Hot Men: PHOTO: Channing Tatum, Matthew McConaughey, Matt Bomer, and Joe Manganiello do a little striptease for the July 2012 cover of Entertainment Weekly.
Ke$ha, Naya Rivera, and Katharine McPhee have all been seen sporting 1930s-era finger-waved looks.
Chanteuse Lana Del Rey looked perfectly lovely in her Alberta Ferretti gown, but the real attention-grabber was her 18-karat white gold necklace, which featured a 31-carat yellow pear-shaped diamond drop. That's quite the rock.
Berenice Bejo Actress Berenice Bejo of The Artist was picture perfect in bright red Louis Vuitton accented with Chopard jewels. Classic RED Dress.
WEIRD FASHION: Elena Lenina is a Russian model/author who appeared on a French reality television show in 2003
Lady GaGa @ Narita International Airport on Wednesday (May 16) in Tokyo, Japan.
Nicole Scherzinger, UK premiere of Men in Black 3 on Wednesday (May 16) at Odeon Leicester Square in London, England.
Jennifer Morrison
Brooklyn Decker glams it up for a feature in Vanity Fairs June 2012 issue
Brooklyn Decker glams it up for a feature in Vanity Fairs June 2012 issue
Brooklyn Decker glams it up for a feature in Vanity Fairs June 2012 issue
Brooklyn Decker glams it up for a feature in Vanity Fairs June 2012 issue
Ricky Martin
Diane Kruger poses at the 2012 Cannes Film Festival‘s jury photo call held at Palais des Festivals on Wednesday (May 16) in Cannes, France.
Eva Longoria. Cannes
Jane Fonda> Cannes
Diane Kruger,. Palais des Festivals on Wednesday (May 16) in Cannes
Freida Pinto. Palais des Festivals on Wednesday (May 16) in Cannes
Janet Jackson
Billy Ray Cyrus: Milk Campaign Ad
Brevard Zoo! The zoo welcomes its first Saki monkey baybay into the fold on April 20th. The cute female babe is mama Chuckie's first child as well.
PHOTO: Bruce Willis poses at the Moonrise Kingdom photo call held during the 2012 Cannes Film Festival at Palais des Festival on Wednesday (May 16) in Cannes, France.
See what your friends are reading Shared with friends Settings Roach In McDonald's Hash Browns: Man Finds Deep-Fried Bug Mealbreaker (n.): a nasty, non-edible surprise found in food while it is being eaten; often lawsuit-provoking, sometimes fabricated, always disgusting.
Princess Kate Middleton BRAIDED UP-DO
Elizabeth Taylor and Michael Todd. Fashion. Tiara. CLASSIC
I just realized a few minutes ago that I have now loss a total of 110 lbs from my highest weight (January 2009) I am jumping for joy. I am only 6 lbs from my next goal of 199. Woo-Hoo!!! I can almost taste it. It is scrumptious.
When I get under 180 I am planning a tummy tuck. Been researching plastic surgeons in Knoxville already. Excited.
I have many future plans which I hope to announce later this week.
Sugar was normal when I woke up then once again spiked to the 200′s and then back to normal. UGH! Still off the insulin pump and taking Victoza 1.2 and no appetite. YAY!
My friend John has the flu. We didn’t chat for 3 days but he did come online tonight to let me know he was still feeling poorly. Sending prayers to him.
I sent a private message to Stephen Fry last night about a dream I had of him and he replied! He has replied to 80% of the private messages I have sent him. My crush on him is thriving! He is so charming… wish he wasn’t gay.
I have been receiving so many complimentary messages from men online. I love all the attention. Makes me feel awesome.So many men wanting to get to know me… date me…marry me…
POISON on tour with Motley Crue and The New York Dolls! Just hope they come nearby. I will be there. I have not seen Poison nor Bret since 1994. I stopped going to Rock Concerts after my massive weight gain. I am back to my groupie weight now! Woo-Hoo. Look out boys here I come! LOL
We are going to see The Kings Speech tomorrow.
Also planning on grocery shopping.
We close our home refinancing loan on Friday. Was approved also for a home equity loan any time we wish to use it. Blessed.
Spent a few hours transferring balances on my credit cards to ones with lower interest rates. Trying to save a buck so I can get a tummy tuck and breast augmentation someday.
Been doing lots of stretching exercises. I feel pretty good right now…. BUT earlier today with all the rain I was in misery with shoulder and leg pains.
I didn’t sleep well last night. Got in only 3-4 hours. So I am planning on going to bed soon.
So many people have asked what Diet I follow for my Diabetes and for My Gastric Bypass. So I decided to blog about it.
I first eat Proteins::: Meats, Fish, Poultry, Eggs, Nuts, Cheese, Dairy, and Soy.
If I have any room left I will eat low carb fruits and veggies.
I have found that if I eat plenty of protein that I do not crave Carbs / Sugars.
Lately though I have been eating Lean Cuisine, Healthy Choice, or Smart Ones frozen meals for Dinner. Watch out for carbs. I TRY and limit my carbs to less than 30 per meal.
I also DO NOT consume any alcoholic beverages.
I eat a Low Carb ( less than 20 carbs) Protein Bar or Protein Shake for Breakfast and for my late night Snack.
BEEF Lean cuts,
* Eye of Round
* Ground beef:
* Extra Lean (96/4)
* Lean (92/8)
* Sirloin (90/10)
* Tenderloin
* Top Loin
* Top Round
LAMB (Remove all visible fat)
* Center Cut
* Chop
* Loin
PORK
* Boiled ham
* Canadian bacon
* Loin
* Tenderloin
POULTRY (SKINLESS)
* Cornish hen
* Turkey bacon (2 slices per day)
* Turkey and chicken breast
SEAFOOD
* All types of fish and shellfish
TOFU
* Use soft, low-fat or lite varieties
VEAL
* Chop
* Cutlet, leg
* Top round
EGGS
* The use of whole eggs is not limited unless otherwise directed by your doctor. Use egg whites and egg substitute if desired.
