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Jul 5

The Role of Meal Replacements in Weight Loss – Berkeley Heights … – TAPinto.net

Obesity is at epidemic proportions in the United States and in other developed and developing countries. The prevalence of obesity is increasing not only in adults, but also in children and adolescents.We all know that obesity is a significant risk factor for various chronic illnesses, most importantly heart disease and diabetes, but also cancer and osteoarthritis, liver and kidney disease, sleep apnea, and depression. Clearly significant benefits could be expected from interventions to prevent or reduce obesity.

Studies have shown that significant improvements in disease risk could be attained with moderate weight loss (5% to 10%). Research has also shown that approximately 20% of overweight individuals are successful at long-term weight loss which is defined as losing at least 10% of initial body weight and maintaining the loss for at least 1 year.

There is no single answer to weight loss. However, reports indicate that meal replacements can offer an effective option for losing weight in patients who are obese or overweight. A traditional lifestyle intervention using meal replacements can be especially effective for weight control and therefore reduction in risk of chronic disease in the physician's office setting.

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The main finding in a study done by Ashley et al, Meal Replacements in Weight Intervention, was that the use of one or two meal replacements daily promoted significantly improved weight loss and maintenance compared with a traditional diet plan. This finding is particularly encouraging because the markers for disease risk were improved in many patients.Therefore the study concluded that incorporating a meal replacement strategy into a traditional weight management program can improve food choice behavior and nutrient adequacy, while following a reduced energy intake.

Meal replacements work on a concept called stimulus narrowing. Clinical studies show that when people are given very few food choices, or even no food choices, it is easier to decrease the amount of calories they consume each day. By taking away the selection and preparation of foods, and reducing the vast array of available foods, people lose weight. The benefits of this type of diet are in the reduced calories, complete nutrition, and perhaps most importantly, in the ability to stick with the diet.

But meal replacements alone may not be sufficient. They have to be combined with behavioral, dietary and exercise counseling. Therefore it is important to join a comprehensive meal replacement program which offers support groups where patients share their concerns and experiences with weight loss efforts. These groups can be very therapeutic for many patients. In addition, giving handouts and exercises for patients to complete at home helps patients learn about their own eating styles and behaviors and therefore helps them not only lose weight in the short term but also keep the weight off in the long term.

At K Primary Care & Medical Nutrition Center, our comprehensive meal replacement program combines meal replacements with group counseling, mindfulness meditation and cooking classes. Please call 908-206-4676 to learn more about our meal replacement weight loss and lifestyle management programs.

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The Role of Meal Replacements in Weight Loss - Berkeley Heights ... - TAPinto.net


Jul 5

The 5 steps this teen took to lose 143 pounds in 2 years and transform her life – Today.com

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When she was only 14, Mele Osai visited her doctor and received some surprising news she was insulin resistant. While she had been overweight for half of her life, she didn't realize it could impact her health at such a young age.

I didnt fully understand what insulin resistance was but I knew it could lead to diabetes, which made me scared for my future, Osai told TODAY, via email. When someone has insulin resistance, it means their muscles, fat and liver cells do not respond properly to insulin. They can't absorb glucose from the bloodstream and the body needs more insulin to help the glucose enter cells. This eventually can lead to type 2 diabetes and prediabetes.

At her heaviest, Osai weighed 297 pounds at 5 feet 7 inches tall. She loved eating and often grabbed junk food at the store. But her doctors wake-up call prompted a change. She started by cutting out sugary drinks, including flavored milks, milkshakes and the two liters of soda she consumed every day. Instead, she started drinking more water.

While cutting sugary beverages helped her shed pounds, she struggled with portion control. Shed regularly eat two or three sandwiches for a meal. She knew she needed to eat smaller meals to lose weight and she also cut processed foods, such as chips and candy. But she didnt just take away she added nutritious foods like fruits, vegetables, whole grains and lean protein.

