Metabolic Syndrome


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Environmental Toxins are on the attack

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  • A third set of conditions related to lifestyle is excess body fat, causing us to be anywhere from somewhat overweight to obese. It goes without saying that we have an epidemic of people in our country who are overly fat, and for a variety of reasons. The rate for overweight has never been higher, and is now thought to be the main public health problem--perhaps surpassing smoking. The rate of overweight has doubled since the 1960s when about 31% of the population was overweight. The rate has increased significantly in the past decade. Obesity is now epidemic among children and adolescents.
  • Based on the 1999 NHANES data, about 61 percent of adults, or an estimated 108 million adults, in the United States are overweight or obese, a condition that substantially increases their risk for hypertension, dyslipidemia, type 2 diabetes, stroke, coronary heart disease, osteoarthritis, gallbladder disease, sleep apnea and respiratory problems, and endometrial, breast, prostate, and colon cancers. Higher body weight is also associated with increases in all-cause mortality. Obese individuals may also suffer from social stigmatization and discrimination.
  • Heart disease is another lifestyle-related condition. It is the number one cause of death in the U.S., which happens every 34 seconds for a total of over 700,000 people annually. It has been the #1 cause of death almost every year during the 20 th century.
  • Type 2 diabetes used to be called “adult onset diabetes,” but there is a strong upswing in the number of young people with this disease. 17 million people have type 2 diabetes, and 151,000 of them are younger than 20. The cost of diabetes is a staggering $98 billion. This is a huge price to pay for unhealthy lifestyle choices.
  • One of the conditions associated with unhealthy lifestyle habits is type 2 diabetes, which is rapidly becoming a very common disease in our country. A major study showed that the majority of cases could have been prevented by making healthier lifestyle choices.
  • One of the conditions associated with unhealthy lifestyle habits is type 2 diabetes, which is rapidly becoming a very common disease in our country. A major study showed that the majority of cases could have been prevented by making healthier lifestyle choices.
  • When the cells in our bodies are not able to properly use insulin, it can remain in the blood stream. Over time this can lead to a condition known as insulin resistance. When cells lose their ability to use insulin, “Insulin Resistance” occurs -- the cells are actually resisting the action of insulin to help lower blood sugar. This metabolic imbalance can lead to heart disease, diabetes, hypertension and excess body stores of fat and obesity.
  • When you eat carbohydrate foods that are rapidly absorbed into the bloodstream, your blood sugar goes up quickly. Your pancreas responds to this by releasing insulin. This rapid rise in insulin then causes a drop in blood sugar which makes you feel hungry. It’s a signal that your body reads that it needs more fuel. You respond by eating more simple carbohydrate and the cycle repeats itself. Eating more complex carbohydrate foods that are broken down slower will not bring about this abrupt rise and fall in blood sugar. You get fewer food cravings because your body is not experiencing swings in blood sugar.
  • The foods that are known to cause a rapid rise in blood sugar are know as “high glycemic” foods. Glycemic refers to sugar in the blood – are you familiar with the term hyperglycemia? Conversely, eating foods low on the glycemic index can promote healthy levels of blood sugar or metabolic balance.
  • As we said, when the food is digested and absorbed into the blood stream, this promotes an equally rapid response by the pancreas to send out insulin to get the blood sugar levels down.
  • Finding a healthy balance of protein, carbohydrate and fat can be easy. Think of splitting your plate into 3 sections. Fill half of the plate with vegetables and salad. Fill one quarter of it with your protein foods such as poultry, fish or beans. Fill the rest of the plate with whole grains like barley or pasta. Remember to be careful with how much oil or salad dressing you use on these to keep calories within limit.
  • Here is a one day menu that illustrates how to include low glycemic foods at each meal. Refer to your handout to create a one day menu with a low or moderate glycemic food at each meal.
  • There are some important nutritional supplements that can help keep you in metabolic balance. These are chromium, the omega-3 fatty acids EPA and DHA, and Lipoic acid.