LUNCHMEAT
* Fat-free or low-fat only
MEAT SUBSTITUTES (SOY BASED)
* Bacon – Limit to 2 slices per day
* Burger – < 3 gms fat per 2-3 oz portion
* Chicken Patties & Nuggets – < 3 gms fat per 2-3 oz portion
* Hot Dogs – < 3 gms fat per 2-3 oz portion
* Natural Peanut Butter – 2 Tbsp (may use as protein choice or limited nut choice)
* Sausage Pattie – Limit 1 patty per day
* Seiten
* Soy Crumbles
* Soy Nuts – 1/4 cup for a protein snack is suggested serving
* Tempeh
* Yuba
DAIRY
* Low-fat (1 percent) or fat-free milk or soy milk
* Plain or sugar-free low-fat or fat-free yogurt
* Fat-free half & half
CHEESE (FAT-FREE OR LOW-FAT)
* American
* Cheddar
* Cottage cheese, 1-2% or fat-free
* Cream cheese substitute, dairy-free
* Feta
* Mozzarella
* Parmesan
* Provolone
* Ricotta
* String
NUTS (Limit to one serving per day as specified)
* Almonds – 15 (Dry roasted recommended)
* Brazil Nuts – 4
* Cashews – 15 (Dry roasted recommended)
* Pecans – 15 (Dry roasted recommended)
* Macadamia – 8 (Dry roasted recommended)
* Peanut Butter – 1 tsp
* Peanut Butter, Natural = 2 TBS
* Peanuts, 20 small (May use dry roasted or boiled)
* Pine Nuts (Pignolia) – 1 ounce
* Pistachios – 30 (Dry roasted recommended)
* Walnuts – 15 (Dry roasted recommended)
In place of nuts, may use: Flax Seed – 3 TBS
VEGETABLE CHOICES (includes legumes) (May use fresh, frozen or canned without added sugar)
* Artichokes
* Asparagus
* Beans, Green
* Beans, Italian
* Beans, Wax
* Beans or Legumes:
* Black Beans
* Butter Beans
* Chickpeas or Garbanzo
* Pigeon Peas
* Soy Beans
* Split Peas
* Broccoli
* Bok Choy
* Cabbage
* Cauliflower
* Celery
* Collard Greens
* Cucumbers
* Eggplant
* Lettuce (All varieties)
* Juice (Limit to 6 ounces per day)
* Tomato
* V-8
* Mushrooms
* Mustard Greens
* Okra
* Onion – Limit to 1/2 per day
* Peppers (All varieties)
* Pickles – Dill or those sweetened with Splenda®
* Radishes (All varieties)
* Rhubarb
* Sauerkraut
* Snow peas
* Spinach
* Sprouts, Alfalfa
* Squash, Spaghetti
* Squash, Summer
* Yellow
* Zucchini
* Tomato – Limit to 1 whole or 10 cherry per serving
FRUITS
* Apples
* Apricots-dried fresh
* Blueberries
* Cantaloupe
* Cherries
* Grapefruit
* Grapes
* Kiwi
* Mangoes
* Oranges
* Peaches
* Pears
* Plums
* Strawberries
DAIRY
* Milk-light soy, fat-free or 1%
* Yogurt-light, fruit-flavored, plain, low-fat or fat-free
STARCHES (use sparingly)
* Bagels, small, whole grain
* Bread-multigrain, oat and bran, rye, whole wheat
* Cereal-Fiber One, Kellogg’s Extra-Fiber All Bran, oatmeal (not instant), other high-fiber, Uncle Sam
* Muffins, bran-sugar-free (no raisins)
* Pasta, whole wheat
* Peas, green
* Pita-stone-ground, whole wheat
* Popcorn
* Potato, small, sweet
* Rice-brown, wild
VEGETABLES AND LEGUMES
* Barley
* Beans, pinto
* Black-eyed peas
MISCELLANEOUS
* Chocolate (sparingly)-bittersweet, semisweet
* Pudding, fat-free/sugar-free
* Wine, red
FAT CHOICES (with some suggested serving sizes) The following monounsaturated oils are recommended to be consumed daily:
* Olive Oil
* Canola Oil
Other Oil Choices that may be chosen (Polyunsaturated or a blend of Monounsaturated):
* Corn
* Enova
* Grape seed
* Safflower
* Soybean
OTHER FAT CHOICES:
* Avocado – 1/3 whole = 1 TBS oil
* Guacamole – ½ cup = 1 TBS oil
* Margarine – Chose those that do not contain Trans Fatty Acids such as Fleishmann’s Premium Olive Oil or Smart Balance
* Mayonnaise – Regular or Low Fat
* Olives (Green or Ripe) 15 = 1/2 TBS
* Salad Dressing – Use those < 3 gms sugar per serving
TOPPINGS & SAUCES use sparingly (check labels for added sugar)
* Hot Sauce
* Salsa – Limit to 2 TBS during phase 1
* Soy Sauce – 1/2 TBS
* Steak Sauce – 1/2 TBS
* Worcestershire Sauce – 1 TBS
* Whipped Topping (Light) – 2 TBS
SPICES AND SEASONINGS
* All spices that contain no added sugar
* Broth
* Extracts (almond, vanilla, or others)
* Horseradish sauce
* I Can’t Believe It’s Not Butter! Spray
* Lemon Juice
* Lime Juice Pepper (black, cayenne, red, white)
SWEET TREATS (Limit to 75 calories per day)
* Candies, hard, sugar-free
* Chocolate powder, no-added-sugar
* Cocoa powder, baking type
* Fudgsicles, sugar-free
* Gelatin, sugar-free
* Gum, sugar-free
* Popsicles, sugar-free
* Sugar substitute Some Sugar Free
Products may be made with sugar alcohols (isomalt, lactitol, mannitol, sorbitol or xylitol) and are permitted on the SBD. They may have associated side effects of GI distress (abdominal pain, diarrhea & gas) if consumed in excessive amounts.
