• After Gastric Bypass Surgery: Understanding Dumping Syndrome

    You’ve made it through weight loss surgery . Your waist line is getting smaller. Your future looks bright. Only Dumping Syndrome problem? You tend to get cramping and nausea after eating a large meal. What’s happening? Should you be concerned?

    Chances are, you’re experiencing dumping syndrome, a common complication of gastric bypass surgery. Rarely serious, it can nevertheless be a great inconvenience. Fortunately, it’s possible to minimize the discomfort, or even avoid the symptoms altogether.

    What Is Dumping Syndrome?

    Sometimes called rapid gastric emptying, dumping syndrome occurs when food moves too quickly from the stomach to the small intestine. That can lead to everything from nausea to diarrhea.

    There are two different types of dumping syndrome. The condition can manifest as early phase dumping, which occurs within 10 to 30 minutes after eating, or as late dumping syndrome, which comes with a delayed reaction—typically two to three hours after a meal.

    What Causes Dumping Syndrome?

    Dumping syndrome occurs most frequently in people who have undergone gastric bypass surgery. When you bypass significant portions of the stomach, you alter the digestion process and create a new food passage route . That, in turn, causes food to dump rapidly into the small intestine.

    Certain foods also increase the likelihood of developing symptoms. Foods that are high in sugar, for example, are the single worst culprit when it comes to late dumping syndrome. Fatty or fried foods can also cause problems, as can eating large meals or eating too fast.

    What Are the Symptoms of Dumping Syndrome?

    When nutrients pass too quickly from the stomach to the upper gastrointestinal (GI) tract, it can cause a number of uncomfortable symptoms. They can manifest immediately after a meal (early phase dumping) or hours Dumping Syndrome Symptoms afterwards (late phase dumping).

    In either case, the symptoms include:

    • Abdominal cramps
    • Diarrhea
    • Nausea
    • Vomiting
    • Flushing
    • Rapid heart rate
    • Dizziness
    • Lightheadedness

    People who experience late dumping after eating sugary meals may also suffer from hypoglycemia, a condition in which the body’s blood sugar level drops too low.

    How to Avoid Dumping Syndrome

    Dumping syndrome doesn’t have to undermine your quality of life. There a few concrete steps you can take to prevent or minimize its occurrence.

    • Eat smaller portions. Eating large meals can upset the digestion process, causing uncomfortable symptoms. Eating many smaller meals throughout the day can help reduce the discomfort.
    • Eat slowly. The faster you eat, the more likely you are to suffer from dumping syndrome. Give your body a helping hand by savoring each bite. You might also find that you eat less in the end.
    • Don’t drink with meals. Ingesting liquid with your food will cause the stomach to dump the contents too quickly. Instead, drink plenty of liquid in between meals.
    • Avoid fatty, sugary foods . Unhealthy foods are the single leading cause of dumping syndrome. Foods high in sugar (sucrose) are particularly harmful.
    • Chew thoroughly. Your digestive tract may struggle to process large pieces of food. Chew well and you can minimize the risks.

    Where to Go for More Information

    Contact 1st Choice Weight Loss if you need more personalized advice or if you’re worried about your symptoms. Maintaining a regular consultation schedule with your weight loss doctor will also help you manage post-surgery complications like dumping syndrome.

    Disclaimer: This is only for general information. All patients should consult their doctors prior to following any of the recommendations in any articles, post, or video. Every patient has individual needs and limitations that only their treating physicians can be aware of.

  • Plastic Surgery After Weight Loss: What You Should Know

    You opted for weight loss surgery in the hopes of improving your health and boosting your confidence.

    It worked. Your waist is smaller, your body is healthier, and your self-esteem is through the roof.

    Plastic surgery after weight loss

    Now, the only thing standing in your way is some sagging skin—a reminder of how far you’ve come. Should you call a plastic surgeon, or should you pass it off as a minor cosmetic issue?

    Why Plastic Surgery?

    Lose a significant amount of weight (e.g., over 100 pounds) in a short period of time, and you may notice loose folds of skin collecting around your waist, buttocks, thighs, and/or arms. It’s a common side effect of weight loss surgery.

