Monday, July 30, 2012

Ask Us Anything: How Are Twins Monitored During Labor and Delivery?

"How do you monitor twins during labor and delivery?"

Dr. Bruce Rodgers Responds:

During labor, twins are monitored in a similar way to singleton pregnancies. Fetal monitors assess fetal heart rate changes during labor and in response to uterine contractions. This gives important information regarding the baby’s health during labor.

Fetal heart rate monitors record the fetal heart in one of two ways.

The first is with an external monitor, which is similar to the instrument that your obstetrician uses to count the fetal heart rate during routine OB visits.

The second method is with an internal monitor by which a wire or electrode is attached gently to the baby’s scalp and the fetal heart rate is measured directly from a fetal electrocardiogram. Modern external monitors are very accurate, and accordingly, internal monitors are less frequently employed.

With twin pregnancies, external monitoring is generally performed since an internal monitor can only be applied to the twin that is lowest in the birth canal. With twins, two external monitors are placed on the mother’s abdomen overlying each twin. Modern fetal monitors can accurately and specifically record each twin’s fetal heart rate activity, which is recorded separately on the fetal monitor tracing. Thus, each twin can be monitored during labor.

 – Dr. Bruce Rodgers

Dr. Rodgers is the Director of Maternal-Fetal Medicine at Catholic Health and Director of the Fetal Testing Unit at Sisters of Charity Hospital in Buffalo.

If you have a question about your health, click here to ask our experts.

Wednesday, July 25, 2012

Free Festivals and Activities in WNY This Weekend

With so many free festivals and events happening this weekend, there's no excuse to say you're bored! Enjoy the summer weather with one (or more) of the free activities listed below.

1. Garden Walk Buffalo

Time: Saturday and Sunday: 10 a.m. to 4 p.m.
Cost: Free
More Information: Website

Garden Walk Buffalo, the largest garden tour in the United States, is a free self-guided tour of 341 urban gardens in many of Buffalo's historic neighborhoods. Even if you don't garden, you'll be amazed at what Buffalonians can do with their landscapes.

This event is sponsored by Catholic Health.

2. East Aurora Street Festival and Sidewalk Sale

Time: Saturday: 9 a.m. to 4 p.m.
Cost: Free
More Information: Website

Spend a day in East Aurora, as food, craft and store vendors display and sell products on a closed portion of Historic Main Street.

3. Glen Park Art Festival

Time: Saturday and Sunday: 10 a.m. to 6 p.m.
Cost: Free
More Information: Website

Head to the Northtowns to check out handcrafted gifts and artwork made by local artists. The festival also includes entertainment and refreshments.

4. Pirate Festival at Evangola State Park

Time: Friday: 6 p.m. to 12 a.m., Saturday: 12 p.m. to 12 a.m., Sunday: 12 p.m. to 6 p.m.
Cost: Free
More Information: Website

Embark on a treasure hunts, eat chicken BBQ, visit the pirate zoo and have your photo taken with a parrot. Back by popular demand, a car show will be held on Saturday.

5. Queen City Jazz Festival

Time: Saturday: 12 p.m. to 8 p.m.
Cost: Free
More Information: Website

Gather in front of the Colored Musicians Club, where Billie Holliday and Ella Fitzgerald played, and join jazz fans from all over the country to hear the music of Buffalo's past.

6. Shakespeare in the Park

Time: Friday, Saturday, Sunday: 7:30 p.m.
Cost: Free (Donation Requested at Intermission)
More Information: Website

Don't miss Shakespeare's comedy, A Midsummer's Nights Dream, which begins on July 26th and concludes the season on August 19th.

7. Buffalo BookFest

Time: Saturday: 10 a.m. to 5 p.m.
Cost: Free
More Information: Website

If you've always wanted to try bookbinding or letterpress printing, now's your chance! The Buffalo BookFest will feature an artist’s market and a complete schedule of hands-on demonstrations of the book arts, including steamroller printmaking.

8. Great Lakes Experience Festival

Time: Saturday: 10 a.m. to 4 p.m.
Cost: Free
More Information: Website

This festival with interactive displays focuses on the environment and ecology of the Great Lakes and the heritage of our region. Music, family entertainment and food vendors are featured.

9. Breweriana Summer Show and Sale

Time: Saturday: 9 a.m. to 2 p.m.
Cost: Free
More Information: Website

Decorating your home bar? Breweriana in Depew offers vintage and newer beer collectibles: beer trays, cans, bottles, advertising signs, coasters, openers, clocks, and more.

