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Mar 5

100 Kilo Kids: 23st teen admitted to hospital for weight loss help – Metro.co.uk

100 Kilo Kids followed the story of Tommy, who weighed 24st at age 14 (Picture: Channel 4)

100 Kilo Kids: Obesity SOS followed hospital staff in the city of Bristol attempting to help quell what they deemed an obesity crisis in British children tonight.

One such case in the Channel 4 doc was Tommy, a 14-year-old who weighed in at 23 stone, and who was admitted to hospital for a week in a last-ditch attempt to help him lose some weight.

Tommy was one of the clinics heaviest patients, and after putting on six stone despite having 18 months of treatment.

His admission to the hospital required him to follow a strict, calorie-counted diet, with regular intervals for exercise.

Doctors were worried about morbid obesity possibly causing problems for Tommy later in life, and he was already diagnosed with chronic fatigue syndrome before appearing on the programme.

There seemed to be some significant stumbling blocks in the process, however.

Mum Esther was at first unsure about the clinics treatment plan for her son and admitted in an emotional moment that she just wanted her son back.

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Despite being confined in hospital for a week, Tommys regular weighings detected that the teenager had actually managed to gain a kilo in weight during his stay.

It was revealed as well that his mother had brought him in some ready meals to replace the hospital food, although she insisted the meals themselves had been calorie-counted to ensure he wasnt eating more than the hospital recommended.

In a confessional to camera, Tommy also admitted that he had eaten a chocolate from a box given to him a present during his stay although he did say he only had one treat and gave the rest to his mum.

Things seemed to reach a breaking point towards the end of the episode with the revelation that Tommy had actually gained weight, with Esther leaving the hospital in tears.

There was, however, a happy ending.

As the documentary ended, it was revealed in a heart-warming moment that Tommy had actually managed to shift a massive stone and a half during his hospital stay delighting both him and his mother and the doctors and dieticians.

And viewers also took to Twitter to praise Tommy for his achievement, and hope he keeps it up after cameras stop rolling.

One viewer wrote: Wow, what a turnaround for Tommy, hope he keeps it up!

Another added: Well done Tommy! Huge achievement and amazing to see how happy he is.

100 Kilo Kids: Obesity SOS is available to stream via All4.

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If youve got a celebrity story, video or pictures get in touch with theMetro.co.ukentertainment team by emailing uscelebtips@metro.co.uk, calling 020 3615 2145 or by visiting our Submit Stuff page wed love to hear from you.

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100 Kilo Kids: 23st teen admitted to hospital for weight loss help - Metro.co.uk


Feb 25

‘I Joined A DietBet Challenge To Lose WeightAnd I Lost 54 Lbs. And Build Strong Abs In The Process’ – Yahoo Lifestyle

From Women's Health

My name is Jessica Ashwood (@fitnessnfoodwjess). Im 27 years old, and I am a kindergarten teacher in Virginia. I joined an incentive-based weight-loss challenge to jumpstart my journey and ended up losing 54 pounds to date.

I have struggled with my weight almost as long as I can remember. I spent much of my adolescent and teen years overweight. I remember being at a friends house at around 10 years old, and my friend wanted us to weigh ourselves for fun. I weighed significantly more than her. But I didnt think anything of it until she said, "you weigh a lot."

Throughout my high school years, my weight fluctuated up and down. I felt better about myself when my weight was lower; when it was on the higher end, my self-esteem was gone. I couldn't help but feel that way.

I also never felt in control of my weight. In college, I started trying to work out and eat healthier, but the healthy habits never stuck for long, and I would jump right back into my old ways of eating and being stationary. After getting married in 2016 and starting my first teaching job after college, I started gaining weight at a rapid speed.

So that January, when I was 25, I decided to take control of my health. My choice to overhaul my lifestyle wasn't just about self-esteem, either. I felt tired all the time. I was depressed and using alcohol and food to soothe myself. I just felt crappy. I avoided looking in the mirror. I avoided having my picture taken.

To motivate myself, I started a six-month DietBet challenge, which is an incentive-based weight-loss app and social network. Basically, you bet a certain amount of money that you can lose a percentage of your body weight in a specific timeframe. If you achieve your goal? You earn money. If you don't? You lose it. I hate wasting or losing money, so this helped me set myself up for success when I first started. The challenge I joined gave me six months to lose 10 percent of my body weight.

