• Gastric Sleeve: Is It the Right Choice for You?

    Also known as vertical sleeve gastrectomy, gastric sleeve surgery is a procedure that has helped millions to lose weight. If you are obese and have been unable to lose weight over the years after many attempts to do so, you may be considering this procedure. Fortunately, if you research gastric sleeve surgery and speak with a bariatric surgeon about your candidacy, you can learn more about whether it’s the best weight loss surgery option for you.

    Who Is Eligible for Gastric Sleeve Surgery?
    Body mass index—or BMI—along with patient age, are two of the determining factors of suitability for gastric sleeve surgery.

    Patients who are considered to be candidates for the procedure will have a BMI of at least 40, which means, in general, she/he is approximately 100 pounds overweight or more. Patients may also have a BMI of 35 with at least one medical condition related to their obesity. BMI is measured by dividing your weight in kilograms by your height in meters twice.

    Typically, those who are considering this surgery have made a serious effort to lose weight but have had no results or no lasting success, and the typical patient age is between 18 and 60.

    Finally, candidates are ready and willing to make significant changes to their lifestyles, including sticking to the post-surgery diet and then making lifelong dietary changes.

    Other Facts About Gastric Sleeve Surgery
    Although not reversible, gastric sleeve surgery has been proven to be safe and minimally -invasive compared to other procedures such as the gastric bypass or duodenal switch.

    This type of surgery will cause patients to produce less ghrelin, the hormone responsible for creating the feeling of hunger because large portion of the stomach that produces it is removed. Because less of the hormone is produced following surgery, patients will feel less hunger.

    Although a part of the stomach is removed, this surgery leaves the pyloric valve and small intestine intact, which is another reason this surgery is safer.

    What Amount of Weight Loss You Can Expect
    Typically, patients who undergo gastric sleeve surgery can lose from 60-80% of their excess weight over a 24-month period. However, individual results can vary.

    woman chopping vegetables

    Choosing the Right Surgery
    Discerning which procedure is right for you can be a daunting task. If you are struggling to decide about sleeve surgery, the professionals at 1st Choice Weight Loss can help. We provide the information you need to make the best choice for your weight loss goals.

    1st Choice Weight Loss puts the control in your hands, letting you choose which physician you want to work with. Call us today at (281) 888-7767.

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

  • Gastric Sleeve 101: The Basics of Sleeve Gastrectomy

    The journey to weight loss can be a long winding road. Some people see little results even with proper nutrition and exercise. You may be familiar with bariatric surgery but you may not know that gastric sleeve surgery is now the number-one weight loss procedure in the United States.

    Gastric Sleeve Basics

    Basics of Sleeve Gastrectomy

    Gastric sleeve surgery, also known as a sleeve gastrectomy, is a laparoscopic weight loss surgery that reduces the size of the stomach by approximately 15 percent. This leaves a stomach about the size and shape of a banana. After the surgery, the stomach experiences more than just a lowered capacity; it changes the amount of hunger hormone released.

    The stomach controls the release of the hunger hormone ghrelin. A gastric sleeve removes a significant portion of the stomach( averaging 70-80 %), in turn, reducing the amount of stomach available to release ghrelin. The consequent change in stomach size reduces the amount of ghrelin released into the body. This results -on average- in the loss of two to five pounds per week post-op, as long as the patient carefully follows post-op dietary and medical recommendations.


    Before scheduling gastric sleeve surgery, patients must go through a consultation and pre-op preparation process. You should have already consulted your regular physician before meeting with a bariatric surgeon.

    At your initial meeting, be prepared to provide the following information:

    • List of your prescription medications
    • Medical history, including the history of close family members
    • Primary physician’s name and phone number

    With your surgeon, you’ll go over the factors that might make gastric sleeve surgery the right choice for you. You’ll need to answer questions about your physical and mental health, as well as go over the risks associated with gastric sleeve surgery, the changes it will make to your post-op life, and whether the procedure will be covered by your health insurance.

    What to Expect Pre-Op

    Surgeons provide pre-op instructions, which should be closely followed. Those instructions may include:

    • Cessation of some medications
    • Hygiene recommendations
    • Medications that should be taken before surgery
    • When food and drink should be stopped
    • Supplies necessary after surgery
    • List of medications that can be swallowed or crushed after surgery

    If you have any questions before the surgery, don’t hesitate to call your surgeon to reduce your concerns or worries. Dr. Mirza provides his cell number before surgery so you could call him anytime.