  • Chromium is important because it helps insulin do is job. It helps get glucose, or blood sugar, into the cells of the body. It also helps convert this glucose into energy – the fuel muscles use. Refined carbohydrate and processed foods are deficient in chromium. If you eat processed foods you may want to take a Chromium supplement. 50 to 200 micrograms per day is the recommended level. Some multiple vitamin supplements contain chromium.
  • In conclusion, there are many benefits of achieving metabolic balance.
  • This is a direct quote from a prestigious medical journal in 1998. It says that disabilities due to chronic conditions can be postponed to the last years of a person’s life, rather than these disabilities affecting a person for several decades of life. Scientific research is proving that therapeutic lifestyle habits reduce the disability and suffering experienced prematurely by many people.
  • Studies of human behavioral changes indicate that it takes about 45 days to actually make something stick. That means you have to practice these new habits, even though they may not feel right for awhile.
  • This is a model for behavioral change that everyone experiences. It was developed by behavioral researchers in the late 70s after they studied people going through all kinds of changes. The first stage is pre-contemplation. In this stage, you aren’t considering making a change. The second is contemplation. Here you might be thinking about a change, but aren’t ready to do anything about it. In the next stage you are actively taking the steps to make the change. This might be a person who goes out and buys a membership to a health club, but hasn’t actually gone there yet. Sound familiar? The 4 th stage is when you’re really ready to make a change and stick with it, like going to the gym on a regular basis. The 5 th stage is maintenance – continuing the course of action taken on a regular basis. We’ve all been through these stages several times for different changes we’ve made. Can anyone think of an example from his or her own life? (This might be a good time to do a group activity – have each person tell another about a time when they’ve made a change. Describe the stages and have one or two report to the group. )
  • Here are some key strategies for moving into the action and maintenance stages. You are all at least in the action stage or you wouldn’t be here. Preparation was signing up for the course, showing up is the action part, so congratulations! You made it to the 4 th stage! Participating in the group will help keep you going forward on the path toward maintenance. We will provide you with positive reinforcement and support each time you show up. You can increase your likelihood of success by making a contract with yourself. When you go home tonight, write a contract that specifies your commitment to this program and to yourself. Write out clearly what you expect of yourself for now. You can always adjust your contract as you learn more about the various topics. You also need to think about how you will reward yourself for each milestone. You will need both short-term and long-term goals for this. Daily or weekly goals for the short term, and monthly or longer for the long term goals. Think ahead about how you will reward yourself. This way, you’ll have built-in incentives for staying on track.
  • Keeping a journal is an excellent way to stay on track and measure your success. Write daily in your journal. List your short-term and long-term goals and how you plan to reward yourself. Write your daily successes, even if it seems minor – like not having a second helping of mashed potatoes at Mom’s house. Write out the challenges you faced at home and at work. This is not a place to beat yourself up – make sure you keep it positive. This is key to your success. Many people talk themselves into failure by undermining themselves with negative feedback.
  • Tracking your eating and exercise can be a positive reinforcement when you’re developing new lifestyle habits. People who self-monitor both eating and exercise behaviors, are more successful at reaching and maintaining their ideal weight according to The American College of Sports Medicine. ( Med Sci Sports Exerc 2001 Dec;33(12):2145-56) Keep it simple. Write down your daily goals for food, water, and exercise and, as you make entries throughout the day, you’ll be able to see what a good job you’re doing. Seeing that you’re in control of your choices and that you can make good choices day after day is very helpful to staying on track with your program.
  • Successful people in any walk of life usually have a vision of where they want to go. This is the perfect time to use this strategy. Practice seeing yourself change your behaviors. Visualize yourself walking into the gym or taking the time to walk during your lunch break. You will be more likely to find yourself following through with the behavior. This is your journey…believe in yourself! (This is a good time to do a group activity – have each person share an experience of a change they’ve made. It doesn’t have to be a health change, anything that shows them they’ve already been successful. It’s a good way to close the session on a good note.)
