Pregnancy after Surgery
I love receiving your newsletters every month. I recently found out
am expecting in 2011! I am almost 12 weeks along, and expecting twins
in July. I know the importance of nutrition, supplementation & blood work, especially at this time. I was just wondering if you were able to
recommend any resources, books, or websites regarding post-op
pregnancy. Any suggestions would be appreciated.
Jen Bush from Nanaimo, BC
Pregnancy after weight loss surgery shouldn’t be attempted until the
patient is at least 12 to 18 months post-surgery. After that time, it
was thought that patients were good to go with no problems at all. For
the most part, this is true. However, there have been some birth
defects that have shown up as a result of nutritional deficiencies in
One case involved a mother who was deficient in
vitamin A, D, K, protein, selenium and zinc, and another mother
deficient in vitamin K.
Folate is also important to pregnant women. A
lack of folate can cause low birth-weight in babies and premature
births. We normally get folate in breads and pastas, something that
weight loss surgery patients tend to avoid.
Nutritional deficiencies can cause serious
problems. It is best that your OB/GYN knows of your surgery and that
you work with a nutritionist at your surgeon’s office, if one is
A good website on the issue of nutrition and
weight loss surgery is our Bariatric Advantage eStore
http://www.wlscenterestore.com/ Their blog site is
especially informative. And best wishes on your pregnancy!
Another source of good information on Folic Acid is The Centers for
Disease Control and Prevention
Obesity Action Coalition Membership Drive
The Obesity Action Coalition (OAC) is having a huge
membership drive with some wonderful prizes. Their goal is to reach the
50,000 member mark, because that is the voice you need to have in order
for Washington to notice you.
The OAC is an educational and advocacy organization
(of which I am Chairman of the Board) and they fight very hard for access
to care for all those who are obese and morbidly obese.
Join our voices and become a member today!
Questions about Stoma
Today is my 5th anniversary for my gastric bypass surgery. I
gained 40 lbs back, but I am still in good shape. I am having
problems with pain in my pouch, and just went to see a gastric
bypass surgeon closer to my home, not the one that did my
surgery. He did an endoscopy, and said my pouch was in an
hourglass shape, and the stoma going into my intestines was very
large. I am wondering what if anything can/should be done about
this. Are you hearing this from other people?
I can’t say that I have heard that someone’s pouch is in an
hourglass shape, but I have often heard that someone’s stoma is
large. This is sometimes the case of the stoma not being made
small enough originally because of an anatomical problem, or of
the patient eating too much at a particular time and stretching
The problem is then, how to make the stoma smaller. The
was thought to be an answer. The Stomaphyx pleats the lining of
the pouch to make it smaller, as well as making pleats in the
stoma to make that smaller. This seemed to be a great answer and
patients and surgeons alike were hopeful. However longer term
studies have found that the Stomaphyx has had moderate to
Another more successful procedure is putting a lap band around
the pouch. This has been tried many times with more success.
The problem with both procedures is that the surgery is
generally not covered by insurance unless the patient has gotten
morbidly obese again, and even then there is no guarantee.
Regaining weight happens more often than we would like. It is
good that you are still in good shape, regardless of your weight
regain. But you may want to look into my Back on Track Internet
Mentoring Program while you are still in good shape, before your
weight gets out of hand. Here you will learn lifestyle changes
important in reaching a healthy weight.
Back on Track with Barbara
Internet Mentoring Program
The Back on Track with Barbara Internet
Mentoring Program really concentrates on lifestyle changes. Join our
group and receive lessons via the internet and the support of others who
are struggling just like you are.
for Summer Time Fun
||Are you suffering from emotional eating and
||Are you grazing on carbohydrates and can’t
||Are you lacking inspiration to lose the
weight you have regained?
||Do you feel that you don’t know what to do now
that you have had surgery?
||Are you dying to be in better shape?
My Back on Track Internet Mentoring
Program will give you the
need to get your weight under control.
and Listen to a
FREE Telephone Seminar
clicking here and scrolling down to the
bottom of the page.
Inspiration to Lose Weight
Weekly Email Messages that Will Keep
You Motivated to Lose Weight and Stay Healthy
Staying in the proper frame of mind to
continue losing weight can be hard when life's challenges always
lead you astray. Weekly messages will keep you on a steady
track to lose weight.
weekly motivational messages today
to stay on track with your weight loss.
for more information
Spicy Beef with Shrimp Bok Choy
1/4 cup Shao Hsing rice wine*
1 1/2 tablespoons oyster-flavored sauce
2 teaspoons cornstarch
4 teaspoons canola oil, divided
3/4 pound sirloin steak, trimmed of fat, cut in
half lengthwise and thinly sliced
1/4-1/2 teaspoon crushed red pepper
10 raw shrimp, (21-25 per pound), peeled,
deveined and chopped
1 pound bok choy, preferably baby bok choy,
trimmed and sliced into 1-inch pieces
Whisk rice wine, oyster sauce and cornstarch in
a small bowl until the cornstarch is dissolved.
Heat 2 teaspoons oil in a large nonstick skillet
or wok over medium-high heat. Add beef and crushed red pepper to
taste; cook, stirring, until the beef begins to brown, 1 to 2 minutes.
Add shrimp and continue to cook, stirring, until the shrimp is opaque
and pink, 1 to 2 minutes. Transfer the beef, shrimp and any juices to
Heat the remaining 2 teaspoons oil over
medium-high heat in the same pan. Add bok choy and cook, stirring,
until it begins to wilt, 2 to 4 minutes. Stir in the cornstarch
mixture. Return the beef-shrimp mixture to the pan and cook, stirring,
until heated through and the sauce has thickened slightly, about 1
Makes 4 servings about 1 cup each.
Per serving: 204 calories; 8 g fat (2 g sat, 4 g
mono); 54 mg cholesterol; 6 g carbohydrates; 0 g added sugars; 22 g
protein; 1 g fiber; 384 mg sodium; 660 mg potassium.
*Ingredient Note: Shao Hsing (or
Shaoxing) is a seasoned rice wine. It is available in most Asian
specialty markets and some larger supermarkets in the Asian section. If
unavailable, dry sherry is an acceptable substitute.
If you have a recipe that you would like to share in future issues of
this newsletter, please send it to me at
photo here, with a
proud smile of accomplishment!
time for your Moment of Fame!
||You worked hard to lose pounds
to reach your goal weight. Maybe you
didn't reach your goal weight, but you lost more
than 100 pounds, and are still moving forward
toward your goal. You did many hours of
exercise and ate all the small meals. You
are excited about how you look, and are
appreciative of how others look at you.
You are a success, and will be an
inspiration to others who are just
starting out, or are having difficulties,
and needing some motivation.
Be proud of your success.
Think back to when you were considering weight loss
surgery, or were early in your surgery journey.
Did you read or hear of someone else's success?
Didn't you feel more motivated to do the same?
It is now time for your moment of fame. It is
time for you to pay back that person who motivated
you, by motivating someone else.
Email your success story and
attached before and after .jpg photos to:
I look forward to giving you your
Moment of Fame.
Before Photo Here!
After Photo Here!
|The OAC is the ONLY non
profit organization whose sole focus is helping those affected
by obesity. The OAC is a great place to turn if you are
looking for a way to get involved and give back to the cause of
There are a variety of ways
you can make a difference, but the first step is to become an
OAC Member. The great thing about OAC Membership is that
you can be as involved as you would like. Simply being a
member contributes to the cause of obesity.
Permission to Reprint
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please include the following paragraph:
Barbara Thompson’s free newsletter featuring helpful information and
research material to help patients succeed following weight loss
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