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  • A research team at John Hopkins University examined 20 different published studies about weight and eating behavior. Obesity doubled for preschool-aged children (2 to 5 years) from 5% in 1976-1980 to 10% in 2007-2008.  
  • (cancer, depression, fibromyalgia),
  • BMI = weight (kg) / height squared (meters)
  • Increasing central adiposity is associated with an increased health risks.
  • Will power is not enough!To avoid obesity, must change your lifestyle!!Inadequate sleep or sex = more hunger for food. Satisfy sex hunger = satisfy food cravings!
  • More Ghrelin = eat more = which contributes to overriding willpower!
  • Simple sugars: quickly absorbed,sent to the liver,stored as fat (if it can’t be used immediately for energy)Complex carbs: but if the body can’t use the slower-released sugar for energy, it’s stored as fat. Protein: Go to liver as amino acids. If liver can’t send it to muscle (b/c you’re inactive and there’s no need to bulk muscle), it’s stored as fat.Fat: Good fats (omegas) decrease inflammation while bad fats increase inflammation.
  • inflammatory substances that damage liver, arteries, immune system, etc.
  • Cholecystokinin
  • Need at least 30g fiber/day.
  • Decrease inflammatory response: food allergy testing
  • Omentum is main storage unit of fat
  • #1: The last thing you want to do is eat when you’re being chased by a bear. #2: It’s as if we’re starving during a famine.
  • Always sugary, starchy, salty, fatty foods.
  • Soda has high fructose corn syrup!
  • HCG stands for Human Choriogonadotropin, a hormone that is produced in quantity during pregnancy.
  • PhentermineProtein supplementsAdrenal supplements including B-vitamin injections

Transcript

  • 1. Weight Loss 101strategies to lose weight
    Dr. Michael Corsilles
    Naturopathic Physician
    Eastside Primary Care & Wellness
  • 2. Obesity is a world wide epidemic
    Obesity is a challenging medical condition that continues to plague our society.
    Americans across all age groups, genders and races are getting fatter.
    If the trend continues, 75% of U.S. adults will be overweight by the year 2015!
  • 3. Obesity related health problems
    If pounds are shed, a number of health issues improve or even resolve.
    Hypertension
    Cholesterol
    Diabetes
    and many other health conditions will improve when weight gets under control.
  • 4. Weight & Height: BMI
    The most common measure of obesity is the Body Mass Index (BMI).
    The higher your BMI, the higher the risk of disease.
    BMI Classification
    Normal <25
    Overweight 25.0 - 29.9
    Obesity >30
  • 5. Waist Circumference
    In addition to measuring BMI, waist circumference should be measured to assess abdominal obesity.
  • 6. Why Do Diets Fail?
    It’s not just about Will Power & Appetite Control.
    Mind vs Food: food will win!
    Hypothalamus running our cravings: controls temp, metabolism, sex drive, hunger, thirst, sleep.
  • 7. Do what you can to support the chemicals related to food
    Foods are like drugs – they affect chemicals in our body
    Eat food, get a chemical reaction
    Hunger and Satiety chemicals…
  • 8. Leptin: the satiety hormone
    Leptin is a hormone secreted by stored fat.
    If Leptin is stimulated, hunger gets shut off and stimulates the body to burn calories.
    BUT, we can override Leptin by our Pleasure Center. Most obese people have high leptin levels (a lot of fat) but they become resistant to Leptin
    How to stimulate Leptin? Exercise, lose weight, and you respond better to leptin, making you feel full.
  • 9. Ghrelin: The hunger hormone
    The stomach releases this hormone when it’s empty.
    If you’re dieting, Ghrelin increases, giving more signal to eat
  • 10. Satiety
    Simple sugars: quickly absorbed
    Complex carbs & Fiber: Take longer to digest
    Protein: If you’re inactive and there’s no need to bulk muscle, it’s stored as fat.
    Fat: Bad fats. Inflammation contributes to obesity!
  • 11. Satiety Strategies: Snacks
    Healthy snacks makes you feel full (Leptin)
    High fructose corn syrup doesn’t fill you up so the body will want to keep eating.
