Las Vegas Bariatrics Health & Wellness Magazine Vol 5 2013

from the

EDITOR

’

OK...Where in the heck has he gone this time: It has to be warm....OK Check out my view....

You have one life, so make the best of it.

I see many patients for weight loss, and on my initial evaluation, many of them tell me that they’ve been looking into weight loss surgery for the past several years. They’ve been to seminars, looked at websites, watched You-Tube videos and still have not made a decision. There are many stories so similar. And as the years go by they put on more weight.

As time goes on we get older. We hate to think that one day we’ll be our grandfathers or grandmothers.

How many people can say that they’ve made their dream come true? As we get older the number of dreams become fewer and fewer and farther out of reach.

Retirement age has increased over the years and now we have folks working into their late 60’s before even considering retiring.

So why I am a dreamer?

Because there are so many things that I want to do in life, and you can’t wait until you retire to do them. Many of you may have seen the movie “The Bucket List” with Jack Nicholson and Morgan Freeman. It’s a race against the clock to accomplish a long list of to-dos.

Well I’m trying to keep that bucket list short by knocking those dreams off as I go through this journey we call life.

I know this story of a couple who decided to go out on a limb and take a year off. They wanted to experience the wilderness and expose their children to something very different. So they sold everything, packed up and moved to Alaska with their two young children.

Fortunately for them it was easy since he worked as a software computer designer and was able to still work from home. During that year they were able to explore and discover many new things in the great outdoors. During this year he was also able to work on a new software design project that he was thinking about which at the end of the year he was able to sell to a major company for millions. And now they continue to live their dream.

So for all you dreamers out there. As my wife always says “Make a decision” and move on.

You never regret making a decision to do something that you really wanted to do. The only regret is a decision that you didn’t make.

Dreams do come true, and no one’s immune to it!

Pura Vida!

BH

Contents

At Your Fingertips

4

2

Dr. Hanna’s Bio

21

Buzz

3

Editor

22

Harsha’s Wellness – Mediterranean Diet

4

At Your Fingertips – Contents

23

Harsha’s Wellness – Mediterranean Diet

5

NHVC

24

Harsha’s Wellness – Mediterranean Diet

6

LVB Staff

25

Fitness

7

LVB Staff

26

LVB Medi Spa

8

Bariatric Surgery Candidate

27

Nutrition by Jessica

9

BMI Calculator

28

Nutrition Recipe

10

Bariatric Surgery FAQs

29

Wendy Heyworth, Realtor

11

Bariatric Surgery FAQs

30

United Critical Care

12

Health Conditions & Obesity

31

United Critical Care

13

Surgical Procedures

32

JUICE for Health

14

Revision – Bariatric Surgery

33

Precision Orthotics

15

Revision – Bariatric Surgery

34

Pearl/Paws

16

NKDHC

35

Risa Hair

17

NKDHC

36

Travel

18

Patient’s Journey

37

LVB Events

19

Patient’s Journey

38

GSS Antireflux

20

Buzz

39

MILA

For advertising information in the

Las Vegas Bariatrics

magazine

please contact Carmen Office Manager at: 702-384-1160

6140 S. Fort Apache Rd., #100, Las Vegas, NV 89148

graphics & layout by: studio3andme3@yahoo.com

advertising

graphic design

marketing

“show off your stripes”

HEIGHT

WEIGHT (LBS)

5’0” 5’2” 5’4”

5’6” 5’8” 5’10” 6’0” 6’2” 6’4”

120

23

22

21

19

18

17

16

15

15

130

25

24

22

21

20

19

18

17

16

140

27

26

24

23

21

20

19

18

17

150

29

27

26

24

23

22

20

19

18

160

31

29

28

26

24

23

22

21

20

170

33

31

29

27

26

24

23

22

21

180

35

33

31

29

27

26

24

23

22

190

37

35

33

31

29

27

26

24

23

200

39

37

34

32

30

29

27

26

24

210

41

38

36

34

32

30

29

27

26

220

43

40

38

36

34

32

30

28

27

230

45

42

40

37

35

33

31

30

28

240

47

44

41

39

37

35

33

31

29

250

49

46

43

40

38

36

34

32

30

260

51

48

45

42

40

37

35

33

32

270

53

49

46

44

41

39

37

35

33

280

55

51

48

45

43

40

38

36

34

290

57

53

50

47

44

42

39

37

35

300

59

55

52

49

46

43

41

39

37

310

61

57

53

50

47

44

42

40

38

320

62

59

55

52

49

46

43

41

39

330

64

61

57

53

50

47

45

42

40

340

66

62

58

55

52

49

46

44

41

350

68

64

60

56

53

50

47

45

43

Calculate your Body Mass Index: To nd your BMI locate your Weight on the Left and your Height on the Top. Follow it to the intersection to locate your BMI.