  • Metabolic Syndrome

    1. 1. Welcome, Thank you for joining us, Its An Honor <ul><li>That you want to change some aspect of your life </li></ul><ul><li>That you are committed to making a change </li></ul><ul><li>That you are in search of information to support that change </li></ul><ul><li>You have taken this time with us to seek supportive information And I want you to know that: </li></ul><ul><li>I am committed to providing that information for you and your family so that you can take an action step toward your maintaining your optimal health potential </li></ul><ul><li>Let’s review our current state of affairs: </li></ul>
    2. 2. Obesity and Overweight according to the WHO <ul><li>Obesity is the #1 nutrition-related disorder, yet throughout the world obese people are also undernourished </li></ul><ul><li>1 billion are overweight globally, 300 million clinically obese </li></ul><ul><li>Over 60% or 108 million adults are overweight in America </li></ul><ul><li>Obesity among children and adolescents is epidemic in USA affecting 16-33% </li></ul><ul><li>WHO 2010 </li></ul>
    3. 3. <ul><li>High blood pressure </li></ul><ul><li>High cholesterol </li></ul><ul><li>Type 2 diabetes </li></ul><ul><li>Heart disease </li></ul><ul><li>Gallbladder disease </li></ul><ul><li>Stroke </li></ul><ul><li>Osteoarthritis </li></ul><ul><li>Sleep apnea </li></ul><ul><li>Certain cancers </li></ul>What are the risks CDC/NCHS NHANES 1999 Approximately 108 million American adults are overweight or obese. Increased risk of:
    4. 4. Heart Disease - #1 <ul><li>Number one cause of death in U.S. </li></ul><ul><li>Death every 34 seconds </li></ul><ul><li>Coronary heart disease caused 425,425 deaths in 2006 </li></ul>
    5. 5. Diabetes <ul><li>largely driven by widespread obesity With approximately 21 million in the US already living with the disease and another 54 million with pre-diabetes on the cusp of developing full diabetes, the whopping $174 billion estimated annual cost burden of diabetes on the nation may actually be an underestimate. American Diabetes Association 2010 </li></ul>
    6. 6. Lifestyle and Type 2 Diabetes <ul><li>“A total of 91 percent of the cases </li></ul><ul><li>of diabetes in this cohort could be </li></ul><ul><li>attributed to habits and forms of </li></ul><ul><li>behavior that did not conform to </li></ul><ul><li>the low-risk pattern.” </li></ul>
    7. 7. Lifestyle and Type 2 Diabetes <ul><li>“A total of 91 percent of the cases </li></ul><ul><li>of diabetes in this cohort could be </li></ul><ul><li>attributed to habits and forms of </li></ul><ul><li>behavior that did not conform to </li></ul><ul><li>the low-risk pattern.” </li></ul>
    8. 8. Tufts University Human Nutrition and Research Center Biomarkers Of Aging Definable, Measurable, Reversible And Within Your Control
    9. 9. Tonight we are going to talk about <ul><li>The syndrome that begins with a biomarker change </li></ul><ul><li>Creates Accelerated aging on all levels </li></ul><ul><li>Leads to early death </li></ul><ul><li>AND is effecting our children at an alarming rate </li></ul><ul><li>It starts with a change in biomarker #7 </li></ul>
    10. 10. # 7 Blood Sugar Tolerance <ul><li>Creates fat gain around the mid section </li></ul><ul><li>If left unchecked can lead to diabetes </li></ul><ul><li>30% of the children born in the year 2000 will become diabetic </li></ul><ul><li>Worse in the African population </li></ul><ul><li>AKA Metabolic syndrome/insulin resistance </li></ul>