I made sure to have balanced meals, she said. I've learned how to nourish my body and take care of it.

When she first started her weight-loss journey, the Sydney, Australia teen was too young to join a gym so she improvised. She lifted with old weights in her backyard and used an exercise bike at home. And, she walked as much as possible, a habit she still maintains. Shes since joined a gym where she is now focused on building muscle.

When Mele Osai was just 14 she learned she was insulin resistant. That inspired her to lose 143 pounds.

I lift weights at a gym and try and walk daily to stay fit, she said.

After committing to her goals, she started to see a change in how she felt.

I felt so much better physically and mentally, she said. My clothes were fitting better, my fitness levels improved and I saw other benefits, such as clearer skin and enhanced energy, which all made me want to keep going.

Making these changes led to huge results. In two years, Osai lost 143 pounds and now weighs 154 pounds and reversed her insulin resistance.

I am the healthiest I have ever been in my life, the now 16-year-old said. I am happy with where I am now.

In two years, Mele Osai lost 143 pounds and is the happiest and healthiest she's ever been.

Here are a few of her tips for those hoping to shed weight.

Hitting a plateau feels awful, but thats when people need to be kind to themselves, Osai said.

My biggest advice is to love yourself and not beat yourself up when things get tough, she said. Those times you feel like giving up, you have to realize how far you've come and the dark periods will pass.

The scale isn't always the best way to gauge progress. It's discouraging when you don't see the numbers on the scale move," she said. "It's good to take note of other changes. Progress photos, body measurements, how your clothes fit and most importantly how you physically feel are all good ways of measuring your progress."

When Osai was focused on losing weight she chose exercise and healthy eating habits that made sense for her. And thats why she believes she succeeded.

You must find a way that is sustainable and that means finding a diet that suits you and your lifestyle, and finding an activity you enjoy, she said.

When Mele Osai started her weight-loss journey she was too young to join a gym. Now, she lifts weights at her local gym to build muscle.

Going to the gym for an hour a day or spending time meal planning can feel selfish. But by caring for your health first, you are better able to do other things.

Transforming your life through weight loss includes many setbacks. Osai said when she thought of weight loss as a change in her overall well being, she could truly commit to it.

There are no quick fixes to weight loss, she said. Your health should be a long-term concern.

For more inspirational stories, check out our My Weight-Loss Journey page.

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The 5 steps this teen took to lose 143 pounds in 2 years and transform her life - Today.com


Jul 4

Diet Doc Examines the Drawbacks of the ‘Coffee Diet’ – EconoTimes

Tuesday, July 4, 2017 5:00 AM UTC

Jackson, MS, July 04, 2017 -- The Coffee Diet has been circulating around as a way to get slim. The premise, caffeine burns fat, suppresses appetite and speeds up the metabolism if an individual drinks several cups each day. According to the diet, one needs to drink hot, black coffee right after each meal, before bathing and just before exercising. The diuretic effects of coffee are a plus for the its supporters since diuretics reduce water retention and bloat. Caffeine is in fact used in many diet aids and weight loss stimulants, but Diet Doc warns that too much coffee consumption can have negative impacts on the body as well.

Too much caffeine can impede the absorption of iron in the bloodstream. For women especially, this can make one susceptible to anemia. Furthermore, caffeine can elevate the heart rate and result in instances of jitteriness, shaking, nervousness and anxiety. Restlessness and trouble sleeping are also common symptoms of caffeine overload. Lack of quality sleep actually inhibits weight loss, producing the opposite effect. Caffeine addiction is also a cause for concern since it can become easy to rely on it for energy. If one plans to be on the diet temporarily, caffeine withdrawal can result in headaches, fatigue, low-energy, sleep disturbances and irritability.

