Weight Loss Surgery Resources for Vertical Sleeve Gastrectomy, RNY, Duodenal Switch, LAP-BAND and tyHelp, weight


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weight loss surgery houston tx

Weight loss surgery houston tx

Self-Care After Bariatric Surgery, Learning to Treat Yourself Better!

Weight loss surgery houston tx

Salmon Burgers Recipe: ​188 Calories, 25g Protein + Heart Healthy Omega 3!

Weight loss surgery houston tx

Before & After RNY with Karebearz1965, losing 211 pounds!

Weight loss surgery houston tx

The dreaded hair loss

It’s come for me with a vengeance. Please tell me it stops and hair grows back. 😢.

Weight loss surgery houston tx

2 1/2 weeks VSG post-op Stall

Hello All- I just joined today because I need an outlet. I’m eating 500-700 calories daily, 2 1/2 week post-op, and I haven’t lost a single pound in 5 days! What am I doing wrong? I real.

Weight loss surgery houston tx

Before and During: March 2, 2017-August 16, 2017

So I’m seeing some before/after’s on here so here’s mine! Photo on the left was the night before surgery, I was 237lbs Photos on the right were from Wednesday (in my new bathingsuit I boug.

Weight loss surgery houston tx

I took off 2 weeks for the surgery and I’m starting to worry that I didn’t take enough time for healing and the pain to be under control. I am a school bus driver and we are really short on .

Weight loss surgery houston tx

I don’t know if I can do this!!

It’s my first day of full liquid and I don’t know if I can do this. Im really struggling! The 2 week post op clear liquid will I b starving how I am now? My surgery is in 1 week. This is rou.

Weight loss surgery houston tx

Getting dumping syndrome so much

I’ve just been moved to pureed foods. I have tried corned beef/hash mixed with cottage cheese and chicken broth. I have tried pureed eggs with cottage cheese, very little mayo a touch of mus.

Weight loss surgery houston tx

Matcha powder?

Good morning! I’m just about to start optifast for my surgery and I had a question about Matcha green tea powder. I know we’re supposed to be reducing our caffeine intake, and as such I’ve.

Weight loss surgery houston tx

Whatcha Eating Today VSGers? Thursday 8/24/17

Good morning! Yesterday, I was mentally burnt out on the experiment that is maintenance so I just ate protein. It’s funny how comforting it was to throw some chicken on a plate and not care .

Weight loss surgery houston tx

Well its official, I’m a dumper

So I made it 8 months without dumping. Last week I felt terrible after my 2 small protein pancakes with sugar free syrup (I put peanut butter in them). I’ve eaten this once a week since my s.

Weight loss surgery houston tx

Strength Training – Barbells – giving it a try

Has anyone here tried any form of strength training using barbells and traditional exercises like the dead lift, squat, bench press, and military press? I’m seriously considering hiring a c.

Weight loss surgery houston tx

New Here

Hello! I’m trying to find my way around so I’m not even sure anyone will see this! I had my sleeve in May 2016 and have been an active member of a UK forum but I and a few others have got in.

Weight loss surgery houston tx

Day 17 BOT Fri 8/27/17

Good day . healthy choice all water . but a few too many calories. I weigh in this weekend . hoping for another pins but reminding myself any loss is progress and stay committed . n.

Weight loss surgery houston tx

Severe Gas and bloating-very painful

I had my GB in 1999, last 2-3 weeks I have had severe abdominal bloating, gas, burping and pain. Nothing has changed in my diet. I have tried several things and nothing has worked. Having di.

Weight loss surgery houston tx

Step 1

I have successfully completed the first step; contact! After seeing so many people and their successes, both short and long term, I decided to contact the nearest weight loss surgery center .

Weight loss surgery houston tx

Back to Basics

Gosh, I haven’t been on here in forever. Well the other day I was feeling all sad and depressed about my weight. I started looking up all kinds of stuff and finally I found a book called, “B.

Weight loss surgery houston tx

Mexico bound!

