Transitions Lifestyle System ® Choose to Live Well and Live Long!

The statements made in this presentation have not been evaluated by the Food and Drug Administration. nutraMetrix products are not intended to diagnose, treat, cure or prevent any disease.

What is good Health? In 1948, the World Health Organization (WHO) defined health as a "state of complete physical, mental and social wellbeing, encompassing the ability to achieve full potential, deal with crises and meet environmental challenges”

In 1948, the World Health Organization (WHO) defined health as a

"state of complete physical, mental and social wellbeing, encompassing the ability to achieve full potential, deal with crises and meet environmental challenges”

What is good Health? According to Webster… "In other words, health -- or wellness, by definition, people in "good health" have no diagnosable diseases, no significant symptoms of "disease“”.

According to Webster…

"In other words, health -- or wellness, by definition, people in "good health" have no diagnosable diseases, no significant symptoms of "disease“”.

Assess your situation Do you know your Body Fat %? A.C.E. (American Council on Exercise) Men Body Fat 18% - 25% Women Body Fat 25 -31% What about your Waistline? IDF (International Diabetes Federation) Men : Less than 38 inches (94cm) Women : Less than 32 inches (80 cm) Are you Healthy? Just Acceptable – Acceptable does not mean Healthy!

Assess your situation

Do you know your Body Fat %?

A.C.E. (American Council on Exercise)

Men Body Fat 18% - 25%

Women Body Fat 25 -31%

What about your Waistline?

IDF (International Diabetes Federation)

Men : Less than 38 inches (94cm)

Women : Less than 32 inches (80 cm)

Excess fat around the waist has been linked to a greater risk of: Heart disease, diabetes, stroke, hypertension, breathing problems, disability, some cancers, and higher mortality rates Federal health surveys show that over the past four decades, the mean waist size; For men has grown from 35 inches to 39 inches For women, from 30 inches to 37 inches Are you Healthy?

Excess fat around the waist has been linked to a greater risk of:

Heart disease, diabetes, stroke, hypertension, breathing problems, disability, some cancers, and higher mortality rates

Federal health surveys show that over the past four decades, the mean waist size;

For men has grown from 35 inches to 39 inches

For women, from 30 inches to 37 inches

Are we Healthy? 3.8 million Americans Carry over 300 pounds Average adult woman weighs in at a Staggering 163 lbs 400,000 Americans (mostly men) fall into Super-massive 400+ pound category ASD &CDC Research Statistics on Obesity

3.8 million Americans

Carry over 300 pounds

Average adult woman weighs in at a

Staggering 163 lbs

400,000 Americans (mostly men) fall into

Super-massive 400+ pound category

Reduced Risk for Many Diseases (CVD, diabetes, etc) Improved Health, Energy, Stamina Greater Mental Clarity Reduced Inflammation and Alkaline Diet Improved Appearance Feeling of Accomplishment, Control, and Self-esteem What’s in it for you ...

Reduced Risk for Many Diseases

(CVD, diabetes, etc)

Improved Health, Energy, Stamina

Greater Mental Clarity

Reduced Inflammation and Alkaline Diet

Improved Appearance

Feeling of Accomplishment, Control, and Self-esteem

There are 5 fat factors that cause people to become metabolically challenged and make it difficult for them to lose weight. Are you Frustrated?

There are 5 fat factors that cause people to become metabolically challenged and make it difficult for them to lose weight.

Yo-Yo Dieting - Losing and gaining significant amounts of weight again and again Crash Dieting - Going on a drastically low-calorie diet Sedentary Lifestyle - Getting too little exercise THE “5” FAT FACTORS

Yo-Yo Dieting - Losing and gaining significant amounts of weight again and again

Crash Dieting - Going on a drastically low-calorie diet

Sedentary Lifestyle - Getting too little exercise

4. Garbage In - Overeating the wrong kinds of foods with too much sugar, fat, and synthetic chemicals, and too few nutrients 5. Chronic Stress - Being on constant alert due to physical and emotional pressures THE “5” FAT FACTORS

