Issue #202 February 1, 2011

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In This Issue

Pregnancy after Surgery

Obesity Action Coalition Membership Drive
Questions about Stoma
Recipe: Spicy Beef with Shrimp Bok Choy
Success Story: Your Moment of Fame

Pregnancy after Surgery

Dear Barbara,
I love receiving your newsletters every month. I recently found out that I 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

Hi Jen,
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 the mother.

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 available.

A good website on the issue of nutrition and weight loss surgery is our Bariatric Advantage eStore  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

Dear Barbara,
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?


Dear Ava,
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 stoma.

The problem is then, how to make the stoma smaller. The Stomaphyx 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 minimal effect.

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.

Get Ready for Summer Time Fun

Are you suffering from emotional eating and can’t stop?
Are you grazing on carbohydrates and can’t control it?
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
support you need to get your weight under control.

View a FREE Lesson and Listen to a FREE Telephone Seminar by
clicking here and scrolling down to the bottom of the page.

Barbara Thompson's

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.

Start receiving weekly motivational messages today
to stay on track with your weight loss.

Click for more information

Recipe: Spicy Beef with
Shrimp Bok Choy

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 a plate.

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 minute.

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


 YOUR photo here, with a
proud smile of accomplishment!

Success Story:
YOUR Name Here

It's now 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.”


See YOUR Before Photo Here!


See YOUR After Photo Here!
Congratulations To YOU


Drink Your Vitamins


Vitamin D,
and more

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 obesity.

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.




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