Dr. Sowemimo

I appreciate you reading my article and your comments, Alex. You bring up a good point--most gastric banding patients do not experience complications and go on to lose substantial weight in the process. Thank you for sharing my POV. Wishing you continued success. Dr. Seun | Prime Surgicare | New Jersey

Thank you for reading it! Wishing you continued weight loss success! Dr. Seun. I really appreciate you reading it. I looked at your stats--you are doing great! Keep up the outstanding job! Dr. Seun.

While the lap band (adjustable gastric band surgery) is not as common as it once was, many people battling obesity are still successfully using it as a tool for considerable weight loss and eventual weight management. Slippage is most commonly due to eating too quickly resulting in stomach bloat. Other contributing factors can include vomiting, overeating and even drinking too many carbonated beverages. All of these issues can cause the band to move as a result of over-extension (bloating) of the stomach. Gastric Lap Band Slippage Signs: Food Consumption Changes You may notice a decrease in appetite, being able to eat more than usual, or experiencing an unexplained discomfort during and after eating. Nausea or Vomiting When the band on your stomach slips, it can be difficult for food to pass through. This may make it feel like there is food trapped in your prolapsed stomach. This sensation can cause your body to want to expel that trapped food, leading to vomiting. Acid Reflux Feeling heartburn-like symptoms is a sign that your stomach acids are coming back up your throat from the stomach (esophagus). This can lead to chest pain, bloating, burping, hiccups that won’t stop, and other GI discomfort. Abdominal Pain Some patients with gastric banding slippage have told me they just feel like “something isn’t right” in their stomachs. They are able to complete normal daily tasks but don’t feel close to normal. “I Think I’m Experiencing Lap Band Slippage” If your lap band moves out of place, your lap band surgeon will need to make an adjustment as quickly as possible in order to relieve symptoms so you can resume losing weight. If it’s only a mild slip, your surgeon may be able to deflate the band so that it can re-adjust. However, moderate and severe band slips will typically require a laparoscopic surgical procedure to replace the band or remove it if further complications are present. If you notice any signs or symptoms of what you think could be a lap band slip, you should contact your surgeon right away. Even if you think you’re showing all the signs, only your weight loss surgery doctor will be able to tell you for sure. What if I’m Ready to Replace my Gastric Band with Another Bariatric Procedure? Changing from one bariatric procedure to another is called revision bariatric surgery. For some people, gastric banding, and the ongoing need for office visits and adjustments, no longer fits their lifestyle. Or, they did not achieve the overall weight loss goal they had hoped. Since the lap band’s initial popularity some years ago, the sleeve gastrectomy (“the sleeve”) has become the most popular bariatric weight loss surgery operation. For others, gastric bypass bariatric surgery is the right procedure. If your lap band needs to be removed, by choice or as a result of a complication, a qualified bariatric surgeon can go over other weight loss surgery options with you. There may be another procedure that will work better for you and help achieve your ultimate weight loss goals.

As with any surgical procedure, there is the risk of gastric banding complications. Slippage is one of the most common issues related to the lap band. This occurs when the band slips up or down from its original position around the stomach, resulting in one or more symptoms that can cause unpleasant physical symptoms and offset weight loss. While the lap band (adjustable gastric band surgery) is not as common as it once was, many people battling obesity are still successfully using it as a tool for considerable weight loss and eventual weight management. Slippage is most commonly due to eating too quickly resulting in stomach bloat. Other contributing factors can include vomiting, overeating and even drinking too many carbonated beverages. All of these issues can cause the band to move as a result of over-extension (bloating) of the stomach. Gastric Lap Band Slippage Signs: Food Consumption Changes You may notice a decrease in appetite, being able to eat more than usual, or experiencing an unexplained discomfort during and after eating. Nausea or Vomiting When the band on your stomach slips, it can be difficult for food to pass through. This may make it feel like there is food trapped in your prolapsed stomach. This sensation can cause your body to want to expel that trapped food, leading to vomiting. Acid Reflux Feeling heartburn-like symptoms is a sign that your stomach acids are coming back up your throat from the stomach (esophagus). This can lead to chest pain, bloating, burping, hiccups that won’t stop, and other GI discomfort. Abdominal Pain Some patients with gastric banding slippage have told me they just feel like “something isn’t right” in their stomachs. They are able to complete normal daily tasks but don’t feel close to normal. “I Think I’m Experiencing Lap Band Slippage” If your lap band moves out of place, your lap band surgeon will need to make an adjustment as quickly as possible in order to relieve symptoms so you can resume losing weight. If it’s only a mild slip, your surgeon may be able to deflate the band so that it can re-adjust. However, moderate and severe band slips will typically require a laparoscopic surgical procedure to replace the band or remove it if further complications are present. If you notice any signs or symptoms of what you think could be a lap band slip, you should contact your surgeon right away. Even if you think you’re showing all the signs, only your weight loss surgery doctor will be able to tell you for sure. What if I’m Ready to Replace my Gastric Band with Another Bariatric Procedure? Changing from one bariatric procedure to another is called revision bariatric surgery. For some people, gastric banding, and the ongoing need for office visits and adjustments, no longer fits their lifestyle. Or, they did not achieve the overall weight loss goal they had hoped. Since the lap band’s initial popularity some years ago, the sleeve gastrectomy (“the sleeve”) has become the most popular bariatric weight loss surgery operation. For others, gastric bypass bariatric surgery is the right procedure. If your lap band needs to be removed, by choice or as a result of a complication, a qualified bariatric surgeon can go over other weight loss surgery options with you. There may be another procedure that will work better for you and help achieve your ultimate weight loss goals.