4. Garbage In - Overeating the wrong kinds of foods with too much sugar, fat, and synthetic chemicals, and too few nutrients

5. Chronic Stress - Being on constant alert due to physical and emotional pressures

Temporary way of eating They don’t teach you how to eat for life They often lead to water and muscle loss Not fat loss Leading to a decreased metabolism 10-15% For a finite period of time Return to normal eating habits and weight returns Pillsbury Dough Boy :-) Boredom is a problem – Dropout rates 35-45% Many diets increase carb cravings Diets could be your problem

Temporary way of eating

They don’t teach you how to eat for life

They often lead to water and muscle loss

Not fat loss

Leading to a decreased metabolism 10-15%

For a finite period of time

Return to normal eating habits and weight returns

Pillsbury Dough Boy :-)

Boredom is a problem –

Dropout rates 35-45%

Many diets increase carb cravings

Popular “weighs” to Diet Calorie Restriction Slows metabolism 10-15%! Increases hunger and appetite Calorie restriction promotes a decline in energy expenditure (slows metabolism)

Calorie Restriction

Slows metabolism 10-15%!

Increases hunger and appetite

Calorie restriction promotes a decline in energy expenditure (slows metabolism)

Meal Replacements More than calorie restriction Leave you feeling tired, deprived, and weak Even though they are vitamin fortified, they are not nutritionally balanced and generally are very high in sugar Studies have shown that 95% gain back weight within 1 yr, 97% within 2 years Popular “weighs” to Diet

Meal Replacements

More than calorie restriction

Leave you feeling tired, deprived, and weak

Even though they are vitamin fortified, they are not nutritionally balanced and generally are very high in sugar

Studies have shown that

95% gain back weight within 1 yr, 97% within 2 years

Low Carbohydrate Unnecessary restriction of fiber-rich foods and very high in fat Difficult to follow long term -- extremely high protein & fat intake May result in fatigue, constipation 20-30 grams of carbs/day is the general restriction Government recommends 25-35 grams of fiber/day! That’s 25 grams of good carbs! Popular “weighs” to Diet

Low Carbohydrate

Unnecessary restriction of fiber-rich foods and very high in fat

Difficult to follow long term -- extremely high protein & fat intake

May result in fatigue, constipation

20-30 grams of carbs/day is the general restriction

Government recommends 25-35 grams of fiber/day!

That’s 25 grams of good carbs!

Starvation Response When you go on a diet, your brain misreads the lack of food as a life threatening time of famine and slows the rate at which your body burns fuel for energy When you crash diet or cut calories drastically to lose weight, you are temporarily slowing down your metabolism How it impacts your Metabolism

Starvation Response

When you go on a diet, your brain misreads the lack of food as a life threatening time of famine and slows the rate at which your body burns fuel for energy

When you crash diet or cut calories drastically to lose weight, you are temporarily slowing down your metabolism

Alters Body Composition The objective is to maintain muscle mass while losing fat & most diets fail at this Muscle burns calories The more fat you carry the fewer calories your body burns. It is easier to gain or regain weight in the form of body fat. MUSCLE DICTATES METABOLISM! How it impacts your Metabolism

Alters Body Composition

The objective is to maintain muscle mass while losing fat & most diets fail at this

Muscle burns calories

The more fat you carry the fewer calories your body burns.

It is easier to gain or regain weight in the form of body fat.

MUSCLE DICTATES METABOLISM!

Carbohydrate Sensitivity People who have done low-carbohydrate and high protein become carbohydrate sensitive: hence the body’s insulin response becomes ineffective due to prolonged low-carbohydrate dieting Blood sugar levels rise too quickly, and as a result your body doesn't respond to insulin Then the excess carbohydrates are stored as fat and your body fat % increases How it impacts your Metabolism

Carbohydrate Sensitivity

People who have done low-carbohydrate and high protein become carbohydrate sensitive:

hence the body’s insulin response becomes ineffective due to prolonged low-carbohydrate dieting

Blood sugar levels rise too quickly, and as a result your body doesn't respond to insulin

Then the excess carbohydrates are stored as fat and your body fat % increases

JAMA, Jan 2005 (Dansinger et al) Compared Atkins (no carb), Ornish (vegetarian w/ restricted fat), Weight Watchers (portion control with calorie restriction), and Zone (limited glycemic impact) Bottom Line: Average weight loss over one year was ~ 10 lbs.