Well, insurance gave me the chance to appeal only to deny again, so. I’m going to Tijuana in October for VSG. I’m going with a surgeon a coworker used. I’m so excited, although I’m nervous.

Weight loss surgery houston tx

One heck of a long-winded intro!

Though I am new to Obesity Help, I am most definitely not new to attepting to lose weight. I have struggled with my weight for as long as I can remember. I am used to being treated diff.

Weight loss surgery houston tx

Day 16 BOT Thurs 8/24/17

Doing really well this week in food choices . had right foods on hand and learning again what full means in bariatric terms . listening to my re awakened pouch. Sleep still horrible.

Weight loss surgery houston tx

8 months out

I am down over 90 pounds in 8 months! I am excited about my progress. The gastric slerve is a great tool to loose weight and improve your health. i write down everything I eat. i try to.

Weight loss surgery houston tx

Day 15 BOT Weds 8/23/17

Doing good and feeling good today . staying in calorie count water etc. In fact increased water . 12 glasses vs 8. Still not sleeping enough but my body feels healthier and I’m really .


Hair Replacement for Men With Hair Loss #replace #hair #loss, #hair #loss


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Hair Loss – Hair Replacement

Nonsurgical hair replacement can be a wonderful option for those who suffer from significant hair loss and would like to regain the appearance of having a full head of hair without surgery.

While natural hairpieces are available, many hair loss consumers have little idea what to look for when purchasing a hairpiece. Unfortunately, the hair loss industry includes some companies that may take advantage of hair loss sufferers. Research conducted by the American Hair Loss Association estimates that more than 70% of nonsurgical hair loss consumers are unhappy with the quality, service, and price provided by their hair replacement salons.

It is important for the hair loss consumer to be aware of several issues before considering purchasing a hairpiece. This section will help give you information you need to make an informed decision when purchasing hair.

Published on March 1, 2010

WebMD Medical Reference from the American Hair Loss Association

©2010 American Hair Loss Association. All rights reserved

Next Article

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Today on WebMD

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Online Course: Wellness Coaching 101 – CEU Certification #wellness #course, #online #course #class #video #tutorial


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Online Class: Wellness Coaching

Course Description

Wellness coaching is a relatively new field, intriguing anyone who desires to get all areas of their life into balance. This Wellness Coaching course is a general survey course designed to give you a well-rounded introduction to this exciting discipline. This self-paced class is designed to appeal to both potential clients of wellness coaching, as well as anyone interested in pursuing this career opportunity.

Explore the main concentrations of wellness coaching–physical wellness, mind wellness, spiritual wellness, and financial wellness. While it’s not necessary for every person to work on all of these areas, it is a wonderful and comprehensive profession for anyone with a wide variety of interests and the desire to be in charge of their own career.

Wellness coaches can set their own schedule, pay rates, choose their clientele, work from nearly any location, and enjoy unlimited creativity and flexibility in their coaching approach. For potential wellness coaching clients, it’s important to know what wellness coaching can and cannot offer.

This course can also teach you enough basics that you may be able to apply the lessons to yourself and get the help you need without further expense or consultation. Wellness coaching can help you identify and set realistic, measurable goals, remember and act on the joys and positive memories of childhood through exploration of the five senses, and unlock the creative energy that lies in each of us.

8/4/2017 12:35:01 PM

Lesson One: Why Choose Wellness Coaching?

Wellness coaching is a relatively new phenomenon. Not only can students benefit from applying the basics of wellness coaching to their own lives, but they can take what they know and funnel it into a new career.

  • Lesson Two: Your First Client is You

    In wellness coaching, the first and most important client is always you. Clients will pick up on your balance, your energy, your wellness. You are not going to sell them on your services if you do not practice what you preach.

  • Lesson Three: How Do I Know if It Is Working?

    What does it mean to have a goal? If you have a goal to change your physical wellness, how will you know if you are successful? Is it a feeling? Is it something more tangible?

