


Your individualized plan for improving your health and appearance: Cultural and dietary preferences are considered.
We help you create a dynamic plan that changes with changes in your day and life. Our goal is your success. At Options Weight Loss a Bariatric M.D., who enjoys helping people get healthier without medication, will guide you.
Dr. Horstman offers GenoVive Weight Management DNA testing along with a nutrigenomics weight loss plan. Patients are tested for 10 genes that relate to diet and 4 genes that are related to physical activity.
The thought processes: "I hate to see food go to waste. If no one is going to eat it right now I will." Who does this help? Certainly not starving children. This Habit will encourage you to over eat. Solution: Cook less. Buy less. (A bargain is not a bargain if you don’t need it.) Recycle left overs. You should eat leftovers, What would it take to make them taste as good, if not better then the first time?
Not eating: "I don't' have time to eat." This why so many heavy people seem like they never eat. Starvation triggers conservation and storage of energy. When the body conserves energy it maintains it fat storage. When you eat after a period of starvation the body will tend to store what you eat as fat. Skipping healthy meals is a loose, loose situation where what you loose is not fat.
Deceptive food labeling: Unless you are educated in food content, you can be fooled by food and drink packaging. Our patients are amazed at how often packaging is deceitful and how often content and labels change.
Try to look at the menu on line before you go to the restaurant and write your ordering plan down so you won’t need to look at the menu again. Most menus are designed to increase hunger. Never start with an appetizer or soup unless you are having it for your main course. We are conditioned to believe that “more” is better. When we pass a restaurant and see large full plates we think: I have to remember to try that restaurant. When passing a restaurant that serves European size portions we think we are not getting our monies worth. This thinking leads to over eating and over serving.
What can you do? When dining at a restaurant with large plates and portions request a “take home box” when ordering. As soon as the food comes, put half in the box, or split the meal with someone. Never go to “all you can eat” restaurants. Few people can resist overeating in this situation. If they offer the option of ordering off a menu do this even if you are the only one in the party to do so. “I heard that you shouldn’t eat after a certain time.” This has more to do with habit and bedtime rituals then not burning calories in your sleep. If you have difficulty maintaining a healthy weight, eliminating your bedtime snack is good way to cut back on total caloric intake. (Exception is diabetics who take insulin and have been instructed by their physician to have a bedtime snack to prevent their blood sugar from going too low.)
Our physician does refer patients with significant problems for surgery. No surgery is with out risk, even the lap band. (By pass surgery is the better option for diabetics.) We treat patients before and after surgery. It is just as difficult to get used to eating less after the surgery as before. The math of “calories in/ calories out” doesn’t change. Some patients do find that going through the process of preparing for; recovering from and paying for the surgery is the incentive they need to succeed.