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9/26/2015

Holiday Eating Anxieties for Bariatric Patients

Most Bariatric Surgery Patients experience a wide range of Holiday eating anxieties which can actually ruin a perfectly good Holiday around friends and family.

Prior to surgery, Holidays meant family, friends, and lots of food to indulge in and enjoy – often at a glutinous rate simply because Holiday foods are “special” because they are only provided during the season and they are prepared so carefully which adds guilt if you don’t partake of it.  

How many times do you hear these phrases said at a Holiday gathering?

“That’s ALL you’re going to have?  I worked so hard on that dish…”
“You better eat this now, because it won’t be here for another year….”
“It will hurt my feelings if you don’t eat this…..”
“These are very special ingredients I ordered specifically for this dish…”
“You can’t be NOT HUNGRY… it’s a Holiday!”
“Just ONE LITTLE BITE, PLEEEEEZEEEEZ…..”
“Have more, there’s plenty…”
“Take some of this home with you if you’re not going to eat it now…”
“Oh nonsense!  You’re allowed to eat a lot today!”
“You should have worn your FAT PANTS to gorge yourself like the rest of us…”

OH, how this list could fill a book, right?  Such comments add enough stress to non-surgery individuals who carefully watch their weight, let alone those who have had the Bariatric surgery and have to be careful what they eat, how much they eat, and how often they eat.  So you are NOT ALONE in feeling some anxiety about being around all of the special food at gatherings this season.

I’d like to offer some suggestions that have worked for me and others during this most stressful time when Holidays equates to special foods and the pressure to partake in them is way too much out of hand at times.

1.   Prepare you mind for the event:  Reflect on past Holiday experiences and evaluate what lies ahead this year for you.  Have it in your mind what you will say and do when those food-pushers taunt you or down-right threaten you to eat during the “special occasion.

2.  Anticipate the food:  Reflect on past Holiday foods that are always provided to you within your social circle.  Predetermine what you WILL eat and what you WON’T eat.  Making a decision ahead of time will curb your gut-reaction to “cave in” to the urgings by others to eat what you shouldn’t eat.

3.  Never try anything new at the party:  Not knowing how you will react to the food carries the high risk of making you ill and calling for you quick retreat to the bathroom or feeling sick for an hour or so.  This will draw attention to you, which is something you don’t’ want.  The host and guest will feel badly for you, so don’t put them or you in such a situation.  Only eat things that you are absolutely certain that you can tolerate.

4.  Take baby-bites of the “special” foods:  Literally, take a baby-bite if you absolutely must partake of foods strictly for the social expectations.  If it’s too much for a baby’s mouth, then you’re putting too much on the spoon or fork.

5.  No-Guilt in Tossing it:  In a social event where you don’t’ want attention drawn to how little you are eating, take a small plate with small portions of food, then take small bites of each item, then TOSS the rest away when no one is looking.  This gives the appearance that you’re “normal” and all will assume you have gotten your fill.  This spares hurting the feelings of Great Aunt Gerdie who truly does cry if you refuse her special 60%-sugar/90%-fat/carb-loaded/stroke-on-a-plate pie.  Tossing out the unwanted uneaten portions is just a “different” way of consuming… so don’t’ feel guilty about it.  All that matters is that Great Aunt Gerdie delights in seeing her pie disappearing.

6.  Eat healthy before you go and bring your own essentials:  Never go to a Holiday party hungry… NEVER!  This is self-sabotage in the worst way!  Enough said?  Take along your own treats and drinks that are RNY-Friendly to you.  Don’t request an extra effort on your host.  You know what you need, so take it with you.  While they are eating pies and cakes, you can have the sugar-free fudge sickles you brought along or those sugar-free pudding cups.  And if they are serving only sodas or alcohol and you cant’ do them, bring your own herbal teas or no-sugar-added hot chocolate packets.  This will make you, the host, and the guests feel comfortable and nobody will feel that you are “suffering” as they eat your NO-NO’s.

7.  Talk more than you eat:  The Holidays should be about PEOPLE, not food.  So be social.  Focus on the people; laugh with them, tell stories, listen to their tall tales, play games, etc.  If you do these things, you’ll be amazed at how well the gathering will go for you simply because you didn’t focus on food.  And when the food-pushers come along, just glance by them off into the distance and make your exit because you “want to talk to so-n-so or your cell phone is vibrating and you’ve got to excuse yourself for the call…. Perfectly acceptable to have a pre-planned “way out” when you need one.

8.  Change the food-subject:  Others may want to cry boo-hoo with you if you keep telling them of all the foods you’re missing out on this year.  Don’t do that!  Rather than mourn the loss of your favorite Holiday treats, brag on the fact that you’re feeling so much healthier, your clothes are getting baggier, and you’re dreaming again of all the great things that are in store for you now that you are slimming down.  Don’t’ allow anyone to pity you for not eating like you used to eat.