When I first started the challenge, I just tried to eat stereotypically healthyIm talking salads, chicken, rice, broccoli, carrot sticks, etc. I did lose weight but found that my diet choices felt too restrictive.

Macro counting is kind of like a variation on calorie counting, where you track your protein, fat, and carbohydrate grams. When I started tracking macros, I began ensuring that I was giving my body what it needed to thrive. It helped me make sure I got the bang out of each calorie, so to speak, allowing me to stay in a calorie deficit without feeling hungry.

I used iifym.com to find out my macros. I only used the free information and didnt pay a dime. I also used the MyFitnessPal app to track my food. I weighed my food with an $8 food scale I bought on Amazon to ensure I was getting the correct portion sizes. After macro tracking for three to four months, I no longer need to weigh all of my food, as I could eventually eyeball portions.

Now I focus on eating lots of protein and veggies and have everything else in moderation. And I dont avoid *any* foods. I love all kinds: pizza, pasta, ice cream, you name it. I do not believe you have to give up the foods you love to lose weight.

I knew if I just showed up and was told what to do during a workout, it would be easier for me. I mainly did Spin class and Body Pump (which is a strength training class with weights). Body Pump gave me the confidence I needed with weights to get on the main floor and work out solo. I worked out around five times a week doing the StairMaster and then weights.

I got pregnant in July 2018 with my son, and after having a baby, I now work out at home. I work out for only 30 minutes, five to seven times a week. I barely do cardiobut when I do, I use my stationary bike. I also do strength training with my dumbbells, kettlebells, and resistance bands.

I have found a lot of success with my 30-minute workouts. I am in better shape now than I was even at my fittest even before having my (now 11-month-old) son. I do strength training workouts I find on Instagram and use free resources from popular fitness Instagrammers. Whitney Simmons and her workouts are my favorite!

I also stopped giving up at the slightest disappointment. When I weighed myself and the scale told me I gained weight, I kept pushing forward. When I went overboard with my food, I went right back to being on track instead of falling into the trap of the all-or-nothing mentality.

Eating finally feels effortless. I used to binge and eat everything in sight and then feel guilty. It was a constant thing for me. Now, I really enjoy what I eat and I give myself permission to have the foods I love in moderation. I still lose weight, but in a sustainable way that isnt me depriving myself.

I used to hate working out, but now its my therapy. Ive never regretted a workout. I try to do a short workout before my baby wakes up almost every morning. It makes my day so much better! Once you see fitness and health as a lifestyle, you stop rushing the process because you get the whole this is your whole life mentality. It's true, this is the only life I get. I want to live a life that makes me feel happy and fulfilled.

Over the years my weight has fluctuated between 156 and 178 pounds. In 11 months, I have lost 54 pounds. But it isn't about the scale number; it's about how I feel, now compared to back when I started.

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'I Joined A DietBet Challenge To Lose WeightAnd I Lost 54 Lbs. And Build Strong Abs In The Process' - Yahoo Lifestyle


Feb 25

Reduced stress is linked to changes in the profile of plasma metabolites – Tech Explorist

Psychological stress is known to be related to obesity, low rate aggravation, and metabolic disorders. However, the underlying systems remain poorly comprehended. In the recently distributed examination, the scientists utilized metabolite profiling to contemplate whether improved mental prosperity is related to quantifiable changes in metabolism.

The study found that reduced stress is linked to changes in the profile of plasma metabolites. It also highlighted the associations of psychological well-being with metabolism and the risk of disease.

The study involved obese individuals with perceived psychological stress symptoms. They were categorized into two groups: one group to undergo a mental lifestyle intervention (60 individuals) and a control group (64 individuals). Both groups managed to lose weight, but the intervention group, in particular, reported reduced stress and improved psychological well-being.

Using metabolomics techniques, the researchers performed an extensive analysis of fasting metabolites in all study participants at the beginning of the study and again nine months later, after the intervention had ended. Surveys and heart rate variability measurements assessed stress and psychological well-being.

Scientists noted,Changes in the plasma levels of many phosphatidylcholines were associated with improved psychological well-being, and to some degree also with weight loss. Reduced stress and weight loss were associated with lower levels of certain lysophosphatidylcholines, and with higher levels of some plasmalogens. Obesity and the inflammatory marker interleukin-1 receptor antagonist, on the other hand, were inversely associated with these levels. The researchers also discovered previously unknown lipids that correlated with stress levels.