  • Lesson Four: Fact Versus Fiction in Wellness Coaching

    Since wellness coaching is a still-developing career, coaches and clients may be uncertain about what can be accomplished. This lesson will separate fact from fiction, as well as clue you in to untold client expectations.

  • Lesson Five: Why We Get Stuck and How to Get Going Again

    At some point, either the coach or the client will get stuck. It is a phase and it can be beneficial. But there are some tips for getting through this time and learning from it.

  • Lesson Six: Body Wellness

    It seems obvious–eat well, exercise regularly, get plenty of sleep–for good health. Body wellness also includes respect, trust, education, and a bit of objectivity.

  • Lesson Seven: Mind Wellness

    Mind wellness is more than mental health. It is positivity, it is attitude, and it is acknowledging that each of your five senses contributes to wellness. Creativity is also an important element to mind wellness and it exists in everyone.

  • Lesson Eight: Spiritual Wellness

    Not every client will want or need to address spiritual wellness. Not every coach will want to address the topic. This lesson simply presents the basics of spirituality in wellness coaching; the rest is up to client and coach.

  • Lesson Nine: Economic Wellness

    This lesson is about letting go of the white picket fence dream, forgetting about keeping up with the Johnsons, and finding how economic wellness complements other areas of wellness.

  • Lesson 10: Staying Balanced in Times of Crisis

    Times of crisis are so stressful and all-consuming that it is easy to lose focus. Through the lens of crisis, everything looks bigger and more impossible to handle.

  • Lesson 11: Ethics of Wellness Coaching

    In the future, it is expected that different areas of coaching will have ethical codes. For the time being, this is at the wellness coach’s discretion.

  • Lesson 12: Business Strategies for Wellness Coaching

    Few wellness coaches will be able to start by hanging their shingle outside the door. While an office is not necessary for successful coaching practices, some sort of business strategy or plan will be.

  • Additional Course Information

    • Document Your Lifelong Learning Achievements
    • Earn an Official Certificate Documenting Course Hours and CEUs
    • Verify Your Certificate with a Unique Serial Number Online
    • View and Share Your Certificate Online or Download/Print as PDF
    • Display Your Certificate on Your Resume and Promote Your Achievements Using Social Media

    Course Title: Wellness Coaching

    Course Number: 7550363

    Learning Outcomes

    By successfully completing this course, students will be able to:

    • Know what wellness coaching is and whether or not it is right for you.
    • Define who the first client is.
    • Describe methods to determine whether or not your wellness coaching is effective.
    • Know fact versus fiction in wellness coaching.
    • Define ways to get out of the rut people find themselves in.
    • Know body wellness.
    • Know mind wellness.
    • Know spiritual wellness.
    • Know economic wellness.
    • Describe staying balanced in times of crisis.
    • Know ethics of wellness coaching.
    • Know business strategies for wellness coaching, and
    • Demonstrate mastery of lesson content at levels of 70% or higher.

    Student Testimonials

    • “I have really enjoyed doing this class as I have already completed a life coaching course in Australia and I can tell you it cost me a whole lot more money yet didn’t teach me nearly as much as I have learn’t with this one. Karen was great, I bet she is as nice as her writing. I am so glad I took this class it has given me so much more that I feel really confident in starting my business now, didn’t feel this way not too long ago, thank you for a great class. I have really enjoyed doing this class as I have already completed a life coaching course in Australia and I can tell you it cost me a whole lot more money yet didn’t teach me nearly as much as I have learn’t with this one. Karen was great, I bet she is as nice as her writing. I am so glad I took this class it has given me so much more that I feel really confident in starting my business now, didn’t feel this way not too long ago, thank you for a great class!” — Ann A.
    • “This was my first experience with UniversalClass as well as my first experience taking an online course, and I was very pleased. I loved being able to work at my own pace, and I felt that the quality and quantity of instruction was a good value for the money. I would definitely considering taking another course through UniversalClass. This was my first experience with UniversalClass as well as my first experience taking an online course, and I was very pleased. I loved being able to work at my own pace, and I felt that the quality and quantity of instruction was a good value for the money. I would definitely considering taking another course through UniversalClass.” — Jonelle V.

