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How to Run After Bariatric Surgery

May 24, 2021

It may seem obvious but running after bariatric surgery is not as simple as tying up those laces and bolting down the street. Immediately after bariatric surgery, you will not have lost a significant amount of weight and your excess body weight will still be putting significant pressure on your joints. This is especially true in the knee and ankle joints which take the brunt of the force when you run.

Over time, of course, much of this weight will disappear and it will be easier and safer for you to run.

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How Much Does the Gastric Sleeve Cost?

May 10, 2021

Being that the gastric sleeve is the most popular bariatric procedure in the United States, many of our patients wonder exactly how much it will cost and unfortunately, the answer to that does vary. The variance is ultimately in how you intend to pay for surgery.

Man with a men in his hand at a desk with a laptop and using a calculator

A number of Nevada health insurance policies cover bariatric surgery. However, there may be exclusions for bariatric surgery even if other policies with that same company cover it. We always suggest that you take a look at your coverages and exclusions and work with our team to verify your benefits. If you are covered by your insurance plan, you will also have a number of financial obligations associated with your policy. These will include a co-pay, deductible, and coinsurance. one or more of these may apply until you reach your out-of-pocket maximum at which point your health insurance policy should handle all covered services. You can work with our billing and benefits verification staff to understand exactly how much your procedure will cost if using insurance.

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A New Understanding Of Osteoarthritis

April 26, 2021

Female Doctor hand on patient and talking to an older male patient with a mask on in a blue button down shirt

Obese patients are often told by their doctors that the extra weight they carry can contribute to osteoarthritis – a degenerative form of arthritis often caused by wear and tear on the joints. Decades ago, it was mostly middle to older age adults that experienced osteoarthritis, but the average age of onset has declined as the obesity epidemic has gotten worse. Figure that an extra pound of body weight puts an additional 4 pounds of pressure on the knee joint. Being that we use our knees throughout most of the day, it is no wonder that the cartilage in the knee would start to break down if one were dozens or even hundreds of pounds overweight.

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When Dieting Alone No Longer Works

April 12, 2021

Green apple, red pencil, diet plan notepad, pink dumbbell, and pink measuring tape on light pink background

The early phase of the post bariatric surgery recovery plan involves significant dietary restrictions. For the first several weeks after surgery, you will cycle through various restrictive dietary phases including clear liquids, liquids, soft foods and ultimately a modified regular diet. Some modifications will continue for the rest of your life, but after six to eight weeks, the overall diet will become somewhat less restrictive.

There will be a point however where dietary restriction alone no longer works. This is why we stress that diet and exercise must go hand-in-hand. You will lose weight faster by limiting the number of calories you consume, but there is a finite number of calories you can cut before it becomes unhealthy. Continue reading

Obesity & COVID – 1-Year Update

April 5, 2021

Obesity is a prevalent issue in the U.S. that affects people of all ages and backgrounds. By some estimates upwards of 40% of all American adults are obese. A full 2/3’s of adults are overweight. The medical complications that come with obesity are numerous, increasing in severity the higher a person’s weight is. The health impact of obesity has once again come to the forefront of concern and is has been shown to be a major risk factor for poor outcomes in patients who contract the Covid-19 virus.

Some of the facts, available at www.cdc.gov, that impact obesity and Covid-19 are:

  • increasing the seriousness of respiratory compromise from Covid-19.
  • tripling the risk of hospitalization if you are infected by Covid-19
  • increasing your risk of dying from Covid-19

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Mindful Eating. What Is It and Why Does It Matter?

March 29, 2021

Mindfulness can play a very important part of the postoperative lifestyle. Mindfulness is a very simple concept – to be in the present moment when performing various activities. For a bariatric patient, that might be understanding and appreciating the food we eat, as we eat it.

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Getting Enough Exercise at Home

March 14, 2021

The COVID pandemic has stopped many of us from performing activities in the gym, Pilates or yoga studio or at spin class. Whether the result of closures or being afraid to contract COVID, we likely aren’t losing as much weight as we should. First, it is important to remember that everyone is going through the same thing and second, very few people have been able to get through this very difficult and strange time without experiencing some kind of weight concern. However, while it may seem difficult, you can actually get excellent exercise – at home.

Before figuring out how exactly to make your home workouts most efficient, we have to discuss an important point. There is no one-size-fits-all solution. Every patient has a different exercise or activity they enjoy and as such the list in this article is simply a guide and not necessarily endorsing one exercise over the other.

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Weight Loss Drug Looks Promising After Clinical Trial: Is the Hype Warranted?

March 2, 2021

Recently, the drug Semaglutide, which is used to treat Type II diabetes, was reported by the New England Journal of Medicine to have success in treating obesity. The reported weight loss for the nearly 2000 study participants randomized to either the weekly injections of semaglutide or a placebo was 15-20 percent of their weight.

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Why Does Insurance Take So Long to Approve Bariatric Surgery

February 15, 2021

The insurance process can vary between patients and insurance companies…even policies, but rarely is the process a short one. First, patients and providers alike have to deal with insurance companies that are pressed for time and may not be able to handle requests in a timely manner. Unfortunately, this is just a byproduct of the massive volume of preapprovals that need to be generated each and every day.

Further, the insurance company wants to be entirely sure that the procedure in question is medically necessary. This is particularly true for bariatric surgery.

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Tips to Maintaining Your Weight Loss Long Term

February 1, 2021
Losing excess weight is only part of the weight loss journey. Some people may find that keeping the weight off is even more difficult than losing it in the first place.  Once a patient loses weight, they must commit to lifestyle changes to maintain their goal weight.

After substantial weight loss, it is not uncommon for a person to gain back some of the weight they lost.  This calls for having a game plan for how to maintain one’s new weight. Regular four-times-weekly exercise, healthy eating habits, a good support system and a positive mindset are all things to be mindful of when maintaining weight loss.

A weight loss journey is unique on a patient-to-patient basis, but there are guidelines you can follow in order to increase your chances of keeping weight off.

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