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Support Group Newsletter
Volume 4, Issue 4 Winter 2014 - 2015
JFK For Life 1
NESLKDF’KF’S
In The News
We are all well aware that obesity is an
epidemic in the United States. But did you know
that obesity is a growing problem worldwide?
Obesity is more common in developed countries
than in poorer nations, but it is rising in both, says
a report published in the medical journal Lancet.
On my recent trip to Portugal, obesity was
almost non-existent in the small towns. There
aren’t any fast food establishments and most
people walk or use a bicycle. But in Lisbon, a
thriving metropolis with an underground metro,
electric tram service and bus lines, the opposite is
true. Lisbon is also home to the ‘golden arches’.
It is counterintuitive to assume these
environmental influences and lifestyle choices
don’t factor in when seeking the causation of the
rise in obesity.
For more on the topic go to:
http://www.cbsnews.com/news/world-population-
is-getting-fatter-global-obesity-rates-rise/
Pat
JFK for Life’s Medical Director, Dr. Alexander
Abkin has been voted one of NJ TOP DOCS in
Bariatric Surgery by New Jersey Monthly
magazine for the 8th
consecutive year!
Dr. Alexander Abkin and his practice are
dedicated to minimally invasive weight loss
surgery and medical weight loss management. Dr.
Abkin’s philosophy is that bariatric surgery is a
highly successful way to resolve diabetes and
other life-threatening medical problems found in
morbidly obese patients. In the past 16 years he
has performed more than 7000 bariatric
procedures.
Through regional affiliations, Dr. Abkin provides
exceptional care throughout New Jersey by
offering a full spectrum of options, including
gastric bypass, adjustable gastric band and sleeve
gastrectomy. Using the laparoscopic approach, he
helps patients return to a better quality of life
quickly and with less discomfort.
Dr. Abkin is a board-certified surgeon, a fellow of
the American College of Surgeons, a member of
the American Society for Metabolic and Bariatric
Surgery, the Society of American Gastrointestinal
and Endoscopic Surgeons and the American
Medical Association.
Congratulations Dr. Abkin!
Inside this Issue:
In The News Page 1
Portion Control Page 2
Congratulations/Calendar Page 3
Fad Diets/Diet Trends Page 4
Food Addiction Page 6
Metabolic Set Point Page 7
Halt the Salt Page 8
Chat About Recovery Page 10
Support Group Newsletter
Volume 4, Issue 4 Winter 2014 - 2015
JFK For Life 2
Post-Operative Portion
Control
Protein -
¾ of container
Vegetables, Fruit, Whole Grains –
¼ of container
For more information about Portion Control
Contact:
Kelly DiFabio, RD and
Andrea Roberts, RD
732-283-1900
Meal Ideas by Phases Phase Protein Vegetable Fruit Whole
Grain
2
2 oz.
greek
yogurt
1 oz Low
sodium v8
juice (some
contain
fruit)
X 1 oz farina
Skim
milk
1 oz Low
sodium v8
juice (some
contain
fruit)
X
3 oz farina
with skim
milk
Skim
milk
3 oz Cream
tomato
soup made
with skim
milk
X ½-1 tbsp
farina
3
¾ LF
cottage
cheese
Pureed
cucumbers
and dill
into ¾
cottage
cheese
1 tbsp
canned
pears
X
¾ beans
and LF
shredded
cheese
2 tbsp
pineapple
Salsa
Canned
pineapple
X
¾ egg
whites
and LF
cheese
1 tbsp
chopped
broccoli
and ½ tbsp
salsa
X Or ½ tbsp
farina
/oatmeal
4
¾
chicken
(3 oz
cooked)
1 tbsp
shredded
carrots
SF orange
marmalade
(baked on
chicken)
½ tbsp
brown rice
3 oz
turkey
chili
1 tbsp
finely
chopped
bell
peppers
X 1-2
crushed
whole
grain
crackers
(used as
garnish)
1- 2 inch
meatball
Pureed
tomato
sauce
X 1 tbsp
cooked
wheat
pasta
Support Group Newsletter
Volume 4, Issue 4 Winter 2014 - 2015
JFK For Life 3
Congratulations
To Terry who recently celebrated her 3 year “surgi-versary”
AND
To Elizabeth who recently celebrated her 2 year “surgi-versary”
AND
To our members who recently celebrated their 1st “surgi-versary” :
Phyllis, William, Linda, Nancy, Richard, Franz and Cherie
AND
To our members celebrating their 180 day “surgi-versary”:
Collin, Laura, Linda, Cynthia, Luann, Joe, Cynthia, Susan, Darrell, Jennifer and
Anthony
All together they have lost a total of
Wait for it…..
