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A formerCoca-Colaand pharmaceutical consultant said the push to put kids on weight-loss drugs ignores what he calls the root issue behind obesity added sugars and processed food and will fail to prevent more people from developing the disease.

The American Academy of Pediatrics' (AAP) released guidelines last month encouraging pediatricians to be more proactive in fighting childhood obesity, with treatments including rigorous lifestyle changes or even weight loss drugs, or in some cases, surgery for children as young as 12. Calley Means, who co-founded a company that promotes food as medicine, blamed added sugar that food manufacturers put in products to increase flavor or extend shelf life for the rise in obesity along with other chronic diseases.

"The only thing that will make us healthier, more fertile, less depressed, less obese, is attacking the root cause," the TrueMed co-founder told Fox News. "There are public policy measures that can take the poison out of our children's food supply and stop subsidizing it."

Added sugar intake has long been connected with a variety of health issues. Effects include "higher blood pressure, inflammation, weight gain, diabetes andfatty liver disease," which are "all linked to an increased risk for heart attack and stroke," according to Dr. Frank Hu, a Harvard University nutrition professor.

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Obesity affected around20% of children between the ages of 2 and 19 between 2027 and 2020, according to the Centers for Disease Control and Prevention.When left untreated, obesity can lead to heart disease, diabetes, depression and other chronic conditions.

Ozempic, one of the Food and Drug Administration-approved diabetes medications that doctors prescribe for weight loss, acts as an appetite suppressant. But an April 2022 peer-reviewed study published in Diabetes, Obesity and Metabolism found that patients who went off the drug regained two-thirds of the lost weight within a year.

"Ozempic will not decrease obesity long term," Means told Fox News. "Making teenagers lifetime patients, that's not good for kids."

"Ozempic is a Band-Aid," he added.

While weight-loss drugs may help people shed pounds, Means said it will not stop more people from developing obesity or other illnesses borne from what he calls "poisonous food" consumption. He said good nutrition can prevent chronic illnesses like depression, heart disease and diabetes, while medications can only treat them after the fact.

RUSSELL BRAND INTERVIEWS FAUCI WHISTLEBLOWER ON BIG PHARMA CORRUPTION, FAMILY TIES: MEET THE FAUCIS

American Academy of Pediatrics (AAP) new guidelines recommend pediatricians and primary care physicians combat childhood obesity by prescribing weight loss drugs or advising surgery in some cases for children as young as 12. (iStock)

The American Heart Association (AHA) suggests an added sugar limit ofno more than 24 grams per day for womenand 36 grams for men. But on average, Americans eat 77 grams a day, according to the AHA. A single can of Coca-Colacontains 44 grams of sugar.

Additionally, a high intake of fruits, vegetables and whole grains can reduce the risk of chronic diseases, such asdiabetes, heart disease and some cancers according to a Harvard study.

BIDEN ADMIN EXPERT CLAIMS OBESITY CANNOT BE TREATED WITH EXERCISE AND GOOD DIET

If obesity trends hold, 57% of children between ages 2 and 19 will be obese by 2050, according to the AAP.The newly updated guidelines do not discuss childhood obesity prevention but do recommend treatment facilities for lifestyle interventions as the first treatment option.

"This is one more example of not addressing the core question of why we're getting sick but waiting for people to get sick and drugging them," Means said. "We're being distracted from what is harming kids."

Calley Means said the call for taxpayer-funded weight loss drugs for obese kids is a distraction from the root issue. (Fox News)

Means believes that classifying obesity as a chronic illness sends the wrong message to families, prompting them to seek life-long medical intervention rather than addressing the root issue: food.

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"We would expect the medical leaders to be speaking out about the root cause of why we're sick," he told Fox News. "But they're not calling to reform food stamps to not have processed food by 70%, they're not calling for the FDA to move the sugar recommendation of 2-year-olds from 10% to 0%."

Novo Nordic, Ozempic's manufacturer, did not respond to Fox News' request for comment.

To watch the full interview with Means, click here.

