. Plus-Personals.com's mission is to help its budding online community find love, friendship, community support and much more at the click of a mouse.

The website has a number of free services, including multiple photo profiles, quick search functionality, instant messaging, and a private mailbox that allows members to email each other. In addition, by filling out a short online survey, Plus-Personals.com provides a two-way matching service for singles looking for their ideal match.

Whether it's building a romantic relationship or a new community of friendships, the launch of Plus-Personals.com seeks to fill a void and provide an important resource for plus-size people with busy lives and schedules. Plus-Personals.com will be constantly improving its website to make it more user-friendly and fun for the people who use it. For more information, or to register, please log on to Plus-Personals.com today and get connected with your community.

click here to go to the Plus Personals Webpage

Important- Have you had your annual labs drawn?
We cannot stress enough the importance of taking your vitamins consistently EVERYDAY for the rest of your life. In addition, it's necessary to have your labs drawn every year to check for any nutritional deficiencies or lab abnormalities. Untreated vitamin deficiencies can lead to night blindness, osteoporosis, even peripheral neuropathy (paralysis).

You should receive an annual lab letter & lab slip ~1 month prior to your anniversary date for surgery. These usually take 3-4 weeks for us to obtain all the results. Please have your labs drawn at least 3 weeks prior to scheduling your annual appointment. Don't forget- Stop taking all vitamins/supplements 3 days prior to your blood draw.

click here for your annual lab form

Bariatric Surgery & Addiction Transfer
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An article in the Wall Street Journal notes that some bariatric-surgery centers and substance-abuse centers are, coming from different directions, seeing what may be a pattern of new post-operative addictions filling the void that food once did. Which may not be that surprising, since evidence is accumulating that the biochemical causes of excessive eating are very much like those at the root of alcoholism or drug addiction.

How frequently such post-surgery addiction replacement actually occurs is unclear - estimates among clinics and therapists range from 5 to 30 percent - but there seems to be a special hazard with regard to alcohol, given that 3/4 of all bariatric surgeries are of the gastric bypass form, which results in alcohol being more rapidly absorbed into the bloodstream and providing the drinker with an extra kick.

As experts cited in the article point out, surgery is a mechanical procedure. If the bedrock cause of the problem is psychological or neurologica - land plenty of experts will make a case that it generally is you're only treating a symptom, not the condition.

Switching addictions is also demonstrated when a person develops an unhealthy relationship with eating and exercise following weight loss surgery.

Exercise can become a way to compensate for overeating, and can turn into what is called exercise bulimia. It's not bad to exercise as part of a plan to control one's weight. But if the overeating becomes excessive, and then the exercise becomes obsessive -- that's a problem. Your physical health can be threatened -- not to mention your peace of mind.

The other common addiction people switch to is spending. Many weight loss surgery patients get such a kick out of shopping for new clothes they get a little carried away - and then they get hooked. Having been so burdened by obesity in the past, weight loss surgery patients begin to leave the house more, because they're now physically able to, and they shop more frequently. Shopping can morph into a mood-changing activity, and hence, an addiction.

Several steps can be taken to address the experience of switching addictions:

1. Identify your addiction(s) and the extent to which it is (they are)ruling your life.

2. Educate yourself about a particular addiction by doing research and talking to professionals who have knowledge and experience in that area.

3. Seek out a knowledgeable social worker if you are unable to control your addictive behavior on your own.

4. Join a support group that addresses your specific addiction, such as overeaters anonymous, alcoholics anonymous, debtors anonymous, etc. Remember, addictions are very common and nothing to be ashamed of. But, they are hard to get rid of in isolation. Get help if you are struggling. And keep in mind any addictions left untreated absolutely will take over your life. click here to read the full article from the Wall Street Journal

Thanksgiving Recipes
CREAMED SPINACH

1-10oz package frozen chopped spinach, defrosted
Cooking Spray
1/4 cup shallot, sliced thin
1/3 cup skim milk
1/2 cut fat-free cream cheese
1/4 tsp ground nutmeg (optional)
salt & pepper to taste

Place defrosted spinach in 2 layers of paper towels and squeeze to remove as much liquid as possible. Coat saucepan with cooking spray and place over medium heat until hot.

Add the shallots and saute until lightly browned. Reduce heat and add milk, cream cheese, and nutmeg and whisk until smooth.

Stir in spinach, cover pan, and simmer for 10 minutes. Remove the cover, raise heat to medium and cook for 1 more minute.
Makes 4- 4oz servings: 61 calories, 6g Pro, 7g Carb

SUGAR FREE CRANBERRY SAUCE

One bag of fresh or frozen whole cranberries
One orange, quartered
One cinnamon stick
1 cup Splenda granular

Cook cranberries, orange pieces, and cinnamon in ½ cup water in a medium saucepan over medium heat until berries pop. Turn down heat and simmer until berries are soft, and mixture is deep red and thickened, 20-25 minutes. Remove from heat, and stir in Spenda. Cool mixture and chill up to 3 days before serving. If a smooth cranberry sauce is desired, remove orange, cinnamon stick and puree mixture in food processor or blender before chilling. Copyright © 2006 by Susan Maria Leach www.BariatricEating.com, HarperCollins Pub. Inc. all rights reserved.

SUGAR FREE PUMPKIN PIE
Sugar free pies and cakes do not contain sugar to preserve them and must be refrigerated or they will spoil.

Makes 2 pies, each serving 8 WLS portion, Calories 113, fat 5gr, carbs 12gr, protein 3.5gr

2 cups Murray Sugar Free Gingersnaps or Vanilla Wafers
2 tablespoons salted butter, melted
3/4 cup Splenda granular
1/2 teaspoon table salt
1 teaspoon ground cinnamon
1/2 teaspoon ground ginger
1/4 teaspoon ground cloves
3 large eggs
One 15 ounce can Libby's 100% Pure Pumpkin (not pre mixed pumpkin pie filling)
One 12 ounce can low-fat evaporated milk (not sweetened condensed milk)

Preheat oven to 325°F. Place the cookies in a food processor and pulse with the butter until you have moist, fine crumbs. Divide the mixture and press evenly into two 8-inch pie plates. Bake 10 to 12 minutes, until the crusts just start to color. Cool on a rack while preparing the filling. Leave the oven on at 325°F.

Mix the Splenda, salt, cinnamon, ginger, and cloves in a small bowl. Beat eggs in a large bowl. Blend in the pumpkin and the spice mixture. Gradually blend in the evaporated milk.

Divide the filling between the two pie shells. Bake 20 to 25 minutes, until the filling is set around the edges and the center is still a bit soft. Transfer to a rack to cook, then chill. Copyright © 2006 by Susan Maria Leach www.BariatricEating.com, HarperCollins Pub. Inc. all rights reserved.


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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