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New Jersey Bariatric Center by New Jersey Bariatric Center Staff - 2w ago

Join us for our FREE monthly Support Group meetings for bariatric patients, led by a registered dietitian. Each meeting includes a special topic or guest, a Q&A session and open talk about weight and wellness issues. This Month: Guide to Making the Most Out of Weight Loss Surgery: We are pleased to have psychologist James Glynn join us this month to discuss his tips and guide to making the most out of weight loss surgery. When/Where Springfield: Tuesday, May 15 @ 6:30pm at New Jersey Bariatric Center, 193 Morris Ave., Springfield Moderator: Meagan Butler, RD  Somerville: Tuesday, May 22 @ 6:30pm at RWJ-Somerset, Family Practice Building, 110 Rehill Ave., Somerville Moderator: Tia Hagins, RD    No RSVP needed but please call 908-481-1270 to confirm before coming. Dates are subject to change. 

The post May 2018 Weight Loss Support Group appeared first on NJBC.

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Obalon and ReShape weight loss balloons offer safe alternative for people suffering from obesity who do not qualify for surgical procedures SPRINGFIELD, N.J., April 17, 2018 — Weight loss surgery experts at New Jersey Bariatric Center® have expressed support for the addition of the intragastric balloon to the American Society for Metabolic and Bariatric Surgery (ASMBS) list of approved procedures for weight loss, saying that weight loss balloons (known by the brand names Obalon, ReShape and ORBERA®) offer a safe and effective treatment option for people who are obese but who do not qualify for bariatric surgery procedures, such as the gastric sleeve. “Prior to this procedure, there were few proven interventions to assist in weight loss other than surgery,” said Ajay Goyal, MD, FACS, founder and president of New Jersey Bariatric Center®. “If you suffered from obesity, but didn’t qualify for surgery, you were left with diet and exercise, which we know is not effective for patients who are obese. When the gastric balloon procedure is performed, patients are able to lose twice as much weight as they had in previous failed attempts at diet.” The ASMBS added the intragastric balloon to its list of approved procedures and devices following an extensive review and analysis of safety and effectiveness data and a public comment period from members. The balloon joins other approved procedures, such as sleeve gastrectomy, Roux-en-Y gastric bypass and bariatric reoperative procedures. The approval is a first step in getting major health insurers to cover the procedure, according to the ASMBS. About 5,000 intragastric balloons have been implanted since the device was approved by the FDA in 2015. It is approved for the treatment of obesity in patients with a body mass index or BMI over 30. New Jersey Bariatric Center®offers the swallowable Obalon gastric balloon and the ReShape dual balloon system. “The balloon systems work to fight the hunger that causes most people to fail with restrictive calorie-reducing diets,” explained Dr. Goyal. “They take up space in the stomach so patients feel fuller on less food. The balloons stay in the stomach for six months during which time the patient works with our weight loss coaches and registered dietitians on the dietary and behavioral changes needed to make weight loss successful. After the balloons are removed, the patient continues with nutritional and behavioral counseling for another six months.” “The key is that patients are not on a diet,” he said. “They are learning real-world strategies to lose weight, eat right and exercise that sustains them after the balloons are removed.” ABOUT NEW JERSEY BARIATRIC CENTER® New Jersey Bariatric Center®, a medical and surgical weight loss center with offices in Springfield, Somerville, Hoboken, East Brunswick and Hackettstown, New Jersey, helps patients achieve long-term weight loss success through the most advanced bariatric procedures, including gastric sleeve, gastric bypass and gastric balloon procedures. Led by the team of Ajay Goyal, MD, Glenn Forrester, MD, Angela Glasnapp, MD, and James Buwen, DO, the approach of the New Jersey Bariatric Center® to patient care has resulted in zero mortalities and a complication rate that is lower than the national average. For more information about bariatric surgery, visit www.NJBariatricCenter.com    

The post New Jersey Bariatric Center® Supports Addition Of Gastric Balloon To List Of Approved Bariatric Procedures appeared first on NJBC.

