The gastric sleeve, also known as the vertical sleeve gastrectomy (VSG), is one of the most popular weight loss procedures in New Jersey, and the most performed weight loss surgery here at New Jersey Bariatric Center.
At New Jersey Bariatric Center we get a lot of questions about gastric sleeve surgery, also known as the vertical sleeve gastrectomy (VSG), from how it helps you lose weight to the health benefits for the procedure. If you’re considering a gastric sleeve surgery, here’s 4 facts to know about gastric sleeve:
1. Gastric Sleeve Helps You Lose Weight in 2 Ways
First, gastric sleeve surgery jumpstarts weight loss by removing a portion of the stomach and narrowing the remaining part of the stomach into a thin “sleeve-like” tube. The reduced stomach size holds less food so you feel full faster, while still allowing for the digestion of key nutrients. The second way is that the gastric sleeve procedure reduces the secretion of ghrelins in your stomach. Ghrelins are hormones responsible for making you feel hungry. Patients on average can lose about 40-70% of their excess body weight after a gastric sleeve procedure.
2. The Health Benefits Go Beyond the Numbers on the Scale
Not only does the gastric sleeve help you to lose weight, but it can also offer other health benefits and improvements for obesity-related conditions. In a study by the American Society for Metabolic and Bariatric Surgery (ASMBS), after gastric sleeve surgery:
77% of patients had resolution of Type 2 diabetes*
62% of patients had resolution of high blood pressure*
84% of patients had resolution of sleep apnea*
As with any surgery there are side effects and risks to weight loss procedures. To learn more, visit our Side Effects & Risks page.
3. Gastric Sleeve Surgery is performed Laparoscopically or Robotically-Assisted
During gastric sleeve surgery our surgeons make small incisions in the abdominal wall to remove 75-80% of the stomach. This reduces the capacity of the stomach to 3-4 ounces, resulting in patients feeling full, faster on a smaller portion of food. At New Jersey Bariatric Center the surgery is performed either laparoscopically or is robotically-assisted, and usually lasts approximately 1-2 hours.
4. Hospital Stays are Generally 1 Day
Both methods - laparoscopic or robotic-assisted - of surgery involve smaller incisions through the stomach, which often leads to, for many patients, less pain and a short, 1 day hospital stay, in general. To learn more about recovery at home, post-surgery nutrition as well as returning to work and regular activity, click here.
For more questions about gastric sleeve or to schedule an appointment give us a call at 908-481-1270. To register for one of our free webinars, click here.
*Metabolic and bariatric surgery. (2018, October). In the American Society for Metabolic and Bariatric Surgery. Retrieved November 10, 2020, from https://asmbs.org/resources/metabolic-and-bariatric-surgery
New Jersey Bariatric Center moves to Telemedicine
Telemedicine now available at NJBC
In our effort to help stop the spread of COVID-19 and accommodate our patient’s needs, New Jersey Bariatric Center now offers telemedicine appointments.
Scheduling a Telemedicine Appointment
Call our office at 908-481-1270 or click here to schedule a telemedicine appointment. After scheduling, patients will receive a confirmation email from us with a link to access their appointment. Telemedicine appointments will be conducted via Doxy.me. The platform is secure, easy-to-use and allows patients to stay connected with their New Jersey Bariatric Center doctors. Telemedicine appointments are available for current and new patients.
What to Expect during a Telemedicine Appointment
During a telemedicine session, patients will speak directly with a member of the New Jersey Bariatric Center clinical staff – surgeons, physician assistant or nutritionists – based on the type of appointment they schedule. Current pre-op patients can stay on track for their future procedures, new patients can learn about weight loss surgery procedures like the gastric sleeve and gastric bypass and post-op patients can maintain their care and follow-up.
At New Jersey Bariatric Center the safety of our patients, staff and communities we serve is a priority. We hope by introducing telemedicine to our patients during the NJ Coronavirus Stay-At-Home Order we can keep everyone safe, healthy and on their weight loss journey.
For more information about scheduling a telemedicine appointment or if you have questions about an existing appointment, please call our office at 908-481-1270.
Zepbound® vs. Wegovy®: What the New Study Results Mean for Your Weight Loss Goals
A recent study about two leading weight loss medications - Eli Lilly’s Zepound® and Novo Nordisk’s Wegovy® has many of our medical weight loss patients at New Jersey Bariatric Center asking us, which weight loss medication is best for me? Here’s a quick look at how the head-to-head study of Zepbound® vs Wegovy® reveals significant differences in weight loss outcomes between Zepbound™ and Wegovy® that could impact your weight loss goals.
Key Weight Loss Findings
The head-to-head weight loss study*, involving more than 750 participants with obesity or weight-related complications, demonstrated key results:
Zepbound®: Patients lost an average of 20.2% of body weight (approximately 50 pounds)
Wegovy®: Patients lost an average of 13.7% of body weight (approximately 33 pounds)
This represents a 6.5 percentage point difference in weight loss effectiveness.
