I posted this because I am reading her first book right now and I came across this on the internet.
Carnie Wilson's War: Weight Gain After Gastric Bypass
Gaining Weight After Bariatric Procedures Can Be as Discouraging as It Is Unhealthy
By DAN CHILDSABC News Medical Unit
March 13, 2008 —
For many veterans of crash diets, killer workouts and tailored meal plans, weight loss surgery is the nuclear option in a battle against the bulge. But while such procedures can indeed lead to dramatic weight loss, for some the pounds return. Such appears to be the case with musical star Carnie Wilson, whose fluctuating figure dominated tabloid front pages this week in the latest chapter of her widely publicized fight against obesity since her gastric bypass surgery in 1999. Wilson, 31 at the time, weighed more than 300 pounds before the procedure that reduced the size of her stomach to that of an egg. Speaking with ABC's "20/20" at the time, Wilson said that at that weight she felt "tired a lot, I'd feel sluggish. I started getting paranoid. ... I felt like I was going to have a heart attack." By all accounts, Wilson's procedure was a success; she dropped 152 pounds and her new trim figure soon made her the poster child of weight loss surgery. She regained 70 pounds in 2005, when she was pregnant with her daughter, but later lost the weight. Until recently she sported a trimmer figure. But that appears to have changed. New photos released by the celebrity Web site TMZ.com Tuesday show the singing star significantly heavier than before. When the Pounds Come Back Without a doubt, weight loss surgery works. Within the first two years of surgery, most patients who have such procedures can expect to lose 50 percent to 80 percent of their excess weight. This means that if a patient's ideal weight is 150 pounds and they weigh 350 pounds, they can expect to lose between 100 and 160 pounds in those first two years. And following suggested lifestyle modifications, most of which revolve around healthy diet and regular exercise, can go a long way in ensuring that this weight stays off. But for some, like Wilson, the weight can come back. "We know that 5 percent or maybe even more of these patients over time can regain weight," said Dr. Daniel Jones, director of the bariatric program at Beth Israel Deaconess Medical Center in Boston. "A large part of that has to do with the fact that the factors that caused them to be overweight to begin with are still out there." And while a few patients regain a large percentage of their original weight back, Dr. Anita Courcoulas, chief of minimally invasive bariatric and general surgery at the University of Pittsburgh Medical Center, says that most of those who have gone through the surgery will experience some weight gain after the bulk of their post-surgery loss. "Most patients experience something I call 'the creep,'" she said. "They creep up another five to 10 pounds. Eighty percent will experience this creep and level out again, but about 20 percent will continue to creep up." It turns out that caloric restriction is just one part of the equation, although a large part. And reducing the space in your stomach into which your meals can fit to the size of a large walnut is a particularly effective way to cut hunger and jump-start weight loss for morbidly obese individuals. The most rapid phase of weight loss after surgery occurs during the first year. After this, the rate of weight loss will slow. And after two years, the patient has reached a new "set point" in terms of weight. From here, biology can reassert itself. Courcoulas says the tiny pouch that serves as the new stomach expands slightly in most patients, perhaps increasing in size between 10 percent and 15 percent. If a stretch of intestine has been removed through surgery, the remaining portion may become more efficient in absorbing calories. For most, these changes result in just a slight "bounce" to a modestly higher weight. But for some, this plateau period represents a danger zone. If a patient's eating and exercise habits have evolved, they can maintain this new weight. But if they have not, excess eating can cause what remains of the stomach to stretch significantly to accommodate more food -- thus leading to weight gain. "If you tend to keep pushing yourself, taking one extra bite with every meal, then you can stretch the pouch," Jones said. "Over time you will eat more and more." But Jones notes that more of a threat than the re-expansion of the stomach is simply eating too much of the wrong foods -- high-sugar, high-fat treats that pack a caloric punch sufficient to bring the weight back. The Psychological Side of Weight Maintenance For this reason, counseling and other forms of psychological support are often seen as key to reaping the long-term health gains of weight loss surgery. These benefits go far beyond a more attractive figure. For many morbidly obese patients, having such surgeries and maintaining a more normal weight can have a significant impact on their overall health and risk of early death. "It is very important for these patients to receive behavioral therapy, as well as time with a nutritionist and a physical therapist," Jones said. "I can cut and sew, but it's really the nutritional and behavioral programs that help with patient success." And along with professional help, maintaining personal motivation to keep the weight off is crucial. "These are people who feel that they have failed at everything they tried in their lives," Courcoulas said. "If they feel that they are failing surgery, they're embarrassed and they don't want to come back for help." "Regaining weight down the road is a common phenomenon for weight loss patients. These patients need to be educated and prepared for it if it happens."