Thank you very much MitchieMay. I am so pleased to offer any support or help. Wishing you all the best in your healthy future! Dr. Seun

I’d like to help you overcome some post-op issues that may come up: Recover From Your Operation First, Then Focus on Weight Reduction You’ve prepared for weight loss surgery for a long time and you’re eager to start shedding those pounds--right now. But first, it’s far more important to heal properly after your operation. As a result, you'll very likely lose weight faster and avoid complications which could potentially set you back. “I’m Not Losing Enough Weight!” That’s a common concern and one that is certainly justified! Often patients think they will never be able to overcome obesity and metabolic disease since WLS was a last-ditch effort after years of dieting didn’t work. Keep your nutrition diary updated. Keep moving. Drink all that water every day. If you didn’t see the scale move this week, you’ll be happier next week. If not, call your bariatric doctor to take a closer look to determine what is causing this temporary setback. Doubting Your Decision I view the first few weeks or even months after weight loss surgery as a perfect storm for generating self-doubts about your choice to have the sleeve, gastric bypass or the lap band. You now realize that subscribing to a lifetime commitment of changing your eating habits and lifestyle is a pretty big deal. Additionally, you have not eaten solid foods for weeks, which can also be unnerving to some people. These feelings are completely normal—and temporary. You’ve undergone a big life change that’s going to take some time to get used to. Just make a little note to carry with you that says: 1) You are fighting back against obesity-related diseases. 2) You are lengthening your lifespan. 3) You are going to enjoy a significantly improved quality of life. 4) You will look better and feel great every day. Comparing Your Weight Loss to Others Everyone fighting obesity is completely unique. While Bob may lose 28 pounds in the first month, Linda may lose only 15. Months down the line, the weight loss figures even out, more often than not. Think about it. A general round number for great first-year weight loss after bariatric surgery is 100 pounds. That’s an average of 2 pounds a week, or 8 pounds a month. If you lost 20 pounds in your first month, you’re doing fantastic! To hit 100 pounds in your first year, you won’t even lose a pound every three days. Don’t worry if the scale doesn’t go down every single day. If you’re eating right, you’ll lose weight. Better yet, only weigh yourself about once a week. Take Weight Loss Surgery One Day at a Time No matter how frustrated you may feel at times, stay positive and focus on following your bariatric team’s instructions to the letter. Continue to eat a liquid diet and then pureed foods. Use this recovery time to plan a day-to-day system to help achieve your long-term success. Learn to measure your food. Schedule specific days/times for food prep, sleep and exercise. Should you have any pain or discomfort of any kind, call your doctor sooner rather than later. (Yes, it’s often gas, but it’s better to be safe than sorry!) We want to hear how you’re doing, I assure you. Weight loss surgery is a lifetime adventure. Your world is changing for the better. When you are temporarily frustrated or disappointed, move forward, look ahead. Because your future is going to be very bright (and healthy!) indeed. (Photo Credit: Courtesy Witthaya Phonsawat via freedigitalphotos.net)