10. Ellicottville's 2012 Unique Jazz and Blues Weekend

Time: Friday, Saturday, Sunday
Cost: Free
More Information: Website

This weekend, jazz invades Ellicottville's restaurants, bars, nightclubs and streets. The festival headliner is the Jim Tudini Band with the Orchestral Strings.

Monday, July 23, 2012

Ask Us Anything: How Soon Can I Have an Epidural?

"How early into labor are you allowed to be given an epidural?"

Dr. Scott Zuccala Responds:

For the majority of cases, we try to have the patient get an epidural when they are in active labor, which can be a dilation of about 4cm, or the person can be less dilated but can be effaced, maybe 90 to 100%.

It also depends upon whether it is the persons first child, a Primiparous (a woman who has had one child), or whether they have had children before. Sometimes, if it is the first child, we try to use other methods before the epidural, as it can affect the progress of labor, and it can affect the ability to push during the second stage of labor.

For my patients, I recommend trying ambulation (walking or moving from place to place) or the jacuzzi initially, then maybe Nubian (an opiate that offers pain relief but does not affect your ability to push) before the epidural.

If a person is on pitocin augmentation, then the epidural will not affect labor progress. Thus, each situation can be different.

 — Dr. Scott Zuccala

Dr. Zuccala is a gynecologic surgeon at Mercy Hospital of Buffalo. He practices obstetrics and gynecology, including minimally invasive surgery, and vaginal and pelvic reconstruction for prolapse and urologic incontinence surgery. He was one of the first surgeons in the Buffalo area to perform minimally invasive gynecological surgery for non-cancerous conditions using the da Vinci® Robotic Surgical System.

If you have a question about your health, click here to ask our experts.

Wednesday, July 18, 2012

How to Cope with Sadness and Depression



When you experience a traumatic event, such as a loss of a job or relationship, it’s natural to experience sadness and disappointment. You may feel hopeless, indecisive, less confident, and lonely.

In other cases, sadness might not be caused by an event but by biological changes or from the use of medications and substances.

Left untreated, sadness over a period of time may develop into clinical depression. While it can be tempting to let yourself go, remember that not taking care of yourself and keeping feelings inside can actually prolong your sadness beyond the typical course of grief.

Signs of Clinical Depression

Clinical depression is diagnosed when you have experienced at least five of the following consistently for two weeks or longer:
  • Depressed mood for most of the day, several days on end
  • Marked decrease in interest of pleasurable activities
  • Significant weight loss or weight gain (any 5% shift of weight in a 30 day period)
  • Sleeping too much or too little on a consistent basis
  • Restlessness, or lack of movement in general
  • Fatigue or loss of energy for several days
  • Feeling worthless daily
  • Difficulty concentrating, making decisions, and following through with actions
  • Recurrent thoughts of wanting to die, or not continue living

How to Cope with Depression

Exercise: Exercising 4-5 times per week for 30 minutes is highly effective at managing stress.

Be Mindful / Meditate: Yoga and meditation can help to relieve depression and anxiety by bringing awareness to your breath and creating peace and silence.

Get Enough Sleep: If you are unable to get a full night’s sleep, work with your primary care doctor to address proper sleep hygiene and to assist with fatigue and lack of concentration.

Maintain a Balanced Diet: Nutrition is important to sustain your physical health while experiencing depression.

Reach Out to Support Systems: Support systems can include:
  • Volunteering (VolunteerMatch.org)
  • Spending time with friends and family
  • Increasing your outdoor activities
  • Joining a club (MeetUp.com)
  • Getting more involved in your church community

When to Seek Help

If you suspect that you have clinical depression or if your old ways of helping yourself out of a bad mood aren’t working, it’s important to seek help.

Horizon Health Services provides counseling at the Piver Center on the campus of Sisters of Charity Hospital in Buffalo and at locations throughout Western New York. Most insurances, including Medicaid, are accepted.

If you have recurring thoughts of wanting to die, please seek immediate help by contacting Crisis Services at 831-3434, as this could be a sign of severe depression.

Treatment for Clinical Depression

Medication, in combination with psychotherapy, is most effective at treating depression.

Antidepressant medication can take up to 4-6 weeks to build in your system, but you should start experiencing some relief of symptoms within 3-4 weeks of taking medication consistently. Medication is shown to be highly effective at managing symptoms to reduce depression’s effect on your day-to-day functioning.

