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Liposuction: New Hope For A New Figure Through The Art Of Body Contouring By Dr. Leon Forrester Tcheupdjian, M.D. |
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Chapter XXIIIYour Diet Before and After SurgeryDiet is important all through life. However, a balanced diet is especially important before liposuction. After liposuction surgery has been performed, you need to follow a specific diet that relates to fat cells.PRE-LIPOSUCTION DIETING Why? The reasons include benefits to your nutrition, immunity, hydration, electrolyte balance (sodium, potassium, calcium and magnesium) for proper condition of muscles and nerves, blood cells, and bones. Proper nutrition also improves coagulation and diminishes the possibilities of easy bruisability. PRE-LIPOSUCTION DIET IN A NUTSHELL "This diet is good for you." This diet has been specifically designed to prepare your body for the additional stresses of surgery. Stress can increase your body's need for certain vitamins and minerals, because it can depress the immune system, cause fatigue, and retard healing processes. By following this diet plan, you will be better prepared to handle the stress of surgery. This diet promotes rapid recovery. Because this diet is nutritionally excellent, you will receive many other benefits. I formulated this diet with specialty liposuction surgery in mind. The diet is high in the following Anti-Stress Nutrients: iron, zinc, Vitamin C, and all the B vitamins. * Iron is necessary for the production of red blood cells, growth, prevention of fatigue, iron-deficiency anemia, and good skin tone. Vitamin C enhances iron absorption (while excess of 3 cups of coffee or tea inhibits iron absorption). * Vitamin C also improves the rate of healing of your body-especially of the small blood vessels. It is an antioxidant. Hence, it helps the body to eliminate toxins. Vitamin C fights bacterial infections, protects against the effects of allergies. It is necessary for the formation and repair of collagen, and lowers incidence of blood clots in veins. In capillaries (tiny blood vessels), Vitamin C improves circulation and promotes healing. * Zinc accelerates the healing time of internal and external wounds, and promotes growth and repair of tissues. It improves mental alertness, and decreases the rate at which cholesterol is deposited. Most of all, it improves utilization and the metabolism (burning) of fat. * B-Complex includes all B vitamins. They promote tissue repair. These B vitamins keep your nervous system functioning normally, as natural pain relief. These vitamins are also important for avoidance and treatment of depression or anxiety. They promote healthy skin, nails, and blood vessels. The B vitamins also help circulation and reduce water retention. In addition, this Pre-Liposuction Diet contains all the essential and nonessential amino acids, as well as all the important vitamins and minerals. They are: * Vitamins. Vitamin A, Thiamine (Bi), Riboflavin (B2), Niacin (B3), Pyridoxine (Br,), Folic Acid, Vitamin B12), Biotin, Pantothenic Acid, Choline, Inositol, PABA, Vitamin C, Vitamin D, Vitamin K, Vitamin E. * Minerals. Calcium, Chromium, Copper, Fluorine, Iodine, Iron, Magnesium, Manganese, Molybdenum, Phosphorus, Potassium, Selenium, Zinc, Vanadium. The chart that follows will serve as a handy guide to help you maximize the benefits of good nutrition. Broiling, grilling, and microwaving are the best ways to cook foods without destoying their nutruients. NUTRITIONAL SUPPLEMENTS There are many ways of achieving good nutrition. This is BEFORE SURGERY the best way we have found at The Liposuction Institute after treating thousands of patients. * Multivitamin-Mineral supplement. "COMPLETE" is the brand name we use. After extensive research of the medical market for a pre- and post-surgical complete vitamin/mineral combination, we could not find one which was formulated with the specific needs of surgery, immunity, and post-surgical convalescence in mind. Consequently, we formulated our own "COMPLETE". It is available through Forrester Laboratories, P.O. Box 1906, Arlington Heights, Illinois 