For a multitude of reasons, the weight loss surgery journey—mentally and physically-- is easier for some than others. The first month or so can be understandably challenging. I have treated hundreds of weight loss surgery patients here in New Jersey and can assure you of one fact: It’s probably not going to be smooth sailing from day one— like real life, there are going to be some obstacles thrown in your path. I’d like to help you overcome some post-op issues that may come up: Recover From Your Operation First, Then Focus on Weight Reduction You’ve prepared for weight loss surgery for a long time and you’re eager to start shedding those pounds--right now. But first, it’s far more important to heal properly after your operation. As a result, you'll very likely lose weight faster and avoid complications which could potentially set you back. “I’m Not Losing Enough Weight!” That’s a common concern and one that is certainly justified! Often patients think they will never be able to overcome obesity and metabolic disease since WLS was a last-ditch effort after years of dieting didn’t work. Keep your nutrition diary updated. Keep moving. Drink all that water every day. If you didn’t see the scale move this week, you’ll be happier next week. If not, call your bariatric doctor to take a closer look to determine what is causing this temporary setback. Doubting Your Decision I view the first few weeks or even months after weight loss surgery as a perfect storm for generating self-doubts about your choice to have the sleeve, gastric bypass or the lap band. You now realize that subscribing to a lifetime commitment of changing your eating habits and lifestyle is a pretty big deal. Additionally, you have not eaten solid foods for weeks, which can also be unnerving to some people. These feelings are completely normal—and temporary. You’ve undergone a big life change that’s going to take some time to get used to. Just make a little note to carry with you that says: 1) You are fighting back against obesity-related diseases. 2) You are lengthening your lifespan. 3) You are going to enjoy a significantly improved quality of life. 4) You will look better and feel great every day. Comparing Your Weight Loss to Others Everyone fighting obesity is completely unique. While Bob may lose 28 pounds in the first month, Linda may lose only 15. Months down the line, the weight loss figures even out, more often than not. Think about it. A general round number for great first-year weight loss after bariatric surgery is 100 pounds. That’s an average of 2 pounds a week, or 8 pounds a month. If you lost 20 pounds in your first month, you’re doing fantastic! To hit 100 pounds in your first year, you won’t even lose a pound every three days. Don’t worry if the scale doesn’t go down every single day. If you’re eating right, you’ll lose weight. Better yet, only weigh yourself about once a week. Take Weight Loss Surgery One Day at a Time No matter how frustrated you may feel at times, stay positive and focus on following your bariatric team’s instructions to the letter. Continue to eat a liquid diet and then pureed foods. Use this recovery time to plan a day-to-day system to help achieve your long-term success. Learn to measure your food. Schedule specific days/times for food prep, sleep and exercise. Should you have any pain or discomfort of any kind, call your doctor sooner rather than later. (Yes, it’s often gas, but it’s better to be safe than sorry!) We want to hear how you’re doing, I assure you. Weight loss surgery is a lifetime adventure. Your world is changing for the better. When you are temporarily frustrated or disappointed, move forward, look ahead. Because your future is going to be very bright (and healthy!) indeed. (Photo Credit: Courtesy Witthaya Phonsawat via freedigitalphotos.net)

Thanks for your question, Glenda, and congratulations on your road to better health! It is very difficult for many post weight loss surgery patients get in enough fluids and Protein. As far as protein, most people need between 60-80 grams protein each day. Always eat a form of protein at each meal and eat protein-rich foods first. Protein-rich foods are soft, moist beef, poultry, fish, low fat cheeses, Beans, lentils, soy foods, low fat or fat free yogurt (preferably Greek style), milk (non fat (skim) or 1%) and eggs. In addition, you may use good quality protein powders and/or Protein drinks to supplement your diet. Look for protein supplements made with whey protein isolate. Make sure you cut all foods into dime-sized pieces and chew each bite 20-30 times. Eat very slowly and pay attention to the signs of "fullness" you body sends you. If needed, have a protein based snack between meals, such as a low fat string cheese or a 100 calorie Greek yogurt. As far as fluids, patients are advised to get in [/size]a minimum of 48 oz of fluids daily - [/size]ideal is to get in 64+ oz fluids daily. "Fluids" do not just mean plain Water - it means ALL calorie free, caffeine free beverages. If it is easier to drink water with flavoring in it -then add it in! Calorie free powder and liquid flavors are available in all grocery stores and can be added to your water. You can also add in fresh lemon, lime, ginger or mint to make water taste better and go down easier. You need to be slowly sipping fluids all day long when you are not eating. Take your fluids with you where ever you go and sip constantly. I hope these tips help! If you have any other questions or are still struggling to get fluids or protein, definitely check in with your bariatric surgeon or practice dietitian. Dr. Seun Sowemimo[/size] Prime Surgicare Freehold, NJ www.primesurgicare.com I just had my sleeve done on sept 2nd. Having problems getting enough protein and water. Any suggestions? I have tried the different brands and DO NOT like any. What now?