    Refined sugars cause your liver to be overwhelmed by fructose which will cause liver to make inflammatory substances.
  • 12. Satiety: CCK
    Senses fat in stomach and tells brain the body is full.
    Leptin is a long-term indicator of satiety while CCK is a short-term one.
    High saturated fats make CCK less effective.
  • 13. Satiety tips
    CCK stimulation and Ghrelin reduction take about 30 minutes to work, so eat small snack before a meal.
    Complex Carbs/Fiber slows digestion and increases satiety.
    Be last one to finish at table
    Eat in small portions, use small serving containers.
  • 14. Inflammation
    Food allergies/sensitivities, bacteria, toxins all incite inflammation and causes immune response which worsen inflammation.
    Inflammation interrupts glucose getting to vital parts like brain – so brain tells you to eat more which starts the whole cycle again.
  • 15. Stress & Obesity
    Bigger bellies indicate more levels of chronic stress. The bigger the belly, the higher the stress.
    Inflammation occurs in small intestine and omentum, but in liver (where most inflammation occurs especially from fructose) is where what gets decided to get stored as fat.
    Fatty livers are on the rise!
  • 16. 2 kinds of Stress
    Type 1: Acute stress (Fight or flight response):
    This can be a good stress. Exercise and lose weight.
    Type 2: Chronic stress:
    Conserve energy, slow down metabolism in chronic stress.
    Under stress, we release cortisolwhich is good short term (fight or flight).
    But if cortisol is around long term, omentum binds to cortisol.
    This uptake of cortisol messes w/insulin, making omentum insulin resistant and causing liver to receive more fat from omentum, causing more inflammation.
  • 17. The Stress Cycle
  • 18. Brain chemicals influence our eating
    NE: fight or flight
    Serotonin: makes you feel good (SSRI)
    Dopamine: Pleasure-Reward system, sensitive to addictions
  • 19. Cravings: Too bad we don’t crave celery
  • 20. Satisfy cravings
    Foods that give immediate rush of serotonin: sugar stims serotonin release.
    We eat these foods to avoid the lows (just like drug addicts!)
    Better brain foods: omegas, tryptophan (turkey, chicken, dark chocolate).
    Sleep
    Sex
    Stress reduction
  • 21. More basic lifestyle tips for a healthier life…
  • 22. Tip 1: Drink plenty of water
    People sometimes confuse thirst with hunger.
    If you are even mildly dehydrated, your metabolism may slow down.
    In one study, adults who drank eight or more glasses of water a day burned more calories than those who drank less.
  • 23. Tip 2: Careful nighttime snacks.
    Mindless eating occurs most after dinner, when you finally sit down and relax.
    Snacking in front of the TV is one of the easiest ways to throw your diet off course.
    Either close down the kitchen after a certain hour, or allow yourself a low-calorie snack, like a 100-calorie pack of cookies or a half-cup scoop of low-fat ice cream.
  • 24. Tip 3: Enjoy your favorite foods.
    Instead of cutting out your favorite foods altogether, be a slim shopper.
    Buy one fresh bakery cookie instead of a box, or a small portion of candy from the bulk bins instead of a whole bag. You can still enjoy your favorite foods — the key is moderation.
  • 25. Tip 4: Eat several mini-meals
    If you eat fewer calories than you burn, you'll lose weight.
    But when you're hungry all the time, eating fewer calories can be a challenge.
    Snacking increases satiety.
  • 26. Tip 5: Eat protein at every meal.
    Protein is the ultimate fill-me-up food — it's more satisfying than carbs or fats and keeps you feeling full for longer.
    It also helps preserve muscle mass and encourages fat burning.
  • 27. Tip 6: Nuts (protein)
    Nuts may be high in fat, but it’s the good kind.
    They are also rich in protein and fiber, which can help stabilize blood sugar.
    Studies show small amounts of this favorite food can control hunger without causing weight gain.
  • 28. Tip 7: check Vitamin D levels
    Vitamin D and Weight Gain
    After menopause, most women gain weight until they reach their mid 60s.
    There is evidence that taking vitamin D may slow that weight gain.