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You’re only a couple of weeks out of surgery. You’ve been losing weight at a rapid pace. You step on the scale and your weight is the same as last week. You haven’t changed any behaviors, so why has the scale not budged? The most common reasoning I hear from patients is, “I don’t think I’m eating enough. That’s why I’m not losing.” A lack of calories is not the reason your weight loss stalls after bariatric surgery. The American Society for Metabolic and Bariatric Surgery explains it best: “Your body is very effective at trying to maintain {your} weight and preventing change. As you lose weight, it is important to know that your body will try to establish a new set point. This leads to periodic plateaus in weight. This is normal and expected. Do not allow yourself to be discouraged when you reach a plateau, as these are normal and necessary parts of the weight-loss journey.” When you hit that “normal and expected” plateau, you’ll want to remember these three things NOT to do: DON’T FOCUS ON CALORIES. Keep in mind that with the surgery, your calorie intake will be much less the first few months after surgery. Instead of tracking calories in the beginning, focus more on reaching your daily protein goals: Women need 60-80 grams and men should aim for 80-100 grams. If you focus on your protein intake and follow the meal structure of three meals a day with one snack, your calories will be controlled and your weight loss will continue, regardless of any plateaus in the beginning. If you’re tracking your diet on an app, only pay attention to your protein intake. Never try to reach the suggested caloric intake that the app suggests unless the app is designed for bariatric surgery patients. Food tracking apps (like MyFitnessPal and Lose It!) are geared toward non-surgical patients, so the suggested caloric intake will be way higher than what you will be able to consume after surgery. DON’T BE UNREALISTIC. Before you start your weight loss journey, make sure to set realistic expectations. Remember that weight loss per week will be much faster directly after surgery compared to when you’re 6 months out of surgery. Understand that through this journey, your weight may not follow a slope, but instead may look more like a staircase with occasional plateaus along the way. This is OK as long as you’re incorporating the behaviors required to be successful post-operatively. (To understand how to improve your relationship with the scale, check out this article https://www.njbariatriccenter.com/improving-your-relationship-with-your-scale/) DON’T COMPARE YOURSELF TO OTHERS. You know that friend who did amazing after her surgery? Remember that post-op on Instagram who posted pictures after losing 100 pounds? Forget them! Everyone is different and everyone’s weight loss journey will differ. The amount and pace of weight loss will vary person to person. This is where regular follow-up visits to your dietitian can help. We can discuss realistic expectations for you so that you’re not comparing your weight loss with others. Now that you know what not to do, here’s what you should do: Keep working hard and focusing on your daily behaviors. Bariatric surgery is one of the few proven weight loss methods with a track record of successful long-term weight loss in millions of patients. As long as you are living by the healthy guidelines given to you by your bariatric practice, you can do it too!

The post Newly Post-Op and Experiencing a Weight Loss Plateau? Here Are Three Things NOT To Do appeared first on NJBC.

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  Olga Lost 32 Pounds and Changed Her Life With the Obalon Gastric Balloon                                            From crash diets to liposuction, you name it, I tried it. For 20 years I struggled with my weight.  I always carried a few extra pounds that I felt held me back. I didn’t want to feel uncomfortable anymore. I needed to do something that would make me healthier and feel better but felt I tried all the weight loss options. Then I came across the newly FDA-approved Gastric Balloon on the New Jersey Bariatric Center website. I was drawn to it since it’s non-surgical and I could be back to my regular activities the same day. When I walked into New Jersey Bariatric Center for the first time, I was nervous and didn’t know what to expect. I sat down with Dr. Buwen and immediately felt at ease at how thorough he was in explaining the balloon procedure. He made me feel like a valued patient and hopeful about what the future could bring with this procedure. The Obalon procedure involves three balloons inserted at three separate times that help to curb hunger with each insertion. The insertions involved swallowing the balloon in pill form followed by the doctor inflating it.  I had my first insertion of three in July 2017. Each time, I felt a sense of accomplishment knowing I was getting closer to reaching my weight loss goals. Dr. Buwen removed the balloons in January 2018. It was so easy that I attended New Jersey Bariatric Center’s annual patient gala the same night! (You can even see a picture of me walking the red carpet below) Over six months I lost 32 pounds of the stubborn excess weight I’ve been fighting for so long.  With each balloon insertion, I didn’t feel as hungry and started feeling full halfway through meals. I learned portion control, mindful eating and meal structure with routine visits with New Jersey Bariatric Center dietitians, which carried into my lifestyle now. And, I was able to stop medication I was on for pain management as the aches I felt daily from minimal activities were gone. I have a new zest for life! The support I received at New Jersey Bariatric Center made the whole process smooth. With every visit, I felt better than I did before about committing to this new lifestyle and prepared to make healthy changes in my life.