    Related Courses


    Motorhome hire excess insurance #campervan #hire #insurance,excess #liability #cover, #insurance4motorhomerental, #motorhome #excess #insurance, #motor #home,


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    Have you thought about taking out motorhome | campervan hire excess insurance?

    Insure the excess on your motorhome hire with a daily insurance policy

    The excess liability motorhome insurance if bought directly from a motorhome hire company is often very expensive. This is ideal for renting a motorhome for a holiday abroad or in the UK.

    When you rent a motorhome / campervan are you aware that the Excess can cost more than the vehicle? Motorhome hire excess insurance is a great way to save money and have peace of mind when you rent a motorhome / campervan.

    Do you know that it could cost you a lot of money for any damage to your motorhome rental vehicle? EVEN IF IT’S NOT YOUR FAULT!

    For a low daily premium a motorhome hire excess insurance company can provide excess insurance protecting the customer against excess charges whenever he / she rents a motorhome.

    When you rent a motorhome, you will find that your motorhome rental agreement normally includes cover for Collision Damage Waiver – CDW (damage to the rental vehicle) and Theft. There is almost always an excess on the Collision Damage Waiver and Theft.

    You are however still liable for the Excess on CDW and Theft.

    When a motorhome / camper van is damaged or stolen, the driver is asked to pay the first portion of the repair or replacement costs. This is known as the Excess.

    Motorhome hire excess insurance policies can be purchased by people resident anywhere in the world (however you should check with individual insurance providers for their terms and condition s)

    Click on a logo below for more information from providers below advertising motorhome hire excess insurance on this site

    Excess is also known as, non-waiver, the deductible or super CDW . Excess is a voluntary insurance and is sold by car rental companies at the counter when the customer collects the car (or when the booking is made). It is usually charged on a Daily basis and applies to Car hire . Van hireand Motorhome hire

    The customer has the right to accept or decline the car rental company’s Excess. If they do decline, they will be responsible for the excess charges if they have any damage to the vehicle. In some cases the car hire company will not let the hirer take delivery of the car unless they take out the excess.

    The cost of the Excess will vary according to:

    • The rental company
    • Size of the rental vehicle
    • The country in which the car is picked-up

    You can take out a daily policy, annual policy, a family policy and customers up to the age of 84 can be covered.

    When you buy your car hire insurance from a specialist you will save �’s – �’s – $’s compared to the cost of buying the cover when you pick up your motorhome or book the motorhome hire from a mototorhome rental company.

    Remove your motorhome hire excess now

    Motor home excess Insurance Providers below

    Questor insurance services Car Hire Excess – Motorhome – Minibus Hire Excess – Car club Van Hire Excess Insurance

    They also offer

    Car hire excess insurance

    Van hire excess insurance

    Minibus hire excess insurance

    Car Club hire excess insurance

    Motorcycle hire excess insurance

    Please note that none of the insurance companies currently advertising on this site appear to offer motorcycle hire excess insurance either in the UK or overseas. If you are looking for Motorcyle or Scooter insurance find out more Here

    If you are in the Self Drive Motorhome Hire business and are looking for insurance for your hire vehicle fleet – find out more about INSURE CARHIRE .co.uk HERE – Also Van Hire and Car Hire

    Looking for Motorhome / Campervan/ Caravan insurance for your own personal vehicle?

    Click on the logo below

    Tips for motorhome users

    Know the height of your vehicle. There low bridges, car park entrances that a 4X4 would fit under, but the extra height on the motorhome means these ar no go areas.You will find yourself looking for large open carparks that will allow you to enter and exit easily.

    Secure all your belongings in the vehicle. You don’t want some of your belongings joining you at the front of the vehicle whilst you are speeding along the motorway.