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Ozempic is a Band-Aid on the root of childhood obesity: toxic food, former pharma consultant says - Fox News

For the past 13 years, U.S. News & World Report has rounded up a panel of dozens of health and nutrition experts to help rank popular diets in several categories. This year, in addition to best overall, best for heart health, best for weight loss and more, their annual best diets report introduced two new categories: best diets for bone and joint health and the best family-friendly diets. The Mediterranean diet reigned supreme or ranked near the top of every category, and the DASH diet, flexitarian diet, and MIND diet all put up a strong showing across the board, too.

But what about the best diet for runners? Because thats not a category (yet), we tapped our own panel of pros to help us determine what qualities areand arentincluded in the best diets for runners. Read on to find out the main points of a balanced eating plan and how to determine if your diet is serving you or if its one you should run away from.

Before we dive into our official top-ranking diets, lets take a beat to define the criteria. What exactly makes a diet best?

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The answer is simple: The best eating plan is one that fits your lifestyle. Look for an eating style that you could adhere to for the foreseeable future, says Julie Upton, RD, a registered dietitian and co-founder of the nutrition news company Appetite for Health in San Francisco.

Your eating plan should meet your emotional and physical needs, adds Lauren Harris-Pincus, MS, RDN, a New Jersey-based registered dietitian, founder of NutritionStarringYOU.com, and author of The Everything Easy Pre-Diabetes Cookbook.

Before starting a new strategy, ask yourself:

For runners like herself, Frances Largeman-Roth, RDN, a Dobbs Ferry, New York-based registered dietitian and the author of Smoothies & Juices says that energy levels are also important to consider.

Food is supposed to be nourishing, first and foremost, so your eating plan should leave you feeling satisfied and energized. My top diet choices ensure your body is getting all the essential nutrients it needs, as well as allowing a bit of flexibility for fun within an overall balanced eating plan. Lets remember, runners may be regimented, but theyre not robots, Largeman-Roth says.

While some people do take up running with a goal to lose weight, trying to train while restricting calories is not a recipe for success, Largeman-Roth continues. (ICYMI, heres how it feels to run on a calorie deficit. Spoiler: not great.)

Finally, when thinking about healthy eating more holistically, consider these general guidelines:

Ranked by Harris-Pincus, Upton, and Largeman-Roth, these diets all allow for enough flexibility and calories to adequately fuel for exercise and recovery. They also include seafood, which is a great source of protein that also offers essential vitamins and nutrients your body cant make on its own, Largeman-Roth says. And they feature a mix of fruits and vegetables, which not only provide vitamins and nutrients but also contribute to an individuals overall hydrationanother important factor for runners, she adds.)

Its no surprise that the Mediterranean diet tops the list, although its more a pattern of eating than a diet, Harris-Pincus saysand thats part of what makes it such an awesome option. It offers flexibility to adjust portion sizes and calorie intake to meet your needs, she adds.

Going Med involves eating primarily plant-based, with fish at least two times per week and smaller portions of poultry and dairy sprinkled in, with red meat on more rare occasions. Carbs are most definitely allowed, especially whole grains, and it allows for moderate amounts of wine, if thats something you enjoy.

The foods in the Mediterranean diet can help keep inflammation in check to help hasten recovery, Upton says.

Originally designed to help lower or maintain a healthy blood pressure, this eating style emphasizes foods rich in potassium, calcium, magnesium, and fiberall of which can also benefit runners, Largeman-Roth says. Its similar to the Mediterranean diet, just with a keen eye on sodium consumption.

Runners with hypertension or a strong family history can consider implementing this type of sustainable diet [into their lifestyle], Harris-Pincus says. Athletes without those concerns can supplement with higher-electrolyte foods and drinks on intense training days, when you need the sodium.

Registered dietitian Dawn Jackson Blatner coined the term flexitarian in 2009 to act as a mash-up of flexible and vegetarian, and this lifestyle is a fantastic way to encourage the addition of more plant foods without completely eliminating animal foods, Harris-Pincus says.