*Note: Eli Lilly, the maker of Zepbound®, funded the weight loss study. Full study results can be found here.
Understanding How Zepbound® & Wegovy® work
Both Zepbound® and Wegovy® are injectable medications designed to address obesity by suppressing appetite, slowing stomach emptying, modifying hunger signaling pathways and supporting long-term weight management. While the study shows Zepbound®'s increased weight loss potential, individual results can vary. Factors influencing weight loss include individual metabolism, adherence to medication, lifestyle modifications and overall health conditions. These medications are not quick fixes but tools in a comprehensive weight management strategy.
While these results are impactful, at New Jersey Bariatric center we emphasize that medication is just one component of a successful weight loss journey. With over 20 years of helping patients reach and maintain their weight loss goals, we know that medications like Zepbound® and Wegovy® are not a standalone solution. They are most effective when combined with consistent lifestyle modifications, balanced nutrition, regular physical activity and ongoing medical supervision. When trying to decide between Zepbound® versus Wegovy®, align your medication choice with your weight loss goals and consider your insurance coverage as coverage for each medication may vary.
If you're currently on Wegovy® or other weight loss medication and want to switch to Zepbound®consult with your healthcare provider. They'll assess your health, goals, and medication transition options. Patients experiencing a weight loss plateau with Wegovy® may be good candidates for switching to Zepbound®, pending medical approval. Your doctor can determine whether Zepbound® is the right choice for you, help you safely navigate the switch, ensuring minimal disruption to your weight loss journey.
Long-Term Weight Management
Weight loss medications are tools for managing obesity, not permanent solutions. Weight regain is possible when medications such as Zepbound® and Wegovy® are discontinued, especially if previous lifestyle habits resume. Weight loss is a journey, not a sprint. Developing consistent healthy eating habits and using NJBC’s services such as Tuesday Talks monthly support group meetings and virtual fitness classes can help you maximize your weight loss.
Making Your Decision
While the study suggests Zepbound® might offer more weight loss, individual experiences differ. The most important step is having an in-depth conversation with your healthcare provider to determine the best approach for your unique health journey.
Weight management is a personalized process. Both weight loss medications are powerful tools, but lasting success comes from a holistic approach to health and wellness.
For questions, call 908-481-1270.
How to Pick The Right Bariatric Surgeon in New Jersey Who's Right For You
Starting your bariatric (weight loss) surgery journey in New Jersey can be overwhelming. Questioning “how to find the right bariatric surgeon for me?” is common. As is how do I find the right bariatric surgeon near me? Whether you’re considering bariatric surgery - gastric sleeve or gastric bypass - for the first time, or you’re interested in a revision procedure, this guide can help. We’ll dive into key factors to consider when choosing a bariatric surgeon. When you’re informed you can feel empowered to select the surgeon who best meets your needs and is in sync with your weight loss goals.
Finding The Right Bariatric Surgeon
There are many bariatric surgeons in New Jersey, and finding the right one for you is not only about searching Google for their credentials and experience, it’s about looking a little deeper and asking the right questions. What is the surgeon's approach to patient care? Do they provide comprehensive weight loss care, including nutrition and lifestyle counseling? Is pre-operative and post-operative bariatric surgery support a part of their care plan? The quality of the hospital can affect your comfort and safety. Knowing how to pick the right bariatric surgeon for you can ensure that you are making an informed decision.
Check Surgeon Credentials and Experience
Choose a bariatric surgeon who is board-certified in general surgery with specialized fellowship training in bariatric surgery. Ensure that they are accredited. Verify their credentials and experience through state medical boards or professional organizations like the American Society for Metabolic & Bariatric Surgery (ASMBS). Low complication rates indicate a skilled bariatric specialist. And look for a surgeon with a better-than-average complication and mortality rate.
Schedule A Consultation
A personal consultation allows you to assess your compatibility with the surgeon. Look for qualities like patience, empathy, and a willingness to clearly explain the surgical process. Ensure the surgeon takes the time to understand your medical history and weight loss goals. Look for a surgeon who gives you straightforward answers to the tough questions and discusses both the benefits and the risks when you are figuring out how to pick the right bariatric surgeon near you.
Ask About Surgeon's Approach
Some surgeons take a comprehensive, multidisciplinary approach addressing both physical, psychological and lifestyle aspects of obesity. Others focus solely on the physical. Choosing a surgeon whose philosophy aligns with your needs is essential for long-term success. A multidisciplinary approach involving nutrition and mental health counseling is often key to sustainable weight loss.
Commitment to Long-Term, Sustainable Weight Loss
Will the surgeon work with you for the long-term? Cheering on your successes, encouraging and collaborating with you during the tough times will go a long way. Weight loss is a journey, not a sprint. Look for a surgeon who will be there to coach and motivate you after surgery. One who has a weight loss team with nutritional and exercise support as you adapt to your new digestive system.
