Monthly Archives: September 2008

Coming Soon: Interview with Dr. J. Vaughan Weight Loss Surgeon

In two weeks will be posting my interview with Dr. Jefferson Vaughan who heads the bariatric (weight loss) surgery program at Jupiter Hospital, Florida.  If you have questions about weight loss surgery now is the time to get your questions answered! Click on the “Health and Nutrition Forum” button on the home page of Put your question in a bulletin board post and title it “To Dr. Vaughan” and I will have Dr. Vaughan answer the best questions from our members.

I look forward to reading your questions.

Dr. Gary Pepper

Weight Loss Surgeons Have Something Up Their Sleeve

No where is weight loss more essential to health than in those with obesity related Type 2 diabetes and Metabolic Syndrome. Metabolic Syndrome can be thought of as Type 2 Diabetes before the blood sugar levels become elevated. Experts are now turning more often to surgery when convential treatment with diet, exercise and medication fails to control these diseases. Different forms of surgery are available to cause rapid weight loss which frequently results in a “cure” or at least substantial improvement in diabetes.

One type of surgery often done laparoscopically aims to reduce the size of the stomach. By reducing the stomach size less food is consumed and hunger reduced. In another type of surgery much of the small bowel is “by-passed” so less of the food is absorbed and more is passed out of the body through the large intestine.

In Brazil a new procedure is being pioneered by Dr. Aureo DePaula and colleagues which utilizes both techniques. This procedure involves making a “sleeve gastrectomy” as well as by-pass. Dr. DePaula removes a part of the stomach and sews the remaining piece to the end portion of the small intestine called the ileum.

According to Dr. DePaula the benefit of this procedure extends beyond the mere mechanical reduction of the size of the stomach and bowel. The piece of the stomach and bowel eliminated by the sleeve procedure are responsible for making hormones that stimulate appetite and interfering with the function of insulin and cause insulin resistance. So far the Brazilian team has demonstrated great success to reverse the metabolic problems of diabetics and those with metabolic syndrome. Almost 90% of men and women in their recent study were able to discontinue taking diabetic medication after undergoing the surgery.

The procedure is still considered experimental

Surgical teams around the world are now preparing to try to duplicate the success of Dr. DePaula. According to reports, in the United States one team is being established at Mt Sinai Hospital in New York.

Those interested in this procedure may learn more in November when there is a meeting of the International Congress of Endocrinology in Rio de Janeiro, Brazil. Here experts are expected to analyze available information on the sleeve procedure and make recommendations for its use.

Weight Loss Surgery for Diabetes Management

Recent studies are confirming that weight loss surgery can provide dramatic improvements in treatment of people with Type 2 Diabetes.  One such recent study compared the results of many other studies of weight loss surgery and was published in the JAMA.  Type 2 diabetes, or adult onset diabetes,  is generally seen in over-weight adults. When an individual gains weight the body must produce more and more insulin to compensate for the additional fat. Once the pancreas has reached maximum porduction and cannot produce enough to keep the blood sugar normal, the result is called Type 2 diabetes.  By causing rapid weight loss via gastric by-pass or gastric banding surgery the body declines in size to a point where the pancreas is now again able to supply the proper amounts of insulin and the diabetes is “cured”.   If the person regains the weight the diabetes will return.  Some experts believe that gastric surgery also improves other hormones that effect blood sugar and that weight loss itself is not even necessary to see better blood sugar levels.

Weight loss surgery is not like cosmetic surgery. The risks are seen as relatively greater than cosmetic surgery and there are frequent complications involving the digestive system.  Costs of surgery are high and are generally not covered by insurance. For this reason many people travel outside of the US to obtain the surgery and wind up saving money.

Currently in the US the guideline for consideration for surgical treatment of diabetes is a BMI (search this term in of greater than 40 or a BMI of 35 or more associated with some complication of diabetes such as leg ulceration.  Doctors are now struggling to decide if these guidelines should be relaxed so more people with diabetes would qualify for weight loss surgery.