    It occurs because your skin stretches to accommodate the extra weight you carry around. Once you remove the excess fat, the skin has nowhere to go. The result is sagging skin and overhanging folds.

    That can be a cosmetic problem, but it can also create pain and discomfort. Loose folds may get caught on clothes; sagging skin may rub against apparel; pockets of overhanging skin may be more prone to infection.

    For many people, the answer is plastic surgery.

    Weighing Your Options

    Before you sign up for cosmetic surgery, consider the pros and cons.


    • Eliminates painful rashes and rubbing caused by overhanging skin.
    • May reduce the risk of infection.
    • Makes it easier to fit into clothes.
    • Improves aesthetics and boosts confidence.


    • Permanent scarring, even when hidden, may bother some.
    • Aging and weight gain may negatively affect appearance.
    • Results may fail to meet your expectations.

    Am I Candidate for Plastic Surgery?

    Some people make good candidates for post-weight loss surgery. Others should wait or hold off altogether. As always, it’s important to speak with your doctor.

    You might be a good candidate for plastic surgery if you can achieve:

    Stable Weight Loss: It’s best to wait at least two years after your weight loss surgery. That will give your body time to achieve a stable weight. It will also give your skin the time to shrink as much as possible. At the very least, wait until your weight has been stable for at least six months before scheduling cosmetic surgery.

    After weight loss surgery

    • Good Health: Chronic medical conditions may increase the risk of complications. People who suffer from diabetes or heart disease, for example, do not make the best candidates for plastic surgery.
    • Good Habits: People who maintain a healthy diet and refrain from smoking make better candidates since their bodies are better able to heal.
    • Realistic Expectations: If you’re expecting a miracle, you’re liable to be disappointed. Maintain realistic expectations, and you’ll reap the rewards of plastic surgery.

    What Type of Plastic Surgery Should I Get?

    What procedure you undergo depends on which part of your body is most affected (e.g., abdomen or arms) or which area most troubles you.

    Some of the most common procedures include:

    • Body Lift (full body contouring, from the buttocks to the arms)
    • Tummy Tuck (abdominoplasty)
    • Buttock Augmentation
    • Breast Lift
    • Arm Lift

    Learn More

    Have questions about your post-weight loss options? Want to know more about what happens after you undergo surgery to lose weight ? Contact 1st Choice Weight Loss. We help our patients make decisions at every step of the way, from the consultation stage to the recovery stage.

    Disclaimer: This is only for general information. All patients should consult their doctors prior to following any of the recommendations in any articles, post, or video. Every patient has individual needs and limitations that only their treating physicians can be aware of.

  • Keeping Yourself on Track After Bariatric Surgery

    Scheduling weight loss surgery is easy enough. You make an appointment with 1st Choice Weight Loss in Houston, TX and meet with one of our world-class surgeons. You set a date, prepare for surgery, and then spend a few weeks recovering from the operation.

    Now comes the hard part: staying on track. Keeping the weight off requires dedication. It takes know-how. It takes a support network—family, friends, and healthcare professionals. At 1st Choice Weight Loss, we always work closely with our patients to help them manage the post-surgery regimen.

    Need some extra help? Here are some strategies for maintaining a healthy weight in the months and years following your bariatric treatment:

    • Set Goals: Without a clearly defined goal, you’re likely to backslide. Know your target weight and do what you can to stay on course. Remember: it takes time to lose weight. Never grow despondent. Instead, keep moving forward one day at a time. You can also try visualization techniques to keep you motivated—use your mind’s eye, tack an old photograph to the wall, or even hang a slim dress on the back of your bedroom door.
    • Eat Slowly: The slower you eat, the better, particularly if you’re at risk for dumping syndrome. Even if you’re not, eating slowly can help you manage your food intake. It gives you time to think and keeps you mindful of your habits. You may even get full before the meal is finished, which means you’ll be less likely to grab another course or snack later on.
    • Cut Down Portion Size: Portion size is the biggest culprit when it comes to weight gain. The best way to regain control is to dish out small shares. Each person is different, but many people benefit from eating a number of smaller meals throughout the day, rather than ingesting giant meals at regular intervals. On the whole, it’s best to stop eating before you experience that full feeling.
    • Keep a Food Diary: A food diary helps you track your calorie intake. It keeps you honest and lets you spot patterns of behavior. Write everything down, and you’re much more likely to catch a problem before it spirals out of control.
    • Avoid Unhealthy Foods: One of the worst things you can do is indulge frequently in high-fat, high-sugar foods. Do everything you can to cut the excess out of your diet. Instead, start to incorporate nutritious foods such as fruits and vegetables. After a while, you may notice that your palate broadens and your tastes begin to change.
    • Don’t Try to Be a Superhero: You’re much more likely to stick to a diet that doesn’t require superhuman feats of willpower. Eat as healthfully as you can, but stick to foods that you enjoy. Change it up every now and then to keep your diet from getting monotonous. Eat the same foods all the time, and you’re prone to be less satisfied. The less satisfied you are, the more you’ll tend to eat.