    In one study, women who were not getting enough at the start were less likely to gain weight and more likely to maintain their weight or even lose weight as a result of taking the supplement.
  • 29. Tip 8: Caffeine
    Coffee only falls in the “bad” category when you mix in cream, sugar, or flavored syrups.
    If you drink it black, you get a metabolism boost without added fat and calories.
    One study indicates the caffeine in two cups of coffee may cause a 145-pound woman to burn 50 extra calories over 4 hours.
  • 30. Tip 9: Drink More Water
    The body needs water to process calories.
    If you are even mildly dehydrated, your metabolism may slow down.
    In one study, adults who drank eight or more glasses of water a day burned more calories than those who drank less.
  • 31. A few of the Diets…
  • 32. The Atkins Diet
    The Atkins diet is based on the theory that overweight people eat too many carbohydrates.
    Our bodies burn both fat and carbs for energy, but carbs are used first.
    By drastically reducing carbs and eating more protein and fat, our bodies naturally lose weight by burning stored body fat more efficiently.
  • 33. The Atkins diet at a glance:
    Sets few limits on the amount of food you eat but instead severely restricts the kinds of food allowed on your plate: no refined sugar, milk, white rice, or white flour
    Allows you to eat foods traditionally regarded as "rich": meat, eggs, cheese, and more
    On the Atkins diet, you're eating almost pure protein and fat. You can consume red meat, fish (including shellfish), fowl, and regular cheese (not "diet" cheese, cheese spreads, or whey cheeses). You can cook with butter, have mayo with your tuna, and put olive oil on your salads.
    The diet does allow for adding fruits, vegetables, and whole-grain foods after the two-week induction period.
  • 34. Southbeach Diet
    The difference with Southbeach & Atkins:
    Fats. The South Beach Diet bans unhealthy fats but strongly promotes healthy ones.
    Carbs. The South Beach Diet doesn't count grams of carbs. The Atkins diet seeks to change a person from a sugar-burning machine into a fat-burning machine. The South Beach diet looks at how much sugar is in a carb. Low-sugar carbs (those with low glycemic index) are good.
  • 35. HCG
    Using HCG for obesity was first discovered by British Physician, Dr. Albert Simeons in the 1950s. 
    Dr. Simeons noticed several important factors including the lack of symptoms one would expect from a patient on a very low calorie diet. 
    His patients had no headaches, weakness, or irritability as long as the low calorie diet was combined with HCG. 
    Throughout his research, Dr. Simeons noted how patients lost significant amounts of weight while their bodies reshaped naturally- without exercise, and without effort. 
  • 36. HCG
    HCG weight loss comes directly from adipose fat tissue rather than lean muscle. 
    So, the weight lost comes directly from unhealthy fat and does not strip the body of much needed muscle, vitamins or minerals essential to maintain good health.
    For this reason, HCG dieters report a feeling and appearance of good health.
    As a result, you lessen health risks associated with obesity.  
  • 37. HCG DIET IN A NUTSHELL
    Can lose 40 pounds in 40 days
    500 calories a day
    No heavy exercise
    Daily HCG in one of two forms: prescription under-the-tongue drops or injections
  • 38. HCG diet
    Days 1 and 2
    Take the HCG injection first thing in the morning.
    Eat as often as you like throughout the day. This will increase your body’s fat storage to prepare you for the 500 calorie per day limit on days 3 – 42
    Drink 1 gallon of bottle spring water throughout the day.
    Days 3 – 40
    Weigh yourself in the morning when you wake up without clothing and after you have emptied your bladder.
    Take the HCG injection first thing in the morning.
    Drink 1 gallon of bottle spring water/tea/coffee throughout the day.
    You may only eat things on the HCG Shot Phase diet list. Your caloric intake should not exceed 500 calories per day, which consists of protein, vegetable and fruit.
    Days 41 – 42
    Continue to follow the diet on days 41-42 because the HCG will remain in your system for up to 2 days.
  • 39. What you eat
    Breakfast
    As much coffee or tea as you want
    Stevia (the only sweetener allowed)
    One tablespoon of milk per day.