    11. 11. Metabolic Syndrome How do you know? <ul><li>Waist to hip ratio </li></ul><ul><li>>40 inches for men </li></ul><ul><li>>35 inches for women </li></ul><ul><li>Are indicators of metabolic syndrome/insulin resistance a pre-diabetic condition </li></ul><ul><li>Also leads to heart disease </li></ul><ul><li>High blood lipids </li></ul>
    12. 12. General Features of the Metabolic Syndrome <ul><li>- Abdominal obesity </li></ul><ul><ul><li>Men – waist > 40 inches, or waist is larger than hips </li></ul></ul><ul><ul><li>Women – waist > 35 inches, or waist is greater than 80% the size of hips </li></ul></ul><ul><li>- Altered blood lipids (fats) </li></ul><ul><ul><li>High triglycerides </li></ul></ul><ul><ul><li>Small LDL cholesterol particles </li></ul></ul><ul><ul><li>Low HDL cholesterol </li></ul></ul><ul><li>- Raised blood pressure </li></ul><ul><li>- Insulin resistance (  glucose intolerance) </li></ul><ul><li>- Prothrombotic state (blood clotting tendency) </li></ul><ul><li>- Proinflammatory state </li></ul>
    13. 13. Insulin Resistance & HBP <ul><li>As explained by Dr. Rosedale, insulin stores magnesium, but if your insulin receptors are blunted and your cells grow resistant to insulin, you can’t store magnesium so it passes out of your body through urination. Magnesium stored in your cells relaxes muscles. </li></ul><ul><li>If your magnesium level is too low, your blood vessels will constrict rather than relax, which will raise your blood pressure and decrease your energy level. </li></ul><ul><li>Insulin also affects your blood pressure by causing your body to retain sodium. Sodium retention causes fluid retention. Fluid retention in turn causes high blood pressure, and can ultimately lead to congestive heart failure. </li></ul>
    14. 14. The Killing Field in America Diseases Of Aging <ul><li>Heart Disease </li></ul><ul><li>Stroke </li></ul><ul><li>Type II Diabetes </li></ul><ul><li>Cancer </li></ul><ul><li>Over the next decade the greatest threat to developing cancer for woman will be obesity. </li></ul><ul><li>Fox News September 24 2009 </li></ul>
    15. 15. So how do we get there? 3 Stages Of Accelerated Aging <ul><li>Stage 1 - High Insulin Lifestyle Habits </li></ul><ul><li>Stage 2 - Hyperinsulinemia </li></ul><ul><li>Stage 3 - Insulin Resistance </li></ul>
    16. 16. Stage 1: High Insulin Lifestyle Habits <ul><li>Poorly balanced, high carbohydrate meals </li></ul><ul><li>Skipping meals </li></ul><ul><li>Lack of proper exercise </li></ul><ul><li>Use of stimulants: sugar, soda caffeine </li></ul><ul><li>Lack of stress management </li></ul><ul><li>Micronutrient imbalance </li></ul><ul><li>Hormonal imbalance </li></ul>
    17. 17. Stage # 2: Hyperinsulinemia <ul><li>Hyperinsulinemia is an excess circulation of insulin through the body due to an excess of sugar in the diet. </li></ul><ul><li>Excess insulin create increased fat deposits </li></ul><ul><li>Excess fat deposits create inflammation </li></ul><ul><li>Inflammation creates disease </li></ul>
    18. 18. Stage #3: Insulin Resistance Syndrome-X <ul><li>Insulin Resistance occurs to protect the body from sugar overload by shutting down insulin receptor sites on the cell membrane. </li></ul><ul><li>Insulin Resistance triggers the release of even more insulin leading to more hyperinsulinemia. </li></ul><ul><li>Leading to pancreatic burn-out/type 2 diabetes and obesity </li></ul>