    Talk with your surgeon about the support available from the staff during recovery. You can also ask about whom to call in case of an emergency after hours. Your surgeon may also provide information about support groups to help manage the emotional changes that accompany a physical transformation.

    What to Expect Post-Op

    Gastric sleeve surgery comes with a relatively quick hospital time—one to two days—and a short recovery time. Pain and discomfort should be expected but can be effectively treated with pain medication. You should be able to return to work five to seven days after surgery, if your job is not very physical, but might be longer if it is.

    You’ll be on a liquid diet that slowly transitions back to normal foods. Your surgeon and his full-time dietitian will provide instructions about diet, exercise, and follow-up appointments, which should be carefully followed for the most successful results.

    Expectations and Changes

    Gastric sleeve surgery usually results in a two- to five-pound weight change each week. While gastric sleeve surgery is a highly successful procedure, it’s not magic. There can be complications, but very uncommon, and you’ll need to develop a healthy lifestyle. Expect a transition period as you learn how to eat and live with a new body. As you work toward developing a new physical appearance, you’ll find that your emotional health will need attention but can grow stronger as well.

    If you’re ready to make some changes in your life, call us today at 281-888-7767 to set up an appointment today.

    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. Patients have individual needs and limitations that only their treating physicians can be aware of.

  • Gastric Sleeve Recovery-What You Should Know

    After sleeve bariatric surgery both weight loss and improved quality of life are within reach. However, patients will experience a number of things following surgery that anyone planning to have this procedure should know about.

    Immediately Following Surgery

    On the day the surgery is completed, patients are typically not likely to experience large amounts of pain. You also won’t eat anything immediately following surgery due to the fact that the stomach needs to heal. Activity-wise, you will be encouraged to get up and walk in order to reduce your pain, prevent blood clots, and improve your breathing.

    Mentally and emotionally, you may be wondering whether you made the right decision to have the surgery. this is only short lived.

    The Day After Surgery

    You are still in the hospital, you will be expected to move from IV pain medication to orally administered medication. As well, you will likely be allowed to drink clear liquids, after a test is done on your stomach to verify all is OK. although you may not yet feel hungry.

    Your surgeon will by now have recommended a diet for you—one that needs to be followed in order for healing to take place. Your family and friends may be visiting, but may not understand what you’re going through. Invite them, if you like, to participate in your surgeon and dietitian visits so they know how to help you.

    Pain and Activity Expectations

    The pain should lessen with each day. and most patient by the third or fourth day are off any pain medications. activity is increasing in the form of more walking and daily light activity, but no driving until cleared by the doctor.

    Dietary and Activity Expectations

    Your surgeon will have given you a prescribed diet for the days following your surgery. This diet should always be followed with no exceptions. Your surgeon will advise you as to when it’s time to move from one stage to the next. Following this diet is absolutely essential in order for complete healing to occur, and to prevent problems.

    Your surgeon will also advise you as to the activities you can and cannot attempt at each stage of your recovery. This advice should also be followed very closely and without exception.


    lifestyle gastric sleeve

    Patients who have had gastric sleeve surgery are at higher risk of dehydration. That being said, it’s important to avoid diuretic liquids and ensure you’re drinking enough fluids. Not doing so can send you back to the ER and hospital for hydration via IV.


    The mental and emotional effects of gastric sleeve surgery may take some time to come to terms with. Talking to your surgeon or other medical personnel about any problems you may have dealing with this major life change can ensure you receive the help you need to reach your goal of a healthier lifestyle.

    Sleeve gastrectomy surgery and other weight loss solutions are available from 1st Choice Weight Loss; call (281) 888-7767 for more information.

    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.

  • Understanding the Gastric Sleeve Surgery Procedure

    Gastric sleeve surgery is the leading surgical weight loss procedure performed in the United States. It has helped countless individuals achieve their weight loss goals, while, at the same time, helped them start living a healthier lifestyle. The procedure involves removing a portion of the stomach and making it smaller.

    Post-surgery, patients consume less food and feel fuller faster because they now have a smaller stomach. As a result, they notice a reduction in weight fairly quickly. Long-term weight loss can be significant and amount to between 60 and 80% of excess weight.