1, 354 lbs!
WELL DONE EVERYONE!
Calendar
December 9th New Patient Seminar ~ 7pm
December 10th Support Group Mtg ~ 6:30pm
December 17th Chanukah begins
December 18th Support Group Mtg ~ 6:30pm
December 23rd
Festivus (For all the Seinfeld
fans)
December 25th Christmas Day
January 1st NEW YEAR’S DAY 2015
January 8th Elvis’s 80
th Birthday!
January 14th Support Group Mtg ~ 6:30pm
January 19th Martin Luther King, Jr. Day
January 20th New Patient Seminar ~ 7pm
January 22nd
Support Group Mtg ~ 6:30pm
February 1st SuperBowl XLIV
If you wish to attend one of our evening seminars for
prospective patients, please call (732) 744-5955 to
register. If you cannot come in the evening, you can
arrange a one-on-one session with the bariatric
program coordinator. Call the number above or email
Pat Sullivan at psullivan@jfkhealth.org
Support Group Newsletter
Volume 4, Issue 4 Winter 2014 - 2015
JFK For Life 4
With all the focus
on weight in our
society, it isn't
surprising that millions of people fall victim to fad
diets and bogus weight-loss products. Most of us
have fallen for the testimonials and endorsements
by so-called "experts" who claim to have fast,
easy and permanent results with a money-back
guarantee.
The bottom line is simple: If a diet or
product sounds too good to be true, it probably is.
There are no foods, pills or powders that
magically burn fat. No products will miraculously
melt fat while you watch TV or sleep. Replacing
meals with special drinks or bars may result in the
loss of a few pounds, but it will only be
temporary. Some ingredients in supplements and
herbal products can be dangerous and even deadly
for some people.
Diets that claim you don’t have to
exercise, have you eating unlimited amounts of
certain foods (like the cabbage soup diet), totally
eliminate certain food groups (like carbohydrates)
will only help you to lose time and money, not
weight.
So the next time you see an infomercial
about the latest weight loss miracle product, turn
off the tv, have some lean protein and take a brisk
walk!
Test your knowledge of these fad diets:
1. What is the Paleo Diet?
a. A diet plan developed by William
Paley, the legendary broadcast giant.
b. A diet based on emulating the diet of
our hunter-gatherer ancestors.
c. A diet based on eating only raw foods.
d. A diet based on eating only organic
foods.
2. The latest fad diet is called the “Werewolf
Diet” because
a. You eat only red meat and nothing else
b. It is based on the idea that the moon’s
gravitational pull affects our bodies in
the same way as the tides in the ocean
do.
c. It was developed by Lon Chaney Jr’s
great grandson.
d. You can eat anything you want when
the moon is full.
3. The Fast Diet is also know as the 5:2 diet
because
a. It allows you to eat whatever you want
for five days but only eat 600 calories a
day for the other two.
b. You loose 5 pounds in 2 days.
c. You eat for 5 days and totally fast for 2
days.
d. You loose 5 inches every 2 days.
4. Which statement is true regarding the
Lemonade Diet?
a. You drink two tablespoons of freshly-
squeezed lemon juice, two tablespoons
of grade-B organic maple syrup, 1/10
teaspoon cayenne pepper, and 10
Continued page 5
Support Group Newsletter
Volume 4, Issue 4 Winter 2014 - 2015
JFK For Life 5
Test your knowledge (Continued)
ounces of filtered water – 6 times a day
for up to 2 weeks
b. It was the diet followed by Beyonce
when she prepared to be in the movie
Dream girls in 2006. She lost 20 lbs.
c. This diet has been around for 50 years.
d. As a long-term method for weight loss,
it is hopeless, impossible and down-
right dangerous.