Aside from a cup of coffee for a morning jolt, or perhaps a cup before exercising, most researchers advise no more that 3-4 cups per day. Since proponents of the diet recommend that it be used in conjunction with a healthy diet and exercise anyway, Diet Doc suggests that your weight loss plan should focus on a balanced diet, not any one food or drink. Diet Doc helps patients lose weight with customized diet planning and support, rather than going the one-size-fits-all route, like the coffee diet. Each person has their own weight loss needs, and only certified doctors and nutritionists can gather individual data and come up with fast weight loss solutions that work accordingly.

Diet Doc patients are safely losing up to 20 pounds within just one month. New Diet Doc patients can call or easily and effortlessly visit https://www.dietdoc.com to complete an initial comprehensive, yet simple, health questionnaire and schedule an immediate personal, no-cost consultation. Diet Doc Physicians all received specialized training in nutritional science and fast weight loss. Diet Doc reviews each patients health history to create a personalized diet plan geared for fast weight loss, or that addresses life-long issues causing weight loss to slow down or stop. Nutritionists work personally with each patient and use their own algorithm to craft meal and snack plans that are compatible with each patients age, gender, activity level, food preferences, nutritional needs and medical conditions. They combine these state of the art diet plans with pure, prescription diet products that enable their patients to resist the temptation to reach for sugary snacks, eliminate fatigue and curb the appetite. Over 97% of Diet Doc patients report incredible weight loss results with the majority losing 20 or more pounds per month.

At Diet Doc, all patients gain unlimited access to the best minds in the business. Their staff of doctors, nurses, nutritionists and coaches are available 6 days per week to answer questions, offer suggestions, address concerns and lend their professional guidance and support. Because of this, more and more people are turning to Diet Doc for their weight management needs. Diet plans are tailored to be specific to the needs of those of any age, gender, shape or size and for those who are struggling to lose that final 10-20 pounds to those who must lose 100 pounds or more. Call today to request a private, confidential, no-cost online consultation.

About the Company:

Diet Doc Weight Loss is the nation's leader in medical, weight loss offering a full line of prescription medication, doctor, nurse and nutritional coaching support. For over a decade, Diet Doc has produced a sophisticated, doctor designed weight loss program that addresses each individual specific health need to promote fast, safe and long-term weight loss.

Diet Doc Contact Information:

Providing care across the USA

Headquarters:

San Diego, CA

(800) 581-5038

Info@DietDoc.com

Homepage

Twitter: https://twitter.com/DietDocMedical

Facebook: https://www.facebook.com/DietDocMedicalWeightLoss/

Linkedin: https://www.linkedin.com/company/diet-doc-weight-loss?trk=biz-brand-tree-co-logo

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Diet Doc Examines the Drawbacks of the 'Coffee Diet' - EconoTimes


Jul 4

Breaking down the ketogenic diet – Baltimore Sun (blog)

Nutritionists from the University of Maryland Medical System regularly provide a general information column to The Baltimore Sun's health blog. The latest post is from Shanti Lewis.

Can adding more butter and heavy cream to your diet improve your glucose control, help you lose weight, improve neurological function, reduce inflammation and enhance energy? Proponents of the ketogenic diet would advocate that this high-fat, low-carbohydrate, low-protein diet can.

While low carbohydrate diets have been trendy in recent years, the ketogenic diet is among the most restrictive of the low carbohydrate options. A study in the Annals of Internal Medicine found that a low carbohydrate diet was more effective for weight loss and lowers cardiovascular risk factors when compared to a traditional low fat diet in healthy adults (without evidence of heart disease or diabetes).

How does the ketogenic diet work?

The body tends to break down carbohydrates into glucose as it is the preferred method of obtaining energy. However, when carbohydrates are severely restricted, the liver converts fat into fatty acids and ketone bodies to be used as an alternative energy source in a process called ketosis.

What can you eat?

