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Allurion Announces Premium Tiers For The Virtual Care Suite And … – MENAFN.COM
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Available in 15 languages and a library of evidence-based weight-loss actions related to mindset, habits, movement, wellbeing, and nutrition
Dubai, UAE Allurion, a company dedicated to ending obesity, announced the launch of premium tiers for the Virtual Care Suite (VCS) and the launch of its proprietaryMy Daily Actions bundle. The bundle is available in 15 languages including Arabic, with a library of evidence-based weight-loss actions related to mindset and habits, movement, wellbeing, and nutrition and eating. Starting today, the bundle is available to patients across the UAE.
Backed by cutting-edge behavioral science, My Daily Actions empowers patients to explore strategies that support healthy habit formation, which is essential for sustained weight loss and wellbeing. By self-selecting a simple action to accomplish, repeating the action daily, and tracking compliance through the Allurion App, patients develop new, healthier long-term habits. All the recommended actions are evidence-based, proven to support weight loss, improve wellbeing, and lead to a healthier lifestyle.
My Daily Actions has been developed and evaluated in a prospective study by Allurion's Behavioral Science team, led by Dr. Paul Sacher, Allurion's VP of Behavioral Science. The study incorporated proprietary weight-loss actions spanning mindset and habits, movement, wellbeing, and nutrition and eating. The study revealed that participants found the behavior change program beneficial and, as a result, implemented new, healthier actions into their daily routines to aid weight loss. Preliminary results of the study will be presented at the upcoming Canadian Obesity Summit on May 15, 2023.
The goal of My Daily Actions is to help patients make permanent changes in their behaviors so that they can achieve long-lasting weight-loss success, said Dr. Sacher.We specifically designed this new Allurion App bundle using cutting-edge behavioral science to enhance the support offered to patients via the Virtual Care Suite. It is a proprietary, patient-centered feature that demonstrates Allurion's laser focus on optimizing patient success.
Unlike other cookie-cutter approaches, the My Daily Actions experience offers strategies that are tailored to the unique needs and challenges of each person. In addition, clinics can view a patient's compliance with their actions to help track progress and support the patient to create healthier lifestyle habits.
The feature further enhances Allurion's reputation as a world leader in science-led digital weight-loss services. Shantanu Gaur, M.D., Allurion's Founder and Chief Executive Officer, said the My Daily Actions program was yet another robust tool to help weight-loss clinics enhance their care.
Long-term weight loss is achieved through behavior change. Balloon, surgery, and drug therapy all need to be coupled with behavior change to cement lifelong healthy habits and long-term success. We developed My Daily Actions through years of research to create a first of its kind program for all patients using the Virtual Care Suite, said Dr. Gaur.
Allurion offers flexibility to providers, who can choose between three different tiers of the Virtual Care Suite: one basic package and two premium plans. My Daily Actions is now available for providers using the premium VCS+ or VCS Custom plans. For providers who are interested in getting started with an AI-based remote patient monitoring solution, Allurion is now also offering a base VCS tier of services at no cost. This tier provides a wide range of features, with no charges for the software license for as many patients as desired. This pricing is not time-limited and is available today for anyone providing weight-loss care. Providers can upgrade to the premium packages at any time to take advantage of My Daily Actions.
About Allurion:
Allurion is dedicated to ending obesity. The Allurion Program is a weight-loss platform that combines the Allurion Gastric Balloon, the world's first and only swallowable, procedure-less gastric balloon for weight loss, the Allurion Virtual Care Suite, including the Allurion Mobile App for consumers, Allurion Insights for healthcare providers featuring the Iris AI Platform, and the Allurion Connected Scale and Health Tracker devices. The Allurion Virtual Care Suite is also available to providers separately from the Allurion Program to help customize, monitor and manage weight-loss therapy for patients regardless of their treatment plan: gastric balloon, surgical, medical or nutritional.
Allurion is a trademark of Allurion Technologies, Inc. in the United States and countries around the world.
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Allurion Announces Premium Tiers For The Virtual Care Suite And ... - MENAFN.COM
Diabetes and obesity: Questions and answers with Carolina Solis … – UT Health San Antonio
Contact: Will Sansom, 210-567-2579, sansom@uthscsa.edu
On this Diabetes Alert Day, March 28, 2023, we present a conversation with Carolina Solis-Herrera, MD. Solis is chief of endocrinology in the Joe R. and Teresa Lozano Long School of Medicine, which is part of The University of Texas Health Science Center at San Antonio. She speaks about both diabetes and obesity, which she treats in patients at the UT Health Physicians diabetes, obesity and metabolic health practice.
Q: Dr. Solis-Herrera, what is one of the newer medications for type 2 diabetes and obesity?
A: Thank you for the opportunity to talk about this important topic. Semaglutide is one of the medications we have at our disposal to treat patients with these conditions. In addition to treating diabetes, one of its additional effects is that you lose weight because it curbs your appetite.
The following has not been addressed often in the media, and it is very important for the public to know. Some clinics are announcing semaglutide for $25 in social media. It is not clear the formulation or the dose the patients will be receiving, which creates safety concerns. We advise patients to see their physicians to be prescribed any medication.
Q: What class of drug is semaglutide, doctor?
A: It is a GLP1-receptor agonist and is what we call a second-generation drug for diabetes and obesity. Currently, more medications are in the pipeline for treating these conditions.
Q: Do you think people underestimate the risks of obesity?
