** “Depression and Stomach Surgery to Lose Weight” by Frank Barnhill, M.D.

** Smiles - Anniversay

** Trivia

** "Almonds Can Lower Your Cholesterol” by Paul Blustein

** Dr. Earl Mindell's Wellness Update - How can additional weight
   increase my risk of breast cancer?

**  Dry Eyes by Dr. Marc Grossman

** Stress Tips by Dr. Rae Baum

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_____________________________________________________________
 

          Depression and Stomach Surgery to Lose Weight
                     by Frank Barnhill, M.D.

The old saying has always been: “There is no easy way to lose
weight”.

Quite often, overweight persons believe if they can “just get a
little help in starting to lose weight”, they can then manage to
continue steady weight loss. Many join weight loss clubs to learn
how to eat and exercise properly. That’s the most effective way
to lose weight and keep it off. These persons are changing old
habits and hopefully developing new ones in a quest to a
healthier life. Others ask their doctor for diet pills or try
over the counter diet medications. Then the really desperately
overweight will turn to stomach stapling or another bariatric
procedure to make them feel fuller while eating less.

It’s true that all good bariatric surgeons carefully screen and
counsel patients before surgery, but the underlying reason for a
person’s desire to lose weight is rarely simply for health
reasons. Most persons who undergo stomach surgery do so thinking
that their lives will improve dramatically after surgery. I often
hear the excuse their “husband or wife will love them more”, or
even “love them again” if they think the love is gone from their
relationship. Sometimes, it’s “I’ll be able to get a better job”
or “I want to look good in clothes off the rack”. Basically, this
means we are really trying to improve our self-image or esteem.

Once stomach surgery has been done, most persons will be so happy
and jubilant; they feel on top of the world. That exactly how I
described a patient we’ll call “Judy”. Judy had gone through all
the pre-surgery counseling sessions, tolerated surgery well, and
lost weight steadily for about 10 to 11 months from 251 to 175
pounds. She felt more outgoing and had made a bunch of new
friends in the six months following her surgery. Her old friends
were patting her on the back and complimenting her weight loss
daily. She even fell in love with a guy her age and dreamed of
getting married.

Then in the 12th month, she noticed a little weight gain. She was
eating just a little more than her diet allowed, but what the
heck, she was in love and her surgery would “magically protect
her from becoming fat again”. By the end of the 14th month, she
was back up to 187 pounds and her weight seemed out of control.
She panicked and became moody and depressed. After all, when
others are stressed, they usually eat “comfort foods” to help
ward off depression. If she ate chocolate and sweets, she knew
she would gain weight rapidly and would not be able to justify
the expense and pain she suffered for surgery. Talk about a catch
22! The guilt of gaining weight was becoming a huge burden. All
of her pain was being internalized.

Once again on a very strict diet and exercise, Judy’s weight gain
started to slow, and she even lost back down to 185 pounds. Then
it happened; her boyfriend jilted her for one of her best
friends. He just couldn’t put up with her mood swings and after
all, she was getting fat again. Since Judy had depended on
surgery to help lose weight, she just didn’t have the emotional
stability and life style changes needed to handle such stress and
avoid weight gain. By the end of the 18th month, Judy weighed 252
pounds; one pound more than before surgery!

While it’s true that bariatric surgery and the weight loss it
causes seems to be a magical fix on all the problems of life,
between 25 and 30% of all persons undergoing stomach reduction
procedures will become depressed by the end of the first year.
Since they can’t cope by eating, their depression may become very
severe. Even worse, as the now depressed person attempts to
overeat comfort foods, they may develop vomiting, since their
stomach physically can’t hold that much food. Once this cycle of
overeating and stretching started, Judy’s stomach slowly started
holding more and more and eventually seemed to hold more food
than before. She felt as if her life “fell apart before her very
eyes”.

Fortunately, Judy had sought help for depression early enough,
and antidepressants, dietary help and social counseling prevented
progression of depression and further weight gain. The
antidepressants bupropion and protriptyline can usually help this
type of depression without causing weight gain. Ingestion of a
natural amino acid, 5-hydroxytryptamine (5-HT) at bedtime can
help reduce sugar cravings even up to three years after surgery.

Judy’s depression went into remission within six months, but in
order for her to control her weight and feel self esteem again,
we agreed she needed long term social, emotional, stress managing
counseling and a dietary support system and exercise pro gram.
With all of these lifestyle changes in place, Judy’s weight is
back down to 187 pounds and she is much less distressed. She has
a new boyfriend and smiles and jokes a lot when she comes to the
office now.

