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Are You Aware of These 3 Surprising Facts About Weight Loss Surgery?

About one out of every three adults in the U.S. are considered to be obese. For most people, losing weight is an ongoing battle, and exploring your Delaware medical weight loss options involving surgery may certainly be worth considering. In fact, in a study funded by the U.S. Department of Health and Human Services, patients who had gastric bypass surgery lost an average of 64.8 pounds and those who had gastric sleeve surgery lost about 55 pounds within one year. But before you determine whether medical weight loss surgery is a viable option for you, it’s important to know the facts, and there’s quite a bit that people don’t fully understand. Here are just a few surprising facts you may not have known about weight loss surgery.

Weight loss surgery is an intensely emotional experience.

Patients who undergo gastric sleeve surgery typically lose up to three-fourths of their excess weight. This is a drastic physical change, and many people underestimate the emotional intensity of the entire process. From the initial consultation to post-surgery recovery and wellness, your surgery may permanently alter your mindset and psychology. Most Delaware medical weight loss surgery center professionals advise or even mandate all bariatric surgery patients to undergo several sessions of counseling before and/or afterward to help them process their whirlwind of emotions and cope with their new appearance and lifestyle.

The recovery process isn’t typically longer than a few weeks.

People often have preconceived notions of weight loss surgery and think that it requires them to essentially put their lives on hold for months. This isn’t true at all — in fact, you can usually begin working at your desk job in just one or two weeks following surgery. You may not be able to participate in any physically demanding activities until you feel recovered, but you can still go to work in an office-type job.

The health risks of weight loss surgery are much smaller than the health risks of obesity.

Finally, it’s important to understand that weight loss surgery, like any other surgery, does have its risks, albeit very improbable. But what’s far riskier is not taking any action to develop a better lifestyle and health plan. Obesity is a disease and should be treated as such: in fact, health problems associated with obesity are the second leading cause of preventable death, behind smoking. Having bariatric surgery is far less risky.

Were you surprised by these facts? Good! Contact us today for more information about your Delaware medical weight loss options.

Exercising During Changing Seasons

Most people know that weight loss often requires more than making changes to your diet; it requires making long-term changes to your overall lifestyle. These lifestyle changes can also involve adapting to the seasonal changes. With summer at an end and days getting shorter, here are just a few lifestyle changes to keep a healthy lifestyle with less daylight.

Join a Gym

There is nothing better than a long run outdoors, but as we begin to see less daylight and colder weather approaches, the chances of exercising outdoors become harder and harder. With that being said, the fall and winter months are the perfect time to join a gym. Gyms are usually less crowded in the fall and winter months which mean you can use your favorite machine without waiting. You are also able to exercise regardless of the weather outside.

Take Advantage Of The Morning

You may have already noticed the sunset affecting your evening workouts. As we approach less daylight in the evening, switch up your routine to morning or lunch time workouts. Go for a walk, jog, or bike ride and watch the sunrise. Working out in the morning also improves your physical and mental health for the day.

Break up with Your Normal Routine

We often feel that we have to exercise for long periods of time in order to reap the benefits. This is not the case and actually, being active multiple times per day is very beneficial to our health. If you are unable to commit to an entire 30 or 60 minutes first thing in the morning or in the evening, consider splitting up your routine. You can start your day with 10-20 minutes of stretches, strength exercises, or cardiovascular activity and then do another 10-20 minutes during lunch time or again at the end of the day while you squeak out the last little bit of sunlight for the day. This would mean that your exercise routine was at least 30 minutes long but that you were able to exercise more than once during the day to reach your fitness goals.

For more information regarding healthy exercise and better overall health, please contact Nanticoke Weight Loss and General Surgery at 302-536-5395 and get started on your journey to better health.

Understanding the Negative Health Effects of Obesity

Currently, obesity rates in America are among the highest they have ever been. Delaware itself has one of the highest rates of obesity in the nation, with more than 1/3 of all adults being classified as overweight or obese. Body mass index (BMI) is a measure used to classify weight status. It is a ratio of height and weight. A body mass index greater than 30 is indicative of obesity. Excess body weight has been linked to a number of negative health effects.

There is a strong association between obesity and diabetes. Studies show that 85% of those who have Type II diabetes are overweight or obese.  Those with uncontrolled blood glucose (blood sugar) can develop other negative health risks including kidney disease, cardiovascular disease, vision impairment, or amputation.

