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Weight-Loss Surgery Can Reverse Diabetes, But Cure Is Elusive

Khalili Center - Diabetes and Weight Loss Surgery on NPR


Bariatric surgery can help obese people lose weight, and excess weight is a big risk factor for Type 2 diabetes. So it makes sense to try to figure out whether the surgery could help control diabetes, too.

So far the answer is yes, at least for some people and for three years. But surgery doesn’t work for everyone, and the long-term implications remain unclear.

More than one-third of the people who had gastric bypass surgery met glycemic control targets three years out, compared with 24 percent who had a different type of bariatric surgery called sleeve gastrectomy. And just 5 percent of people in a group treated with medication alone were able to meet that standard.

It’s one of the first randomized controlled trials to look at bariatric surgery as a treatment for Type 2 diabetes, which affects 23 million adults.

Click here to read the entire article on NPR.org


Tomato and Zucchini Frittata

Khalili Center - Tomato and Zucchini Frittata


We love eggs because they are one of the best protein foods! Combining whole eggs with egg whites makes this recipe nutritious and bariatric friendly! Enjoy anytime of the day or make ahead for your busy week!


• 2 tsp olive oil
• 1 medium onion, diced
• 1-1/2 cups (7 oz) zucchini, diced into matchsticks
• 4 large eggs
• 4 large egg whites
• 1/4 cup Asiago cheese, grated
• salt and fresh pepper
• 2 medium (about 8 oz) vine ripe tomatoes, cored and thinly sliced crosswise



Preheat oven to 400°F.

Heat oil in a 10-inch skillet over medium-low heat. Stir in onion and cook until slightly golden, about 8 to 10 minutes. Add zucchini, increase heat to medium-high, season with salt and pepper and cook 2 to 3 minutes or until the moisture dries up, stirring occasionally.
In a medium bowl whisk eggs, egg whites, Asiago, salt and pepper.

Pour the eggs into the skillet making sure they cover all the vegetables. Arrange tomatoes in an overlapping pattern on top and season with salt and pepper. When the edges begin to set (about 2 minutes) move skillet to oven. Cook about 16 to 18 minutes, or until frittata is completely cooked. Serve warm, cut into 4 pieces.
Recipe by Skinnytaste.com

Servings: 4 • Size: 1/4 • Old Points: 4 pts • Weight Watcher Points+: 4 pt
Calories: 172 • Fat: 10 g • Carb: 8 g • Fiber: 2 g • Protein: 13 g • Sugar: 3 g
Sodium: 204 mg • Cholest: 186 mg


Dr. Nishi Discusses Robotic Surgery on Health in Heels with Dr. Lisa Masterson

The Khalili Center’s Dr. Kai Nishi appears on this week’s edition of Dr. Lisa Masterson’s popular podcast Health in Heels. Dr. Nishi will be discussing the latest innovations in robotic surgery among other things. In addition to being one of the leading weight loss surgeons in the nation, Dr. Nishi is also a recognized authority on robotic surgery. Dr. Masterson, meanwhile, is a popular personality in the healthcare media, having formerly been a regular on the hit television show The Doctors.

On the podcast, Dr. Nishi delves into the mechanics of robotic surgical techniques, particularly as they relate to bariatric surgery procedures. At the Khalili Center, Dr. Nishi has been a pioneer in using robotic surgical techniques as a component of weight loss surgery.

In addition to discussing robotic surgery, Dr. Nishi covers a range of other topics on the show including the importance of maintaining a healthy diet and how despite commonly held beliefs, it is important to consume a certain amount of saturated fats. Dr. Nishi also speaks to the importance of a healthy diet in order to better prevent the onset of not just obesity, but also cancer and other serious health conditions. Hear it here!


10 Snacks with Protein

Khalili Center - Sunflower Seeds


Get more Protein, a staple in any Bariatric diet, into your “on-the-go” day with these fresh snack ideas!

1. Edamame baggie

2. Hard cooked egg – de-shelled from grocer

3. Turkey jerky – low sodium, low fat from healthy store

4. Greek yogurt topped with baggie of fresh, raw sunflower seeds

5. Light string cheese with 10 fresh, raw almonds

6. Hummus – ¼ cup with veggie sticks

7. Cottage cheese with Sugar free jam

8. Deli turkey slices -2, rolled with light Laughing cow cheese

9. Tofu teriyaki cubes or low fat meatballs squired with toothpicks

10. Egg salad cup – pre made from Trader Joes



Summer Tomatoes, Corn, Crab and Avocado Salad

A wonderful bariatric friendly summer salad made with lump crab meat, summer tomatoes, sweet charred roasted corn, cilantro, hot peppers and zesty lime juice. Serve this over mixed greens or tostadas as a main dish or you can put this in martini glasses as a fancy appetizer.
This is perfect to bring to a potluck, or you can halve the recipe for less servings. Fresh crab is always best but if that’s not available near you, canned lump crab would do. For the corn, you can roast the corn on the grill, or if you are lucky enough to live near a Trader Joe’s, they sell roasted frozen corn which is such a convenience. A good tip, if you make grilled corn on the cob often and have leftovers, cut it off the cob and freeze it!