On her last visit, she reminded me “There is no easy way to lose
weight”. The ideal weight loss plan truly includes a diet and
exercise program that burns more calories than calories eaten and
a change in habits and lifestyle.
Hope your diet is going well!

Dr. Frank

-----

Your source for UncommonSense medical information for the entire
family. drhuggiebear.com and Dr. Frank offer unique, concise, up
to date discussions and practical guidelines on many aspects of
family health care. Our free monthly newsletters include articles
on ADHD and behavioral disorders in kids and adults, illnesses
that affect your family’s lifestyle, and health concerns and
success of the mature adult.  mailto:drfrank@drhuggiebear.com

_____________________________________________________________

                              Smiles

Anniversay
=-=-=-=-=-=-=-

A very elderly couple is having an elegant dinner to celebrate
their 75th wedding anniversary.  The old man leans forward and
says softly to his wife "Dear, there is something that I must ask
you.  It has always bothered me that our tenth child never quite
looked like the rest of  our children.  Now I want to assure you
that these 75 years have been the most wonderful experience I
could have ever hoped for, and your answer cannot take that all
that away.  But,.. I must know, did he have a different father?"
 
The wife drops her head, unable to look her husband in the eye,
she paused for moment and then confessed. "Yes.  Yes he did."
 
The old man is very shaken, the reality of what his wife was
admitting hit him harder than he had expected.  With a tear in
his eye he asks "Who?..Who was he?  Who was the father?"
 
Again the old woman drops her head, saying nothing at first as
she tried to muster the courage to tell the truth to her husband.
Then, finally, she says "You".

-----

With Via^gra such a hit, Pfizer is bringing forth a whole line of
drugs oriented towards improving the performance of men in
today's society..

DIRECTRA - a dose of this drug given to men before leaving on car
trips caused 72 percent of them to stop and ask directions when
they got lost, compared to a control group of 0.2 percent.

PROJECTRA - Men given this experimental new drug were far more
likely to actually finish a household repair project before
starting a new one.

CHILDAGRA - Men taking this drug reported a sudden, over-whelming
urge to perform more child-care tasks - especially cleaning up
spills and "little" accidents.

COMPLIMENTRA - In clinical trials, 82 percent of middle-aged men
administered this drug noticed that their wives had a new
hairstyle. Currently being tested to see if its effects extend to
noticing new clothing.

BUYAGRA - Married and otherwise attached men reported a sudden
urge to buy their sweeties expensive jewelry and gifts after
talking this drug for only two days. Still to be seen: whether
the drug can be continued for a period longer than your favorit e
store's return limit.

NEGA-VIAGRA - Has the exact opposite effect of Viagra. Currently
undergoing clinical trials on former U.S. presidents.

NEGA-SPORTAGRA - This drug had the strange effect of making men
want to turn off televised sports and actually converse with
other family members.

FLATULAGRA - This complex drug converts men's noxious intestinal
gases back into food solids. Special bonus: Dosage can be doubled
for long car rides.

PRYAGRA - About to fail its clinical trial, this drug gave men in
the test group an irresistible urge to dig into the personal
affairs of other people. Note: Apparent overdose turned three
test subjects into "special prosecutors."

-----

An overweight business associate of mine decided it was time to
shed some excess pounds. He took his new diet seriously, even
changing his driving route to avoid his favorite bakery.

One morning, however, he arrived at work carrying a gigantic
coffeecake. We all scolded him, but his smile remained cherubic.
"This is a very special coffeecake," he explained.

"I accidentally drove by the bakery this morning and there in
the window was a host of goodies. I felt this was no accident,
so I prayed, 'Lord, if you want me to have one of those delicious
coffeecakes, let me have a parking place directly in front of the
bakery', and sure enough," he continued, "the eighth time around
the block, there it was!"

-----

The scale at my doctor's office has a chart showing the ideal
weight per height. Thanks to that, I now know what my problem
is. I'm not overweight; I'm too short.

_____________________________________________________________

Are you unhappy with the way you look? Would you like to loose
weight? Are you interested in toning-up or increasing your
muscularity? Would you like to improve your health and quality of
life? Are you thin and like to gain weight? If you have answer ed
"yes" to any of these questions, We are confident our diet and
exercise program will quickly get you to your goals. Your diet
and exercise program is tailored to your individual needs and
situation. We are here to help you every step of the way. P lease
visit our web site at http://www.bestbodyever.com/. There are
some great "before and after" pictures on the site that will
motivate you to make the decision to improve your health and
build your best body ever.