Compared Atkins (no carb), Ornish (vegetarian w/ restricted fat), Weight Watchers (portion control with calorie restriction), and Zone (limited glycemic impact)

Bottom Line: Average weight loss over one year was ~ 10 lbs.

Annals of Internal Medicine (2005 Review by Tsai and Wadden) Evaluated major commercial weight loss programs in the U.S. (WW, Jenny Craig, LA Weight Loss, Optifast, Medifast, eDiets.com, TOPS, and Overeaters Anonymous) for 6-7 mo People who keep daily records and share them with a coach lose nearly twice as much weight WW was the most successful program with people losing 5% of their initial weight over 1-2 yrs (15 lbs for someone weighing 300 lbs) The dropout rate for all programs was high (~45%)

Evaluated major commercial weight loss programs in the U.S. (WW, Jenny Craig, LA Weight Loss, Optifast, Medifast, eDiets.com, TOPS, and Overeaters Anonymous) for 6-7 mo

People who keep daily records and share them with a coach lose nearly twice as much weight

WW was the most successful program with people losing 5% of their initial weight over 1-2 yrs (15 lbs for someone weighing 300 lbs)

The dropout rate for all programs was high (~45%)

Blood Glucose Control... Leading expert on glycemic index is Jennie Brand-Miller (Australia – where GI is on all labels) Dr. Jo Ann Manson (Professor, Harvard) states that refined carbohydrates and high GI foods are contributing to the obesity and type II diabetes epidemics worldwide

Leading expert on glycemic index is Jennie Brand-Miller (Australia – where GI is on all labels)

Dr. Jo Ann Manson (Professor, Harvard) states that refined carbohydrates and high GI foods are contributing to the obesity and type II diabetes epidemics worldwide

Blood Glucose Control... Not as simple as recommending complex carbohydrates and avoiding simple sugars since starchy foods (breads, potatoes, rice) are absorbed quickly (high GI) Evidence that high insulin levels are key factors responsible for heart disease and hypertension Low GI eating can help stabilize blood sugar and improve insulin sensitivity

Not as simple as recommending complex carbohydrates and avoiding simple sugars since starchy foods (breads, potatoes, rice) are absorbed quickly (high GI)

Evidence that high insulin levels are key factors responsible for heart disease and hypertension

Low GI eating can help stabilize blood sugar and improve insulin sensitivity

Not a diet Not a fad Not the same as Weight Watchers, LA Wt. Loss, Medifast, or Atkins Not a low-fat or no-carb diet Not a quick fix pill It is a Way of Life! What Transitions™ Isn’t

Not a diet

Not a fad

Not the same as Weight Watchers, LA Wt. Loss, Medifast, or Atkins

Not a low-fat or no-carb diet

Not a quick fix pill

It is a Way of Life!

Transitions Lifestyle System ® Transitions™ is a Lifestyle System designed to help people improve their health and achieve and maintain healthy weight Healthy Eating Habits Glycemic Index Behavior Modification Transitions Journal Stress Management Dietary Supplementation Low GI Food Index Guide Book Transitions ™ Entrees DVD Support Series Transitions ™ Support Website Change Body Composition (Exercise)

Transitions™ is a Lifestyle System designed to help people improve their health and achieve and maintain healthy weight

Healthy Eating Habits

Glycemic Index

Behavior Modification

Transitions Journal

Stress Management

Dietary Supplementation

Low GI Food Index Guide Book

Transitions ™ Entrees

DVD Support Series

Transitions ™ Support Website

Change Body Composition (Exercise)