    Lunch:
    100 grams (3.5 ounces) of veal, beef, boneless chicken breast, fresh white fish, lobster, crab or shrimp.
    2 cups of one of the following: spinach, chard, chicory, beet-greens, green salad, tomatoes, celery, fennel, onions, radishes, cucumbers, asparagus or cabbage. It's OK to eat more than 2 cups.
    1 breadstick or 1 piece of Melba toast
    1 apple or orange, or a handful of strawberries or ½ a grapefruit.
    Dinner:
    Choose again from the same four groups as lunch.
  • 40. HCG Diet tips
    Liquids:
    Bottled water (no tap water)
    Black coffee (no cream or sugar), 1 tbsp milk/day allowed
    Green tea, Wu-long tea, Chamomile tea
    Breakfast:
    Drink plenty of tea and bottled water.
    You may have fruit for breakfast and have the second fruit any time throughout the day.
    Only 2 fruit servings per day.
    Lunch and Dinner:
    Eat 100 grams, 3.5 oz., of protein (size of the palm of the hand)
    Use organic cooking spray or coconut oil (do not use butter or margarine)
    Vegetables can be eaten raw, steamed, grilled
  • 41. Sample Day: Total Calories 443
    Breakfast
    1/2 grapefruit
    8 oz Green Tea
    (45 Calories)
    Snack
    4 Grissini Breadsticks
    8 oz Wu Long Tea
    (43 Calories)
    Lunch
    3.5 oz Grilled Chicken
    Spinach salad topped with purple onions and tomatoes
    (163 Calories)
    Snack
    1/2 Apple
    (32 Calories)
    Dinner
    3.5 oz Ground Beef
    Shredded Cabbage
    (160 Calories)
  • 42. What you eat
    Beef 3.5 ounces/100 grams
    Lean Ground Beef  97/3 =  150 calories
    Cube Steak  = 160 calories
    Sirloin Tip Steak = 130 calories
    Top Round Steak = 166 calories
    Veal = 110 calories
    Veal Chop = 117 calories
    Chicken 3.5 ounces /100 grams
    Chicken Breast  = 87 calories
    Seafood 3.5 ounces/100 grams
    Cod = 83 calories
    Crab Meat = 100 calories
    Flounder = 90 calories
    Halibut = 110 calories
    Lobster = 98 calories
    Red Snapper = 110 calories
    Shrimp = 110 calories
    Tilapia = 94 calories
    Lemon Sole =116 calories
    Monk Fish = 96 calories
    Vegetables 3.5 ounces/100 grams
    Asparagus = 3 cal
    Broccoli =34 calories
    Celery = 15 cal
    Cabbage = 24 calories
    Cauliflower = 22 calories
    Cucumber = 12 calories
    Lettuce all varieties = 20 calories
    Red Radishes = 12 calories
    Spinach raw = 20 calories
    Spinach frozen = 23 calories
    Tomato = 20 calories
    Fruit average 76.5 calories
    Apple (s) = 55 caloriesApple (m) = 72 caloriesApple (l) = 110 caloriesNavel Orange = 69 caloriesFlorida Orange  = 65 caloriesStrawberries 12 (l) = 72 caloriesStrawberries 20( m) = 80 caloriesPink California Grapefruit = 92 caloriesPink Florida Grapefruit = 74 calories
    Bread 3.5 ounces or 100 grams
    Grissini Bread stick = 12 caloriesMelba Toast = 12 calories
  • 43. After the shots
    The diet lays out a maintenance plan for 6 weeks after discontinuing HCG.
    The do's and don'ts are similar to the 500-calorie diet:
    no starches (bread, pasta, rice)
    no sugars (including artificial sweeteners),
    About 1,500 calories daily consisting mainly of fruit, vegetables, fish and chicken.
  • 44. Make the most of the HCG program
    Stress reduction: better sleep, adrenal supplements (cortisol). Belly fat = chronic stress.
    Learn to eat better without thinking about it, calorie counting, etc.
    It’s ok to eat the bad foods but always in moderation. Relying on these foods, contributes to inflammation and reliance.
    To maintain weight, you must change your lifestyle!!