Even if you are preparing for bariatric surgery, you can start exercising (so long as you are cleared by your doctor) and lose a surprising number of pounds even before your gastric bypass, sleeve gastrectomy or revision bariatric surgery. In addition, the better cardiovascular condition you are in before surgery, the fewer complications you’ll face during and after surgery. Not sure where to start? Here are instructions I offer to my own weight loss surgery patients here in Freehold, NJ: Bariatric Preoperative Stage Patients who start an exercise strategy before surgery have an easier time adjusting to exercising after surgery, according to the American Society for Metabolic and Bariatric Surgery (ASMBS). But, admittedly, exercise is challenging for people who carry a lot of extra weight. For this reason, starting slow is imperative. If you are morbidly obese, talk with your bariatric surgeon about fitness guidelines for your current health situation. Generally speaking, these are reasonable goals to target: · Focus on cardiovascular exercise, even if it’s just a walk around the neighborhood for 10 to 30 minutes, depending on your health and doctor’s recommendation. · Start walking for 10 minutes, twice a day and add 5 minutes each day, up to 30 minutes per day. · Realize that empowerment that fitness gives you over your body and your overall health. · Appreciate how good you feel after exercising—even for 10 minutes! Weight Loss Surgery Postoperative Stage For the first two weeks after surgery, focus on flexibility exercises, deep breathing and getting back into performing normal daily activities. · At your first post-op visit with your surgeon, he or she will carefully go over your customized exercise plan based upon your health, age and the procedure you had. · With your doctor’s approval, three weeks after your operation, begin to gradually incorporate low-intensity aerobic exercise (walking or swimming are my preferred choices at this stage). · If you feel prolonged pain or discomfort, you are doing too much too soon. · During the first six weeks after surgery, do not lift more than 15 pounds. One Month and Beyond Now your goal is to increase range of motion so you can easily take off your shoes and pick things up off the ground and move around more. · Strength-training (light weights) exercises are rebuilding muscle. · Work toward 30 minutes of continuous exercise five days per week. · Avoid abdominal exercises for the first eight to 12 weeks (allow the incision to heal). This also helps to alleviate abdominal hernias near or around the incision. · Change-up your workouts so your body is constantly challenged (walk around the park today, lift weights at the gym tomorrow and use the elliptical machine) · Introduce a wider variety of bariatric fitness options: biking, yoga, dancing, aerobics, Pilates, kickboxing. A year after weight loss surgery, you should be able to perform 45 minutes to an hour of exercise five times a week. Exercise is Insurance Against Future Weight Gain A lifelong exercise program is critical to a weight loss surgery patient’s long-term success. If a physically active lifestyle has not been adopted, weight gain will likely result. (Sadly, I have seen this firsthand on more than one occasion). Exercise is insurance for long-term weight-loss. If you have a slip, an extra 5 to 10 minutes spent working out will ensure that your metabolism stays elevated and this extra effort will burn more calories. Working out will not, however, save you if you overeat regularly—bariatric surgery or not. By sticking close to your daily calorie requirements most days, drinking plenty of water and focusing on fitness, you’ll look great, feel even better and be the healthiest person you can be. And that’s worth just 30 minutes out of your day, isn’t it? Photo Credit: Woman Exercising by Witthaya Phonsawat -FreeDigitalPhotos.net

