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Obesity is a national health emergency in the United States. Surgical weight reduction is one of the ways many Americans are choosing to deal with the battle of the bulge. Because of the high demand for bariatric surgery (gastric bypass and lap-band are two of these procedures), new protocols are being established to help assure the safety and appropriateness of these medical procedures. Many medical tests are required before a patient is given the go-ahead for this surgery.
The psychologist has become an integral part of the medical team. Both insurance companies and surgeons require a psychological consultation for each patient they are screening for bariatric surgery. Because eating issues are complicated and the emotional stability of the patient is important, the psychologist helps assess the patient's readiness for surgery.
For those patients seeking this pre-surgery consultation, you can expect
the psychological consultation to address these important areas of mental
1. Details of the patient's personal history such as family background, education, marital status, home situation, work history, and current living situation.
2. A complete and detailed history of the patient's obesity history, from childhood to the present, including any and all efforts the patient has made to lose weight. This would include any history of eating disorders or any issues or problems with weight and eating.
3. Information from the patient about their exploration of bariatric surgery as an option. What do they know about the procedure? Do they understand the risks of the surgery? Does the patient realize that they will be making life-long changes in their eating? Have they thought about the details of the diet, exercise program, and vitamin regimens they will use?
4. A complete and detailed psychiatric history, including any treatment the patient may have received for psychological problems, current psychotropic medications, and current psychological and/or marriage and family problems. Having a psychological or emotional problem does not necessarily keep a patient from having the surgery, as long as they are being adequately treated. This history includes past substance abuse and current alcohol, tobacco, or drug use.
5. An assessment of the patient's personality characteristics and emotional resources which indicate that the patient will be compliant with post-surgery instructions and will be able to deal with the trauma of major surgery and subsequent recovery.
6. What are the current stressors in the patient's life, and what kind of support will the patient have during and after the surgery? What are the patient's expectations and fears? Would the patient consider psychological help if they needed it as they go through their weight loss?
Some psychologists may use objective psychological tests to help with the evaluation of a bariatric patient. Most, however, use their professional skills and training in a clinical interview to make sure the patient is able to understand and make informed choices about his or her health.
While it is not possible to predict with absolute certainty that an individual will sail through such a procedure with no emotional complications, the psychologist can provide valuable insights that contribute to the overall assessment of a patient for bariatric surgery.
Dr. Jennifer Sowle, PhD., is a Licensed Psychologist and Marriage and Family Therapist. She is also a certified Sex Educator and Counselor. Dr. Sowle's website, http://here-to-listen.com gives information on psychological problems such as depression, anxiety, PTSD, and eating disorders. She also provides help for Relationships, such as conflict resolution, family finances, communication techniques, divorce, parenting,and sexuality.
We really do care about your health and happiness and are thrilled you are interested in our articles, but please always check with your doctor before trying something new!
7 Simple Tips to Help Fulfill Your Weight Loss Resolutions
Yes, it's that time of the year again.
Why is it that every time Jan 1st comes around, everyone starts to think about their new resolutions for the year? Or perhaps "new" isn't the correct word -- perhaps "recycled" is more apt? After all, isn't it true that for most people, "resolutions are made to be broken?"
Goals are a wonderful way to inspire us towards getting the things in life that we want, but more often than not, they simply end up unattained and we get frustrated (again) at the end of the year. But it doesn't have to be so. Really.
You can attain your goals or resolutions, but only IF you know how to go about setting them up correctly in the first place. And I'll give you a few useful pointers to help you get started on the right track...
- Begin with the end in mind. What's the end result you want to achieve? Do you want to lose weight? Or do you want to drop 1 dress size instead?
- Get specific and be realistic. It's not enough to just say "I want to lose weight." How much do you want to lose _exactly_? By when? A better goal is to say "I want to lose 11 pounds in 3 months." And make sure your goal is realistic. If you want to drop 27 pounds, it's not realistic to say you want to do that within the next 7 days, not to mention that it's not healthy to do that! Or if you've been putting on the weight slowly over the last 10 years, it's not quite realistic to say you want to go back to your weight 10 years ago within a month.
- Break it down into smaller and easier "baby steps." Let's say you want to lose 20 pounds. That seems like an insurmountable task, but it becomes easier to manage if you look at it as losing an average of 1 pound per week, over a course of 20 weeks. Now's that manageable! For you to lose a pound a week, you only need to create a calorie deficit of about 500 calories per day by controlling your diet and increasing your amount of exercises.