The study is published in the Scientific Approval.

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Reduced stress is linked to changes in the profile of plasma metabolites - Tech Explorist


Feb 23

Avoid These If You Want To Lose Weight – Modern Ghana

Some people think making conscious efforts to lose weight is not possible, but I am here to tell you otherwise. And to help you know how loss of weight can be done. If you want to lose weight, then there is the urgent need to stop eating sugary foods. Reduce the intake of sugar. Eating too much sugar is a hindrance to losing weight. You can administer every weight loss supplement, but if you don't avoid excessive sugary foods, you can't lose weight.

Again, if you want to effectively lose weight, then you should avoid eating late at night. Eating late in the night acts against Every effort you make to lose weight. Don't assume that once you are taking weight loss supplement, you can eat anything at any time. Avoid eating late in the night while taking in the weight loss supplement for a desirable result.

Also, if you want to effectively lose weight, then you should avoid eating too much egg. Egg is nutritious, but its too much cholesterol militates against any effort to lose weight. Therefore, if you want to lose weight, then avoid intake of egg.

Again, too much thinking can make it very difficult to lose weight. Some people lose weight as a result of too much thinking. Some, too, gain weight as a result of too much thinking. With respect to the latter, it is important to avoid too much thinking (depression and anxiety) in order to achieve a desirable result of losing weight.

Another thing to avoid if you want to effectively lose weight is diary foods. If you are scheduled to lose weight, then it is advisable to avoid intake of diary products.

Finally, if you want to lose weight, then avoid eating refined rice. Refined rice has no fibre, hence it makes it difficult for you to lose weight.

In all of these, develop a culture of plenty water intake. This aids digestion for the system to work effectively in order to burn excessive fat.

CONCLUSIONIn the final analysis, there is nothing like 'it is not possible to lose weight'. Losing weight largely depends on your eating habits. If you take these points seriously, then you can effectively lose weight.

Thank you.Asonaba Owusu AduomiCeo of Healthy Soul Enterprise (Organic Foods Ghana)

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Avoid These If You Want To Lose Weight - Modern Ghana


Feb 23

Sydney mothers are joining MMA gyms to lose weight and shake up their workout regimes – 7NEWS.com.au

Sick of the boring fad diets and monotonous training programs, some Aussie mums are turning to mixed martial arts (MMA) to keep fit and challenge themselves.

Yoga classes or group fitness sessions might be where youd expect to find most mothers seeking to keep fit, clad in activewear.

In the video above: What is Wimp 2 Warrior?

But for some Aussie mums, this full-contact combat sport (also known as cage fighting) is exactly what they need to re-energise their life and lose some serious weight.

Eight months ago, Sydney mother-of-two, Gillian Cox was looking for a challenge to shake up her fitness regime, when a friend from her mothers group suggested she take part in a mixed martial arts challenge Wimp 2 Warrior (W2W).

The Wimp 2 Warrior program takes a group of novices and trains them in mixed martial arts culminating in competing in an amateur fight.

With no background in MMA, the 40-year old was understandably reluctant at first.

I would never have done something like that, it looked really intense, she said.

But Gillian decided to take the plunge and, after undertaking the Wimp 2 Warrior program in 2019, she felt she grew as a person.

In June 2019, Gillian and 30 other competitors began their fitness journey.

Five days a week for 20 weeks the group would train in wrestling, striking, strength and conditioning along with sparring (light fighting).

As the weeks progressed training started to become more intense.

On December 6 last year, after almost five months of training, Gillian fought her first MMA bout.

Although she lost, she says the challenge was a life-changing moment that will stay with her forever.

Its hard to put into words, but you do feel pretty bloody empowered. That youve done something that is so full on and you got through it, she said.

Its quite fulfilling to know that you can do something like that even though it is so scary.

It makes me really proud it sounds so cheesy, but I feel like I can do anything.

Violet Biddlecombe is another young mum who has become a big convert to mixed martial arts.

The 36-year-old single mother of three, from Sydneys Northern Beaches, has trained in MMA for just over four years and says it has taught her resilience and perseverance in life.

Like with MMA training, I just need to keep turning up, and I throw that (principle) into everything in life I do now, Violet said.

As a single mum, training is also vital to her wellbeing, she says.