Joint Pain
Joint pain is another common condition associated with obesity. Excess weight puts tension and pressure on your body and this typically results in pain or discomfort in certain joints and muscles. Joint pain can often be alleviated when there is a decrease in excess body weight, even in small amounts.

Obstructive Sleep Apnea
Sleep apnea is a disorder where breathing stops for several seconds multiple times per night while you are asleep. When this happens, there isn’t adequate oxygen being delivered throughout the body. Sleep apnea leads to daytime sleepiness which can affect quality of life as well as energy levels. Untreated sleep apnea is a risk factor for heart disease and accidents.

Increased Cancer Risk
Long-term obesity can lead to an increased risk for many different types of cancers, including colon cancer, kidney cancer, and breast cancer. The National Cancer Institute states that the relationship between obesity and cancer is complex, but more is being researched regarding possible causes. Excess fatty tissue and excess inflammation have both been deemed risk factors for certain cancers.

Nanticoke Weight Loss and General Surgery

While there are harmful conditions associated with obesity, there has been a tremendous advancement in obesity management and treatment. Obesity is now classified as a disease but can be modified or improved.

There are a variety of non-surgical and surgical options to address obesity. If you suffer from any of these health conditions or are struggling to maintain a healthy weight, contact Nanticoke Weight Loss and General Surgery, located in Seaford, Delaware.


Hydration and Bariatric Surgery: The Basics

When you think of weight loss surgery, a lot of the focus is placed on the eating habits that will have to change after the surgery. What you may not think about, however, is the drinking habits that are associated with weight loss surgery and how important they become.

Weight loss surgeries such as bariatric surgery restrict your stomach, which is designed to help you cope with hunger. This also means not being able to hold as much fluid in your stomach. Without a plan in place, this can pose a serious hydration problem.

Below are some basic tips for staying hydrated after bariatric surgery.

Stick To Water

While it may be tempting to drink juice and soda, they do not hydrate you the way water does; and with limited space in your stomach, you want to make sure all the liquid you take in is hydrating you to the fullest.

Keep A Water Bottle On You At All Times

After bariatric surgery, you will not be able to drink a whole bottle of water at a time to catch up if you haven’t been drinking water throughout the day. Instead, you will need to constantly take small sips of water. The best way to ensure you are doing this is to have a bottle of water with you at all times. This will serve as a reminder to continue drinking throughout the day.

Use Cups Of Ice

It can be difficult to get used to drinking small sips at a time after bariatric surgery, especially if you’re used to drinking large amounts of water at a time. One way to train yourself to take small sips is to fill a large cup with ice and drink the water as it melts. This will ensure you are only drinking small portions at a time and will also make you drink water regularly throughout the day.

Utilize Technology

Just like food and exercise tracking, you can download a water tracking app. Not only will this track the amount of water you are drinking per day, it will also give you regular reminders if you fall behind your scheduled goal.

Bariatric surgery is designed to allow you to lose weight and lead a healthy life; however, it does require you to make lifestyle changes. Hydration is an important part of that lifestyle change.

If you’re interested in weight loss surgery options such as bariatric surgery, contact us at Nanticoke Weight Loss and General Surgery.

How Setting Boundaries Can Help With Weight Loss

When it comes to weight loss, many people find that the difficulty is not losing the weight, but rather keeping the weight off. There are many reasons for this, but a lot of it comes from not setting proper boundaries regarding lifestyle habits. It can be very difficult to completely change or alter routines that you have had in place for years prior to losing weight. If you don’t set the proper boundaries, it is very easy to slip right back into your old routine.

Below are three boundaries you should set for yourself to ensure you follow through with weight loss goals and maintain a healthy lifestyle.


While we all understand how important exercise is, it can be difficult to stick to an exercise regiment if you do not set certain boundaries. The first is choosing a place to work out. It can be a gym, a friends house or your own home, but establishing where you will exercise is the first boundary you should set to ensure you stick with it. Next, you will want to set a schedule to make sure you have a specific time you will be working out. This will allow you to make sure you are free to work out and are not constantly skipping workouts.


In order to set proper snacking boundaries, you will need to be honest with yourself. Can you handle having snacks in the house? Are you able to limit snacks to small portions once or twice a week? If you are not able to do these things, you need to have an honest conversation with those around you about getting snack foods out of the house. If you cannot resist the temptation to snack in your home, making your home a “snack-free” zone is the best idea for you.