9

las vegas

bariatrics

Adjustable Gastric Band

Reversible

yes

SURGICAL PROCEDURES Description

How it works?

Digestion

The adjustable Gastric Band wraps around the upper part of the stomach, dividing the stomach into a small pouch that holds about ½ cup of food and a larger lower stomach.

The degree of band tightness affects how much food you can eat and the length of time it takes for food to leave the stomach pouch.

By creating a smaller stomach pouch, the Band limits the amount of food that can be eaten at one time, so you feel full sooner and stay full longer.

Allows for normal digestion and absorption.

Food passes through the digestive tract in the usual order, allowing it to be fully absorbed in the body.

As you eat food, your body will stop storing excess calories and start using its fat energy supply.

Vertical Sleeve Gastrectomy During the sleeve gastrectomy procedure, a thin vertical sleeve is created using a stapling device.

The sleeve is the size of a banana.

We also eliminate receptors for the hunger hormone Ghrelin which decreases appetite.

Reversible

By creating a smaller stomach pouch, a sleeve gastrectomy limits the amount of food that can be eaten at one time, so you feel full longer.

As you eat less food, your body will stop storing excess calories and start using its fat supply for energy.

Allows for normal digestion and absorption.

Food passes through the digestive tract in the usual order, allowing it to be fully absorbed in the body.

no

Gastric Bypass In this procedure, the surgeon creates a small stomach pouch and attaches a section of the small intestine directly to the pouch.

This allows food to bypass a portion of the small intestine.

Reversible

no

By creating a smaller stomach pouch, a gastric bypass limits the amount of food that can be eaten at one time, so you feel full longer. By bypassing a portion of the small intestine, it also causes your body to absorb fewer calories.

As you eat less food, your body will stop storing excess calories and start using its fat supply for energy.

Changes the body’s normal digestive process to reduce the number of calories and nutrients that are absorbed.

NKDHC Nevada Kidney Disease & Hypertension Centers

Why Us NKDHC is rapidly becoming Nevada’s largest premier group of private practice physicians specializing in the field of Nephrology.

We provide superior care to individuals with renal (kidney) disease. We are considered experts in the treatment of Chronic Kidney Disease (CKD), End Stage Renal Disease (ESRD), Acute Renal Failure (ARF), Kidney Transplantation, and creating and maintaining accesses for dialysis therapies.

NKDHC has enjoyed the trust of patients and the respect of the local communities in the Las Vegas and surrounding areas for greater than 30 years.

We employ Registered Nurses, Registered Dieticians, Radiology Technicians, Medical Assistants, and qualified and credentialed Administrative and Business Team Members.

Professional Services General Nephrology Care Hypertension Management Anemia Management Renal Unltrasound Clinical Research Vascular - Dialysis Access Acute Hospital and Sub-Acute

“Able. Affable.

Available. Accountable.”

702-732-2438 Central Office 1750 E. Desert Inn Rd., ste 200, Las Vegas, NV 89169 David Makil, MD Harsha Mulchandani, MD Stephen Norris, MD Fatima Syed, MD Henderson Access Center 702-726-6344 2850 W. Horizon Ridge Pkwy, ste. 100 Henderson, NV 89052 Basker Periyasamy, MD Benjamin Rudnitsky, MD Sundar Sankaran, MD 702-851-7766 Northeast Office 2425 N. Lamb Blvd., ste 120, Las Vegas, NV 89115 Maria Vornicu, MD Sam Kantor, MD 702-853-0090 Northwest Office 2420 Professional Court, ste 150, Las Vegas, NV 89128 Sam Kantor, MD Sujatha Raju, MD Jeffrey Ryu, MD Benjamin Rudnitsky, MD Marwan Takieddine, MD Southeast - Henderson Office 702-726-6344 2850 W. Horizon Ridge Pkwy, ste 100 Henderson, NV 89052 Trang Nguyen-Le, MD William King, MD Basker Periyasamy, MD Sundar Sankaran, MD Irfan Sohail, MD 702-588-7077 Southwest Office 6970 W. Patrick Lane, ste 140, Las Vegas, NV 89113 Arvin Gupta, MD Radhika Janga, MD

A Patient’s 174 pounds Weight Loss Journey Q & A of a Patient who lost 174 pounds Over my 10 years educating and counseling my weight loss surgery clients I have seen some unbelievable transformations. One transformation I would like to tell you about is with my friend Nancy.