Step #1 - Healthy Eating Low GI diets provide superior support for: 1. Eating for Life! 2. Maintaining steady blood glucose levels 3. Weight loss and weight management 4. Healthy cardiovascular system 5. Healthy cholesterol and triglyceride levels

Low GI diets provide superior support for:

1. Eating for Life!

2. Maintaining steady blood glucose levels

3. Weight loss and weight management

4. Healthy cardiovascular system

5. Healthy cholesterol and triglyceride levels

Low vs. High GI Foods LOW GI FOODS HIGH GI FOODS

Low Glycemic Impact Eating HIGH LOW Glucose Levels Fat-Burning Zone

STEP #2 - Behavior Modification Daily Journal DVD Education Dietary Supplementation Transitions ™ Entrees Low GI Food Index Guide Book Transitions ™ Support Website Personal Coaching

Daily Journal

DVD Education

Dietary Supplementation

Transitions ™ Entrees

Low GI Food Index Guide Book

Transitions ™ Support Website

Personal Coaching

Journaling Support Provide Education: A simple and clear explanation of how the system works Help Jump Start Success: Suggest Seven Day Food Cleanse Easy Menu Plans: Seven-day menu plan and foods list Stress Reduction: Affirmations Exercise Suggestions: Description of the right type of exercise

Education Support Week 1: Jump Start Your Success Week 2: Getting Healthy Mind and Body w/ the GI Week 3: Supplements for Success Week 4: Healthy Kitchen Basics 1 & 2 Week 5: How to Read Labels Week 6: Grains and your Health Week 7: Plateaus Week 8: Get off the Sweet Stuff Week 9: Good Fats-Bad Fats Week 10: Stress and You Weight Week 11: Achieving Results to Last a Lifetime Week 12: Graduation The Transitions™ DVD Series teaches you how to incorporate Transitions into your everyday life. If you have a question about the program you can find the answer in the DVD ‘s.

Supplement Support Supports Weight Loss Goals Healthy Blood Sugar Levels Carbohydrate Issues Sluggish Metabolism Stubborn Belly Fat Energy Uptake The Transitions Lifestyle System ® offers 6 different supplements allowing you to customize to your bodies needs and accelerate your success!

Supports Weight Loss Goals

Healthy Blood Sugar Levels

Carbohydrate Issues

Sluggish Metabolism

Stubborn Belly Fat

Energy Uptake

On The Go Entrees, Bars & Shakes! Great to satisfy a sweet tooth High protein No trans fat In a Pinch! “ On the Go” Support

On The Go Entrees, Bars & Shakes!

Great to satisfy a sweet tooth

High protein

No trans fat

In a Pinch!

Website Support Personal Progress Tracking Coach can monitor progress Variety of Recipes Meal Planner & Grocery List Supplement Reminder Ask an Expert Exercise Planner Community Forum Shop Transitions ™ / Market America Code: 6422 www.transitionslifestyle.com

Personal Progress Tracking

Coach can monitor progress

Variety of Recipes

Meal Planner & Grocery List

Supplement Reminder

Ask an Expert

Exercise Planner

Community Forum

Shop Transitions ™ / Market America

With constant yo-yo dieting you lose muscle and gain body fat Learn how to improve your body composition through exercise Learn how to increase your lean muscle mass enabling you to repair your metabolism and burn more fat With exercise your body will be in fat burning mode STEP #3 - Body Composition Muscle Dictates Metabolism!

With constant yo-yo dieting you lose muscle and gain body fat

Learn how to improve your body composition through exercise

Learn how to increase your lean muscle mass enabling you to repair your metabolism and burn more fat

With exercise your body will be in fat burning mode

What will you learn? How NOT to Diet! No counting points No restricting calories or eliminate whole food groups How to shop for healthy foods How to read and UNDERSTAND labels Why some carbs are healthier than others What a “net carb” is and why it’s important

How NOT to Diet!