Psychotherapy, in which you speak with a mental health provider, introduces coping skills that you can use to overcome depression and face life’s challenges in a healthy way.


If you believe that you are experiencing depression, begin to implement the coping skills listed above and contact Horizon Health Services to speak to a professional.

Monday, July 16, 2012

Ask Us Anything: How Can I Lower My Blood Pressure with a Vegetarian Diet?

"I'm a vegetarian and have high blood pressure. My doctor advised me to start eating meat; she says that the fake meats that I eat (which are made of soy) are full of salt. But I would rather not give up my vegetarian lifestyle. What are some common foods that are high in salt that I should avoid? Is giving up these foods enough to allow me to continue to eat soy products?"

Registered Dietitian Deborah Richter Responds:

A vegetarian diet can be a healthful diet and low in sodium.

Most fresh vegetables, fruits and whole foods, including soy beans and other dried beans and legumes, are naturally low in sodium and should be included in vegetarian eating.

The problem is that processed foods like soy protein patties and vegetarian burgers can be very high in sodium. The 2010 Dietary Guidelines recommendation for daily sodium is 1500mg for people with hypertension (high blood pressure). The All American Flame Grilled Boca® burger at 380mg sodium is 25% of the daily recommendation, which is why your physician recommended reducing your intake of processed soy protein burgers.

Black bean burgers are easy to prepare and the sodium is only 25mg if you use no-salt-added canned black beans. Additionally, dried beans are an excellent source of potassium, which can help to lower blood pressure.

The DASH (Dietary Approach to Stop Hypertension) diet is a way to eat that is consistent with the 2010 Dietary Guidelines. DASH aims to increase fruit and vegetable intake to at least 6 to 10 servings per day and to consume more dried beans and nuts as protein choices, with two to three low-fat dairy servings per day, as well as eating more whole grains.

Vegetarian Black Bean Burgers

Makes 6 Burgers

Ingredients:
  • ½ onion, diced
  • 1 can black beans, no salt added, well drained
  • ½ cup unbleached flour
  • 2 slices bread, crumbled
  • 1 tsp. garlic powder
  • 1 tsp. onion powder
  • Oil for frying
  • Pepper, dried red pepper or other seasonings such as hot sauce as desired for a spicy flavor

Preparation:
  1. Sautee the diced onions until soft, about 3 to 5 minutes in a non-stick pan or add 1 tsp. canola or olive oil in pan.
  2. Mash beans until smooth. Add sautéed onions and the remaining ingredients, adding the flour one or two tablespoons at a time until well blended. Mixture will be thick.
  3. Form bean mixture into six ½ inch thick patties and pan fry in a small amount of oil until slightly firm and heated, flipping only once, (about 5 minutes per side).
  4. Serve with a whole grain roll and lettuce, tomato, and salsa for a delicious low sodium option.

Additional Resources

— Deborah Richter, RD, CDE

Deborah Richter is a registered dietitian at Sisters of Charity Hospital, St. Joseph Campus in Cheektowaga and is a certified diabetes educator. She teaches diabetes education classes and provides outpatient nutrition counseling. She has helped her clients to lose weight, reduce their blood pressure and feel better about themselves through healthy eating choices.

If you have a question about your health, click here to ask our experts.

Wednesday, July 11, 2012

How to Get More Done at Work and at Home

I consider myself an organized person. I write everything down, take detailed notes and set reminders in my calendar for meetings, birthdays and other important dates.

But as my workload increased over the past few months, I began to suspect that something had (or was about to be) neglected by mistake.

Getting Things Done: The Art of Stress-Free Productivity, otherwise known as GTD, helped to put me at ease, even before I finished reading the book.

Implementing just a few of its principles can make a difference in your work and personal life.

Write Down Anything That's Unfinished

"Anything you consider unfinished in any way must be captured in a trusted system outside your mind, or what I call a collection bucket, that you know you'll come back to regularly and sort through," writes David Allen.

This includes personal projects. Even if you keep your personal and business lives separate, it's reassuring to know that you have a single place where you can see all of your outstanding items.

Keep Everything in One Place

Scattering post-its on your desk, in your purse, or on your refrigerator seems easier in the moment, but won't do you any favors. Keep your task list in one place, or in as few places as possible. Consolidate.

Whatever system you use, it has to be one that's readily available wherever you are – not just at your desk at work, but when you're driving in your car or buying groceries. Otherwise, you may lose an important thought, only to have it return after your deadline has passed.