I had the pleasure to get to know Nancy during our monthly visits to complete her health insurance required “6 month pre-op weight loss diet”.

We continued to see each other after surgery for about 3 months. The last time I saw Nancy was about 6 months ago and she was wearing her usual oversized dress.

About a month ago she was in for a visit with Dr. Hanna and she requested to see me. I came around the corner and I couldn’t believe my eyes!! It was Nancy, over 170 pounds lighter and wearing nicely fit jeans which showed off her skinny body and her blouse fit her like a glove.

She looked 30 years younger. We had an emotional visit where both of us cried. I am so proud of her. I love to see and hear of successful weight loss surgeries and it’s even better when my patients show off their hard work.

I really hope you enjoy the article as much as I enjoyed writing it.

Cheers!!

Joey: You were required by your health insurance company to do a pre-op weight loss program. What are some of the things you learned about yourself in regards to eating and changing behaviors?

Nancy: By taking such a drastic step of having my insides rerouted I needed to get serious and make the life-long commitment with my consultation. Thanks to your help and guidance we decided to start my pre-op diet with doing 2 protein shake meal replacements and a light dinner prior to surgery.

This step truly helped to prepare me for the post-op restrictions and my ability to make the commitment. I had to dig deep and find my balance with portion controls, greatly reduced carbs and knowing what was ahead kept me where I needed to be. Also in the 3 month supervised plan, I dropped 38 pounds and knew I was ready to take the next step both physically and emotionally.

Joey: We know nutrition plays a large role with losing weight and keeping it off. What have you learned about nutrition and your health that you are dedicated to do everyday

Nancy: Protein is a necessary factor for feeling satisfied and remaining fuller longer. Eat protein first and have a balanced diet.

Vegetables and fruits are included in my standard daily diet. Carbs are greatly reduced and look for whole grain carbs when possible.

Joey: How has your relationship with food changed?

Nancy: Knowing I can still be happy with a small serving, having a cookie now and then and not eating until my plate is empty. A spoonful of something is fine and finding a balance with protein first is what works for me 17 months post-op!

Joey: What have you learned on your own about your new way of eating that you wish someone would have told you about in regards to WLS? Nancy: You can be satisfied with a small amount and moderation is definitely a key factor in maintaining weight loss.

2. Are you truly ready to make a commitment for a lifetime giving up sweets, carbs and learning that portion control is a forever change? Moderation is definitely a major part of post-op and being satisfied requires so much less. Know the difference to being satisfied.

3. Calorie reduction is a part of this change – are you willing to commit to finding an exercise program that will work for you on a permanent basis. This is just as important as the dietary changes.

Joey: What do you regret, if anything, about have WLS? Nancy: Not doing this sooner, but honestly I don’t think I was in the right place mentally to have made this major of a commitment.

Joey: How much weight/inches/changes in Rx drugs has occurred since WLS? Nancy: Proud to say that I have lost 174 pounds since my RNY on 2/22/12. I am no longer Type II diabetic, off one BP medication, a lower dose of Thyroid medication and my neuropathy has improved somewhat. Mentally my life has improved greatly and pride is once again in my life which is victory in itself. Sometimes the mental aspects are greater than even the physical which are often overlooked.

Joey: What would your top 3 things to tell a friend they should do before having weight loss surgery (MLS)?

Nancy: 1. Do your research about the various types of surgery that are offered and consult about which procedure will be best for your lifestyle, everyone is different – consider all options.

Joey: Couple of sayings or mantras I have when counseling clients is: “try, try again until you find a way to make it work” and “you don’t know if something will work until you try it”. Do you have any mantras you say to yourself to help you stay on track?

Nancy: White equals weight when coming to carbs and nothing tastes as good as being thin.