Going flexitarian involves eating a mainly plant-based diet, with the option to include meat, poultry, seafood, and dairy every so often. Jackson Blatner endorses a mix of calories from carbs, protein, and fat, and because it has few hard and fast rules, many runners will be able to stick with it for a long time, Upton says. Plus, the eating style is linked to reduced risk for chronic diseases, including heart disease, certain cancers, and type 2 diabetes, she adds.

This flexible eating pattern lets you include some animal protein, like eggs and chicken, which means youre never missing out on important nutrients like iron, vitamin B12, and cholineall of which are extra important for female runners, Largeman-Roth says.

MIND stands for Mediterranean-DASH Diet Intervention for Neurodegenerative Delay, and its essentially a combo platter of the DASH and Mediterranean diets. This strategy is not originally designed for athletes, but is still a great all-around eating plan for runners as it focuses on plant-based foods, fish, and anti-inflammatory foods, Upton says. The original goal? Eat in a way that reduces risk for dementiacertainly not a bad bonus.

The MIND diet emphasizes leafy greens, berries, beans, whole grains, nuts, olive oil, poultry, and fish, and advises going light on red meat, sweets, and cheese, Harris-Pincus explains.

This is a balanced diet approach for runners, particularly those with a family history of Alzheimers or dementia, Harris-Pincus continues.

Running and other forms of exercise can cause inflammation in the body, Largeman-Roth says, so eating a diet rich in foods that tame that flame can be a boon for both recovery and long-term health. To diversify vitamin and mineral consumption, variety is the name of the game for this diet, according to Andrew Weil, M.D., director of the Andrew Weil Center for Integrative Medicine at the University of Arizona and creator of this eating plan.

Fresh fruits and vegetables, nuts and seeds, fish and seafood, unsaturated fats and whole grains get top billing. Dr. Weil suggests steering clear of ultra-processed and fast foods, and promotes consuming about 40 to 50 percent of your calories from carbs, 30 percent from fat, and 20 to 30 percent from protein.

This is a great ratio of carbs, protein, and fat for runners, Upton says. Also, because its based on a daily intake of about 2,000 to 3,000 calories (depending on your gender, size, and activity level) its not as restrictive as many of the crash diets floating around social media.

No matter how much you run, certain eating strategies are always going to be a wise choice for your health and longevity. A review published February 2020 in the journal Nutrients confirms that these eating plans are all scientifically proven to reduce risk for chronic diseases, including heart disease and certain types of cancer:

Humans are not robots, and as such, were never going to stick to an eating plans pyramid, plate, or other formatted recommendations perfectly. For a diet to work for you and your lifestyle, it should be something you can adhere to about 80 percent of the time, Harris-Pincus says. Allow for flexibility for other 20 percentwhen you enjoy foods outside of your eating plan.

These are some possible signs a diet isnt working for you, according to the dietitians we spoke to:

Theres no one perfect diet for runners, but if youre looking for a way to eat healthier and enjoy following a plan, this list offers a wide range of options and enough flexibility to customize and meet your nutritional needs and personal preferences.

Runners need to take special care to avoid restriction before, during, and after a workout, as a strong run requires sufficient gas in the tank (a.k.a. fuel in form of calories). In general, you also need sufficient calories to avoid more serious issues like RED-S, or relative energy deficiency in sport, which is defined by a lack of period, low energy availability, and bone loss, and stems from inadequate energy intake compared to what you expend.

Beyond eating enough to fuel your running, feel free to choose the eating plan that jives best with your energy levels and personal preferences. Each body is unique and your diet should be too, Harris-Pincus says. If youre feeling confused or conflicted, consult a registered dietitian who can help customize your diet to keep you optimally fueled for your best athletic performance and overall health.

Karla Walsh is a Des Moines, Iowa-basedfreelance writer and level one sommelier who balances her love of food and drink with her passion for fitness. (Or tries to, at least!) Her writing has been published in Runners World and Fitness Magazines, as well as on Shape.com, EatThis.com, WomensHealthMag.com, and more.

