Farewell to 2018

I remember when I was younger, I would look back on the year and think… “oops, what terrible decisions I made.” I would be excited for the new year, so I could start over. This year, I look back and think “wow, what a good year”. 2018 was possibly the best year of my life so far. This year was filled with so much happiness and satisfaction. I wish I could use pictures to describe the feeling I have for this year, but I can only do it with words and your trust in me that I am telling the truth. It’s easy to lie and pretend like you’re happy. But why not find out instead what actually makes you happy? I disabled (can’t fully delete) my Instagram mid-October. I knew I would be better off without it, but after a long time of my husband insisting I delete it, I finally did. It’s hard to believe, but I feel free.  

Since graduating in June with my MS in Nutrition, I have noticed an increase in my happiness by at least a point (currently, I rate my happiness at 9.5/10).  True freedom is knowing that you don’t have an assignment that needs to be submitted by midnight. I love learning and I am passionate about nutrition. I 100% understand the necessity of education; however, during those many years in school, I had no idea what life was like outside of school. Experiencing it for the first time over the last 6 months have been amazing. 

I’m blessed to have landed 2 jobs that provide me purpose and meaning to life. My “work” is not only helping me pay off my education but also gives me satisfaction in life. I am grateful for my decision to go into nutrition. Choosing nutrition as a career, along with marrying my husband, were the 2 best decisions of my life.  

More recently, I realized something important: a way that I want to live my life. It’s a different perspective on life. With myself, and sometimes with my husband, I have questioned what the point of life is (not in a depressing way, but a curious way). After much thought, I realized that my life is a blank canvas and I am the artist. I was always hesitant to call myself an artist for many reasons, but I am freeing myself of that thought. I have embraced my ability to create art. Art can be interpreted in many ways. I used to think art were just paintings and drawings. Now, I see art in every aspect of my life. I recognize music, dancing and writing as art that I enjoy doing and observing. Also, not only are my paintings art, but my marriage, relationships and friendships are art. My whole life is a piece of art. When I take a step back to reflect on my life, which I do often, I view my life as a blank canvas. Any artist knows that time and patience are necessary ingredients in creating a masterpiece. There are already a few colors on my canvas, such as marriage, my career, my friends, my family… Viewing my life as an art piece keeps me aware that I am in control of my well-being. There’s a peace of mind that comes with creativity. 

I hope that I continue to thrive in 2019. I plan on work being my main focus this year.  “Work” is not only a word I use to represent my actual job, but to symbolize the time I spend learning, and bettering myself.  Cheers to closing a chapter and starting a new one. 


Creation: Creating something good but also taking a moment to observe the beauty of it.

Gastric Ballooning for Weight Loss and Treatment of Obesity - Information for Dietitians

Obesity is a big concern in the USA for dietitians, physicians and other healthcare professionals. There are many reasons why people are gaining weight while having minimal success with weight loss diets/programs. The majority of dietitians will agree that diet is a major factor in the obesity epidemic.

Surgical interventions for weight loss, such as gastric bypass, were developed in the 1960s. There are risks and complications that are associated with surgical weight loss procedures; however, the benefits outweigh the risks. Also, there are requirements for gastric bypass approval, such as: unsuccessful efforts to lose weight, BMI 40 or higher OR BMI 35 or more with a serious weight-related health problem, such as type 2 diabetes, high blood pressure or severe sleep apnea. Unfortunately, many people who are considered obese (BMI 30-40) will not qualify for gastric bypass. With the invention of gastric balloons, we can now provide a weight loss procedure and program for those within the BMI 30-40 category.

The gastric balloon procedure is a year-long program that includes the gastric balloons and nutrition counseling as well as the tests needed to assure safety for each patient. There are 2 types of gastric balloons that our gastroenterology practice carries: ReShape and Obalon. The two primary differences between these gastric balloons are (1) number of balloons and (2) content inside balloons. The ReShape dual-balloon system is composed of 2 saline-filled gastric balloons tethered together. The Obalon gastric balloon program includes 3, 250 cc gas-filled balloons.

Both types of gastric balloons do the same thing: take up space in the stomach to create a fullness sensation. There should be 1/2 to 1 cup remaining in the stomach after all balloons are placed. The balloons remain in the stomach for 6 months and are then removed endoscopically under light sedation.