    19. 19. Metabolic Imbalance – Insulin Resistance Syndrome <ul><li>Insulin Resistance Syndrome is common in many chronic conditions: </li></ul><ul><ul><li>Heart disease </li></ul></ul><ul><ul><li>Diabetes </li></ul></ul><ul><ul><li>Hypertension </li></ul></ul><ul><ul><li>Obesity </li></ul></ul><ul><ul><li>Sarcopenia </li></ul></ul><ul><ul><li>Polycystic Ovary Syndrome (PCOS) </li></ul></ul><ul><ul><li>All aspects of accelerated aging </li></ul></ul>DANGER INSULIN RESISTANCE
    20. 20. Health Enhancing Habits <ul><li>Hormone Balance </li></ul><ul><li>Supplement Balance </li></ul><ul><li>Stress Management </li></ul><ul><li>Reduced Stimulant Use </li></ul><ul><li>Regular Exercise </li></ul><ul><li>Eating Frequency </li></ul><ul><li>Balanced Eating </li></ul><ul><li>Hydration </li></ul><ul><li>Lower toxic load </li></ul><ul><li>Stretching </li></ul><ul><li>Health Enhancing measures that create a healthy lifestyle. </li></ul><ul><li>The Key To Vital Living is to be aware that each decision you make is either health enhancing or health destroying </li></ul>
    21. 21. Habit #1 Balanced Eating <ul><li>A balanced meal has all 3 of the major macro-nutrients present: </li></ul><ul><ul><li>Complex Carbohydrates 40% </li></ul></ul><ul><ul><li>Proteins 30% </li></ul></ul><ul><ul><li>Fats 30% </li></ul></ul>
    22. 22. Metabolic Balance <ul><li>Consuming the optimal amount of calories is essential for metabolic balance </li></ul><ul><li>Continually eating highly refined or “simple” carbohydrates may contribute to insulin resistance </li></ul><ul><li>Substituting fiber-rich carbohydrates in moderate amounts will help maintain metabolic balance </li></ul>
    23. 23. The Glycemic Index of Foods <ul><li>Some foods cause rapid increases in blood sugar: “high glycemic foods” </li></ul><ul><li>Emphasizing foods low on the glycemic index in conjunction with an optimal calorie level promotes metabolic balance </li></ul>GLYCEMIC INDEX METABOLIC BALANCE
    24. 24. Blood Sugar and Insulin <ul><li>The more rapidly the food is absorbed into the blood stream, the higher the blood sugar </li></ul><ul><li>The more rapid the blood sugar increase, the more rapid the insulin release from the pancreas </li></ul>
    25. 25. Balancing Your Plate <ul><li>Divide your plate into 3 sections: </li></ul><ul><ul><li>50% is vegetables, salad </li></ul></ul><ul><ul><li>25% is mixed whole grains or starch </li></ul></ul><ul><ul><li>25% is protein source – poultry, fish, beans, soy products </li></ul></ul>Protein Whole grains Veggies
    26. 26. Habit #2 Eating Frequency <ul><li>Skipping meals </li></ul><ul><li>Irregular Meals </li></ul><ul><li>Not having at least 3 meals per day with 2 snack meals will increase insulin levels </li></ul><ul><ul><li>Also can create Hypoglycemia </li></ul></ul><ul><ul><li>Cravings/Gorgings </li></ul></ul><ul><ul><li>Caffeine and energy drinks </li></ul></ul>
    27. 27. Low GI Meals and Snacks <ul><li>Breakfast </li></ul><ul><ul><li>Low GI cereal, nuts or breakfast shake </li></ul></ul><ul><li>Snack </li></ul><ul><ul><li>Apple, pear slices </li></ul></ul><ul><li>Lunch </li></ul><ul><ul><li>Split pea soup and mixed green salad, seeds </li></ul></ul><ul><li>Snack </li></ul><ul><ul><li>Shake </li></ul></ul><ul><li>Dinner </li></ul><ul><ul><li>Halibut, barley pilaf, </li></ul></ul><ul><ul><li>Asparagus, fresh fruit </li></ul></ul>
