Bariatric Surgery Can Be Considered to Keep Weight Off

DEAR DR. ROACH: I have had a BMI over 40 for the last 20 years, and I have not been able to lose weight or keep the weight off. My doctor prescribed Ozempic, which is helping, but as soon as I stop, all the weight creeps back on in a few weeks. I was always wary of surgery for weight loss, but recent studies seem to indicate better long-term health outcomes. What are your thoughts? -- S.O.

ANSWER: Medical or surgical treatment for weight loss is not right for every person who is overweight. Many people take medications in the class called glucagonlike peptide-1 agonists, which includes semaglutide (Ozempic and Wegovy), liraglutide (Saxenda and Victoza) and tirzepatide (Mounjaro). But these medicines have the potential for harm, and an individual’s risks, especially conditions that can be affected by being severely overweight or obese, need to be carefully considered. Surgery has far more risks than medication and requires the most careful consideration before receiving a recommendation of bariatric surgery, of which there are many types.

I am much more likely to refer a patient to one of my colleagues in bariatric surgery when a patient is very obese and when there are clear medical issues that I can expect to get better with surgery. These medical issues can include diabetes, obstructive sleep apnea, or nonalcoholic fatty liver disease. Most of the time, these conditions can be well-managed without bariatric surgery, but sometimes management is very difficult. In this case, consideration of bariatric surgery is worthwhile. Bariatric surgery is never the first choice in weight management. A comprehensive lifestyle intervention -- with an individualized diet (ideally recommended by an expert such as a registered dietician or nutritionist), moderate exercise (with a goal of 150 minutes per week minimum), and regular meetings to help keep a person on track -- is the right place to start. It is effective for many people if they maintain the behaviorial changes.

I have been prescribing some of my patients with the GLP-1 or GLP-1/GIP medications with good results, but as you mention, if you stop taking them, they stop working. Unless you make a dramatic change to your lifestyle that you can keep up, the weight will return.

Bariatric surgery does have very strong long-term weightloss data, as well as dramatic reductions in diabetes when used for the appropriate people.

***

Dr. Roach regrets that he is unable to answer individual questions, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu.

© 2023 North America Synd., Inc. All Rights Reserved

RESMED S8 ELITE II CPAP - Case, Heater/Humidifier, 2 Tanks, Cord, Manual, Hose, but CPAP part probably no good. West Henrietta: cmonroj1@rochester.rr.com

VHS BLANK TAPES. I have several and never been opened. Corfu area: sbly5722@gmail.com

MELODY GRAND PIANO W/BENCH. Low profile, maple wood finish. Like new. You move, Fairport: 585-388-2854

Brand new LOVESEAT still in carton. Gray. Pick up, Avon: 585-438-4098

250 GALLON OIL TANK. ½ full. Needs to be removed professionally. Webster: 585-872-6757

A bag of CRAFTS, YARN, NETTING: amy8595@mail.com

Marcy em1, em2, em3 FREESTANDING WEIGHT SYSTEM, disassembled. You transport. Some original instructions: 585-377-0260

Brand new MEDICINE CABINET. Needs to be assembled. Pick up, Avon: 585-905-7426

Quantity of WIRE HANGERS for crafts, etc.: Nancydechau@gmail.com

Six balls STRING TYPE CROCHET COTTON, box of FABRIC PAINT, box of CORKS: 585-889-4320

HEWLITT PACKARD OFFICE JET #4650 – Printer, scanner, fax, copy machine. You pick up: 585-396-9669

AVANA COMFORT MATTRESS ELEVATOR (king size). Pick up, Webster: 585-872-6756

UPRIGHT PIANO. Good condition. Pick up, Honeoye Falls: 585-624-2453

CRAFT STUFF – Yarn, knitting needles, crochet hooks, melty beads, latch hook, material, felt, and misc. Some brand new. Moving: 585-721-8963

MEN’S CLOTHING - Coats size large. Pants size 30 / 32 and bigger shirts size medium / large. Sweaters size medium / large: 585-721-8963