Eating Out

Depending on your lifestyle, this can be a very difficult boundary to set, especially if you are in a relationship with someone that enjoys going out. If you are serious about your weight loss goals, you will have to limit your exposure to eating out, as restaurant food typically contains added sugar and salt. Setting boundaries regarding the number of times you eat out, as well as what restaurants to go to will help keep you on track with your weight loss goals.

A weight loss regiment takes a lot of dedication. In order to truly realize all of your weight loss goals, you should set boundaries that are clear and definitive to make sure you stay on task.                   

For more weight loss tips, contact us at Nanticoke Weight Loss and General Surgery.

Dieting Without a Support System? Here’s How You Can Still Achieve Your Weight Loss Goals

About one out of every three adults in the U.S. is considered to be obese. That being said, it isn’t always easy to start and stick to a diet that requires immense lifestyle changes. If you’re fortunate, you’ll have your friends and family cheering you on and providing emotional support every step of the way. But if not, that’s okay. Although difficult, it’s still possible to achieve your medical weight loss goals on your own. Here are just a few tips to keep in mind for those who are on their dietary journeys without emotional support from friends or family members.

Avoid tempting situations.

Many people hear the words ‘lack of emotional support’ and automatically assume that this means friends and family members are talking negatively about their weight loss goals. But the fact is, emotional support, or lack thereof, comes in many forms, and one of the most common signs of lack of support is when friends or family members try to tempt you with food in spite of your dietary goals. If you’ve made your weight loss goals clear to friends and family and they still pressure you to have ‘just one bite,’ it’s probably a better idea to start declining invitations to these kinds of food-based gatherings altogether.

“Loved ones may offer unhealthy foods, invite you to eat out often, or bring unhealthy foods into the house. If you are a people-pleaser you will likely find it more difficult to say no. Learn to politely decline offers, and realize this does not make you a bad person,” writes MyFoodDiary. It is important to set boundaries with others to protect your health and wellbeing. You may meet resistance at first, but in time people will respect your decisions.

Take time to self-reflect.

It can be understandably difficult to process your emotions about your ongoing weight loss journey without the listening ear of a friend or family member. In these cases, it’s always a good idea to channel your emotions in a healthy way. Treating your emotions with foods, drinks, or candy is not a healthy coping mechanism. Having a healthy way to express yourself will help to process your emotions and guide you further along your weight loss journey.

Dieting without emotional support is certainly challenging, but these tips can help you get started. For more information about finding the right weight loss program, contact Nanticoke Weight Loss and General Surgery at 302-536-5395.


Guide To Preparing For Gastric Bypass Surgery (Part 2)

In the last post, we discussed some of the most essential steps for properly preparing for weight loss and bariatric surgery such as gastric bypass. Taking the right steps all the way up until the day of your procedure is the best way to maximize weight loss potential and results. Here’s part two of our guide that will address some more steps to prepare for gastric bypass surgery.

Medications up to One Week Before Surgery

At the one week mark, most experts recommend avoiding aspirin and other aspirin products. This also applies to blood thinners. The best measure is to talk to your doctor before taking any medications, whether they’re prescription or over the counter. This is especially true when it comes to the week before your surgery, since some medications may react with the anesthesia.

Your Diet One to Seven Days Before Surgery

The week before your surgery, you should be consuming a full liquid diet. This is reviewed with you by the surgeon. This is a necessary step to prepare you for your bariatric procedure. For a specific list of appropriate liquids or if you are unsure about your dietary restrictions, talk to your weight loss doctor. It’s also a good idea to take some time to care for your emotional health; you may feel nervous or uneasy about the surgery, which is completely natural.

“Begin thinking about what factors have contributed to your weight and what has been in the way of making changes in your life… Consider starting a list or journal of healthy and motivating lifestyle changes you are making. Develop a support network of positive, caring people. Find alternative ways of coping with emotional eating. Remember that making lifestyle changes is a process that takes time — take small steps, set realistic goals and stay positive,” says UWHealth.

In a study funded by the U.S. Department of Health and Human Services, patients who had gastric bypass surgery lost an average of 64.8 pounds and those who had gastric sleeve surgery lost about 55 pounds within one year. Taking the right steps before your weight loss surgery can help you maintain a healthy lifestyle after the procedure.  In fact, those that tend to practice healthier habits prior to their surgery can far exceed the national average for weight loss statistics. For more information about medical weight loss surgery options, contact Nanticoke Weight Loss and General Surgery at (302) 536-5395.