SUGAR SUBSTITUTES
* Acesulfame K
* Fructose (needs to be counted as Sweet Treats, Caloric Limit)
* Nutrasweet (Equal)
* Saccharin (Sweet & Low)
* Sucralose (Splenda)
* Stevia
The following will raise you glucose levels and make you want to eat more carbs so I advise DO NOT EAT the following:
Since last week I have lost 2 inches from my stomach (across my belly button region- I am now 42″ ) and waist (38″). When I measure my hips under my tummy… I am 39″. I have lost none from my bust. Thank God.. not much left as it is. I also have lost almost an inch from my calves. They are down to less than 13″. Wrist is 5 3/4.
Didn’t lose any weight today. Staying at 206 lbs.
I am pleased.
Been feeling poorly all day. Yucky. My lil tum-tum is upset. Can’t concentrate at all.
Waiting to webcam with John. Pray he is feeling better.
I am so thrilled that I am losing weight AGAIN! It has been almost a year since my weight has headed below 215. I had went up to 230 a few months ago. Was so depressed and distraught. Felt like a failure in all aspects of life. How could someone Fail when it came to weight loss surgery… I did…. Well it failed me. Was not the cure I had sought. Still not sure why but I only lost 52 lbs in the first 14-15 months after surgery. I believe everything that happens… happens for a reason… even though you may not understand it at the time. I now know that I was not ready mentally for any more weight loss. I feel like I am indeed ready for some life altering changes. I am all gung-ho and ready to change even more.So much has happened in the last 3-4 months in my life. I am gaining confidence. I have started to drive a car. Becoming more positive and outgoing. I am so ready to take charge of my life… instead of it controlling me… I am large and in charge… No make that… medium and in charge…. Soon to be… small and in charge.
My next goal weight is 199 lbs. I am 7 lbs shy of that now. Hopefully in a month or so I meet that goal.
Next goal for me is 165 lbs. That will set me at 150 lbs lost from my highest weight of 315 lbs.
When I make it to that goal I am gonna get a tummy tuck. I have been experiencing rashes under my belly for a few months. Have one now. It gets red and inflamed… even gooey and stinky. YUCK! It will go away but flares up again. I know that skin removal will be the only thing that will cure the infections I am getting. I have very loose flabby and saggy skin. My panni hangs low and loose. :-( Plus been having back pain lately. I bet I am carrying around 15-20 lbs of excess skin in my lower stomach area. I am gonna attempt to get my insurance to pay for my excess skin removal. Hoping to get Dr Melling to document all the issues the extra hanging skin in inflicting on me. Gonna take photos of it as well. Some insurances cover excess skin removal. I am hoping mine will and that I only need a tummy tuck aka Abdominoplasty and NOT a lower body lift ( Belt lipectomy)
I have always wanted Breast Augmentation but I think I need the excess skin removed from my tummy more. I will only get boob implants IF my insurance covers removing the excess skin… and IF I win the Lottery. :-)
John and I didn’t webcam tonight. Poor baby has a bad cold or possibly the flu. Pray he gets well soon.
So I am went back on glipizide. Sugar was 134 about 2 hours ago.
Still off insulin.
Hoping that I can stay off insulin since Insulin equates Weight Gain.. at least it has in my experience. :-(
I am just hoping that stopping insulin helps me lose additional weight and fat.
I know that some people report they continue to lose weight on Victoza but also many have reported that the efficiency of weight loss and appeitite suppression you have when first starting Victoza wears off after a few weeks.
I am praying that I continue to experience weight loss while on Victoza until I get to a normal weight and BMI. Also hopeful that being able to stop insulin will help my metabolism to allow my body to be able to use protein, fat and carbs in the proper format. SEE NOTES BELOW.
~Angela
NOTES:
The link between insulin and weight gain http://www.MayoClinic.com Weight gain is a common side effect for people who take insulin — a hormone that regulates the absorption of sugar (glucose). The more insulin you use to control your blood sugar level, the more glucose that gets into your cells and the less glucose that’s wasted in your urine. Glucose that your cells don’t use accumulates as fat. Insulin is a potent hormone that regulates glucose, fat, and protein metabolism. http://www.everydayhealth.com/specialists/diabetes/getenah/qa/Insulin-and-Weight-Gain/index.aspx In many cases, people with type 2 diabetes start insulin therapy when oral medicines cannot or no longer control their glucose levels. This means that blood glucose levels in the body have been elevated for an extended period of time. In this state, the body does not metabolize glucose, fat, or protein in a well-regulated or efficient way. Cells that require glucose to function properly begin starving because of inadequate amounts of circulating insulin. Fat metabolism becomes abnormal, which can lead to high triglyceride levels. The body’s metabolic rate then increases as it tries to convert this fat into a source of energy. These abnormalities are usually corrected when you begin insulin therapy. The body begins using glucose better, and the metabolic rate declines by about five percent. Insulin also helps the body gain fat-free mass, but on the flip side, it also helps it store fat more efficiently. Therefore, efficient glucose and fat metabolism and the reduction in metabolic rate cause most people to gain four to six pounds during the first two to three years of insulin therapy. Individuals who had poor glucose control, or who lost significant amounts of weight before beginning insulin treatment, usually experience the most weight gain.
I am down another pound. Down to 206. On the 3rd of February I weighed 221. That makes me minus 15 lbs. this month So happy.