For instance, maybe you keep a notepad in your purse or car. Maybe during the workday, you're bombarded with emails in Outlook. These are what David Allen calls collection buckets, and he recommends that you enter them into your trusted system regularly.

Remember the Milk


What system should you use? I like Remember the Milk, a free, web-based task list that I keep open on my desktop throughout the day and have installed on my Android phone. 

A tutorial on the Remember the Milk blog outlines how to set up a GTD system.

Be prepared to spend an afternoon setting up your system. I spent about four hours transferring my projects from an Excel spreadsheet into Remember the Milk.

Set Up Your Lists

1. Next Actions

For each project or responsibility that you record, identify what you need to do next, and write it down.

For instance, if you're moving to a new home or apartment, your next step might be to search online for potential homes. Breaking down your projects into actions makes them more manageable and keeps you moving forward.

In Remember the Milk, you use tags to identify next actions (I use the tag "na"). By clicking on the tag, I can pull up a list of all of my next actions and organize them by due date or priority.

If there is no "next action" on something, throw it out, file it, or set a reminder to come back to it later.

2. Items You're Waiting For 

Write down what you need others to do for a given project. For example, if you emailed a co-worker for a document, add it to your list so that you can keep tabs on the project.

3. Someday/Maybe 

For projects that you can't move on right away but don't want to forget, store them in a Someday/Maybe list that you can come back to and review periodically.

Review Your Lists Regularly

Regularly review your lists of projects, action items, and items you're waiting for. David Allen recommends a weekly review so that your tasks and projects are top-of-mind.

Treat Your Calendar as Sacred

Reserve your calendar for appointments and things that "must get done that day or not at all."

If you insert arbitrary deadlines, things that absolutely have to get done on that day will get lost among those less urgent items.

I admit that I've struggled with this one. I've inserted due dates to serve as reminders for myself, only to find that when I looked at my tasks for the day, I had trouble identifying which were really due and which were simply reminders.

Organize Your Email Folders GTD Style

The folders in my email inbox are no longer organized by project, but instead follow the principles of GTD. This helps me to see at a glance the tasks that I need to move on right away.

The @ symbol keeps the folders at the top of the list in my email tree.

When Reviewing Emails, Start at the Top

Scan your email inbox for anything that might be urgent, and then work your way down, starting from the top. You can:
  • Fulfill any quick (two minutes or less) requests (see below)
  • Add items to your "next actions" list
  • Add items to your "waiting" list
  • File emails for future reference
  • Delete anything that you don't plan to refer back to
Working from the top down allows you to see any conversations that may have followed the original email. This strategy will keep you up-to-date so that when you respond to an email, you're not two or three emails behind.

Complete Two-Minute-Or-Less Actions Immediately

For actions that require two minutes or less, do them right away.

If I'm going through my emails, and I see something that I can do quickly, I complete it immediately to clear it from my inbox.

In some cases, your two-minute action will complete the project, and you won't need to make any notes in your projects list. In others, you might be waiting on someone to fulfill their responsibilities. Write down what is pending so that it doesn't get lost over time.

Getting Started with GTD

The items listed here don't cover everything outlined in Getting Things Done. These are the principles that I followed to get my workload and personal tasks under control. If you'd like to do the same, I highly recommend this tutorial on implementing GTD with Remember the Milk.

Getting Things Done is available from the Buffalo & Erie County library as an e-book and as an audiobook from the Clarence Library, Eggertsville-Snyder Library, Lackawanna Library, and North Park Branch Library. Click here to search the library catalog.

Monday, July 9, 2012

Ask Us Anything: Can I Refuse an Imaging Test?

"When my doctor orders an imaging test, such as an MRI or CT Scan, and I'm not sure that it's medically necessary, what can I do? I've heard from friends who work in the medical field that unneeded tests are sometimes ordered and can be expensive. I'm on a budget and would like to avoid any unnecessary costs."

Registered Nurse Robert Mages Responds:

In a cases like these, you need to speak with your doctor and ask them for the reasoning behind ordering the test and how it will benefit them in obtaining a proper diagnosis for you.

You could also consult your medical insurance representatives, as they sometimes have resources to answer questions on a case by case basis.

If all else fails and you are still concerned, you can get a second opinion from a qualified provider.

Never dismiss a test as unnecessary on your own, as your physician may be looking for other disease processes that they may not have shared immediately.

— Robert Mages, RN

Robert Mages is the Nurse Manager of the Open Heart Unit and Critical Care Unit at Mercy Hospital of Buffalo.

