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WELCOME! 
ERIN BENDER, PA-C 
• BOARD CERTIFIED PHYS ICIAN 
AS S I STANT 
• NATIONAL COMMI S S ION ON 
CERTIFICATION OF PHYS ICIAN 
AS S I STANTS (NCCPA)
Supported by 
Sudhir Malhotra 
Director - Healthcare Technology and Innovation 
Debbie Lalic 
Team Lead – Customer Relations
How Excess Weight Contributes 
to Aging and Chronic Disease
America’s Obesity Epidemic
The Type 2 Diabetes Connection 
24 million Americans (25% or 5.7 million are unaware!) 
1 in 4 aged 60 or older 
Becoming more common at younger ages 
Global burden of diabetes primarily due to obesity 
90% of type 2 DM attributable to excess body weight and 
lifestyle
What is our body made of ? 
Bones 
Organs 
Muscle 
Water 
Fat
Where does fat collect in your body? 
Inside the organs and arteries (Visceral fat) 
Under the skin (Subcutaneous fat)
How we carry fat in the body
Visceral fat is unwanted
How visceral fat affects you 
Pulmonary disease 
abnormal function 
obstructive sleep apnea 
hypoventilation syndrome 
Nonalcoholic fatty liver 
disease 
steatosis 
steatohepatitis 
cirrhosis 
Coronary heart 
disease 
Diabetes 
Dyslipidemia 
Hypertension 
Gall bladder disease 
Gynecologic abnormalities 
abnormal menses 
infertility 
polycystic ovarian syndrome 
Osteoarthritis 
Skin 
Cancer 
breast, uterus, cervix 
colon, esophagus, pancreas 
kidney, prostate 
Phlebitis 
venous stasis 
Gout 
Idiopathic intracranial 
hypertension 
Stroke 
Cataracts 
Severe pancreatitis
Visceral fat strongly associated with 
metabolic risk factors
Cardiovascular 
Disease & 
Complications 
Progression & outcomes 
of chronic inflammation 
Metabolic 
Syndrome 
Diabetic 
Complications 
(Visceral) 
Abdomin 
al Obesity 
Chronic 
Inflammation 
Insulin 
Resistance 
Type 2 
Diabetes
Plaque or fat inside arteries blocking circulation
Rid 
yourself of 
visceral 
fat and the 
symptoms 
will 
resolve
Prevention and 
Treatment
Prevention and 
Treatment
Where is the road block ? 
Is it your hormones ? 
Is your liver not doing the job ? 
Is your body in fat-storing mode? 
Are you addicted to food ? Mentally or physically 
Are your cells not getting right signals ?
Solving problems at the roots
Prevention vs Treatment 
Causes of weight issues Symptoms 
Medications 
Lifestyle 
 Stress 
 Nutrition 
 Social support 
General Physical 
Factors 
Disease and Illness 
High blood pressure 
Depression 
Type 2 Diabetes 
Fatigue
Individualization & Personalization
Lifestyle Change 
Marathon Sprint
Fat Loss vs Weight loss
Do you know what you’re made of?
BMI: how accurate is it? 
BMI: 34 BMI: 34
Tracking The Fat Loss
Tracking The Fat Loss
Tracking The Fat Loss
Patient Results 
“IT SAVED MY LIFE 
I NO LONGER 
HAVE DIABETES”
Patient Results 
“DROPPED 25 LBS 
AFTER ATTEMPTING 
POPULAR DIET 
PLANS”
Patient Results 
“I HAVE LOST 
ALMOST 70 LBS 
IN ABOUT 7 
MONTHS”
Patient Results 
“I HAVE LOST 
OVER 50 LBS 
IN ABOUT A 6 
MONTHS SPAN”
Cardiopulmonary Exercise Testing 
Performance markers 
 from CPET test 
 Peak VO2 (VO2max) 
 Peak HR 
 Peak Watts 
 Anaerobic Threshold 
(AT) 
 HR at AT 
 Watts at AT
Today’s Food
Would you feed it to your dog?
Today’s Food 
Up to 80% depleted in 
some vitamins & 
minerals 
Over-fertilized 
Antibiotics, pesticides & 
preservatives
Today’s Food 
Simple Carbohydrate 
Sugar
Harmful Habits 
Overeating Under eating
Does Timing Matter?
Vitamins: Are They Important?
Everything is 
not created 
equal 
• Fish oil 
• Quality 
• Ratios
“Physical Activity”
Harmful Habits 
Over Exercising Under Exercising
Biological Vs 
Chronological Age
Aging ≠ Decreased Health
How old are you biologically vs. chronologically?
What are Telomeres?
Prolonging life of the cell
Takeaways 
How Excess Weight Contributes to Aging and Chronic Disease 
Prevention and Treatment 
• Target causes not symptoms 
• Individualize 
• Personalize 
• Fat loss not weight loss 
Biological Vs Chronological Age
QUESTIONS?
QUIZ 
What is a better 
measurement of 
good health? 
A. Your weight 
B. Your waist
QUIZ 
Which of the following 
foods does not contain 
healthy fats that will 
help keep you 
satisfied? 
A. Olives 
B. Peaches 
C. Salmon 
D. Walnuts
QUIZ 
Skipping meals may 
cause your body to 
seek nourishment 
from your fat, thus 
burning more calories 
A. True 
B. False
QUIZ 
Sleep deprivation may 
alter levels of 
hormones in the body 
that regulate hunger, 
causing an increase in 
appetite 
A. True 
B. False
QUIZ 
Weight loss may be 
able to reverse Type 
2 Diabetes. 
A. True 
B. False
QUIZ 
A nutrition facts label 
can list zero grams of 
fat even if the food 
does in fact contain 
some fat. 
A. True 
B. False
QUIZ 
High blood pressure 
(hypertension) is a 
condition that must be 
treated with 
medication 
A. True 
B. False
QUIZ 
Only adults need to 
have their cholesterol 
checked. Children 
can’t have high 
cholesterol 
A. True 
B. False
Questions? 
Thank You! For more information, 
Visit www.healncure.com or email us at info@healncure.com for more information

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