Sugar was 154 this morn. That was without any insulin and no glipizide…. since Yesterday morn. Not bad.
I did get down to the low 90′s twice last night and ate a few bites of protein bar.. cause I was afraid of going TOO low.
Sitting here watching YouTube Video’s —- Rock Music.. I miss all those hard rock hair bands!!!!!
Listening to Poison, Warrant, Cinderella, Bon Jovi, Guns and Roses, Slade, Fanny, Queen, Sweet and more…
My Poor baby John has the flu. Had to come home from work early today. He just emailed and said he was heading to bed early so no webcam chat tonight. So Rosie and I will prolly watch a movie.
Started victoza injections (Diabetes medication for my diabetes. I also take Novolog via Insulin Pump and Glypizide) 6 days ago.
.6 dosage.
THEN
I weighed 218 lbs.
TODAY…
I weigh………..
DRUM ROLL>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
209 lbs.
A loss of 9 lbs!
Victoza makes me feel satiated and it suppresses my appetite. Just wondering how long this will last?!?
I SHOULD HAVE FELT SATIATED AND HAD NO APPETITE THIS AFTER GASTRIC BYPASS but alas I did not!
I had NO hypo’s last night. Sugar stayed in the 110-130 range. Over a 100 less than it was last week!
I required only 3 units of insulin yesterday.
I increase Victoza to 1.2 tomorrow. Hoping I can stop insulin and get off my insulin pump!!!
That would be a miracle. A Blessing!
Been eating a Lean Cuisine Meal for Supper. Having a few protein bars daily. Also eating some fruit, veggies, and a glass of milk. Drinking plenty of fluids… mainly Crystal Light.
I also take a variety of vitamins, minerals, supplements and herbs.
Been having mild yet annoying headaches since I started Victoza (V).
I experienced constipation the first few days while on V, which if you have read any of my blogs previously know that I normally have diarrhea. Constipation is now gone and diarrhea has returned with a vengeance. :-(
I have noticed that my waist looks much thinner and so is my face.
Dad says I look “peaked”… but I don’t think I do. My best friend John says I look great… but he said the same when I weighed 315 lbs but he adores FAT women. He and I met at a BBW Friendship website 3 years ago.
I am so glad I took measurements one day last week…. will take them again soon.
I weigh 30 lbs less than I did when I was in the 8th grade!
John asked me today how I was gonna celebrate going under 200 lbs. I won’t divulge what I said since this is a public PG-Rated blog… but it involved me and more than one man. LOL!
I have not been this thin in almost 20 years! I did get down to 199 in 1991.. for a few days!
I am so happy. Amazing how a lil weight loss makes me so good about myself ….
when I should feel good about myself no matter what I weigh.
Had a good webcam chat with John. So thankful that John’s sis Margaret is cancer free! Praise God. He was so relieved and in such a playful mood. He promised that he is gonna call me soon. I can’t wait.
Wondering why I was more of an exhibitionist when I was 100 lbs heavier than I am now. I used to take provocative photo’s… But now I am so flabby and have excess saggy skin… but I am blessed to not be lugging around 106 lbs of ugly fat that I use to carry.
I pray that John’s sister Margaret gets good news tomorrow from her pathology report. She had breast cancer… and had a lumpectomy last week. Will know the results in a few hours. Praying that they were able to get all the cancer and that she needs no further treatment.
Praying for John’s elbow and arm. It has been bothering him for a few weeks.
Sending prayers to my cousin Brandy, her friend Tammy, and Tammy’s mother Lois. They all have swine flu. Get Well Soon!
Love and Prayers to everyone that needs them this night.
My Glucose levels were normal today… just hope that they stay that way all night. Last night was difficult with 3 hypo’s. I am not use to having normal glucose control let alone any lows. I get around 120 or less and I have all the symptoms of low glucose due to the fact my sugars are normally much higher. So last night when I dropped to the 70′s I was felt incredibly weak.
I required ONLY 3 units of insulin via insulin pump all day. :-)
Still having no hunger issues and I still feel full all day long.
Eating plenty of protein.
Sure I have lost more weight. :-)
I am on the .6 injections of Victoza. I increase to 1.2 on Thursday. Maximum dosage is 1.8
Hope that I can stop insulin in a few weeks.
WOW… that would be such a blessing.
Rosie is now a diabetic. Her HGa1C was 6.6 and we asked for her Dr to be put her on a diabetic med. She was on glucophage (metformin) for a week and it made her have gastro-intestinal issues. She has been on glypizide for a few weeks. She has been going hypo since she started glypizide. She was on 2.5 and today she split that in half. So far so good.
Also better than lap-banding, sleeve surgery at improving, eliminating type 2 diabetes
By Amanda Gardner HealthDay Reporter
MONDAY, Feb. 21 (HealthDay News) — When it comes to shedding pounds and improving or eliminating type 2 diabetes, gastric bypass surgery may be better than other surgical weight-loss procedures, two new studies find.
But obese patients should be careful to choose surgeons who have performed a high volume of these procedures before committing, said Dr. Guilherme M. Campos, lead author of one of two papers appearing in the February issue of the Archives of Surgery.
Gastric bypass and lap-banding are the two most common surgical weight-loss procedures performed in the United States. The former involves stapling the stomach so food has to bypass a section of the small intestine, meaning you get full faster and less food gets absorbed into the gut.
Lap-banding, introduced in 2001, involves separating the stomach into two sections with a band so, simply speaking, eating too much becomes more difficult. “It’s a diet with a seatbelt,” said Dr. Mitchell Roslin, chief of bariatric surgery at Lenox Hill Hospital in New York City and Northern Westchester Hospital in Mt. Kisco, N.Y.
In a third type of weight-loss procedure, known as sleeve gastrectomy, surgeons remove part of the stomach.