_________________________________________________________________

                              Trivia

Wisconsin reportedly has the highest proportion of overweight
citizens in America.

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           Almonds Can Lower Your Cholesterol
                       by James Groves

Here's another tip you can use to lower your cholesterol.
Last month it was avocados and this week it's almonds.

In a study conducted last year, researchers found that when
people ate 3 1/2 ounces of almonds a day, their cholesterol
level dropped 20 points.  This study conducted at the YMCA
Cardiac Rehabilitation Unit in Palo Alto, California worked with
30 people who added nuts (both whole and ground almonds)
to a low-fat diet.

The results showed the cholesterol drop came from the harmful
LDL and the good, protective HDL was unchanged.

So here are some tips about eating nuts and avocados. You
can add either one of them to salads or eat them as snacks.
Avocados can be sliced and used on sandwiches. Here is one
of my wife's favorite lunches.  Lightly toast whole bread, then
spread a little Dijon mustard on it, followed by slices of
avocado, cucumbers, and tomatoes.

_____________________________________________________________
 

                Dr. Earl Mindell's Wellness Update
                ==================================

How can additional weight increase my risk of breast cancer?

Being overweight is not good for anyone’s overall health and can
increase the risk of developing disease. In fact, weight gain can
actually increase the probability of developing breast cancer. A
study was conducted on 1,934 women with breast cancer.  The
results indicated that a woman who gains 20 to 30 pounds after
the age of 18 increases the risk of developing breast cancer up
to 40 percent over women who have gained less weight.  If a woman
gained more than 70 pounds, her risk doubled.

When a woman has excess body fat, she also tends to have higher
estrogen levels. The fat tissues make estrogen, which aids in the
growth of breast cancer. Increased risk of breast cancer also
comes from hormone replacement therapy because it produces higher
estrogen levels.

I recommend you maintain a healthy weight by exercising at least
30 minutes three times a week. In addition, eat a whole-foods
diet and reduce your intake of grains and sugars. These lifestyle
changes can help reduce your risk of developing breast cancer.

-----

Visit http://keith.freelife.com/

_____________________________________________________________

                             Dry Eyes
                       By Dr. Marc Grossman

   The most frequent patient complaint to eye doctors is dry
eyes, know technically as acqueous insufficiency. About 33
million Americans in all age groups experience varying degrees of
dry eye symptoms. The symptoms may include dryness, grittiness,
irritation, burning and even the seeming contradiction of
excessive watering or tearing.

   Any condition that reduces the production, alters the
composition or impedes with the distribution of the tear film may
result in dry eyes. Like most eye conditions, Dry Eye Syndrome is
often related to other health conditions in the rest of the body.

   It is commonly associated with dryness of other mucous
membranes interior body surfaces such as joints and brittle
nails. It also can be a sign of digestive imbalances or of more
serious autoimmune diseases, such as rheumatoid arithritis,
Sjogre n’s syndrome or lupus erythematosus.

   Relief from dry eyes can often come in the form of eyedrops
that lubricate the eyes. These eyedrops comes in many forms, but
those that just “clear the red out of the eyes” or have
preservatives should be avoided.

   Other nutrients that may help include taking essential fatty
acids, Chinese herbs that support the production and spreading of
moisture in the body,

-----

Dr. Grossman is the author of 4 books on natural eye care, leads
workshops and lectures nationally on topics such as Natural
Vision Improvement, Vision and Nutrition, and Chinese Medicine
and Vision Care. For more information and for his free eye
exercise e-booklet, you can visit his website at
www.visionworksusa.com or call 888-735-8475.

_____________________________________________________________

                           Stress Tips
                         by Dr. Rae Baum

You will find this "Stress Tip Message" helpful to stay focused
and on purpose. You can put this message to work by reading it
often throughout the day.

Nothing great is ever achieved without enthusiasm.  My
disposition, and not my circumstances, gets me what I want.  Stay
in the now and plan for the future.  Do not just think about or
control the future.  Take purpose full and meaning full action.

~ Need help with this? Contact The Baum Group at:
mailto:TheBaumGroup@YourStressMatters.com

_____________________________________________________________
 

If you need to lose weight, you must be in caloric deficit. This
can be accomplished by cutting down your caloric intake, or
increasing the amount of calories you burn by exercising. I
recommend both. Even though a calorie is a calorie when it comes
to weight loss, a calorie is not a calorie when it comes to your
health. Make sure your daily diet includes several servings of
fruit and vegetables and whenever possible, avoid foods that
contain trans fat.

_____________________________________________________________
 

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