Harsha’s Wellness Corner

The Mediterranean Diet This is a map of the Mediterranean region taken from the website: www.welt-atlas.de

If you’re looking for a heart-healthy eating plan, the Mediterranean diet might be right for you. The Mediterranean diet incorporates the basics of healthy eating – plus a splash of flavorful olive oil and perhaps a glass of red wine – among other components characterizing the traditional cooking style of countries bordering the Mediterranean Sea. Research has shown that the traditional Mediterranean diet reduces the risk of heart disease. In fact, a recent analysis of more than 1.5 million healthy adults demonstrated that following a Mediterranean diet was associated with a reduced risk of overall and cardiovascular mortality, a reduced incidence of cancer and cancer mortality, and a reduced incidence of Parkinson’s and Alzheimer’s diseases.

For this reason, most if not all major scientific organizations encourage healthy adults to adapt a style of eating like that of the Mediterranean diet for prevention of major chronic diseases.

The Mediterranean diet emphasizes: Getting plenty of exercise Eating primarily plant-based foods, such as fruits and vegetables, whole grains, legumes and nuts Replacing butter with healthy fats such as olive oil Using herbs and spices instead of salt to flavor foods Limiting red meat to no more than a few times a month Eating fish and poultry at least twice a week Drinking red wine in moderation (optional) The diet also recognizes the importance of enjoying meals with family and friends.

Foods to Eat – Putting it all together... Here’s a sample food list.

CONCLUSION: Go nuts. Keep almonds, cashews, pistachios and walnuts on hand for a quick snack.

Choose natural peanut butter, rather than the kind with hydrogenated fat added. Try tahini (blended sesame seeds) as a dip or spread for bread.

Fresh Fruit Have 3 or 4 pieces of fruit every day. Make one of these fruits an orange; they are very high in antioxidants and phytochemicals, substances that protect us against diseases. Berries (such as strawberries, blueberries, raspberries) are also a must in this diet because of their antioxidants.

Antioxidants are essential in the fight against heart disease and cancer. If you want to follow a Mediterranean diet, eat some fruit for dessert. That is how Mediterraneans eat their fruit most of the time.

Olive Oil Use olive oil in your meals both to cook and as a condiment in your salads. Olive oil is the main source of fat in Mediterranean countries and is the “cause” of the low incidence of heart disease in those countries. Use olive oil and lemon as a dip in your salads.

Veggies week can protect us against heart disease. Dry beans have fiber that eliminates cholesterol from the body. Eat Have a salad in your main meals. Use olive oil and lemon legumes and a piece of whole grain bread to have the for dressing; this is a powerful antioxidant combination. perfect protein. Vegetable protein does not put a load in Tomatoes and tomato products are a staple food in the kidneys as animal protein does.

Mediterranean diet; they contain lycopene. Cut a whole tomato and spread it with olive oil and some basil as part CONCLUSION: Eat your veggies and of your side dish and include them in your salads. Sauté fruits – and switch to whole grains. green beans with olive oil and garlic to have a complete An abundance and variety of plant foods Mediterranean side dish. Zucchinis are also a delightful should make up the majority of your meals.

They should be minimally processed, and complement; sauté them with olive oil. try to purchase them when they’re in season. Strive for 7 to 10 servings a day of veggies and fruits. Switch to whole-grain Whole Grains bread and cereal, and begin to eat more whole-grain rice and pasta products. Keep baby carrots, apples and bananas on hand Have a piece of whole wheat or whole grain bread with for quick, satisfying snacks. Fruit salads your main meals (except with pasta). Have whole wheat are a wonderful way to eat a variety of pasta 2 or 3 times a week. It is low in calories, and the healthy fruit. fiber enhances the feeling of fullness.

Nuts Legumes Eat dried beans, lentils, or garbanzo beans 2 or 3 times a week. Nutrition experts at the Michigan State University tell us that eating 2 to 4 cups of cooked legumes every

Have a handful of nuts as a snack in your morning break.

Nuts are also a staple food in Mediterranean countries and are high in monounsaturated fat, the one that does not get stuck in the arteries. Read the food label and be aware of portions because nuts are high in calories.

Scientific studies have found that almonds and walnuts are the healthiest choice.

CONCLUSION: Pass on the butter.

Try olive or canola oil as a healthy replacement for butter or margarine.