The study led by Campos compared weight loss and diabetes outcomes in 100 patients who underwent gastric bypass surgery with 100 patients who underwent lap-banding. Gastric bypass is considered riskier and more technically demanding than the band.
All patients were morbidly obese (with a body-mass index higher than 40), and 34 in each group had type 2 diabetes.
Although Campos is now an associate professor of surgery at the University of Wisconsin School of Medicine and Public Health in Madison, he conducted the study while at the University of California, San Francisco.
In the bypass group, patients lost an average of 64 percent of their excess weight
vs. 36 percent for those in the lap-banding group.
Three-quarters of those undergoing gastric bypass surgery saw their diabetes improve or resolve, vs. only half in the other group.
The average cost of a bariatric surgery is nearly $30,000, according to a recent study from Johns Hopkins University.
Like all surgeries, weight-loss surgery carries its own set of possible risks, including bleeding, blood clots, infection and leaks from sites where body tissues are sewn or stapled together, according to the U.S. National Institute of Diabetes and Digestive and Kidney Diseases. Later complications may include malnutrition, hernias and a tendency in about one in 10 people to regain much of the weight they lost as a result of the procedure.
In Campos’ study, roughly equal numbers of patients in each group experienced complications after one year (12 percent in the gastric bypass group compared to 15 percent in the lap-banding group); these included infection, internal bleeding and blood clots, but no deaths. More people in the bypass group had complications right after the surgery. More of those undergoing lap-banding, however, needed repeat surgeries (13 percent vs. 2 percent).
The second study, conducted in Taiwan and led by Dr. Wei-Jei Lee of the Min-Sheng General Hospital, involved randomly assigning 60 obese (but not morbidly obese) patients with type 2 diabetes to receive gastric bypass surgery or sleeve gastrectomy.
Almost all of those undergoing gastric bypass surgery (93 percent) had their diabetes resolved, vs. only half in the other group (these numbers declined to 57 percent and 0 percent after a year).
Those in the gastric bypass group also lost more weight, and there were no serious complications in either group.
There are various theories to explain why gastric bypass may be superior, including one that attributes the success to changes in hormones that control the metabolism of blood sugar.
And certain procedures may still be preferable for certain patient populations, added Roslin, such as bands for patients with lower BMI who don’t have so many metabolic challenges.
“Everyone thinks that all weight-loss operations are the same, even the doctors and the surgeons. [But] they’re different, and they have different resolutions of comorbidities and probably should be used for different indications,” he said.
An editorial accompanying the studies noted the results should be interpreted with caution since longer-term data is not yet available.
More information
Visit the American Society for Metabolic and Bariatric Surgery for more on weight-loss procedures.
SOURCES: Guilherme M. Campos, M.D., Ph.D., associate professor, surgery, University of Wisconsin School of Medicine and Public Health, Madison; Mitchell Roslin, M.D., chief, bariatric surgery, Lenox Hill Hospital, New York City, and Northern Westchester Hospital, Mt. KisCo, N.Y.; February 2011 Archives of Surgery
Revision of Roux-en-Y gastric bypass to distal bypass for failed weight loss M. Logan Rawlins, M.D.ab Donovan Teel II, M.D.bc, Kim Hedgcorth, C.M.A.c, John P. Maguire, M.D.bc
Received 19 April 2010; accepted 28 August 2010. published online 14 September 2010.
Abstract Background
Weight loss failure after proximal Roux-en-Y gastric bypass (RYGB) occurs in ≤35% of cases. No consensus has been reached on the best revisional operation for these patients. Our objective was to review our data on the conversion to distal gastric bypass at a university-affiliated private practice in the United States.
Methods
A retrospective review was completed of 29 patients from 2002 to 2009 who had undergone conversion of RYGB to distal gastric bypass because of failure to lose weight, defined as a body mass index >35 kg/m2 or a percentage of excess weight loss of <50%. The RYGB of each patient was converted to a 100-cm distal common limb with a total in-continuity length of 250 cm. Attention was primarily paid to the percentage of excess weight loss at each yearly follow-up visit and any metabolic complications.
Results
The average excess weight loss and body mass index were significantly improved from 26.6% and 48.1 kg/m2 before revision to 60.9% and 35.3 kg/m2 at 1 year and 68.8% and 31.5 kg/m2 at 5 years. Of the 29 patients, 6 developed protein calorie malnutrition requiring parenteral nutrition, and 1 required reversal. Diabetes had completely resolved with the additional weight loss.
Conclusion
Revision of RYGB to distal gastric bypass can allow patients to achieve sustainable weight loss similar to what they were seeking from their primary surgery. From the results of the present series, the operation was safe, with no perioperative mortality or anastomotic complications. The development of protein calorie malnutrition and vitamin deficiencies is real, and patients require close monitoring and follow-up.
Keywords: Revision distal gastric bypass, Failed weight loss
a Department of Surgery, Wright Patterson Medical Center, Wright Patterson Air Force Base, Ohio
b Department of Surgery, Wright State University Boonshoft School of Medicine, Dayton, Ohio
c Premier Metabolic and Bariatric Surgery, Miami Valley Hospital, Dayton, Ohio
Correspondence: Logan Rawlins, M.D., Department of Surgery, Wright State University Boonshoft School of Medicine, Weber CHE, Suite 7000, One Wyoming Street, Dayton, OH 45409
Learner’s Permit: Went driving today and practiced parking. Did ok, I guess. I did pass my first car today and changed lanes numerous times.
Driver’s License: Will go take my drivers test on the next few months.
Trip: Going to Sevierville and Pigeon Forge tomorrow to attend a Gastric Bypass Support Group Meeting…. and I am driving! Will be my first time driving on I-40. Will only be on it for 10 miles. Just hope that Dad calms down and doesn’t fuss at me too much!!! :-)
Daddy’s Lil Girl is growing up! She should… she is 45 years old! LOL
Wait till Rosie and I go out to the mall by ourselves…. IF Dad let’s us. LOL!