Copyright © 2009 ABC News Internet Ventures
Gaining Weight After Bariatric Procedures Can Be as Discouraging as It Is Unhealthy
By DAN CHILDSABC News Medical Unit
March 13, 2008 —
For many veterans of crash diets, killer workouts and tailored meal plans, weight loss surgery is the nuclear option in a battle against the bulge. But while such procedures can indeed lead to dramatic weight loss, for some the pounds return. Such appears to be the case with musical star Carnie Wilson, whose fluctuating figure dominated tabloid front pages this week in the latest chapter of her widely publicized fight against obesity since her gastric bypass surgery in 1999. Wilson, 31 at the time, weighed more than 300 pounds before the procedure that reduced the size of her stomach to that of an egg. Speaking with ABC's "20/20" at the time, Wilson said that at that weight she felt "tired a lot, I'd feel sluggish. I started getting paranoid. ... I felt like I was going to have a heart attack." By all accounts, Wilson's procedure was a success; she dropped 152 pounds and her new trim figure soon made her the poster child of weight loss surgery. She regained 70 pounds in 2005, when she was pregnant with her daughter, but later lost the weight. Until recently she sported a trimmer figure. But that appears to have changed. New photos released by the celebrity Web site TMZ.com Tuesday show the singing star significantly heavier than before. When the Pounds Come Back Without a doubt, weight loss surgery works. Within the first two years of surgery, most patients who have such procedures can expect to lose 50 percent to 80 percent of their excess weight. This means that if a patient's ideal weight is 150 pounds and they weigh 350 pounds, they can expect to lose between 100 and 160 pounds in those first two years. And following suggested lifestyle modifications, most of which revolve around healthy diet and regular exercise, can go a long way in ensuring that this weight stays off. But for some, like Wilson, the weight can come back. "We know that 5 percent or maybe even more of these patients over time can regain weight," said Dr. Daniel Jones, director of the bariatric program at Beth Israel Deaconess Medical Center in Boston. "A large part of that has to do with the fact that the factors that caused them to be overweight to begin with are still out there." And while a few patients regain a large percentage of their original weight back, Dr. Anita Courcoulas, chief of minimally invasive bariatric and general surgery at the University of Pittsburgh Medical Center, says that most of those who have gone through the surgery will experience some weight gain after the bulk of their post-surgery loss. "Most patients experience something I call 'the creep,'" she said. "They creep up another five to 10 pounds. Eighty percent will experience this creep and level out again, but about 20 percent will continue to creep up." It turns out that caloric restriction is just one part of the equation, although a large part. And reducing the space in your stomach into which your meals can fit to the size of a large walnut is a particularly effective way to cut hunger and jump-start weight loss for morbidly obese individuals. The most rapid phase of weight loss after surgery occurs during the first year. After this, the rate of weight loss will slow. And after two years, the patient has reached a new "set point" in terms of weight. From here, biology can reassert itself. Courcoulas says the tiny pouch that serves as the new stomach expands slightly in most patients, perhaps increasing in size between 10 percent and 15 percent. If a stretch of intestine has been removed through surgery, the remaining portion may become more efficient in absorbing calories. For most, these changes result in just a slight "bounce" to a modestly higher weight. But for some, this plateau period represents a danger zone. If a patient's eating and exercise habits have evolved, they can maintain this new weight. But if they have not, excess eating can cause what remains of the stomach to stretch significantly to accommodate more food -- thus leading to weight gain. "If you tend to keep pushing yourself, taking one extra bite with every meal, then you can stretch the pouch," Jones said. "Over time you will eat more and more." But Jones notes that more of a threat than the re-expansion of the stomach is simply eating too much of the wrong foods -- high-sugar, high-fat treats that pack a caloric punch sufficient to bring the weight back. The Psychological Side of Weight Maintenance For this reason, counseling and other forms of psychological support are often seen as key to reaping the long-term health gains of weight loss surgery. These benefits go far beyond a more attractive figure. For many morbidly obese patients, having such surgeries and maintaining a more normal weight can have a significant impact on their overall health and risk of early death. "It is very important for these patients to receive behavioral therapy, as well as time with a nutritionist and a physical therapist," Jones said. "I can cut and sew, but it's really the nutritional and behavioral programs that help with patient success." And along with professional help, maintaining personal motivation to keep the weight off is crucial. "These are people who feel that they have failed at everything they tried in their lives," Courcoulas said. "If they feel that they are failing surgery, they're embarrassed and they don't want to come back for help." "Regaining weight down the road is a common phenomenon for weight loss patients. These patients need to be educated and prepared for it if it happens."
