Caroline talks about Her Experience of Having Gastric Bypass

Caroline, a former patient sits down with me to talk about her own experience with having Gastric Bypass done.

Hunger Hormones

Lets talk about those amazing “hunger hormones” that keep us feeling hungry.

From a science point of view we are learning a lot, but as I mention in my book these few hormones I will discuss are only the tip of the iceberg. Many, many more lie under the surface of what we know and are yet to be discovered. And that is the essence of why there isn’t a magic pill. So let me describe some of what we know.

This is the way it should work….. We eat food that we chew and get full. That “fullnes” sends signals to our brain to turn off the hunger pangs and they should stay off for four hours.

The “hunger hormone” is called ghrelin(pronounced: GREL – in). And when levels of this hormone get too high, you feel hungry ALL THE TIME. The trick is to keep your levels low. ( the sleeve gastrectomy magically does this)

Lower ghrelin levels translates into feeling full and satisfied without the need or urge to snack continually throughout the day. Most of us think this urge is a character weakness….but it is a chemical in our bodies working against our will.

When ghrelin is not active sending signals to your brain, the brain rest and recovers. Then a chemical called leptin goes to work sending signals to stop the hunger IMPULSE.

But if ghrelin levels are too high ( and they are in most obese individuals), then leptin does not work or trigger the brain to not have an impulse to eat. If you lower ghrelin, then you allow leptin to go to work as well.

I believe that our body systems were made for a time when food was scarce and not abundant as it is today. I believe that we were built to have a natural balance between the hormones that regulate your appetite and your ability to burn fat. I think our food is laced with too many chemicals and that throws off our body’s hormones.

The only proven way to balance these hormones is with surgery. I am talking about the Sleeve gastrectomy or gastric bypass. Both lower ghrelin ( and most likely affects many other hormones) and allow leptin to work. Think of surgery as a tool to help you balance these hormones and then with the right brain signals at work….learn to eat right.

Good Luck!

 

The Most Important Meal of the Day

You must eat something within 30 minutes of waking to have a metabolism that burns calories

Early morning can be a busy time. There are many priorities to prepare for the day. Your health is one of your top priorities. You accomplish more when you feel good and healthy. So slow down and eat breakfast. Take time for it. Its important.

The good news is you do not have to eat a lot. Even 150 calories works. Breakfast is a good time for fruit. Fruit contains fructose, which is much like corn syrup. It goes to fat faster than most calories if eaten at the wrong time. However, fruit contains many nutrients that we need. So when to eat fruit?

After 6 to 8 hours of sleep the stored calories (glycogen) in our bodies have been depleted. If you eat fruit in the morning, preferably within 30 minutes of waking, your body will burn those calories and give you the energy and nutrition you need. Another good time to eat fruit is within 30 minutes of exercise. The exercise will burn those calories.

Eggs are good food. Ignore the concerns about egg yolk and cholesterol. The egg yolk contains healthy nutrients. It provides better nutrition if not over cooked, that is its best nutrition comes as an egg cooked where the yellow is a little runny. Boiled eggs are OK for those in a big hurry every morning. For example a boiled egg and a banana.

Other good choices would be fruit with a high quality protein bar. Oatmeal is OK, but I believe 40% of the population is gluten sensitive and become sick in some way by eating gluten foods. And oatmeal is high in gluten.

Also drink a glass of water within 15 minutes of waking.

Good luck changing your morning habit and enjoy your day!

To get a copy of my new book, Skinny Jeans…at Last! in pdf or audio format, click here.

Mike Shares His Experience with Having a Sleeve Gastrectomy

Ronnie Talks About His Experience with Laparoscopic Nissen; the gold standard of anti-reflux surgery

Set the intention before bed and get success

Our brain is an amazing organ. It likes us to plan ahead. Some term that as setting the intention. We have many neuro pathways in our brain. Much like our highways. Its like planning our route before a trip. However, even more powerful because by setting the intention those particular pathways in our brains are primed and ready for actively.

So what to do? Before bed, as you begin to relax, take 1 to 2 minutes and visualize your day. Think of what time you will be eating and visualize what you will be eating.

Then the next day begins. Think of eating only at the meal times above. No eating otherwise. If your day gets off tract, do not blame yourself, just look at it and ask yourself how you can do better tomorrow. Quick question and get a quick answer.

This is very powerful for long term success and very doable.

It’s Elusive and That’s Why It’s a Secret

(From Dr. Thomas’s new book Skinny Jeans…At Last!) To get a free copy of this book in pdf or audio format, click here.

I love the words Elusive Obvious. They are the title of a book by Moshe’Feldenkrais. It is on body movement and awareness written many years ago and contains lots of wisdom.When something in our lives is elusive it’s like we are chasing something that we just can’t seem to catch. It’s always just out of reach. Weight loss advice is everywhere, so why does the ability to lose weight remain so elusive?

Well, it’s obvious. Weight loss, or better yet, the mechanisms that regulate weight is a physiologic, very complex process that we are just scratching the surface of understanding.
Our bodies contain an enormous number of chemical messengers such as hormones that work on a method of bio-feedback that actively prevent you from losing weight. I won’t bore you by listing them, but it is a fact that they exist.

I think evolutionary theory explains why these chemicals exist. They were built into us for a time that no longer exists, when survival was difficult and most dependent on our ability to find food and eat. We now live in a time of food abundance.

It’s also a fact that the more we learn – the less we know. Every time we identify a new chemical that may help us to lose weight there is another chemical lurking in the shadows that keeps it from happening. The bottom line is simply this – the more we learn, the more we become aware of the complexity of this weight regulating system, and the further we seem to be
from finding a magic pill.

Intuitively it makes sense that if eating a lot causes us to gain weight, then starving ourselves would cause us to lose weight. It does – short term. We have all tried it and we all know it does not work. Almost always we re-gain all we lost plus a ten percent gain. To beat the board game we need to think
counter intuitively.

It’s obvious that we are dealing with a very complex and difficult to understand system – a system that seems to be beating us despite all the volumes of weight loss advice. We only know a fraction of the reasons why weight loss surgery normalizes our metabolism, but we know that it does. There is no published medical paper on non-surgical weight loss anywhere in the world where a significant group of patients followed some method and were able to keep fifty or more pounds off for five years or longer. None! That tells you something. Medical doctors produce tons and tons of papers. None is an obviously amazing number.

The success rate of the number of people who have tried to lose fifty or more pounds and keep it off for five years is near zero. It is well documented that many methods of weight loss can help a person lose ten percent of their excess weight and keep it off for five years. Ten percent excess weight loss does make a person much healthier, but to put that in perspective if you need to lose one-hundred pounds, ten percent would be ten pounds. And that is not enough to fit into those skinny jeans. And please remember fitting into those skinny jeans is just a metaphor for what it feels like to lose excess weight.

The chemical changes that normalize metabolism gradually disappear over time, generally years. I think it takes one to two years to establish a habit. Long term weight loss success requires you to lock in some simple, do-able eating habits. These habits work. This chemical phase, where the operation is doing the majority of the work for you, is the time to lock in these habits. If you lose focus and get lazy you will re-gain weight. Yet we are constantly chasing new methods expecting them to be the magic answer. Weight loss surgery is the only proven tool for patients to lose more than ten percent excess weight long term. Surgery tricks this complex biofeedback system in the body and that’s the magic of why it works. There is no magic pill that can do that and starving does not work. Awareness is the key to all change.

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