The post Gastric Balloon Gave Me Confidence To Live A Healthy Life appeared first on NJBC.

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New Jersey Bariatric Center by New Jersey Bariatric Center Staff - 1M ago

Join us for our FREE monthly Support Group meetings for bariatric patients, led by a registered dietitian. Each meeting includes a special topic or guest, a Q&A session and open talk about weight and wellness issues. This Month’s Topic Is: “Spring Cleaning” Your Life: Spring is here and it’s time to go out with the old and in with the new! Spring cleaning can be a great way to tidy up your home but have you thought about organizing the clutter in your life you can’t physically see?. Join us this month as we learn learn healthy ways to “spring clean” our lives and stay on track. When/Where Springfield: Tuesday, April 17th @ 6:30pm at New Jersey Bariatric Center, 193 Morris Ave., Springfield Moderator: Meagan Butler, RD  Somerville: Tuesday, April 24th @ 6:30pm at RWJ-Somerset, Family Practice Building, 110 Rehill Ave., Somerville Moderator: Tia Hagins, RD    No RSVP needed but please call 908-481-1270 to confirm before coming. Dates are subject to change. 

The post April 2018 Weight Loss Support Group appeared first on NJBC.

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We put a fun spin on support group in March in honor of National Nutrition Month: Trivia Night! Some questions were a little challenging but it gave everyone the opportunity to learn something new to incorporate into their healthier lifestyles. Want to test what you know? Answer these questions below and share your results with us. Good luck! Fruit   Which serving of fruit has the most fiber? a. One cup of raspberries b. One apple c. ½ cup grapes 2. Which serving of fruit has more carbohydrates? a. ¾ cup frozen blueberries b. One medium banana c. ¾ cup frozen raspberries 3. How many grams of carbohydrates would you consume if you had a tennis ball-sized apple and one cup of raspberries? a. 12 grams b. 20 grams c. 30 grams Vegetables   Which of the following is a starchy vegetable? a. Green beans b. Peas c. Broccoli 2. Which serving of vegetables has more carbohydrates? a. ½ cup of corn b. ½ cup diced celery c. ½ cup steamed sliced carrots 3. What vitamin is predominantly found in carrots and sweet potatoes? a. Vitamin D b. Vitamin A c. Vitamin B-12 Sugar   Which of the following foods has all naturally occurring sugars? a. Bread b. Milk c. Ice cream 2. Which of the following sweets has more sugar? a. Chocolate chip Clif bar b. Mini Twix bar c. Two Hershey kisses 3. How many grams of sugar is in a can of coke? a. 39 grams b. 57 grams c. 25 grams Drinks   Which alcoholic beverage has more calories? a. Long Island Iced Tea b. 5-ounce glass of red wine c. One shot vodka 2. Which Dunkin’ Donuts drink has the most calories? a. French vanilla swirl macchiato b. Hot chocolate c. Caramel mocha swirl coffee 3. How many calories in a bottle of lemon Snapple? a. 205 calories b. 95 calories c. 150 calories Protein   How many grams of protein does one ounce of tuna have? a. 14 grams b. 7 grams c. 20 grams 2. Which food has more protein? a. Oikos triple zero Greek yogurt b. ¼ cup of nuts c. One Polly-O string cheese 3. How many grams of protein is in this meal? 3 ounces of chicken with ½ cup black beans. a. 12 grams b. 42 grams c. 28 grams Fat   Which fat is considered the “bad fat”? a. Saturated b. Polyunsaturated c. Monounsaturated 2. What kind of fat is butter? a. Saturated b. Polyunsaturated c. Monounsaturated 3. How many grams of fat are in two tablespoons of natural peanut butter? a. 20 grams b. 8 grams c. 16 grams   Final Bonus How many calories are in this McDonald’s meal: large Coke, Big Mac, large French fries. a. ~1340 calories b. 500 calories c. 800 calories     Answer Key Fruit: 1. 1 cup of raspberries 2. Banana 3. 30 grams Vegetables: 1. Peas 2.1/2 cup of corn 3. Vitamin A Sugar: 1. Milk 2. Chocolate chip Clif bar 3. 39 grams Drinks: 1. Long Island iced tea 2. Hot chocolate 3. 150 calories Protein: 1. 14 grams 2. Oikos 3. 28 grams Fat: 1. Saturated 2. Saturated 3. 16 grams Final Bonus: ~1340 calories  

The post March Support Group Recap: Putting Your Nutritional Knowledge to the Test appeared first on NJBC.