9.  Wear a “knock-out” outfit:  WOW them all this Holiday season by wearing a special outfit that you feel very proud to be seen in.  The food isn’t special to you anymore… you’ve swapped that for the special outfits you can now wear!  Let people whisper to each other how great you look rather than how little you are eating.  The stress of not eating so much will be far away to you when you feel good about yourself and look good too.

10.  Make your visit brief:  if you are getting too much pressure from others or are experiencing too many anxieties, let leave the gathering earlier than you originally planned.  Maybe you’re tired, the roads are getting bad, you realized you need to do something… remember that “pre-planned” escape should be there for you if you need it.

I can attest that these are tactics that I’ve used and STILL use in social gatherings when it is expected to eat special foods during special times.  Granted, I am three years post-op, so my anxieties are not as high as they once were… but they certainly threatened my Holiday happiness not too long ago!

Remember this most of all…. The more prepared you are ahead of time, the less you’ll feel nervous about those awful Holiday Eating Anxieties.  Now go have fun!

9 Ways To Feed Your Soul By Simply Walking

We live in a culture that honors Type A, driven behaviors. That includes exercise and for many people, it’s taken away the joy out of simply walking. Instead of seeing walking as something you must do to get in shape, see it as a gift of being alive and let yourself fully enjoy the experience.

1) Walk with deep awareness of how it feels to move your body.
2) Experience the act of walking as if you've never, ever done it before.
3) Be aware. Be present in the moment. Really feel your body as you're moving.
4) Pay attention to how your feet feel with each rolling step on the earth.
5) Notice the strength and power in your muscles.
6) Feel yourself moving in space.
7) Observe the wind on your skin and the temperature of the air.
8) Have a beauty feast while you're out. Notice the light coming through the leaves. See the flowers with fresh eyes.
9) Take a fresh look at the world as you move through it. Assume nothing. Experience the wonder of life as if you've never seen anything before. Watch the people as if you'd never seen a human before.

Let walking become a cherished and enriching part of your life. Turn it into something wonderful that you look forward to with both body and soul.

Health Tips: Creating A Cholesterol Plan

A number of Americans have put their hearts into lowering their cholesterol. Yet a recent American Heart Association survey found that many adults with high cholesterol still don't realize that they have an increased risk of developing heart disease.

According to the survey, 50 percent of respondents with cholesterol levels of 200 or greater, and who had risk factors such as high blood pressure or diabetes, did not perceive themselves to be at high risk for cardiovascular disease. Fifteen percent believed they were at low risk. However, the American Heart Association and National Cholesterol Education Program (NCEP) data indicate that many of these respondents are in danger of having a heart attack within a decade.

Cholesterol guidelines established by both groups show that people with multiple risk factors-smoking, high blood pressure, elevated cholesterol, etc.-and people with coronary heart disease and other conditions are at high risk of having a heart attack within 10 years.

The findings are the focus of this year's American Heart Association's Cholesterol Low Down program, an effort meant to help teach people about their risk of heart disease. Anyone can join the program by calling 1-800-AHA-USA1 or visiting americanheart.org/cld. Participants receive a Healthy Heart Kit, which includes "The Cholesterol Low Down About Your Cholesterol" guide and a "Low-Fat Favorite Recipes" cookbook. The Cholesterol Low Down is sponsored by Pfizer.

"Patients know that cholesterol is important; however, they need to better understand that their high cholesterol and additional risk factors may lead to heart disease or a stroke," said Roger S. Blumenthal, M.D., associate professor of medicine in the Division of Cardiology at Johns Hopkins Hospital and School of Medicine in Baltimore.

Words Of Wisdom

The survey also found that 72 percent of respondents strongly agree that their health care provider is a partner in managing their cholesterol. Those who frequently discuss cholesterol with their health care provider report being well-informed about issues such as setting personal cholesterol goals and the importance of following treatment plans.

"Health care providers are an important and supportive resource for individuals at risk for heart disease and stroke because of their cholesterol and other risk factors, " said Lori Mosca, M.D., Director of Preventive Cardiology at New York-Presbyterian Hospital; Associate Professor of Medicine at Columbia University College of Physicians and Surgeons. "Patients should work with their doctor to learn if their cholesterol levels are healthy and to develop a plan that includes a healthy diet and physical activity to reduce their risk."

9/20/2015

10 Things You Should Know About Stretching

Before fitness training, one must give importance to doing warm-up or stretching exercises to prevent accidents or to enhance the output during the training. There are also a number of precautionary measures and tips to serve as guidelines when doing fitness exercises. Here are some of them.

