Our team, led by Dr. Thomas White, has a passion for helping patients reach their health goals. By providing guidance for both bariatric surgery and other non-surgical options, we are committed to equipping each patient with the tools and information they need for healthy weight loss. We are the area's most experienced in laparoscopic procedures, completing 99% of our bariatric surgery procedures laparoscopically.

“I haven’t come across a patient yet who wouldn’t recommend it,” Dr. Twells said in an interview. “Most say they wish they’d done it 10 years sooner.” She explained that the overwhelming majority of patients who undergo bariatric surgery have spent many years trying — and failing — to lose weight and keep it off. And the reason is not a lack of willpower.
When you go to drink this weight-loss tea, give it a good, long sniff. Preliminary research from Wheeling Jesuit University found that people who inhaled the fresh, minty scent every two hours for five days ate fewer calories and sugar. It appears the scent is a powerful—and yummy—way to quash hunger. Luckily, unlike peppermint candies, peppermint tea is one calorie-free indulgence. (Sniffing these foods could help you slim down.)
How you choose to pay for your procedure – If insurance covers it, you’ll only be responsible for any copays, deductibles, and coinsurance required by your specific plan. If you pay for the procedure without insurance, total costs will depend on how you pay. For example, your surgeon may offer a discount if you pay the full amount up front, and you can make the costs more affordable by applying for bariatric surgery financing.
In its 2016 report “Healthy Eating Guidelines & Weight Loss Advice,” the Public Health Collaboration, a U.K. nonprofit, evaluated evidence on low-carbohydrate, high-fat diets. (The Keto diet falls under the LCHF umbrella.) Among 53 randomized clinical trials comparing LCHF diets to calorie-counting, low-fat diets, a majority of studies showed greater weight loss for the Keto-type diets, along with more beneficial health outcomes. The collaboration recommends weight-loss guidelines that include a low-carbohydrate, high-fat diet of real (rather than processed) foods as an acceptable, effective and safe approach.
Phentermine: Phentermine is marketed under a long list of names, including Suprenza, Adipex-P, Kraftobese, and Teramine. It is prescribed only for short periods and works by decreasing a dieter's appetite. According to the ADA, it is the most widely prescribed diet pill in the United States. However, the drug can be habit-forming; side effects can include insomnia, constipation and dry mouth.
While a 5 percent weight loss may not seem like a lot, “that is the point where there is a very significant reduction in the risk of diabetes,” said Dr. Louis Aronne, a professor of metabolic research at Weill Cornell Medicine. “A 5 percent loss of weight is associated with a 50 percent lower risk of diabetes and a 10 percent loss is associated with an 80 percent lower risk.”
It is important to determine with your physician if you are a candidate for weight loss surgery. Most people who are candidates for weight loss surgery have tried to lose weight through traditional diet and exercise and have not had success. Candidates for weight loss surgery include those patients that have a serious, potentially life-threatening condition from obesity, a genetic propensity towards obesity, a high body mass index, and long-standing obesity.
Ginseng is a type of root and is one of the most popular herbal medicines in the world. It is considered an adaptogen, which means it helps the body withstand mental and physical stress. Contemporary science also suggests that ginseng has various bioactivities. Current research studies have also indicated that ginseng might exert a potential antiobesity effect due to the ginsenosides that are found inside [7].

The ketogenic diet has been studied in at least 14 rodent animal models of seizures. It is protective in many of these models and has a different protection profile than any known anticonvulsant. Conversely, fenofibrate, not used clinically as an antiepileptic, exhibits experimental anticonvulsant properties in adult rats comparable to the ketogenic diet.[58] This, together with studies showing its efficacy in patients who have failed to achieve seizure control on half a dozen drugs, suggests a unique mechanism of action.[56]

“I recommend Aaptiv to my clients because it lets them do their workouts wherever, whenever, and however they want," Mcfaden says. "So if they want a long run outside one day, there are workouts like that, and if the next day they want a 10-minute strength class, Aaptiv has that, too,” It's this combination of workouts that makes it such a powerful tool for members, since getting a well-rounded routine is key to achieving weight loss results, she adds.

It starts with limiting carbohydrate intake to just 20–30 net grams per day. “Net carbs” describes the amount of carbs remaining once dietary fiber is taken into account. Because fiber is indigestible once consumed, simply don’t count grams of fiber toward their daily carb allotment. So that means subtracting grams of fiber from total carb games, to give you the total net carbs.
Eucalyptus (Eucalyptus Globulus), Ginger (Zingiber Officinale), Anise (Pimpinella Anisum), Tamarind (Tamarindus Indica), Red Raspberry (Rubus Idaeus), Cranberry, Blackberry, Knapweeds (Centaurea), Cornflower(Cyanus), Chamomile (Chamomilla Recutita), Ginseng (Panax Ginseng), Rose Hips (Rosa Canina Fructus), Lemon Grass (Cymbopogon Citratus), Fennel (Foeniculum Vulgare)
Belviq (lorcaserin): This diet pill works by activating serotonin receptors that regulate hunger. By helping to control your appetite, drug makers hope that Belviq will help you feel full after you've eaten less food. It is available with a prescription to patients with a BMI of 30 or a body mass index of 27 along with an obesity-related condition.
Short term studies show that the sleeve is as effective as the roux-en-Y gastric bypass in terms of weight loss and improvement or remission of diabetes. There is also evidence that suggest the sleeve, similar to the gastric bypass, is effective in improving type 2 diabetes independent of the weight loss. The complication rates of the sleeve fall between those of the adjustable gastric band and the roux-en-y gastric bypass.