    28. 28. Habit #3 Regular Exercise <ul><li>Include: </li></ul><ul><ul><li>Aerobic </li></ul></ul><ul><ul><li>Resistance </li></ul></ul><ul><ul><li>Flexibility </li></ul></ul><ul><ul><ul><li>Increases Strength </li></ul></ul></ul><ul><ul><ul><li>Burns fat </li></ul></ul></ul><ul><ul><ul><li>Strengthens bones </li></ul></ul></ul><ul><ul><ul><li>Improves VO2 max </li></ul></ul></ul><ul><ul><ul><li>Balances hormones </li></ul></ul></ul><ul><ul><ul><li>Balances sugar </li></ul></ul></ul><ul><ul><ul><li>Increases BMR </li></ul></ul></ul><ul><ul><ul><li>Lowers blood pressure </li></ul></ul></ul><ul><ul><ul><li>Reduces resting heart rate </li></ul></ul></ul>
    29. 29. #5 Stress Management balancing the scale of life
    30. 30. Balancing Your Resources vs. Stress <ul><li>Plenty of Quality Rest </li></ul><ul><li>High Nutrient Food </li></ul><ul><li>Balanced Hormones, managing cortisol </li></ul><ul><ul><li>creates insulin resistance </li></ul></ul><ul><li>Ability to Exercise </li></ul><ul><li>Ability to Release Stress </li></ul><ul><ul><li>Chiropractic </li></ul></ul><ul><ul><li>Exercise </li></ul></ul><ul><ul><li>Down time </li></ul></ul>
    31. 31. Habit #6: Supplement Balance <ul><li>Macro nutrient balance: </li></ul><ul><ul><li>Proteins, </li></ul></ul><ul><ul><li>Carbohydrates </li></ul></ul><ul><ul><li>Fat </li></ul></ul><ul><li>Micro-nutrient Balance </li></ul><ul><ul><li>Multi-vitamin </li></ul></ul><ul><ul><li>Essential fatty acids </li></ul></ul><ul><ul><li>Anti-oxidants </li></ul></ul><ul><ul><li>Whole bone support </li></ul></ul><ul><ul><li>Prostate/heart support </li></ul></ul>
    32. 32. Nutritional Supplements for Metabolic Balance <ul><li>Chromium </li></ul><ul><li>EPA/DHA </li></ul><ul><li>Lipoic acid </li></ul>Metabolic Balance CHROMIUM LIPOIC ACID EPA/DHA
    33. 33. Chromium <ul><li>Helps insulin transport glucose into body cells </li></ul><ul><li>Helps the body convert glucose into energy – fuel for muscles </li></ul><ul><li>Eating refined foods increases the need for chromium </li></ul><ul><li>50 – 200 ug per day recommended </li></ul>CHROMIUM
    34. 34. Benefits of Metabolic Balance <ul><li>Prevent chronic conditions, and therefore, the need for medications </li></ul><ul><li>More energy and vitality, less fatigue </li></ul><ul><li>Improved quality of life </li></ul><ul><li>Better weight control </li></ul>
    35. 35. How Satisfied Are You? <ul><li>Your Health </li></ul><ul><li>Your Family’s Health </li></ul><ul><li>Your Body Weight </li></ul><ul><li>Your Body Fat </li></ul><ul><li>Your Energy Levels </li></ul><ul><li>Your Ability To Move </li></ul><ul><li>Your Stress Levels </li></ul><ul><li>Your Exercise </li></ul><ul><li>Your Strength </li></ul><ul><li>Your Life! </li></ul>
    36. 36. Healthy Life Span <ul><li>“ Not only do persons with better </li></ul><ul><li>health habits survive longer, but </li></ul><ul><li>in such persons, disability is </li></ul><ul><li>postponed and compressed into </li></ul><ul><li>fewer years at the end of life.” </li></ul><ul><li>N Eng J Med 1998: 1035 - 41 </li></ul>
    37. 37. That is what our FFF Program does for you <ul><li>Increases lean muscle mass </li></ul><ul><li>Stops accelerated aging </li></ul><ul><li>Reverses the biomarkers of aging </li></ul><ul><li>Even creates dramatic blood value improvements in the areas of </li></ul><ul><li>blood fats </li></ul><ul><li>Blood sugar </li></ul><ul><li>CRP </li></ul>
    38. 38. Lifestyle Change – How? <ul><li>It takes 45 days to change a habit </li></ul><ul><li>or incorporate a new one </li></ul>5 10 15 20 25 30 35 40 45 Why do you need a program to change?