60006. * Hematinics. These are supplements which enhance your bone marrow and your iron stores. We use the brand AHEMOPLEX@, also from Forrester Laboratories. * Calcium-Vitamin D. For your skeletal system, nerves, and muscles. You will need this supplement especially after the surgery. We use the brand "OSTEO-CAL," made by Forrester Laboratories. * VitaminK1. We use the brand "Synkavite." Vitamin K helps coagulation system to prevent bruising and bleeding, and assure good clotting capability. SAMPLE MENU BEFORE LIPOSUCTION Good nutrition, supplied by balanced meals, is an important part of your preparation for surgery. BREAKFAST Good choices are cereal (any kind) with skim milk, fruits; eggs; toast or bagel. LUNCH Salad, vegetable, meat of any kind such as beef, poultry, seafoods. DINNER Salad; vegetable, white green; meat of any type. SNACK Cheeses, yogurt, granola bar. Fruits are good snacks. DO'S AND DONT'S Do's ! * Do eat a wide variety of foods. * Do eat dairy products or milk. At least one tall glass per day is a must. * Do eat meats such as beef, lamb, poultry. Eat at least 1/2 pound per day. Don'ts ! * Don't eat a monotonous diet. Do not eat the same food for too many days. * Don't use much alcohol. Limit yourself to one drink per day, or one glass of wine, or one beer. Definitely no alcohol for at least 24 hours before surgery. * Don't use recreational drugs. * Don't use medications containing aspirin or anti- inflammatory medications, beginning one month prior to surgery. (Read labels of over- the-counter medications, and ask your doctor or pharmacist.) * Don't take high doses of Vitamin E-especially any over 200 mg. * Don't take garlic pills. They have a tendency to thin blood, and to lead to excessive bruising. POST-LIPOSUCTION DIET Why? After liposuction surgery to remove fat cells, you need to reduce some substances in your body, while increasing others. Specifically, you want to decrease triglycerides; decrease LDL (low density lipoproteins); decrease VLDL (very low density lipoproteins). At the same time, you want to increase your body's metabolism; increase HDL (high density lipoproteins); increase lipolysis (your body=s ability to burn fat); increase immunity; and avoid fatigue. You also want to diminish edema (water retention after surgery) and to diminish bruisability. It is extremely important for you to take prescribed nutritional supplements while you are on this diet. You will want to discuss the diet and the supplements he or she wishes you to have with your liposuction surgeon. We also prescribe three additional medications: "METABOLIC-1," "METABOLIC-2," and "METABOLIC-3." All help to increase the body's metabolism. They are available from Forrester Laboratories. SPECIAL SUPPLEMENTS At The Liposuction Institute, we prescribe the metabolic medication to be taken for six months after surgery. You need to eliminate any remaining excess fat from your body as quickly as possible. I believe the best way to do this is to follow the special post-lipsuction diet, while at the same time increasing the body=s metabolism and lipolysis (body's ability to burn fat). The three special metabolic supplements help to accomplish this.. WHAT TO EAT DAYS 1 THROUGH 7 AFTER SURGERY Your nutrition is of primary importance at this time, and you should plan ahead to achieve the best results.  Day 1 (The Day of the Surgery)Nothing at all before surgery, except for 1 oz. of water to swallow the antibiotic prescribed for you. Following surgery, take only sips of fluids till you feel well enough to accept more fluid. Remain on fluids for rest of the day, such as soups, fruit juices, water, diet soda. You should drink the equivalent of 8 tall glasses of water. Day 2 BREAKFAST A fruit or cereal, no sugar Skim milk Black coffee or tea Artificial sweeteners are OK LUNCH Tall glass of water Soup with no-salt crackers Black coffee or tea Tall glass of water. DINNER Tall glass of water Vegetable - green vegetable preferred 6 oz. white chicken, broiled or cooked but not fried Tall glass of water. Day 3 BREAKFAST 1/2 cup orange juice 1 egg hard-boiled, poached, or scrambled 1 piece melba toast Black coffee or tea LUNCH Tall glass of