Hospital Affiliations and Facility Quality
The quality of the hospital where the surgery will be performed is an important factor. High-quality, accredited facilities often have lower complication rates and better patient outcomes.
Learn About Patient Experiences
Online reviews and surgeon ratings can provide insights into patients' experiences, but they often don’t tell the whole story. Watch patient videos, read testimonials, and hear directly from a patient about their experience with the surgeon and team. Here at NJBC, our monthly webinars give prospective patients the opportunity to hear directly from our current patients about their experience.
When you’ve done your research, understanding how to pick the right bariatric surgeon for you and asking the right questions can help you make an informed decision.
Summer barbecues are a beloved tradition, and there's no better way to enhance your meals than with delicious BBQ flavors. Store-bought sauces often contain a lot of sugar, but this homemade low-sugar barbecue sauce recipe uses simple, wholesome ingredients to create a flavorful, healthy alternative that you can enjoy while on your wellness journey. Making your own homemade low-sugar barbecue sauce also ensures that you choose healthier ingredients that support your weight loss surgery.
Ingredients
1 cup tomato sauce (no added sugar)
1/4 cup apple cider vinegar
2 tablespoons Worcestershire sauce
2 tablespoons yellow mustard
1 tablespoon smoked paprika
1 teaspoon garlic powder
1 teaspoon onion powder
1 teaspoon chili powder
1/2 teaspoon black pepper
1/4 teaspoon salt
1/4 cup water
1 tablespoon sugar-free sweetener (e.g., Stevia or Erythritol) or 1 tablespoon honey for a naturally sweetened option
RecipeInstructions
Combine Ingredients: In a medium saucepan, mix together the tomato sauce, apple cider vinegar, Worcestershire sauce, and yellow mustard.
Add Spices: Stir in the smoked paprika, garlic powder, onion powder, chili powder, black pepper, and salt until well combined.
Sweeten the Sauce: Add the sugar-free sweetener or honey. Adjust the amount to your preferred level of sweetness, keeping in mind the goal of maintaining a low sugar content.
Simmer: Place the saucepan over medium heat and bring the mixture to a gentle simmer. Reduce the heat to low and let it simmer for about 20 minutes, stirring occasionally to help the flavors meld and the sauce thicken.
Adjust Consistency: If the sauce is too thick, add a bit of water to reach your desired consistency. If it's too thin, let it simmer a bit longer until it thickens.
Cool and Store: Once the sauce reaches your preferred consistency, remove it from the heat and let it cool. Transfer the cooled sauce to a clean jar or bottle and store it in the refrigerator.
Once you try out your healthy homemade low-sugar barbecue sauce be sure to let us know how you liked it.
Will I Regain Weight After Stopping Prescription Weight Loss Medication like Wegovy® or Zepound™?
Estimated reading time: 3 minutes
FDA-approved prescription weight loss medications like Wegovy® and Zepbound™ can be effective tools on your weight loss journey. But what happens when you stop taking them? It’s a common question people have about regaining the weight they’ve lost. In this blog we'll discuss what to expect and a few tips to help you maintain your progress.
Why Weight Regain Can Happen
Weight loss medications are a tool for the treatment of obesity, not a cure. When the medications and healthy lifestyle changes are stopped, weight regain can occur. Think of obesity like other chronic conditions such as high blood pressure or diabetes - it requires ongoing management. Just as blood pressure medicine works best when combined with a healthy lifestyle, weight loss medications are similar. When paired with healthy eating habits, regular exercise and lifestyle changes, long term success is achievable. If you return to previous habits after stopping the medication, you're likely to regain weight.
Prescription medications like Wegovy® and Zepbound™ are designed to be used for long periods of time. They often take 5-6 months to reach full effectiveness. They work by altering the hunger pathways in our bodies, reducing cravings and slowing down the time it takes for our stomach to empty out. Usually when our body loses weight, it compensates by increasing hunger signals. These signals are blocked by weight loss medications.
When beginning a weight loss medication, we prescribe a starter dose. This helps your body get used to the medication and minimize potential side effects. As the medications begin to take effect, your provider will slowly increase the dosage. Typically patients reach the maximum dose around the 6 month mark. Once at the maximum dose, the medications are taken as a maintenance dose, which means that you continue at that dose until you no longer want to take the medication.
Habits matter. The medications work alongside lifestyle changes, not in place of them. Without a change in lifestyle habits such as mindful eating, portion control, and increased physical activity, when medications are stopped there is a higher chance for weight regain. At New Jersey Bariatric Center our medical weight loss program includes live nutrition and exercise classes that sets the foundation for lifestyle changes.
Finding additional support from weight loss groups, family members and friends can also help you stay on track.
Readjusting Your Approach
Weight regain can feel discouraging but it does not mean that you or the medications have failed. It’s a temporary setback. Together, we can discuss options to restart your weight loss journey, from lifestyle changes and theMWL@NJBC program to weight loss surgery (if you qualify). We’re here to support you every step of your weight loss journey.