A: It is very important for the public to know that, just like diabetes, obesity is a chronic inflammatory disease that needs to be addressed immediately with lifestyle intervention and FDA-approved medications. Obesity is as important as high blood pressure, high cholesterol and diabetes, and has just as many complications that if untreated increase the risk of heart attacks, strokes, increased blood pressure and diabetes. It also decreases life span. It is very important, if you are overweight or obese, to seek medical attention.
Obesity can affect every organ, from your brain and lungs to your heart and kidneys, among many other organs. Obesity is associated with and increases your risk of multiple cancers including colon, liver and pancreatic cancer, and it seems to also possibly be associated with dementia.
The obesity pandemic needs to be treated as an emergency. According to a recent study, for the first time in our lives weve noticed life expectancy in America starting to go down. After a century of increasing life span, in 2020 the average longevity dropped 1.8 years and in 2021, it fell another 0.9 years. That is the biggest two-year decrease since the 1920s.
The drop is even greater in minority populations, including Hispanics and Blacks, and it is in part because of diabetes and obesity.
Q: You dont have to be diabetic to be obese, right?
A: Correct. However, patients with obesity may have insulin resistance, which might later translate into type 2 diabetes. Inversely, about 70% of patients with diabetes are overweight or obese. As you gain weight you become more insulin-resistant, and this is how both pandemics of diabetes and obesity go hand in hand.
Obesity and diabetes are associated with the potential development of fatty liver, fatty kidney, fatty pancreas and fatty heart as fatty acids continue depositing in different organs. We usually only talk about fatty liver, but damage in the other organs is also devastating.
About 80% of patients with diabetes have fatty liver. The American Diabetes Association recommends that 100% of patients with diabetes get screened for it. Why? Because a percentage of these patients will develop liver cirrhosis and end-stage liver disease and will need a liver transplant.
Q: And they are at risk for liver cancer.
A: Yes, obesity and fatty liver may increase the risk for hepatocellular carcinoma. Therefore, screening for fatty liver is so important. The best treatment for fatty liver is weight loss. When patients lose weight and improve their glucose control, we are also treating the fatty liver.
Q: New drugs help patients lose weight, but what about lap bands and gastric bypass to treat obesity?
A: Bariatric surgery certainly has a place in the management of obesity. First, not every patient is a candidate for a GLP1-receptor agonist such as semaglutide. If they have a history of severe pancreatitis or they cannot tolerate the medication, we will need to use other resources to help them lose weight.
Oral medications that we call first-generation obesity drugs, which came before semaglutide, may help patients lose about 5% to 8% of their body weight, which is still very good. As you lose more weight, there are better outcomes in your diabetes control and the complications of obesity.
Our goal is to help patients lose about 10% to 15% of their body weight. Their sugar will get better, their fatty liver will get better and their overall health will significantly improve. Blood pressure will get significantly better. They will be able to cut down on their medications.
Patients who have a body mass index over 40 and other comorbidities, and go through a specialty assessment, could be good candidates for bariatric surgery. This type of surgery will help them lose a significant amount of weight, with the goal of improving their health and life span. However, they need to start with changes in lifestyle and, if possible, anti-obesity medication.
It is important for all patients to be treated in a multidisciplinary way, meaning they receive a continuum of care encompassing proper nutrition, behavioral therapy, medications and, if indicated, bariatric surgery. Following a bariatric procedure, they need follow up, because after surgery, the body might have some vitamin deficiencies and also might regain some of the weight.
This is why obesity is a medical condition that requires long-term follow-up. It is just like high blood pressure. The day that you remove the medication, your blood pressure goes up. For obesity, the day that you remove the medication, the weight comes back, and if you already have comorbidities, they come back as well. Education of primary care providers and patients is greatly needed in this area.
Q: That is an important message for the public. These and other medical conditions need continuous education and action every day, not only on Diabetes Alert Day, correct?
A: Yes. Remember, we are in a part of the United States where type 2 diabetes prevalence is among the worst in the country. About one in six people (16%) in San Antonio have it and many of them dont even know it. In the Rio Grande Valley, it is closer to one in five people. The public needs information about diabetes and obesity to help communities stay healthy.
Q: Hemoglobin A1C, the three-month test for diabetes, is interesting to people. You can be lulled into thinking you are OK because your HbA1C looks good, right?
A: Yes, because you can have a lot of highs and lows in your sugars and HbA1C, which is an average of your sugar values over time, will not reflect it. This is where continuous glucose monitoring, or CGM, is important. CGM is a service that we provide here at the UT Health Physicians diabetes, obesity and metabolic health practice.
CGM can show you if the patient is having significant episodes of low or high sugars, and we are able to adjust medications accordingly. The device is the size of a quarter or a penny depending on the brand. It feels like a little shot as it is attached. Patients wear it for two weeks, then return. We download the report, and its a great teaching tool for the patients and physicians. The device also has alarms, which are a great advantage for patient safety. If a significant low or high are present, alarms will alert you to check your sugar, and take action before there are any negative outcomes such as severe hypoglycemia (low blood sugar).
CGM devices represent a technological advance that improves outcomes in patients, decreases hospitalizations and likely saves lives.
Q: Thank you for this timely discussion, Dr. Solis-Herrera.
Diabetes | UT Health San Antonio Appointments: 210-450-9050
The University of Texas Health Science Center at San Antonio(UT Health San Antonio), is one of the countrys leading health science universities and is designated as a Hispanic-Serving Institution by the U.S. Department of Education. With missions of teaching, research, patient care and community engagement, its schools of medicine, nursing, dentistry, health professions and graduate biomedical sciences have graduated more than 41,100 alumni who are leading change, advancing their fields and renewing hope for patients and their families throughout South Texas and the world. To learn about the many ways We make lives better, visitUTHealthSA.org.