water Green salad with low-calorie dressing or no dressing. dressing Black coffee or tea, Tall glass of water DINNER Tall glass of water Green salad with 1 Tbsp. diet dressing or lemon juice 4 oz. tuna or salmon (water-packed) 1 cup steamed brussels sprouts or a medium-size baked potato Black coffee or tea, Tall glass of water  Day 4BREAKFAST 1 cup lemon yogurt Black coffee or tea. LUNCH Tall glass of water Cold turkey slices 1 cup soup Black coffee or tea, tall glass of water. DINNER Tall glass of water 1/2 cup vegetable 4 oz. low-salt cheese 1 piece fresh fruit Black coffee or tea, tall glass of water. Day 5 BREAKFAST 1 bran muffin Black coffee or tea LUNCH Tall glass of water Chef's salad Black coffee or tea, tall glass of water DINNER Tall glass of water 1 cup salad, I Tbsp. diet dressing 4 oz. fillet of sole or other white fish 1/2 cup green vegetable Black coffee or tea, tall glass of water Day 6 BREAKFAST 1cup orange juice 1 English muffin Black coffee or tea LUNCH Tall glass of water 1 slice American cheese 1apple Black coffee or tea, tall glass of water DINNER Tall glass of water Soup, instant or homemade (low-salt) Green salad with 1 Tbsp. dietetic dressing 4 oz. broiled chicken Black coffee or tea, tall glass of water  Day 7BREAKFAST 1/2 cantaloupe Black coffee or tea LUNCH Tall glass of water 1 apple 1 cup yogurt Black coffee or tea Tall glass of water DINNER Tall glass of water Green salad with 1 Tbsp. of diet dressing Shrimp or another shellfish or white fish choice Black coffee or tea Tall glass of water WHAT TO EAT FROM THE 2nd THROUGH 7th WEEKS AFTER SURGERY For the next six weeks, your diet must be low fat, high complex carbohydrate (fruit, vegetables), moderate protein which should be white meats such as poultry and sea foods. Below is a list of the foods you may choose and those you ought to avoid for at least six weeks.  This list is followed by a sample menu for those who do not need to lose weight, those who have 25 pound or less to lose, and a sample menu program for those who have more than 25 pounds to lose.You and your surgeon will have been in close contact throughout your liposuction operation and follow-up. Because of her or his background and training, your doctor can advise you regarding eventual "desired weight." If he or she feels you still have weight to lose, do it now. Let the "new flgure" you have gained from liposuction be your incentive to continue. Liposuction can take you only so far-it cannot do the whole job if you do not watch your eating habits. However, with the help of your surgeon, and with the principles set forth in this book, you have the tools with which to succeed. Use them.Use them. FOODS (AND AMOUNTS) TO USE AND TO AVOID Category: Beans, Peas, Legumes FOODS ALLOWED All beans, peas, and legumes (except soybeans). QUANTITY PERMITTED Limit to 1-1/2 lbs. cooked per week. Category: Beverages FOODS ALLOWED Mineral water, carbonated water. Nonfat (skim) milk or nonfat buttermilk. Unsweetened fruit juices. Vegetable juices. Linden, Red Bush, or Chamomile tea. QUANTITY OF EACH PERMITTED Limit varieties with added sodium. See restrictions under DAIRY FOODS. See restrictions under FRUIT. Carrot juice: 2 glasses/week. FOODS TO AVOID Alcoholic beverages. Beverages with caffeine: coffee, tea, cola drinks, etc. Decaffeinated coffee. Beverages with added sweeteners or sodium, such as soft drinks. Diet and other soft drinks with artificial sweetener. Category: Dairy Products FOODS ALLOWED Nonfat (skim) milk, nonfat buttermilk (up to 1% fat by weight), or nonfat yogurt Nonfat (skim) powdered milk. Evaporated skim milk 100% skim milk cheese, primarily uncreamed cottage cheese such as hoop cheese or dry curd cottage cheese, or cheeses up to 1% fat by weight Sapsago (Green) cheese. QUANTITY PERMITTED This table refers to items listed in FOODS ALLOWED, above, line-by-line. 8 oz./day. 2 level Tbsp./day (replaces entire allotment of fluid skim milk or equivalents). 4 oz./day (occasional use only; replaces entire allotment of fluid skim milk or equivalents). 