Dear Dr. Diet,
I’ve lost the same 30 pounds…10 times! When I feel strangled by my waistband I go back to my keto diet.
Dear “A Waist Is A Terrible Thing to Mind”,
Veteran dieters are experts at the all-or-nothing, stuff/starve syndrome…one day broccoli, the next day is ice cream. (Perhaps Ben & Jerry should consider a broccoli flavored ice cream.)
It appears that your body has a weight settling point, that’s higher than your mind approves of. If I can’t convince you to accept your nature…let me offer some suggestions. Continue reading
Heather M. Krick, RD, LDN, CBC
Heather M. Krick, RD, LDN, a licensed Nutritionist from Easton, Pa., has been awarded National Board Certification by the American Association of Bariatric Counselors (AABC). After completing a specialized training and education program in bariatric science she was recently credentialed as a Board-Certified Bariatric Counselor (CBC). Continue reading
Dr. Abhinav Mahajan, DPT, CCI, ITPT, CBC
Dr. Abhinav Mahajan, DPT, CCI, ITPT, a licensed physical therapist based in Modesto, California, has been awarded National Board Certification by the American Association of Bariatric Counselors (AABC). After completing a specialized training and education program in bariatric science he was recently credentialed as a Board-Certified Bariatric Counselor (CBC).
Dr. Mahajan is a Doctor of Physical Therapy practicing with California Rehabilitation and Doctors Medical Center, both in Modesto. At these centers he also serves as clinical director and instructor for clinical education, site services, for Physical therapy, Occupational therapy, and Speech therapy program student’s placements. He earned his master’s degree from A.T. Still University in Arizona and his Doctor of Physical Therapy from Northern Michigan University. Continue reading
Glycemic Index Pyramid
A common problem with reduced calorie diets is the nagging hunger that is generally experienced. So understanding which foods and combination of foods that offer optimal satiety be can be ideal for mitigating “diet hunger”. The longer it takes for foods to be digested and absorbed the greater the satiety. Meat, fish and fowl, contain fat and protein.. the two nutrients with the slowest gastrointestinal transit time (slow digesting).
Glycemic Index: All Carbohydrates Are Not Equal
All carbohydrates are not equal and have a great deal variability, some digest quickly and some very slowly. Continue reading
How long do I have to wait to have sex after bariatric surgery?
Like all surgeries, the recovery period is very individual…as is the time to resume sex after bariatric surgery. If the bariatric surgery was performed “open” as opposed to laparoscopically the recovery time will take a little longer. Patients are advised to listen their doctors as well their bodies. Some patients are able to resume their sex life within a week to ten days and some take many weeks, even months. The “rule of thumb” for sex as well as other physical activities; if the patient is not experiencing pain or discomfort there is no reason to abstain. However if a patient feels uncomfortable during sex or other strenuous physical activities, have them wait a bit longer before they try again.
Most patients do report an increase in libido and improved sex life after weight-loss, and weight-loss also improves fertility for many men and women. Needless to say, improved fertility, and increased libido/sexual frequency requires careful attention to birth control.
For both the health of the developing fetus as well as the mother, pregnancy post-surgery is best deferred until the weight-loss stops and the mother’s weight stabilizes.
It should be noted that for those patients with minimal sexual experience or for couples that have had long interrupted sex lives, shyness, shame, body image dissatisfaction are realities and prudent bariatric counseling is essential.
QUESTIONS MOST PATIENTS ARE EMBARRASSED TO ASK