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Diabetes and obesity: Questions and answers with Carolina Solis ... - UT Health San Antonio
The Reverse Dieting Solution: Gradual Calorie Increase for Long … – Unique Times Magazine
Reverse dieting is a nutritional strategy that involves gradually increasing calorie intake after a period of dieting or calorie restriction in order to prevent weight gain and maintain a healthy body composition. This approach is based on the principle that the body adapts to lower calorie intake by slowing down its metabolism, so increasing calorie intake gradually can help the body adjust and prevent rebound weight gain.
Reverse dieting typically involves adding small amounts of calories back into your diet each week, while monitoring your weight and body composition to ensure that you are not gaining too much fat. The goal is to slowly increase your calorie intake to a level that allows you to maintain your weight without gaining any excess fat.
Reverse dieting can be helpful for several reasons:
Its important to note that reverse dieting is not a quick fix or a magic solution for weight loss or weight maintenance. It requires patience, discipline, and careful monitoring to ensure that you are increasing your calorie intake in a healthy and sustainable way. If you are considering reverse dieting, its a good idea to consult with a registered dietitian or nutritionist to help you develop a safe and effective plan.
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The Reverse Dieting Solution: Gradual Calorie Increase for Long ... - Unique Times Magazine
Here’s Why Chris Martin’s One-Meal-a-Day Diet Isn’t Such a Great Idea – Men’s Health UK
Chris Martin was recently interviewed on the Conan OBrien Needs A Friend podcast where he revealed that he doesn't eat dinner anymore and stops eating altogether at 4pm. He then went on to say that it wasn't a nutritionist whose advice he was following but that of Rock God Bruce Springsteen.
'I was lucky enough to go over there for lunch the day after we played Philadelphia last year,' said Martin. 'I was on a really strict diet anyway. But, I was like 'Bruce looks even more in shape than me.' And Patti [Bruce's wife] said, 'he's only eating one meal a day' so I was like, well, there we go, that's my next challenge.'
He's not the only one in Hollywood, or the only one in his family, sharing their eating (or perhaps, lack of eating) habits. Last week Martin's former partner, Gwyneth Paltrow caused a stir on social media, admitting she also employs an intermittent fasting regimen. Paltrow revealed on the Art of Being Well podcast she feasts upon a hearty diet of 'bone broth for lunch a lot of the days. Then for dinner I try to eat according to paleo, so lots of vegetables.'
Needless to say, we're not convinced, but let's weigh up the facts on fasting.
Intermittent fasting (IF) has gained popularity with other celebrities such as Mark Wahlberg and Hugh Jackman touting its benefits. But what is it?
Intermittent fasting is an eating method where you simply limit the hours in which you eat. Some versions of intermittent fasting include:
Whilst research is limited, there have been some benefits found by adopting the IF eating method, including:
Despite this, when compared with calorie restriction, a 2022 study found IF to be no more effective. The study published in the New England Journal of Medicine included 139 participants with obesity and assigned them to time restricted eating (intermittent fasting) with calorie restriction or daily calorie restriction alone. The results found that changes in weight were not significantly different between the two groups at the assessment 12 months later. It concluded that 'among patients with obesity, a regimen of time-restricted eating was not more beneficial with regard to reduction in body weight, body fat, or metabolic risk factors than daily calorie restriction.'
According to research by the American Journal of Lifestyle Medicine, one of the most important factors that dictate long term weight loss success is adherence. As with any diet, it's important the body is being fed with the nutrients it needs. Depriving the body of certain foods needs to be done under the guidance of a professional to ensure it's done safely and helps you achieve what set out to without harming yourself in the process.
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Here's Why Chris Martin's One-Meal-a-Day Diet Isn't Such a Great Idea - Men's Health UK
House Of The Dragon To Get Shorter Season 2 As HBO Series Eyes Season 3 Greenlight – Yahoo Entertainment
EXCLUSIVE: The upcoming second season of HBOs House of the Dragon will consist of eight episodes, two fewer than Season 1 of the Critics Choice Award-winning Game of Thrones prequel. It is part of a long-term plan for the show, which includes HBO mulling a green light for a third season, I have learned.
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The news comes as production is about to begin on Season 2 in the UK for a likely summer 2024 premiere.
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In what is a relatively common practice, HBO did not reveal the episode order in the Season 2 renewal announcement last summer. I hear the initial plan was for another 10-episode arc, which eventually changed, leading to some script rewrites. Given the leadership change at HBOs parent company, some pointed at Warner Bros. Discovery leaderships focus on cost-cutting. An HBO spokesperson, who confirmed to Deadline that Season 2 will contain 8 episodes, stressed that the episode count trim was story-driven.
It has been reported that House of the Dragons creative team had envisioned the series running for three or four seasons. I hear executive producer-showrunner Ryan Condal, working with author/executive producer George R.R. Martin, took a step back as Season 2 was being put together to take a big-picture view of the series, which follows MartinsFire & Blood, and figure out the overall narrative flow, including how to break up the stories season-to-season and what battles to include and when.
Story continues
As part of that, I hear Season 3 has been mapped out and might be greenlighted, with HBO seriously considering committing to moving ahead with scripts, casting and a production plan as the network too is trying to think long-term instead of season-to-season.
With a portion of the plot originally intended for Season 2, including a major battle, moving to Season 3, I hear it is now more likely that the series would run for four seasons, but that has not been determined as Condal and Martin continue to go back-and-forth on the number of seasons (three or four) that would be optimal to tell the full story, sources said.