For questions about your weight loss options or concerns about weight regain, give us a call to make an appointment at 908-481-1270.
Spring Produce: Your Guide To Fresh, In-Season Eating
I always recommend eating the fruits and veggies that are in-season. Eating with the seasons is a great way to save money and enjoy the freshest, tastiest produce out there. Spring is just around the corner, so let’s review what will be in season, the benefits and the best places to find them.
Benefits of Eating Seasonally
Better Flavor: In-season produce is harvested and picked at its peak ripeness. For example, spring and summer strawberries pale in comparison to ones in December. There is a huge difference in flavor - the strawberries in spring are fresher and just taste better.
Lower Costs: Another benefit of eating seasonally is lower costs. Out-of-season produce is often shipped which adds more to the cost. No longer-distance shipping means produce is more affordable when it’s in season.
Better for the Environment: Eating produce in season and from local sources reduces the food’s carbon footprint by eliminating long-distance transportation and storage requirements for out-of-season produce.
Where to Find In-Season Produce
Farmers markets are a good option to find in-season produce and support local farmers. This can be a fun, family-friendly outing to do on the weekend, too. Check to see if your town has a local farmers market this season
Grocery stores almost always have an assortment of in-season produce. You may find a dedicated section specifically for seasonal fruits and vegetables.
Spring Produce Guide
Eating in season can also be a great way to try something new. Here’s a quick guide to what’s usually available in March, April and early May and some creative ways to use them in your next recipe.
Asparagus
Asparagus is a vegetable that is a good source of fiber which is important for optimal digestion. One of my favorite ways to use asparagus is to toss it with some olive oil, salt and pepper and throw them on the grill.
Artichokes
Artichokes are particularly high in folate and vitamin c which can help keep our immune system strong. Steam for an easy, flavorful treat. Then you can enjoy the leaves in your favorite dipping sauce such as hummus.
Brussels Sprouts
Brussels sprouts often get a bad reputation but I encourage you to give them a try. They are loaded with antioxidants that promote overall health. I think brussels sprouts taste the best when tossed with olive oil and seasoning and then roasted in the oven until they are crispy. I love to top mine with balsamic glaze.
Broccoli
Another great source of fiber, broccoli is a great veggie to include in your weekly rotation. Plus it tastes good raw, roasted and steamed!
Citrus Fruits
Keep your immune system in tip top shape with vitamin C rich citrus fruits this season. Stock up on clementines, cara cara oranges and grapefruit These make for a great, portable snack.
Fennel
Here’s one you might not have tried before. Fennel is a good source of antioxidants that can reduce inflammation in the body. Fennel has an interesting, licorice-like flavor. I love to add sliced fennel to my brussels sprouts when roasting!
Peas
Did you know that peas are actually a good source of protein? A ½ cup serving of green peas yields almost 5g of protein. Peas are simple to add to any dish like cauliflower fried rice or a healthy protein pasta recipe.
Radishes
Radishes are a good source of fiber, antioxidants and vitamin c. You can enjoy them roasted or pickled but my favorite way to eat radishes is sliced on top of a salad for an extra crunch.
Spring Greens
Replace your usual romaine lettuce with this for a nutrient packed salad. Spring greens are easy to add to your diet. You can even pack some into your blender for a green smoothie.
Healthy Valentine's Dinner Recipe
Estimated reading time: 2 minutes
Are you staying in for dinner this Valentine’s Day and looking for a delicious yet healthy recipe? This Shrimp Pasta dish has minimal ingredients but packs a ton of flavor. Shrimp is a great source of protein and when paired with a protein pasta, they make the perfect pair. Whether you're celebrating with a special someone, making dinner for your family or enjoying a cozy night by yourself, this recipe is sure to please. If you have leftovers, they are a great, healthy option to pack for lunch the next day, too!
Ingredients
1.5 cups broccoli
8 oz dry spaghetti, lentil or chickpea based
2 Tbsp. Olive Oil
1 clove garlic - smashed
1 cup cherry tomatoes - halved
1lb bag of shrimp
1 lemon zested
1 Tbsp. Sriracha (optional)
Instructions:
Bring a pan of lightly salted water to a boil. Add the broccoli and boil for 1 min 30 secs, or until tender. Drain and set aside.
Cook the spaghetti following pack instructions, then drain, reserving a ladleful of cooking water.
Heat the oil in a large frying pan, add the garlic clove and fry over a low heat for 2 mins. Remove with a slotted spoon and set aside, leaving the flavored oil.
Add the tomatoes to the pan and fry over a medium heat for 5 mins, or until beginning to soften and turn juicy. Stir in the shrimp and cook for 2 mins, or until turning pink. Add the sriracha and lemon zest, stirring to coat.