PATTERNS for an 18” doll: 585-624-5144

DELL MONITOR 17”, DELL KEYBOARD and a LARGE CACTUS: 585-624-4687

PREVAIL OVERNIGHT UNDERWEAR, small, bladder control and a box of ALCOHOL

PREP PADS. Pick up Batavia: 716-474-0292 leave message

OLD WOODEN HIGHCHAIR, blonde wood. Good condition. Pittsford/Mendon area: 585-414-0845

Loose advertisement pages from 1920s LADIES HOME JOURNAL magazines, 11”x14”. Many still with vibrant colors. Perfect for crafts/framing. Fairport: jvc45@aol.com

FINISHED DIAMOND PAINTING, Nightmare Before Christmas. You frame. Batavia: 845-309-9373 text only

INVERSION TABLE, for senior with bad back: stujaxon@yahoo.com

TRAILER WHEEL & TIRE, ST175-80D-13” wheel, 5 lugs: 585-993-1917

BUILT/UNBUILT MODELS OR KITS. Parts and pieces ok. Longtime collector seeks projects/restorations/customs. Auto, Truck, Plane, Military, etc. Call 585-314-6989, thanks

BABY BOY ITEMS. Low-income mom needs ALL (Hidden/Surprise Birth): Diapers size 1& up, clothing 6-12 mo., swing, supplies. Text: 585 471-0408 please DIRT BIKES, ATVs, GO-KARTS wanted that are running or not running for fatherson project. Thank you in advance! 315-576-1278

Looking for a WEBER GRILL you are no longer using. Thank you and feel free to call or text me: 315-576-1278

Looking for GARAGE SIGNS, OIL CANS, or other decorative automotive memorabilia from the 1970s and earlier. Thank you! 315-576-1278

VINTAGE SPORTS CARDS, TOBACCO CARDS, or TAROT DECKS. Kindest Thanks!! 585-729-1259

Very LARGE FREEZER for a charitable organization in good working condition: 585-654-9640

LIONEL and other O-SCALE TRAINS, TRACK (O-27 scale) and accessories. Thank you! Call: 315-694-6197

Wii GAMES for 4-year-old girl: 585-303-4008

KETTLE BELLS and a MINI TRAMPOLINE: bhaag1@frontiernet.net

ALEXANDER VOLUNTEER FIRE DEPARTMENT BAND UNIFORMS that aren’t being used: 585-721-8876

CURIO/CHINA CABINET or TALL BOOKSHELVES. Thank you: 585-447-0201

MONITOR needed for older Dell computer (80s-90s) for disabled person to work with: 585-346-7022

PORTABLE 5” MINI ELECTRIC CHAINSAW: 585-409-6477

Small STANDARD SHIFT TRUCK or CAR. Running and passes inspection: christinaplaton20@gmail.com

BUNK BED in good condition. Can only pick up in Batavia. Text me: 585- 536-6269

VINTAGE LEGO SETS or PIECES! Can be newer Legos! Greatest Appreciation and God Bless! 585-590-7995

BABY MONITOR for kitty cabin and a CAT TOWER in good condition (prefer a large one): 585-637-0933

Any BOOKS by Arch Merrill or Henry Clune: 585-924-2651

LIFT RECLINER - must also lift legs. New or gently used: 585-719-7866

PORTABLE WASHER or OLD WRINGER WASHER that works. Thank you: 607-329-6086

BARN ROOFING and SIDING - aluminum or metal, new or used. Thank you: 585-861-0181

Guidelines:

Submissions published as space allows. We reserve the right to decline/edit/omit info. We assume no responsibility for submissions. Submissions must include phone # or email. Noncommercial use only. 20 word limit. Please call to remove listing once item is taken/received.

Submit at www.gvpennysaver.com under Share With Us - Give & Take or call 226-8111 x 111

Cats and Colds

DEAR PAW’S CORNER: is winter, a lot of my family has had colds and u. Can my cat catch a cold from us? -- Darlene, via email

DEAR DARLENE: Cats don’t catch colds directly from humans, but they can su er from upper respiratory infections that are just as uncomfortable.