Use it in cooking. After cooking pasta, add a touch of olive oil, some garlic and green onions for flavoring.

Dip bread in flavored olive oil or lightly spread it on whole grain bread for a tasty alternative to butter.

Try tahini (blended sesame seeds) as a dip or spread for bread too.

Fish and Seafood Have fish and seafood two or three times a week. Salmon and sardines are excellent choices because they provide omega-3 oils, oils that the body needs but cannot create in enough quantities.

CONCLUSION: Go fish. Eat fish once or twice a week. Fresh or waterpacked tuna, salmon, trout, mackerel and herring are healthy choices.

Grilled fish tastes good and requires little cleanup. Avoid fried fish, unless it’s sauteed in a small amount of canola oil.

Rein in the red meat. Substitute fish and poultry for red meat. When eaten, make sure it’s lean and keep portions small (about the size of a deck of cards). Also avoid sausage, bacon and other high-fat meats.

Foods to Eat – Putting it all together... Here’s a sample food list.

Choose low-fat dairy. Limit higher fat dairy CONCLUSION: Spice it up. Herbs products such as whole or 2% milk, cheese and ice cream. and spices make food tasty and are also rich in health-promoting Switch to skim milk, fat-free yogurt and low-fat cheese. substances. Season your meals with herbs and spices rather than salt.

Garlic and Aromatic Herbs

Use garlic and aromatic herbs as condiments. Garlic is the leading contributor to the low incidence of high blood pressure in Mediterranean countries because it dilates the blood vessel walls.

Wine Raise a glass to healthy eating. If it’s ok with your doctor, have a glass of wine at dinner. If you don’t drink alcohol, you don’t need to start. Drinking purple grape juice may be an alternative to wine.

Sample Mediterranean Diet Menu

A 28 day diet plan would introduce changes gradually. Studies have shown that small changes over time are an effective way to make lifelong habits. Start with the elimination of processed foods and increase fruit and vegetable. Continue by adding more beans and switch from other oils (or butter) to extra virgin olive oil.

Limit seafood, poultry and eggs to a few times per week each and reduce red meat to no more than a portion a month. And finally, focus on dairy products and avoid milk, cream and butter.

It’s difficult to choose just one menu, but here’s what a day’s worth of meals might look like: Breakfast: Greek yogurt topped with berries and walnuts; coffee or tea Lunch: Lentil soup with swiss chard topped with tzatziki sauce; hummus and pita Snack: Whole grain crackers and cheese

Dinner: Roasted cod paired with a wheat berry salad consisting of olive oil vinaigrette,feta, parsley, and tomatoes and a glass of red wine Dessert: Fresh fruit drizzled with honey

Post-operative fitness plan for The Bariatric patient 2. Be an early riser.

Many patients ask a common question:

I like to encourage beginners to set their alarm 30 minutes earlier than they usually get up. They can take that time to go for a short walk or jog, do some yoga, or even complete a quick exercise DVD routine.

Most people find that they don’t miss that extra half-hour of sleep, and reap major rewards for the starting the day off active!

When can I start exercising after my surgery?

Let’s keep it simple.

Since all of the surgeries are minimally invasive meaning small incisions with minimal pain, one should be ambulatory immediately after surgery. So in the recovery room, one hour after your Gastric Sleeve surgery, you should be up walking around.

Day 1 Surgery: I encourage patients to walk immediately. It’s ok to walk up stairs. Just take your time.

First Week: Continue only walking for the first week.

Second Week: You will be starting your second stage diet, which is the full liquid diet. This will increase your energy. So you can start faster walking, treadmill, elliptical and very light weights.

It’s ok to start swimming in a pool once your incisions are healed.

Three to Four weeks later: By now most people have lost about 20 pounds and energy should be good.

Continue to do fast walking, treadmill and elliptical.

Continue with light weights and increase as comfort permits.

After four weeks you should be on your way.

Most patients start joining gyms and slowly increase their work out routines as they see fit. It’s good to see a personal trainer for a few sessions to learn good basic skills and exercise techniques before moving on to more strenuous activities.

BH

3. Choose to be active.

5 tips from Kelly Drew “Registered Clinical Exercise Physiologist”

1. Plan a 10 minute walk after meals.

To a busy person, 30 minutes of exercise daily can feel like an eternity.