1. To increase your flexibility and to avoid injuries, stretch before and after workout. Almost everyone knows that stretching before workout prevents injuries during the exercises, but only few people know that stretching after workout, when muscles are still warm, can increase flexibility.

2. Hold your stretching position for more than 60 seconds to increase flexibility. While holding your position for 20 seconds is enough for warm ups, holding each position for at least 60 seconds will develop the body's flexibility.

3. Do not go into a stretching position then immediately return to the relaxed position, and do it repeatedly. This is more appropriately termed as bouncing while in a position. When stretching, hold that position for several seconds, and then slowly relax. You may do this exercise repeatedly this way. Bouncing or forcing yourself into a position during stretching can strain or damage some joints or muscles.

4. Work slowly in increments instead of immediately proceeding to doing the hardest exercise or position.

5. Make sure that you have stretched or warmed up all muscle groups. For some people, even if they have strong bodies, they tend to neglect the neck when working out of stretching. Stretching the neck muscles can be as simple as placing the palm of one's hand against the front of the head and pushing it. Then, do the same to the sides and the back of the head.

6. Stretch regularly to continually increase your range of movements and your level of flexibility and strength.

7. Workout considering only your capabilities and not of others. Do not force yourself to do exercises that you are not yet capable of just because there are people who can do it. Increase your limits slowly. Listen to your body. There are days when your body may be too tired that you may have to consider reducing your range of motion.

8. Learn to rest. Rest in between sets and stations to make sure that the body has enough time to recover its energy. Also, it is advisable that you don't work the same muscle groups consecutively for two days. The muscles grow during the period when you rest and not when you are working out.

9. Do aerobic exercises to strengthen your heart. Aerobic exercises are those physical activities that much oxygen for fuel. This includes cardiovascular exercises such as skipping rope, running or swimming.

10. Music may help you when you want to train for longer periods or to increase your intensity. You can use mp3 players, CD players or lightweight am radio receivers for this. Just make sure that you brought your headset with you so you wouldn't disturb people who don't prefer music while exercising.

Apart from preventing injuries and increasing one's limit, it is also said that stretching is good for a tired body and also for a stressed mind and spirit.

5 Great Tips On Exercise

Have exercise misconceptions prevented you from starting an exercise program? Clear up any confusion and let these exercise tips improve your workout routine. Hopefully none of these common exercise myths, mistakes and misconceptions have prevented you from working out.

1. Common Mistake: Failure to set goals. Do you exercise without a clear goal in mind? Having a clear goal set is a critical step in exercise and weight loss success.  Tracking your progress in a journal will help ensure you see your improvements, will help motivate you and help you meet your ultimate goal.

2. Common Misconception: No Pain, No Gain. Pain is your body’s way of letting you know something is wrong. Do not ignore this. When you go beyond exercise and testing yourself, you will encounter physical discomfort and need to overcome it. An example of this would be training for a marathon. It is important that you have the “base training” before getting into the advance training. The base training develops the body and gets it ready for extensive training. You need to learn to “read” your body. Is the heavy breathing because you are pushing your body or could it be the beginning of a heart attack. Exercise is important. Do it correctly and you can do it for the rest of your life.

It is normal for you to hurt after you exercise, but it must be done gradually with a good amount of rest periods to allow proper healing. There are two common problems here with beginning exercisers. You can cause long lasting damage to muscles, tendons and ligaments if you work out while you are in pain, without allowing enough rest time to heal. You might find yourself in constant and long lasting pain if you do this which means that you will no longer be able to exercise.

If you wake up the next morning after you exercised and can barely drag your aching body out of bed because everything hurts, you are going to be less motivated to exercise at all. Constant pain is a sure way to kill your exercise program.

3. Common Mistake: Sacrificing Quality for Quantity. When you are ready to increase the number of reps of a particular exercise, and strengthen the corresponding muscles, instead of forcing yourself to do a little more each time try decreasing the number of reps in a set but increase the number of sets. Also, back off to half your usual number of reps but add a couple of more sets. You will feel less tired and will be able to gain strength in your fast-twitch muscles.

4. Common Myth: Weight Training Makes Women Bulky. Weight training for a woman will strengthen and tone muscle, burn fat and increase metabolism, not build mass. Women do not produce enough of testosterone to build muscle mass the way that men do.

5. Common Mistake: Over-Emphasizing Strengths. You should start focusing on your points rather then what you are good at. This will help you balance things. For example, if your lower body is stronger than you upper body, then try to work only on this area one day a week.

Being smart about how you exercise will take you a long way. It is important to have a healthy body so get out there and start exercising today.