In an October blog post, Martin spoke of the fact that HBO series like The Sopranos used to get 13 episodes a season, which had changed to 10 by the time Game of Thrones came along. The Emmy-winning fantasy juggernaut produced six 10-episode seasons, leading into the final 13-episode chapter that was split into two. This is more than the eight-episode seasons of Amazons LOTR: The Rings of Power, he noted.
RELATED: House Of The Dragon Premiere Photo Gallery
I am thrilled that we still have 10 hours every season to tell our tale, Martin said about House of the Dragon. I hope that will continue to be true. It is going to take four full seasons of 10 episodes each to do justice to the Dance of the Dragons, from start to finish.
House of the Dragon is set 172 years before the events ofGame of Thronesand tells the story of House Targaryen.
Warner Bros. Discoverys new regime embraced the series last summer, supporting the $200M production with the biggest marketing campaign in HBOs history, which reached 130M people in the U.S.by company estimates.
It led to a big ratings splash for the series August 21 premiere, which was followed by a Season 2 renewal a few days later.
House of the Dragon stars Paddy Considine, Matt Smith, Olivia Cooke, Emma DArcy, Steve Toussaint, Eve Best, Fabien Frankel, Sonoya Mizuno and Rhys Ifans.
Condal and Martin executive produce with Sara Hess, Vince Gerardis, Season 2 director Alan Taylor and Season 1 director/co-showrunner Miguel Sapochnik.
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House Of The Dragon To Get Shorter Season 2 As HBO Series Eyes Season 3 Greenlight - Yahoo Entertainment
Top Weight Loss Plans For Men In 2023 Forbes Health – Forbes
Regardless of the diet you choose to adhere to, experts note that the main driver of weight loss is via a caloric deficit (in which you burn more calories than you consume). This is why a high protein diet seems to produce such favorable changes in body compositionthere is evidence to suggest that higher protein diets may indeed promote a loss of body fat through mechanisms related to the thermic effect of feeding (the amount of energy it takes to digest and process the food you eat), as well as promoting better satiety.
With that in mind, there are many expert-backed eating patterns that can promote weight loss for men. Here are a few of the top recommendations.
Julie Miller Jones, Ph.D., a board-certified nutritionist and scientific advisor for the U.S. Food and Drug Administration and the Joint Institute of Food Safety and Nutrition for the University of Maryland, recommends the Dietary Approaches to Stop Hypertension (DASH) Diet for men interested in weight loss.
Originally developed by the National Heart, Lung and Blood Institute to help lower blood pressure, the DASH Diet provides general guidelines of how many servings from each food group you should aim for each day. In particular, the diet emphasizes fruits, vegetables, whole grains, low-fat dairy products, vegetable oils, fish and poultry. While calorie counting is not required with this eating plan, it doest limit daily sodium intake to 2,300 milligrams or less. It also recommends limiting foods high in saturated fats, tropical oils and sugar-sweetened beverages.
As Dr. Miller Jones points out, the DASH diet is not overly restrictive and can be followed long-term. I always say that you should never go on a diet that you cannot live with for the rest of your life, she says. There are no forbidden foods, just foods that you should choose infrequently, and the DASH diet supports this mantra.
While the DASH diet is famous for its heart health benefitssuch as lower blood pressure and LDL cholesterolit can be effective for weight loss, too, as it encourages nutrient-dense whole foods and physical activity. According to one review of 13 studies, a low-calorie DASH diet was found to be more effective for weight loss and fat loss than other low-calorie diets.
Joan Salge Blake, a registered dietitian and nutrition professor at Boston University, recommends both the DASH Diet and Mediterranean diet as her top choices for weight loss for men. Both are backed by research and have been shown to reduce the risk of heart disease, the leading cause of death among Americans, especially men, says Salge Blake.
The Mediterranean diet, in particular, includes ample amounts of fruits, vegetables, whole grains, fish and legumes, along with plenty of heart-healthy fats, such as olive oil. While no foods are excluded from the diet completely, red meat and sweets should be limited.
One 2020 study found that greater adherence to the Mediterranean diet was associated with two times greater likelihood of weight loss maintenance. Researchers note that this may be attributed to the increased intake of fiber and protein on the Mediterranean diet, both of which can increase feelings of fullness and satiety.
In addition to promoting weight loss, the Mediterranean diet has also been linked to a variety of other health benefits, including a reduced risk of high blood pressure, metabolic syndrome and type 2 diabetes. As Salge Blake points out, it may also help protect against heart disease, which accounts for about one out of four male deaths in the U.S., according to the CDC.
Intermittent fasting is a popular dietary practice that has been associated with a number of health benefits. The general idea of intermittent fasting is to cycle between periods of eating and fasting within an allotted period of time, and one of the most common variations is 16/8 fasting, which involves fasting for 16 hours and limiting food intake to an eight-hour window each day.
According to Chicago-based registered dietitian, Amber Dixon, This helps to reduce insulin levels, which can help with fat loss. Dixon also notes that fasting can force the body into ketosis, a metabolic state in which the body burns fat for fuel instead of sugar.
Interestingly, one review of 27 studies found that intermittent fasting could be as effective as a calorie-restricted diet when it comes to weight loss, with studies reporting an average weight loss of up to 13% of body weight with no serious side effects.