    Don’t take too much with you. The more you carry in the way of food, drink and belongings (including large containers of dog food if you are taking your dog) the heavier the fuel consumption of the vehicle.

    Do not to belt along -50/65 mph (80/105 km/h) appears to be both economic on the fuel and easier for emergency braking (remember there is 3.0/3.5 tonnes to stop!).

    Keep the external dimensions of your vehicle to hand (such as behind the sun visor). Remember the extra length of the vehicle when turning.

    One advantage of driving a motorhome is that you have very good visibility over most other traffic.

    Reversing – Many motoromes have a camera to assist reversing, some drivers find that even with a camera to assist it is still tricky but the more you do it the more experienced you should become.

    If you go and put your bike/s in a cover on the back of the motorhome, you might find that view from the camera is blocked.

    Wedges – when you park on a slope, make sure that wedges are put behind the vehicle’s rear wheels. If there are none provided, use some brick or large stones.

    If you have any tips, please contact us with them Here

    Apollo Motorhome Holidays has joined forces with Hertz – February 2011

    Questor for motorhome hire insurance – February 2011

    Camper Van Hire Camper Van Hire Classics – September 2010

    insurance4carrental.com website is marketing motorhome excess insurance – July 10

    Media / Press Releases HERE

    Motorhome hire excess insurance policies can be purchased by people resident anywhere in the world?

    So if you live in the UK, Ireland, France, Germany, USA, South Africa, Cyprus,Sweden, The Netherlands, Spain, Japan, New Zealand or Canada and other countries, you should be able to buy car hire insurance from one the insurance companies advertising on this site.

    You should of course check with individual insurance providers for their terms and conditions. Find out more Here

    jml Group Blogspot sites – read our blogs and add your comments to:

    Guides on driving abroadClick on an area below


    Forensic & Valuation Services, PLC-Forensic Accounting & Economics, Business Valuation, Divorce Analytics, Fraud Investigation, Economic


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    Defining Your Financial Value

    Forensic Accounting Economics │ Business Valuation │ Divorce Analytics │ Fraud Investigations│ Damages

    Forensic Valuation Services, PLC is a consulting firm practicing financial forensic analytics in Memphis, Nashville and throughout the state and region. We specialize in business valuation, analysis of complex financial matters in divorce, commercial damages, personal injury and wrongful death loss of earning capacity economic damages, forensic investigative accounting, mediation and expert witness testimony, when necessary. We also speak to attorney and accountant groups for continuing education programs.

    Business Valuation

      • Divorce
      • Estate and Gift
      • Merger and Acquisition Transactions
      • Business Combinations
      • Impairment Testing and Measurement
      • Non-Controlling Interests
      • Share-Based Compensation
      • SBA Loans
      • Intellectual Property
      • Expert Witness Testimony

      Divorce Analysis

        • Property Division
        • Alimony Need Ability to Pay
        • Defined Benefit Pension Valuation
        • Separate Property
        • Dissipation
        • Comingling Asset Tracing
        • Mediation of Complex Financial Issues
        • Business Valuation
        • Special Master
        • Expert Witness Testimony

        Forensic Economics – Damages for Plaintiffs & Defendants

        • Loss of Earning Capacity

        Presentation made to the Williamson County Bar Assoc. in 2013-Received over 16,000 views on Slideshare.net Read

        Proposed Asset Division & Alimony Need/Ability to Pay Spreadsheets

        Includes Martial Balance Sheet, Calculations of Wife’s Need for Support, Calculations of Husband’s Ability to Pay Support and Net Worth Graphs Read

        A Hands-On Workshop for Starting and Completing A Personal Injury Economic Damages Analysis

        The base report used in a presentation for the NACVA & CTI 2015 Annual Consultants’ Conference. Read

        Meet the Professional Staff

        • Robert Vance, CPA, ABV, CFF, CVA, CFP – Owner
        • CPA, Certified Public Accountant
        • ABV, Accredited in Business Valuation
        • CFF, Certified in Financial Forensics
        • CVA, Certified Valuation Analyst
        • CFP, Certified Financial Planner