    Gastric Sleeve Surgery Procedure

    However, before the surgical procedure is performed, there are several steps patients must go through to determine whether they are an ideal candidate. The first step is to schedule a consultation appointment with a qualified bariatric surgeon.

    During the consultation, your surgeon will discuss your prior weight loss attempts and which methods you used. They will also gather some general information about your overall health and well-being, such as your body mass index (BMI) and current medical conditions.

    The purpose of this visit is to determine whether weight loss surgery is indicated for you, and to understand the major health benefits that it could provide you and also any possible risks involved. After the initial consultation, patients meet with a nutritionist to discuss how to eat healthier and start adjusting their diet.

    The nutritionist may also recommend specific types of exercises, with doctor approval, or refer you to a fitness coach. The objective of these visits is to have you take the steps you will need to follow post-surgery now, so you will be well-adjusted after the surgery.

    In some cases, patients will start to notice they are losing weight by simply changing their diet and exercising more. As such, your bariatric surgeon may request you continue with this type of weight loss with ongoing support from your nutritionist and/or fitness coach.

    Understanding the Gastric Sleeve Surgery

    For other patients, where it is more difficult to lose weight, even when following a new diet and exercise program, then preparations will be made to proceed with the surgery as indicated. Furthermore, if patients have existing medical conditions associated with their weight, like hypertension, diabetes, or sleep apnea, then they may still be considered an ideal candidate.

    It is important to keep in mind, sleeve surgery is a life-altering procedure. It cannot be reversed once it is finished. In addition, the success of patients does require making a long-term commitment to follow all requirements. Furthermore, patients must fully cooperate with their surgeon and weight loss specialists.

    The sleeve surgery procedure is fairly straightforward, but it does have certain risks your surgeon will inform you of prior to surgery. Patients should expect a short hospital stay and initial recovery period for few weeks afterward. During this time, diets are gradually advanced from liquids to pureed then solid foods.

    If you feel you are ready to make a long-term weight loss commitment and start living a healthier life, then gastric sleeve weight loss surgery may be right for you. Please feel free to contact 1st Choice Weight Loss at (281) 888-7767 to schedule a consultation today!

    DISCLAIMER: The above is provided for general information purposes only. All individuals should consult with their primary care provider prior to following or using any advice, recommendations or surgical procedures contained in our articles, blogs, or videos. Every individual has their own specific needs and limitations of which only treating physicians will be fully aware of these.

  • What Is Minimally Invasive Gastric Sleeve Surgery?

    There are several different types of weight loss surgery one can consider when struggling with weight loss goals if one is an ideal candidate for such a procedure. You may already be familiar with or have heard of bariatric surgeries like gastric banding or gastric bypass. However, one of the newer methods is gastric sleeve surgery, and it has quickly become the top surgical method for weight loss.

    Gastric Sleeve Surgery

    Gastric Banding

    With gastric banding, a small band is placed around the upper section of the stomach. The band helps create a smaller stomach and allows one to control the flow of food through the stomach. This procedure is rarely used today due to potential complications and ineffective weight loss results.

    Gastric Bypass

    Gastric bypass surgery is where the stomach is essentially bypassed entirely. A section of the upper stomach is used to create a smaller pouch for food, and then connected to the small intestines, bypassing the part that absorbs most of the calories and nutrients. With fewer calories being absorbed, this translates to effective weight loss since the body must rely on fat stores to create energy.

    Gastric Sleeve

    Gastric sleeve surgery is where most of the stomach is removed, leaving only a small stomach. This procedure reduces the stomach by as much as 75% to 80% of its original size. The new, smaller stomach looks more like a banana.

    This surgical procedure is minimally invasive since all that is being removed is part of the stomach. The area that is removed produces the hormones that regulate and control hunger. Since this part is being removed, hunger levels are greatly reduced. Afterward, you will still feel a sense of hunger—just not as severe or as often as you do right now.

    The procedure does require a short hospital stay, as does gastric bypass surgery. Most patients spend between 24 to 48 hours in the hospital after their sleeve surgeries. However, one of the main benefits of the gastric sleeve method over the bypass is that there is less risk of complications overall.

    Another benefit is that part of the small intestines is not bypassed, which means less nutritional Deficiencies and a faster recovery time.

