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NEW VIEW your journey to health and wellness

How Sandy White lost half her body weight and gained a new perspective PAGE 3

INSIDE Wide range of dietary supplements available

Pennington studies weight-loss operations

Common plastic surgery questions answered

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MARCH 2010

Surgeons Group of Baton Rouge • sgbr.com


calendar

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Upcoming Events

MARCH 4: New U Support Group meeting Regular support group meeting will also feature a tasting of the new Bariatric Advantage product, Pro Jo, a coffee-flavored protein supplement, and samples of the company's Raspberry Calcium Citrate Chewy Bites. A physician from BA will attend to discuss nutritional deficiencies. The meeting is 6:30 p.m. in the Patient Auditorium of Our Lady of the Lake Regional Medical Center. For directions or questions, email frances@sgbr.com or call the Surgeons Group at (225)-769-5656.

MARCH 6: Susan G. Komen Race for The Cure The largest 5K race/walk in the Capital Region. Proceeds from the race will be used for breast cancer education, screening and treatment programs, with a focus on under-served groups and areas. For more information, visit komenbatonrouge.com or call (225) 215-1231.

MARCH 27: Capital Area Heart Walk 1k and 5k walks to raise funds for The American Heart Association, the largest voluntary health organization working to prevent, treat and defeat heart disease, stroke and other cardiovascular diseases. For more information, please contact Jody Dake at (225) 248-7705 or jody.dake@heart.org. Or visit capitalareaheartwalk.org.

From left, Stephanie Truax (gastric bypass), Faye Ardoyne (vertical sleeve) and Felicia Harper (lap band) shared their unique weight-loss stories at the Feb. 4 New U Support Group meeting. The next support group meeting is March 4. For more information, visit newusupport.com or contact Kim Babin, Bariatric Program Coordinator at OLOL at 765-6757.

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feature

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Below: Sandy White two years ago. Left: White 15 months postop and 136 pounds lighter.

Vertical Sleeve procedure, lifestyle change lead to new body and outlook on life Two months after her 2008 weightloss operation, an already slightly slimmer Sandy White bought a new coat, size extra large, and set it aside for later. "I said, 'you know, next year I'll be able fit into this,'" White recalled. But when the Fall rolled around again, she had to give the coat away. It was far too big — "not even close," she said.

an astounding loss of 136 pounds. "I actually lost half my body weight — another person," she said. "It's

"I feel like I have a chance at life all over again."

In fact, giving away clothes has been a common occurrence for White over the past 15 months.

been a journey."

White, a Baker, La. resident, weighed in at 274 pounds when she had her operation on Sept. 29, 2008. Today she's down to 138 pounds —

White initially wasn't sure which of the three weight-loss procedures offered by the Surgeons Group of Baton Rouge was right for her, but

her surgeon, Dr. Karl LeBlanc, guided her through the process. Eventually she settled on the Vertical Sleeve Gastrectomy. The results exceeded her wildest expectations. She lost 17 pounds the first week and 7-15 pounds each month after that. By July of 2009 she had reached her target weight of 150 pounds. "Every month I was getting new clothes," she said. "I enjoyed every bit of it." White said her first satisfying accomplishment was to sit

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science

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Pennington Biomedical Research Center seeks Bariatric patients for weight-loss study Researchers at the Pennington Biomedical Research Center are studying three Bariatric surgerical procedures to better understand why the operations are so successful at helping patients lose weight. "This surgery is a long-lasting weight loss with a mechanism that we don't entirely understand," said Eric Ravussin, Ph.D., a researcher studying diabetes, metabolism and obesity at Pennington. Ravussin detailed the study — titled "Effect of Bariatric Surgery and Weight Loss on Energy Metabolism and Insulin Sensitivity — at a February seminar at Our Lady of the Lake Hospital. The goal of the study is to determine the effect of three different obesity surgery methods: gastric bypass, vertical sleeve gastrectomy and gastric banding (as well as a low-calorie diet) on metabolism, body fat, physical activity levels and hormone levels. Participants must be 18-65 and patients of Dr. Karl LeBlanc or Dr. Mark Hausmann and must be screened and approved for the study by Pennington. They must have a Body Mass Index of greater than 40 or a BMI of more than 35 with associated diseases that would improve with weight loss, such as high blood pressure or sleep apnea. Patients are not eligible if they've had diabetes for more than five years, have an active disease in the stomach or intestinal tract, have an untreated thyroid disease or a number of other disqualifying conditions. A full list of criteria is available from Pennington.