        Michael J. Pascal, JD, CVA – Associate and Senior Analyst

        • JD, Juris Doctorate
        • CVA, Certified Valuation Analyst

        James W. Mertzlufft, MBA, JD, CPA, CLU, ChFC – Associate Analyst

        • MBA, Masters in Business Administration
        • JD, Juris Doctorate
        • CPA, Certified Public Accountant
        • CLU, Chartered Life Underwriter
        • ChFC, Chartered Financial Consultant

        Mailing:
        P.O. Box 172271
        Memphis, TN 38187

        Physical:
        950 Mt. Moriah Road, Suite 203
        Memphis, TN 38117
        Phone: 901-507-9173

        Copyright 2010-2017 All Right Reserved
        Forensic & Valuation Services PLC
        Login | Powered by RocketFuel

        We currently serve Memphis TN, Jackson TN, Nashville TN, Knoxville TN, Chattanooga TN, Tri-Cities TN, Atlanta GA, Birmingham AL, St. Louis MO, Little Rock AR, Jackson MS, and other regions upon request.


        Diabetes Causes and Types: Pre-Diabetes, Types 1 and 2, and More #diabetes, #pre-diabetes, #prediabetes, #gestational,


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        Understanding Diabetes — the Basics

        Diabetes, the most common disorder of the endocrine (hormone) system, occurs when blood sugar levels in the body consistently stay above normal. It affects more than 25 million people in the U.S. alone.

        Diabetes is a disease brought on by either the body’s inability to make insulin (type 1 diabetes) or by the body not responding to the effects of insulin (type 2 diabetes). It can also appear during pregnancy. Insulin is one of the main hormones that regulates blood sugar levels and allows the body to use sugar (called glucose) for energy. Talk with your doctor about the different types of diabetes and your risk for this disease.

        Pre-Diabetes

        In the U.S. 79 million people over age 20 have blood sugar levels that are higher than normal, but not high enough to be classified as diabetes. This is known as pre-diabetes. or impaired glucose tolerance. While people with pre-diabetes usually have no symptoms, it’s almost always present before a person develops type 2 diabetes. However, complications normally associated with diabetes, such as heart disease. can begin to develop even when a person has only pre-diabetes.

        Once type 2 diabetes develops, symptoms include unusual thirst, a frequent need to urinate, blurred vision. or extreme fatigue — or there may be no symptoms. Talk to your doctor to see if you need to be tested for pre-diabetes. By identifying the signs of pre-diabetes before diabetes occurs, you may be able to prevent type 2 diabetes and lower your risk of complications associated with this condition, such as heart disease.

        Type 1 Diabetes

        Type 1 diabetes occurs because the insulin-producing cells of the pancreas (called beta cells) are destroyed by the immune system. People with type 1 diabetes produce no insulin and must use insulin injections to control their blood sugar.

        Type 1 diabetes most commonly starts in people under age 20, but may occur at any age.

        For more detail, see WebMD’s article Type 1 Diabetes .

        Type 2 Diabetes

        With type 2 diabetes. the body continues to produce insulin, although insulin production by the body may significantly decrease over time. The pancreas produces either not enough insulin, or the body is unable to recognize insulin and use it properly. When there isn’t enough insulin or the insulin is not used as it should be, glucose can’t get into the body’s cells to be used as energy. This glucose then builds up in the blood .

        Continued

        Over 25 million American have diabetes, and the great majority of them has type 2 diabetes. While most of these cases can be prevented, it remains for adults the leading cause of diabetes-related complications such as blindness. non-traumatic amputations, and chronic kidney failure. Type 2 diabetes usually occurs in people over age 40 who are overweight. but it can occur in people who are not overweight. In the past, it was referred to as “adult-onset diabetes,” but now it has started to appear more often in children because of the rise in obesity in young people.