I recommend a whole food, plant-based diet for men for weight loss, says Dana Ellis Hunnes, Ph.D., a senior clinical dietitian at UCLA Health. Plant-based diets are high in fiber, fruits and vegetables, which are anti-inflammatory, are satiating and fuel your muscles and brain. While there are different iterations of plant-based diets, they all emphasize nutritious plant foods while limiting animal products, such as meat, eggs and dairy, as well as refined and processed foods.
For weight management in particular, research suggests that plant-based diets can help prevent overweight and obesity, improve diet quality and promote weight loss.
In addition to supporting weight loss, Dr. Ellis Hunnes also notes that plant-based diets can promote muscle growth, reduce inflammation and provide a wealth of essential vitamins and minerals. Furthermore, additional research suggests that plant-based diets may protect against chronic conditions like heart disease, cancer and type 2 diabetes.
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Top Weight Loss Plans For Men In 2023 Forbes Health - Forbes
The Physiology of a 24-Hour Mountain-Bike Race – Outside
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When people say, You cant outrun a bad diet, I smile and nod. Its perfectly true, in a holistic sense. Exercise and diet are two different things, with separate effects on your health and performance. You cant automatically compensate for deficiencies in one area by being extra good at the other, any more than donating to charity makes it OK to embezzle at work.
Still, theres a little voice in my head that asks: Well, how far were you planning to run? It may be true that youd have to jog three or four miles to burn the calories in a single McDonalds Happy Meal, but some people run a lot farther than four miles. The question of how many calories a person can burn in a given day is an interesting scientific one, with some researchers arguing that our ability to get food through the digestive tract is actually the fundamental limitation on feats of sustained human endurance.
Thats why a new study in the International Journal of Sports Physiology and Performance, from a team led by Brent Ruby of the University of Montana along with colleagues from the University of Wisconsin, caught my eye. Ruby and his colleagues collected a bunch of data from a competitor in the Mudslinger Oregon 24, a mountain-bike race in Oregon that involves racking up as many 11-mile loops as you can in 24 hours. The most interesting detail: they fed their subject a dose of very expensive doubly labeled watera mix that contains water molecules with either an uncommon isotope of hydrogen or an uncommon isotope of oxygenthat enables them to calculate with very high accuracy how many calories he burned over the course of his 24-hour ordeal.
The subject, a 41-year-old male, managed to complete a very impressive total of 238 miles. The course, for context, includes dominantly soft-dirt, single-track, and loose-gravel fire roads with occasional large rocks that required periodic rider dismount. In the process, he also climbed a total of over 25,000 feet, not too far from Everesting. He started out with an average heart rate of 162 beats per minute for the first three laps, but had dropped to 113 for the last three laps, with an overall average of 134. He wasnt messing around.
His total energy expenditure during the event was 9,775 calories. In round numbers, thats roughly quadruple the typical energy expenditure of an adult male whos living a normal life rather than biking all day and night. Its a lotbut its not unprecedented. Earlier studies have tended to focus on extreme examples like polar explorers and Grand Tour riders. A 2019 study, for example, found that seven riders in the Giro dItalia averaged 7,719 calories per day for 24 straight days.
An earlier paper by Ruby and his colleagues found that Ironman triathletes burned just over 9,000 calories, and that ten Western States 100-mile finishers averaged a total expenditure of 16,310 calories while finishing in 26.8 hours. That works out to a little over 14,000 calories per 24-hour period. Again, thats just an average: some of the subjects were several thousand calories higher. Those who run 100-mile races are not exactly typical shmoes, but Ruby is careful to point out that these werent the people winning the race. The title of that paper is Extreme endurance and the metabolic range of sustained activity is uniquely available for every human not just the elite few.
Of course, you cant go on burning that much fuel indefinitely. Thats the point Herman Pontzer and John Speakman make about the alimentary limit on sustained endurance: you simply cant eat (and digest) that much. In this case, Rubys 24-hour cyclist managed to shovel down 5,616 calories, a little over half of what he burned. Most of that was in the form of carbohydrate, which he managed to consume at a rate of 58 grams per hour. Thats impressively close to the traditional guidance for marathoners of 60 grams per hour (though more recent research has pushed the target up to 90 or even 120 grams per hour). Given how much trouble most people have stomaching that amount of carbohydrate, its hard to imagine the cyclist doubling his intake over an entire day.
One other detail enabled by the doubly labeled water measurement: his total water turnover was 17.2 liters (about 4.5 gallons). He drank 13.3 liters (3.5 gallons), and lost about seven pounds from start to finish. That weight loss came entirely in the first half of the race, which was during the daytime in temperatures that climbed as high as 92 degrees Fahrenheit with 84 percent humidity. During the night, it dropped to 37 degrees with 17 percent humidity, so its not surprising his fluid loss stabilized.
We dont get any information about how the cyclist made his fuel and hydration decisions, but its interesting how closely his rate of fluid consumption (the darker line in the graph below) matches the air temperature (the lighter line) over the course of the race. Its what youd expect to see if someone was drinking according to thirst:
When it was hot, he drank a lot; when it was cool and he was presumably sweating less, he drank less. Given that some of the seven pounds he lost would be the result of burning fuel stores rather than losing fluids, its likely that he got his hydration pretty close to perfect.
Ruby is probably most famousor infamousfor a study he ran back in 2015 that compared McDonalds fast food with products from Gatorade, Cliff, Power Bar, and other sports nutrition companies. They all worked equally well for restocking glycogen after a 90-minute bike ride and fueling a subsequent 20K time trial. Calories, in this view, are calories (or at least carbs are carbs). As I said at the top, I dont think thats true in the long term: theres more to health than burning as many calories as you consume. Still, its not a bad place to startand Rubys data offers a reminder that, with sufficient fitness and motivation, were capable of burning a staggering number of calories.