2 oz./day. 1 to 2 oz./week maximum. FOODS TO AVOID Cream, half-and-half, whole and lowfat milk or products containing or made from them, such as sour cream, lowfat yogurt, etc. Non-dairy substitutes: creamers, whipped toppings, etc. Cheeses containing over 1% fat by weight. Category: Eggs  FOODS ALLOWED Egg whites, cooked.QUANTITY PERMITTED 7 per week maximum. FOODS TO AVOID Egg yolks. Fish eggs: caviar, shad roe, etc. Category: Fruits  FOODS ALLOWED All fresh fruits. Unsweetened cooked, canned, pureed, or frozen fruit. Dried fruit. Unsweetened fruit juices. Frozen concentrates, undiluted.QUANTITY PERMITTED Fresh fruits 5 servings/day maximum. 24 oz./week maximum. Prepared fruits 4 oz./day maximum 28 oz./week). FOODS TO AVOID Cooked, canned, or frozen fruit with added sugars. Jams, jellies, fruit butters, fruit syrups with added sugars. Fruit juices with added sugars. Category: Fats and Oils  FOODS ALLOWED NoneQUANTITY PERMITTED None FOODS TO AVOID All fats and oils, including butter, margarine, shortening, lard, meat fat, all oils, lecithin (as in vegetable spray). Category: Grains  FOODS ALLOWED All whole or lightly milled grains: rice, barley, buckwheat, millet etc. Breads, cereals, crackers, pasta, tortillas, baked goods and other grain products without added fats, oils, sugars, or egg yolks.QUANTITY PERMITTED Unlimited Limit refined grains and grain products (i.e., with bran and germ removed) such as white flour, white rice, white pasta, etc. FOODS TO AVOID Extracted wheat germ. Grain products made with added fats, oils, sugars, or egg yolks. Bleached white flour; soy flour. Category: Nuts and Seeds  FOODS ALLOWED Chestnuts.QUANTITY PERMITTED Unlimited. FOODS TO AVOID All nuts (except chestnuts). All seeds (except in small quantities for seasoning as with spices). Category: Salt  FOODS ALLOWED Salt.QUANTITY PERMITTED Limit salt intake to 3-4 gms./day by eliminating table salt and restricting use of high salt or sodium (Na) foods such as soy sauce, pickles, most condiments, prepared sauces, dressings, canned vegetables, and MSG (monosodium glutamate). FOODS TO AVOID Salt from all sources in excess of permitted amount. Category: Poultry, Fish  FOODS ALLOWED Meats, and Beans Chicken, turkey, Cornish game hen, game birds (white meat preferred; remove skin before cooking). Lean fish, lobster, and other shellfish. Lean meat. QUANTITY PERMITTED Limit acceptable poultry, fish and meat to a total of 1-1/2 lbs./week or 3-1/2 oz./day. Lobster: 3-1/2 oz./day (replaces entire daily allotment of poultry, fish or meat). Shrimp, oysters, crab, clams or scallops: 1-3/4 oz./day (replaces entire daily allotment of poultry, fish or meat).FOODS TO AVOID Fatty poultry: duck, goose, etc. Fatty fish: sardines, fish canned in oil, mackerel, etc. Fatty meats: marbled steaks, fatty hamburger and other fatty ground meat, bacon, spareribs, sausage, frankfurters, luncheon meal etc. Organ meats: liver, kidneys, hearts, sweetbreads. Smoked, charbroiled, or barbecued foods. Soybeans and tofu (soybean curd). Category: Vegetables  FOODS ALLOWED All vegetables except avocados and olives.QUANTITY PERMITTED Limit vegetables high in oxalic acid such as spinach, beet leaves, rhubarb, and swiss chard. FOODS TO AVOID Avocados. Olives. Category: Desserts or Snacks  FOODS ALLOWED Dessert and snack items without fats, oils, sugars or egg yolks. Natural fruit gelatin or sorbet.QUANTITY PERMITTED 4 oz./week maximum. FOODS TO AVOID Desserts and snack items containing fats, oils, sugars, or egg yolks, such as: most bakery goods, packaged gelatin desserts and puddings, candy, chocolate, and gum. Category: Condiments FOODS ALLOWED Salad Dressings, Sauces, Wines for cooking. Gravies, and Spreads Natural flavoring extracts. Products without fats, oils, sugars, or egg yolks. QUANTITY PERMITTED Dry white wine preferable. Moderate use. FOODS TO AVOID Products containing fats, oils, sugars, or egg yolks such as-mayonnaise, prepared sandwich spreads, prepared gravies and sauces and most seasoning mixes, salad dressings, catsups, pickle relish, chutney, etc. SAMPLE MENU AFTER DAY 7 IF AT IDEAL WEIGHT Monday BREAKFAST Tall glass of water 1/2 grapefruit Poached egg on one slice of whole grain toast Black coffee or tea LUNCH Tall glass of water Spinach or green salad with Tbsp. diet dressing or lemon/vinegar