The Obalon gastric balloons seems to have less symptoms associated with it when compared to the ReShape dual-balloon system. The reason for this is that each Obalon balloon is placed 2-3 weeks apart allowing time for adjustment for each new balloon. The ReShape balloons are inserted under light sedation going from 0 to 100% in a matter of a few minutes. Patients feel more discomfort, nausea and vomiting for the first week. Obalon's placement is simple and does not require sedation. The patient swallows a pill which contains the balloon attached to a catheter. After the balloon passes the upper esophageal sphincter into the stomach, an x-ray image will be obtained to ensure the balloon is in the stomach. Each Obalon balloon has a marker that will be visible during the imaging. After assurance of location, the physician will inflate the gastric balloon using a canister of a natural, non-toxic gas. After pressurization, and one more imaging to ensure inflation, the catheter is removed. The whole procedure takes about 15 minutes and patients can usually go back to daily life. ReShape patients initially experience more weight loss, especially if they are feeling sick the first week. The average weight loss during the 6 months that the balloons are in is 20-40 lbs. Most patients are no longer considered obese and healthful diet habits are created and sustained.

Obalon (Gas-filled)
VS.
ReShape Dual Balloon System (Saline filled)


My Professional Experience
My patients have been very successful with this weight loss program. I begin with teaching patients general healthful eating habits, including mindfulness and positive body image. Depending on the patient, I recommend following intermittent fasting (time-restricted feeding), pseudo-keto diet (my version of high healthful fat, low processed carbohydrate diet), or both. My patients have found IF convenient and easy. All have been successful with weight loss thus far. Maintenance is something I have not yet experienced as I am rather new in this field of gastric ballooning. In January, a few of my patients will have their balloons removed and we will begin the maintenance process.
To Be Continued...

MUST-READ Nutrition Books – Recommended by Dietitians

Nutrition is controversial, needless to say. One moment we are against fat, the next we are consuming 50-75% of our calories from fat, such as in the ketogenic diet. Nutritionist (not dietitians), medical doctors, holistic healthcare professional and the average joe are writing nutrition books on what we should eat. Some of these authors have done their research. However, most are in it for the money and have no research to support their claims, for example, The Blood Type Diet by Peter D'Adamo.

I have gathered the best books in the field of nutrition recommended by Registered Dietitians (the real experts)!  I have 3 main categories: Nutrition books for everyone, pregnant women and parents, and healthcare professionals/RD2Be’s! I have also included my own recommendations.

Image result for books

Nutrition Books For Everyone
Disclaimer: These books MAY change your life. 

Intuitive Eating by Tribole and Resch 
(and their new Intuitive Eating workbook)
Recommended by: Jess English, RD and Rebecca Ditkoff, RD 

Body Kindness by Rebecca Scritchfield
Recommended by Jenna Gorham, RD

Health At Every Size by Dr. Linda Bacon, PhD
Recommended by: Beth Rosen, MS, RD, CDN

The Mind Diet by Maggie Moon
Recommended by: Tina Vicario,MS, RD, LDN 

Diet for the MIND by Martha Clare Morris
Recommended by: Jessica Ivey, RDN 

Nancy Clark's Sports Nutrition Guidebook by Nancy Clark, RD
Recommended by: 
Amanda Field RDN, CD 

The Smart Girl's Guide to Going Vegetarian by Rachel Meltzer Warren
Recommended by Jenna Gorham, RD

Nutrition Books For Pregnancy and/or Parenting

Fertility Foods Cookbook 
by Elizabeth Shawand Sara Haas 
Recommended by: Wendy Jo 

Healthy, Happy Pregnancy Cookbook 
by Willow Jarosh & Stephanie Clarke Laliberte
Recommended by: Jenna Gorham, RD

Recommended by: Denine Marie

Expect the Best by Elizabeth Ward 
Recommended by: Denine Marie and Jenna Gorham, RD

Helping Your Child with Extreme Picky Eating by Katja Rowell and Jenny McGlothlin
Recommended by: Jenny Jackson 

Secrets of Feeding a Healthy Family by Ellyn Satter
Recommended by: Jenny Jackson 

Fearless Feeding by Jill Castle and Maryann Tomovich Jacobsen!
Recommended by Kacie Barnes, MCN, RD 


Nutrition Books For Healthcare Professionals and RD2Be’s:

Motivational Interviewing in Nutrition and Fitness by Dawn Clifford and Laura Curtis
Recommended by: Jess English, RD 

Microbiome Solution by Robynne Chutkan, MD
Recommended by: Tatiana Keay, RD, CPT

The Obesity Code by Jason Fung, MD
Recommended by: Tatiana Keay, RD, CPT


If there are any staple nutrition books that we missed, comment below!