Are There Benefits to Collagen Supplements After Weight Loss Surgery?

Collagen supplements are the rage right now, with claims of fewer wrinkles, a full head of healthy hair, and thicker nails. It’s big business, but does it deliver what it claims. Here’s the scoop so you can decide for yourself.

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What is Collagen?

Collagen is the form of protein most abundant in the body – making up about a third of the total protein mass. It provides structure, strength, and stability and is found in joints, bones, teeth, and skin.

Collagen is a family of proteins. There are 28 different types of collagen, each with a unique amino acid (protein building block) combination. Collagen is rich in three non-essential amino acids, lysine, glycine, and proline.

As a Protein Supplement 

Collagen is an incomplete protein, meaning it does not include all the essential amino acids that the body needs. Better options to reach protein goals include low-fat meat, fish, poultry, dairy products, whey protein supplements, or soy products.

Collagen and Skin

In the skin, collagen provides structural support and elasticity, giving the skin a healthy appearance. People make less collagen each year, starting at age 20. As collagen declines, structural support and elasticity are reduced, fine lines, wrinkles, and sagging skin begin to appear.

Collagen and Hair Growth

Collagen plays a significant role in maintaining healthy hair follicles. It is found in the skin surrounding each hair follicle. During the growth stage, the amount of collagen surrounding the hair bulb thickens. And then naturally thins as the hair follicle goes into the resting stage.

In the case of thinning hair after bariatric surgery, stress, rather than a collagen deficit, is likely the cause. The surgery itself, followed by a low caloric intake and the resulting rapid weight loss, creates stress in the body. This stress can cause more hair strands to go into the resting phase than usual and then 3-4 months later fall out. Hair grows back once the condition that caused the hair loss is corrected, although it can take months before the hair returns to its previous thickness.

More Collagen In Doesn’t Necessarily Equate to More Body Collagen 

When collagen is consumed from an animal product or supplement, it is broken down into single amino acids. Those amino acids are put together in different combinations to make whatever proteins, including any collagen the body needs. The amino acids may form enzymes, hormones, make red blood cells, or other needs the body has. It may not be used to plump up the skin or promote lush locks.

The body will form more collagen with a balanced diet of protein-rich foods and a variety of fresh fruits and vegetables. Nutrients that may support collagen production include:

  • Adequate protein intake. The amino acids that make up collagen are non-essential, meaning the body can produce them if it has the right building blocks.
  • Foods rich in vitamin C like oranges, strawberries, peppers, and broccoli.
  • Copper-rich foods like shellfish, nuts, and red meat.
  • Dark green leafy and orange vegetables for vitamin A.

Limiting Collagen Breakdown

Collagen production naturally decreases with age. Although science has yet to figure out how to slow aging, other factors that lead to lower collagen levels are generally within our control:

  • Excess sun exposure
  • Smoking
  • A poor diet
  • A high sugar intake
  • Excess alcohol intake

What Do the Studies Show?

Most health professionals agree that the studies into the effectiveness of collagen supplements for skin or hair health are lacking. Those that have been done have small numbers of participants and are often funded by supplement companies.

Potential Downside

Manufacturers of collagen supplements don’t have to prove their effectiveness or safety before selling them.

Collagen supplements come from animal collagen especially, bones, skin, and fish scales. These can potentially contain toxic heavy metals.

U.S. consumers are expected to spend $293 million on collagen products in 2020.

Yet, there is Some History

In China, women have considered collagen a fountain of youth for centuries. They consume collagen sources like pig’s feet, shark fins, and donkey skin. They must believe there is some benefit.

Gelatin, a cooked source of collagen, has been a long-standing treatment for hair, skin, and nails in the United States.

And the Word-of-Mouth Testimonials

Some people swear by collagen supplement. They feel their hair and skin improve significantly after taking supplements.

The Bottom Line

There is no good research showing the effectiveness of collagen supplements. The studies that have been done are often funded by the supplement companies themselves. However, there is some history to the use and a lot of word-of-mouth testimonials.

If you decide to give it a try, buy from a reputable manufacturer and let us know what you think by posting on the Barix Clinics Facebook Support Group.

