DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

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Dr Ric Saguil's lecture at Whole Foods Market Schaumburg January 2012.

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  • Design notes: list of providersWe want this to look much more inviting—these chairs are way too cold.Had thoughts about putting the actual providers in the chairs. Could be an actual live picture with a sample patient in the red chair or could be a group of providers sitting around the table.
  • Based on a survey of our patients, we found a consistent theme of what frustrates them about conventional medicine practices and why they felt First Health was different. Since identifying these 4 key areas, we have made a consistent effort to offer our absolute best to:Listen attentively to Patients concernsMake the patient the driving force as the center of careMinimize wait timesExplain all the options for treatment, and give the patient choices (medications, alternative medicine, nutritional medicine/supplementation, psychological medicine)
  • Based on a survey of our patients, we found a consistent theme of what frustrates them about conventional medicine practices and why they felt First Health was different. Since identifying these 4 key areas, we have made a consistent effort to offer our absolute best to:Listen attentively to Patients concernsMake the patient the driving force as the center of careMinimize wait timesExplain all the options for treatment, and give the patient choices (medications, alternative medicine, nutritional medicine/supplementation, psychological medicine)
  • Based on a survey of our patients, we found a consistent theme of what frustrates them about conventional medicine practices and why they felt First Health was different. Since identifying these 4 key areas, we have made a consistent effort to offer our absolute best to:Listen attentively to Patients concernsMake the patient the driving force as the center of careMinimize wait timesExplain all the options for treatment, and give the patient choices (medications, alternative medicine, nutritional medicine/supplementation, psychological medicine)
  • DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