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New Jersey Bariatric Center by New Jersey Bariatric Center Staff - 2M ago

Join us for our FREE monthly Support Group meetings for bariatric patients, led by a registered dietitian. Each meeting includes a special topic or guest, a Q&A session and open talk about weight and wellness issues. This Month’s Topic Is: TRIVIA NIGHT: Come join us at this month’s support group as we put your knowledge on nutrition to the test! When/Where Springfield: Tuesday, March 20th @ 6:30pm at New Jersey Bariatric Center, 193 Morris Ave., Springfield Moderator: Meagan Butler, RD  Somerville: Tuesday, March 27th @ 6:30pm at RWJ-Somerset, Family Practice Building, 110 Rehill Ave., Somerville Moderator: Tia Hagins, RD    No RSVP needed but please call 908-481-1270 to confirm before coming. Dates are subject to change. 

The post March 2018 Weight Loss Support Group appeared first on NJBC.

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Hunger. It’s probably one of the biggest enemies of anyone who is trying to lose weight. You try to eat less, but you end up never feeling satisfied. Maybe you exercise to burn extra calories, but are left feeling famished. Hunger is one of the most common reasons my patients give for not being able to stick to a diet plan. That’s why when the gastric balloon procedure was approved by the Food and Drug Administration several years ago, the doctors here at New Jersey Bariatric Center were very enthusiastic. Here was a nonsurgical weight loss tool that was specifically designed to address the issue of hunger. After reviewing all the devices that were on the market, we decided to bring the two we found to be the most safe and effective choices to our patients: the swallowable Obalon gastric balloon and the ReShape dual balloon system. Both balloon systems take up space in your stomach so you feel fuller on less food. Both gastric balloons come with a comprehensive 12-month plan with monthly visits with our doctors and dietitians to help you lose weight and keep it off. But there are some important differences you want to consider when you decide which is right for you. DIFFERENCE NO. 1: HOW THE GASTRIC BALLOONS ARE PLACED   Obalon: Three separate balloons are placed in your stomach over 3 office visits with no sedation required. That’s because the Obalon gastric balloon comes in the form of a swallowable pill. At each visit, you dip one balloon capsule in water, which causes it to get really slippery, and swallow. (Watch me swallow one here.) The capsule is slightly larger than a large vitamin and is attached to a thin catheter. Once swallowed, we’ll take an x-ray to make sure the capsule is in the right spot in your stomach before we inflate the balloon with a light gas. The catheter is removed and you are on your way in about 10 minutes. You can even drive yourself home and resume activities in the same day. The next two balloons are inserted one at a time in the same way over the next 3-4 weeks. Six months after the first insertion, the balloons are removed endoscopically (through your throat) while you are under light sedation in our comfortable endoscopy suite. The removal procedure takes about 30 minutes and you’ll need someone to drive you to and from the procedure. Reshape: The ReShape insertion takes place in just one visit. The two deflated balloons are inserted endoscopically (through your throat) while you’re under light sedation. We ensure that the balloons are properly positioned in the stomach before inflating them with liquid saline. The balloons will be removed 6 months after insertion the same way they went in — via endoscope. Both insertion and removal procedures only takes about 30 minutes each but you’ll have to have someone drive you to and from the appointment due to the anesthesia. And you’ll want to take a day off from work and other responsibilities while you get accustomed to the balloons. DIFFERENCE NO. 2: THE TYPE OF BALLOON Obalon: The Obalon system uses 3 individual balloons about the size of a baseball. Since the balloons are filled with gas, they float toward the top of the stomach, which results in less nausea than other gastric balloons. If the balloon deflates while in your stomach (there is a very small chance of this happening – about 0.1%), it is small enough that you pass the balloon naturally through your digestive tract. ReShape: The ReShape balloon system consists of two connected gastric balloons made of medical-grade silicone. This is safer than the single balloon systems that are on the market because if a balloon deflates, the connection prevents it from passing into your digestive tract. About 6% of patients in ReShape’s clinical study had one balloon deflate. You’ll know if that happens because your urine will be a green color (from the blue saline in the balloon). If this happens, you must contact your doctor immediately so the balloon can be removed endoscopically. DIFFERENCE NO. 3: WEIGHT LOSS Remember there are no magic weight loss pills! With any procedure, the amount of weight lost is going to be up to you. Both gastric balloons come with 12 months of comprehensive nutritional support from our team of registered dietitians and doctors who specialize in weight loss. You may find other doctors who do gastric balloons (plastic surgeons for instance) but data shows bariatric specialists have the best weight loss results overall. We have found that motivated patients can lose anywhere from 30 to 60 pounds. In clinical trials both Obalon and ReShape produce about the same results – patients lost about twice as much weight as those who tried diet and exercise alone. I usually tell my patients to think about the most amount of weight they lost during a past attempt at a diet and then double that number. The big difference between the two procedures in weight loss is as follows: Obalon: Since the balloons are placed one at a time over a 4-6 week time period, the rate of weight loss with the Obalon is slower at first. With each additional balloon placed, you’ll feel fuller and eat less. This approach enables you to really work on your eating habits. The majority of the weight loss will come during the period that you have all three balloons in place and before they are removed. Reshape: Since the dual balloons are placed at the same time, patients can see results in as little as two weeks with the ReShape. The total amount of weight lost is determined by how well you follow diet guidelines and lifestyle changes. Regardless of which balloon you choose, most of your weight loss will occur while the balloons are in your stomach. My patients who lost the most weight are the ones who take advantage of all that we have to offer at

