Paisley Prescriptions - March 2019

You Win When You Lose It! The Huge Healthy Effect of Weight Loss

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March 2019 Issue

Is there a perfectly good reason—other than how we look—for losing weight? Is there a perfect formula? A perfect size? A perfect diet? This month, our Paisley medical professionals weigh in with the good—and the not so good—news.

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Harold L. Kent, MD, Georgia Coast Surgical, Bariatric & General Surgery

Define obesity and when should
I consider surgery?

How do we define obesity? Calculating a Body Mass Index (BMI) will give a relationship of height to weight. One BMI formula takes your weight in pounds and divides that by your height in inches squared and then multiplies that by 703. For a weight of 175 pounds and a height of 70 inches, divide 175 by 4900 (70 x 70) and then multiply that answer by 703. That yields a BMI of 25. A BMI between 20 and 25 is considered normal. A BMI much less than 20 is considered underweight. Obesity is defined as a BMI of 30 and Morbid Obesity is defined as a BMI over 35. Some insurance companies pay for surgery for morbid obesity at a BMI of 35 to 40 if the patient has a comorbid illness (hypertension, diabetes, etc.) or a BMI over 40 without a comorbid illness. Patients with a normal BMI are statistically likely to live longer than obese/morbidly obese patients.

What roles do weight loss and exercise play in managing and/or preventing Type 2 Diabetes?
Most patients who have Type 2 diabetes are overweight. In Type 2 diabetes cells in the body can be resistant to insulin’s effects so that sugar isn’t transported into cells; this results in high blood sugar levels. Sometimes the body can produce more insulin to control blood sugar levels, but eventually this compensatory mechanism fails.  Initial approaches to controlling Type 2 Diabetes involve weight loss, exercise and a reduction of simple carbohydrates in the diet. Minimizing intake of simple carbohydrates (bread, rice, sugars, foods made with flour) helps to keep  blood sugar under control; consumption of lean protein and complex carbohydrates (vegetables such as squash, cabbage, broccoli, etc.) doesn’t cause sudden increases in blood sugar. Significant weight loss from diet, or from weight loss surgery, will improve or cure diabetes in almost 80 percent of cases. Both Exercise and loss of fat can help to increase insulin sensitivity.

Harold L. Kent, MD, is board certified with American Board of Surgery, and owner of Georgia Coast Surgical, Bariatric & General Surgery, and Georgia Coast Surgical & Med Spa: 3226-F Hampton Avenue, Brunswick, GA. 912-264-9724.

PYRx Riner 0319Deborah Riner, C.Ht., Coastal Hypnosis Center
How do I know if I have a food addiction?  How do I approach treatment?

First, what is an addiction?  It is the ongoing, pathological compulsive relationship with a substance or behavior when your needs form in tandem with tolerance levels. Pain may occur in the absence of the substance or addiction.
Hypnosis is used to overcome addiction, used to eliminate craving and desire for harmful substance or behavior, and addresses resentments and fears, so you reenter your body, your life and society, and find an inner, spiritual reconnection with higher consciousness.

It becomes very clear to you and others when your craving becomes an addiction. A few examples:  
Taking Potato Chips with you to bed; “Having” to have that “Coke” every morning, or your day just isn’t right; Dessert every day and the more the better; can’t enjoy a day without alcohol; or drinking a 12-pack of Mountain Dew daily.

Moderation?  What does that mean?  I clean my plate and have seconds?
People truly want to be healthy. They know when they have a problem. Using your mind to improve your life is what hypnosis is all about. Your body wants a change and hypnosis can help; you do not have to suffer needlessly.

Deborah Riner, C.Ht., is owner of Coastal Hypnosis Center, located at 1608 Reynolds St. in downtown Brunswick. 912-261-8906;

PYRx Tsai 0319J. William Tsai, M.D., Southeast Georgia Physician Associates-Glynn General & Vascular Surgery

What are the pros and cons of Bariatric surgery?

Most people get one of two types of bariatric surgery—gastric bypass or gastric sleeve.

Gastric bypass creates a small pouch and reroutes the small intestine. It is a well-known and effective form of bariatric surgery. This surgery is reversible and is good for patients with reflux. Patients commonly lose slightly more weight; however, side effects like cramps, diarrhea and nutritional deficiencies are more common.

The gastric sleeve is performed by removing part of the stomach and forming the remaining section into a tube-like structure. The gastric sleeve has quickly become the most common weight loss surgery in the United States because it provides the opportunity for significant weight loss without compromising the nutritional deficiencies. Alternately, the sleeve is absolutely not reversible and could cause or worsen reflux. Most patients choose this procedure 9 out of 10 times.

Both surgeries work by reducing stomach size and decreasing appetite. Both can be performed laparoscopically, using minimally invasive techniques. Best of all, research shows that both types of surgery can improve and, in many cases, cure obesity-related diseases such as Type 2 Diabetes.
Regardless of which type of bariatric surgery you choose, the availability of a support system is critical to your success.

J. William Tsai, M.D., is a board-certified surgeon specializing in bariatric surgery at Southeast Georgia Physician Associates-Glynn General & Vascular Surgery, 2500 Starling St., #201, Brunswick, Ga.

PYRx Koncul 0319Lauren Koncul, N.P., Centered on Wellness

Why is a nutritionally balanced diet important for my weight loss?
Maintaining adequate nutrition throughout a weight loss program is crucial for overall health and successful weight loss. Maintaining a balanced diet will help reduce cravings, provide the body with the energy and nutrients needed for good health, and result in lasting results.  Identifying areas of micronutrient deficiency can be critical to achieving weight loss goals, as proper nutrition through diet and supplementation contributes to the body’s ability to lose weight. For instance, studies show that zinc contributes to appetite regulation through its effect on leptin levels, a hormone that acts on the appetite centers of the brain. Additionally, thyroid function, a large contributor to body weight, is highly affected by adequate nutrition. Depletions in selenium and iodine can be detrimental to thyroid health.  

What are the health benefits to weight loss and why should I start now?
The benefits of weight loss are endless and include a decreased risk of heart disease, diabetes, and certain cancers. Mobility is improved, as joint and back pain are decreased. Mental health is improved due to better sleep, a reduction in stress, improved body image, and increased energy. There is no time like the present to commit to a weight loss plan! Those who procrastinate often find themselves making excuses that lead to unmet goals, frustration and thoughts that is can’t be done. It is important to commit to a plan, set healthy and realistic goals, and get started!

Lauren Koncul, Nurse Practitioner at Centered on Wellness. Location: 1015 Arthur J Moore Drive, St. Simons Island: 912-638-0034;

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