    39. 39. Our Fit Fun & Fabulous Program <ul><li>Incorporates Therapeutic lifestyle changes clinically proven to </li></ul><ul><li>Reduce all 12 Biomarkers of aging </li></ul><ul><li>Change important blood indicators </li></ul><ul><li>Outlines the 10 most important health enhancers for vitality & health </li></ul>
    40. 40. Your Average Is Your Biological Age! Most people are in an accelerated aging process <ul><li>Muscle Age </li></ul><ul><li>Strength Age </li></ul><ul><li>Body Fat Age </li></ul><ul><li>Body Shape Age </li></ul><ul><li>Heart Age </li></ul><ul><li> </li></ul><ul><li> </li></ul>
    41. 41. Change takes time & we help you with the 5 Stages of Change <ul><li>Pre-contemplation </li></ul><ul><li>Contemplation </li></ul><ul><li>Preparation </li></ul><ul><li>Action </li></ul><ul><li>Maintenance </li></ul>
    42. 42. Action & Maintenance <ul><li>Positive reinforcement </li></ul><ul><li>Support </li></ul><ul><li>Individual contract </li></ul><ul><li>Short term & long term goals </li></ul><ul><li>Reward </li></ul>
    43. 43. Journaling <ul><li>Short-term and long-term goals </li></ul><ul><li>Daily successes </li></ul><ul><li>Challenges and how you met them </li></ul><ul><li>Keep it positive! </li></ul>
    44. 44. Diet Diary / Exercise Log <ul><li>Are you filling yours out daily? </li></ul><ul><li>Keep track of: </li></ul><ul><ul><li>Everything you eat </li></ul></ul><ul><ul><li>Everything you drink </li></ul></ul><ul><ul><li>Your Activity/Exercise </li></ul></ul>
    45. 45. Visualize Your Success <ul><li>Practice seeing yourself change </li></ul><ul><li>Act, think and talk as if you’re already there </li></ul><ul><li>Believe in yourself! </li></ul>
    46. 46. Beginning October 4 thru November 22 we will be holding the Fit Fun & Fabulous 8 weeks to a new you teleseminar series <ul><li>Similar to this </li></ul><ul><li>Mondays from 7pm-8pm </li></ul><ul><li>There will be 8 live teleseminars (also recorded) </li></ul><ul><li>The cost is only $239, which is less than $30/week </li></ul><ul><li>You can make 2 payments if you like </li></ul><ul><li>And I promise this teleseminar series will change your life. </li></ul><ul><li>BONUS: If you sign up today by going to my web site you will be given $30 off of the price which is about $25/week. You just can’t beat the value you will receive for your investment! </li></ul><ul><li>Now I want to handle your questions about the material or the program… </li></ul><ul><li>Again thank you for the honor and priveledge to speak to you tonight and I hope to be speaking to you getting you ready for the holidays so that you do not put on that extra 5 pounds which so many do…. </li></ul>
    47. 47. Average Improvement of 12-Week Trial Using Targeted Medical Foods <ul><li>Indicators % Change </li></ul><ul><li>Triglycerides -45% </li></ul><ul><li>Total Cholesterol -16% </li></ul><ul><li>LDL-C -15% </li></ul><ul><li>HDL-C +6% </li></ul><ul><li>tChol/HDL-C -21% </li></ul><ul><li>TG/HDL-C -48% </li></ul><ul><li>hs-CRP -34 % </li></ul><ul><li>Fasting insulin 25% </li></ul><ul><li>Blood Pressure 5%/-8% </li></ul><ul><li>Weight 15 lbs 8% </li></ul><ul><li>% lean body mass 5 lbs +3% </li></ul>