In order to promote the production of these fatty acids and ketone bodies in this diet, 80-90 percent of calories consumed must come from fat with the rest coming from a combination of protein and carbohydrates. Generally, carbohydrates are restricted to 5% of total calories; the Institute of Medicine recommends carbohydrate consumption be 45-60% of total calories. Most people who are compliant with a ketogenic diet must restrict all fruit and a lot of dairy products. Typical foods on a ketogenic diet include oils, butter, cream, nuts, non-starchy vegetables, high-fat meats, eggs, cheese and avocado.

Will I lose weight?

There is a good chance of weight loss for several reasons. First, the body will be using fat as its primary source of energy. Second, a high-fat diet is likely to increase your satiety and you will likely eat less. However, weight loss may not be sustainable in the long run as this diet is extremely restrictive and compliance is hard to achieve.

Is following the diet dangerous?

Most healthy adults can tolerate a moderate amount of ketosis but sticking to a strict ketogenic diet can lead to complications such as weakness, fatigue, bad breath and a strange body odor. Additionally, the diet is low in essential nutrients, such as vitamins and minerals that are often found in grains and dairy products. As a result, individuals who strictly adhere to this diet may need to take supplements and consider a multivitamin. The low fiber composition of the diet might also lead to gastrointestinal discomfort.

Making healthy and sustainable changes, along with practicing mindful eating may be more effective in improving health and losing weight in the long-term.

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Breaking down the ketogenic diet - Baltimore Sun (blog)


Jul 3

Ketogenic diets for weight loss: High fat, low carb regimen works if … – NEWS.com.au

Looks like a pretty great breakfast, but most people cant stick to a no carb diet long term.

IF YOU have any interest in the world of diet and nutrition chances are you would have seen reference to a keto, or low carb, high fat (LCHF) approach to diets and weight loss.

Used clinically for many years, specifically in the area of epilepsy where it is used to help reduce seizures, ketogenic diets are also known for their relatively quick weight loss outcomes. Not a new area of nutrition but one that has become increasingly popular in recent years, the question is, is a ketogenic diet the right diet for you?

Ketogenic diets refer to diets that are particularly low in carbohydrates (ranging from 5-20%, or 20-50g of total carbohydrates and high in fats (up to 75% in total fat). This is as opposed to standard diets which contain 30-50% carbohydrates and just 30% fat or less. Diets that are much lower in carbohydrate than the muscles and the brain typically need to function shift the body into a state known as ketosis in which fat stores in the body are broken down into ketones which fuel the muscles and the brain in place of the carbohydrates when they are in limited supply. The result is enhanced fat burning and relatively quick weight loss as compared to a traditional dietary approaches.

There is no evidence to show that keto diets are damaging to the body. In fact, with their superior weight loss and associated reductions in inflammation in the body, there are a number of benefits, particularly for individuals with high blood glucose levels, fatty liver and significant amounts of weight to lose.

The primary issue with keto diets is that the total amount of carbohydrate consumed needs to be kept very low, or the body will quickly come out of ketosis. For example, a low carb diet for most of the day followed by an extra snack of chocolate or piece of banana bread will quickly negate any of the potential benefits of ketosis as the total amount of carbohydrate rises above the upper limits of 50g or so for the average adult.

Any diet including a keto approach will work if people stick to it. but in the case of keto diets, unless you are prepared to eat no grains, bread, cereals, fruit, starchy vegetables or sugars for long periods of time, it probably is not for you.

This Tuna crudo, burrata cheese, avocado and cream of tomato from Ormeggio restaurant in Sydney looks appetising, but avoiding carbs every day will probably be difficult.Source:News Limited

A keto diet uses foods that are high in fats to such as nuts, avocado, oils, oily fish and cheese to replace carbohydrate in the diet. For example, eggs and smoked salmon for breakfast, tuna salad with cheese for lunch and steak and avocado for dinner. While this dietary approach may appeal at first, the average person tends to get sick of eating such as limited variety of foods over time and will often crave more fresh fruit, grains and sugars over time which makes long term compliance, especially when individuals regularly eat in social environments challenging.