A number of viral and bacterial infections can make your cat sick. Some of these, such as FVR (feline rhinotracheitis) and FVC (feline calicivirus) can be prevented by making sure your cat gets an annual checkup and vaccinations. An underlying health condition also can make your cat more susceptible to upper respiratory infections. Again, regular checkups and shots can keep it healthy.

What symptoms does a cat with a URI have? It may be sni ing and sneezing, along with a clear or cloudy discharge from the eyes or nose. Your cat also may have little to no appetite and might be lethargic.

Contact the veterinarian right away if your cat has any of these symptoms. e vet will want to examine your cat to con rm what kind of URI it has. Use a cat carrier so other cats in the waiting room won’t be exposed, and to keep your cat safe.

Follow the vet’s instructions on caring for your sick cat. You may be given a prescription, and you will be asked to keep the cat comfortable and warm, and to try to get it to drink water and eat some food. Dry food may be a turno , but it may eat a little wet food. If your cat won’t eat or drink, contact the vet again -- an IV may be needed to keep it hydrated.

Send your tips, comments or questions to ask@pawscorner. com.

(c) 2023 King Features Synd., Inc.

DID YOU KNOW?

Leisure activities may be widely viewed as fun ways to fill up free time, but the benefits of leisure activities extend beyond beating boredom. A 2011 analysis published in the journal BBA Molecular Basis of Disease found that leisure activities have a positive impact on cognitive function and dementia. The analysis, conducted by researchers with the Aging Research Center in Stockholm who examined various studies regarding the relationship between certain activities and cognitive function, defined leisure activity as the voluntary use of free time for activities outside the home. After retirement, leisure time constitutes a large part of many retirees’ lives, and finding ways to fill that time is more beneficial than merely avoiding boredom. The researchers behind the study concluded that the existing research is insufficient to draw any firm conclusions regarding the effects of certain types of leisure activities on the risk for dementia and cognitive decline, though they did note that multi-domain cognitive training has the potential to improve cognitive function in healthy older adults and slow decline in affected individuals. A multi-domain approach to cognitive training involves memory, reasoning, problem-solving, and map reading, among other activities. Aging adults who embrace activities that require the use of such skills may find that they’re not only finding stimulating ways to fill their free time, but increasing their chances of long-term cognitive health as well.

Week 2

Break the boredom with our four week Cabin Fever Contest! Solve the puzzles each week and send them in for admirer sweetheart beloved love chocolate balloons forever cards moon cupid dreams mailbox pink doves roses February heart fourteenth

Mail to: GVPS Cabin Fever Contest 2023 1471 Route 15 • Avon, NY 14414

All entries must be postmarked by March 3, 2023. Winner will be randomly chosen from all correct entries. Enter each week for a greater chance of winning. Must be 13 or older to play. 18 or older will be signed up for our coupon club. Playing all 4 weeks? Mail your entries together by 3/3/23.

City: State: Zip: Phone: Email

(18 & older)

Headquarters

VALENTINE’S

DAY • TUESDAY, FEBRUARY 14TH

Take a moment to let a business owner know you saw their ad in the Penny Saver, tell a friend about an upcoming event or like any of our posts on social media. These small gestures make all the difference to us.

LeisureTimersApartments

364BloomingdaleRoad,Akron,NY14001

Acceptingapplications

•Non-SmokingComplex

•Seniors62yearsorolder&disabled/handicapped(18yearsorolder)

•1&2bedrooms/Accessibleunitsavailable

•Limitedsubsidizedrentalavailabletoquali edapplicants

•Incomelimitsapply•Professionallymanaged

•Laundryfacilitieson-site/off-streetparking/Communityroom

•Appliancesincluded:fridge,electricstove

•1smallpetwelcomewithrestrictions&deposit

•Wemaintainlandscaping,trashremoval,commonareacleaning &snowremoval

“EQUALOPPORTUNITYPROVIDER&EMPLOYER”