    1. 1. 2012 Steps toSustainable Weight Loss Enrique Saguil, MD First Health AssociatesWe didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
    2. 2. • Legal release: I am in not receiving any financial reimbursement from Whole Foods Market. The names in this lecture have been substituted to protect the innocent. The recommendations in this lecture are not a substitute for health and wellness, please see your personal physician. • To get copies of this lecture, please contact me at: www.firsthealthassociates.com
    3. 3. The First Health Approach We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
    4. 4. Your Team Ric Saguil, MD Jason Gruss, MD Tom Jordan, RDKatrina Christie, LCPC Jennifer Green, ND Joe Musolino, DC Emery Paredes, PT Courtney Day, EP Aimee Weber, EP Yu Zhu, MD China You
    5. 5. Ric Saguil, MDWe didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
    6. 6. Resolution by Webster• Determination• A firm intention• A proposal for a meeting to vote on
    7. 7. Model of a great life? • Eat • Poop • Sleep • Hump
    8. 8. Average Px Goals?• Eat (nutrition)• Play (movement)• Work (stress response/grounding)• Sleep (rest)
    9. 9. From…….
    10. 10. Average Life Changers• Pregnancy• Loss of a job• Accident• Sudden heart attack• Stroke• Terminal diagnosis• What is your Life Changer?
    11. 11. Figuring out Death?• Genetics (prakruti)• Current lifestyle (vikruti)• Nutritional deficiencies• Nutritional abuses• Aquired physical challenges• Behavioral challenges• Lack of grounding skills
    12. 12. How to use western medicine• Accept; there is a problem• Get educated• Get a physical• Control the leaks in the dam• Have intention to get off the “bandaids”• Follow up/second opinion/speak your mind• Get more educated
    13. 13. How to use alternative medicine• Get educated• Get referral• Be judicious in integrating• Reassess results in feeling• Reassess results in labs
    14. 14. Start right…..
    15. 15. More than justcleaning the out the plumbing
    16. 16. Driveway to Highway
    17. 17. Pancha Karma
    18. 18. Even the ancients “jumpstarted”
    19. 19. Ric Saguil, MDWe didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
    20. 20. Nutrition• Average American diet stinks• Mediterranean diet shines• Low caloric intake works (non sustainable)• Mindful eating empowers and supports
    21. 21. Diet Diet Diet• Nutrisystems works to get the weight off and keep it off
    22. 22. Celebrity Power!!
    23. 23. Look Familiar?
    24. 24. Don’t think diet, think Optimal Nutrition• Longevity = low calorie• Longevity = Okinawa diet, Mediterranean diet• Vegetables and Fruits• Legumes Processed food• Healthy oils/fats(O3) Beef and pork• Fish High O6 Low fruits and veggies No fiber
    25. 25. Seek Help• Life Coach• Nutritionist• Registered Dietician• Naturopath Why?....
    26. 26. Old school:Eating “right”Calorie countingSimple and complex carbs Modern Prob:Food tech –Immobility –50 years of stress -
    27. 27. Absorption of the carbohydrate
    28. 28. Willpower vs high tech foods?!?(1/3 the reason why the US is 1/3 obese)
    29. 29. Whole Foods for whole foods
    30. 30. Hormone waves
    31. 31. Stress and eating
    32. 32. Insulin Dumping/Cortisol dumping
    33. 33. Control the waves with balance
    34. 34. Balanced diet• Low GI - GL• High fiber• Fruits and veggies 7-10• Low processed food• Healthy fats• Proper ratio of macronutrients
    35. 35. DrRic’s MRE (meals ready to eat)
    36. 36. DrRic’s special mentions• Nutritional deficiency is inherent• To compress the time frame-maximize healing Omega3, Vit D, MVI (+)• Disease/age specific supplements Glucosamine Sulfate,Tumeric• Topical botanicals/plant essentials• Environmental Working Group The clean 15/the dirty dozen
    37. 37. Movement“……I felt like I was wearing a cement suit.” Fibromyalgia, Chronic Fatigue Syndrome, Depression, ParkinsonsDs, Rheumatoid Arthritis, PCOS,……all havecomponents of “stiffness” to presentation. Chicken or Egg?
    38. 38. Walk to Move!• Even a child could do it• Accessible anywhere• Low and slow (go long!)• Journal success
    39. 39. Benefits:Emotionally a high impact procedureGets you ready for the class reunionSuccess in numbersTangible results Risks: Dangerous Not natural (weight loss) Short term success Risks proportional to the speed
    40. 40. DrRic’s Healthy Choices• Breath- core/lung conditioning +++• Flexibility• Endurance (relative)• Strength +/-• Personal Interests +++• Push the cardio limits (medically cleared first)• Accountability to someone other than self
    41. 41. Seek and ye shall find• Running groups (CARA)(Dick Ponds)• Bike clubs (cycle shops)• Park District events (short enrollment)• Local college/school (quarters)• 10 buck a month clubs (no frills)• Yoga studios (check for community classes)• Try the Tri’s even with disease-movement and nutrition = First Line Tx
    42. 42. How to measure success?220 – age x 80%
    43. 43. Use the Jump Start as a Sling Shot to Success
    44. 44. Grounding• 4-7-8 breathing• Yoga breathing (pranayama)• Meditation• Guided imagery• Behavioral health care/MBSR• Cultivating “The Relaxation Response”
    45. 45. Fight the Frazzled Robert Epstein• Avoidance• Source management• Relaxation• Thought management Stress Managing Competencies
    46. 46. Stress Response vs Relaxation Response? (SR only dominates for individual survival, RR is supposed to dominate for species survival)
    47. 47. Remember-Stress and eating
    48. 48. Practice Practice• DVD/CD• Local event(Yoga studios, Theosophical Society, Infinity Foundation)• Destination events (The Chopra Center, BHI Harvard)• Counseling (LCPC, Psychologist, Social Worker, Pastor, EAP)• 30 minutes twice a day for 21 days
    49. 49. Andy Weil speaking of 4-7-8 breathing..search my youtube upload above title 5-10 minutes at the start and end of your day for 21 days
    50. 50. Even FedEx is doing it Flexibility or Grounding?
    51. 51. DrRic’s Get help/Give help• Passing on positive energy is great for the planet• Testimonials empower others to change• Verbalization of planning steps entrains the brain to repeat with ease• We are a species that has compassion hardwired…so it naturally feels great to give (push that serotonin)
    52. 52. Ric Saguil, MDWe didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
    53. 53. Role of the MD• Review numbers• Determine Risk/Diagnose problems (current and future)• Note weaknesses and embrace strengths• Suggest movement activity (calendar plan)• Oversee team care plan (refer to PT, EP or Chiro)• Nutrition consult• Behavioral health consult• Special Mention: TCM and Ayurveda We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
    54. 54. Unexpected strokeSilent and sudden heart attackPay now or pay later Kidney failure from chronic high blood pressure
    55. 55. Q&A Next Lecture: Pioneer Park, Arlington HeightsManaging Holiday Fatigue….an Integrative Medicine Approach Sat. January 21st 11:00-12:00noon (847) 593-3330 We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.

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