One slice of whole grain bread Black coffee or tea Tall glass of water DINNER Tall glass of water Salad with diet dressing Broiled chicken breast Black coffee or tea Tall glass of water  TuesdayBREAKFAST 1/2 cup cereal with skim milk Black coffee or tea ! LUNCH Tall glass of water Soup: Any kind except creamy 1 cracker Black coffee or tea Tall glass of water DINNER Tall glass of water Fruit salad Tall glass of water Wednesday BREAKFAST 1 pear 1 hard boiled egg Black coffee or tea LUNCH Tall glass of water 1/2 pita bread filled with vegetable and 1 slice cheese of your choice Black coffee or tea Tall glass of water DINNER Tall glass of water 4 oz. tuna fish, water-packed and lemon 1 slice of rye or whole grain bread 1 small fruit of your choice, such as an orange Black coffee or tea Tall glass of water  ThursdayBREAKFAST 1/2 cantaloupe Black coffee or tea LUNCH Tall glass of water Fruit yogurt, low-fat 1 granola bar Tall glass of water DINNER White fish of any kind 1 small baked potato Black coffee or tea Or may have a frozen entree less than 600 cal. Tall glass of water Friday BREAKFAST Fresh strawberries Black coffee or tea LUNCH Tall glass of water Turkey club sandwich (no mayonnaise) Black coffee or tea Tall glass of water DINNER Tall glass of water Green salad Brown rice pilaf 4 oz. broiled white chicken Black coffee or tea Tall glass of water  SaturdayBREAKFAST 1/2 banana sliced in 1/2 cup skim milk Black coffee or tea LUNCH Tall glass of water Shrimp or sea food of your choice Carrot or celery sticks Black coffee or tea Tall glass of water DINNER Tall glass of water Soup of your choice, but not creamy Large Greek salad 1 melba toast Black coffee or tea Tall glass of water Sunday BREAKFAST 1 whole grain toast with jam Black coffee or tea LUNCH Tall glass of water 2-egg omelet Black coffee or tea Tall glass of water DINNER Green salad diet dressing 4 oz. lean beef of any kind 1 baked potato Black coffee or tea Tall glass of water SAMPLE MENU IF LESS THAN 25 POUNDS OVERWEIGHT  MondayBREAKFAST 1 orange 1 piece melba toast Black coffee or tea LUNCH Tall glass of water 4 oz. tuna packed in water, with lemon 1 melba toast Black coffee or tea Tall glass of water DINNER Tall glass of water Fruit salad with small amount cottage cheese Black coffee or tea Tall glass of water  TuesdayBREAKFAST 1/2 grapefruit Black coffee or tea LUNCH Tall glass of water 3-4 slices of roast beef 1 piece RyKrisp Black coffee or tea Tall glass of water DINNER Tall glass of water Green salad with diet dressing 4 oz. broiled white chicken breast Black coffee or tea Tall glass of water Wednesday BREAKFAST 2 oranges Black coffee or tea Tall glass of water LUNCH Tall glass of water 4 slices cold turkey Black coffee or tea Tall glass of water DINNER Tall glass of water 400-calorie frozen entree 1 melba toast Black coffee or tea Tall glass of water Thursday BREAKFAST 1/2 cup cereal with 1/2 cup skim milk Black coffee or tea LUNCH Tall glass of water 1 melba toast 1 hard-boiled egg Tall glass of water Ê DINNER Tall glass of water Greek salad 1 melba toast Black coffee or tea Tall glass of water  FridayBREAKFAST 2 strawberries Black coffee or tea LUNCH Tall glass of water 4 slices cold chicken 1 melba toast Black coffee or tea Tall glass of water DINNER Tall glass of water Green salad with diet dressing Spinach, broccoli, carrots or wild rice Soup: any kind, but not creamy Black coffee or tea Tall glass of water Saturday BREAKFAST 1/2 banana sliced in 1/2 cup skim milk Black coffee or tea LUNCH 1 cup soup (not creamy) 1 whole grain toast Sliced cucumbers and tomatoes Black coffee or tea Tall glass of water  DINNER Tall glass of water Green salad with diet dressing Spinach or green beans 4 oz. white fish or shellfish Black coffee or tea Tall glass of waterSunday BREAKFAST 1/2 melon Black coffee or tea LUNCH Tall glass of water Small Greek salad 1 melba toast Black coffee or tea Tall glass of water DINNER Tall glass of water Green salad with diet dressing 1/2 cup green vegetables of your choice 4 oz. chicken or turkey Black coffee or tea Tall glass of water SAMPLE MENU IF MORE THAN 25 POUNDS OVERWEIGHT  MondayBREAKFAST 2 oranges Black coffee or tea