Whether you are pre-op, a recent post-op or already well on your way to weight loss, exercise plays a starring role in the speed and longevity of your overall weight management after bariatric surgery. Even if you are preparing for bariatric surgery, you can start exercising (so long as you are cleared by your doctor) and lose a surprising number of pounds even before your gastric bypass, sleeve gastrectomy or revision bariatric surgery. In addition, the better cardiovascular condition you are in before surgery, the fewer complications you’ll face during and after surgery. Not sure where to start? Here are instructions I offer to my own weight loss surgery patients here in Freehold, NJ: Bariatric Preoperative Stage Patients who start an exercise strategy before surgery have an easier time adjusting to exercising after surgery, according to the American Society for Metabolic and Bariatric Surgery (ASMBS). But, admittedly, exercise is challenging for people who carry a lot of extra weight. For this reason, starting slow is imperative. If you are morbidly obese, talk with your bariatric surgeon about fitness guidelines for your current health situation. Generally speaking, these are reasonable goals to target: · Focus on cardiovascular exercise, even if it’s just a walk around the neighborhood for 10 to 30 minutes, depending on your health and doctor’s recommendation. · Start walking for 10 minutes, twice a day and add 5 minutes each day, up to 30 minutes per day. · Realize that empowerment that fitness gives you over your body and your overall health. · Appreciate how good you feel after exercising—even for 10 minutes! Weight Loss Surgery Postoperative Stage For the first two weeks after surgery, focus on flexibility exercises, deep breathing and getting back into performing normal daily activities. · At your first post-op visit with your surgeon, he or she will carefully go over your customized exercise plan based upon your health, age and the procedure you had. · With your doctor’s approval, three weeks after your operation, begin to gradually incorporate low-intensity aerobic exercise (walking or swimming are my preferred choices at this stage). · If you feel prolonged pain or discomfort, you are doing too much too soon. · During the first six weeks after surgery, do not lift more than 15 pounds. One Month and Beyond Now your goal is to increase range of motion so you can easily take off your shoes and pick things up off the ground and move around more. · Strength-training (light weights) exercises are rebuilding muscle. · Work toward 30 minutes of continuous exercise five days per week. · Avoid abdominal exercises for the first eight to 12 weeks (allow the incision to heal). This also helps to alleviate abdominal hernias near or around the incision. · Change-up your workouts so your body is constantly challenged (walk around the park today, lift weights at the gym tomorrow and use the elliptical machine) · Introduce a wider variety of bariatric fitness options: biking, yoga, dancing, aerobics, Pilates, kickboxing. A year after weight loss surgery, you should be able to perform 45 minutes to an hour of exercise five times a week. Exercise is Insurance Against Future Weight Gain A lifelong exercise program is critical to a weight loss surgery patient’s long-term success. If a physically active lifestyle has not been adopted, weight gain will likely result. (Sadly, I have seen this firsthand on more than one occasion). Exercise is insurance for long-term weight-loss. If you have a slip, an extra 5 to 10 minutes spent working out will ensure that your metabolism stays elevated and this extra effort will burn more calories. Working out will not, however, save you if you overeat regularly—bariatric surgery or not. By sticking close to your daily calorie requirements most days, drinking plenty of water and focusing on fitness, you’ll look great, feel even better and be the healthiest person you can be. And that’s worth just 30 minutes out of your day, isn’t it? Photo Credit: Woman Exercising by Witthaya Phonsawat -FreeDigitalPhotos.net

Thank you so much VSGMary. It was terrific to read your comment and I admire your motivation. Wishing you continued success and good health! Dr. Seun.

Dear preopnurse, Your mate should first and foremost be overjoyed that you are losing weight and regaining your health. You are adding years to your life. The excess skin is a side effect that in many cases can be overcome by exercise, staying hydrated and talking with your doctor about the best options for you. But that focus is down the line. Tell your doctor the excess weight is a concern for you and work as a team to strategize a plan to overcome it. Wishing you continued success in your weight loss! Dr. Seun from Freehold, NJ