In 1921, Rollin Turner Woodyatt reviewed the research on diet and diabetes. He reported that three water-soluble compounds, β-hydroxybutyrate, acetoacetate, and acetone (known collectively as ketone bodies), were produced by the liver in otherwise healthy people when they were starved or if they consumed a very low-carbohydrate, high-fat diet.[10] Dr. Russell Morse Wilder, at the Mayo Clinic, built on this research and coined the term "ketogenic diet" to describe a diet that produced a high level of ketone bodies in the blood (ketonemia) through an excess of fat and lack of carbohydrate. Wilder hoped to obtain the benefits of fasting in a dietary therapy that could be maintained indefinitely. His trial on a few epilepsy patients in 1921 was the first use of the ketogenic diet as a treatment for epilepsy.[10]
A: The amount of weight you lose is entirely dependent on you. Obviously adding exercise to your regimen will speed up your weight loss. Cutting out things that are common “stall” causes is also a good thing. Artificial sweeteners, dairy, wheat products and by-products (wheat gluten, wheat flours, and anything with an identifiable wheat product in it).

Fill a big teacup with soothing peppermint tea, and sniff yourself skinny! While certain scents can trigger hunger (a trick Cinnabon figured out long ago), others can actually suppress your appetite. One study published in the Journal of Neurological and Orthopedic Medicine found that people who sniffed peppermint every two hours lost an average of five pounds a month. (Although tea is relatively low in caffeine-about 25 percent of what a cup of coffee delivers-decaffeinated varieties are great to have on hand for a soothing bedtime treat.) Consider also adding a few drops of peppermint oil to your pillow or burning a minty candle to fill the room with slimming smells. For a stress- and belly-free mind and body, alternate your mint tea tea with one of these 5 Teas That Melt Fat Fast.


As a member of the ConsumerAffairs Research Team, Kathryn Parkman believes everyone deserves easy access to accurate and comprehensive information on products and businesses before they make a purchase, which is why she spends hours researching companies and industries for ConsumerAffairs. She believes conscious consumption is everyone's responsibility and that all content deserves integrity.
Fill a big teacup with soothing peppermint tea, and sniff yourself skinny! While certain scents can trigger hunger (a trick Cinnabon figured out long ago), others can actually suppress your appetite. One study published in the Journal of Neurological and Orthopedic Medicine found that people who sniffed peppermint every two hours lost an average of five pounds a month. (Although tea is relatively low in caffeine-about 25 percent of what a cup of coffee delivers-decaffeinated varieties are great to have on hand for a soothing bedtime treat.) Consider also adding a few drops of peppermint oil to your pillow or burning a minty candle to fill the room with slimming smells. For a stress- and belly-free mind and body, alternate your mint tea tea with one of these 5 Teas That Melt Fat Fast.

Endomondo is one of the most popular weight loss apps. You can track your fitness from a variety of exercises, including running, walking, cycling, and 40 other sports. Additionally, you can analyze your performance, sync with various apps and wearables (including Android Wear, MyFitnessPal, and Google Fit), and there are even social features so you can brag to your friends. You can use the app for free or you can subscribe to its service. It's not overly expensive and you get additional features like an ad-free experience, more stats, and more features. Either way, it's worth checking out.

The problem is that many more women want to take phentermine than should technically be on it—and doctors are giving it to them, says Melina Jampolis, MD, an internist and recent past president of the National Board of Physician Nutrition Specialists. Brittany's physician prescribed it to her despite the fact that she didn't medically need it. "A lot of doc-in-the-box clinics"—sometimes called weight-loss clinics—"will provide it to anyone who will pay money,” says Dr. Jampolis. (The pills usually run $10 to $20 a month, earning them the nickname "cheap speed"; some insurance plans will cover phen).