        Some people can manage their type 2 diabetes by controlling their weight. watching their diet. and exercising regularly. Others may also need to take a diabetes pill that helps their body use insulin better, and/or take insulin injections.

        Often, doctors are able to detect the likelihood of type 2 diabetes before the condition actually occurs. Commonly referred to as pre-diabetes. this condition occurs when a person’s blood sugar levels are higher than normal, but not high enough for a diagnosis of type 2 diabetes.

        For more detail, see WebMD’s article Type 2 Diabetes .

        Gestational Diabetes

        Hormone changes during pregnancy can affect insulin’s ability to work properly. The condition, called gestational diabetes. occurs in about 4% of all pregnancies.

        Pregnant women who have an increased risk of developing gestational diabetes are those who are over age 25, are above their normal body weight before pregnancy. have a family history of diabetes, or are Hispanic, black, Native American, or Asian.

        Screening for gestational diabetes is performed during pregnancy. Left untreated, gestational diabetes increases the risk of complications to both the mother and her unborn child.

        Usually, blood sugar levels return to normal within six weeks of childbirth. However, women who have had gestational diabetes have an increased risk of developing type 2 diabetes later in life.

        For more detail, see WebMD’s article Gestational Diabetes .

        What Are the Symptoms of Diabetes?

        The symptoms of type 1 diabetes often occur suddenly and can be severe. They include:

        Continued

        The symptoms of type 2 diabetes may be the same as those listed above. Most often, there are no symptoms or a very gradual development of the above symptoms. Other symptoms may include:

        • Slow-healing sores or cuts
        • Itching of the skin (usually in the vaginal or groin area)
        • Yeast infections
        • Recent weight gain
        • Numbness or tingling of the hands and feet
        • Impotence or erectile dysfunction

        With gestational diabetes, there are often no symptoms. If you do have symptoms, they might include:

        Pregnancy causes most women to have to urinate more often and to feel hungrier, so having these symptoms does not always mean that you have gestational diabetes. But it is important to get tested, because high blood sugar can cause problems for both you and your baby.

        How Is Diabetes Treated?

        Diabetes can’t be cured, but it can be treated and controlled. The goals of managing diabetes are to:

        • Keep your blood sugar levels as close to goal as possible by balancing food intake with diabetes medication and physical activity .
        • Maintain your blood cholesterol and triglyceride (lipid) levels as near their normal ranges as possible by following a healthy eating plan low in processed foods, added sugars, and saturated fat. A medication may also be needed.
        • Control your blood pressure. Your goal should be to keep your blood pressure below 130/80.

        You hold the key to managing your diabetes. Work with your doctor to build a diabetes treatment plan that will guide you in:

        • Planning what you eat and following a balanced meal plan
        • Exercising regularly
        • Taking medicine, if prescribed, and closely following the guidelines on how and when to take it
        • Monitoring your blood glucose and blood pressure levels at home
        • Keeping your appointments with your health care providers
        • Getting lab tests when needed

        Remember: What you do at home every day affects your blood sugar more than what your doctor can do every few months during your checkups.

        Continued

        For more detail, see WebMD’s article Treating Type 2 Diabetes.

        WebMD Medical Reference Reviewed by Michael Dansinger, MD on March 25, 2017

        Sources

        American Diabetes Association: “Recently Diagnosed.”

        National Diabetes Information Clearinghouse (NDIC): “Diabetes Overview.”

        National Diabetes Education Program: “About Diabetes and Pre-diabetes.”

        Saaddine, J. Annals of Internal Medicine. 2006.

        © 2017 WebMD, LLC. All rights reserved.


        Facts About Weight Loss Surgery #weight #loss #surgery, #bariatric #surgery, #gastric #bypass #surgery, #obesity, #restriction,


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        The Facts About Weight Loss Surgery

        Weight loss surgery can be lifesaving for some people who have a lot of weight to lose and need more than diet and exercise. Depending on the operation, they often lose 30% to 50% of their extra weight within 6 months.