    Gastric Sleeve

    After gastric sleeve, the average weight loss is between two and five pounds a week, with most patients losing an average of 70% of their excess body weight over a six to twelve-month period.

    To learn more about gastric sleeve surgery and to see if this is the right bariatric surgery for you, please feel free to contact 1 St Choice Weight Loss at (281) 888-7767 today!

    Disclaimer: This content is only for general information. All people should consult with their own doctors prior to following any of the procedures or recommendations mentioned in any article, blog post, or video. Each person has his or her own individual needs and limitations that only his or her treating physician is aware of.

  • Understanding Metabolism and How It Affects Weight Gain and Weight Loss

    Whether you are exploring weight loss surgery options or have packed on a few pounds because you are getting older, understanding how your body’s metabolism works and how it affects weight gain and weight loss are essential concepts you need to know. Generally speaking, metabolism is how fast our bodies burn the calories we eat and convert it into energy or store it away as fat.

    Understanding Metabolism

    Metabolic functions occur constantly, just like our heart beats, even while we sleep. This is called our resting metabolic rate. It is the amount of energy the body needs to just stay alive. For most people who stick to their recommended daily caloric intake, around sixty to eighty percent of calories are burned during resting states.

    It is the other twenty to forty percent that can cause weight gain if we do not do some other physical activities. In cases where you are consuming more than your recommended daily caloric intake, the body cannot burn those calories, so it stores it away as fat; hence, weight gain.

    In addition, as we get older, our metabolic rates start to slow down. To illustrate, think back to when you were a teenager in puberty, and you could consume as much food as you wanted and never put on any extra weight. This was because your body was expending energy to grow bones, teeth, and muscle, which burned more calories and increased your metabolism.

    If you continue to eat like a teenager as you get older, your body no longer burns calories as fast because your body is essentially fully developed by the time you reach your early twenties. As a result, you start packing on the pounds.

    In order to maintain a high-enough metabolic rate to prevent weight gain, you have to become more active as you get older. This does not mean you have to start lifting weights and build an excessive amount of muscle mass. It simply means you have to do more than you are now.

    House cleaning chores, walking, playing with your kids, and other physical movements are simple activities that help burn calories. If you start incorporating twenty to thirty minutes of cardio and strength training three times a week into your schedule, this will help burn more calories because you are using your muscles.

    Weight Gain and Weight Loss

    Maintaining healthy muscles requires more energy, burns more calories, and increases our metabolism, which also helps burn fat and helps us start to lose weight. However, you do need to be careful about your dietary choices and caloric intake.

    It can be tempting to cut your intake in half and start skipping meals. Both of these things could work against boosting your metabolism. Rather, you only need to cut out about 250 calories from your recommended daily intake and not skip meals, to safely lose a pound or two a week.

    To learn more about metabolism or for assistance in losing weight safely, using either nonsurgical or surgical options, please feel free to contact 1st Choice Weight Loss in Houston at (281) 888-7767 today!

    Disclaimer: This content is provided for general information purposes. All people should consult with their own primary care doctors prior to following the recommendations in any article, blog, post, or video featured on our website. Every person has individual needs and limitations that only his or her primary care physician is aware of.

  • Tips for Recovering from Gastric Sleeve Surgery

    Gastric sleeve surgery near Houston is a popular and effective weight loss procedure. After your surgery, adhering to your doctor’s advice during your recovery will help to reduce complications and support your weight loss efforts. Here are some strategies you can use during gastric sleeve surgery recovery to get the best possible results. Tips for Recovering from Gastric Sleeve Surgery

    Follow Your Post-Surgery Diet

    The diet your surgeon provides you with after your gastric sleeve surgery is not only intended to help you lose weight but also to ensure that you reduce your risk of post-surgical complications. Because the size of your stomach is drastically reduced, eating the wrong foods or overeating can cause nausea, vomiting, and other gastrointestinal complaints. Most patients follow a liquid diet after surgery and slowly reintroduce solid foods. Stick to each stage of your diet closely to avoid problems.

    Track Your Food and Drink Intake

    Because you will be on a reduced calorie diet, it will be important to keep a food journal so you can see exactly what you are eating. Keeping a journal will also help you identify poor food choices so you can eradicate them from your diet. Getting your calories from healthy foods is important so you get the necessary nutrients within your daily calorie allotment. Managing your liquid intake is also part of recovery. Drink only no or low-calorie beverages, and avoid all types of carbonated drinks, which can cause abdominal distress. Drinking liquids can fill you up, so your doctor at a weight loss clinic will help you determine when and how much to drink per day so you still feel hungry enough to eat.