Add the cooked spaghetti and reserved pasta water through the shrimp and tomatoes. Stir in the broccoli and toasted garlic, season to taste and serve.
We hope you enjoy this healthy Valentine's Day dinner recipe! If you're looking for a healthier sweet treat, check out the link below.
Valentine's Day is approaching, and love is in the air! It's a time for romance, sweet gestures, and, of course, indulging in delicious treats. If you are mindful of your health and weight, enjoying this holiday can sometimes feel like a challenge. However, celebrating Valentine’s Day doesn't mean you have to compromise your health goals. Let's explore some delectable, healthy dessert options that are both sweet and sensible.
1. Chocolate-Dipped Strawberry Skewers:
A romantic classic with a healthy twist. These skewers feature fresh strawberries dipped in sugar-free dark chocolate, sprinkled with coconut flakes for a delightful crunch.
Ingredients:
8 fresh strawberries
2 ounces sugar-free dark chocolate
1 tablespoon unsweetened coconut flakes
Preparation:
Wash and dry the strawberries.
Melt the dark chocolate in a microwave-safe bowl in 30-second intervals, stirring in between.
Dip each strawberry into the chocolate, coating half of the strawberry.
Sprinkle each chocolate-dipped strawberry with coconut flakes.
Add 4 strawberries to each skewer and let them set on parchment paper.
2. Greek Yogurt and Berry Parfait:
Layered with creamy, protein-rich Greek yogurt, fresh mixed berries, and a touch of honey, these parfaits are a symphony of textures and flavors, topped with chia seeds for added nutrition.
Ingredients:
1 cup Greek yogurt
1 cup mixed berries (strawberries, raspberries, blueberries)
2 teaspoons honey or sugar alternative
1 tablespoon chia seeds
Preparation:
In two serving glasses, layer half of the Greek yogurt at the bottom.
Add a layer of mixed berries on top of the yogurt.
Drizzle 1 teaspoon of honey over the berries in each glass.
Add the remaining yogurt and top with the remaining berries.
Sprinkle chia seeds on top of each parfait.
3. Peanut Butter Protein Balls (Makes 4 balls):
These no-bake protein balls are a perfect quick snack. Combining the smoothness of peanut butter with the texture of oats and the sweetness of honey, they are a delightful bite-sized treat.
Ingredients:
2 tablespoons natural peanut butter
¼ cup oats
1 scoop (about 30g) chocolate or vanilla protein powder
1 tablespoon honey or sugar alternative
1 tablespoon dark chocolate chips
Preparation:
Combine peanut butter, oats, protein powder, and honey in a bowl.
Roll the mixture into 4 balls.
Press a few chocolate chips into each ball.
Refrigerate for an hour before serving.
4. Chocolate Avocado Protein Pudding :
A creamy and rich pudding that uses the natural creaminess of heart-healthy avocados, combined with cocoa and protein powder, to create a luscious and healthy chocolate treat.
Ingredients:
1 ripe avocado
2 tablespoons cocoa powder
1 scoop chocolate protein powder
½ cup almond milk
Sweetener to taste (optional)
Preparation:
Blend avocado, cocoa powder, protein powder, almond milk, and sweetener until smooth.
Refrigerate for an hour to thicken.
Serve chilled.
5. Triple-Seed Chocolate Berry Delight:
A nutrient-dense dessert that combines the power of fiber-filled chia, flax, and hemp seeds in a chocolatey mix, complemented with fresh berries for a burst of freshness and natural sweetness.
Ingredients:
2 tablespoons chia seeds
1 tablespoon ground flax seeds
1 tablespoon hemp seeds
1 cup almond milk
1 tablespoon cocoa powder
1-2 tablespoons honey
½ teaspoon vanilla extract
A pinch of salt
½ cup fresh berries
Optional: Dark chocolate shavings
Preparation:
Mix chia, flax, and hemp seeds with almond milk, cocoa powder, sweetener, vanilla, and salt.
Refrigerate overnight or at least for 2 hours.
Stir and divide into 2 servings. Top with fresh berries and chocolate shavings.
Celebrating Valentine's Day doesn't mean you have to stray from your health goals. These high-protein desserts feature healthier ingredients and are perfect for enjoying the sweetness of the holiday while staying on track. However, it's important to remember that portion control is key, even when indulging in these healthy dessert options. Enjoy these treats as you celebrate the day of love! Happy Valentine's Day!
Food noise is a term used to describe constant thoughts about food or a preoccupation with food that can be overwhelming or disruptive to daily life - that persistent inner voice chattering about cookies even though you just had lunch. When experiencing food noise you may not necessarily feel hungry, but you are still thinking or obsessing about food. It’s different from hunger. Hunger is physical whereas food noise is in the mind.
If you’re struggling with food noise, it’s important to know that you’re not alone. There are steps you can take to quiet the chatter and develop a healthier relationship with food.
