In This Issue
* Exhausted and Bruised
* Thoughts on Plastic Surgery
* Recover Program
Beef Medallions with Shiitake Mushroom Sauce
* Success Story: Jean Manseau
Exhausted and Bruised
I had gastric bypass surgery December 2008, and have lost 135
pounds. I am having a hard time finding vitamins that don't hurt my
stomach, and that donít make me sick. So while I feel better having
lost the weight, I am always exhausted. I've also noticed that I am
bruising very easily; I mean major bruising. It looks like someone
has beaten me up. My doctors have checked all my blood work and everything is normal. Do you have any ideas about this?
I am not a medical professional, but it does sound as if you are
deficient in iron. The exhaustion and bruising are common symptoms.
However they are symptoms of other problems as well, such as adrenal
or thyroid problems.
When checking your iron levels, please be sure
that your doctor has checked your ferritin levels. That is often
For more information on this, check my November
1, 2006 newsletter for the article entitled ďMore on Blood Iron
Levels.Ē There is a very revealing article on checking for iron
Thoughts on Plastic Surgery
I just wanted to thank you for putting my story in your newsletter
about the excess skin after surgery. I have had SOOOO many responses!
So many people who feel exactly the way I do.
I would sometimes feel guilty about hating my body, when the overall
result to begin with was to just be healthier, which I am. I never
expected to have so many others express the same problems and
Just out of curiosity, are you an advocate of plastic surgery?
Everyone that responded to me was expressing a desire to have the skin
removed, but of course, with the expense, it is not an option for most
of us. Do you see a possibly in the future that bariatric surgeons
would make it more affordable for their patients?
Thanks for everything!
It is always such a relief to find that there are others who feel the
way that you do.
Regarding my thoughts on plastic surgery, I am an
advocate of anything anyone wants to do as long as it is healthy. For
instance, if someone was obsessed with plastic surgery, and was having
one surgery after another, never satisfied with the way he or she
looked, that to me is unhealthy. I donít feel that we had weight loss
surgery for health and not for cosmetic reasons, therefore should be
happy with what we have. Thatís not reality, and it really is no oneís
business but the person that wants to have plastic surgery.
Personally, I had plastic surgery. I had a face
lift about 2 years after my weight loss surgery. I carried a lot of
weight in my face, and I was left with skin that pulled my face down.
I was always being asked what I was so sad about. I finally went to a
plastic surgeon, Dr. Dennis Hurwitz, and asked him to make me look as
happy on the outside as I felt on the inside. I certainly need to have
plastic surgery on other parts of my body, but have chosen not to. My
decision is based on three considerations: 1) expense, 2) fear of the
pain, and 3) I am content with my body.
I do however want to comment on your question,
ďDo you see a possibly in the future that the bariatric surgeons would
make it more affordable for their patients?Ē It is not the fault of
bariatric surgeons who donít do plastic surgery. It is the fault of
plastic surgeons, as well as the insurance community.
Plastic surgeons should be doing more to advocate
to the insurance industry to have plastic surgery covered for weight
loss surgery patients. The reason they donít is because they would
much rather have business that is self-pay as opposed to business that
is financed by insurance companies. Insurance companies use their
leverage, and pay far less than someone who is paying a full bill
themselves. Insurance companies pay a discounted bill.
I also fault insurance companies that will only
recognize plastic surgery as cosmetic, and not as a physical and
emotional health issue. I have received the letters and heard the
heart-breaking stories of people who are suffering from excess skin,
and fear intimacy, because of how they look with their clothes off, who
have problems walking because their excess thigh skin is flapping, and
who suffer with infections from skin on skin rubbing raw. I agree that
weight loss surgery is for the most part only Ĺ of a surgery for many
people, with plastic surgery being a necessary second surgery. But how
do we fight that battle when we are still fighting the battle to have
weight loss surgery covered?
It will be a long time before plastic surgery
will be covered following weight loss surgery, unless there are
significant changes following health care reform. But without the
plastic surgery community leading the charge, I donít have high hopes.
information regarding plastic surgery, order my CD,
Surgery: The Inevitable Next Step,
recorded with Dr. Peter
Rubin, a plastic surgeon that specializes in plastic surgery for
weight loss surgery patients.