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Best Diets for Runners: Tips on Finding a Diet That Works for You - Runner's World

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If you have diabetes, monitoring your health can be a lot to manage: checking your blood sugar, making healthy food, finding time to be active, taking medicines, and going to doctors appointments. With all that, your feet might be the last thing on your mind.

Poorly controlled diabetes can cause damage to the nerves and blood vessels going to peoples feet, said Dr. Daniel Lamar, an internal medicine specialist with the 56th Medical Group at Luke Air Force Base in Glendale, Arizona. As a result, people can lose the sensation in their feet. This causes people to change the way they walk and may result in the development of sores on their feet that they dont feel.

Diabetes is the sixth leading cause of death in the United States, with more than 11 percent of the U.S. population having the disease, according to the Centers for Disease Control and Prevention.

According to the National Institutes for Health, foot problems are common in people with diabetes. Checking and taking care of your feet every day can help lower your chances for diabetes-related foot problems. Managing your blood glucose levels can also help keep your feet healthy.

Due to nerve damage in feet, people can develop sores, which then can get infected and be very difficult to treat because of the damage to the blood vessels, according to Lamar. The damaged blood vessels cause decreased blood flow which makes it hard for the immune system to respond and makes it difficult to get high levels of antibiotics to the area of infection. As a result, people can end up with amputations.

When poorly controlled, Lamar notes that diabetes causes complications throughout the body. It can damage all nerve cells including peoples retinas. Diabetes is the most common cause of nontraumatic amputations in the U.S, and is one of the two most common causes of people going on dialysis. It can also cause people to go blind.

If you experience any of these symptoms, you should see your doctor right away:

Prevention is the best way to keep your feet healthy. Complications from diabetes are most associated with diabetes being poorly controlled. If a patient keeps their blood sugar under control, manages their weight, and has regular provider visits, it dramatically decreases the risk of long-term complications, said Rachel Perkins Garner, a disease management nurse at Luke Air Force Base.

Tips to maintain your feet include:

There are two types of diabetes, each with its own set of causes and treatments:

Lamar noted that if someone is not properly controlling their diabetes, they may be thirsty all the time and will urinate a lot. People with poorly controlled diabetes feel generally poorly.

According to the CDC, eating healthy, regular exercise and maintaining a healthy weight can help control your diabetes.

With over 130,000 Department of Defense beneficiaries worldwide affected with diabetes, according to Perkins Garner, the Defense Health Agency sees an urgency in combatting this chronic disease.

One example of this is the DODs focus on promoting and maintaining a healthy lifestyle. The U.S. Air Force has adopted Lifestyle and Performance Medicine to keep their airmen healthy.

According to Perkins Garner, Lifestyle medicine is an evidenced-based lifestyle therapeutic intervention which is based on six pillars: a whole-food, plant-predominant eating pattern, regular physical activity, restorative sleep, stress management, avoidance of risky substances and positive social connections. These interventions practiced, can prevent, treat, and often reverse chronic disease, such as diabetes.

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Monitor Your Diabetes and Health Daily One Step at a Time - Health.mil

If youre looking to lose fat and get lean, getting enough protein is key.

Research shows that when you want to build more muscle and lose fat, aggressively cutting calories or entire food groups out of your diet is a recipe for disaster (1).

First, cutting too many calories is unhealthy and can stall your metabolism. It can also lead to nutrient deficiencies and muscle mass loss while leaving you weak, dizzy, and tired.

While we may lose weight with them initially, trendy diets that dont fit into our lifestyle or leave us feeling deprived arent sustainable long-term.

Rather than banishing all carbs, studies show that shifting your focus to prioritizing eating more lean healthy protein, combined with a balanced diet and regular activity, is a better strategy for long-term weight loss (2).

In fact, a major reason many of us arent seeing the scale move or training is that were not eating enough protein. It can also keep us from continuing to build strength while training.

Combined with a balanced, healthy diet and regular activity, this is the way to go.

There are two major reasons:

Protein helps us build muscle. Muscle burns more calories than fat.