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Out with Old Habits, In With New Ones

If you typically start the New Year with a list of resolutions and solid intentions yet give up before January is over, you’re not alone. Eighty percent of people do just that. We all settle into patterns of learned behavior or habits, which are comfortable. Many daily tasks are done on autopilot—with little conscious thought required. These behaviors, good or bad, tend to stay stable over time until we drum up the motivation to change.

To make lasting changes to our habits, we need to have a planned out process. We need to be willing to sacrifice to make it happen. Here are five steps to take right now to make this year different.

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Step 1: Write down your goals in clear and measurable terms. I want to be fit is too vague. Instead, get very specific. I want to be able to run a 5k in 22 minutes by June 1. Get crystal clear on what you want and write it down.


Little by little becomes a lot.


Step 2: Uncover the “why.” Having a good understanding of the real purpose of your goal helps you stay motivated. Your goal may be to earn $10,000 more this year. Define what that money will do for you: establish a savings account so you have a safety net, get a more reliable car, or pay off debt. The purpose will keep you motivated when things get challenging.

Step 3: Decide what you are willing to give up to make this goal a reality. Say you’ve decided that your goal is to prepare five home-cooked meals every week. You will have to be willing to give up time to shop, prep, and cook.

Step 4: Make a plan and take action. What are the steps that you need to take to reach your goal? How will you measure your progress?

To run a 5k in 22 minutes by June 1, you may decide to follow a couch to 5k program. You will go to bed and get up 30 minutes earlier each day to treadmill time. Your progress can be measured on a fitness app.

To earn $10,000 additional income this year, you may decide to work a part-time job. If the part-time position pays $15 per hour, you’ll need to work 13 hours each week to reach your goal. If you plan to save the money, deposit the checks into a separate account that will grow by $833 a month.

To prepare five home-cooked meals each week, you may decide to set up a meal plan, shop each Saturday morning, and meal prep on Sundays at 2:00 PM for the following week. Progress can be measured by putting a star on your meal prep calendar for each meal prepared.


“Slow, steady progress is better than daily excuses.” Robin Sharma


Step 5: Stay Focused. It is easy to get distracted. Post your goal, the “why,” your plan, and monitor in a place where you will see it each day. There will be challenging times. Don’t give up. Recommit, refocus, pick yourself up and get back at it. Breaking through these challenges is how we move forward and improve our lives.

Step by step, form better habits that allow you to become the person you want to be.

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 Have a Healthy, Happy, and Connected Holiday

At this point, you may want to sit back and let the rest of this crazy year slide quietly into history. Instead, why not finish the year with a surge of happiness, healthiness, and connectedness?

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Happiness

Happiness is a state of mind, a choice. No matter what is going on in the world around us, we can choose to be happy. Suppose we intentionally focus on the good in our lives. We can then overcome the natural tendency to think about what is missing.

  • To be grateful for the people who impact us in positive ways: family members, friends, teachers, healthcare workers, grocery store employees, delivery drivers and warehouse workers (What would we do without them this year?), first responders, and many others. Yes, some people irritate us to no end, and they tend to be the ones who get our mental energy. But instead, gently shift your time and focus to the positive people in your life.
  • To appreciate the amazing things that our bodies and minds provide for us: the ability to feel, to think, to move, to hug, to create, to learn, to change, to adapt, to give, and to receive. Yes, there are sags, wrinkles, and cellulite. But, think of the billions of individual cells in your body. They are formed into organs and systems that communicate and work in perfect concert. Our bodies are amazing.
  • To be thankful for the comforts we have. We often take for granted the roof over our heads, the furnace that keeps us warm, and the grocery store with bountiful food choices. As you go through your day, give thanks for the little comforts that you enjoy.
  • Focus on giving to others. Reaching out and helping others lifts your spirit like nothing else. Find a person or cause that you are passionate about and find a way to help.

Shifting our focus to appreciation and gratitude brings more joy and happiness into our lives. Start and end your day by thinking of three things you appreciate. This simple practice can help you positively shift your focus.

Healthiness

We need to take a pro-active approach to our health—good health does not just happen. It is something that we need to work towards—even during the holidays. In the last few weeks of the year, vow to focus on the small positive habits that, over time, shape your health.