The post Obalon vs. Reshape: Which One is Right for Me? appeared first on NJBC.

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One of the great aspects about support group is that the patients who attend are all at difference stages in their weight loss journey: Some have not had bariatric surgery yet, some are only a few weeks or months out and others had weight loss surgery years ago. Still others are revision surgery patients who had a gastric band and then converted to a different procedure after the band failed. This diversity means that we have lots of different experiences, tips and strategies to help you. With all these differences, the one thing that everyone has in common is fear. Everyone who has gone through surgery or is about to had some fear or apprehension that they went through or are still tackling. At our last support group, we discussed these fears and apprehensions and worked together to come up with strategies to overcome them. What were your fears going into weight loss surgery? The most commonly expressed fear among the patients who came to our last support group was the fear of regaining weight. Here’s a sampling of what some patients said: “I am afraid of gaining the weight back as time goes on” —“I am afraid I will gain back all the weight I lost” — “I am afraid that my recent weight gain of 20 pounds will not stop” — “I am afraid of gaining back the weight….again” — “I have regained about 30 pounds. I am afraid and want it to stop. Old habits creep back.” We have to remember that the surgery is just a tool and if it is not utilized correctly, weight gain may occur. Those patients who have experienced weight regain had some suggestions: Attend monthly support groups to remind yourself what you need to do to stay on track.   Always track your food intake on an app or your own food log for accountability.   Get help right away. Schedule an appointment with your doctor or dietitian as soon as you feel you’re struggling. Don’t wait until you are up 10 to 20 pounds.   See a therapist who specializes in weight loss surgery to deal with the emotional/psychological aspect of your weight.   Remember that surgery doesn’t stop stress, busy schedules, events, and other aspects of life that get in the way of making healthy food decisions. Planning and prepping meals and snacks help to keep you on track.   Change your relationship with food. Don’t use food to deal with stress, boredom, depression and other emotional aspects of your life.   The apprehension didn’t stop with weight regain. Here is a sampling of some other fears patients have in relation to their weight loss Do any of these resonate with you? “Fear of going back on diabetic medications.” — “Never reaching my weight loss goal.” — “Not going to lose the weight desired. I do not want to fail.” — “Getting my old habits back.” The group offered some great strategies to tackle these apprehensions as well:   Try setting smaller weight loss goals to achieve until you eventually reach your goal weight.   Set realistic weight loss expectations, which you can discuss with New Jersey Bariatric Center team.   Patients also suggested not focusing so much on the number on the scale but to instead to pay attention to your habits/behaviors and non-scale victories. Non-scale victories are a great way to keep you motivated to reach your weight loss goal, help maintain your weight loss and to prevent old habits from creeping back in. Remember the day you were able to fit into new clothes, when you were able to sit comfortably in an airplane seat, when you could ride on the amusement ride with your child, when you didn’t have to take certain medications any longer. Writing these victories down and keeping them constantly visible can be the motivation you need to keep going down the right path. Continuously remind yourself of why you had weight loss surgery in the first place. We all have fears associated with weight loss surgery. The good thing is that you don’t have to deal with these fears alone. Use the support your New Jersey Bariatric Center team and fellow patients have to offer to help you ease any fears you encounter during your weight loss journey and maximize your long term success.

