“The last meal”

While you might feel tempted to have a “last meal” or a “private food farewell” you must be aware that doing so you will replenish your liver and ultimately enlarge it, diminishing the purpose of the pre-op diet and making it more difficult for your surgeons to perform your surgery – thus increasing the risk of converting a laparoscopic procedure into an open procedure. Also, your surgery may be postponed if your surgery´s goal weight is not reached.

You have come too far to risk it!

Here are some ideas to help you deal with “parting syndrome”:

  1. Keep in mind that after surgery you will still be able to eat a wide variety of foods, you do not need to bid adieu to some of your favorite meals –you´ll just eat less. Having a “last meal” is pointless and detrimental to all your pre-surgical efforts.
  2. Ask yourself if you are eating to deal with feelings other than hunger, such as boredom, being tired, anxiety or stress. Here are some actions you can try:
  3. Call a friend for support.
  4. Use inspirational quotes to help you avoid the temptation to eat.
  5. Take a warm bath or shower.
  6. Listen to music, a relaxing CD or download some music, this will keep you stay busy.
  7. Avoid watching TV cooking programs/channels.
  8. Take a walk (weather permitting).
  9. Try activities that keep you from eating. It’s hard to eat while you’re exercising. And, if you are gardening, you probably won’t eat while your hands are covered in soil.
  10. Be aware of mental hunger. Once identified, remind yourself the reasons why you´ve chosen to get healthier; writing them down will also help you evaluate your success!
  11. Pay close attention to your body´s physiological needs. At this point you should provide enough calories (600-800) thru liquids to avoid hunger –primal instincts will win over will power anytime! It may also be possible to confuse thirst or tiredness with hunger.

Make this happen, you can do this!


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OCC’s epidemiologist is closely monitoring the COVID-19 status and is actively issuing updates as they are available. The Centers for Disease Control and the World Health Organization are the most trusted sources online.  While the CDC has announced new mask protocols for vaccinated individuals, there will be no changes for our office protocols for patients, guests, and staff members as the announcement does not apply to hospitals or medical facilities. Masks are still a requirement for all patients, guests and staff at our facility.

As we reinitiate weight loss surgery, we are constantly adapting and installing new and updated safety measures.

Weight loss surgery is medically necessary.

Bariatric Surgery and the clash of two pandemics.   

Major metabolic and bariatric surgery Societies and colleges globally are now calling for the safe resumption of bariatric and metabolic surgery before the COVID-19 pandemic is declared over. 

The sooner bariatric surgery can be safely performed, the quicker obesity, type 2 diabetes, and other diseases can be reduced or resolved as they are not only chronic they are also progressive.  Obesity is also linked to more than 40 diseases including type 2 diabetes, hypertension, heart disease, stroke, sleep apnea, osteoarthritis, and at least 13 different types of cancer.

A recent statement from the ASMBS says “Before COVID-19 began, it was clear that patients with obesity were ‘safer through surgery.’ In the era of COVID-19, ‘safer through surgery’ for patients with obesity may prove to be even more important than before.” Obesity and Metabolic syndrome have been identified as an independent risk factor for adverse outcomes including death among COVID-19 patients.

See here for full COVID-19 update. 

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