For more Sweat Science, join me on Twitter and Facebook, sign up for the email newsletter, and check out my book Endure: Mind, Body, and the Curiously Elastic Limits of Human Performance.
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The Physiology of a 24-Hour Mountain-Bike Race - Outside
Can You Really Lose Weight on a McDonald’s-Only Diet? It’s More … – Health.com
Zak Nuttall (500px)/Getty Images
Is it possible to lose weight while eating a diet consisting solely of fast food from McDonalds? According to Tennessee grandfather Kevin Maginnisaka @bigmaccoaching on TikTokyou can.
Maginnis, 56, began documenting his McDonalds-only diet on the social media platform in February. His goal: to eat McDonalds morning, noon, and night for 100 straight days, to show himself and his followers that its not as much what youre eating, its the quantity that [youre] eating.
His plan was widely received on TikTok before the platform banned his account. Maginnis first video garnered more than 2.2 million viewsbut that doesnt mean this diet trend comes free from controversy. Though Maginnis has lost weight so far on his unconventional plandown 21 pounds since his last weigh inmany experts are concerned not only for his health but also potentially the health of people who are inspired by him.
Heres what you need to know about Maginnis McDonalds-only diet, why it might be leading to some weight loss, and why the results may not necessarily be healthy or sustainable.
The McDonalds-only diet is not an official eating planit was not created by registered dietitians and there are no clinical trials available to evaluate its safety or effectiveness.
The diet was created by Maginnis himself, on February 21, according to his TikTok videos. The diet only has a few simple rules:
An exercise recommendation is not included on this plan, and Maginnis claims he only gets in around 2,000 steps daily.
Desiring to reach a healthy weight, Maginnis said he tapped into his past experiences being an ex-wrestler and boxer. Since calorie restriction helped him lose pounds and inches in the past, he decided to try limiting portion sizes at his beloved fast food joint and only eat when he is hungry.
According to his most recent TikTok update, Maginnis has been on his diet for 21 days and hes lost 21 pounds.
The reason for that, largely, is calorie restriction. The reason [Maginnis] is losing weight on this diet is because he is consuming fewer calories than he is burning each day, Lainey Younkin, MS, RD, LDN, weight loss dietitian atLainey Younkin Nutrition, told Health.
Maginnis weight loss isnt necessarily surprising to experts. Idrees Mughal, MBBS, a Britain-based physician with an additional masters in nutritional research, said that when the goal is purely weight loss, how much you eat is more important than what you eat.
What hes eating may also be contributing to the weight loss. He is consuming protein at each meal, which suppresses appetite and keeps you full longer, Younkin said. This could be leading to less snacking than he was doing before and a calorie deficit at the end of the day.
But whether his weight loss will be sustainable and able to be maintained is yet to be determined. The true test wont actually be whether or not he can lose the weightmany different calorie deficit diets lead to weight lossits whether or not he will keep it off, registered dietitian Sarah Anzlovar, MS, RDN, LDN, owner ofSarah Gold Nutrition, LLC, told Health.
According to Anzlovar, most people regain weight lost within six months to one year because bodies increase the drive to eat and metabolism often slows down with weight loss. Once someone like Maginnis stops his weight loss experiment, he will need to maintain a significant calorie deficit in order to maintain the weight loss, Anzlovar said.
Mughal agreed that while it is true that in the short term, simply reducing the amount you are eating can offer some health benefits, it likely wont be a sustainable strategy. Both quality and quantity of food impact weight loss for long-term success, he said.
In addition to his 21-pound weight loss, Maginnis McDonalds-only diet has also resulted in a reduction in many of his heart-health markers, including his triglycerides, LDL cholesterol, and total cholesterol, he said in his TikTok videos.
In the short term, heart health can improve among people with obesity who lose a significant amount of weight. The weight loss will override the unhealthy dietary pattern, Dr. Mughal said.
But unhealthy eating patterns will catch up with people who dont prioritize diet quality. Eventually, it will negate the beneficial effects of the weight loss, Dr. Mughal said, adding that as ones health journey continues, diet quality needs to become the focus without actively restricting calories to keep hunger cues and the risk of binge eating in check.
Weight loss and heart health markers aside, McDonalds food is not nutritionally up to par to support overall health.
McDonalds meals significantly lack fruits and vegetables, which contribute important minerals, antioxidants, and fiber to your diet, Anzlovar said. This could not only significantly affect digestive health, but it could also lead to vitamin and mineral deficiencies unless a multivitamin is included.
In fact, research has confirmed that these patterns among fast food eaters lead to poorer diet quality; higher intakes of total and saturated fats, sugar, and sodium; and lower intakes of fiber, dairy, fruit, vegetables, and micronutrients.
Underconsumption of nutrient-dense foods like produce, whole grains, nuts, and seeds is linked to an increased risk of many chronic diseases, including type 2 diabetes and coronary heart disease.
And while Maginnis may be getting a good amount of protein in his diet, the protein provided by many fast food establishments is often ultra-processed, which means its loaded with sodium, Younkin said, adding that ultra-processed foods have also been linked to high blood pressure, heart disease, and certain cancers.
[But] since this is a short-term experiment, its hard to know exactly how much it will affect long-term health, Anzlovar said.
Though Maginnis has seen some short-term success on his McDonalds-only diet, experts certainly arent recommending others to follow in his footsteps.