Where can I find 30 more minutes in my day? But, an extra 10 minutes can feel much more manageable. A sneaky way of getting someone to do 30 minutes of walking per day is to ask clients to take a 10 minute walk after each meal. They feel better, tend to eat less, and are meeting the minimum requirements for exercise and health!

Take the stairs. Park further away. Take the dog for a walk. Walk over and talk to that co-worker instead of sending an email.

These choices do add up, and can help ease people into a more active lifestyle.

4. Make exercise a priority.

If we wait until we have time to exercise, we will never exercise.

Successful exercisers make exercise a priority. Look at the calendar for the week, and schedule the time that you are going to spend on yourself each day.

If you make an appointment with yourself, you are more likely to keep that appointment.

5. No one is perfect.

Read that again: no one is perfect.

Everyone is allowed to have one bad day, just make sure that one bad day doesn’t turn into a bad month, followed by a bad year.

Most people think that if they have a bad day or week, that they have failed and often stop their exercise habit.

If beginners fall off the wagon, encourage them to just jump back on. Consistency is key! Something is always better than nothing!

Remember that lifestyle change is a process, not a destination!

Wendy Heyworth www.vegashomegenie.com

REALTOR ®

“Specializing in All Your Las Vegas Real Estate Needs” Cell 702-300-3916 Office 702-799-9598 Fax 702-799-9598

Find Your Dream Home!

vegashomegenie@gmail.com 9525 Hillwood Dr #120 Las Vegas, Nevada 89134

REAL ESTATE GROUP

REALTOR ®

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N

utrition

J

essica

Calcium is an essential dietary mineral required by your body for good health.

Not only does calcium help keep your bones and teeth strong, it also keeps your heart, muscles and nerves functioning properly.

Getting enough calcium in your diet after bariatric surgery may seem like a challenge, but it doesn’t have to be!

In addition to taking daily calcium + vitamin D supplements, choosing 1 or 2 of these foods each day is an easy way to get more calcium in your diet.

“Nutrition Approved” Calcium Rich Snack Ideas ½ cup (4 oz) low-fat or skim milk ½ cup, plain soymilk fortified with calcium ½ cup low-fat or fat-free cottage cheese with a sprinkle of cinnamon

EAT, SLEEP and BE HEALTHY!

½ cup plain, non-fat, regular or Greek yogurt with a sprinkle of cinnamon ½ cup sugar-free pudding, made with low-fat or fat-free milk 1 low-fat cheese stick with ¼ cup canned tuna (packed in water, drained) – simple tips for better rest and a healthier body!

Jessica Aragona, MS, RD

Did you know...The amount of sleep you get tonight can influence how much you eat tomorrow!

Research has shown that too little sleep can contribute to weight gain, prevent weight loss and lead to an increased risk of developing type 2 diabetes. Sleep specialists theorize that a lack of sleep disrupts the hormone levels that are responsible for regulating appetite and food intake which means bigger portions and more snacking the next day.

So what can you do?

2. Avoid exercise, television, texting and the Internet for 1 hour before bedtime.

Setting a “healthy” bedtime routine will make getting a good night’s sleep as easy as 1-2-3!

3. Most importantly, find the schedule that works for you and do your best to stick to it every night.

1. Try to include at least 30 minutes of downtime before going to bed, try reading a book, meditating or listening to relaxing sounds like the ocean or falling rain.

Getting adequate sleep (7-9 hours each night) is just as important to overall health and well-being as nutrition and exercise, so make sure you catch enough zzzzz’s!

Juicing & Healthy Living

Struggling to eat Healthier...

Do you eat enough fruits and vegetables?

Busy lifestyles and the abundance of fast food lead many to ask “How do I get more fruits and vegetables in my diet?”

Learn more about the amazing benefits of “whole food” nutrition.

Find out how to

add the nutrition of 25 fruits, vegetables, grains, and berries to your diet.

Advice on eating a variety of bright and colorful foods (fruits and vegetables) to improve your health and reduce the risk of disease.

Your mom always told you to eat all of your fruits and vegetables, right?

Unfortunately, if you’re like many people, you didn’t always listen to mom’s advice. Today, most people still fall short of the U.S. Department of Agriculture’s recommendation of 5 to 9 servings of fruits and vegetables per day. In addition, recent research indicates that the quantity of fruits and vegetables that you eat is not the only thing that is important.