Guide To Preparing For Gastric Bypass Surgery (Part 1)

Health problems associated with obesity are the second leading cause of preventable death, behind smoking. That’s just one reason many people have been turning to Nanticoke Weight Loss & General Surgery to perform weight loss procedures like the gastric sleeve surgery and gastric bypass surgery. Bariatric surgery can be incredibly effective, but without preparing properly, you may not have the optimum results for your weight and other weight-related health conditions. Here is part one of our guide that will explore the best ways for properly preparing for gastric bypass surgery, from two months prior to your surgery to the day before your gastric bypass surgery date.

At Least Two Months Before Surgery

Two months or more prior to your surgery, you should be engaging in light but frequent exercise. Experts recommend getting your heart rate up for between 20 and 30 minutes three to five days each week. It’s also a good idea to start making dietary changes that will make it much easier for you to get used to these habits after the surgery. Getting your body used to these changes can help ease it into the transition more comfortably.

“Try to eat three regular meals and one to two small snacks per day. When planning meals, be sure to include breakfast and try to avoid eating within four hours of bedtime. Focus on increasing protein and nutrient dense vegetables, while reducing or eliminating sugar,” says UWHealth.

In addition, you should also make sure to follow all instructions or procedures given to you by your Nanticoke Health Services provider. At Nanticoke Weight Loss and General Surgery, our team includes surgeons, a bariatrician (a doctor specializing in weight loss) and dietitians. They may provide more specific dietary or fitness instructions, create an individualized plan for you, and offer support groups or other activities to get you prepared for your weight loss journey.

Three Weeks Before Surgery

When you reach the point where you are three weeks away from your surgery date, continue your exercise regimen. Take any medications and vitamins as instructed for your medical weight loss program. Most doctors will request for you to come in for a quick checkup, possibly some blood tests, and to address any questions or concerns you have about your progress through the program.

Ultimately, understanding the proper steps to prepare for bariatric surgery can help you have the greatest success after your procedure. It is important to stay involved in the program before and after your weight loss surgery to minimize any potential complications and maximize your results. Keep an eye out for the next post, where we’ll discuss the preparation steps for one week prior to your surgery.


Nanticoke Weight Loss Recognized for Quality in Bariatric Surgery

Highmark Blue Cross Blue Shield (BCBS) Delaware has recognized Nanticoke Weight Loss & General Surgery with a Blue Distinction® Center for Bariatric Surgery designation as part of the Blue Distinction Specialty Care program. Blue Distinction Centers are nationally designated hospitals that show expertise in delivering improved patient safety and better health outcomes, based on objective measures that were developed with input from the medical community.

To receive a Blue Distinction Center for Bariatric Surgery designation, a health care facility must demonstrate success in meeting patient safety measures as well as bariatric-specific quality measures, including complication and readmission rate for laparoscopic procedures in sleeve gastrectomy, gastric bypass and adjustable gastric band. A health care facility must also be nationally accredited at both the facility and bariatric program-specific levels.

In 2017, the Blue Distinction Centers for Bariatric Surgery program expanded to include not only the type of service provided, but also the site of care. Health care facilities were evaluated as either a comprehensive center or as an ambulatory surgery center.

Nanticoke Weight Loss & General Surgery is proud to be recognized by Highmark BCBS Delaware for meeting the rigorous Blue Distinction Center quality selection criteria for bariatric surgery set by the Blue Distinction Specialty Care program.

Bariatric surgeries are among the most common elective surgeries in the U.S., which provides significant opportunity to improve quality within the health care system. There were 196,000 bariatric surgeries performed in 2015, according to the American Society of Metabolic and Bariatric Surgery (ASMBS), and the average cost is more than $28,000 per episode, according to the Journal of the American Medical Association. Furthermore, it is estimated that nearly 36.5 percent of U.S. adults and 17 percent of youth are obese and impacted by obesity-related health conditions, according to the Centers for Disease Control and Prevention (CDC). The estimated annual health care costs of obesity-related conditions are nearly $210 billion per year in the U.S., according to the Journal of Health Economics. On average, health care costs were reduced by 29 percent within five years following bariatric surgery, due to the reduction or elimination of obesity-related conditions, according to ASMBS.

