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            WLS Center E-Newsletter 
            
            A 
            FREE publication fromhttp://www.wlscenter.com
 
              
            
            Hosted by 
            Barbara ThompsonAuthor of:
 Weight Loss Surgery:
 Finding the Thin Person Hiding Inside You.
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              |  | Nothing is automatic following weight loss 
              surgery.  Some people lose weight rapidly, some lose slowly, but 
              then those who lose rapidly may “hit the wall” and never reach 
              goal. Or those who get to goal may have a rebound in their 
              weight.  We need to utilize every tool that we have in this 
              journey, and one of the most effective tools is our local support 
              group.  I had a letter from someone who emphasized that to me. Her 
              letter follows later in this newsletter. 
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            | 
            In This Issue |  |  
            | * Book Excerpt: Pregnancy* Recipe: Quick Dessert
 * Value of Support Groups
 * Success Story: Jo Anne Junkin
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              |  | Book Excerpt: Pregnancy |  
              | Dear BarbaraMy husband and I have been married for 15 years.  I had RNY 
              gastric bypass surgery on Sept. 26th, 2003. In the 15 
              years we have been married we had not used birth control and had 
              undergone fertility treatments for 9 years.  I have never had a 
              regular cycle in my life until the month of my surgery.  In 1998 
              we adopted twin boys at the age of 5.  They are now 11 and they 
              are just the joy of our family’s lives.
 Just last week I decided that things are not 
              right with me and my cycle.  I have not been regular but not only 
              that, I’ve been spotting non-stop since April 15th. I 
              just discovered that I am 3 months pregnant.  Now I 
              understand how important it is to use birth control every 
              single time.  We are overjoyed about this pregnancy but there is a 
              lot of worry that comes with it.  I got pregnant 6 months after my 
              surgery and for 3 months had no idea and so I also had no prenatal 
              visits either.  So for those of you who think that getting 
              pregnant is not possible for you, it can happen.  
              This is just a short note to stress the importance of birth 
              control after surgery. Kathleen Pritzlaff   While I am sure that we all wish 
              Kathleen well on her pregnancy, her message is an important one. 
              The following is an excerpt on pregnancy from my book, “Weight 
              Loss Surgery; Finding the Thin Person Hiding inside You.” 
               
              
              Pregnancy For some women, one of the reasons 
              for having weight loss surgery is their inability to conceive.  
              Estrogen is stored in fat cells and as women gain fat cells it 
              affects their fertility.  As they begin to lose weight and lose 
              fat cells, pre-menopausal women experience a newfound fertility. 
              Added to this possibility of pregnancy, is a more active sex life 
              as you become more physically attractive and begin to feel better 
              about yourself. Women, who have not had a period in years, 
              suddenly find that they have begun again.  Eighty percent of patients having 
              weight loss surgery are women in their childbearing years. It is 
              very important to remember to not become pregnant within the first 
              year following surgery, to give your body time to adjust. In the 
              beginning months following surgery, it is difficult to get in a 
              sufficient amount of nutrition to satisfy all your own bodily 
              needs and nearly impossible to supply the nutritional needs of a 
              growing fetus. During the first year after surgery, pregnancy is 
              considered to be high risk and the possibility of a miscarriage is 
              increased by 90 percent.   
                
                
                  
                    | 
                    
                    It is very important to not become pregnant 
                    within the first year following
                    surgery.   
                    
                    After that, you should be “good to go!” |  Another factor that creates a 
              high-risk pregnancy is that morbidly obese women commonly have 
              co-morbidities such as high blood pressure and diabetes that puts 
              increased stress on the body.  The addition of a pregnancy could 
              endanger the health of the mother.  Therefore, if you are at all sexually 
              active, it is very important to use birth control during the first 
              year after surgery. You may very well have a healthy baby, but the 
              risk is not worth it.  Wait the year, for your own sake as well as 
              for the sake of your baby. However, once you have received an 
              approval from your surgeon or obstetrician to become pregnant, you 
              should have a very normal pregnancy.  In the August 1998 issue of
              Obesity Surgery, Dr. Wittgrove et al reported on a study 
              conducted following 41 of their own gastric bypasspatients who had 
              become pregnant.  Their pregnancies were normal and their 
              deliveries were without complications.   If you do not have your copy of my book “Weight Loss Surgery; 
              Finding the Thin Person Hiding Inside You,” what are you waiting 
              for?  It is recommended by surgeons across the country and has 
              been dubbed the “unofficial bible of bypass patients” by the 
              Philadelphia Inquirer. Order your copy at
              
              http://www.wlscenter.com/Announce_Book.htm#book. |  
       
        
        
          
            |  | Recipe: Quick 
            Dessert |  
            | Hi Barbara, I am 8 months post-op and doing 
            great. I wanted to share this recipe with you that I got from Arlene 
            Williams at a home cooking show. I am not sure of the amount of 
            protein etc., but it has all good things in it. I really enjoy it 
            and hope your newsletter readers will also. Keep up the good work I 
            really enjoy your newsletter.
            
            djp@laurelweb.net  Quick Dessert1 large container vanilla yogurt
 2 packages pistachio sugar free instant pudding
 1 (20oz) can crushed pineapple packed in own juice
 1 (12 oz) container cottage cheese
 In a bowl, combine all ingredients and mix 
            well, cover and refrigerate until chilled.   I have used sugar free vanilla and sugar free 
            banana pudding and they are very good also. If you have a recipe that you would like to 
            share in future issues of thisnewsletter, please send it to me at
            