In other words, they’ve re-organized their lives in order to make nutrition, exercise and other healthy lifestyle endeavors gain equal ground with the other aspects of daily life. It’s extraordinarily difficult to prep healthy food, squeeze in a trip to the gym (between work, home and kids) and get to bed by 11 every night if you don’t have an organized schedule to fit it all in. It’s easy to feel overwhelmed and discouraged before you even begin trying to get your life more organized. If this subject is resonating with you, here are five small steps you can take to better organize your day while regaining control of your health. 5 Steps to Organize and Manage Your Weight Loss With these five steps, essentially, you’ll be organizing and managing your weight loss in the same way you might manage a project at work or school. 1. Sit down and think hard about what’s not working. It’s hard to concentrate on cultivating healthy habits when your brain is constantly on overload. Successful weight loss requires time, planning and focus. If you’re also listening to a harsh inner voice filled with criticism, pessimism and negative messages, your chances of success will be diminished. As much as you need to organize your time and environment, you will also need to organize your mindset. 2. Organize your surroundings. Without a doubt, living or working in a chaotic environment is stressful. When you can’t find the keys, you’ll be late for appointments. Likewise, if the kitchen is a mess, there is no food in the house and you can never find your favorite sneakers, you’re putting yourself at an unnecessary disadvantage. Start with the most disorganized space and tame it. (This can usually be accomplished in less time than you think and the results will make you feel five pounds lighter). 3. Schedule your workouts the same way you schedule a meeting. Pick a specific time each week to review your calendar for the days ahead and schedule your workouts accordingly. Treat them as you would an important meeting or appointment. And then get there — no matter what. 4. Plan meals, grocery shopping and cooking once a week. Reviewing your schedule for the week will help figure out where and when you’ll be eating meals, what foods you’ll need, and how much time you’ll need to cook. Look at the weekly grocery store circular and buy the healthy items which are on sale and stock up for the future. Planning ahead saves money. 5. Go to bed (no excuses). Sleep deprivation interferes with weight loss by confusing hormones that signal hunger and fullness levels. Research shows that people who stay up late consume more calories than those who go to sleep at about the same time each night. When you’re tired, your willpower wanes. Even as an adult, you still need to aim for eight hours of quality sleep per night. Where do I start? Which areas of your life could see the biggest improvement if they were just a little more organized? Start there. In just a few short weeks, you’re going to see the positive impact that “project managing” your weight loss has on your life — and your waistline. Need more help? Give us a call or shoot us an email and we'll be happy to offer advise or direction. We ARE in this TOGETHER! Photo Courtesy of FreeDigitalPhotos.net.

The most successful "bariatric warriors" have learned to manage their weight loss using the same management tools they need to complete a project at work. In other words, they’ve re-organized their lives in order to make nutrition, exercise and other healthy lifestyle endeavors gain equal ground with the other aspects of daily life. It’s extraordinarily difficult to prep healthy food, squeeze in a trip to the gym (between work, home and kids) and get to bed by 11 every night if you don’t have an organized schedule to fit it all in. It’s easy to feel overwhelmed and discouraged before you even begin trying to get your life more organized. If this subject is resonating with you, here are five small steps you can take to better organize your day while regaining control of your health. 5 Steps to Organize and Manage Your Weight Loss With these five steps, essentially, you’ll be organizing and managing your weight loss in the same way you might manage a project at work or school. 1. Sit down and think hard about what’s not working. It’s hard to concentrate on cultivating healthy habits when your brain is constantly on overload. Successful weight loss requires time, planning and focus. If you’re also listening to a harsh inner voice filled with criticism, pessimism and negative messages, your chances of success will be diminished. As much as you need to organize your time and environment, you will also need to organize your mindset. 2. Organize your surroundings. Without a doubt, living or working in a chaotic environment is stressful. When you can’t find the keys, you’ll be late for appointments. Likewise, if the kitchen is a mess, there is no food in the house and you can never find your favorite sneakers, you’re putting yourself at an unnecessary disadvantage. Start with the most disorganized space and tame it. (This can usually be accomplished in less time than you think and the results will make you feel five pounds lighter). 3. Schedule your workouts the same way you schedule a meeting. Pick a specific time each week to review your calendar for the days ahead and schedule your workouts accordingly. Treat them as you would an important meeting or appointment. And then get there — no matter what. 4. Plan meals, grocery shopping and cooking once a week. Reviewing your schedule for the week will help figure out where and when you’ll be eating meals, what foods you’ll need, and how much time you’ll need to cook. Look at the weekly grocery store circular and buy the healthy items which are on sale and stock up for the future. Planning ahead saves money. 5. Go to bed (no excuses). Sleep deprivation interferes with weight loss by confusing hormones that signal hunger and fullness levels. Research shows that people who stay up late consume more calories than those who go to sleep at about the same time each night. When you’re tired, your willpower wanes. Even as an adult, you still need to aim for eight hours of quality sleep per night. Where do I start? Which areas of your life could see the biggest improvement if they were just a little more organized? Start there. In just a few short weeks, you’re going to see the positive impact that “project managing” your weight loss has on your life — and your waistline. Need more help? Give us a call or shoot us an email and we'll be happy to offer advise or direction. We ARE in this TOGETHER! Photo Courtesy of FreeDigitalPhotos.net.