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Pennington researcher Eric Ravussin, Ph.D. explains the study during a seminar Feb. 4 at Our Lady of the Lake Hospital.

"This surgery is a longlasting weight loss with a mechanism that we don't entirely understand."

metabolic rate, the patient's response to a meal and other health information. "We are doing a lot of measurements which are very important to understand why this surgery is so successful," Ravussin said.

In return for their time, Ravussin said, patients get new and detailed information about their health and up In addition to their regular post- and to $1,200 in compensation. pre-op doctors visits, participating For more information, contact patients will be studied before and Pennington at 225-763-3000, visit after their surgery. Researchers will pbrc.edu or email record insulin sensitivity, resting clinicaltrials@pbrc.edu.


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eating right

Supplements, vitamins key for post-op nutrition Wide variety of nutritional products for Bariatric patients available directly from Surgeons Group of Baton Rouge Getting the required daily procedures, and products are nutrients through food alone can available bundled in post-op kits. often be a challenge for the post-op "We have samples if they want to Bariatric patient. come taste them before they buy Luckily, there are a wide range of them," Juge said. supplements and vitamins tailored Popular items include chewable to the weight-loss patient. vitamins that absorb more Since late 2009, the Surgeons completely than typical vitamin Group of Baton Rouge has offered pills, flavored calcium chews and a number of these products to its protein that can be seamlessly patients. added to a number of recipes. "These are made specifically for The Surgeons Group offers kits the weight-loss patients," said designed for each Bariatric Bariatric Coordinator Josette Juge, procedure with a wide range of who oversees the clinic's store. products by trusted companies like Bariatric Advantage, Optimum The clinic offers different types of Nutrition and Unjury. vitamins for the various surgical

Available Products Bariatric Advantage Bariatric Advantage offers a comprehensive line of bariatric vitamins and nutrition products designed specifically to meet the needs of individuals who have undergone weight-loss surgical procedures. Products include chewable vitamins, calcium chews and Pro Jo, a coffee-flavored protein drink. bariatricadvantage.com

ANY WHEY Protein Optimum Nutrition's 100% ANY WHEY Protein is the perfect complement to any meal or snack. This virtually tasteless powder is fat free with 17 grams of protein and only 1 gram of carbs. The protein is ideal for cooking. Add a scoop to your yogurt, prepare a protein packed turkey pot pie or whip up a quick protein omelet. optimumnutrition.com

Unjury Protein Protein available in four flavors and specifically designed for weight loss patients. UNJURY delivers a combination of great taste, 20 grams of the highest quality protein and excellent tolerability. unjury.com

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SWEET APPLES 3-5 cored, sliced apples (Granny Smith, Macintosh or Fuji recommended) Non-stick cooking spray 2 packets Splenda

Recipes for health

2 tablespoons of fat-free butter spray or Benecol spread 1 teaspoon cinnamon 1 teaspoon vanilla extract 2-3 dashes of salt 2-3 dashes of nutmeg 1 teaspoon lemon juice Lightly coat a saucepan or small pot with non-stick cooking spray. Heat pan to medium. Add the apples and cook for 2-3 minutes or until the apples begin to soften. Add the remaining ingredients and cook for an additional 3 minutes or until the apples begin to fall apart. Serve hot or refrigerate and serve cold.

BAKED PEARS 2-4 peeled, cored cooking pears, cut in half 2 packets Splenda 1 tablespoon of Benecol Spread or fat-free butter spray 1 teaspoon cinnamon

CITRUS MIX 2-3 Satsuma, tangerine or mandarin oranges, peeled and pulled into pieces 1 lemon, peeled and quartered ½ pineapple, cut into slices 2 packets Splenda ½ cup water In a saucepan, combine the water and Splenda. Heat on medium until simmering. Add the fruit and toss for 1-2 minutes until slightly warm. Serve.