In some cases it becomes difficult to treat severe obesity so in those cases weight loss surgery can be of immense help. Weight loss surgery restricts the food intake by interrupting the digestive system. As there are many serious concerns associated with certain procedures of weight loss surgery. Before you make up your mind first you need to talk to your doctor and gain all the information regarding the surgery.
The following points will help you in making your decision whether the weight loss surgery is an ideal option for you or not:
· You are suffering from high obesity related risks diseases and it can even cost your life.
· Are you familiar with the procedure of weight loss surgery?
· Are you fed up of leading an isolated life because you feel embarrassed in public? And now you are committed to bring a healthy change in your lifestyle.
· Are you informed on what kind of changes you need to bring in your life? Are you willing to make all those adjustments before and after the surgery? (Dietary restrictions)
· Are you being notified with serious complications which may happen after the surgery? Moreover, do you know there is no such guarantee that you will loose weight?
· Are you willing to follow a regular medical check routine for a long time after the surgery?
· Have you ever undertaken any conventional techniques of weight loss. For example calorie controlled meal plans, regular exercise, and a healthy diet plan.
We will help you to have a clear picture of all the benefits and risk factor of the surgery.
Benefits
· Rapid and continuous weight loss- After the surgery is carried out, mostly patients lose tremendous amount of weight and it continues for the next 18 to 24 months. But sometimes many patients drastically regain the lost weight.
· Positive results of surgery help in bringing a new lease of life for those people who were severely overweight. In addition to this, weight loss surgery may resolve many diseases that are related to obesity:
· Diabetes- The blood sugar level becomes normal thus it decreases the dangers of dying with diabetes.
· High blood pressure – It significantly lowers the dangers of cardiovascular events.
Risks
You may suffer from nutritional deficiencies like anemia and osteoporosis. But it can be cured if you take proper diet of vitamin and mineral.
After undertaking the weight loss surgery you need to be careful in your eating habits for at least six months. If you start eating too much it can cause you severe pain under the breastbone. In the first three days after the surgery you can’t eat anything. Later you will follow a specific diet plan for over 12 weeks. The development starts with liquids and afterwards soft foods will be added to your diet routine. Initially, you may feel few changes in your body as it will take few months to get used to the sudden weight loss.
Side affects of the surgery:
· Body aches
· Low stamina
· Skin irritation
· Hair loss
· Vomiting
· Blood clots
· Diarrhea
· Excessive sweating
· Bleeding stomach ulcer
· You will face problems in digesting certain kind of foods.
· Gallstones
· Dehydration
We can eliminate some of the side affects of the surgery only if we follow the strict instructions of the doctor. A psychological assessment is essential by doctors to assess your response after the weight loss surgery. Most surgeons demand patients to show a strong motivation level with a proper understanding of the diet plan, exercise and medical procedures that should be followed after undertaking the surgery. In addition to it, regular studies are conducted to ascertain the progress of your heart. Just make sure Nutritional analysis of your food intake is a must both before and after the surgery.
This post will be updated to include the reports that others have made online in regards to Victoza for Diabetes.
This is NOT MEDICAL advice. Consult your own Doctor.
Victoza slows your digestive track on purpose so that you feel fuller longer. It also slows your body’s absorption of sugar in your food.
SIDE EFFECTS REPORTED
Seems side effects vary widely from good to bad.
MOST COMMON IS NAUSEA
Including but NOT limited to: These may not even be related to Victoza consumption.
Weight loss, weight gain, no appetite, decreased appetite,appetite suppression, hunger, gastric discomfort, diarrhea, constipation, fullness, bloating, heartburn, nausea, queasiness, vomiting, gas, belching gas, hiccups, sour burps, rotten egg burps, stomach extension, lower abdominal pain, pancreatits, exhaustion, fatigue, increased energy, sleepiness, headaches,migraine, weakness, flu like symptoms, shingles, vision changes, stomach aches and pains, back pain, flushing, edema, water retention, bloating, brain fog, increased heart rate, tachycardia, normal blood pressure, lower triglycerides
Bruises, hives, redness, itching, and welts at site injection have also been reported.
Some suggest to take Victoza before bedtime so you can sleep through the nausea.
It seems to work great for some and has no effect on others glucose levels.
To some it is a miracle drug.
MY PERSONAL EXPERIENCE WITH VICTOZA
I am on an insulin Pump- Novolog and Glipizide (20mg 2x daily).
I have tried Byetta and Symlin but had to stop due to the severe nausea it caused.
I have been on VICTOZA for 3 days now, with no bad side effects.. Just weight loss and no appetite. I have to remind myself to eat now. No carbohydrate or sugar cravings at all… unlike life prior to victoza when all I did was crave carbs.
My insulin requirements via pump have dropped from 20 units daily (via insulin pump) NOW down to 4 units as of today with the .6 dosage of victoza. I increase the dosage up to 1.2 in one week and then to 1.8 the week after that.
I normally need around 20 units of insulin daily via my insulin pump.
Prior to losing weight I needed at least 150 units daily.
On some occasions even 450 units WOULD NOT lower my glucose.
BUT I needed ONLY 8 units of insulin yesterday….
and today ONLY 4 units!
ONLY FOUR UNITS!!!!!!!
My sugar levels are better than it they have been in over a year!
I have no appetite and NO carb cravings like I usually do.
Been eating around 750 calories the past few days. :-)
I am so happy.
I know I have lost weight. Not sure how much. I no longer weigh myself 2-3 times daily like I use to. I will get weighed later this week.
I just hope this no appetite thing continues… I may get to goal if it does! My goal is 150 lbs. BUT I would love to get smaller than that.