No counting points

No restricting calories or eliminate whole food groups

How to shop for healthy foods

How to read and UNDERSTAND labels

Why some carbs are healthier than others

What a “net carb” is and why it’s important

What will you learn? Healthy alternatives to fast food Why cooking doesn’t have to be a chore The pros and cons of artificial sweeteners Ways to target fat loss to increase muscle mass and improve metabolism

Healthy alternatives to fast food

Why cooking doesn’t have to be a chore

The pros and cons of artificial sweeteners

Ways to target fat loss to increase muscle mass and improve metabolism

Science Based - Experience Driven The Transitions™ system was created by a team of specialists that include MDs, RDs, PhDs, Fitness Specialists and the latest science based information available The Transitions ™ Team has over 100 years combined experience in weight management, human nutrition research and success systems

The Transitions™ system was created by a team of specialists that include MDs, RDs, PhDs, Fitness Specialists and the latest science based information available

The Transitions ™ Team has over 100 years combined experience in weight management, human nutrition research and success systems

Just Results! Published Pilot Study – 12 Week Total Lifestyle Intervention Pilot Study Lieberman et al, Alt. Comp. Therapies (2005)11:307-313 Many people came off Rx medications Program yielded 2x weight loss and 3x waist loss (inches) vs Atkins, Ornish, Wt. Watchers and Zone (12 wks vs 12 mo) Body fat loss was statistically significant Nutritional supplements aided participants to lose fat more rapidly Weight Loss, Body Measurement and Compliance

Published Pilot Study –

12 Week Total Lifestyle Intervention Pilot Study

Lieberman et al, Alt. Comp. Therapies (2005)11:307-313

Many people came off Rx medications

Program yielded 2x weight loss and 3x waist loss (inches) vs Atkins, Ornish, Wt. Watchers and Zone (12 wks vs 12 mo)

Body fat loss was statistically significant

Nutritional supplements aided participants to lose fat more rapidly

Weight Loss, Body Measurement and Compliance

STARTER KIT SUPPLEMENT KIT MEGALOSE KIT

Transitions™ your Health Are you ready to stop feeling tired, stressed, overweight and frustrated? Are you ready to make a change? Are you ready to live life to the fullest? Take charge today- Start Transitions Lifestyle System®

Are you ready to stop feeling tired, stressed, overweight and frustrated?

Are you ready to make a change?

Are you ready to live life to the fullest?

Take charge today- Start Transitions Lifestyle System®

SELECTED REFERENCES Dansinger ML, Gleason JA, Griffith JL et al. Comparison of the Atkins, Ornish, Weight Watchers and Zone diets for weight loss and heart disease risk reduction: a randomized trial, JAMA (2005)293:43-53. Ludwig DS. Dietary glycemic index and obesity , J Nutr (2000)130:280S-282S. Tsai and Wadden, Systematic Review: An Evaluation of Major Commercial Weight Loss Programs in the US , Annals of Internal Medicine (2005):56-66. Pawlak et al, Should Obese Patients be Counseled to Follow a Low-Glycemic Index Diet? Yes , Obesity Reviews (2002)3:235-243. Krishnan et al, GI, GL and Cereal Fiber Intake and Risk of Type 2 Diabetes in US Black Women , Arch, Int. Med. (2007)167:2304-2309. NHANES (2001-2004) NCHS, Health, United States, 2007

Dansinger ML, Gleason JA, Griffith JL et al. Comparison of the Atkins, Ornish, Weight Watchers and Zone diets for weight loss and heart disease risk reduction: a randomized trial, JAMA (2005)293:43-53.

Ludwig DS. Dietary glycemic index and obesity , J Nutr (2000)130:280S-282S.

Tsai and Wadden, Systematic Review: An Evaluation of Major Commercial Weight Loss Programs in the US , Annals of Internal Medicine (2005):56-66.

Pawlak et al, Should Obese Patients be Counseled to Follow a Low-Glycemic Index Diet? Yes , Obesity Reviews (2002)3:235-243.

Krishnan et al, GI, GL and Cereal Fiber Intake and Risk of Type 2 Diabetes in US Black Women , Arch, Int. Med. (2007)167:2304-2309.

NHANES (2001-2004) NCHS, Health, United States, 2007