  • Keep to your healthy meal plan at least 80% of the time, enjoying occasional treats. Better yet, enjoy a healthy version. It’s easy to find new low-calorie, low-sugar versions of your favorite holiday treats online.
  • Finding time to exercise or simply move more throughout your day will keep you energized.
  • Don’t skimp on sleep. It has a powerful impact on health and weight.
  • The holidays can be stressful. A few minutes with candlelight and soft music or a brisk walk on a star-filled night can do wonders to restore your peace and sanity.

Connections

The pandemic provides challenges for connecting with others safely. But staying connected has never been more critical.

  • The holiday season is a great time to slow down and enjoy simple things with family members. Sit by the fire, gaze at the stars, watch a holiday movie, make special foods together, make a snowman, or drive around looking at decorations.
  • Connect by bringing out the photo albums or family home movies. Holidays raise memories of how things used to be and how they have changed. Using photos to highlight the good times you have had together as a family helps you draw closer.
  • The music of the season can help us to feel connected. Many of the songs we’ve sung since childhood. Print lyric sheets to teach the younger generation classic songs.
  • Connect through gift-giving. It is often the simple gifts we cherish–a special photo framed, an activity to do together, or a card telling the person what they mean to you.
  • Sending cards is a way to let others know you are thinking of them. Show off your family and share highlights of your year with a photo and note.
  • Technology brought us Skype, Zoom, and FaceTime. Use them to connect with those you can’t see in person.
  • Phone calls are still a great way to connect during the holidays. Make a list of those you’d like to talk with, then call one person each night. Not enough time now?—put the calls off until January.

A little forethought can make this season extra-special, full of happiness, health, and connections.

 

 

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How to Reach Goal Weight and Stay There

Bariatric surgery is the only effective long-term treatment for obesity.  Studies show that most who undergo bariatric surgery keep at least 50% of their weight off for ten years or longer.  And with that weight loss, there are many improvements to health, vitality, and quality of life. But, the reality is that some people do gain a portion of their weight back. What causes that, and what can you do to prevent it?

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Expect a Slight Gain

Our bodies are set up to store energy in fat cells for times of famine. Weight loss surgery works by disrupting the tenacious survival mechanisms that the body has in place by:

  • Limiting the amount of food that can be eaten at one time.
  • Influencing hormonal changes that promote weight loss.
  • Motivating positive lifestyle changes as weight is rapidly lost.

Over time, however, there is a slight increase in food intake. The hormonal help is not as strong. And people tend to resort back to some not-as-healthy lifestyle habits. Due to these and potentially other factors, about half of the people see some regain after two years. The average weight gain is eight percent. 

Some Things are Out of Your Control

 Set your weight expectations based on individual circumstances. Some of the factors that influence weight are out of your control. They may limit the amount of weight you initially lose and the amount you can keep off. Consider:

  • Although weight loss often cuts the number of pills needed for a wide range of health conditions, some “weight-positive” drugs may be required. Review your medication list with your primary care doctor and discuss possible substitutes for any that have weight gain as a side effect.
  • Physical Activity Limitations. A robust activity level helps to boost metabolism. Injuries, painful conditions, or merely a lack of time may constrain the amount of movement done each day. Be sure to move as much as possible with the limitations you have.
  • Older people may see a slower rate of weight loss and fewer pounds lost. Keep in mind that even smaller amounts of weight loss provide many health benefits and improve life quality.
  • Medical Conditions. Some medical conditions, such as hypothyroidism, PCOS, metabolic syndrome, and diabetes, involve the body’s energy balancing systems. Work with your primary care physician to manage these conditions so optimal weight can be lost.

It is All about a Healthy Lifestyle

Studies have found that most regain is not from factors out of one’s control or problems with the surgery itself. It is mainly due to poor compliance with healthy dietary and lifestyle practices. To lose weight and keep it off, this is where you need to focus your attention.

Take Advantage of the Rapid Weight Loss Phase

Year one is often referred to as the honeymoon period. Even if you don’t exercise or follow the “rules,” you’re likely to see significant weight loss.  But, sliding through with minimal effort isn’t in your best long-term interest. It is time to ramp up your efforts, reach your weight loss goals, and develop habits that will help you stay healthy. Make these efforts during year one:

  • Regular exercise increases weight loss and decreases muscle loss—setting you up with a higher metabolism to help offset the natural decrease in hormonal help.
  • Rather than just eating smaller portions of highly processed foods, establish healthy eating habits that will fuel your success long-term.
  • Work on coping skills to navigate stressful situations without leaning on food for comfort.