So having more muscle mass can increase the number of calories (energy) you burn even while resting, which is known as your basal metabolic rate (BMR).

Eating enough protein in combination with strength and resistance training can help us build more muscle.

How much muscle you put on takes time and depends on various factors, including age, gender, genetics, body size, and composition.

Protein is more satiating than carbs or fat.

When we eat protein, it triggers the body to reduce the hunger hormone ghrelin and instead boosts the levels of a hormone called peptide YY that makes you feel full.

So eating plenty of protein can affect the amount of food we eat overall.

Our body requires energy to break down food into smaller, absorbable molecules our cells can use.

We know this process as the thermic effect of food.

Only 5-15% of carbohydrate calories get burned during digestion, while fats are just 5%.

Like fats and carbohydrates, protein is a macronutrient or macro. These nutrients our body uses in the greatest amounts.

When we eat protein, the body breaks it down into amino acids through the process of digestion.

Our cells then use amino acids for a variety of different important functions, including

While there are over 500 amino acids in nature, the tissues of the human body need only about 20 to make all the proteins it requires (3).

Nine of these amino acids are essential, which means the body cant make them on its own and we can only get them through the foods that we eat.

Healthy Fact: Not eating enough protein can cause muscle loss, dry skin, slowed metabolism, hair loss, and brittle nails (4).

Protein is more satiating than fats or carbs.

Lean sources of protein have a lower fat and calorie content and are best for fat loss.

If youre hungry shortly after eating, its your bodys way of telling you it needs more protein (5).

The exact amount of protein in a serving of meat can vary depending on factors, such as the specific cut of meat and how its prepared.

These estimates should give you a good idea of the protein content of a 4-ounce serving of each type of meat.

Besides being a great source of protein, fatty fish like salmon and sardines are also excellent sources of heart-healthy omega-3 fatty acids, which have been linked in studies to a variety of health benefits (6).

Incorporating whole eggs or egg whites into your diet can be a good way to increase your protein intake without consuming a lot of calories

Besides protein, eggs are also a wonderful source of other nutrients, such as vitamin D, vitamin B12, and choline.

Some studies show that eating eggs for breakfast may help promote feelings of fullness and reduce calorie intake later in the day (7).

Eggs are also super versatile!

If youre concerned about the cholesterol in eggs, its important to note that recent research suggests that for most people, dietary cholesterol does not have a significant impact on blood cholesterol levels or heart health (8).

However, if you have high cholesterol or other health concerns, its always a good idea to speak with your doctor or a registered dietitian before changing your diet.

Dairy is a great source of protein, and there are many low-fat and fat-free options available that can help you meet your protein needs while keeping your calorie intake in check.

Greek yogurt is a high-protein dairy style of yogurt and is also a good source of calcium and probiotics, which can benefit gut health.

Choose low or full-fat varieties which are more satiating than fat-free options.

Cottage cheese is also an excellent source of calcium and other nutrients like vitamin B12.

Kefir is a fermented milk drink similar to yogurt but has a thinner consistency. It contains probiotics, which support gut health and immunity.

The exact amount of protein in a serving of cheese can vary depending on the type and brand. Cheese is also an excellent source of calcium and other nutrients.

If youre working on fat loss, eat full-fat cheese in moderation since its high in calories.

Whey and casein are two types of proteins found in milk that you can buy as supplements to support muscle growth and recovery. Add to smoothies, shakes, eggs, yogurt, and baked goods to boost their protein content.

Whey protein is a fast-digesting protein thats absorbed quickly by the body, making it ideal for post-workout recovery.

Casein protein is a slow-digesting protein thats absorbed more slowly, providing a sustained release of amino acids.

Legumes, which include all beans, lentils, and peas, are an excellent source of plant-based protein. They are also high in fiber, which can help keep you feeling full and satisfied.

Beans of all kinds, including black beans and kidney beans, are versatile and nutritious! Theyre high in vitamins and minerals, like folate, iron, and potassium.

Lentils are available in many varieties, such as brown, green, and red lentils, and are also a healthy source of iron and other nutrients.