While the Atkins Diet promoted a low carb, high fat approach, the main difference with modern keto approaches is that the focus is on good fats such as olive oil, nuts, seeds and oily fish as opposed to fatty meats, full cream dairy and butter, for which a high intake is linked to increase blood fats. It also appears that the weight loss benefits and positive impact on inflammation in the body that is the result of a keto approach appears to negate any issues with consuming a high-fat diet in general, as long as the good fats dominate.

A less frequently mentioned issue with weight loss as a result of a LCHF diet is what happens when individuals return to their usual eating habits. While keto diets will work as long as they are followed, returning to a high carb diet is likely to result in rapid weight gain. Whats worse is if you try a LCHF diet again, you are unlikely to be able to replicate the results. This is because a reduction in metabolism has resulted due to muscle mass loss as part of the initial weight loss process. For this reason, when using a LCHF diet, expert advice to support a transition back to a regular style of eating is crucial to support long term weight loss maintenance.

Another big issue with a pure keto approach is that the diet tends to be relatively low in some types of fibre as grains, cereals and much fruit is eliminated. This can result in constipation, gut discomfort and means that the gut is not receiving the prebiotics known to benefit gut health and immune function long term. For this reason when planning a keto diet, much attention needs to be paid into the types of vegetables and supplements consumed to attempt to preserve gut health and function.

Keto diets and the fans that swear by them often refer to the improved physical and mental performance associated with consuming fewer carbohydrates. New research published by the Australian Institute of Sport to date has not supported this finding, with athletes on a LCHF diet failing to see the improvements in performance compared to a higher carb approach. While this is just one study, it does question the physical performance benefits often claimed by fans of LCHF diets.

So should you try it? Any diet will work when it is followed. The primary issue with a keto approach is that people do not do it properly to get the best results, or they are not compliant for the long periods of time it takes to get significant weight loss. If you do have significant amounts of weight to lose, or are struggling with high blood sugars or a fatty liver, it may be worth a try but do it with supervision from a dietitian to make sure you are doing it the right way to get the best results without damaging your metabolism or gut health long term.

Ever wondered how to live a long and healthy life? Here are some tips we can learn from our brothers and sisters overseas!

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Ketogenic diets for weight loss: High fat, low carb regimen works if ... - NEWS.com.au


Jul 2

Myron B. Pitts: Bottom line is screenings for colon cancer can save your life – Fayetteville Observer

What did you do to get ready for the July Fourth weekend?

I had my first colonoscopy last Thursday.

Im a few years shy of when doctors typically recommend these should start. But I experienced a big weight loss in the spring, and there were other less-dramatic concerns. African Americans are also at higher risk for colorectal cancer, so yay, another great statistic we belong to.

I had my appointment with Cape Fear Center for Digestive Diseases, off Boone Trail. Theres a name that makes it plain, huh? Diseases. Makes you think theyre bound to find something in your body thatll depress all your friends on Facebook, or at least the ones who like you.

Why are there no medical clinics named The Center for Rainbows and Ice Cream or The Center for Its Probably Nothing But Lets Take A Look-See Shall We?

Dr. Sanjeev Slehria, gastroenterologist, was my guy. On my weight loss, he said with a smile he figured journalism could be stressful, but not stressful enough to lose that much weight.

He scheduled me for an endoscopy, too, to look at my G.I. tract.

Your colon has to be clear of all guests, both long-term and overnight stays, so on Wednesday, I started a liquid diet. Jell-O I now consider the ramen noodle of desserts you go through the motion of eating it and dont feel one iota more full. Its a trick. So is broth.

They prescribe you a liquid solution to make you go, and I duly went. And went.

Thursday morning, my wife and I checked in at the somewhat palatial Digestive Health Endoscopy Center, farther down Boone Trail. The waiting room had the usual one bathroom per gender. I figured theyd have more in that particular waiting room, because of why people were there. On the other hand, I was the only one waiting who used the bathroom.