For the most part, Americans are urged to follow the MyPlate method, which was developed to help people incorporate the recommendations established by the Dietary Guidelines for Americans. The method includes making half of your food volume fruits and vegetables at meals; with lean proteins, dairy, and quality carbohydrates making up the remainder of the plate.
McDonalds foodor fast food in generaldoesnt neatly fit into those guidelines. [I cannot] think of a single combination of a McDonalds meal that would fit these goals, registered dietitian and author Lauren Harris-Pincus, MS, RDN, told Health. Especially since they no longer offer salads or grilled chicken on the menu.
Its also important to remember that weight loss alone doesnt necessarily improve health markers over the long term.
Research has shown that even with maintained weight loss, poor health habits, including diet quality can negatively affect metabolic markers such as cholesterol and blood sugar, Anzlovar said. On the flip side, incorporating healthy habits like eating fruits and vegetables and other health-promoting foods along with exercising can improve long term health.
So while jumping on this TikTok trend may sound appealing, there are some long-term risks associated with eliminating entire food groups, especially if this diet is adopted for an extended period of time.
Because of this, trying any diet should be discussed with your healthcare provider beforehandespecially if its one that involves hitting the drive-through window multiple times a day, as it will not be an ideal match for most people who want to achieve long-lasting health benefits.
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Can You Really Lose Weight on a McDonald's-Only Diet? It's More ... - Health.com
New weight loss medications offer help and hope in obesity fight – 2 News Oklahoma KJRH Tulsa
TULSA, Okla. Americans are piling on the pounds. According to the Centers for Disease Control and Prevention, the prevalence of obesity in the United States had reached 41.9% by 2020. Health professionals agree it is a complex problem. While behavioral changes are first on their list of recommendations, three new medications are offering help and hope to patients.
"This is me being vulnerable!" Ali Herman stated in a recent Tiktok video from her account @lifeon120. "I'm scared of needles and I'm about to inject myself."
The first step in Ali Herman's weight loss journey was a tough one that she shared on social media. She showed her first injection of the new weight loss drug, Mounjaro.
"I was like, it's gonna hurt. It's gonna hurt it's gonna hurt," Ali Herman said. "and I completely psyched myself out."
Only Ali found that first injection did not hurt, after all. She insists she did not even feel it. Ali, who lives in Beggs, turned to
"I fought weight all my life. I fought obesity all of my life," said Matt Lee, APRN, CNP.
As one who has battled to keep weight off, Lee has tried the medications. So has his wife, Abbi, who has lost more than 80 pounds. His patients, who range in age up to their 70's have lost up to 100 pounds. Ali lost 43 after four months on the program.
Across the nation, patients are asking for obesity drug Wegovy and type 2 diabetes drug Ozempic - which share the same active ingredient: Semaglutide. Ozempic was approved for the treatment of type 2 diabetes back in 2017. Then, a higher dose of semaglutide was approved for weight loss treatment. Pharmacists say the medication helps the body regulate blood sugar, makes you feel less hungry and fill up faster while eating. The most recent drug, approved in 2022, is Mounjaro. Tirzepatide was first developed as a new diabetes drug. However, after clinical trials found patients lost up to 22-percent of their body weight, more than triple the benefit of older drugs for obesity, it is now under fast-track consideration by the FDA for weight loss treatment.
At his Sapulpa health and wellness clinic, Lee says the phones ring constantly with people calling for information on the options for weight loss. Patients must have a BMI of 27 and not have certain medical issues such as pancreatitis.
However, Lee insists his patients must make changes for long term success.
"Because it's not a magic drug. I know there's a lot of people making it out to be that but we still want people to exercise, we still want people to improve their diet overall. Drink their water like they should," Lee stated.
In Tulsa, Dr. Micah Derby, who specializes in internal medicine at OSU Medicine, also prescribes the newer weight loss medications to some of his obese patients.
"We first talk about lifestyle modification, always and forever," said Micah Derby, D.O., internal medicine physician at OSU Medicine in Tulsa. "Like, 'Hey, are you are you exercising? Are you doing, you know, portion control? What are you doing to obtain your weight loss without medicinal help.'"
He also warned some patients can develop side effects ranging from headaches to nausea and gastrointestinal issues such as diahhrea. Dr. Derby also said it is not recommended for patients with a history of pancreatitis, slow gut syndrome or medullary thyroid carcinoma.
"These medications kind of help you forget to eat and drink," Dr. Derby said. "Forget to drink water, your blood pressure is going to get down and you're going to get a little dizzy. So, all kinds of different types of side effects but mostly it's mostly what we say gastrointestinal."
While drug manufacturers say these new medicines promise fewer side effects than their predecessors, Dr. Derby says every medication needs to be carefully considered. He encourages patients to discuss options at length with their physician and decide if one of the new medications is the best way to move forward. He has seen that the medications can help patients leap the weight loss hurdle they struggled with before.
For patients who reach their goal weight, there are options. Doctors say there is data showing patients can stay on the medication for an extended duration of time with close monitoring of health and dosage. However, those who come off the medication will have to stay vigilant to avoid weight gain.
"If they have not taught themselves good eating habits during the time that they're using it, of course, nature is going to do what nature does. You're still eating your pizza, your cheeseburgers, your weight is going to come back on," Dr. Derby added.
As for the cost, there is a wide range depending on whether it is prescribed by a physician or private clinic, if the patient has insurance, and if the health insurance company covers the medication. With complete health coverage, some patients pay as little as $25 a month for treatment. There may be coupons available online to patients who qualify for the drug manufacturer's discounts. Those without coverage may face expenses up to $1,000 per month. At Divine Health, monthly treatment is approximately $300 per month.