If you’re struggling to lose weight or keep it off in the long run, a weight loss app could help you. Studies suggest that dieters who weigh themselves daily are more likely to lose weight than those who don’t keep track of their weight at all. Weight loss apps help you track your progress, and sometimes have extra features like games, exclusive content and social support. Many weight loss apps use tracking tools to monitor your calorie intake and exercise habits, so it can also be easier to see where you still have room to improve.
^ Onakpoya IJ, Posadzki PP, Watson LK, Davies LA, Ernst E (March 2012). "The efficacy of long-term conjugated linoleic acid (CLA) supplementation on body composition in overweight and obese individuals: a systematic review and meta-analysis of randomized clinical trials". Eur J Nutr (Systematic review). 51 (2): 127–34. doi:10.1007/s00394-011-0253-9. PMID 21990002.
The popular belief that high-fat diets cause obesity and several other diseases such as coronary heart disease, diabetes, and cancer has not been observed in recent epidemiological studies. Studies carried out in animals that were fed high-fat diets did not show a specific causal relationship between dietary fat and obesity. On the contrary, very-low-carbohydrate and high-fat diets such as the ketogenic diet have shown to beneficial to weight loss.
Counter to popular impressions that most people treated surgically regain most or all the weight they lose initially, the latest long-term research has shown otherwise. In a decade-long follow-up of 1,787 veterans who underwent gastric bypass, a mere 3.4 percent returned to within 5 percent of their initial weight 10 years later. This finding is especially meaningful because the researchers at the V.A. center in Durham were able to keep track of 82 percent of gastric bypass patients, a task too challenging for most clinics.
Differences between ketosis and ketoacidosis Ketosis and ketoacidosis both involve increased levels of ketones in the body. However, they are not the same thing. Nutritional ketosis is the aim of the ketogenic diet, and it is generally safe, whereas ketoacidosis is a complication of type 1 diabetes that can be life-threatening. Learn more here. Read now
The ketogenic diet achieved national media exposure in the US in October 1994, when NBC's Dateline television programme reported the case of Charlie Abrahams, son of Hollywood producer Jim Abrahams. The two-year-old suffered from epilepsy that had remained uncontrolled by mainstream and alternative therapies. Abrahams discovered a reference to the ketogenic diet in an epilepsy guide for parents and brought Charlie to John M. Freeman at Johns Hopkins Hospital, which had continued to offer the therapy. Under the diet, Charlie's epilepsy was rapidly controlled and his developmental progress resumed. This inspired Abrahams to create the Charlie Foundation to promote the diet and fund research.[10] A multicentre prospective study began in 1994, the results were presented to the American Epilepsy Society in 1996 and were published[17] in 1998. There followed an explosion of scientific interest in the diet. In 1997, Abrahams produced a TV movie, ...First Do No Harm, starring Meryl Streep, in which a young boy's intractable epilepsy is successfully treated by the ketogenic diet.[1]

In reviewing studies that followed patients for five to 25 years after weight-loss surgery, Dr. Twells and colleagues found major long-lasting benefits to the patients’ health and quality of life. Matched with comparable patients who did not have surgery, those who did fared much better physically, emotionally and socially. They rated themselves as healthier and were less likely to report problems with mobility, pain, daily activities, social interactions and feelings of depression and anxiety, among other factors that can compromise well-being.
Con: Results can vary depending on how much fluid you drink. By drinking more water, you dilute the concentration of ketones in the urine and thus a lower level of ketones will be detected on the strips. The strips don’t show a precise ketone level. Finally, and most importantly, as you become increasingly keto-adapted and your body reabsorbs ketones from the urine, urine strips may become unreliable, even if you’re in ketosis.
Many people want to lose weight. Some people want to lose those stubborn last five pounds and some are obese and at risk of serious cardiovascular disease. Whatever the case, losing weight often tops the list of people's healthy initiatives and for good reason. Scientists have shown the correlation between excess fat and serious illness such as insulin resistance, type 2 diabetes, heart disease and premature death.

There’s a right and wrong way to brew green tea. When brewing green tea, take a little extra care, as boiling water is bad for the precious catechins (tea’s healthy chemicals). Do bring your water to a boil, but let it rest for about ten minutes. Then, pour the water over the tea and brew for about one minute before serving. Of course, the brew time can be made shorter or longer, depending on your taste.


The concentration of EGCG—the superpotent nutrient found in green tea—may be as much as 137 times greater in powdered matcha tea. EGCG can simultaneously boost lipolysis (the breakdown of fat) and block adipogenesis (the formation of new fat cells). One American Journal of Clinical Nutrition study found that men who drank green tea containing 136 milligrams of EGCG—what you’d find in a single 4-gram serving of matcha—lost twice as much weight than a placebo group and four times as much belly fat over the course of three months
How long you will need to take weight-loss medication depends on whether the drug helps you lose and maintain weight and whether you have any side effects. If you have lost enough weight to improve your health and are not having serious side effects, your doctor may advise that you stay on the medication indefinitely. If you do not lose at least 5 percent of your starting weight after 12 weeks on the full dose of your medication, your doctor will probably advise you to stop taking it. He or she may change your treatment plan or consider using a different weight-loss medication. Your doctor also may have you try different lifestyle, physical activity, or eating programs; change your other medications that cause weight gain; or refer you to a bariatric surgeon to see if weight-loss surgery might be an option for you.
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