For the next 2 weeks only, we are
for the special price of $9.97.
The Obesity Action Coalition has teamed with
Bariatric Advantage to provide vitamins to patients in need. The
program is called the Recover Program. To date, the OAC and Bariatric
Advantage have helped nearly 200 people in 30 states and have provided
more than $20,000 worth of supplements. This is only one of many
services offered by the Obesity Action Coalition that supports
Bariatric Advantage has indicated they likely can
provide up to $100,000 worth of supplements in 2010 so the Obesity
Action Coalition has the ability to help many more people during these
tough economic times. More details on applying for the assistance
program can be found by clicking the Recover icon on the OAC web site,
Shiitake Mushroom Sauce
Beef Medallions with Shiitake Mushroom Sauce
1/2 tablespoon olive oil
2 shallots, minced
1 large garlic clove, thinly sliced
2 beef medallions, about 4 ounces each, trimmed of all fat
4 ounces shiitake mushrooms, stems removed
1/4 cup dry red wine
1/2 cup low-sodium canned beef broth
1/2 teaspoon crushed dried thyme
- In a heavy cast-iron or nonstick skillet, heat
olive oil over medium-high heat. Add the shallots, garlic, and steaks.
Cook steaks 2 1/2 to 3 minutes per side, turning once, for
medium-rare. Transfer steaks to a carving board and keep warm.
- Add the mushrooms to the skillet, raise heat to
high, and sautť for 2 minutes per side. Transfer mushrooms to a small
- Discard fat from skillet. Add wine to the
skillet and stir to deglaze the pan, loosening any browned bits. Add
beef broth and thyme. Cook, stirring, until reduced by half. Return
mushrooms to skillet.
- Thinly slice steaks on the diagonal. Pour any
steak juices into the sauce. Arrange steaks on heated serving plates
and spoon mushrooms sauce over the meat. Serve hot.
Per serving: 260 calories, 27 g protein, 12 g
fat , 6 g carbohydrates, 1 g fiber
If you have a recipe that you would like to share in future issues of
this newsletter, please send it to me at
I want to offer a special thanks to Jean
Manseau for sharing her success with us. Here is her story:
My Name is Jean Manseau. I had gastric bypass surgery Sept 19th,
2007 performed by Dr. Chapman at Eastern Carolina University in
Greenville, NC. I am grateful, and feel blessed to have a second
chance for a better and healthier life.
It has not always been easy. I look at everyday
as a gift, and if I'm proactive and make the best choices, then I
can make the most out of my second chance at life every day. I
exercise to have shape, reduce stress, and control what I eat. I
weigh everyday just so the pounds don't creep up on me when I'm not
looking. I take my bariatric vitamins every day to help me stay
healthy. I use protein drinks to keep my hair and muscles. Most
importantly, I listen to my body, and act or respond accordingly. I
know if I eat too many carbs, not only do I have food cravings, but
I also can retain water weight.
I stop and have conversations with myself all
the time. If I think I'm hungry, I ask myself if I'm thirsty first,
and drink about 20 oz of water. If I'm still feeling hungry, then I
eat. I have an ulcer so I make sure itís not just the gnawing hunger
pains from my ulcer. If it isnít time to eat, I think, ĎOh how about
a big juicy steak.' If the thought of that makes me nauseated, then
I'm not really hungry, and I find something else to do to distract
I don't cross the sugar line at all. I have
never even tried. I don't want to know if I tolerate sugar. It's
just not worth the price I would pay if I could tolerate it. So in
my head I can't, and I won't. I don't drink with meals, not even a
sip. I wait my 30 minutes after a meal. I still don't use a straw,
or drink anything with carbonation.
The surgery was a tool to help me lose weight,
not do it for me. I still have to do my part, and I try to remember
that every day.
What this surgery gave me was control. I went
from having to buy nothing but stretch pants, to fitting into a size
6 pair of jeans without having had plastic surgery. I had my 2 year
check up and my labs are great. I would do it all again in a
am out of success stories.
If you have reached your goal weight (or close to
it), you have a success story to tell. Be proud of
your wonderful achievement and let the world celebrate
Send your success story with before and after photo
files to me at
Barbara@WLScenter.com and I will include your story
in a future newsletter.
If you need help with the photo files, contact
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