Learn Your Physical Hunger Cues
Learn your body’s natural signals of hunger and fullness rather than relying on external cues. Pay special attention to your physical hunger cues so you can differentiate them from food noise cues. When you're physically hungry, practice mindful eating. I always recommend sitting down to eat at a table without watching TV or using a cellphone. Limit distractions to allow yourself to focus on the flavors of your meal and how you’re feeling while you’re eating. Savor each bite.
Healthy Food Habits
One way to regulate your hunger cues and food noise can be to adopt habits that help you make better food choices. If there’s one specific food that you simply cannot resist, try keeping it out of the house or out of your sight. Always have healthy snacks such as cut up vegetables, low-fat cheese sticks and yogurts on hand to snack on, and use smaller plates when possible, portions appear larger when on a smaller plate.
The Importance of Sleep
Did you know not getting a good night’s rest can cause you to feel hungrier and consume more calories in a day? Leptin and Ghrelin are two hormones that help regulate hunger and satiety. When you get a restful night's sleep, it allows your body to regulate the amount of these hormones. Sleep can also impact how your body regulates insulin. Insulin is the hormone that helps regulate your blood sugar. Making sure that you are active, getting outside and some sunlight daily can help you get good quality sleep as well. Aim for at leas 7 hours of sleep per night and try to go to bed and wake up at the same time each day to keep your body on a routine. Keep your bedroom dark and relaxing, put your phone down a couple of hours before bed, and avoid large meals too close to bedtime to regulate your sleep as well.
How Weight Loss Medication Can Help
Weight loss medications like Wegovy® and Zepbound™ can help quell the food noise. These medications are referred to as GLP-1 agonists. One of the ingredients in these medications, semaglutide, can affect the area of the brain that controls appetite. It works by targeting hormones in the brain and body that regulate hunger and satiety -the feeling of being full. It helps patients feel more in control, which enables them to make better choices without always feeling distracted by food. GLP-1 medications also make you feel full quickly, and with improved hunger control and food noise at bay, patients are able to make healthier choices with their meal.
Working with an RD
If you feel overwhelmed with food noise, I encourage you to make an appointment with a registered dietitian. Working with a registered dietitian can help you not only on your weight loss journey but also with anything that pops up along the way to your goals. We are able to tailor behavior modifications and offer solutions to individual dietary problems that you may have that will work for you.
Ready to make an appointment? Give our office a call at 908-481-1270.
Bariatric Surgery, Weight Loss Medications & You: Understanding Your Options
Both bariatric surgery - gastric sleeve and gastric bypass - and prescription weight loss medications are tools to help you reach a healthy weight; but they work differently and lead to varying amounts of weight loss. Here’s what you need to know about both options and how you can maximize your weight loss.
Understand How Each Helps You Lose Weight
Gastric sleeve and gastric bypass both create weight loss by decreasing the size of your stomach, which limits the amount of food you can eat at one time, leaving you feeling fuller sooner and longer. Gastric sleeve jumpstarts weight loss by removing a portion of the stomach reducing the capacity for food intake, whereas gastric bypass works by both reducing the stomach size and rerouting the path food normally takes so that it “bypasses” a large section of the stomach and a portion of the intestine. Both decrease your levels of hunger hormones so you will feel less hungry. As you eat less food, your body will stop storing excess calories and start using its fat supply for energy.
Gastric sleeve and gastric bypass procedures result in significant long term, sustainable weight loss, on average between 60-80% of excess body weight. If you’re currently on weight loss medications and are looking for long term, sustainable results change, bariatric surgery might be the right fit for you. To calculate your potential weight loss with gastric sleeve, click here. For gastric bypass, click here.
Prescription weight loss medications aid in weight loss by decreasing hunger hormones while simultaneously increasing feelings of satiety, leading to reduced food intake ultimately leading to weight loss. Qsymia® (phentermine & topiramate), Saxenda® (liraglutide), Wegovy® (semaglutide) and Zepbound™(tirzepatide) are FDA-approved weight loss medications prescribed in either weekly/daily injections or capsules. Medications can typically lead to a total body weight loss ranging between 10-20%. If you’ve already had bariatric surgery and gained some of the weight back, medical weight loss might be a good option for you, if you qualify.. To calculate your potential weight loss with prescription medications, click here.
Do I Qualify?
For weight loss surgery, patients qualify with a body mass index (BMI) of 40 and above, or 35 and above with obesity-related conditions such as high blood pressure, diabetes, or obstructive sleep apnea. Find out if you qualify and calculate your BMI here.
For prescription weight loss medication patients qualify with a (BMI) of 30 and above, or a BMI of 27 and above with obesity-related conditions mentioned above. Find out if you qualify for medical weight loss here.
Costs and Insurance Coverage
For many people, weight loss surgery is an affordable health option because it is covered by their health insurance plan. However, while medical benefits usually cover the majority of the surgical costs, there may be out-of-pocket expenses depending on the procedure and your specific policy. Since coverage for each individual policy varies by company and employer, our staff will determine your exact coverage prior to your first appointment. Our navigators have a very high authorization success rate and regularly work with many insurance companies.
