Are you looking to gather more information on weight loss surgery? Have you wanted to ask questoins about bariatric surgery costs, types of weight loss surgery (including Lap Band and Gastric Bypass) and the Indiana insurance approval process?
Then consider joining us for a FREE informational weight loss seminar on Thursday October 29 at 6:30 pm in Cicero, Indiana at 1160 South Peru Street, State Road 19. You can register online at
ACallToChange.org.
Also, feel free to bring as many of your friends and loved ones along to hear our Indianapolis-based bariatric surgeons discuss the process. See you there!
The following is from WebMD the Magazine.
Nearly 800,000 new cases of diabetes are diagnosed in the United States each year. Yet many people with type 2 diabetes don’t realize they have it. Do you know if you’re at risk for getting diabetes? 5.7 million Americans have diabetes but don’t know it.
1. How old are you?
2. Are you overweight? Yes No
3. Do you have a family member with diabetes? Yes No
4. What is your ethnic background?
5. Do you exercise at least three times a week?
Answers: #1 Risk goes up with age: type 2 diabetes s more likely for people age 45 and older who are overweight. However, greater numbers of people younger than 40 – including teens and people in their 20’s are getting the disease because of rising U.S. obesity rates.
#2 Being overweight can hamper your body’s ability to use insulin properly, which can lead to type 2 diabetes.
#3 Having a parent, brother, or sister with type 2 diabetes raises your risk.
#4 Certain ethnic groups have a higher risk. Native Americans, Alaska Natives, African-Americans, Latinos, Asian-American, and Pacific Islanders are more prone to getting type 2 diabetes.
#5 Being inactive – for example, exercising fewer than three times a week – can increase your chances of developing type 2. Talk to your doctor about starting or increasing a fitness plan to get more exercise into your life.
Clarian Bariatrics can help. If you are, overweight with type 2 diabetes and have tried diet control without success call us at 317-275-7010 for more information.
If the entire morbidly obese population of the United States lived in one state, it would be the 12th hightest-populated state, with more people than the state of Virginia.
Just in case you're wondering, the state of Virginia has 7,769,089 folks living there.
Restrictive operations serve only to restrict food intake and do not interfere with the normal digestive process. To perform the surgery, doctors create a small pouch at the top of the stomach where food enters from the esophagus. Initially, the pouch holds about one ounce of food and later expands to hold more. The lower outlet of the pouch has a small opening to delay the emptying of food from the pouch and cause a feeling of fullness.
Restrictive operations for obesity include the Adjustable Gastric Ban (LAP-BAND), which restricts the size of the stomach using a band.
Although restrictive operations lead to weight loss in almost all patients, they are less successful than malabsorptive operations in achieving substantial, long-term weight loss. Some patients regain weight. Others are unable to adjust their eating habits and fail to lose the desired weight. Successful results depend on the patient's willingness to adopt a long-term plan of healthy eating and regular physical activity.
Anyone want to join me in a challenge? I found this awesome program on
www.livestrong.com through one of the “Dares” that I picked. It is a plan to perform 100 push-ups in a row in 6 weeks! I’ve already started and so can you!
The program can be found at
www.hundredpushups.com. You can do the push-ups in any form: off the wall, off the table, on your knees, or on your toes! If you want an easy, free, and effective program to increase your upper body strength…this is it! If six weeks seems a little fast for you, don’t worry. You can slow down the program by spending a week on each “Day” that the program provides.
Browse the site for a little while and you’ll discover there is a 200 Sit-ups (crunches) program and a 200 Squats program too! I’m working on all of them right now. Who wants to join me?!
This operation is the most common and successful malabsorptive surgery. First, a small stomach pouch is created to restrict food intake. Next, a Y-shaped section of the small intestine is attached to the pouch to allow food to bypass the lower stomach, the duodenum (the first segment of the small intestine), and the first portion of the jejunum (the second segment of the small intestine). This bypass reduces the amount of calories and nutrients the body absorbs. It is the primary surgery performed by The Clarian Bariatric Center.
This operation can be performed either by a traditional open surgery or laparoscopically, a relatively new technology using a small video camera and a few customized instruments to perform surgery with minimal tissue damage. The Roux-en-Y technique is generally more effective in reversing health problems associated with severe obesity. Patients who have malabsorptive operations generally lose two-thirds of their excess weight within two years.
Below is another popular educational video that we produced to help potential patients understand the risks and rewards of Indiana weight loss surgery. Remember, if you have additional questions, please call us at 317-275-7010 to sign up for a FREE weight loss surgery seminar.
Try out this delicious "stay warm" recipe for the upcoming colder months!
Double Cheese Meat Loaf
1 cup chopped onion
6 tablespoons ketchup, divided
2 tablespoons Dijon mustard, divided
1 cup part-skim mozzarella cheese
1/4-1/2 cup quick oats
2 tablespoons grated Parmesan cheese
1 teaspoon dried oregano
¼ teaspoon pepper
1 Large egg
1 ½ lbs lean ground beef or turkey
Preheat oven to 375
Heat medium skillet, spray with pam then add onion and sauté 3 minutes. Combine onion, ¼ cup ketchup, 1 tablespoon mustard, mozzarella and all ingredients except meat in a large bowl. Crumble ground meat over cheese mixture, stir until blended.