5. Which statement is true about the
Hollywood Cookie Diet?
a. You can eat any type of cookie, except
Oreos.
b. It was developed by the staff of
Sesame Street and inspired by Cookie
Monster who has never had a weight
problem.
c. You consume special high-protein,
high fiber cookies for breakfast, lunch
and snacks.
d. You deprive yourself all day and then
binge all night on cookies.
Answers found on page7
Fads come and go, but the idea of dieting
itself has been around for centuries!
In 1810 an English physician, Dr William
Wadd, published a survey of the most popular diet
advice of the time which included chewing
tobacco, reading aloud, sweating, sprinkling the
body with hot sand, eating a bar of soap a day and
strictly no vomiting after supper.
In 1820 Lord Byron popularizes the
Vinegar and Water Diet, which entails drinking
water mixed with apple cider vinegar.
In 1890, diet guru Horace Fletcher insisted
one could chew his way to a perfect weight. Each
mouthful of food must be chewed into liquid
oblivion; "Fletcherizing" meals insured that no
more food would be taken in than was absolutely
necessary. Fletcher, dubbed "the Great
Masticator," also called for lower meat
consumption and higher carbs and vegetable
intake.
During the first half of the 20th
century it
wasn’t uncommon for cigarette manufacturers to
promote the health benefits of smoking. Several
companies claimed that their cigarettes could help
you lose weight: "Light a Lucky and you’ll never
miss sweets that make you fat," proclaimed one ad
in 1929.
Urban legend has it that opera singer
Maria Callas dropped 65 pounds during the
1950’s on the Tapeworm Diet, allegedly by
swallowing a parasite-packed pill.
The Sleeping Beauty Diet, which involves
sedation, is rumored to have been tried by Elvis.
You can’t eat if you are asleep!
So what do we learn from this? History
shows us that diets and fads are nothing new. If
some of this information makes you giggle, it
should. People will do almost anything to lose
weight!
Support Group Newsletter
Volume 4, Issue 4 Winter 2014 - 2015
JFK For Life 6
Food Addiction
What is food addiction?
For many years, overeating and obesity were
identified as eating disorders caused by emotional
problems. Many individuals who used food to
manage their emotions or deal with stress were
treated through counseling or psychotherapy. But
for the true food addict, the problem is more
complex.
Food addiction is a serious problem that has
become a focus of interest for researchers who try
to uncover why certain behaviors and processes
promote obesity. Some people, no matter how
hard they try, just cannot control themselves
around certain foods. Despite their best intentions,
they repeatedly find themselves eating large
amounts of food, despite knowing that it may
cause them harm.
Food addicts are addicted to certain foods in
the same way as drug addicts are addicted to
drugs. Just as alcohol or cocaine are the
substances that trigger those addictions, there are
substances that trigger a food addict's out-of-
control eating. These substances are typically
refined carbohydrates, sweeteners, fats and
processed foods. These foods seem to affect the
same addictive brain pathways that are influenced
by alcohol and drugs.
Studies show that repeated exposure to large
amounts of palatable foods can alter the brain
similar to addictive drugs. After long term
consumption of highly palatable food, the brain
gets “rewired” and sends out a message to
‘consume more.” Your brain becomes more
sensitive, to the point of thinking constantly about
eating these rewarding hyper-palatable foods.
Neurotransmitters, brain chemicals that
communicate information throughout our brain
and body, relay signals between nerve cells, called
“neurons.” The brain uses neurotransmitters to tell
your heart to beat, your lungs to breathe, and your
stomach to digest. They can also affect mood,
sleep, concentration, weight, and can cause
adverse symptoms when they are out of balance.
The neurotransmitters that are implicated in drug-
seeking behaviors are also implicated in food
intake.
One of these neurotransmitters is dopamine.
Dopamine plays a major role in reward motivated
behavior. In certain areas of the brain when
dopamine is released it gives one a feeling of
pleasure or satisfaction. These feelings of
satisfaction become desired. To satisfy that desire
the person will repeat behaviors that cause the
release of dopamine. Food releases dopamine.
That is why people want food even though their
body does not need it.
Hyper-palatable is a new buzzword in the diet
and food industry. It refers to foods that don’t just
taste good. They taste really, really, really good.