- Okay, now for the big "secret" -- the missing key to achieving your goals: Write down your "Why" i.e. what are you doing this for? Most people skip this step, and it's a primary reason why they never seem to achieve their goals. It's absolutely critical for you to write down the reasons why you want to achieve each specific goal. For example, if the goal is to "lose 20 pounds in 6 months," write down why you want to lose that weight. And here's another tip: Make it "personal and emotional."
- "Write it down and put it up!" It's usually not good enough to just think of the goals in your head. You need to write down all your specific goals and the "reasons why," and then paste it up where you will look at it every day. Don't write it down on a notebook and chuck that inside the drawer. Instead, paste it up on your dressing table mirror, or anywhere else that is in plain sight. Remember, "out of sight, out of mind!"
- Do not be too ambitious. Aim for a loss of 1-2 pounds per week, at the max! Losing more than that amount is bad for you. And it'll most probably be caused by a loss of water and/or muscle, rather than your unwanted excess body fat.
- Be realistic and "go with the flow." The pounds didn't come on overnight, so don't expect them to disappear in a jiffy too. And sometimes the weight loss isn't as fast (or as much) as planned. But don't get stressed out, because stress will only add on the pounds. It's important that you don't think of the weight loss process as "all or nothing." Instead, think of it as "slowly but surely." The weight may go up a little sometimes, but if you stick to your plan, you'll still be delighted at the end of the year!
Use these simple steps and make a positive difference to your life this year! Best of luck!
Tracy Lee is the owner of the "Weight Loss for Women Over 40" site. Get the latest news, tips & tricks & your FREE Special Report "9 Little-Known Insider Weight Loss Secrets To Help Women Over 40 Make Those Extra Pounds Disappear": http://www.weight-loss-for-women-over-40.com/insidersecrets/
Using the Medifast Diet? Medifast Diets are meal replacement programs that helps most people lose weight faster than traditional food-based diet plans. Medifast products come in individual packets that you mix with water to create a "shake" similar to an instant breakfast drink. Medifast is available in a wide variety of flavors as well as several alternate choices including protein bars, creamy soups, chili, oatmeal and hot cocoa. Medifast Diets help you to lose weight.
The more "emotional" the reason, the more likely you'll be driven towards the goal. So, let's say you've got kids. An example of a good "reason why" is "I know being overweight is a leading cause of many health problems -- I will lose the 20 pounds and get healthier so that I will not be a burden to my children, and be able to stay healthy long enough to attend my daughter's wedding and be there to carry my grandchildren." A ssuming all these things are important to you, of course. :-) But I'm sure you get the picture.
How does Medifast work? The clinically proven results of Medifast are based on the use of a defined formula diet. The program was carefully designed to create a gap between the calories you take in and the amount your body needs. Each nutritionally balanced meal replacement is formulated with a proven combination of carbohydrates and protein to allow you to successfully lose weight without losing muscle.
How fast do you lose? Women average 2 to 4 pounds a week, men slightly faster (up to five pounds a week or more). Medifast low calorie diets require medical monitoring to minimize the potential for health risks. Is it safe? Medifast programs have been recommended by over 15,000 physicians and used by over one million customers. Medifast has been providing a clinically proven approach to weight loss and nutrition for over 20 years.
Medifast is offered direct to the public. This makes it available to people of all sizes, not just the very obese or health-challenged patient. While the Medifast program still recommends physician involvement, the products are offered by "Health Advisors", who are expected to provide ongoing support, encouragement, and information to the clients. Health advisors are offered training opportunities to enable them to assist clients with long-term lifestyle changes, as well as short-term diet goals. Food can be ordered online, and there is a medical hotline number available to answer questions about being on the Medifast food plans. It is also not an exclusively liquid diet. It includes bars, chili, oatmeal, and crackers in addition to shakes and soups. To get started with the Medifast Program, please see Medifast.
Janice is a health writer for Weight Loss Pilot.
Possibly The Best Weight Loss Program In The World
There is a strong possibility that whoever reads this article is looking into ways of losing weight. In this article I describe how I went about losing my excess weight. I hope you enjoy the read. I have had many problems with my weight throughout my life. Being overweight had a major negative effect on my confidence and made me feel down and at times depressed. When feeling low, I would comfort eat which merely added to the problem.