Pack meat into an 8x4 inch loaf pan coated with cooking spray. Combine 2 tablespoons ketchup and 1 tablespoon mustard; spread over meatloaf.
Bake at 375 for 50-60 minutes
Let meat stand in pan for 10 minutes after removed from oven
Remove from pan and slice
**Make up extra mixture of ketchup and mustard for additional sauce if necessary**
Since it is almost fall break, I thought it would be smart to finish up with my "smart school" habits! WebMD the Magazine's September issue featured a segment “Ask the School Nurse." With all the news about H1N1, I thought this was very timely.
Hands on. Adopting good hand-washing habits is the best way to avoid illness. Teach your child to rub her hands for al least 20 seconds with soap and warm water before eating and after using the restroom and playing outside.
Cover up. Teach your child to sneeze and cough into a tissue or the bend of their elbow to keep infectious droplets from spraying into the air and making other kids sick.
Home works. Most kids catch colds or flu from and under the weather classmate. Give your child the rest they need and their classmates a break by keeping them home when they don’t feel well.
Lighten up. Carrying a backpack shouldn’t be a workout for your child. Pack the bag as lightly as possible, with heavier items in the center compartment. The load should never be more than 10% to 20% of their body weight. A child weighing 63 pounds should carry between 6.3 to 12.6 pounds in their backpack.
You're probably not gonna believe this one!
Child safety seat manufactures are starting to make bigger models after a recent study showed that over 250,000 U.S. children ages 6 and under are too "chunky" to use them.
What do you think about this change?
It has been several months since I posted this video, but I have had some requests to re-run some of our "What to Expect" series. Look for a few this week and next, and remember to leave a comment if you have any questions about weight loss surgery procedures, bariatric surgery costs or Indianapolis surgeons.
Lance Armstrong is a hero to anyone who knows what it’s like to be faced with physical challenges. He is a great role model and shows us that nothing is impossible. Although he is widely known for his amazing Tour de France accomplishments, he faced his own physical challenges after he was diagnosed with testicular cancer that spread throughout his

abdomen, lungs, and brain. Lance proved to us all that effort, education, and a positive spirit can help one overcome anything. He also learned that a healthy lifestyle that included good nutrition and exercise helped him overcome his physical challenges. He made a commitment to share his experiences and help others overcome challenges through his Livestrong Foundation.
One of the neat ways Lance has reached out to help people is through his site
www.livestrong.com. This site is a network of people who care about living healthy and want to make sure they always strive to take care of themselves and the world around them. This site is totally free (you can upgrade if you want) and provides you with wonderful online nutrition/activity logs, exercise videos, and so much more. I’m a big fan of the fitness section (
http://www.livestrong.com/fitness/). Check out this site if you want to join the movement to live healthier! And make sure to add me as a friend!
As was mentioned earlier, Clarian Bariatrics recently moved into a new 30,000 square foot clinic space to better accommodate our program's recent growth. We now have more meeting space, a dedicated fitness room and more exam rooms. Not to mention that the new location (directly across the parking lot from the "old" one) is absolutely beautiful!
So why am I telling you this? Because we want you to come check it out for yourself via visiting an upcoming support group! We are going to be having the small group sessions this Tuesday, October 20 from 6 p.m. - 7 p.m. and we would love to have you join us.
You can find directions to our new location by
clicking on this link. See you soon!
This article is just another reminder of how important it is to talk with your dietician to ensure that you are getting all the proper nutrients you need post-operatively. If you ever have a question about supplements, please call us at 317-275-7010.
Full text of this Reuters article can be found by
clicking here.
Weight loss surgery can help you lose weight, but it's also likely to leave you unable to absorb iron, a new study suggests: Iron deficiency is a common problem after stomach bypass surgery to treat severe obesity -- and standard iron supplements may not be enough to prevent it in some patients.
Researchers found that among 67 Chilean women who had undergone the most common form of weight-loss surgery, 39 percent developed low blood counts, also known as anemia, within 18 months of surgery. That anemia was most often due to a deficiency in iron, which the body needs to produce healthy red blood cells that carry oxygen.
In contrast, less than two percent of the women had been anemic before surgery, the researchers report in the American Journal of Clinical Nutrition.
Join us for an educational seminar to speak with our surgeons, nutritionists and past patients to learn how weight loss surgery can help you gain control of your weight, regain health and start a new life.
This Saturday, October 17 from 10 a.m. - 11 a.m. you are invited to visit our outpatient clinic on the northwest side of Indianapolis and have your questions answered about bariatric surgery costs, causes of obesity and sustainable weight loss options at the hands of our skilled Indianapolis staff.
If you are interested in attending, please fill out our
online registration form or call 317-275-7010 or 877-275-2555 (toll free) to reserve your spot.
I'm sure we are only beginning to hear more about this special coalition of manufacturers. Some of the companies involved include General Mills, Kellogg, PepsiCo and United Supermarkets.