While some insurance plans cover weight loss surgery, coverage for prescription weight loss medications may vary. It’s important to contact your insurance provider beforehand to find out if you have coverage for weight loss medications. If you do not have coverage, self-pay options are available.
Your Weight Loss Journey At NJBC
The journey to weight loss doesn’t end when you decide on weight loss surgery or medication. Both medical weight loss and surgical patients start the process with routine lab work for our physicians to gain a better understanding of their health. This information along with your weight loss goals helps our doctors develop a plan that’s right for you.
With weight loss surgery you will meet with your surgeon, and then be teamed up with an experienced patient navigator who will be your guide, scheduling preoperative appointments, answering questions and ensuring all insurance and clinical requirements are met. After surgery, at your follow-up appointments our team will help you adjust to your new lifestyle.
With prescription weight loss medications, once you have verified your medication coverage with your insurance provider and completed routine lab work you’ll meet with our doctor to review lab test results and medication options. Once a medication is prescribed, NJBC’s medical team - registered dietitians and physician assistants - will meet with you monthly to monitor and review your progress.
We will provide guidance on nutrition and exercise, support you throughout the entire journey, including plateaus and possible weight regain and we’ll be there to celebrate all of your achievements.
Maximizing Weight Loss Success
Achieving and maintaining weight loss success requires a comprehensive approach along with nutrition support and lifestyle changes. At NJBC we understand what it takes to achieve long term weight loss success.
With more than 20 years experience, we’ve developed medical and surgical weight loss programs that go beyond the operating room and a prescription. Our team of experienced physicians, physician assistants and registered dietitians provide patients with additional tools - exercise and nutrition classes, support groups, and a wealth of educational resources. We will help you make the decision that’s right for you and support you throughout the entire journey.
Interested in learning more about your weight loss options? Give us a call at 908-481-1270.
Source
Eisenberg, D., Shikora, S. A., Aarts, E., Aminian, A., Angrisani, L., Cohen, R. V., de Luca, M., Faria, S. L., Goodpaster, K. P. S., Haddad, A., Himpens, J. M., Kow, L., Kurian, M., Loi, K., Mahawar, K., Nimeri, A., O’Kane, M., Papasavas, P. K., Ponce, J., … Kothari, S. N. (2022). 2022 American Society of Metabolic and Bariatric Surgery (ASMBS) and International Federation for the surgery of obesity and metabolic disorders (IFSO) indications for metabolic and Bariatric Surgery. Obesity Surgery, 33(1), 3–14. https://doi.org/10.1007/s11695-022-06332-1
Should I try Weight Loss Surgery or Weight Loss Medications?
Trying to decide between weight loss surgery or weight loss medications? Both bariatric surgery - gastric sleeve and gastric bypass - and prescription weight loss medications are tools to help you reach a healthy weight; but they work differently and lead to varying amounts of weight loss.
Here are a few things to consider when making the decision.
Understand How Each Helps You Lose Weight
Gastric sleeve and gastric bypass both create weight loss by decreasing the size of your stomach, which limits the amount of food you can eat at one time, leaving you feeling fuller sooner and longer. Gastric sleeve jumpstarts weight loss by removing a portion of the stomach reducing the capacity for food intake, whereas gastric bypass works by both reducing the stomach size and rerouting the path food normally takes so that it “bypasses” a large section of the stomach and a portion of the intestine. Both decrease your levels of hunger hormones so you will feel less hungry. As you eat less food, your body will stop storing excess calories and start using its fat supply for energy.
Gastric sleeve and gastric bypass procedures result in significant long term, sustainable weight loss, on average between 60-80% of excess body weight. To calculate your potential weight loss with gastric sleeve, clickhere. For gastric bypass, click here.
Prescription weight loss medications aid in weight loss by decreasing hunger hormones while simultaneously increasing feelings of satiety, leading to reduced food intake then ultimately weight loss. Qsymia® (phentermine & topiramate), Saxenda® (liraglutide), Wegovy® (semaglutide) and Zepbound™ (tirzepatide) are FDA-approved weight loss medications prescribed in either weekly/daily injections or capsules. These anti-obesity medications are not meant for short term use but rather long term use and once medication is stopped, the feeling of satiety decreases and food cravings increase, which ultimately leads to weight regain. The total body weight loss typically ranges between 10-20%. See the chart below for comparison.
To calculate your potential weight loss with prescription medications, click here.
Do I Qualify? For weight loss surgery patients qualify with a body mass index (BMI) of 40 and above, or 35 and above with obesity-related conditions such as high blood pressure, diabetes, or obstructive sleep apnea. Find out if you qualify and calculate your BMI here.