A few years ago I decided I had had enough of being fat and that it was time to do something about it. I was now more determined than ever to lose some of my excess weight. I had read about many different types of diet most of which I felt were not suitable for me and others which sounded disgusting.
What I required was my own type of weight loss program. I have never liked the thought of attending a gym, they seem to be full of thin people, however I knew that exercise would need to be a factor. Instead, I started to walk a lot more instead of driving everywhere, I also started to play football and tennis again. The thought of going out jogging did not really appeal to me, however I did buy an exercise bike which I kept in my bedroom.
As well as exercise, I also realised that I had to change my eating habits. I am somebody who likes to eat all the wrong types of food. I love all types of take away including pizzas, a curry, a chinese, and chips. I would always be snacking in between meals, on things like peanuts and crisps. I also was rather partial to alcohol, this is something which helped me to gain confidence. The thought of cutting all of these things out of my life seemed to harsh, so I decided that I would start to write down everything I ate. This way I could see exactly what I could cut out.
This is what I decided to eat on average per day. I would eat a healthy breakfast such as toast or cerial. I would try not to eat any snacks in between any meals, this was the thing that would be most difficult to stick to. I did however come up with a plan which you will probably think is daft. Whenever I felt hungry or a desire for food I would eat a polo mint or if I was at home, would clean my teeth. Sounds crazy but it worked for me!
For lunch I would also stick to something healthy like pasta, however for my evening meal, I decided that I could eat anything that I wanted, including curry. On the weekend I would always treat myself to a takeaway and would allow myself some alcohol.
This type of diet needs a lot of discipline and character, however it hs helped me to become a lot more confident and happy with life.
Stephen Hill has a number of websites including:
7 Stupidly Simple Weight Loss Tips That Work Like CRAZY!
Current statistics reveal that 75% of Americans are overweight and 40% are obese. For those who desire to lose weight and obtain optimal health, sometimes it can be overwhelming trying to figure out where to start. From the Atkins Diet to the South Beach Diet; from the low fat to low carb diets, there are numerous weight-loss plans to choose from. In addition, given conflicting information as to what works best, it can be difficult deciding what to do.
For those who have tried many diet plans with no success, it becomes more difficult and frustrating. Many people forget that a diet might work wonders for their friend but won't work well for them...not because the diet is "bad", but because each body reacts differently. However, there is a way to lose weight that is easy, fast, and doesn't involve deprivation or calorie counting.
Before the weight loss tips are discussed, it's important to address some background information about body genetics and why weight loss can be difficult.
Before anyone starts a diet, it is important to note that each person has a different body build. Some people are short and stout while others are tall and thin. Some have big hips and shoulders, and others are short and very muscular. Genetics can determine body shape and a person's natural build just as it does eye color, hair color, skin color, and so on. The good news is that genetics do not determine whether or not one will be fat, but will determine one's body shape. This means that not every woman can expect to be tall and thin like a Hollywood actress or supermodel such as Tyra Banks. Not every man can expect to be defined and muscular like The Rock. The goal, really, is to be at a comfortable weight for one's body shape and to feel good about it.
So, why are people overweight? Here are 11 of the most common reasons:
1. Slow metabolism: People who are overweight have a hard time burning off food. As a result, the fat is stored.
2. Emotional eating: Those who struggle with weight often eat when stressed or when other emotional upheavals are happening in their life.
3. Hormonal imbalances.
4. Eating portions that are too large.
5. Eating lots of "diet food" (that is low fat,low carb, and "sugar free" foods). Kevin explains in the book why this is a problem.
6. Build up of toxins in the body.
7. Eating late: Late-night eating can cause food to convert to fat more easily.
8. High susceptibility to growth hormones: These hormones are given to animals to help them grow faster and larger, so meat and dairy have residual growth hormones. In humans, these hormones can result in increased fat storage.
9. Not eating breakfast.
10. Numerous diets: Going from diet to diet has a negative impact on the metabolism and causes weight loss to be much more difficult.
11. Food ingredients: The reasons why are amazing and beyond the scope of this article. Readers are encouraged to read for themselves Kevin's two books.
Simple Tips for Easy Weight Loss:
Now that there is a better understanding of body genetics and why people have a tendency to be overweight, here are the tips for fast, easy weight loss.
Tip #1: Drink water upon arising: First thing in the morning, drink eight ounces of distilled water, bottled water, or filtered water (not tap water).