    Start by following these tips, and you’ll be on your way toward permanent weight loss. For best results, be sure to stay in touch with the team at 1st Choice Weight Loss for more in-depth, personalized advice.

    Disclaimer: This is only for general information. All patients should consult their doctors prior to following any of the recommendations in any articles, post, or video. Every patient has individual needs and limitations that only their treating physicians can be aware of.

  • Mindful Eating

    Weight Loss Houston

    Mindful eating is a form of mindfulness that incorporated the practice of being fully present and aware, with the act of eating. It is a strategy for stopping the pattern of mindless eating and really enjoying food and it is a great stress management technique. There are many benefits of mindful eating, it helps you to savor your food, enjoy your food more fully so you require less amount of it to feel satisfied, enjoy your smaller portion more, reduce stress in the whole process and the ultimate goal is to allow you to lose weight. Mindful eating has been used successfully as an approach to weight loss as well as for a meditation and a stress relief technique. The first step is not to engage in other activities while you eat: i. e watching tv while eating. Studies show that adult who eats while watching tv tend to eat more and enjoy their food less. Research also shows that children who eat in front of the tv are at higher risk for obesity.

    When practicing mindful eating, focus deeply on each sensation you experience both inside and out. The taste of the food-focus on each individual flavor, how it feels on your tongue, how long the flavor lasts and how it fades. The texture of the food-how does it feel to taste it? Is it crunchy? Smooth and creamy? Juicy? Celebrate each sensation. The thoughts you experience as you eat-if other thoughts come into your head, notice them, but then gently redirect your attention to your mindful eating. Physical sensation in your body-notice how hunger gradually moves into satisfaction. Try to pinpoint specific moments when you no longer feel hungry and no longer need more food to feel satisfied. Often when people eat mindlessly, they are left with a “stuffed” feeling afterward because they didn’t notice when they were full. Tension in your body-if you feel tense from a stressful day, try to relax your muscles. Let your shoulders drop and relax, let your breathing switch to deep breathing and just relax and enjoy your food.

    Switch hands-switching hands from your dominant to the hand you use less often can transform the feel of a meal. Having to work harder to handle utensils can bring a whole new awareness to a meal and lessen the tendency to eat mindlessly. Each bite is noticed and if you remember to do it, savored more. Chocolate meditation-the chocolate meditation involves eating a small amount of chocolate very slowly and deliberately, noticing every feeling, taste, and sensation in your body as you do. Chocolate is a wonderful food to be savored, and a quick meditation involving mindful eating can be extremely satisfying. Raisin medication can provide similar benefits as chocolate medication. It does not melt in your mouth, but you can focus more on the appearance of the raisin, the tactile sensations as you handle and explore the raisin, the chewy texture as well as the sweet taste, as you eat one at a time, very slowly.

    Benefits of mindful eating: taste your food more-if you double the time it takes you to eat your meal, you will experience more of the flavors, textures and smells of the food you eat. Lose weight –while you are slowing down, you might find that you learn to stop eating sooner. You might notice that you are full and don’t need the extra bite. Studies show that “fullness” is a complex concept that combines the number of times you chew, the time you spend eating, the look of the food on the plate, as well as the actual amount of food you eat. Learn these strategies and soon you will be at your goal weight!