Nutrition: What’s in Season for July in North Carolina?

All that warm July air and sun means that North Carolina is bursting at the seems with FRESH produce!  Eating fresh produce is a big step in the right direction for both weight maintenance and achieving healthy weight loss.  Here’s what’s in peak season for the month of July – so fill half your plate with vegetables!

July Produce NC

Kristin Kelly, RD, LDN and Jody McHugh, RD, LDN are Nutritionists with Bariatric Specialists of North Carolina, a division of Triangle Orthopaedics.

Baratric Specalists of North Carolina, a division of Triangle Orthopaedics, provides surgical and nonsurgical solutions for weight loss.   Dr. Paul EnochsDr. Jon BruceDr. Michael TynerDr. Scott Bovard and Dr. David Pilati are dedicated to providing patients with the highest quality care using the most advanced bariatric surgery techniques.

Please contact BSNC at 919-234-4468 for more information.


Tips for Foot Health

It is National Foot Health Awareness Month! As the seasons change, it’s a great time to think about your feet.  As you unpack your warm weather footwear, are you practicing good foot hygiene? Many foot problems can be prevented with good habits. Here are a few tips:

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While the causes of foot pain and ankle pain vary, many cases can be treated without surgery. We can often manage conditions that cause swelling and pain using traditional methods such as rest, ice, orthotic braces, anti-inflammatories and cortisone injections.

IMG_9859a John Lord, DPM, is a podiatric physician specializing in problems of the foot and ankle.  Dr. Lord sees patients at Triangle Orthopaedic offices in Apex, Clayton, Durham, Southpoint, and Raleigh.  His special interests are diabetic foot problems, skin and nail disease, and Sports-related injuries.  Dr. Lord is part of the American Podiatric Medical Association (APMA).

If extensive injury or malformation of the foot or ankle occurs, more severe surgery may be necessary. Surgery can effectively re-establish the position of bones, ligaments, tendons, and nerves.  While all of our General Orthopaedic providers have expertise in the foot and ankle, we have two surgeons who specialize in foot and ankle surgery.

Dr. Paul Kerner completed a fellowship in Foot and Ankle Reconstruction at Brown University and is part of the American Orthopaedic Foot and Ankle Society.  Dr. Kerner’s main interests are in Sports Medicine in addition to Reconstructive Surgery of the foot, ankle, knee, and shoulder, and he sees patients in Durham and Raleigh.

Dr. Nicholas Viens completed his fellowship in Orthopaedic Surgery of the Foot and Ankle, the Steadman Clinic & Steadman Philippon Research Institute, Vail, Colorado.  He is part of the American Orthopaedic Foot and Ankle Society.  Dr. Viens performs surgery with open and arthroscopic techniques and is proud to offer total ankle replacement as a potential treatment option to patients.  Dr. Viens sees patients in the Chapel Hill, Durham, and Southpoint offices of Triangle Orthopaedic Associates, P.A.

Sleep Center: How To Sleep Well and Wake Up Refreshed!

Your quality of sleep has a huge affect on your health.  You may notice trouble with focus, mood regulation, and even weight regulation when you aren’t sleeping well.  Sometimes, a few simple changes can get you to that good night’s sleep.  Sometimes, this can be caused by a sleep disorder, like sleep apnea.  The MacGregor Sleep Center is one component of Bariatric Specialists of North Carolina, a division of Triangle Orthopaedic Associates, P.A.  A sleep study is one of the screenings needed prior to Bariatric Surgery, although they take referrals from any source.  The staff also educate patients on good sleeping habits.  Here’s a few of the tips the MacGregor Sleep Center usually shares with patients:


The key is setting a routine, so that your body has similar cues each day for wakefulness and sleep.  Notice how you are affected by light, sound, diet, activity, and stress.  Try making small changes.  But if you believe that you may have sleep apnea or another disorder, talk to your physician.