Its time for me where I dont think about food shopping, I dont think about bathing the kids or dinner, she said.

And the support system I have built through MMA is very much like a family now.

Violet has also seen tremendous physical results.

After having her first baby, she put on 28kg, with her weight peaking at 88 kilograms.

It wasnt until she began training MMA that Violet started to seriously shed the excess weight.

These days, she weighs in at around 60 kilograms.

I lost a bit of weight before training MMA, but these last four years of training Ive got a lot leaner, she said.

Violet believes if more women could get past the violent stigma surrounding the sport, more could follow in her footsteps and embrace MMA.

Made famous by the Ultimate Fighting Championship (UFC) competition, mixed martial arts is often seen as a violent and brutal sport.

Even Gillian and Violet admit they had that view before they started training in the sport.

Now, they have come to the realisation that its all about the fulfilment of learning something and challenging yourself.

The attitude externally when you dont understand the sport is youre going to get beaten up, youre going to get hurt but thats not what its about at all, Gillian said.

More on 7NEWS.com.au

For most of the people who do it, its for the challenge.

Violet agrees. I think when people understand and see how it isnt about violence, they get quite fascinated, she said.

Mick McSevney is the head coach at Wimp 2 Warrior Northern Beaches and has also trained both Gillian and Violet.

He believes that there is a steady increase in mothers training MMA as it becomes more mainstream.

I see more and more mums joining MMA as it becomes better understood, He said

There are safer platforms to start from like W2W

McSevney also says they arent to be taken lightly in a fight either.

The mums have something in them that isnt matched by other women, he said

When they go out to a fight they are often thinking about their kids. Its this motherly instinct that makes them much more intense fighters

So, should more mums try MMA?

Well, both Gillian and Violet think so.

Absolutely, I dont think they (mums) understand what they could get out of it, Violet said

Im the happiest Ive ever been in my whole entire life

I totally recommend it to everyone. If you commit to it for at least a month, more than likely youre going to be addicted.

And, they say, most importantly, their kids couldnt be prouder of them.

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Sydney mothers are joining MMA gyms to lose weight and shake up their workout regimes - 7NEWS.com.au


Feb 23

‘Counting Macros and Competitive Powerlifting Helped Me Lose 80 Pounds And Keep It Off’ – Pulse Live Kenya

The first time I remember being aware of the size of my body was in middle school. I remember going to try on dresses with my mom and leaving department stores sobbing because nothing fit me. High school was better because I was an athlete, but soon after I went to college, I endured some emotional trauma and started nursing school around the same time.

The stress from those two things was enough for me to seek a coping mechanism, and that ended up being food. I refused to buy nice clothes, fix my hair, go on vacations or do anything that I couldn't wear sweatpants to. I genuinely didn't believe I deserved to have any of those things or experiences because of my weight.

I was 22 at the time. I fell to my knees in my closet and just cried that morning. That night, I made a list for the grocery store, and that was the day I changed my life.

Since I am in the medical field and have a basic knowledge of how metabolism works, I knew that a temporary diet wouldn't work. I needed to change my lifestyle to something I could maintain. I made a list of foods that I enjoyed and started to pay attention to my portion size. Eventually I wanted to learn even more about how metabolism responded to weight loss and what I would have to do to repair my metabolism afterwards, so I studied.

This led me to counting my macros so that I could control my intake a little better and eventually add back in calories when I was ready to maintain my weight. This works for me because I can eat essentially *any* foods I want without having to restrict. I believe in having a healthy relationship with food, and for me that means not having a list of "bad" or "good" foods. Counting macros allowed me to look at food objectively and not with emotion. Mentally, this was the healthiest and least restrictive option.

Actually learning about how and why your body loses weight allowed me to feel educated on what I was doing. There are a lot of pieces of misinformation and myths out there about weight-loss products and techniquesand knowing the truth can be the difference in success or failure. I didn't blindly accept information from the internet. I read and learned constantly.

Once I got back in touch with weight lifting and remembered just how how much I loved it, I decided to start competing as a powerlifter . I started locally and then eventually went to nationals in Las Vegas this past summer.

I typically train four days a week now. I will do squats for one day, bench/upper body one day, deadlift/posterior chain one day, and back/cardio one day. I spend three days a week recovering from those lifts so my body can rest and build muscle.