Gary Pepper, M.D.


Terms of Service apply to this post

Weight Gain Program

Gaining weight can seem as daunting as trying to lose weight. Hard training at the gym, numerous meals per day, all yielding no results. Help is on the way! There is a formula for successful weight gain.

The “Getting Buff” program was designed by our Senior Nutritionist, Robert Pastore, Ph.D., CNC, CN. Dr. Pastore’s program consist of 4 basic steps:

  • Calculating unique caloric needs
  • Analyzing macronutrient needs
  • Designing an individualized comprehensive supplementation program
  • Personal training schedule

If you are trying hard to “bulk up” without results, we can help! Please take a moment and visit our companion site, The Ultimate Weight Gain Program. If you would like to ask Dr. Pastore a question about this program, please visit our Weight Gain community.


Please visit for valuable information about weight gain.

5 Keys to Fat Loss Success

By Wendy Chant,
Author of Crack the Fat Loss Code

When it comes to losing fat, success doesn’t happen overnight.
Sometimes it doesn’t even happen over a few weeks, a few months or a
few years. Don’t rush it, don’t crash and don’t expect too much of
yourself too soon. Life is for the living; for the making of mistakes
and learning from them. Below I have outlined my5 Keys to Fat Loss
Success so that you can not only lose fat but keep it off — forever:

1. Set realistic short-term goals: The best way to think of these is
as “mini-goals.” When I was actively training in road racing I didn’t
start out running a marathon. I first started with smaller mileage
races and each time I would try to better my time — and better my
distance — until I was running a competitive marathon. There is no
way to reach such a huge long-term goal without a few mini-goals along
the way. What are your mini-goals?

2. Short-term goals should lead you to long-term goals: Allow for
occasional setbacks along the way, but regard them as learning
experiences. That’s the beauty of short-term, or mini, goals. You can
make a few missteps along the way and still reach your ultimate goal,
as long as you simply learn from your misstep and get back on track.

3. Set a training schedule and stick to it: It helps to have a
contract with yourself; how formal a “contract” is up to you. Some
clients put the schedule in writing; others tack it to their fridge or
keep a sticky-note in their wallets. Some keep it in their heads, but
all do one thing in common: stick to it.

4. Listen to Your Body: If I’ve taught you one thing in this book it’s
to listen to your body. We talked about not eating too much, stuffing,
and not eating too little, starving. Your body sends you signals when
it’s too full or too empty; listening to them is one way to stay in
balance. Your exercise should be the same. Fatigue is a sign to take a
break, and it’s OK to do so. The old adage of “no pain, no gain” has
gone by the wayside.

5. Constantly challenge yourself: Life is meant to be a challenge. We
strive to meet challenges and move beyond them. If we don’t learn, we
can’t grow. Success is like a muscle; it doesn’t grow if it isn’t
stretched. How far can you stretch today?

©2008 Wendy Chant

Author Bio
Wendy Chant, MPT, SPN, is a certified personal trainer and a
specialist in performance nutrition. She holds a bachelor of science
degree in medical sciences and nutrition science. A champion body
builder, she opened her own training center, ForeverFit®, in 1998.
Her book, Crack the Fat Loss Code, is available now from McGraw-Hill.

Terms and Conditions & SERVICE AGREEMENT

Policy Statement of, and Metabolink, Inc. / Revised May 2009

Policy Statement.

The goal of (owned and operated by Metabolink, Inc.) is to provide public access to a wide variety of well informed opinions on nutritional and wellness issues. We invite experts to come to our website to share their knowledge and offer information to those who desire it (visitors and members). We encourage visitors and members to interact with the experts and to offer their own points of view and experience, as well. Our featured experts are not employees of Metabolink, Inc, but are independent practitioners of their chosen fields who have come to to interact, help and teach. We do our best to make sure the credentials claimed by our featured experts are valid, but cannot guarantee them. We encourage all visitors and members to take care to assure themselves of the validity of the expert’s credentials, particularly if considering purchasing personal services from them. and Metabolink, Inc. stand behind the quality of the website and welcome comments, criticisms and complaints as we attempt to make our website even better and more reliable. All comments can be sent to and we will do our best to address them in a timely manner.