I surrendered my eyeglasses and phone to my wife, doctors orders. She kept my wallet, too, but that was her idea.

Everyone was nice at the Endo Center. The kind of people thatd be fun to meet over lunch and not just over a saline drip.

In the procedure room, Slehria told me what would happen. Id lie on my left side. In lay terms, camera 1 would go down the throat, and afterward camera 2 would travel up from the business end. I vaguely remember talking about vehicles,possibly electric cars, just before endoscopy tech Donna Raye inserted a mouth guard, and no it wasnt just to shut me up. Jessica Colombo, a nurse trained in anesthesia, administered the happy stuff.

I was out in seconds.

In a blink, I was back in recovery, nurse Dale Hatfield got me water, and my wife was by my side.

Slehria brought in lovely, well-lit pictures of my esophagus, stomach and colon. All relevantfeatureswere color-coded and numbered. You havent lived until youve seen a close-up of your cecum. It was like that sci-fi book Fantastic Voyage. But without the tiny submarine. Or the miniaturization of human beings. Or the sense of danger. OK, maybe it was nothing like that book.

What it truly was was easy. People should not fear a colonoscopy.

Colon cancer often has no symptoms until later stages. So screenings are important.

My colon screening, by the way, seemed to indicate no concerns, said Slehria, with a few tests still to come in.

Later, he told me people should start screening for colon cancer and colon polyps at age 50. The gastroenterologist associations now agree African Americans should start at 45, he said.

If polyps are found early, you can prevent colon cancer, he says, adding that cancer found earlier is more treatable.

And that, as they say, is the bottom line.

Columnist Myron B. Pitts can be reached at pittsm@fayobserver.com or 910-486-3559.

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Myron B. Pitts: Bottom line is screenings for colon cancer can save your life - Fayetteville Observer


Jul 2

Suffer from Arthritis? Study Seeks to Learn if Weight Loss and Exercise Help – Winston-Salem Journal

For older adults who suffer from knee pain caused by osteoarthritis, the future can look a bit bleak. But what if there was an opportunity to find relief, make some new friends and improve your lifestyle all by becoming part of a research study?

Wake Forest University will be conducting a study on knee osteoarthritis, otherwise known as OA, within a community setting, thanks to a federal grant, and they need willing participants. Curious? Here are 5 facts about the study to help you decide if its right for you.

1. The study has passionate and dedicated scientists rooting for it to work

Does 28 years sound like a long while? Thats the amount of time that Wake Forest professor Steve Messier and his colleagues have studied the topic of osteoarthritis and how diet and exercise can affect its severity.

According to Messier, OA is the leading cause of disability in older adults, with more than 250 million people suffering from it. Its safe to say the scientists behind these studies have your best interest at heart.

2. Wake Forest is bringing together a highly skilled and experienced team of scientists for the study

The National Institutes of Health have awarded this research team with the largest grant in the history of Wake Forest University, and the folks at Wake Forest are excited to share the process with a few other reputable institutions. The University of North Carolina at Chapel Hill, Brigham and Womens Hospital, Harvard University, East Carolina University and the University of Sydney in Australia are all planned as co-investigators in the study.

3. Unlike earlier studies, this one will be less controlled and more realistic

The latest study, which is known as WE-CAN, Weight Loss and Exercise for Communities with Arthritis in North Carolina will put the many years that Messier and his colleagues have worked on clinical study results into what they called a real-world setting. The study will have more variables than controls, since it will care for people with knee osteoarthritis in a community setting.

4. The results of WE-CAN could be a game-changer for those with OA

Doctors often treat OA with surgery or medicines and havent had a vehicle, as Messier puts it, to assist their patients with lifestyle changes, WE-CAN will be an ideal component to achieving success with exercise and diet.