    Ask for Help

    Adjusting to life after weight loss surgery takes time. It’s normal to have questions along the way. As concerns arise, don’t delay in contacting your bariatric clinic for support. At your weight loss surgery center, the medical team will be available to support you during your recovery and as you work towards your goal weight.

    Disclaimer: This is only for general information, and all patients should run this by their doctors prior to following any recommendations in any of these videos or postings, as every patient has specific needs and limitations only the treating surgeon could be aware of.

  • Eating After Weight Loss Surgery

    After bariatric surgery in Houston , what you eat will have a significant impact not only on your recovery but also your future weight loss. Watch this video for insight into the typical post-bariatric surgery diet.

    After weight loss surgery, you will typically be asked to follow a clear liquid diet followed by a transition to a full liquid diet. Under the guidance of your weight loss clinic, you will slowly add solid foods to your diet in small amounts. For effective weight loss, your surgeon will likely recommend focusing on lean proteins and cutting the amount of carbs you eat. To avoid complications and gastrointestinal distress, you will need to eat only small amounts at each meal and avoid excessive sugar and fat.

    Disclaimer: This is only for general information, and all patients should run this by their doctors prior to following any recommendations in any of these videos or postings, as every patient has specific needs and limitations, only the treating surgeon could be aware of.

  • Your Weight Matters

    Obesity can increase your risk of developing a variety of dangerous health conditions that can significantly lower your lifespan. If you are clinically obese, you should visit a bariatric surgeon to discuss whether you’re a good candidate for bariatric surgery in Houston . Safe and healthy weight loss via weight loss surgery will lower your risk of diabetes, heart disease, high blood pressure, high cholesterol, heart attack, blood clots, and stroke.

    Watch this video to find out more about why your weight matters. If you are more than 100 pounds overweight, or if you have tried other healthy ways to lose weight without success, you should consider bariatric surgery or other weight loss surgery options.

    Disclaimer: This is only for general information, and all patients should run this by their doctors prior to following any recommendations in any of these videos or postings, as every patient has specific needs and limitations, only the treating surgeon could be aware of.

  • Busting Myths About Weight Loss Surgery

    If your weight is significantly affecting your health, or if you’re unable to lose excess weight despite diet and exercise, your doctor may recommend that you undergo weight loss surgery near Houston . There have been dramatic advances in medical weight loss, and you have a variety of weight loss surgery options available to you. Keep reading to see some common weight loss surgery myths be debunked. Busting Myths About Weight Loss Surgery

    Myth: Bariatric Surgery is More Dangerous than Obesity

    Many people delay or refuse weight loss surgery because they believe that it is more dangerous than being obese. In truth, obesity is a significant risk factor for a number of very serious medical conditions. The longer that you are overweight, and the more overweight that you are, the more likely you are to develop temporary or permanent health problems. These health problems include diabetes, spine and muscle disorders, high blood pressure, high cholesterol, cardiovascular disease, circulation problems, blood clots, and strokes. The risk of death due to complications from these health problems is higher than the risk of death due to medically indicated bariatric surgery/ weight loss surgery .

    Myth: Diet and Exercise Are the Only Truly Healthy Weight Loss Options

    While diet and exercise can certainly aid in weight loss, they are not the only healthy ways to lose weight. Many people find that they are unable to lose weight or maintain weight loss through diet and exercise alone. If your attempts at weight loss have been unsuccessful, and your weight is affecting your health and happiness, then weight loss surgery is the healthiest weight loss solution for you.

    Myth: Weight Loss Surgery Causes Vitamin Deficiencies

    Some types of weight loss surgery can affect the way that your body absorbs vitamins. Your bariatric surgeon will discuss this risk with you carefully, and will explain how you can ensure that you retain the necessary vitamins and minerals post-surgery. Your vitamin levels will be checked regularly after your surgery, and you will work closely with a nutritionist to make sure you get all of the nutrients that you need.

    This is only for general information. All patients should talk to their doctors before following any recommendations in these blogs. Every patient has unique needs and limitations.