“The Blue Distinction program gives Highmark BCBS Delaware members the ability to choose their Providers based upon reliable quality and safety information. It also provides a pathway for exceptional Providers to demonstrate their value, and delivers the kind of transparency necessary for members to make informed value-driven health care decisions. We congratulate our Blue Distinction Specialty Care Providers on their accomplishment and thank our members for choosing Highmark BCBS Delaware,” said Dr. Charles DeShazer, Vice President and Executive Medical Director, Clinical Services, Medical Policy & Quality.

BCBS companies across the nation have recognized more than 550 health care facilities as Blue Distinction Centers for Bariatric Surgery. Health care facilities recognized with this designation are assessed using a combination of publicly available quality information and cost measures derived from BCBS companies’ medical claims.

Since 2006, the Blue Distinction Specialty Care program has helped patients find quality specialty care in the areas of bariatric surgery, cancer care, cardiac care, maternity care, knee and hip replacements, spine surgery, and transplants, while encouraging health care professionals to improve the care they deliver. Research shows that, compared to other health care facilities, those designated as Blue Distinction Centers demonstrate better quality and improved outcomes for patients.

For more information about the Blue Distinction program and for a complete listing of the designated facilities, please visit To learn more about services provided by Nanticoke Weight Loss & General Surgery, visit

About Highmark Blue Cross Blue Shield Delaware

Highmark Blue Cross Blue Shield Delaware serves approximately 440,000 members through the company’s health care benefits business and hundreds of thousands of additional members through the Blue Card program. Headquartered in Wilmington, it employs more than 600 people. Highmark Delaware is an independent licensee of the Blue Cross and Blue Shield Association. For more information, visit

About Blue Cross Blue Shield Association

The Blue Cross and Blue Shield Association is a national federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. BCBSA provides health care insights through The Health of America Report series and the national BCBS Health Index. For more information on BCBSA and its member companies, please visit We also encourage you to connect with us on Facebook, check out our videos on YouTube, follow us on Twitter and check out our blog.

About Blue Distinction Centers

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable health care. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on Individual outcomes may vary. For details on a provider’s in-network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non-covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers.

What to Consider When Choosing a Weight Loss Procedure

Struggling with weight is something that almost everyone has experienced at some point throughout their lifetime. In fact, in the United States alone, approximately one out of three adults meet the threshold for obesity. However, despite how incredibly common obesity is in the United States, there is still a social stigma that affects overweight individuals.

We know that dieting can be extremely difficult. The majority of people who go on a diet find it too difficult to stick to and have a hard time losing weight on their own. Having a healthy lifestyle can feel un-achievable, but with weight loss surgery, it can become a reality.

There are a variety of FDA approved weight loss surgery options out there, but it can be difficult to determine which one is right for you. There are several things to consider when choosing a weight loss surgery route, a decision that should be made in consultation with your physician or doctor supervised weight loss center. Here are just a few questions to ask yourself when trying to choose a weight loss procedure, given to us by the Obesity Action Coalition.

How Much Weight Do You Want to Lose?

This question is very important to ask yourself when considering weight loss surgery. What is the magic number that will make you feel like you are back to the healthy lifestyle? For example, gastric bypass surgery patients are expected to lose up to 70% of their excess body weight. The expected weight loss percentage is different for every type of surgery. However, while this is an important question, remember that there really isn’t a magic number. Weight loss isn’t about hitting a number; it’s about making healthy changes for the better.

How Quickly Do You Expect to Lose the Weight?

Most people who get weight loss surgery think that the weight will magically fall off immediately. Unfortunately, this is not the case. The weight loss rate of each type of surgery varies, and every human body is unique. For example, gastric sleeve surgery patients usually lose 10lbs per month on average for the first 6 months. While this can sound like a quick process, it still typically takes over a year for the patient to meet their expected goal weight.

Will You Be Able to Follow Through With the Lifestyle Change?

Many people go into weight loss surgery knowing that they have little willpower over their eating and/or exercising habits. If you can diet like a champ, then there is little to worry about. Some procedures lead to dangerous consequences when the diet is broken, while others do not. As such, talk to your weight loss specialist about the kind of diet that will be possible after the surgery is complete.

If you are thinking about getting weight loss surgery, consider these three factors to help you choose the best procedure for you.