The post February Support Group Recap: Putting Bariatric Surgery Fears to Bed appeared first on NJBC.

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The annual event marks the weight loss accomplishments of patients who have had gastric bypass, gastric sleeve, and gastric balloon procedures   SPRINGFIELD, N.J. – New Jersey Bariatric Center, the state’s leading weight loss surgery practice, recognized the weight loss victories of their bariatric surgery patients at its annual Sweet Success Gala, attended by more than 100 patients who’ve had gastric sleeve, gastric bypass and gastric balloon, their guests, and the bariatric surgeons and staff. “For the past 11 years, we’ve been coming together to celebrate our patients’ successes,” said New Jersey Bariatric Center founder Dr. Ajay Goyal, who is also director of Bariatric Surgery at Atlantic Health System’s Overlook Medical Center in Summit, NJ. “It’s important to remember that success is not always a number on the scale. Sometimes it’s a small victory like being able to comfortably cross your legs or walk up stairs without losing your breath. Sometimes it’s a major health improvement like stopping diabetes medication. This night recognizes all the hard work patients have done and reminds them how far they’ve come since their decision to have surgery to aid in their weight loss.” Each year the practice sends invitations to all patients who underwent weight loss surgery or a non-surgical weight loss procedure, such as gastric balloon at New Jersey Bariatric Center. There is dinner, dancing and the centerpiece of the event, the “Walk of Success,” during which patients walk a red carpet into the main room while their surgeons emcee. The doctors announce the name of the patient on the red carpet, the amount of weight lost, type of weight loss procedure and some of the “walker’s” weight loss milestones. New Jersey Bariatric Center patient Crystal, who lost 100 pounds after having Gastric Sleeve surgery, was one of 40 patients who took the “Walk of Success.” “I’m so grateful to the doctors, dietitians and staff at New Jersey Bariatric Center,” Crystal said. “I’m finally able to feel confident enough to walk into a room with all eyes on me. I am healthy and comfortable in my own skin. Because of weight loss surgery, I was able to focus on my happiness and my life with my husband and new baby girl.” Weight loss surgery, which includes gastric bypass and sleeve gastrectomy (also known as gastric sleeve), alters the digestive tract to aid obese patients in losing weight. It is considered the most effective long-term solution for people suffering from obesity and related conditions like high blood pressure, sleep apnea and diabetes, according to the Society of American Gastrointestinal and Endoscopic Surgeons. To qualify for surgery, patients must have a body mass index (BMI) of 40 or 35 with an obesity related comorbidity, such as diabetes. New Jersey Bariatric Center doctors say the surgery is only a tool. “Patients still must follow the guidelines we set forth for them by eating a healthy diet and exercising so they must be committed to change,” added Dr. Goyal. “In the end, the only thing most of my patients regret is not having done the procedure sooner.” ABOUT NEW JERSEY BARIATRIC CENTER® New Jersey Bariatric Center®, a medical and surgical weight loss center with offices in Springfield, Somerville, Hoboken, East Brunswick and Hackettstown New Jersey, helps patients achieve long-term weight loss success through the most advanced bariatric surgery procedures, including gastric sleeve, gastric bypass, LAP-BAND procedures. Led by the team of Ajay Goyal, MD, Glenn Forrester, MD, Angela Glasnapp, MD, and James Buwen DO, the New Jersey Bariatric Center’s approach to patient care has resulted in zero mortalities and a complication rate that is lower than the national average. For more information about bariatric surgery, visit www.NJBariatricCenter.com ###

The post New Jersey Bariatric Center Patients Celebrate Weight Loss Accomplishments at Annual Sweet Success Gala appeared first on NJBC.

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