Summer Tomatoes, Roasted Corn, Crab and Avocado Salad
By Skinnytaste.com

Servings: 7 • Serving Size: 1 cup • Old Points: 2 pt • Points+: 3 pt

Calories: 130.8 • Fat: 6.1 g • Protein: 8.8 g • Carb: 11.7 g • Fiber: 4.0 g • Sugar: 2.6

Sodium without salt: 263.4 mg

• 12 oz lump crab meat
• 1 pint grape tomatoes, cut in half
• 1 hass avocado, diced
• 2 hot peppers such as serrano or jalapeños, diced fine (seeds removed for mild)
• 1 1/2 cups roasted corn kernels
• 1/3 cup chopped red onion
• 2 limes, juice of (or more to taste)
• 1 tsp olive oil
• 2 tbsp chopped cilantro
• salt and fresh pepper to taste

In a small bowl combine red onion, lime juice, olive oil, pinch of salt and pepper. Let them marinate at least 5 minutes to mellow the flavor of the onion.
In a large bowl combine chopped crab meat, avocado, tomatoes, hot pepper and corn. Combine all the ingredients together, add cilantro and gently toss. Adjust lime juice, salt and pepper to taste.


Anti-Aging Diet

Khalili Center - Anti-Aging Diet


Can you reverse the signs of aging by paying more attention to what you eat? Research points to, YES!!!

How it Works
Antioxidants from good foods abolish the free radicals in your body. Free radicals are unstable cells that can cause pre-mature aging, heart disease, cancer, osteoporosis, Alzheimer’s, and others.

Limit or Avoid Pro-inflammatory Foods:

  • Saturated and trans-fatty acids
  • Sugars
  • Red meat
  • Processed meats
  • Starches

Eat Plenty of Anti-inflammatory Foods:

  • Fresh raw or cooked fruits and vegetables – Consume as many as you can, but ideally more than 7 fruits and vegetables (combined)/day
  • Tea – Drink 1-2 cups of black or green teas – excellent source of antioxidants
  • Fresh, pure water – Drink 70-80oz daily, from a glass or quality plastic container
  • Cold-water fish – Eat omega-3-rich fish, such as salmon and tuna, at least twice/week; omega-3 fats may help to improve mood and attitude, and help prevent chronic inflammation
  • Whole grains – When you eat starchy carbs, eat the kind with whole grains to help blood cholesterol levels and provide more antioxidants
  • Legumes – 3-4, ½ cup servings/week – vitamins, minerals, natural fiber and protein, without fat
  • Yogurt – Eat it every day for the calcium, vitamin D, probiotics and protein to encourage a healthy gastrointestinal system with healthy absorption
  • Nuts – Include nuts as a snack or in foods you prepare for the B vitamins and selenium – essential for your heart and brain
  • Lean protein – Eat lean cuts of meat to maintain and build muscle, which enhances immunity
  • Healthy oils – canola and olive oils
  • Flaxseeds – Grind and stir into yogurt, cereal, etc; 1 tsp ground flaxseeds provide heart healthy fat and fiber
  • Fresh herbs and spices – Use them – provide excellent source of antioxidants
  • Dark chocolate – Consume to help keep blood vessels healthy, but do NOT overdo it—no more than 3 ounces/week or you will reverse the benefit!

Other Anti-Aging Tips:

  • Divide your plate so that you fill two thirds with fruits, vegetables, and small amount of whole grains, and the remaining one third with lean protein
  • Lose weight if you are overweight – extra weight puts stress on the body, reducing life span, and increasing risk of many diseases
  • Exercise— impossible to overemphasize the importance of keeping active
  • Try to eat 4 small meals each day to keep your blood glucose levels steady throughout the day
  • Drink plenty of low-calorie or calorie-free fluids