        It’s a big decision. You can’t eat as much afterward, and it takes a life-long commitment to diet and exercise to keep the pounds off. Because it’s major surgery, there are some risks, too.

        You and your doctor should talk through the options and decide what’s right for you. First, you’ll want to know what to expect.

        How Weight Loss Surgery Works

        Some weight loss surgeries prevent the stomach from stretching to full size.

        Normally, it can hold about 6 cups of food. After some operations, it can only hold a cup or so. You feel full faster, so you eat less and lose weight.

        Some surgeries also bypass part of the intestine, so you absorb fewer calories and lose weight.

        Today, most weight loss surgeries use small cuts — known as “laparoscopic” surgery — instead of a big one. The surgeon makes five to six of these small cuts in the belly. He inserts tiny tools and a camera through these holes, then operates while watching a video screen.

        If that’s not possible, he may need to make one large cut along the middle of the belly.

        Types of Weight Loss Surgery

        Roux-en-YGastric BypassSurgery

        This is the most common weight loss surgery done today. First, the surgeon divides the stomach into two parts, one large and one small. He then staples the small stomach portion to make a small pouch.

        Next, he disconnects the stomach pouch from the first part of the small intestine (the duodenum). Then he reconnects the stomach to the second part of the small intestine (the jejunum).This is the bypass.

        After gastric bypass. you feel fuller after eating less food, so you lose weight. The bypass also makes you absorb fewer calories, so you drop more pounds.

        Laparoscopic AdjustableGastric Banding

        This is the second most common weight loss surgery. The surgeon uses laparoscopic tools to place an inflatable silicone band around the upper stomach. He tightens the band so the stomach becomes a small pouch with a narrow outlet.

        Continued

        The result is that you feel full faster, so you eat less and lose weight. The surgeon can tighten or loosen the band, or even reverse the procedure, as needed.

        Gastric “Sleeve” Surgery

        In this operation, your surgeon will take out most of your stomach and shape your remaining stomach into a tube, or “sleeve” shape. It will remain attached to your small intestine.

        After the surgery, your stomach will be able to hold only about 2-3 ounces of food. You’ll feel full sooner because your stomach is smaller. You also won’t be as hungry because most of the tissue that makes the “hunger hormone,” called ghrelin, will be gone.

        This procedure is permanent. You cannot get it reversed.

        This operation is like Roux-en-Y gastric bypass. except that it connects the small stomach pouch farther down in the intestine. Few weight loss surgery centers do this type of surgery. It’s very effective, but it’s hard to do, and it can leave you short on nutrients .

        Vertical Banded Gastroplasty

        The surgeon makes a small stomach pouch using staples and a plastic band.

        People lose less weight with this operation than with other surgeries. This procedure isn’t as common as it used to be. Roux-en-Y gastric bypass and gastric banding have mostly replaced it.

        What to Expect

        Ask your doctor how much weight you’re likely to lose and what you’ll need to do to keep up the results. Expect to eat very small meals and get regular exercise .

        Like any major surgery, there are risks. The most common complications include infections, minor bleeding, ulcers. or hernias. It’s rare, but there can be life-threatening problems, such as blood clots, major bleeding, or serious infections. These risks may be higher at surgical centers that don’t do weight loss operations often.

        Most people stay in the hospital 2 to 3 days after their surgery. They tend to get back to their normal activities within 2 to 3 weeks.

        WebMD Medical Reference Reviewed by Michael Dansinger, MD on March 25, 2017

        Sources

        American Society for Bariatric Surgery: “Rationale for the Surgical Treatment of Morbid Obesity,” “Bariatric Surgery.”

        Virji, A. American Family Physician, 2006.

        Brethauer, S. Cleveland Clinic Journal of Medicine, 2006.

        Cleveland Clinic: “Surgical Options for Extreme Obesity.”

        Buchwald, H. Journal of the American Medical Association, 2004.

        Fisher, B. Obesity Surgery, 2004.

        Kral, J. British Medical Journal. 2006.

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