            Barbara@wlscenter.com
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              |  | Value of Support 
            Groups |  
              | Weight Watchers may have failed for many of us, 
            but they certainly have the right idea when it comes to support 
            groups.  The act of getting together with people, who share a common 
            problem, is a powerful way to work through that problem. But I think 
            that too few of us take advantage of support groups.   There is nothing that keeps us on track better 
            than attending support group meetings once a month.  We are able to 
            share problems, successes and solutions to the many problems that 
            arise following surgery. We are there to be inspired by those who 
            have succeeded, learn from speakers and eventually be there to 
            inspire those who come after us.  The following letter from Laurie emphasizes 
            these points. Hi Barbara, I just wanted to write and thank you for all your wonderful 
            information on bypass surgery.  I started attending a local support 
            group last September when my husband requested I check into bypass 
            surgery.  I was against the surgery and knew of some people who had 
            some bad results.  One was my best friend who was still on a 
            ventilator following the surgery she had in April 2002.
 I did go to the support meeting and gained 
            information and did some research on the web.  I saw my physician in 
            October and mentioned to her I was thinking about the surgery.  She 
            was 100% for it, and even though that very week my friend died, I 
            went on with the testing and attended one of the physician 
            lectures.   Well here it is April, my testing is complete, 
            all doctors are in agreement that I should have surgery and Monday I 
            heard that my insurance has approved the surgery.  I am writing to 
            encourage others who are thinking about surgery to attend support 
            groups.   I have been attending since September and would 
            not have gone this far without their support and guidance.  Hats off 
            to my wonderful "By Pass-Banders Buddies" support group.      Laurie |  
       
        
        
          
            |  |  |  
            | I want to thank Jo Anne Junkin for sending this wonderful 
            Father’s Day success story. It is so touching.
 Dear Barbara, I always look forward to the arrival of my WLS Center E-Newsletter! 
            It was here awaiting me when I opened my computer this morning and I 
            started my day reading every word. What a great way to start one's 
            day with inspiration!
 I had a medial RNY with Dr. Elariny in Virginia on July 23, 2003 
            (eleven months ago).  I can truthfully say it was the best thing I 
            have ever done for my health and my happiness (except for marrying 
            the most wonderful man in the world almost 35 years ago!).  I had three children in three years from 1971 - 1974 increasing 
            my family and my weight. I am 5' 1" tall and when I had my surgery, 
            I tipped the scales at 263 pounds. I had the life most women would 
            love to have with a wonderful Navy husband, family, home, etc., but 
            one thing was wrong. I hated myself for losing control of my weight 
            and not being able to regain control over it.  I think I have tried every diet over the years. I'd lose weight 
            for a while and then gain it back plus a few more pounds each time. 
            I would always joke that my husband believed he had married one thin 
            woman who had grown into Siamese twins! I joked but it hurt inside 
            knowing it was true. I had asthma, knee joints that ached 
            constantly, shortness of breath, water retention that caused my 
            ankles to swell horribly. The list goes on and on. My family has 
            grown by eight grandchildren since 1993 and I was too large to even 
            enjoy doing things with them which made me even more miserable. I made the decision in December 2002 to seek weight loss surgery. 
            I did tons of research on the internet and in books (Barbara, your 
            book was the best help of all!), talked to people and made an 
            appointment with Dr. Elariny. I decided on the RNY because it seemed 
            to fit my lifestyle best. I received insurance approval much faster 
            than I ever expected and was scheduled for my surgery on 23 
            September but, thanks to some rescheduling in my bariatric surgeon's 
            office, actually had it done in July 2003. Eleven months later, I have gone from 263 pounds to 134 pounds. I 
            have dropped from a size 26 to a size 6! I feel absolutely 
            fantastic. I can hardly believe the energy I have! My whole family 
            is so excited and calls me "the incredible shrinking lady."  Yesterday was Fathers' Day and I spent the weekend with my 
            parents in Raleigh, NC. My dad is 83 years old and in very bad 
            health. My mother and I walked to a nearby school and walked around 
            and around the track in the evenings doing miles easily. Barbara, my 
            Dad had worried for years about my health due to my obesity. 
            Yesterday he had tears in his eyes when he hugged me and told me how 
            proud he was of me, and how relieved he is that I am in so much 
            better health. He said my weight loss was the best Father's Day 
            present he had ever received! It's so wonderful to know that he can 
            quit worrying about me! Thank you for the E-Newsletter with all of its helpful 
            information and for the opportunity to share my WLS story.  G8ful 4 WLS!  Jo Anne Junkin Lexington Park, MD
 
            Click 
            Here for more photos I love good news.  If you have good news, a 
            success story to share, or inspiration, 
            please send it to me at
            
            Barbara@wlscenter.com so that I can 
            include it in future issues.  |  
       
        
        
          
            |  | How Do You Maintain Your Weight Loss? |  
            | Are you 2 or more years post-op? If so, I need 
            to know what your secret is for maintaining your weight. I will be 
            using your story in my next book on maintaining 
            your weight loss long term. You must write at least 1 full page. Anything 
            less than 1 page will not be useable. I also need your before and 
            after pictures sent via email. I need to know how you eat, what you 
            do for exercise, and any tips that you have to offer. This will be a 
            tremendous help to people who are having the common problem of 
            weight gain following surgery, or are struggling to maintain their 
            weight loss. Send your stories to
            
            Barbara@wlscenter.com |  
       
        
        
          
            | Permission to 
            Reprint |  
            | You may reprint any items from this newsletter in your own print or 
            electronic newsletter. But please include the following paragraph: 
            Reprinted 
            from Barbara Thompson’s free e-newsletter featuring helpful 
            information and research material to help patients succeed following 
            weight loss surgery. Subscribe at
            
            http://www.barbarathompsonnewsletter.com/ 
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