Color matters too! Colorful fruits and vegetables contain lypocene, beta carotene, antioxidants and/or phyto-chemicals. These are all important agents for good health and longevity. If you eat a wide variety of brightly colored foods, you can maximize your health benefits! 5 to 9 servings sounds like a lot to you, not to mention the fact that you have to worry about the color of your food too!

Everyone wants to eat right and maintain a healthier lifestyle – whether you’re a busy mom hustling to feed on-the-go children, a business traveler trying to stay fit, or an active boomer keeping up with grandkids.

All of us try to eat better for good health, but a healthy diet is often a challenge.

We simply don’t eat enough fruits and vegetables...and that hurts our health and wellness.

Find out how to bridge the gap between what you should eat and what you do eat every day

visit: www.juiceandlivelong.org

Try the next best thing to fruits and vegetables read more about living a healthy lifestyle Learn more about the amazing benefits of “whole food” nutrition and how to enjoy improved nutrition and wellness.

Call one of our health coaches and wellness coordinators: (770) 828-7033

Precision Orthotics and Prosthetics is a family owned

and operated O and P company serving Nevada for almost a decade.

The CEO, Jimmy Colson has been a member of the Las Vegas community since 1988 and is an ABC Certified Orthotist, a proud member of NAMPS and a pillar of the community.

Jimmy and his wife Sara run POP like a family. Sara moved to Las Vegas in 2005. After meeting Jimmy she knew that seeing patients was her calling.

Sara is an ABC Certified Mastectomy Fitter and is trained in casting for custom molded breast prosthetics. October is Breast Cancer Awareness Month and she wants to give hope to the ladies who are in need of breast prosthetics.

702-243-7671

The idea for POP began when Jimmy was employed by Nevada Limb and Brace, a “ma and pa” company. Jimmy wanted to follow a similar business model for his company and infused many of the principles of compassionate patient care into POP. While at Nevada Limb and Brace Jimmy met and worked alongside Kevin Bidwell. Jimmy and Kevin developed an instantaneous friendship and have a mutual respect for one another. Impressed by how well Kevin walked as an above knee amputee and Kevin’s ability to have amputees regain confidence to walk again, Jimmy knew this was the beginning of something special.

Jimmy & Kev

Kevin is regarded as one of the premier prosthetists in Las Vegas and the surrounding communities and has a great reputation because of the success he’s had with “hard-to-fit” patients.

As POP continued to grow Jimmy never let go of the dream to assemble the best team of practitioners available. A four year recruiting process culminated with Kevin coming on board July 27, 2011 and enhancing a talented team of practitioners, including Elden Henry-Pottinger.

Elden is a Board Certified Orthotist and Board Eligible Prosthetist born in Costa Rica. He is one of two fluenty Spanish speaking Orthotists in Las Vegas and the only Board Eligible Spanish speaking Prosthetist. Elden has a great rapport within the Spanish speaking community and is very knowledgeable and respected among his peers.

Now a Culinary Insurance Provider POP has two convenient locations:

526 South Tonopah Las Vegas, NV 89106

8915 South Pecos Rd., suite 18A Henderson, NV 89074

Jimmy & his wife Sara

offering a wide variety of skin

and body treatments such as:

facials chemical peels microdermabrasion microcurrent face lift body scrubs body wraps waxing sugaring spray tan make-up

702-525-5504 We are located at 8751 W. Charleston Blvd., in Las Vegas

Katia’s boutique is featuring Epicuren PCA M’lis Skin Care Products Jane Iredale Mineral Make-up

Las Vegas Bariatrics

Events September 9/03 9/19 9/14 9/10

5:30 pm 1:00 pm 8:00 am 5:00 pm

North Vista Office Walk SG-Office

October 10/01 5:30 pm North Vista 10/24 1:00 pm Office 10/12 8:00 am Walk November 11/05 11/21 11/09 11/12

5:30 pm 1:00 pm 8:00 am 5:00 pm

North Vista Office Walk SG-Office,

December 12/03 5:30 pm North Vista 12/19 1:00 pm Office 12/14 8:00 am Walk

Join us on our monthly health walk 2nd Saturdays – 8:00 am Meeting Location: Town Square South Las Vegas Blvd. (in the “Whole Foods” parking lot)

Pets are welcome!