585-542-5984•716-542-7557•1-888-542-3031

TDD1-800-662-1220•NYSRelayLine711 www.odsmgmt.com

DID YOU KNOW? A study from the Gap Year Association found that 77 percent of students who take a gap year do so between high school and college. Parents may not know how to react when their soon-to-be or newly minted high school graduates bring up the idea of taking a gap year, but additional findings from the GYA’s “National Alumni Survey” might inspire parents to look at gap years more positively. For example, the survey, the findings of which were based on the responses of hundreds of American and Canadian citizens who had taken gap years in the past, found that 98 percent of respondents indicated their gap years helped them develop as a person, while 96 percent felt their gap years improved their self-confidence. In addition, 84 percent of respondents felt that they acquired skills to be successful in their careers during their gap years. Perhaps of most interest to parents of high school students contemplating gap years is that 73 percent of survey respondents felt their gap years increased their readiness for college and 57 percent said their gap years helped them determine what they wanted to study in college.

By Fifi Rodriguez

1. ART: Where is the Prado Museum located?

2. GEOGRAPHY: What is the only country that the Equator and the Tropic of Capricorn pass through?

3. LANGUAGE: What does the Latin phrase “tempus fugit” mean?

4. MATH: What is another name for the division sign?

5. MUSIC: How long did it take singer Bob Dylan to write the big hit “Blowin’ in the Wind”?

6. ANIMAL KINGDOM: How many times on average does a rubythroated hummingbird flap its wings in one second?

7. MOVIES: Which movie features the line, “Keep the change, ya filthy animal”?

8. LITERATURE: Which novel features four children named Peter, Susan, Edmund and Lucy?

9. TELEVISION: What is Joey’s famous line in the sitcom “Friends”?

10. ANATOMY: What is a common name for the pinna in human anatomy? Answers

COMMERCIAL FOR RENT!

Time For New Flooring?

LAWN & LANDSCAPING

Great Rates on residential, commercial and industrial tool and equipment rentals

Big or Small, We Rent Them All.

Floor Sanders, Backhoes, Lawn & Garden Equipment & More!

No Deposits required • Reservations Encouraged. Check our list of rentals online: www.cedarstreetonline.com

111 CEDAR ST. • BATAVIA 585-343-4899

Proudly Serving Our Community for 28 Years www.cedarstreetonline.com

LONG-DISTANCE CAREGIVING

(NAPSI)—Chances are, at some point you will be a caregiver to a friend or family member. Providing care and support can be challenging in any circumstance, but caring for a loved one who lives far away presents a unique set of challenges.

When providing care for loved ones who do not live nearby, keep the following three tips in mind.

Plan ahead. Learn your loved one’s medical wishes, contact information for doctors as well as important financial and insurance information. Research community options. Many older adults need a little help to stay healthy and independent. Area Agencies on Aging and other communitybased organizations can connect caregivers to programs that help with transportation, personal care services, nutrition, home modification and repairs, legal services, falls prevention programs and more.

Care for yourself. The Eldercare Locator can connect caregivers to local resources that can help, including caregiver support programs that can provide training, and support groups and other resources that help caregivers better support their loved ones—and themselves.

The Eldercare Locator can help both care recipients and their longdistance caregivers. Through its website, www.eldercare.acl.gov, and national Call Center at (800) 677-1116, the Eldercare Locator connects long-distance caregivers to resources that can provide assistance where it is needed most—in the care recipient’s own community. The Eldercare Locator is funded by the U.S. Administration for Community Living and is administered by the National Association of Area Agencies on Aging.

585.219.4053

No too big or too small!

Moments In Time

The History Channel

* On Feb. 10, 1846, Brigham Young leaves Nauvoo, Illinois, and begins leading 1,600 Mormons west across the frozen Mississippi to a temporary refuge at Sugar Grove, Iowa. It was their first stop in a westward migration that eventually brought 12,000 of them to the Great Salt Lake in Utah.

* On Feb. 12, 1912, Hsian-T’ung, the last emperor of China, is forced to abdicate. A provisional government was established, ending 267 years of Manchu rule in China and 2,000 years of imperial rule. The emperor was only 6 years old.

* On Feb. 13, 1920, The League of Nations, the international organization formed at the peace conference at Versailles in the wake of World War I, recognizes the perpetual neutrality of Switzerland.