Patients qualify for prescription weight loss medication with a (BMI) of 30 and above, or a BMI of 27 and above with obesity-related conditions mentioned above. Find out if you qualify for medical weight loss here.
Costs and Insurance Coverage
For many people, weight loss surgery is an affordable health option because it is covered by their health insurance plan. However, while medical benefits usually cover the majority of the surgical costs, there may be out-of-pocket expenses depending on the procedure and your specific policy. Since coverage for each individual policy varies by company and employer, our staff will determine your exact coverage prior to your first appointment. Our navigators have a very high authorization success rate and regularly work with many insurance companies.
While some insurance plans cover weight loss surgery, coverage for prescription weight loss medications may vary. It’s important to contact your insurance provider beforehand to find out if you have coverage for weight loss medications. If you do not have coverage, self-pay options are available.
Getting Started on Your Weight Loss Journey At NJBC
Both medical weight loss and surgical patients start the process with routine lab work for our physicians to gain a better understanding of their health. This information along with your weight loss goals helps our doctors develop a plan that’s right for you.
With weight loss surgery you will meet with your surgeon, and then be teamed up with an experienced patient navigator who will be your guide, scheduling preoperative appointments, answering questions and ensuring all insurance and clinical requirements are met. After surgery, at your follow-up appointment our team will help you adjust to your new lifestyle.
With prescription weight loss medications, once you have verified your medication coverage with your insurance provider and completed routine lab work you’ll meet with our doctor to review lab test results and medication options. Once a medication is prescribed, NJBC’s medical team will meet with you monthly to monitor and review your progress.
Finding Weight Loss Success
The journey to weight loss doesn’t end when you decide on weight loss surgery or medication. Achieving and maintaining your weight loss goal requires a comprehensive approach along with nutrition support and lifestyle changes. At NJBC we understand what it takes to achieve long term weight loss success.
With more than 20 years experience, we’ve developed medical and surgical weight loss programs that go beyond the operating room and a prescription. Our team of experienced physicians, physician assistants and registered dietitians provide patients with additional tools - exercise and nutrition classes, support groups, and a wealth of educational resources. We will help you make the decision that’s right for you and support you throughout the entire journey.
Interested in learning more about your weight loss options? Give us a call at 908-481-1270.
Source Eisenberg, D., Shikora, S. A., Aarts, E., Aminian, A., Angrisani, L., Cohen, R. V., de Luca, M., Faria, S. L., Goodpaster, K. P. S., Haddad, A., Himpens, J. M., Kow, L., Kurian, M., Loi, K., Mahawar, K., Nimeri, A., O’Kane, M., Papasavas, P. K., Ponce, J., … Kothari, S. N. (2022). 2022 American Society of Metabolic and Bariatric Surgery (ASMBS) and International Federation for the surgery of obesity and metabolic disorders (IFSO) indications for metabolic and Bariatric Surgery. Obesity Surgery, 33(1), 3–14. https://doi.org/10.1007/s11695-022-06332-1
Maintaining Your Weight Loss Progress Through Thanksgiving
Thanksgiving is all about gathering together, giving thanks and enjoying a meal with family and friends. However, this big meal can be quite challenging and stressful if you’re trying to lose weight or maintain your weight loss progress. Heading into Thanksgiving with a solid plan is a great way to help you stay on track. Here are 4 tips that we tell our patients.
Plan Ahead
Create a meal plan that includes healthy options for breakfast, lunch, dinner and dessert. This will help you make mindful choices when you’re faced with temptation especially at Thanksgiving dinner. Our registered dietitian team is always here to support you in creating a customized plan that works for you.
Avoid Skipping Meals
On Thanksgiving day avoid skipping meals. Treat the day just like any other day of the week. Opt for a healthy protein packed breakfast such as a smoothie or an omelet. For lunch, focus on lean protein and veggies like chicken breast and a salad. Overall, remember to stay fueled throughout the day instead of starving yourself until the big meal. Most importantly, listen to your body. Once you’re full, practice pushing your plate away or packing up leftovers. You should leave the table feeling comfortable and satisfied -- not stuffed.
Build Your Plate Mindfully
Protein should be the foundation of your meals while on a weight loss journey. It helps to maintain lean body mass and to keep you feeling fuller, longer.. I recommend filling your holiday plate with protein first and allocate 50% percent of your plate to it for an adequate amount of nutrients. Next addition to your plate should be veggies which provide your body with antioxidants and vitamins A, C and E. Some good options include sautéed carrots and green beans, a spinach salad or roasted broccoli. For higher carb options such as stuffing or mashed potatoes opt for a smaller spoonful and enjoy in moderation. Remember that it’s okay to indulge a bit but just be mindful of your portion sizes, eat slowly and mindfully.
Add some Movement to Your Day
Getting up from the table and away from the food is a good way to ensure that you won’t be tempted to overindulge. We recommend going for a walk after dinner or rallying up some company for a sporting activity. Moving will not only boost digestion but also helps to burn some calories.