Tip #2: Eat a big breakfast: This should be done 45 minutes after getting up in the morning. Suggested organic foods to choose from (they must be organic) are apples, bananas, rye bread with no sugar, plain yogurt, tuna, lamb, tomatoes, carrots, peppers, raw honey, wild smoked salmon, and so on.
Tip #3: Drink distilled water throughout the day: Eight glasses is recommended
Tip #4: Walk non-stop one hour each day: This doesn't have to be power walking; just walk at your own pace. Walking outdoors is best.
Tip #5: Stop eating after 6:00 PM: This is hard for some people, but do the best you can.
Tip #6: Do a candida cleanse: Candida is yeast overgrowth in the colon that can cause all kinds of health problems. Check online for "Candida Cleanse" or go to your local health food store.
Tip #7: Do a colon cleanse: This cleanse cleans out the digestive system, which is clogged and sluggish in many overweight people. Once again, check online or go to your local health food store.
More and more Americans are becoming overweight. Extra weight can result in many health issues and negatively impact one's emotional state and self-esteem. However, for those struggling with this problem, there is hope. You can lose it and keep it off. Now that you have a understanding of body genetics and why you might be overweight, take action today! Commit to trying at least a few of the steps.
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A number of misconceptions persist about weight loss. These are quite serious, because they could affect not only an individual's weight, but also his or her general health as well. The more you know about the misconceptions about weight loss, the more likely it is that you will end up following a suitable weight reduction plan.
One popular misconception is that any product that has been labeled "natural" is safe. In fact, you should be aware of the fact that these products often do not undergo vigorous scientific tests. For instance, ephedra, which has been included in some weight loss products has been banned by federal authorities because it has been determined to be unhealthy. Even those products that do not contain ephedra can be dangerous because they have components that are like ephedra. As a result, you should consult your doctor before using herbal weight loss products. Your physician is in the best position to know whether a weight loss pill or other product is appropriate in your case.
You might try psyching yourself out by using a computer screensaver which says, "Get moving." Or you might post a "get moving" sign on your refrigerator. In other words, you should be constantly reminded of the value of exercise. You might also invest in home exercise equipment such as a treadmill, elliptical trainer, or free weights. The amount of money you spend could be a powerful incentive for making sure that you use the equipment on a regular basis. You should also place the equipment in a prominent place so that you have to pass it often. After a while, you'll find no excuse not to exercise.
Another misconception is that you can still lose weight, even if you eat whatever you choose. Actually, you need to be careful about how many calories you consume and increase your exercise in order to ensure that you burn more fat than you take in. Also, it is important that you limit portions in order to ensure that you do not add extra weight. If you select low-calorie foods and you eat smaller portions, while enhancing your physical activity, you should be able to lose weight. However, you may still be able to eat some of the food you like best--provided you eat it in moderation or, if high in calories, only sparingly.
Yet another misconception is that, because a food item is labeled low-fat, it has no calories to speak of. While low-fat foods may indeed be low-cal, some processed low-fat food products have just as many calories as the high-fat types. In fact, they may be loaded in sugar or flour, increasing the total calorie count. As a result, it is important for you to check the nutrition labels on food packages in order to determine the exact amount of calories per serving. It is also imperative that you find out what constitutes a serving size so that you will not be tempted to overeat.
Some individuals believe that fast food is inherently bad and cannot be eaten while following a diet program. However, if you are knowledgeable, you can actually eat at fast food restaurants and still lose weight. It's best, for instance, if you do not indulge in supersize combo meals. You might, however, consider splitting a combo with your spouse or friend. Avoid soft drinks and drink water instead. Consider eating a salad or a grilled chicken breast sandwich. Keep the condiments--such as mayonnaise and salad dressings--to a minimum. Ask the restaurant not to put bacon or cheese on your sandwich, and avoid eating French fries or fried chicken. If you go to a Mexican restaurant, try a taco that is made with salsa rather than cheese or sauce. Following these simple recommendations can make your visit to a fast food outlet worthwhile--and non-fattening.
Some people operate under the misconception that dining after 8 p.m. always leads to weight gain. No doubt it is possible, but what matters most is how many calories you consume and how much fat you burn off. While it is a good idea to avoid snacking in front of the television, you might be able to have a nightly snack, if you haven't consumed that much high-calorie food during the course of the day.
