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Our surgeons use leading edge technology to perform innovative bariatric, general and colorectal surgeries designed to help patients achieve a healthier life.

Hernia Surgery

Hernias are simply a hole or defect in the wall of the abdominal cavity that allows protrusion of an organ or abdominal content through it. The fascia is a thick layer of tissue that keeps the contents of the abdomen in place. There are certain areas of the abdominal wall which are considered sites of weakness, these are inguinal, femoral and umbilical areas. The groin represents the area where approximately 75% of hernias develop.

Whether due to excess abdominal strain, age, genetics or congenital disorders, this tissue can weaken and intestinal contents may begin to push through. Most commonly, fatty tissue and loops of large intestine may push into, and ultimately become trapped in, the hernia defect.

GERD (Anti-Reflux Surgery)

Gastroesophageal reflux occurs when gastric juices from the stomach push up into the esophagus, irritating its sensitive lining. Gastroesophageal reflux disease or GERD is the medical term for chronic acid reflux – reflux that occurs several times per week for several weeks or months. GERD is estimated to affect upwards of 20 million Americans with millions more suffering from less frequent, but still significant, acid reflux symptoms.

GERD can occur due to intra-abdominal pressure that puts strain on the lower esophageal sphincter (LES), a muscle that acts much like a valve to keep stomach fluids where they belong. LES dysfunction can be treated with several options from lifestyle change and losing weight to surgical procedures like fundoplication or LINX Reflux Management System

Colorectal Surgery

Colorectal surgery is the subspecialty of general surgery that deals with diseases and conditions of the large intestine (also known as the colon), the rectum, and the anus. Colorectal diseases including cancer have become more prevalent in modern society, in part due to poor diets and the sedentary lifestyles most of us live. It is estimated that obese patients have a significantly higher risk of colon and rectal cancer than patients within a normal BMI.

Treatment for colorectal disorders varies based on the condition and its severity. Some concerns can be treated effectively with lifestyle changes while others may need surgery. Most importantly, you can take care of your colon by getting enough daily fiber, and staying well hydrated throughout the day, unless otherwise advised by your colorectal surgeon.

Gallbladder Disease

Typically, patients with symptomatic gallbladder disease begin to feel pain – whether dull or sharp – in the upper right quadrant of their abdomen, just under the rib cage. Gallstone issues are also characterized by an increase in pain shortly after eating. After consulting with a physician, a preliminary diagnosis typically requires a medical history and is confirmed with a simple ultrasound.

The most common symptomatic gallbladder disease involves gallstones that have blocked the outflow of bile. Gallstone attacks tend to worsen over time and as such, gallbladder removal, or cholecystectomy, is the preferred curative option. Gallbladder removal is one of the safest and most commonly performed surgical procedures in the United States.

Weight Loss Surgery

Weight loss surgery is the most effective long-term weight loss option for those suffering from morbid obesity, especially patients with a BMI over 40. While new GLP-1 agonist medications have shown promise in patients with relatively lower BMIs, weight loss surgery remains a relatively cost-effective option to help patients change their lives over the long term.

From sleep apnea to hypertension (high blood pressure) and hyperlipidemia (high cholesterol), metabolic surgery results in exceptional excess weight loss, averaging between 60 and 90% depending on the procedure. Resolution of co-morbid conditions is exceptional as well. MASJAX offers gastric sleeve, gastric bypass, and duodenal switch as our main surgical interventions for obesity.

Starting your Bariatric Surgery Journey – What do I need to do to get the Surgery?

Bariatric Surgery Videos

Check out our video library to learn more about the bariatric journey.

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Lifestyle Changes Before and After Bariatric Surgery

Meet Our Team

Our surgical program has a dedicated team to follow you every step of the way. Your multi-disciplinary team includes surgeons, (bariatric) nurses, dietitians, mental health professionals, exercise specialists, bariatric advocates and other medical specialists who offer continuous compassionate support and guidance in a respectful environment.

The focus is to help each patient establish and achieve their goals.

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Fiber Maxxing: Safe Weight Loss or A Potentially Unhealthy TikTok Trend?

Fiber packed granola in clear jar

Does “fiber maxxing” make sense, or is it just another viral, and possibly dangerous trend?

It is truly extraordinary to see the degree to which social media influencers and those looking to break into the influencer field will go to make a splash. Unfortunately, the result has been a significant increase in misinformation and unfortunate advice that has caused some to follow diets and exercise programs that don’t work and can, in some cases, lead to disordered eating.

With that said, there is a viral trend that has some legs, known as fiber maxing. Some even call it “Natural Ozempic.”

Some TikTokers claim to consume dozens of grams of fiber per day. Fiber is incredibly healthy – it fills you up, causing you to eat less, and it works wonders for GI and colonic health. However, there are also significant downsides to consuming too much fiber, especially when not accompanied by proper hydration.

So, to that end, let’s talk about fiber and any critical caveats of consuming fiber for weight loss. We’ll see if it makes sense, landing finally on what you should and shouldn’t do.

The Basics

Fiber is an essential component of a healthy diet and can certainly help with weight management. High-fiber foods, such as vegetables, fruits, legumes, and whole grains, can increase feelings of fullness and reduce overall calorie intake by slowing digestion and promoting satiety.

Additionally, fiber supports healthy blood sugar regulation and gut health, both of which can indirectly influence weight management over time. Incorporating adequate fiber into your diet is often associated with better long-term weight outcomes and improved metabolic health.