Chickpeas, also known as garbanzo beans, are a good source of fiber, vitamins, and minerals, like folate and manganese. Use in dishes like hummus and falafel.

Peas are a good source of fiber, vitamins, and minerals, like vitamin C and vitamin K. Add to soups and stews.

Made from yellow peas, this one is a great substitute for dairy-based protein supplements. Its often added to non-dairy milk options to boost their protein content.

Tofu, also known as bean curd, is a soy-based product that is commonly used as a meat substitute. Its a good source of calcium and iron.

Tempeh is a fermented soy product that has a firm texture and a nutty flavor and is also a good source of probiotics.

Seitan, also known as wheat meat, is a high-protein, meat-like food made from wheat gluten and is an excellent source of iron and other nutrients.

A delicious edible seed from South America with a grain-like texture, quinoa is a complete source of plant protein and folate, magnesium, and fiber.

Nuts and seeds, such as almonds, pumpkin seeds, hemp seeds, and chia seeds, are also wonderful sources of protein, fiber, antioxidants, and healthy fats with around 6-8 grams of protein per 1/4 cup.

They are high in calories, so if weight loss or maintenance is your goal, eat them in moderation.

When choosing protein sources, its important to consider the benefits and drawbacks of different options.

For example:

Its important to choose a variety of protein sources to ensure that youre getting a complete range of nutrients and amino acids.

There are many easy ways to incorporate protein into your meals and snacks.

Here are some ideas to get you started:

The amount of protein you need depends on a variety of factors, including your body weight, activity level, and fitness goals (9).

Some experts recommend consuming up to 0.8-1 gram of protein per pound of body weight per day to support muscle growth and repair.

However, if youre looking to lose fat and build lean muscle, you may need to increase your protein intake.

If Youre Sedentary: The recommended dietary allowance of protein for an adult is 0.8 grams per kilogram of body weight.

1 pound = 2.2 kilograms

That means a person weighing 150 pounds (68 kilograms) should eat at least 55 grams of protein per day.

If Youre Over the Age of 40: To avoid losing muscle mass (sarcopenia) your protein needs to increase to about 11.2 grams per kilogram. Or 6080 grams per day for a 150 lb person.

If Youre Active: If you exercise regularly, youll also need about 1.11.5 grams of protein per kilogram.

If You Regularly Lift Weights or Are in Training: Aim for 1.21.7 grams of protein per kilogram.

If Youre Obese: You need to adjust your weight before calculating your needs to avoid overestimating and eating too much protein. Use this online calculator.

Consuming more than 2 grams of protein per kilogram of body weight per day has been linked to potential health risks, such as kidney damage and dehydration. (10)

Use this online calculator to estimate your personal daily protein needs.

Or, download a food-tracking app like MyFitnessPal or MyPlate to calculate your protein requirements and help you keep track of your protein and nutrient intake each day.

You can also see a dietitian to help you develop a personalized plan for your goals.

To lose fat or maintain a healthy body weight, eating more lean protein during meals and snacks can boost metabolism and keep us more satiated, so we eat less.

The amount of protein we need to lose fat or maintain a healthy weight varies from person to person. Age, weight and activity levels are all factors to consider.

Consult with your doctor, healthcare provider, or nutritionist about how much protein you should be eating.

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The Best Sources of Lean Protein to Lose Fat - Better Living

Report: Alex Verdugo approached Red Sox about long-term contract originally appeared on NBC Sports Boston

This is a make-or-break year for Alex Verdugo. But if the 26-year-old outfielder delivers on his end, he apparently wants the Boston Red Sox to deliver him a new contract.

Verdugo "approached Red Sox leadership" -- including team owner John Henry -- in Fort Myers, Fla., on Monday to "make it clear" he wants to sign a long-term contract with Boston, the Boston Herald's Gabrielle Starr reported Monday.

Verdugo told Sox leadership he has the goal of being an All-Star in 2023 and explained to the group that he adjusted his diet and training to come to spring training in better shape, according to Starr.