Other individuals believe that lifting weights is harmful because it will cause you to add weight to your frame. In actuality, weightlifting can enable you to lose weight. This is because lifting weights assists you in building muscle, which burns more calories than fat. Engaging in strength training twice or three times a week can be an effective part of your overall weight loss program.
Obviously, misconceptions about dieting are plentiful. That is why it is so critically important that you consult a registered dietician or other health professional before beginning any major weight loss program.
Arnel Ricafranca is the President and Founder of Fitness VIP. He does numerous fitness talks about weight loss at a local corporation. He is available for seminars, fitness training, and online training. Visit his website to claim your fitness gift ($50 real value) http://www.officialfitnessguide.com http://www.fitness-vip.com http://www.elitefitnessexperts.com
If you are attempting to fight fat, it is simply not enough to begin an exercise program. You must also be able to stick with it. This can be challenging, especially if you have spent most of your life as a couch potato. You may find exercise to be boring or a chore. And you may be wondering whether your exercise program is really worth the effort.
It should be noted that the key to a successful exercise program is perseverance. This means that you need to commit to it for the long haul--in fact, it is best if you commit to it for the rest of your life. Certainly, it can be difficult at times. But in the end, it is well worth the effort you exert.
Staying motivated may begin with having a tangible goal. For instance, if you are basically inactive when you start your program, you should aim to burn off 500 calories a week. If you are fairly active when you start exercising, your goal should be 1,000 calories. But you must also have a long-term goal. This might be doubling the amount of calories you burn within six months of commencing your exercise program.
You might consider starting an exercise log. Here, you will record exactly what kind of aerobic, anaerobic, and stretching exercises you do each week. Be sure to include the number of repetitions you're performing with each exercise. This way, you'll have a concrete chart for your progress. Seeing how well you're doing can be truly inspiring and can keep you going when you find it difficult to go on. Another effective motivational strategy is to join a group that engages in some kind of exercise. For instance, you might become a mall-walker or you might find a local square dance club to join. Other possibilities include hiking groups, golfing groups, softball teams, or even ping-pong teams. The fact that you are part of a social network will help to keep you motivated.
You might also consider investing in exercise videos or DVDs. These allow you the convenience of exercising in the privacy of your own home. They can also give you an electronic "exercise buddy" who can help keep you inspired even on rainy days when you don't feel like exercising at all. Another effective idea is to place your athletic shoes near the door so that you are reminded of the need to walk rather than drive. You might also consider rewarding yourself for keeping with your exercise program. Your reward could be as elaborate as a cruise or as small as a treat from the dollar store. The idea is to make sure that your accomplishment is celebrated.
While we're on the topic of celebration, seriously consider throwing a party once you've reached an exercise milestone. You can serve nutritious snacks and beverages and even encourage your guests to come in their athletic wear in order to build upon the party's theme. Sharing your joy can help to motivate you to continue your physical activities.
It should be said that there is no right way to exercise. But you do need to make sure that whatever you do is effective and that you're sufficiently motivated to do it. By following just a few simple tips, you can ensure that your exercise routine is not just a fad, that it will continue over the long term. Remember that you may face setbacks from time to time, but that shouldn't stop you from continuing to try to reach your exercise goals.
Arnel Ricafranca is the President and Founder of Fitness VIP. He does numerous fitness talks about weight loss at a local corporation. He is available for seminars, fitness training, and online training. Visit his website to claim your fitness gift ($50 real value) http://www.officialfitnessguide.com http://www.fitness-vip.com http://www.elitefitnessexperts.com
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Lasik Surgery - Lasik Surgery is an increasingly popular option to cure eye problems
Natural Cures - There are many natural cures to improve health and ailments
Nutrition - What you need to know about Nutrition and your health
Plastic Surgery - Plastic Surgery is an option to change your appearance
Skin Care - Skin Care is a major concern for children, men and women
Vitamins, Herbs & Supplements - Health tips about Vitamins, Herbs and Supplements
Stop Smoking Cigarettes - Tips for stopping cigarette smoking... yuck!
Teeth Whitening - all about dental methods and teeth whitening
Weight Loss - articles about losing weight and improving your body image.
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Recent Health Tips Articles from the Web
Look! Just added to Cure Help Health Tips!
Antiaging Skin Care - People have been fighting the signs of aging for centuries. Nobody wants to look older and everyone wants to hold on to their youth. In today's world where it seems everyone can look like they are in their twenties forever, there are many tips for aging skin care.
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New Cure Help Health Tips Articles - Just Added!