Terms and Conditions & Service Agreement of, and Metabolink, Inc

Metabolink, Inc. (”metabolink”, “”, “us”, “our”, “we”, “Company”) maintains the Internet site together with other Internet sites (”Sites, website”) as a service to the Internet community. The content (images and text) (”Content”) is the property of Metabolink, Inc. and protected by United States and international intellectual property laws. As a user of the Sites, you may download Content solely for your personal, non-commercial use. You may not use the Content in any matter inconsistent with this Service Agreement (”Agreement”) or applicable law, nor may you copy, modify or alter the Content.

The Content and other information presented on the Sites are for educational purposes only. The health care professionals, featured experts and affiliated bloggers do not intend their comments as a substitute for medical counseling. If you are considering starting any diet, wellness or fitness program advocated by one of the contributors to, consult your physician or other health care provider to determine if one or more of our diet and/or fitness programs are right for your needs. Do not start a diet, wellness or fitness program if your physician or health care provider advises against it. reserves the right to cancel your membership should you violate the terms and conditions of this Agreement and any other posted policy on the Sites. Memberships are non-transferable.

We will use reasonable efforts to include accurate and up-to-date Content and information on the website but cannot guarantee the truthfulness of all statements made on the website. From time-to-time we will include content and/or information provided by third parties. By clicking on certain links within the Sites, you may leave the Metabolink, Inc. Sites for another Web site (”Third Party Site”) which Metabolink, Inc. neither owns nor controls. Metabolink, Inc. shall not be liable to you for your use of a Third Party Site.


The entire contents and design of are protected under U.S. and international copyrights. Posted material may be used freely for personal, research, scientific, and/or information purposes only. Please refer to the copyright notice for more information.



At certain points in using the Sites, you will be asked to provide information to us. We collect two types of information from you, personally identifiable and non-personally identifiable. The personally identifiable information that we collect, includes but is not limited to, your first and last names, your street address (including the city, state and zip code), your telephone number and your credit card number. Non-personally identifiable information we collect includes, but is not limited to, your email address, your weight, your height, and your eating and fitness preferences. We do not sell personally identifiable information. However, from time-to-time we may lease such information (excluding credit card information) to third parties who provide goods or services that may be of interest to you based upon your use of the Sites. Should you not want for us to lease your personally identifiable information, send us an email to and state in the body of your email that you do not want for us to share such information. We will not disclose your personally identifiable information in a manner inconsistent with this Agreement or any other posted policy on the Sites unless authorized by you to do so, or as required by law, or to protect our interests. We will not request personally identifiable information, your user name and/or password nor credit card information via email. In the event that you receive any communication that purports to be from Metabolink, Inc. that seeks personally identifiable information, send that request to Metabolink, Inc. via email to or by mail to the address stated below.

Using the Blog and Bulletin Board

Any non-personally identifiable information, communications or material you send to us by any method is deemed by us to be non-confidential and you expressly license Metabolink, Inc. to use, reproduce, and create derivative works from information, communications or material. The Company reserves the right to use comments, testimonials and other statements made by you on our Sites including, but not limited to those you may post on our bulletin boards, in our chat rooms, and blogs in marketing and promotional materials. Any information, communications or material you send to us must be truthful, legal, and not violate any third party intellectual property or other rights. We reserve the right to change this Agreement and any other posted policy on the Sites or to withdraw, change or add products or services contained within our Sites at any time.