It's clear that Verdugo is aware of his own stakes; he and the Red Sox agreed to a one-year, $ 6.3 million contract to avoid arbitration this offseason, but he has just one more year of arbitration in 2024 before hitting unrestricted free agency in 2025. If Verdugo wants a long-term deal, he'll need to show significant improvement in 2023.

Verdugo hit .280 with a .732 OPS in 2022 with 11 home runs and 74 RBIs in 152 games. Those are respectable numbers, but hardly above average and below expectations for the lone major league player the Red Sox received from the Los Angeles Dodgers in the 2020 Mookie Betts trade.

The six-year veteran also regressed defensively as a left fielder in 2022, which manager Alex Cora called him out on after the season.

"I do believe he can be a lot better," Cora said last October. "A lot better regardless of whether he plays left or right, he can be a better defender. ... This is a guy, we envision him to be an impact player not only in the batter's box, but on the other side."

If Verdugo realizes his full potential as a middle-of-the-lineup left-handed bat and above-average defender, he's absolutely keeping around long-term on a team-friendly deal. The Red Sox' outfield is unsettled outside Masataka Yoshida, so signing Verdugo could give the front office one less problem to worry about.

Verdugo will have to prove his worth on the field, however, or run the risk of another year of arbitration next winter.

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Report: Alex Verdugo seeking long-term contract with Red Sox - Yahoo Sports

Keto diets weight loss might not be long term, here are other side effects of eating low-carb diet  Zoom TV

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Keto diets weight loss might not be long term, here are other side effects of eating low-carb diet - Zoom TV

Intermittent fasting may not work for women, instead of weight loss, it could lead to complexities  India TV News

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Intermittent fasting may not work for women, instead of weight loss, it could lead to complexities - India TV News

These 2 Staten Island nurses believe IV hydration drips and vitamin shots are key to long-term health  SILive.com

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These 2 Staten Island nurses believe IV hydration drips and vitamin shots are key to long-term health - SILive.com

By Dr. Keith Roach

DEAR DR. ROACH: I was confused by your column the other day, as well as the response regarding weight loss to a writer who is losing height due to aging and/or osteoporosis.

Would it be possible to please obtain more information about why its not necessary to lose weight unless someone is in the morbidly obese range? I am confused. You also said that its okay to be in the overweight range (of the BMI) and remain healthy. What about the obese range of the BMI?

Many people, including myself, have vacillated between the overweight and obese range for quite a few years, and dont feel healthy and would like to lose weight. I try to eat well, and I exercise regularly. So, I am unclear on why this is considered sustainable unless I reach the morbidly obese range.

I am tired of peoples fat phobia; perhaps your column was an attempt to normalize being overweight and obese in order to avoid fat phobia, which is rampant in society. I could understand that perspective. But, I am still curious about the actual health effects of not losing weight or why you said it wasnt necessary. K.E.

ANSWER: I try to base my recommendations on evidence when possible,and the evidence is pretty strong that being overweight does not increase a persons overall risk of death. While this area remains controversial, the most recent data suggest that a BMI (the body mass index is a flawed but widely used way of adjusting weight for a persons height) in the overweight range is not a significant harm and, in some studies, may have an improved mortality rate compared with people who are in the normal range.

However, people who are obese do have a clear worsening in mortality risk, and the risk depends strongly on a persons waist size. A smaller waist size for both men and women is associated with improved mortality rates at every level of BMI, reflecting the fact that abdominal obesity (a body shape sometimes called apples) is much different and much worse than obesity around the hips and thighs (pears). At very high levels of obesity, called morbid obesity, there is an increase in mortality that gets worse and worse as the BMI goes up.

The reason I do not emphasize weight reduction for patients who are overweight, and for those people who are in the obese but not morbidly obese range, is because the evidence that weight loss improves outcomes is scanty. Further, nearly every obese patient I have had has heard many times that they need to lose weight, and I feel that emphasizing specific behavioral changes, such as modest increases in exercise and specific dietary changes after a careful review of their eating habits, is more likely to improve that persons health than the advice to just lose weight.