I ONLY had little or no appetite during the first couple of months after Gastric Bypass. Then my appetite returned with a vengeance. I had to fight tooth and nail to lose the weight I did. On 2 occasions, after weight loss surgery I went on an all liquid protein diet for a month or I would have not lost the 50 some pounds I did after surgery! All in all I am down approximately 100 lbs from my highest weight.
I am sure something was not done properly or something is wrong with the Laparoscopic Roux-en-Y gastric bypass I had. My doctors seem to agree. Just waiting for Dr. Boyce to get my records and offer his expert opinion.
My endocrinologist is checking my pancreas once again. Last time my pancreas was not producing ANY insulin.
I am mentally and physically stronger the past few days.
Dad saw his urologist…. his labs and ultrasound show that his prostate is OK, no cancer (praise God) and he is emptying his bladder well. Was but on a pill for overactive bladder. He took it for 2 days and then started having dizziness. Plus when he went to urinate he couldn’t… so he stopped the pill. He goes back to the doc on March 1st.
Dad went to a Knee surgeon. Had x-rays on his knees and his right knee is wore out. Needs a total Knee replacement. Planning on having it this summer.
Rosie saw her vascular surgeon, The Venous Ultrasound shows that she has MILD venous insufficiency. Was told to wear compression stockings to reduce swelling. That was awesome news… Could have been much worse.
Rosie’s sleep study shows MILD sleep apnea which does not need treatment. More Good News.
Rosie’s Rheumatology labs show inflammation. She sees her rheumy next Friday to discuss the labs in detail, options, and the course of treatment planned.
Rosie’s Gastric Bypass Surgeon has started her on Vitamin D and Ferrous C.
I saw my endocrinologist and had labs ran. I weigh 218 lbs. Down from 221 lbs that I weighed on the 3rd. Lowest weight my endo had on record was 216 lbs. I asked my doc about weight loss and was started on Victoza. A diabetic injection that suppresses appetite without the nausea of the other 2 ( byetta and symlin) I have tried previously. So far so good. I have to MAKE myself eat. Been on it 3 days now. Daily injection. I have been able to reduce my basal rates on my insulin pump. Had a few glucose lows at night so I am testing my glucose frequently. My poor lil finger tips are sore. OUCHY!
I drove to and from Knoxville yesterday. First time. Dad would NOT allow me to drove through Knoxville. :-( I still have my learners but I plan on trying for my drivers license in a few months. Yep, I am 45 and finally driving. :-)
I have dyed my hair medium Dark Brown and everyone loves it. Received lots of compliments. EGO BOOSTER !
So far I have had 2 marriage proposals this week and today I was invited to go to the country of Turkey on Vacation. This from Total Strangers. LOL!
This week will not be as busy. We are going to a Gastric Bypass Support group meeting on Monday in Sevierville. I am driving!
Rosie has an appt on Friday with her rheumatologist.
Gonna call and make appt for Rosie to have a mammogram. Dad and I to see a podiatrist.
Rosie is doing great on her diet. She and I split a Sirloin Dinner at Puelo’s yesterday in Knoxville. We shared the meat, I ate the salad and she had the baked tater. Love that it is so much cheaper now when we dine out.
Our house was appraised this week. We are having it refinanced. Going from a 30 year fixed loan to a 10 year FIXED rate loan at a MUCH lower interest rate than we had. We will be saving tens of thousands of dollars in the process with an increase in payment of $100 a month. Our house was appraised at $30,000.00 more than we paid for it. Was very pleased with that.
John and I still are best friends and webcam almost daily. He has a Silver Anniversary bash to attend tonight…. his nephew’s … but is gonna TRY and chat with me when he gets back. :-)
Rosie is cooking my fave meal for Supper. FRESH Green Beans, Cucumbers, Corn-on-the-cob, and Tomatoes. YUMMY!
Going to go practice -parking- tomorrow at the Dept of Transportation Center.
Smoki Poki our cairn terrier has had some anxiety attacks lately. He injured his paw on the ramp in our van and for a few trips he was scared to get in the van… he did much better the last time he went out with us. He loves going BYE BYE.
I had a few weeks of severe anxiety and depression. Even had suicidal thoughts but I have gotten through it… ALIVE. I just wish I was able to handle stress, relationships, and my thoughts better than I currently do. I allow minor things to bother me. I have gotta get TOUGHER! Thank God that I have John to share all my feelings, thoughts, worries, fears, and insecurities with. He is a blessing.
By MATTHEW PERRONE, AP Health Writer Matthew Perrone, Ap Health Writer
WASHINGTON – Cosmetic drug and device maker Allergan Inc. said late Wednesday it received approval to market its stomach-shrinking Lap-Band to millions more patients who are less obese than those currently using the device.
The Food and Drug Administration expanded approval to patients with a body mass index between 30 and 40 and one weight-related medical condition, such as diabetes or high blood pressure. Patients must also have previously attempted to lose weight by other methods like diet and exercise.
Allergan, based in Irvine, Calif., said an additional 26.4 million American patients meet the new criteria for the device. That’s up from roughly 15 million under the previous criteria: a body mass index of 40 or higher, or 35 and higher with weight-related complications.
The adjustable band has been available in the U.S. since 2001 and about 600,000 people have had the device implanted, according to Allergan. During surgery, the band is placed over the top of the stomach and inflated with saline to tighten it and restrict how much food can enter and pass through the stomach. The device was developed as an alternative to gastric bypass surgery, a permanent procedure in which food is rerouted from a pouch in the stomach to the small intestine.
There were about 220,000 gastric surgeries last year, with banding accounting for an estimated 40 percent, according to medical society data. Surgeons say the fact that the procedure is reversible and relatively low-risk accounts for its growing popularity. Some patients who were not obese enough to qualify for Lap-Band surgery have reportedly tried to gain weight to meet the body mass requirements.