Healthy Eating

Habits are formed from repetition.  At first, they require a conscious effort but eventually become automatic. We all tend to eat what is easiest at the moment. By doing a little planning and prep, healthy foods become the easy choice—no willpower required.  Healthy eating habits after surgery include:

  • Between meals, drink calorie-free fluids. Shoot for at least 64 ounces a day-more if possible. Avoid fruit juice, sugar-sweetened drinks, and alcoholic beverages.
  • Eat without distractions (TV, computer, etc.), so you can eat slowly, chew thoroughly, and focus on feelings of fullness. Stop eating when you feel comfortably full or sense that one more bite will be too much.
  • Measure or weigh foods most of the time to keep portions in check. Be aware that meal size tends to get slightly larger over time. Using smaller plates, bowls, and eating utensils also helps.
  • Drink between meals rather than with meals. Practice the 5/30 rule in which you stop sipping on fluids 5 minutes before a meal and don’t resume until 30 minutes after the completion of the meal.
  • Plan 6 small meals/snacks. Eat every 2 ½ to 3 hours. Skipping meals does not increase weight loss.
  • Avoid calories between planned meals and snacks. This time is reserved for calorie-free fluids.
  • Choose high-quality foods that are mostly prepared at home. Build your diet on lean protein sources; add fresh vegetables, fresh fruits, and small amounts of whole-grain foods and healthy fat sources.  Use the Barix Meal Planning Guideline or Barix Food Guide to help you plan.
  • Eat the right carbs. Limit foods with added sugar and highly processed foods. Your body thrives on the right amount of carbohydrates from fresh vegetables and fruits, low-fat dairy, and whole grains.
  • Keep late-night snacking from derailing your weight loss. Plan a healthy protein-rich snack in the evening and keep “snacky” foods out of the house.

 Awareness &Monitoring

  • One of the most effective habits is to keep a food (and exercise) log. Doing this increases awareness of eating patterns, food choices, and calorie intake.
  • Weigh weekly. Weight naturally fluctuates within a few pounds. Set an acceptable top weight. If you reach that weight, it is time to take action. Look at what has changed and reach out for help. Weight gain does not mean that you have failed. It means that you need to make some changes and get back on track quickly.
  • Attend scheduled follow up appointments. Your healthcare team is there to support you. Regular check-ins help keep you well-nourished and on target.
  • Support groups and accountability partners can help you keep a healthy mindset. There will be bumps along the way, and those who have gone through the same thing are often the best ones to help.
  • Be mindful when you eat. Pay attention to bite-size, chewing well, and stopping when comfortable.
  • Work on building skills and putting strategies in place to limit emotional eating, late-night eating, and triggers that lead to poor food choices.

Physical Activity

Increased physical activity is associated with more weight loss and a higher quality of life after surgery. Inversely, a low activity level is a crucial predictor of weight regain.  You’ll want to build up to at least 10,000 steps a day and add strength training 2-3 times a week. Here are some easy ways to increase your activity:

  • Park farther away. Walking into a store or your office from the far end of the parking lot can boost your heart rate. If you live close enough—give up the car altogether and walk or bike instead.
  • Have a sitting job? Make efforts to stand more often, take mini walks, or do 3 minutes of exercise (leg lifts or squats—or bring in a set of dumbbells) each hour. Can you work at a standing desk? After just 2 hours of sitting, metabolism slows by 25-50%; blood sugar levels increase, good cholesterol decreases, and circulation slows. Use your lunchtime to take a walk or to work out right at your desk.
  • Schedule it into your day. Exercise deserves a priority status—after all, it is an investment in your health and well-being. Put it on the calendar and treat it as an essential appointment.
  • Get up a little earlier. Morning exercise rocks–start your day more energized and focused.
  • Multi-task. Walk with a friend to socialize and exercise at the same time. Watch a TV show, inspirational video, or educational clip as you cycle or walk on a treadmill.
  • Use a fitness app for structured exercises adapted to the time, space, and equipment you have available.
  • Are you watching TV? Walk in place during the show or bust out some sit-ups and squats during the commercials.
  • Sign up for a charity 5K with a buddy. Once you have the date on your calendar, the training begins. With a goal ahead of you and a friend by your side, it’s easier to stay motivated.
  • Tracking exercise helps to motivate (Wow, I’m up to 20 squats!), measure progress, and keep you on track.
  • Sometimes you need to choose something over nothing. If you cannot get your full workout in, do what you can. Short spurts of effort can add up. It is all about the habit. When there is a time carved out for exercise, use it. That way, the routine stays in place, even if the workout isn’t an all-out effort.
  • When you need to communicate, make a phone call instead of sending a text or email. Get up and walk around the block, or pace while talking on the phone.
  • Turn up the tunes and turn household chores into a workout session. Sweep faster, scrub harder, add in some bicep curls between tasks, and you’ll be working up a sweat in no time.