LUNCH Tall glass of water 1 apple Black coffee or tea Tall glass of water DINNER Tall glass of water Cooked green vegetables 1 melba toast Black coffee or tea Tall glass of water TVSNACK Celery or carrot sticks Tuesday BREAKFAST 1/2 grapefruit Black coffee or tea LUNCH Tall glass of water Slices of cucumber and tomatoes 2 turkey slices DINNER Tall glass of water Green salad, 1 Tbsp. diet dressing 4 oz. skinless chicken Black coffee or tea Tall glass of water  WednesdayBREAKFAST 1 hard-boiled egg 1 melba toast Black coffee or tea LUNCH Tall glass of water Combination salad of lettuce, celery, cucumbers, carrots, and tomatoes Black coffee or tea, Tail glass of water DINNER Tall glass of water 1 cup of vegetable or chicken soup 1 melba toast Black coffee or tea, Tall glass of water Thursday BREAKFAST Small fruit Black coffee or tea LUNCH Tall glass of water 2 slices of cold chicken or turkey (no skin) Black coffee or tea, Tall glass of water DINNER Tall glass of water Fruit plate 1 slice of whole grain toast Black coffee or tea, Tall glass of water  FridayBREAKFAST Black coffee or tea LUNCH 1 low fat fruit yogurt Black coffee or tea, Tall glass of water DINNER Tall glass of water Chefs salad, 2 Tbsp. diet dressing Black coffee or tea, Tall glass of water  SaturdayBREAKFAST 1 egg white 1 whole grain toast Black coffee or tea LUNCH Tall glass of water 4 oz. water-packed tuna Black coffee or tea, Tall glass of water DINNER Tall glass of water 4 oz. of skinless turkey or chicken Tall glass of water Sunday BREAKFAST Black coffee or tea LUNCH Tall glass of water 6 oz. chicken or turkey slices Black coffee or tea, Tall glass of water DINNER Tall glass of water 6 oz. white fish Slices of celery, cucumbers, lettuce, and carrots Black coffee or tea, Tall glass of water WHAT COMES NEXT? If you have followed the dietcopyright-dr.leon tcheupdjian/liposuction for a total of seven weeks after weeks after surgery, and if you have faithfully done the exercises recommended for the particular area of the body on which you have had liposuction performed, you should notice a substantial change in your appearance.  Liposuction has helped by removing the fat cells. Exercise has toned your muscles, helping to define them and contributing to your overall appearance. The diet that is appropriate for you-along with the supplements prescribed for you-has given you good nutrition and has been an important part of your successful convalescence.If your liposuction surgeon has a comprehensive follow-up program, you should take full advantage of any counseling or services he or she can offer. You will also find suggestions in the following chapter for continuing your plans for "self-improvement." It is vital-indeed, crucial-that you pay constant attention to your weight and exercise if you are to gain the most from liposuction. This is true, not only in the weeks ahead, but for the rest of your life. You cannot afford to be complacent about your "new" figure if you want to continue to look your best. A surgeon with a comprehensive program can supervise a maintenance diet for you or refer you to an appropriate health care professional who will do so. You can locate a physician who specializes in the treatment of obesity by writing or calling the American Society of Bariatric Physicians, 7430 E. Caley Avenue, Suite 210, Englewood, Colorado 80111, Tel. 303-779-4833. If you are still overweight at this point, or have a binging or eating problem, it is important for you to continue medical treatment, preferably with a physician who is a member or diplomats of this society.  |
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Liposuction: New Hope For A New Figure Through The Art Of Body Contouring - By Dr. Leon Forrester Tcheupdjian, M.D. ISBN 0-9621284-1-4 | Library of Congress registration #: 2-414-199 copyright © 1988-2006 Dr. Leon Forrester Tcheupdjian M.D. Published by Dr. Leon Forrester Tcheupdjian M.D. 875 Rush Street Chicago, IL 60611 All rights reserved. No part of this book may be reproduced in any medium whatsoever, including photocopy or other electronic medium, without the express written permission of Dr. Leon Forrester Tcheupdjian M.D.. |