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1 teaspoon vanilla extract 2-3 dashes of nutmeg 1 teaspoon lemon juice 2-3 dashes of salt 2 cups water

Preheat oven to 375 degrees. In a baking dish, mix all ingredients, except pears, until combined. Add pears to pan. Bake in the oven for 35 minutes, basting pears every 7-10 minutes. Remove from oven, baste with sauce and serve.


shaping up

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The skinny on body contouring after massive weight loss Plastic and reconstructive surgeon Jonathan L. Kaplan, MD, leads the team of nurses, aestheticians and technical personnel at the Center for Reconstructive and Cosmetic Surgery. Dr. Kaplan has experience in procedures such as breast reconstruction, as well as common and complex surgeries for problems resulting from acquired deformities. He is also fully trained in the latest surgical and nonsurgical cosmetic procedures. For more information, visit crcsplasticsurgery.com. Q: What is body contouring?

Dr. Jonathan L. Kaplan Center for Reconstructive and Cosmetic Surgery

A: Body Contouring is the general term for any kind of body lift. The full-body lift, the tummy tuck, liposuction, arm lift — body contouring refers to all those things. Q: When are massive weight loss patients good candidates for body contouring procedures? A: Once they've reached their goal and their weight has been stable for at least three months, then they're good candidates. Obviously we don't want to do it too soon because if we do a tummy tuck and give them a nice tight abdomen and they keep losing weight then they'll have all this excess skin again.

infections underneath. But only if we get picture documentation. If you do, then you can submit that to the insurance company and maybe they'll cover it. Q: How big of a difference do the procedures make? A: It's huge because after they lose all their weight, they're so excited to fit in their regular clothes. The problem is, they have all this excess skin and they can't fit in their regular clothes. When they get all the excess skin removed they can finally fit in their regular clothes, and they're very appreciative. It's a happy group of patients to work with. Q: What else should patients know?

Q: How many different procedures can you combine?

A: The most important thing to know is reasonable expectations. Even though they've lost the weight and A: We can combine a lot of are removing the excess skin, they procedures. We can combine a might not have a body like Halle tummy tuck with breast lift or a Berry. They also need to know where tummy tuck with an arm lift. It seems their scars will be so they're not like the breast, the arms and the suprised. Because people think, "Oh, abdomen are the most common you're a plastic surgeon, I thought I things people want something done wasn't going to have any scars." If to. you're having something cut out, you're going to have scars. There's Q: Does insurance cover the no way around it. And with these big procedures? operations they really need to go to a A: Insurance typically does not cover board certified plastic surgeon. Don't it. The only thing that insurance may go get laser lipo by a family cover is if you have a lot of excess practitioner in their office. That's not abdominal skin and get recurrent going to do the trick.

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WHITE: Continued from Page 6 comfortably in a restaurant booth. Her She also exercises four times a week, second "big moment" was buying a usually on a stair machine or treadmill. regular pair of Levi jeans. Both may "You can lose, but when you exercise seem like small matters, White concedes, but they were special moments for a someone who had battled obesity since childhood. Before opting for surgery, White tried a number of diets with limited success. She lost weight but always gained it back later. This time around, White made a promise to herself that after her surgery she would eat healthy and exercise regularly.

"I feel wonderful. My daily activities are so much easier. It's opened a whole new world for me."

a tool to help you. You have to do the rest, and I've learned to use my tool." Such a dramatic transformation of White's body has translated into other areas of her life. White finally married her longtime fiance on July 1, 2009, after putting marriage off due to her health. "I wasn't happy with myself, I wasn't happy with my appearance and I felt how could anyone else be happy if I weren't?" she said. By the end of June, close to her goal weight and happy with herself, she decided to pull the trigger. She hasn't looked back.

She eats very little red meat and avoids soft drinks, bread, pasta and rice. She eats edamame, cottage with it, that's when the weight really "I feel wonderful. My daily activities cheese and string cheese to get ensure comes off," she said. are so much easier. It's opened a whole she gets her necessary daily amount of new world for me," she said. "I feel like "Like everybody says, (the surgery) is protein. I have a chance at life all over again."

Gastric Bypass • Vertical Sleeve • Lap Band Call us today at (225) 769-5656 or visit us online at sgbrweightloss.com


New View (Surgeons Group of Baton Rouge)