References and recommended readings
Bortz S. The anti-aging diet: the importance of fluids. Available at:http://www.50plus.org/Libraryitems/2_4_anti_agingdiet.html. Accessed April 20, 2009.
Braverman E. The younger you diet. Available at: http://www.pathmed.com/anti-aging-diet.php. Accessed April 20, 2009.
Eating Well, Inc. Healthy aging diet. Available at:http://www.eatingwell.com/health/health_diet_centers/healthy_aging_diet.html. Accessed April 20, 2009.
Eating Well, Inc. The search for the anti-aging diet. Available at:http://www.eatingwell.com/health/health_diet_centers/antiaging_diet_3.html. Accessed April 20, 2009.
Hearst Communications, Inc. About the anti-aging diet. Available at:http://www.goodhousekeeping.com/health/diet/about-anti-aging-diet. Accessed April 20, 2009.
Hearst Communications, Inc. Best anti-aging foods. Available at: http://www.goodhousekeeping.com/health/diet/anti-aging-diet-tips. Accessed April 20, 2009.
Hearst Communications, Inc. The seven-day anti-aging diet meal plan. Available at:http://www.goodhousekeeping.com/health/diet/anti-aging-diet-plan. Accessed April 20, 2009.
Zelman KM. The anti-aging diet: can what you eat help you age gracefully? Available at:http://www.webmd.com/healthy-aging/guide/anti-aging-diet. Accessed April 20, 2009.
Review Date 5/09


Avocado Egg Salad

Khalili Center - Avocado Egg Salad


Whether you serve this green egg salad as a lettuce wrap, on a healthy cracker or in a cup, you will love this perfectly bariatric friendly meal! Serve on Saint Patrick’s Day and enjoy the holiday, healthy!

4 large hard-boiled eggs, chopped
4 hard boiled egg whites, chopped (discard the rest)
1 medium hass avocado, cut into 1/2-inch pieces
1 tbsp light mayonnaise
1 tbsp fat free plain yogurt
1/2 tablespoon finely chopped chives
2 teaspoons red wine vinegar
1/2 tsp Kosher salt
Pinch freshly ground pepper

Combine the egg yolks with the avocado, light mayo, yogurt, chives, vinegar, salt and pepper. Mash with a fork. Combine with egg whites and adjust salt as needed.

Servings: 6, Size: 1/2 cup
Calories: 154.7
Protein: 9.3 grams
Carb: 4.6 grams
Fat: 11.7 grams


Khalili Center on NBC

Keep an eye out for Dr. Nishi and the Khalili Center for Bariatric Care on NBC! Watch one of the spots below:


Public Education May Reduce Bariatric Surgery Stigma


The outside perception of women who lost nearly 100 pounds in 1 year varied dependent upon the method of weight loss, according to study findings.

“The findings of this research have implications for efforts to reduce the stigma of bariatric surgery, as well as obesity more generally. Educating the public about the fact that individuals who undergo bariatric surgery are required to invest a considerable amount of effort in changing their diet and exercise habits post-surgery might help correct some misinterpretations about surgery that can lead to negative judgments,” Lenny R. Vartanian, PhD, and colleagues wrote.

Researchers at the University of New South Wales recruited 275 men and women through Amazon Mechanical Turk — a crowdsourcing Internet marketplace — to determine whether educating participants on the lifestyle changes required after bariatric surgery would lessen the stigma associated with the surgery.

Participants were shown “before” and “after” weight-loss images of a woman who lost nearly 100 lb in 1 year. After viewing the before image, participants were asked to evaluate the woman by rating the terms lazy, sloppy, competent, efficient, successful, intelligent, self-disciplined, likeable, popular, shy, aggressive, unhappy and irritable on a sliding scale.

Later, participants viewed after weight-loss photographs of the same woman and were given three different accounts of how she lost weight: with bariatric surgery alone, with diet and exercise, or with a combination of surgery and diet and exercise. Besides evaluating the woman in terms such as lazy or competent, questions also were posed regarding how much responsibility she possessed for her weight loss.

Women who lost weight strictly through surgery received the most negative ratings for laziness, competence and responsibility for weight loss. Conversely, those who lost weight by diet and exercise received the most positive ratings for laziness and competence and were viewed as the most responsible for their weight loss. Ratings were more favorable for those whose weight reduction was brought about by a combination of bariatric surgery and lifestyle changes compared with those who underwent surgery alone.

Statistical analysis showed the participant’s age, BMI and sex did not have any effect on the results of the study, according to the researchers.

Disclosure: The researchers report no relevant financial disclosures.

This article was originally published by healio.com.


Go GREEN for Saint Patrick’s day!

Khalili Center Garden


Follow these 6 simple weight loss surgery -friendly tips:

1. Burn more calories and walk instead of drive!
2. Get your vitamin D and buy local by shopping outside at your local Farmers Market!
3. Portion your meals with recycled containers that your foods were purchased in!
4. Burn more calories by turning down your thermostat to save energy!
5. Hydrate by refilling your water bottle!
6. Eat something that is green and comes from the earth every day!

The information presented in the blog pages of Khalili Center is for educational and informational purposes only and should not considered personal medical advice. Consult with your personal physician/care giver regarding your own personal medical care.