The ultimate goal is to inspire communities to establish easily assessable common fitness spots, such as churches and community recreation centers, in both rural and urban areas in which physicians can direct their patients for long term treatment with exercise and diet that is cost-effective, an important component that could make it attractive to insurance companies.

5. If you suspect youre a candidate, you probably are

If participating in this new community study sounds appealing to you, theres a probability youre a candidate. Participants should be at least 50 years of age and overweight, with ongoing knee pain on most days. They will be grouped into two segments, with one as the diet and exercise group and one as the nutrition and health group. All in all, there is room for 820 adults (450 in Forsyth County) to take part in the study.

This study is significant in that it will test the effectiveness of a long-awaited and much needed community-based program, Messier says. It will serve as a blueprint for clinicians and public health officials in both urban and rural communities.

To learn more about this study, call 713-8539.

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Suffer from Arthritis? Study Seeks to Learn if Weight Loss and Exercise Help - Winston-Salem Journal


Jun 30

Jaime Ponce, MD Joins CHI Memorial Medical Group – The Chattanoogan

CHI Memorial Medical Group welcomes Jaime Ponce, M.D. Dr. Ponce earned his medical degree at Escuela De Medicinia Ignacio a Santos, Instituto Tecnologico Y De Estudios Superiores De Monterrey in Monterrey, Mexico. He completed his internship and residency in general surgery at East Tennessee State University.

Dr. Ponce is board certified in general surgery by the American Board of Surgery. He is bilingual with fluency in English and Spanish.

Dr. Ponce has been practicing bariatric surgery since 1998 and has extensive experience with gastric bypass, laparoscopic adjustable gastric band, gastric sleeve procedures, and endoscopic procedures like the intragastric balloon and revisional surgeries. He is medical director of CHI Memorial Weight Management Center.

Many in our community struggle with weight issues and the impact that has on their overall health, says Glyn Hughes, president, Mountain Management. Dr. Ponce understands the struggle and works with each person to develop the best plan for long-term weight loss success, leading to better overall health.

CHI Memorial Metabolic and Bariatric Care is at 7405 Shallowford Road, Suite 160, Chattanooga, TN 37421. Office hours are MondayThursday, 9 a.m.5 p.m. and Friday, 9 a.m.1 p.m. For more information, to make an appointment, or to register for a free informational seminar, visit http://www.ChattanoogaBariatrics.com or call 899-1000.

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Jaime Ponce, MD Joins CHI Memorial Medical Group - The Chattanoogan


Jun 30

The Truth About How Many Calories You Need to Eat to Lose Weight – WomansDay.com (blog)

Want to drop some pounds? Eat less, lose weight has always been the simple answer. And here's another proven diet tip: Since one pound of fat is equal to roughly 3,500 calories, simply delete this amount of food from your weekly diet and the scale will go down.

Right?

Well, there are a few more factors to consider when it comes to calorie counting in order to shrink your waistline. For one thing, not all calories are created equal.

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"Calories matter when it comes to weight loss and maintenance, and in order to lose weight, you must take in less energy than you expend," says Erin Palinski-Wade, RD, CDE, author of Belly Fat Diet for Dummies. "And how much energy you burn each day is dependent on your metabolic rate, as well as your physical activity."

She further explains that part of your metabolic rate is determined by the number of calories you burn during digestion. "This is where the calorie equation becomes tricky," continues Palinski-Wade. "A calorie from a simple to digest sourcefor example, a calorie from a simple sugar, like sodacan be converted into energy easily. Therefore, your body won't have to burn much energy at all to utilize and store energy coming from a simple sugar."

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However, a calorie that derives from a resistant starch (such as fiber-rich pulses, like beans, lentils, chickpeas, and peas) or from lean protein are harder for the body to breakdown and convert into energy. "And this means more energy will be burnt up during the digestion of these foods, increasing the total amount of calories you burn during the day."