However, there are some important caveats to consider when increasing fiber intake for weight loss. Rapidly adding enormous amounts of fiber can cause bloating, gas, or gastrointestinal discomfort, especially if water intake is insufficient.

Individuals with certain digestive conditions, such as irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD), may need to tailor their fiber sources and amounts to avoid exacerbating symptoms.

Moreover, fiber alone is not a magic solution for weight loss – it works best as part of a balanced diet combined with appropriate calorie management, protein intake, and regular physical activity.

Fiber Maxxing Do’s:

Consume up to 40g of fiber throughout the day, if possible (bariatric surgery patients should consult their surgeon for appropriate amounts). Ideally, you get fiber from fiber-rich foods, such as lentils, berries, and whole grains. For any deficiencies in fiber, psyllium husk and flaxseed are great natural options. You can also try popping a fiber gummy.

Drink plenty of water while you are taking your fiber. Because fiber-rich foods contain other compounds and a certain level of natural moisture, it isn’t as crucial to super-hydrate (though hydration is always in style!) That said, it’s easy to take too much of a fiber supplement and create significant bloating, intestinal discomfort, and, in extreme cases, intestinal blockage when you aren’t drinking enough water. While we love for you to take fiber seriously, we also don’t want you coming back for surgery to unblock critical gastrointestinal passageways. So, make water your best friend.

And Considerations

Don’t hike up your fiber too quickly. Increasing your fiber intake too fast can cause discomfort, bloating, and digestive issues. To avoid these complications, it’s best to gradually add fiber to your diet while drinking plenty of water.

Don’t just take any fiber. There are various fiber products, some of which are healthier than others. There are plenty of foods and even drinks that claim to provide a lot of fiber; however, they often do so with a healthy dose of problematic nutrients like sugar, fructose, or artificial sweeteners.

Which brings us to the next point: don’t overload on artificial sweeteners because they taste good and you think you’re doing your body good. To be sure, artificial sweeteners are much less problematic for metabolism than regular sugar; however, despite being zero or low-calorie, artificial sweeteners can increase the brain’s craving for sweetness and ultimately contribute to the development of diabetes. We often think of fibrous foods as bland and tasting like cardboard, but you’d be amazed at how many delicious foods and combinations can provide you with plenty of fiber.

Take Away

Rather than following TikTok trends and overloading on fiber, it’s essential to set goals with your weight loss team and a registered dietitian. Doing so can give you a leg up in your weight loss, improving eating habits and contributing to sustained weight loss. Aim for an average of 35 grams of fiber throughout the day, but work up to that point gradually. (Also make sure your dietitian and care team are on board.)

One last tip: After bariatric surgery, you need to prioritize your protein intake, so try to eat your fiber after consuming your protein to ensure you don’t fill up before you’ve absorbed the nutrients you need.

“I always lived my life hiding behind my weight, but since having surgery I’ve learned to love myself again.
My advice to anyone is to trust the journey.”

Rosa M.Lost a total of 81 lbs via Vertical Sleeve Gastrectomy

“I would like to extend my heartfelt thanks for the exceptional care and professionalism Dr. Alexander Crean provided during my recent colon operation. From the initial consultation to the post-operative follow-ups, your expertise and dedication were evident. Dr. Crean, your reassuring demeanor and thorough explanations helped alleviate my anxieties and made me feel confident in the procedure. The entire team at Equip demonstrated remarkable skill and compassion, ensuring I felt comfortable and well-cared for at every step. I am truly grateful for the successful outcome of the surgery and for the seamless experience throughout this journey. Your commitment to patient care is commendable, and I feel fortunate to have been in such capable hands. Thank you once again for your outstanding service and for making a significant difference in my life.”

Luiz N.

“Dr. Husain Abbas is great! He listened to my concerns, gave me a real expectations, and answered all my questions and concerns. He also started my process immediately. His team was very helpful and available for any questions I had. Wonder if experience!”

Lezia M.

“Dr. Abbas did an amazing job on my gallbladder removal. I loved how communicative and respectful he was. His medical assistant Taneka was also amazing at giving me tips for my surgery and helping me through my recovery.”

Rebin M.

“Dr. Abbas is an outstanding surgeon who has extremely high expectations for how his patients are treated. Dr. Abbas goes above and beyond to make sure his patients have low risks of post-surgery complications. Luckily, I had a simple gall bladder removal. If I ever need a general surgeon again, I will absolutely have Dr. Abbas and NO ONE ELSE!”

Steve W.

“Dr. Crean is a very professional surgeon. He’s giving me great guidance. I owe a large part of my success fighting cancer to Dr. Crean”

Troy W.

“From staff to doctor this office is all about the patient. If you want to feel valued this is the place.”

Cindy T.

“Dr Alexander Crean and those who assist him are absolutely the best! I live with many complicated health problems that have required a variety of diagnoses, well thought out treatment strategies, sometimes advanced types of therapy, and necessary surgery. Some of my problems can be made better, others not so much or as easily. Regardless of the degree of complexity that surrounds my care, Dr Crean and PA’s like Kirk, for example, are consistently outstanding. They share a true, deep commitment to caring for their patients on the inside and outside, not just physically but also emotionally, providing reassurance, empathy, hope and understanding. Great doctors!”

Kate C.

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