What do you think about this? Does it show social consciousness on the part of these businesses or are they just being reactive to negative press? It doesn't mention that they will stop selling unhealthy snacks, just that they are committed to reducing obesity...seems a bit like a Catch 22 to me.
A group of retailers, food and beverage manufacturers and nongovernmental organizations has formed a coalition to combat obesity.
The coalition announced the formation of the Healthy Weight Commitment Foundation Monday, with the goal of reducing obesity, especially childhood obesity, nationwide by 2015 by promoting ways to improve health in the marketplace, the workplace and schools.
The member companies and organizations – which include the Kellogg Co., PepsiCo, the Robert Wood Johnson Foundation and United Supermarkets – have set aside $20 million to promote programs encouraging healthy diet and physical activity among children aged 6 to 11, as well as their parents and caregivers.
Hi Everyone! I wanted to share a photo of the "Walk the Talk" group taken at the October 4 Walk from Obesity. It was a great morning, and our group had a nice time bonding in the fall sunshine. You can find more pictures on our Facebook page at
www.facebook.com/clarianbariatrics.
If you have thought about joining a "Walk the Talk" session, what are you waiting for? We meet every Friday at Clarian Bariatrics at 11:30 a.m. Remember to bring a sack lunch and comfortable clothes.
The following recipe is from the October issue of Cooking Light magazine and is perfect for those patients on the Liver Reduction Diet (LRD).
This vegetarian entrée is ideal for a light breakfast or brunch, but can also be served for dinner paired with a simple side salad. It only has five ingredients.
1 eight ounce package exotic mushroom blend
½ cup shredded Parmigiano-Reggiano cheese (make sure to use a high quality cheese for the best flavor)
1-1/2 teas. Chopped fresh thyme
3 large egg whites
2 large eggs
Preheat broiler. Heat and 8-inch ovenproof skillet over medium-high heat. Coat pan with cooking spray. Add mushrooms to pan; sauté 12 minutes or until lightly browned. Place mushrooms in a medium bowl; cool slightly. Wipe pan clean with paper towels. Combine mushrooms, cheese thyme ¼ teas. freshly ground black, 1/8 teas salt, egg whites and eggs in a medium bowl, stirring well with a whisk. Heat pan over medium heat. Coat pan with cooking spray. Add mushrooms mixture; cook covered, for 3 minutes or until almost set. Broil 3 minutes or until egg is set. Cut into 4 wedges.
Yield: 4 servings serving size: 1 wedge
Calories: 122, Fat 6/4g, protein 13.3g, carb. 3g, fiber 0.8g, chol 116 mg., Iron 0.9 mg., sodium 401mg., calc 195mg.
The following blog was written by Misty Hawkins. I'm writing today to give you an idea of which topics are covered in the Behavior Change Group offered by
Clarian Bariatrics.
Last Tuesday we focused on why people want to get Bariatric surgery and our unhealthy relationships with food. Now, I know that everyone's ultimate goal is to "lose weight" but what are the "real reasons" - how will losing the weight change your life for the better? Will losing weight help you live without as much pain? Will you be able to keep up with your family and children? Your reason could even be as simple as finally being able to shop in whichever clothing store you want…instead of being forced to go to the "plus size" stores!
I think at the heart of everyone's yearning to lose weight is the desire to get back in control of your life - and that means no longer letting food control you. Everyone in the group could give me an example of eating for the "wrong" reasons: Eating when they were angry or sad, eating when they were watching T.V. or studying, and even eating to make themselves happy. The problem is these are unhealthy ways to use food and often lead to weight gain and more unhappiness. You can often use your "real reasons" for losing weight to change your relationship to food and get back on track!
Come to our group to talk about these issues and learn to overcome unhealthy relationships! Next week, we will be talking about cravings and how to fight them! The Behavior Change Group is offered 7 PM to 8 PM every Tuesday night except for the fifth Tuesday of the month. I hope you'll stop by and see us and, if you like, you can share your story!
The following factors will be considered in determining if you are a candidate for bariatric surgery:
- You have tried to lose weight by changing your eating habits and exercise and are still severely obese.
- You are unable to perform routine daily activities without being seriously affected.
- You understand the procedure and the lifestyle changes you will need to make after bariatric surgery.
- You are motivated to make a lifelong behavioral commitment that includes well-balanced meals and physical exercise.
- You understand that this surgery won't solve all your problems, but can make you healthier -- and probably much happier.
Before patients undergo surgery for morbid obesity, they must qualify for our bariatrics program. Our basic program guidelines are:
- Being 100 pounds or more over your "ideal body weight," according to the established weight charts.
- Having a Body Mass Index (BMI) greater than 40 with no co-morbidities or greater than 35 with serious co-morbidities.
- Being able and willing to make the necessary lifestyle changes.
BMI Categories:
Underweight: less than18.5
Normal: 18.5-24.9
Overweight: 25.0-29.9
Obesity (Class 1): 30-34.9
Severe obesity (Class 2): 35-39.9
Severe obesity (Class 3): 40-49.9
Super-obesity: over 50
Learn more by joining us at a FREE informational seminar this week! Learn more at
ACallToChange.org.