Manage Stress

Build up stress management skills before you need them. Practice healthy ways to cope with small stressful situations, so when more significant stressors show up, you’ll be able to limit or avoid emotional eating.

Sleep

Sleep has a massive impact on weight. Sleep deprivation has been found to change the regulation of appetite and energy expenditure. Without eating one single extra morsel, a sleepless night can increase weight. A string of sleepless nights can add up. Adjust your lifestyle to make sleep a top priority.

Knowledge and Skills

It is easy to improve knowledge and skills in 2020. The information and help needed are at our fingertips.

  • Learn while you exercise by watching videos or podcasts.
  • If you don’t know how to prepare foods from scratch-learn.
  • Spend time reading labels and ask questions when you’re not sure.
  • Read up on emotional eating and practice stress management techniques.

Get it off and Keep it off

Having weight loss surgery is about so much more than reaching a healthy weight. It’s about transforming your life, reclaiming your health and well-being, building your confidence, having new opportunities, and living life to the fullest.

The commitment and daily efforts to make healthy food choices and get enough intentional exercise are well worth the payoffs. Not surprisingly, the lifestyle habits that help you maintain a healthy weight also help you live a long, full, vibrant, and active life.

 

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Thanksgiving Celebrations – Pandemic Style

Since this year’s holiday celebration will probably be a little different, we’ve compiled a list of ideas to get your creative juices flowing. Be flexible and change it up a bit to keep your celebration be meaningful and safe this year.

Focus on gratitude

Ask every family member to share one thing they are grateful for each day of November. Depending your family’s size and distance, share via post-it notes on the fridge, text messages, social media, or at the dinner table.

Share with others

Drop off a favorite dish, a card of encouragement, a holiday decoration, a poinsettia plant, or a DVD of a favorite holiday movie to someone at higher risk and not able to get out much. Consider doing this once a week as a family-taking turns to think of people and small gestures that would make their day.

Host a virtual dinner with a video

  • Coordinate the time and menu and share recipes ahead of time. That way, you can all enjoy a few of the family favorites together.
  • If you live nearby, have each family prepare a dish, divide into portions, and meet in a contact-free way to divvy up the goods. Then simply heat back up in individual homes and enjoy together.
  • Prepare a special holiday toast to share what you are most thankful for.

Order a meal to go

Sometimes the stress of cooking a large meal from scratch is just too much. Many restaurants and grocery stores offer family-sized meals to-go. You’ll be stress-free and supporting local businesses. 

Play or watch games together virtually  

There are online games available for free. This site did a good job listing them: https://www.studyinternational.com/news/10-free-online-games-play-friends/.

If you’re more of a football family, gather around your perspective TVs and video chat or group text to root for your favorite teams.

For techy families

Have each family create a slideshow or video of the things they’re thankful for. Share on Thanksgiving Day.

For the kids (young and old)

  • Make “thanks” calls. Help your child make a list of people to call, email, or text and express their appreciation to on Thanksgiving.
  • Make “thank you” signs for essential workers, healthcare heroes, first responders, teachers, and others and place in your front yard.
  • Paint rocks with messages of gratitude, then on Thanksgiving Day, go on a walk together and leave the rocks for others to find and enjoy.
  • Find a COVID-safe way to give back to your community by volunteering, donating, or meeting a special need.

In-person gatherings

The Center for Disease Control has put out a pretty extensive list of guidelines to stay safe if you are gathering in person this year.

Focus on what you can do

However you decide to celebrate the holidays this year, get excited and put your energy into the things you can do to make the season special.

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