While analysts have speculated about the potential for sales to skyrocket, there are hurdles to wider use of the procedure, particularly its cost, which can range from $14,000 to $20,000. The device itself costs $3,000.
The FDA’s expansion of the Lap-Band comes as rising health care costs threaten to consume nearly a fifth of the U.S. economy. Obesity-related health care spending is estimated at $147 billion, double the level of a decade ago. More than a third of all American adults are obese.
I called Gastric Bypass Surgeon Dr Stephen Boyce’s office today and was told that Rosie has VERY MILD sleep apnea and doesn’t need a cpap machine. They are hoping that gastric bypass takes care of it.
Rosie told me today that she wants to have Gastric Bypass Surgery. I am thrilled for her… yet scared. I haven’t even mentioned Gastric Bypass to her in ages cause I knew she was THE ONE who had to make the decision. We are gonna call Dr Boyce’s office tomorrow and make her an appt. to see him. http://www.parkwestcwlc.com/about-us/meet-dr-boyce/ I had Lap Roux-en-y (9-14-2009)
and she will prolly require the lap duodenal switch for many reasons. Mainly due to her rheumatoid arthritis, her meds, and cause she does not want the dumping syndrome. It will take over 6 months to even get to surgery. She prolly has to follow a 6 month diet to get insurance approval. Will prolly need a sleep study, psych evaluation, and other tests. Her family Physician Dr Melling is all for surgery BUT he wants her to get approval from a rheumatologist first. It is a long process but will get started tomorrow.
I am going to make an appointment with Dr Boyce as well so he look over my surgery reports for a possible conversion / revision since I am STILL considered obese. Would love to lose 50-75 additional pounds. So exited about Rosie being able to do more. I love her so much. Now… we have to tell Dad… UGH!
We Appreciate your support and prayers. Thanks!
~Angela
January 12, 2011, at 7:58 pm
Scheduled an appointment for a Seminar with New Life Center for Bariatric Surgery for next Tuesday at 5:30 in Sevierville with Dr K Robert Williams for both Rosie and I. Rosie is seeking Gastric Bypass Surgery and I am looking into a revision or conversion gastric bypass surgery. I had gastric bypass.. lap roux-en-y 16 months ago and have lost ONLY 50 lbs. I want Dr Boyce or Dr Williams opinion on my surgery. I have all my operation reports from Dr Mancini. I first have to go see a Dietitian as well as an Exercise Physiologist at New Life.
So excited for Rosie. I will be honest she does not eat much food at all but what she eats is usually carb loaded… with her being handicapped and wheelchair bound by Juvenile Rheumatoid Arthritis and Scleroderma she is not able to exercise nor able to move like a so called “normal” person. The joints in her elbows, hands, fingers, knees, hips, ankles and feet are frozen and disfigured. She knows she will never be able to walk again but seeks to lose weight to help her to be able to do more things.,, improve her quality of life. Looking forward to the Seminar in Sevierville next Tuesday. Will prolly drive down early so we can shop a lil. Will prolly eat a late Supper at Red Lobster. Rosie and I are gonna go on a diet together and eat more protein, less carbs. more fruits and veggies.
~Angela
February 8, 2011, at 12:25 am
Rosie saw Dr Stephen G Boyce, Gastric Bypass Surgeon last week. All looks promising. He wants to do the Biliary-Pancreatic Diversion with Duodenal Switch on her. He wants her to get medical clearance from the following::::
Family Doc (got it…. just have to get him to send a letter )
Rheumatologist (got it…. just have to get him to send a letter)
Sleep Study (completed it last night)
Cardiologist …. March 3rd
Psychologist …. March 3rd
Vascular Surgeon (got it…. just have to get him to send a letter)
She has to attend a Gastric Bypass Support Group…. Feb 21st.
She is now on a low carb, high protein 1200 calorie diet. Doing well. She wants to have surgery by May and the Surgeon is all for it.
Rosie has had purple toes for 10 days. Saw her PC, her rheumatologist and a vascular doc…regarding it. All the docs think it is venous insufficiency. She has a bilateral venous ultrasound tomorrow. Her feet are normal when she lies down but as soon as she sits up her feet turn purple. Docs want her to start wearing compression stockings. They should be delivered tomorrow.
I also saw Dr Boyce, he is requesting my medical records and test results… trying to see what may have contributed to my minimal weight loss since I had roux-en-y in Sept 2009. He may request some additional tests for me. I only lost 51 lbs since surgery!!! Dr Boyce thinks I need Roux-en-y to the The Biliopancreatic Diversion with Duodenal Switch REVISION surgery.
Rosie and I both have had testing for H pylori. Both negative.
We also had our resting metabolic rate tested.
Mine is normal.
Rosie’s is very slow which means she has to eat less food than a normal person or she will gain weight. That coupled with her not being able to exercise… due to her juvenile rheumatoid arthritis and linear scleroderma which has crippled her… makes it extremely difficult for her to lose weight.
Rosie is excited about having weight loss surgery. Prayers needed and appreciated.
From @ButlerBlue2: Me, @ButlerBlue3 & the one & only Gasoline Alley at @IMS. -- via Flickr
Adorable
Petite Giraffe Pet Costume have your own tiny lap by hatz4brats, $60.00
Dog? What dog?
Funny Face Abby is an adoptable Beagle Dog in Albany, OR. Please contact Fran Kreger ( Fran@k9homefinders.org ), (541) 926-5629 for more information about this pet. My name is Abby, and I am about 2 �...
Gently Does It by Grant Atkinson
nap
Baby Polar Bear
Handfulls
Going to visit Gibralter Bay Alpaca Farm next week !!!