People who are obese and morbidly obese who have diseases related to their weight, such as diabetes, do benefit from weight loss. However, the best evidence from this comes from trials on weight loss surgery, which is not appropriate for many. The newer diabetes drugs that have become available may dramatically change our understanding of the potential health benefits of weight loss, but having witnessed several spectacular disasters from weight loss drugs, I am awaiting more long-term data before making a stronger recommendation on these new classes of drugs when used specifically for weight loss (as opposed to using them for diabetes).

Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGood-Health@med.cornell.edu or send mail to 628 Virginia Dr., Orlando, FL 32803.

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Navigating the necessity of losing weight, according to BMI Butler County Times-Gazette - Butler County Times Gazette

Although you may have heard that breakfast is the most important meal of the day, we also cant forget the monumental importance of dinner; how you end your day can be just as impactful on your health as how you start it. And as it turns out, it isnt just what you eat that can make a differenceits also important to pay attention to when you eat it. According to health experts, the time at which you eat dinner plays a major role in functions like digestion, sleep, and metabolism. Luckily, theres one rule they swear by for ensuring optimal results.

To discover the best time to eat dinner in order to keep everything running smoothly, we spoke to Dietitian Kimberly Gomer MS, RD/LDN, Director of Nutrition for Beautiful Body Miami, and sleep expert Jeff Kahn, CEO and Co-Founder of Rise Science. They told us that eating 2-3 hours before bed is ideal. Read on to learn why!

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Unsurprisingly, the best time to eat dinner is less of an actual time of day and more about your own personal routine. Health experts agree that having your meal a few hours before you go to bed is the best rule of thumb. "It is best to eat dinner at least 2 hours (ideally 3 hours) before your head hits the pillow," Gomer confirms. This is good for your body when it comes to digestion, weight loss, and sleep.

One of the main reasons you should leave an ample amount of time between dinner and sleep is the fact that you want to give your body enough time to digest your food while you're awake. Otherwise, not only will you run into indigestion, but you may also have a harder time getting a full night's rest. "When you sleep, you are supposed to rest and repairnot digest food," Gomer reminds us. "Digesting foods while sleeping can cause acid reflux and stomach upset."

Kahn agrees, noting that digestion is best done standing or sitting. "Lying down to digest often results in heartburn, indigestion, and GI discomfort, which are all uncomfortable by themselves and can lead to less or worse sleep," he says.

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But it isn't just digestion that's affected by the time at which you eat dinner; your mealtime can also play a major role in your weight for several reasons. "It is ideal for weight loss to have a longer opportunity for insulin balance," Gomer states. "When we eat, insulin must respond, and that will promote fat storage instead of weight loss."

Additionally, eating dinner at a consistent time is important to regulating your body's functions, including your metabolism. "Eating later than your circadian rhythm anticipates can desynchronize your internal body clocks, many of which are responsible for the complicated processes of digestion and require alignment with each other to work well," Kahn tells us. "Over time, desynchronized clocks increase your risk of obesity and metabolic disorders." Yikes!

Finally, remember that waiting too long to eat typically results in overeatingwhich is, of course, a major faux-pas for anyone looking to lose weight. Kahn points out that this can especially be a risk when you're tried. "We tend to make poorer food choices when we're tired because we have less willpower to recruit," he explains. "For this reason, late eating can often be unhealthy eating. (And under conditions of sleep loss, our hunger and satiation hormones work in counter-productive ways, leading us to feel hungrier and less satisfied with our usual patterns of consumption.)" Good point!

Taking all of this into consideration, there's no doubt that aiming to eat at least 2 hours before bed (and more if possible!) is the best way to go. However, the occasional late dinner won't be the end of the world. As Kahn concludes, "The odd night where you can't eat earlier won't make or break your overall health, wellbeing, and weight loss efforts. Making eating earlier a long-term, consistently practiced habit is what's going to have a positive impact."

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Whats The Best Time To Eat Dinner For Digestion And Weight Loss? Heres What Health Experts Say - SheFinds

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