Recommended Reading

Consumer Reports has released a guide that explains when medical tests are appropriate and when you should say “no.” Click here to read their guide.

If you have a question about your health, click here to ask our experts.

Tuesday, July 3, 2012

5 Ways to Eat Healthier

Everyone wants to have a healthier diet, but getting there can be a challenge.

Registered Nurse Susan M. Gugliuzza, founder and CEO of SUGU Snacks, a line of nutritious breakfast bars and cookies, has embarked on a lifelong journey to eat healthier and to encourage others to do the same.

Last week, we wrote about SUGU Snacks as a better-for-you, more filling alternative to most snack foods on the market. Today, Susan shares the keys to success in pursuing a healthier diet.

1. Try New Foods

In our quest to eat healthy, it’s important to try new things.

“We are creatures of habit and tend to remain with what is familiar to us. Many times, we need to push ourselves to purchase something out of the ordinary – a different fruit, vegetable, or spice.”

Learning about new ingredients, Susan says, comes with exposure and experience – reading about them, finding new recipes and creating new recipes.

"When I purchase a new fruit or vegetable, my first stop is the computer at home. I type in the name of the item, along with the word recipe ("artichoke recipe" for example). Almost immediately, I find several sites that have recipes for how to prepare an artichoke. This is a terrific way to expand your knowledge and taste buds too."

2. Listen to Your Body

Beginning at the preschool level, Susan teaches young children how our body talks to us. “We must listen to our own body,” Susan says. “It will let us know if a food item agrees with our system or not.”

"Our body speaks to us through pain, bloating, gas, cramps and sometimes hives, a burning sensation or shortness of breath. If we try a new food that does not agree with our body, it will let us know." 

In 2010, Susan was diagnosed with Celiac Disease. She experienced severe stomach and intestinal pain within minutes of eating a meal. The on-going damage prevented her from absorbing any nutrients, and caused hair loss and painful joints.

Facing the prospect of three surgeries, Susan turned to her mom and family practice physician, both of whom recommended that she avoid gluten (wheat, rye and barley).

Having endured the symptoms of Celiac Disease for a year, Susan found relief after only three days of eliminating gluten from her diet. She no longer needed surgery.

Eating a Gluten-Free Diet

Pursuing a gluten-free diet comes with challenges of its own, and Susan has yet to find a gluten-free bread that tastes like the real thing. For a nutritious lunch, she recommends a sandwich roll-up:
  1. Using one large lettuce leaf, either Romaine or Iceberg, layer meat, cheese, sliced green peppers, black olives and a drizzle of mustard.
  2. Roll the leaf from its short end. Enjoy!
Susan also wraps her burgers in a large lettuce leaf with the fixings tucked inside.
As a side dish, choose unsalted nuts; almonds or pecans are Susan’s favorite.

Susan’s Chicken and Grass Recipe

Susan can’t eat soy sauce, so she developed this recipe as a way to enjoy her favorite food, using Liquid Aminos as a substitute. Her eleven-year-old son, Christian, calls it “Chicken and Grass.”

Ingredients:
  • 2 boneless skinless chicken breasts
  • 1 large clove garlic, minced
  • 1 bag of broccoli slaw
  • 1-2 Tbsp. Liquid Aminos
  • 1 bag of rice noodles (optional)

Preparation:
  1. Sauté minced garlic in a few tablespoons water until tender.
  2. Add chicken breasts and cook thoroughly, turning once, approximately 4 minutes on each side. Remove from pan. Allow to cool and dice into bite-sized pieces.
  3. Rinse the bag of broccoli slaw in the bag, pour out the excess water and add broccoli slaw to the pan. Drizzle with Liquid Aminos.
  4. Add a dusting of ground ginger or fresh grated ginger root. Cover and let ingredients steam for five minutes.
At this point, you can enjoy it as a pure meat and veggie dish. Or, prepare rice noodles according to the package directions, then place ½ cup of cooked noodles on the plate and top with the broccoli slaw mixture.

3. Eat Foods in Their Natural Forms

Susan says, “Fruits and vegetables fresh from the garden or market will provide the most nutrients if you don’t boil them into mush.”

Don’t know where to start? You can find recipes for raw foods online.

4. Plan Your Fruits and Vegetables First

Most people plan their meals starting with the main course. Susan takes a different approach. She recommends beginning with a fruit or vegetable.

For example:
  • Select zucchini, asparagus or any other dark green vegetable. 
  • Sauté it in minced garlic, add a cup or two of chicken broth, a can of dark red kidney beans and a handful of small pasta shapes. 
  • You can eat it as a vegetable dish, or add sliced chicken Italian sausage or cooked chicken breast into the mix.