Copyright © 2009 ABC News Internet Ventures
Update
Carnie Wilson Talks Weight, Takes on Tabloid
Singer Says Her Weight Gain Was Exaggerated
By IMAEYEN IBANGA
March 27, 2008 —
Even before she entered the spotlight as part of the '90s pop trio Wilson Phillips, Carnie Wilson struggled with her weight. Her fame made that struggle public and got her dubbed "the fat one" of the group. Nine years ago she took a very visible step in trying to control her weight when she broadcast her gastric bypass surgery online and became vocal about women and weight loss.
That is why when the National Enquirer recently published a story about her gaining a massive amount of weight and considering a second gastric bypass surgery, it infuriated her. The tabloid featured a photo of Wilson walking with her trainer and compared it to a photo when she was at her slimmest, 150 pounds. It claimed that Wilson had gained 79 pounds. "I have not gained 79 pounds. When I look at the picture of me prior to surgery and I see that face and I see that person, I'm so different from her today in so many ways," said Wilson, who weighed more than 300 pounds before her surgery. The daughter of legendary Beach Boy Brian Wilson said today she weighs 205 pounds, a gain of 57 pounds. The singer shot down rumors that she would have surgery again to help her slim down. "It's so crazy. They're saying I was going to get liposuction and have a second gastric bypass to have a baby. It's laughable," she said on "Good Morning America" today. Wilson said even though she's gained some of her weight back, she doesn't regret having the surgery. "I'm so grateful that I had that surgery. You know what, it's very hard to be in the public eye and be scrutinized for every pound when there are lies on the cover of a tabloid right now. The number is a lie. It's an outright lie. It's frustrating," she said. "I look at myself back then [when I was larger and] I felt like I was going to die. I probably was going to die. My life was saved." A History of Struggle Wilson's weight battle came long before tabloids started documenting her weight. "It's always been a battle since I was 4 years old. It's always going to be a battle -- surgery, no surgery. This is what I've been dealt. These are the cards I've been dealt," she said. As a child, Wilson used food to ease the pain of an erratic childhood. It's a habit she carried into adulthood and by the time she was a chart topper, the critics seemed to be more critical of her weight than her singing. She often was compared to her two slimmer counterparts in the group. "I wanted to look good, damn it, you know? I wanted to look something like them," she said. By 1992 when the trio disbanded, the then-31-year-old was morbidly obese and faced a life-threatening condition. "I would be tired a lot. I'd feel sluggish. I felt like I was going to have a heart attack. It really scared me," she said. A Life-Changing Decision She opted for gastric bypass and within 16 months of surgery, Wilson was down to 148 pounds. She came on "Good Morning America" just two months later to discuss her outlook. "I feel a burden off my shoulders. I feel free. I actually feel like I've been released from a cell. I don't obsess about food anymore," she said at the time. Wilson showed off more than her newfound confidence when she displayed her size 6 body in a 2003 Playboy magazine spread.
After her stunning slim down, Wilson began to gain weight after the birth of her daughter, Lola, in 2005. "You need to follow certain rules. I fell off the bandwagon when I got pregnant. My eating habits changed," she told Diane Sawyer this morning. "For me, it's about snacking, Diane. Somebody can consume a certain amount of calories all day long. If they don't burn the calories, that equals weight gain." Her New Goal Wilson now wants to get back on track and get to a healthy weight range. "My goal would be to be somewhere between 150 and 170 to keep up a healthy lifestyle, eat as little carbs as I can and just be an inspiration," she said. The California native said she wants to help others who have had weight problems and added she is becoming more active even though she doesn't love working out. "When I'm on the treadmill, I'm thinking about lunch. That's the truth," she said. "However, it does make me feel better. The good news is -- these pictures in the tabloids -- at least I'm exercising, I'm making an effort. I'm not shoving cake in my mouth. They're taking photographs of me making an effort of improving my health." Rather than trying to achieve a certain look, Wilson hopes to encourage people to be healthy, including her daughter. "I want to be a light of hope for her, not to say, 'you need to be a size 6, my darling,'" she said. "You need to be healthy and be kind to other people and help other people. That's the message I want to give to her." Wilson shared some advice for others looking to lose weight. "Progress not perfection. Thin doesn't mean healthy. Fat doesn't mean unhealthy. Try to get to a comfortable weight. Drink a ton of water. Stay away from sugar. Be true to yourself. That's the positive message," she said. She also had some parting words for the paparazzi. "Eat the doughnut that I wish I could eat," Wilson said. "And then, you know, cram it somewhere."
Copyright © 2009 ABC News Internet Ventures
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