I love lifting because feeling strong is extremely empowering. It does not make you bulky and gives me the curves that I now love *so* much. It challenges me every day, and there is always more weight to lift, which means I can always make new goals. Muscle also burns fat, so building muscle allows me to eat more, which makes my weight loss more maintainable.

Hands down, started to lift again has made the biggest difference in my outer appearance and my mental health. Lifting makes me feel strong and that is one of the best feelings in the world. Picking up 360 pounds off the ground makes you feel like you can do anything. When you find an activity that makes you feel this good, you keep going back for more. Thats the key: finding something you love so much that you're excited to get active.

For the girl out there that thinks it's too late, it's not. For the girl out there who cries when she looks in the mirror, you are capable and worthy. For the mom who doesn't know her body anymore, you aren't defined by the tag on your clothes. To anyone out there who is questioning whether or not they can do it...you can. Your body is not a jail cell, it is your home. Above all else, be kind to yourself and do not give up. All you need is a little knowledge and some major grit.

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'Counting Macros and Competitive Powerlifting Helped Me Lose 80 Pounds And Keep It Off' - Pulse Live Kenya


Feb 21

I Tried Intermittent Fasting to Lose Weight, but I Didn’t Expect to Break Free From Sugar – msnNOW

Pexels / Lisa Fotios I Tried Intermittent Fasting to Lose Weight, but I Didn't Expect to Break Free From Sugar

I first became curious about intermittent fasting after putting on an extra five pounds. I've always been comfortable with my weight, so I had limited experience in trying to lose it. I liked that intermittent fasting - in which you simply eat within a set window (usually six to 12 hours) and fast for the remainder of the day - didn't have a lot of complicated rules. You don't have to count calories or cut out any specific foods, for example. Plus, the idea that fasting could help your body more easily burn stored fat didn't seem far-fetched, especially since it had worked for several friends.

There was only one problem: I was accustomed to eating every two to three hours during the day. If I pushed it to fours hours without a snack, I felt sluggish and lightheaded. Naturally, I was concerned that intermittent fasting wouldn't be a good fit, but I decided to give it a try.

After reading up on intermittent fasting, I started with a small fasting window and gradually lengthened it, drinking plenty of water and black coffee to power through. But while I was able to stretch my fasting window, I didn't lose any weight. I also noticed that I sometimes felt headache-y after breaking my fast. Perplexed, I turned to an intermittent-fasting community on Facebook, hoping to find someone who had been in my shoes.

The experienced fasters wanted to know what I was eating, which was simple enough. I stuck mostly to my favorite foods: bread, pasta, and cookies. Wrong answer. Everyone immediately suggested I cut down on sugar and refined carbs (which turn into sugar in the body), switching them out for more dense proteins and fats like eggs, salmon, avocado, and yogurt. They explained that my headaches were likely due to a spike in blood sugar after my fast. They also suggested exercising during my fasting window to help me start losing weight.

As soon as I followed their advice and changed what I was eating, I dropped the weight I wanted to lose, and more importantly, I felt amazing. I had lasting energy for the first time in years, and I no longer experienced lightheadedness, even during longer fasting periods. It was even feasible to exercise during my fast, and as long as I was properly hydrated, I actually felt stronger and more powerful during my workouts than ever before.

Turns out, I had been confusing sugar cravings with hunger for most of my life. I had no idea that what I thought were moments of hanger were actually dips in my blood sugar. I thought it was normal to feel that crash and reach for another snack, but in reality, I was addicted to sugar, whether it came from sweets or refined carbs.

Sugary cereal, macaroni and cheese, peanut butter and jelly sandwiches, and chocolate chip cookies had been pillars in my diet for almost 30 years. And in that time, I lost touch with what hunger actually feels like. I thought I was hungry when I felt fuzzy and agitated, but because I ate in those moments, I never felt the growl or tightness in my stomach that signals hunger. Intermittent fasting helped me relearn my hunger cues, so now I can eat intuitively and feed my body what it needs when it needs it.

After trying out a few weeks of intermittent fasting, I've settled into a new normal. I eat a variety of foods throughout the day, but I don't snack at night anymore. I'm not overly strict about my sugar intake, but I'm much more aware of what I eat and whether it's really serving my body. And I feel better than ever.