Matt Lee believes the health improvements his patients are seeing will improve their long term health. "We're preventing the high blood pressure, we're preventing the diabetes, we're preventing the high cholesterol," Lee said. "And hopefully we are preventing some of the cancers that are related to it as well."
Ali Herman found losing weight helped bring two key of her health conditions, Hashimoto's and Polycystic Ovarian Syndrome (PCOS), under control. The weight loss has also greatly improved her outlook.
"Mind over body you can do this," Herman said. "You are strong, you are brave, you are confident and it's kind of given me the tools to do that. I think that's where my new goal is gonna lie not in the numbers but in the mindset of it all."
Ali clearly looks different from her TikTok feed on her first day of treatment and yet what remains the same is her ultimate goal for losing weight. She is hoping her new regimen of no sugar, a healthy diet and plenty of water - along with the medication - will help bring about the pregnancy she has been hoping for with her husband.
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New weight loss medications offer help and hope in obesity fight - 2 News Oklahoma KJRH Tulsa
PWS study examines lasting effects of metabolic, bariatric surgery – Prader-Willi Syndrome News
Metabolic and bariatric surgery (MBS)can safely lead to sustained weight loss in Prader-Willi syndrome (PWS) patients, a meta-analysis shows.
It may indeed be time to take a new look at MBS for patients with PWS, the researchers wrote.
The study, Metabolic and bariatric surgery for obesity in Prader Willi syndrome: systematic review and meta-analysis, was published in the journal Surgery for Obesity and Related Diseases.
PWS is the most common genetic cause of life-threatening obesity. Together with developmental delays and behavioral difficulties, patients with PWS develop an insatiable appetite and food-seeking behaviors.
Treatment with a lab-made form of growth hormone (GH), which is deficient in PWS, has been shown to improve body composition and cognitive function in these patients. In addition, patients usually undergo dietary restriction and standard weight-loss programs. These strategies remain ineffective in many cases.
MBS has shown efficacy as a treatment for severe obesity. However, its effects in PWS remain poorly characterized.
To shed light on this, a team led by researchers at Drexel University College of Medicine in Philadelphia, Pennsylvania, conducted a meta-analysis of published studies reporting the use of the three most common MBS techniques for PWS patients: laparoscopic sleeve gastrectomy (LSG); gastric bypass (GB); and biliopancreatic diversion (BPD), with or without duodenal switch (DS).
LSG is a minimally-invasive surgery that cuts part of the stomach to reduce its size. The remaining part is closed into a tube shape resembling a sleeve. In GB, a small pouch is created from the stomach and connected directly to the small intestine. This is intended to feel full with less food.
In BPD without DS, a stomach pouch is connected further along the small intestine, whereas in BPD with DS a portion of the stomach is removed, but the part that connects to the duodenum (first part of the small intestine) is maintained and connected to a lower segment of the intestine. The duodenum is connected to the lower part of the small intestine. Overall, in BPD, food bypasses much of the small intestine, which results in fewer calories absorbed and weight loss.
The researchers analyzed published studies up to July 2022 that reported results on MBS outcomes in PWS. From 256 screened publications, 22 were included in the meta-analysis. Eligibility criteria included haing PWS diagnosis, body mass index (BMI, a measure of body fat) of 35 kg/m2 or greater (indicative of class 2 obesity), and a minimum follow-up of 12 months post-MBS.
In total, from an initial 104 PWS patients who underwent MBS, 67 patients (64%) met the criteria.
Patients (56% males) were placed in three groups, according to the type of intervention; 26 had a LGS (mean age 12.8 years), 28 patients had a BPD (21.4 years), and 10 had GB (18.4 years). BMI before the surgical intervention (baseline) was similar between the three surgery groups.
At one year of follow-up, PWS patients in the LSG group lost a mean of 14.9 kg per square meter (kg/m2) in BMI, those in the GB group a mean of 11.4 kg/m2, and a mean of 15.5 kg/m2 in the BPD group.
The reduction in BMI was still significant three years after surgery in the LSG group, with a mean reduction of 15.2 kg/m2 since baseline.
Those in the GB group also showed a sustained reduction in BMI mean of 12.1 kg/m2 at up to two years of follow-up. The BPD-DS group had the most patients followed more than five years. In this case,the mean reduction in BMI was 10.7 kg/m2 at a seven-year follow-up.
While long-term follow-up data was not available for all patients, statistical analysis showed that the BPD-DS group had the largest weight loss in the long term, with a mean reduction in BMI of 10.9 kg/m2 at 10-years of follow-up.
In contrast, the LSG group presented a slight weight gain after seven years (gain of 0.3 kg/m2, two patients) and after 10 years (0.8 kg/m2 in BMI, also two patients).
No deaths were reported in any of the surgery groups within one year of follow-up. In the BPD group, there were three revision cases, conducted between the second and fourth year after surgery. One case was related to excessive weight loss and two to severe obesity recurrence.
No surgical complications were reported for LSG and GB procedures.While nutritional complications were seldom reported, there was one case of iron deficiency in the LSG group and one in the BPD group. Two cases of osteoporosis (weak and brittle bones) were reported in the BPD-DS group.
Overall, the current data on MBS in patients with PWS show that procedures performed today such as the LSG, GB, and BPD with or without DS can safely provide rapid weight loss and alter the natural progression of weight gain seen in these patients, the study concluded.
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PWS study examines lasting effects of metabolic, bariatric surgery - Prader-Willi Syndrome News