Palinski-Wade breaks it down with numbers: For example, if you consume a 1,600 calorie diet rich in simple sugars, an estimated 100 calories would be needed to digest this food. "But if your diet is made up of 1,600 calories from fiber and protein-rich foods, you may burn closer to 300 calories during digestion," she states. "And that difference in calorie expenditure during digestion can have a big impact on body weight over time."

Also, calories count when it comes to hunger and satiety. Palinski-Wade refers to a study published in the journal Nutrition Journal, which concluded that pea protein was more effective at starving off hunger than whey protein. "And if the majority of your calories come from simple sugars, like Twinkies, you will most likely be left feeling hungry and unsatisfied, which will impact your ability to keep weight off long termnot to mention the negative health impact of consuming all of those empty calories and added sugars," she says.

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But generally speaking, there are benefits to becoming more mindful about the number of calories you're consuming on a regular basis.

"Determining the right number of calories for your body is highly educational if you have never paid much mind to calories before," says Elizabeth M. Ward, MS, RD, author of Expect the Best: Your Guide to Healthy Eating Before, During, and After Pregnancy. "It's great to be aware of calorie needs because it forces you to measure portions, so if you can learn how many portions you need for a healthy weight, you can quit thinking about every calorie."

And while cutting back on calories will most likely lead to a smaller number on the scaleespecially if you have a BMI (body mass index) that falls into the overweight or obese categorythis strategy will only work for a period of time. "That's where physical activity and a regular re-calculation of calorie needs comes in," continues Ward.

Calories count when it comes to hunger and satiety.

So what's the bottom line when it comes to calories and weight loss?

"Be aware of your total calories needs and intake," encourages Palinski-Wade. "Focus on a meal plan rich in fiber, plant-based fats, and lean proteins to promote satiety, which will naturally help you to control your portions and lose weight while taking in nutrients that promote health."

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"The most important thing to remember is that eating healthier, less processed foods will probably help you lose weight and improve your energy leveland consulting ChooseMyPlate.gov is a great place to start," says Ward. She suggests following the simple icon on the site, which advises filling half your plate with fruits and vegetables, one-quarter of the plate with protein, and the rest with grains.

"I would like the grains to be whole grains because they're filling and more nutritious," she concludes. "Round it out with a glass of milk or a cup of yogurtand no calorie counting needed."

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The Truth About How Many Calories You Need to Eat to Lose Weight - WomansDay.com (blog)


Jun 29

Medical weight loss without surgery – KING5.com

KING 5's Amity Addrisi reports.

KING 5 HealthLink / NBC , KING 6:54 PM. PDT June 28, 2017

Swallowing a large pill with an inflatable balloon helps take up space in patients stomach which over time and with exercise and diet promotes weight loss.

Eric Wilson hopes a pill will get him get rid of what he calls his "dad bod."

He's referring to the 20-30 extra pounds he wants gone.

So today, he's swallowing a pill filled with a balloon meant to keep him feeling full, so he eats less.

"I've always kind of fallen off the bandwagon, if you will, so this is kind of more a little long term motivation for me," said Eric.

Doctor Sachin Kukreja says the entire procedure requires three balloons swallowed two weeks apart. The balloons are filled with nitrogen gas, and they stay in the stomach for six months.

"Here's the first balloon that we put in two weeks ago. And here's the second balloon that we put in today. After six months, we do an upper endoscopy where we put the patient in twilight anesthesia and drop the end of the scope, we pop the balloon and pull them out," said bariatric surgeon Dr. Sachin Kukreja.

The procedure is for someone considered moderately overweight.

Eric says he's already lost 10 pounds. He tells his friends that combined with diet and exercise, the balloons could be key to losing that dad bod."

The balloon system is not covered by insurance, costs between $6,000-$7,000 and should be used in conjunction with a healthy diet and exercise.

2017 KING-TV

Originally posted here:
Medical weight loss without surgery - KING5.com



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