What is OSA? OSA, or obstructive sleep apnea is a condition where you stop breathing while you sleep. Basically, your airway or throat collapses while you sleep and you don’t even know this is taking place. Some people we have tested stopped breathing over a hundred times an hour. This can lead to dangerously low levels of oxygen while causing poor sleep and increasing blood pressure. It also negatively affects your metabolism which leads to weight retention and gain. Eight out of 10 patients that Bariatric Specialists of North Carolina evaluates for weight loss surgery are unaware that they have this condition.

People who have a BMI of 35 or greater have an 80% risk of obstructive sleep apnea, or OSA. OSA is a potentially lethal condition increasing your risk of stroke, heart attack, or abnormal heart rhythm three hundred percent higher than the average population. Also, OSA can cause or worsen high blood pressure and weight gain, while also causing daytime sleepiness and fatigue. This is a disease that is no different than diabetes or low thyroid and needs to be treated. Most or all weight loss surgical programs mandate evaluation for OSA before surgery.

IMG_3259a72The MacGregor Sleep Center opened in 2009 to offer an “in-house” option for sleep studies.  Dr. Jon Bruce, medical director of the MacGregor Sleep Center, is a Bariatric Surgeon. He is Board Certified by the American Board of Surgery, a Fellow of the American College of Surgeons, and a Fellow of the American Society of Metabolic and Bariatric Surgery.

Nutrition: Meal Planning for Weight Loss

Are you working on your weight in 2016? Sometimes, the best thing you can do is eat more frequently!

Jodi McHugh, RD, LDN, a nutritionist with Bariatric Specialists of North Carolina, explains that eating on a schedule is often one of the most powerful interventions for weight loss: “We are told to eat less, eat less, eat less — and for many people, skipping meals has become an effort to eat less.  So I love it when people come in and I get to say ‘instead of eating less, let’s eat more.’”  She starts with breakfast – skipping breakfast is correlated to a higher BMI (Body Mass Index) and higher rate of obesity.  Here’s a few quick guidelines on when to eat:


Bariatric Specialists of North Carolina, a division of Triangle Orthopaedic Associates, PA, provides surgical and nonsurgical solutions for weight loss.   Dr. Paul EnochsDr. Jon BruceDr. Michael TynerDr. Scott Bovard and Dr. David Pilati are dedicated to providing patients with the highest quality care using the most advanced bariatric surgery techniques.

Bone Health: Foods for Strong Bones

Improving your diet?  It’s easy to add foods that are good for your bones.  When Dr. Stewart and his team review a bone density test, diet may be one of the first interventions prescribed.  Calcium is an important component of increasing bone density and reducing the risk of a fracture.  Aim for 1,000 to 1,200 mg of calcium a day.  Your body cannot absorb more than about 500 mg at a time, so split this up throughout the day.  Current recommendations from the National Osteoporosis Foundation emphasize whole foods first, and then supplements only as needed.  So what are some common sources of calcium?


Start checking out the nutrition facts on your food packaging – you may be getting Calcium from lots of sources already!  Some foods are fortified with calcium, like cereal, oatmeal, waffles, or almond milk.

What about Vitamin D?  It’s essential for building and maintaining strong bones, since it helps you absorb calcium.  Your skin makes Vitamin D from the sun.  You can also get it from some foods, such as fatty fish.  Cereals, dairy products, and juices are often fortified with Vitamin D – so read your labels and find ways to add Vitamin D to your diet!  Supplements are available, too.

Talk with your healthcare provider about dietary changes.  If you are diagnosed with Osteoporosis, you may also be prescribed physical therapy to improve posture and strength, prevent falls, and decrease your risk of fracture.  You may be prescribed medications – which often require Vitamin D and Calcium to work properly.

Today physicians are better to detect and treat bone loss in its earliest stages, striving to prevent disease or lessen its impact.  Triangle Orthopaedics offers bone density testing on a Hologic DEXA Scan, and a consultation to review the results and discuss any interventions needed.


Hint: Meal planning is a great way to ensure that you’re getting enough Calcium and Vitamin D each day.