This approach of fruit and veggies first often surprises people.

"When speaking at cooking classes and nutrition seminars, I usually get wide-eyes looking back at me when I state, 'Don’t waste your time preparing a meal if you’re not going to include a fruit or vegetable.' My point is: you are organizing ingredients, preparing the pots or pans and warming, cooking, and baking. If you are doing all that, how much more time will it take to add a fruit or vegetable?"

For example, when scrambling eggs, you can toss in a handful of grated cheese, some diced green pepper and serve it with a sliced peach.

This concept works with canned items too. Add a ½ cup of dried lentils to a can or box of soup. Let it boil for the required amount of time, and you increase the nutritional content of your meal. The dried lentils are a great source of protein and fiber. 

This strategy of fruits-and-veggies-first makes eating produce a priority, not an afterthought.

5. Understand Nutrition Labels

We can’t assume that because a food package says “fat-free” or “sugar-free” that it’s healthy for us.

“Food marketers are quite savvy when it comes to enticing us with photos, zero-this and low-that packaging. However, they are regulated to a certain extent to let consumers know what is truly in the box or bag,” says Susan.

“We, as consumers, need to understand what our limits are, what is considered an adequate serving size and the ingredients used to manufacture the product. All of this combined will empower us to make healthier choices.”

You can learn about reading nutrition labels at the American Heart Association website.

One common misconception is that eating healthy is expensive. "I have been able to demonstrate to households, as wells as schools, that making healthier selections can be a break-even adventure.  When we buy less processed foods and bagged snacks and begin purchasing whole grain, fiber-filled foods, fruits and vegetables, it is amazing to see how much fuller we feel. We are also surprised by how much of a food budget goes toward sodas, boxed juices, pouched drinks, bagged or pre-portioned snacks," Susan says. 


If choosing and preparing healthy foods feels overwhelming, introduce small changes one at a time. You could begin by adding more fruits and vegetables to your diet (click here for local farmers markets) and then seek out new recipes, gradually eliminating junk foods from your grocery cart.

Soon you’ll start to see results in the way that you look and feel.

About Susan M. Gugliuzza

Susan M. Gugliuzza is a Registered Nurse and owner of SUGU Snacks, which produces a line of all-natural, whole grain cookie dough. She is passionate about nutrition and has written two books about early childhood nutrition: “Growing a Healthy Baby, One Spoonful at a Time,” and “Growing a Healthy Preschooler, One Meal at a Time," both available from American Health Publishing.

Monday, July 2, 2012

Ask Us Anything: What Vitamins Should I Take After Bariatric Surgery?

“It has been 10 yrs since my bariatric surgery and I have lost 100 lbs. What vitamins should I be taking? I am 63 yrs. old, work part-time and am in good health, but I only take Biotin for my hair.”

Note: Because bariatric surgery decreases the amount of food absorbed, patients are at risk for vitamin deficiency and should take a supplement to stay healthy. Vitamin deficiencies can cause serious complications, such as vision loss and bone loss.

Registered Dietitian Jennifer Turesky responds:

I recommend Bariatric Fusion® multivitamin and mineral supplement. It is a complete, "all inclusive" chewable multivitamin and mineral supplement.

Bariatric Fusion® was specially tailored to meet the needs of gastric bypass patients and prevent micronutrient deficiencies that may occur. It ensures better absorption and includes high levels of vitamin B12, calcium, vitamin D, folate, and biotin to maintain proper health and nutrition. It also contains chelated minerals, which ensure better absorption to promote healthy bones, improve the immune system and support overall health.

The need for additional supplements would be determined based on your individual needs due to certain medical conditions and routine lab screening.

If supplements are not taken, micronutrient deficiencies will occur, even when taking a standard multivitamin supplement.

Bariatric Fusion® decreases the number of tablets you need to take and helps prevent the risk of developing these deficiencies from the start. Chewable supplements make the bariatric vitamins and minerals easier to absorb since the micronutrients begin to break down before they reach absorption sites.

More information about Bariatric Fusion® is available on their website.

– Jennifer Turesky, Registered Dietitian and Certified Diabetes Educator

Jennifer provides nutrition counseling at Sisters Hospital in Buffalo and leads a 12-week LIFESTEPS© program to help adults change their eating and physical activity behaviors.

If you have a question about your health, click here to ask our experts.
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