These hyper-palatable foods act as rewards. Even
if you're not hungry, you'll still keep on eating
after you're full. Some foods are almost as
"rewarding" as the drug cocaine. Now if you are
dealing with stuff almost as "rewarding" as
cocaine, you are dealing with an addictive
substance. The product gets your attention, it stays
in your memory, it changes your mood and it
becomes your focus. You begin to spend your
time thinking about your next meal.
A significant contributor to food addiction and
obesity is the food industry itself. Dr. David
Kessler, former head of the Food and Drug
Administration has written a book entitled “The
End of Overeating: Taking Control of the
Insatiable American Appetite”. In it he describes
how the food industry has combined and created
foods in a way that taps into our brain circuitry
and stimulates our desire for more.
Continued page 7
Support Group Newsletter
Volume 4, Issue 4 Winter 2014 - 2015
JFK For Life 7
Food Addiction (Continued)
The combination of fats, sugar and salt
stimulates our
desire to eat and leaves us wanting more and
more even when we’re full.
Here is a link to a video series from the
University of California that explains the concept
of food addiction. It is very informative.
http://www.youtube.com/watch?feature=pl
ayer_embedded&v=Xn1cI8FNU6M
Food addiction is real.
Sad, But True. . .
The number of overweight or obese individuals
worldwide increased from 857 million in 1980 to
2.1 billion in 2013. That's nearly 30% of the
world's population, up from about 20%.
Answers to Fad Diet quiz:
(1) b (2) b (3) a (4) a, b, c & d (5) c
Copies of recipes are now AVAILABLE in the wire baskets outside the nutritionist’s office in
Edison
YOUR METABOLIC SET POINT
Excess body weight is often difficult to
lose, yet easy to gain back. Those who
successfully drop a significant amount of body
weight often end up at the same weight or higher
than they started. It has been suggested that a
metabolic set point is to blame.
Your body weight set point is the number
on the scale your weight normally hovers around,
give or take a few pounds. Body weight and fat
levels are regulated by a complex system of
signals in your body. These signals control your
appetite, digestion, energy balance and
metabolism to keep your body weight and fat at a
steady level or “set point”.
The Metabolic Set Point Theory states
that the body has a natural tendency to maintain a
specific weight and will adjust internal body
processes accordingly. If our bodies go above or
below our set-point range, our metabolism will
speed up or slow down to get our weight back in
line. Because your body works to defend its set
point, dieting and exercise are rarely effective in
helping people with obesity achieve and maintain
a health weight long term. When you go on a diet,
your body thinks it’s being starved and its survival
instincts kick in. As a result, your body stores
energy-rich body fat, and you can’t lose weight
easily. Your body’s hormones are working against
you, too. When weight is lost, lower body fat
levels trigger hormones that encourage the body to
get back to its previous weight set point.
Continued page 8
Support Group Newsletter
Volume 4, Issue 4 Winter 2014 - 2015
JFK For Life 8
YOUR METABOLIC SET POINT (Continued)
A New England Journal of Medicine study
showed that while dieters may initially lose
weight, their bodies’ change levels of hormones
that encourage weight regain in response to the
weight loss. These hormones increase appetite,
decrease feelings of fullness and slow down
metabolism.
Bariatric and Metabolic surgery may
reset your “set point”
In order for a person with obesity to
achieve significant long-term weight loss, the
body’s weight regulation system must be reset so
that the body will stop storing excess fat. By
altering the complex relationship your body has
with food and its metabolism, bariatric surgery
helps reset your body’s ability to effectively
manage weight. New research indicates that some
types of bariatric surgery (gastric bypass and
vertical sleeve gastrectomy)) have metabolic
impacts that enable a new, lower set point,
allowing the body to return to a lower body fat
level. By altering the anatomy of the stomach
and/or intestine, these surgeries affect hormonal
signals, resulting in decreased appetite, increased
feelings of fullness, increased metabolism, and
healthier food preferences.
These positive changes allow your body to
lose weight without the internal fight to return to
the higher set point.
If you recently celebrated a milestone or a WOW moment, please share it with us.