You agree to: (a) maintain all equipment necessary for your access to and use of the Sites; (b) maintain the security of your user identification, password and other confidential information relating to your Metabolink, Inc. account; (c) be responsible for all charges resulting from use of your Metabolink, Inc. account, including unauthorized use prior to your notifying Metabolink, Inc. of such unauthorized use and taking the legal steps to prevent its further occurrence by contacting us to change your password; and (d) updating your personal information, including email address.

You may cancel your membership as follows:

By email: send an email to In the text of the body of your email state your first and last name, user name, and intent to cancel. We will not open your email if it contains an attachment.

By mail: mail your letter to Metabolink, Inc 211 Anhinga Lane, Jupiter, Florida 33458 Att: Member Services. Include your first and last name, user name, email address, and your intent to cancel.

Or by following an unsubscribe link at the bottom of any email you might have received from us.

You agree that neither Metabolink, Inc.. nor its affiliates, subsidiaries, officers, directors, employees, agents, consultants, content providers, partners or suppliers (”Released Parties”), shall have any liability to you under any theory of liability or indemnity in connection with your use of the Sites. You further agree to hereby and forever release and waive any and all claims you may have against any Released Parties for any and all claims, causes, damages or losses under any theory of liability (including attorneys fees and associated costs and expenses) arising from your use of the Sites. . Notwithstanding the foregoing , our total liability to you by any Release Party shall not exceed the fees paid by you to us during your membership with us. In addition, should your claim arise from a purchase made on or through our store, our total damages shall not exceed the cost of the product or service purchased (less shipping and handling). No representations or warranties of any kind, whether express or implied, fitness for a particular purpose, or merchantability are made by us regarding the Sites. We will not be liable to you for any damages, including, direct or indirect, special, incidental, consequential or punitive damages even if we have been advised of the possibility of such damages. Void where prohibited by law.

Metabolink, Inc. may deliver notice to you under this Agreement or any other published policy on the Sites by email, a general notice published on the Sites or by first class U. S. Mail to the street address provided by you at the time you become a member. Metabolink, Inc. will never request any personally identifiable information from you via electronic or postal mail. If you receive an email or postal mail that purports to be from us that requests personally identifiable information from you, and specifically, your credit card number, please do not reply to that email and forward it to You may give notice to us via email, by certified U.S. Mail postage prepaid or by nationally recognized overnight courier to the following address:

Metabolink, Inc.
211 Anhinga Lane
Jupiter, Florida 33458

Governing Law; Jurisdiction; Statute of Limitations.

This Agreement shall be governed by the laws of the State of Florida applicable to agreements wholly made and performed in Florida. In the event that you believe you have been irreparably harmed by any cause of action relating to, you agree to inform Metabolink, Inc. in writing and grant Metabolink, Inc.. thirty (30) days to cure the harm before initiating any action. Any legal action, suit or proceeding arising out of or relating to this Agreement or a breach thereof, shall be instituted in a court of competent jurisdiction in Jupiter, Florida, and you hereby consent and submit to personal jurisdiction of such court, waive any objection to venue in such court and consent to service of process by overnight courier or express mail at your last known address. Any cause of action initiated by you must be initiated within one (1) year after the claim or cause of action has arisen or be barred.

Privacy Policy

We absolutely do not sell consumer information to any outside business or organization.

For each visitor to our Web page, our Web server automatically recognizes only the visitors domain name (e.g., your IP address), but not your e-mail address.

We use third-party advertising companies to serve ads when you visit our website. These companies may use information (not including your name, address, email address, or telephone number) about your visits to this and other websites in order to provide advertisements about goods and services of interest to you. If you would like more information about this practice and to know your choices about not having this information used by these companies, click here.

We collect the names and e-mail addresses of all those who communicate with us via e-mail and/or online submission forms. The information we collect is used to improve the content of and will not be sold to any other organization.

Members who have subscribed will be added to the mailing list and receive occasional communication and other valuable offers. Any member may unsubscribe at any point.

If you have any questions about this document, please contact Dr. Gary Pepper at