Email Pat
psullivan@jfkhealth.org
DON’T FORGET TO CHECK OUT OUR
FACEBOOK PAGE!
ON IT YOU WILL FIND MEETING
REMINDERS AND INTERESTING
ARTICLES.
IN CASE OF A SNOW EVENT THIS
SEASON, CANCELLATIONS AND
OFFICE DELAYS AND CLOSURES WILL
BE POSTED THERE
HALT THE SALT
The USDA Dietary Guidelines for Americans
currently recommends no more than 2,300
milligrams of sodium per day (about a teaspoon of
salt) for most adults. For individuals with high
blood pressure, African Americans, middle aged
and older adults, the recommendation is 1,500
milligrams per day (about 5/8 of a teaspoon).
Continued page 9
Support Group Newsletter
Volume 4, Issue 4 Winter 2014 - 2015
JFK For Life 9
HALT THE SALT(Continued)
The American Heart Association/American Stroke
Association recommends limiting salt intake for
ALL adults to 1,500 milligrams per day.
Seventy-five percent of the salt Americans
consume comes from salt added to pre-made food
by manufacturers or added by cooks at restaurants
and other food service establishments.
The Nutrition Facts Label on food and beverage
packages is a useful tool for making healthful
dietary choices and monitoring how much sodium
is contained in a food you are considering.
Use the Percent Daily Value (%DV) to
Compare Products
The %DV tells you whether a food contributes a
little or a lot to your total daily diet.
5%DV (120 mg) or less of sodium per
serving is low
20%DV (480 mg) or more of sodium per
serving is high
Sodium Is Everywhere
Foods that otherwise seem healthy may have
high levels of sodium. Examples include
cottage cheese and turkey breast deli meat.
Some foods that an individual may eat several
times each day, such as bread, add up to a lot
of sodium even though each serving may not
be high in sodium.
Sodium is already part of processed foods
when you purchase them, and it cannot be
removed.
Sodium content can surprise you. For
example, before it arrives at the grocery store,
raw chicken and pork can be injected with a
sodium (or saline) solution which increases
sodium content.
Different brands of the same foods may have
different sodium levels. For example, sodium
in chicken noodle soup can vary by as much as
840 mg per serving.
http://www.cdc.gov/salt/food.htm
Support Group Newsletter
Volume 4, Issue 4 Winter 2014 - 2015
JFK For Life 10
Chat About Recovery
By Karen Rose LCSW, ACSW
Making the choice to work toward a new
normal is a huge decision but not new in the life
of a person who has tried to lose weight. Over the
years we have come to accept criticism, low self
esteem and even given up on ever fully believing
we can lose weight and keep it off. How often do
we willingly give up on those experiences and
feelings that nourish us while still believing that
deprivation is the path to lose weight? The result
is that we are increasingly left with only work or
other stressors that often deplete our resources,
and with nothing to replenish or nourish us,
exhaustion and frustration results. But has it ever
worked?
It can be eye opening, even shocking, the
first time we realize that it is not what we are
eating but what is emotionally disturbing us that
triggers us to find comfort in that apple pie, BBQ
ribs or chocolate chip cookie. That ‘Ah ha’
moment when we realize changing our lifestyle
can be done one step at a time with the right tools.
Mindfulness is a tool thousands of years
old but when coupled with understanding healthy
and satisfying food choices it can change our
world view. Using mindfulness concepts can fit
into our modern day life and strengthen our
sensitivities and encourage us to use our Wise
Mind. We become open to the moment, not
reacting to stress or emotions but understanding
what is happening. It encourages our awareness
of the truth and the process of change. It enables
us to be accepting without presumptions or guilt
about this moment. We start living in the ‘what
is’ as opposed to ‘what was’ or ‘what if’. Being
mindful is giving ourselves the tools and freedom
to leave habit, negativity and reactivity behind.
Recovery is not about waiting, hoping or
wishing. It is building your future by creating and
doing this moment mindfully.
From KP:
“I was able to fit into an XL child’s jacket instead of an adult size and save $100!”
Support Group Newsletter
Volume 4, Issue 4 Winter 2014 - 2015
JFK For Life 11
The staff of JFK for Life extends to you and your family our best wishes for peace, joy and good
health in 2015!
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