Related video: Intermittent fasting may be the most natural diet trend you try in 2020 [via Veuer]

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I Tried Intermittent Fasting to Lose Weight, but I Didn't Expect to Break Free From Sugar - msnNOW


Feb 21

Shiver Yourself Thin: Can Being Cold Help You Lose Weight? – Discover Magazine

When we're cold, we shiver. The involuntary vibrations help us generate body heat so that we don't freeze. And all that motion also has a secondary benefit for modern humans it burns calories, and potentially fat. Can we really shiver our way to better health?

It almost sounds like a pitch from an informercial, but it's true: one study from 2014 found that just 15 minutes of shivering might provide similar fat-burning benefits as a full hour of moderate exercise. Our instinctive response to the cold helps stimulate a key hormone called irisin that helps the body produce a specific type of fat conducive to weight loss.

But if youre considering swapping your next workout for an ice bath, think again. Simply being cold doesn't translate to sustained weight loss. Furthermore, while a shiver-induced hormone boost does appear to produce some of the same benefits as a workout, it wont leave the same long-lasting effects on our metabolism as regular trips to the gym.

Dubbed the "exercise hormone" because our bodies seem to release it in response to physical activity, irisin helps turn white fat into brown fat in our bodies. That matters because brown fat is easily turned into energy by the body's mitochondria stores, meaning it's easier to burn off. And sure enough, irisin is present in our bodies when we shiver, just like when we exercise, meaning that unpleasant shaking sensation can indeed help us burn fat.

Read more: Whole Body Vibration: Does Shaking Up Our Workouts Lead to Better Health?

In a Cell Metabolism study from 2014, 10 volunteers dressed in hospital scrubs and laid under water-cooled blankets used to adjust their body temperature. They started at 27 degrees Celsius (80.6 Fahrenheit) and researchers slowly brought the temperature down to 12 degrees (53.6), causing the participants to shiver. More intense shivering correlated with higher levels of irisin production. When compared to another group of test subjects cycling on stationary bikes, the researchers found shivering for just 15 minutes resulted in irisin levels comparable to those seen after 60 minutes of moderate exercise.

Of course, the simple act of shivering itself burns some calories, too, though it's unclear if it's enough to make much of a difference. Irisin production, by contrast, specifically targets fat stores. But temporarily boosting irisin levels likely isn't the key to sustained weight loss.

In a Metabolism study from 2014, researchers wanted to know if, by mimicking shivering in the body, they could also make irisin levels rise. So, they had a small group of women participate in six weeks of whole-body vibration exercise, where participants balance on a vibrating plate. It worked levels of the hormone increased. But, it didn't have a lasting effect on the participants' baseline irisin levels, even after the training was over.

So whatever fat-burning benefits arose during their workout disappeared once participants rested again. And one study suggests other types of exercise won't help give you an irisin boost, either.

In a 2014 report from Medicine and Science in Sports and Exercise, researchers took a group of sedentary adults and had them do resistance training for six months, measuring their irisin levels before and after the training started. At the end of the trial, people who went through six months of training did not have higher baseline irisin levels than the controls.

So, you're pretty much stuck with whatever irisin your body is able to produce during physical activity. And exercise itself may not have that big of an impact on weight loss, since hitting the gym doesn't burn that many calories relative to other things. It might help to adjust other parts of your lifestyle, such as diet, if you're really looking to shed pounds.

Read more: Do Artificial Sweeteners Actually Help With Weight Loss?

As for shivering we know it can boost the body's fat-burning capabilities and keep us warm in the winter months. But research is unclear as to how much, if at all, shivering can lead to healthy, sustainable weight loss.

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Shiver Yourself Thin: Can Being Cold Help You Lose Weight? - Discover Magazine


Feb 21

Want to lose more weight? Intensive therapy from dietitians can help older adults, study finds – CNN

Intensive behavioral therapy for obesity, or IBTO, is a customized treatment that helps people change their eating and exercise behaviors through a series of one-on-one counseling sessions.

It's also a treatment that can be difficult for primary care doctors to do on top of other responsibilities, so a research team from East Carolina University set out to discover IBTO's effectiveness if a dietitian is added to the team.

RDNs, or registered dietitian nurses, are trained for both weight loss and nutrition therapy, and can help support physicians in addressing underlying diet and lifestyle risk factors for chronic diseases, said Dr. Lauren Sastre, an author of the study and assistant nutrition science professor at East Carolina University.

And, the study notes, IBTO is already provided and reimbursed for Medicare B recipients, who would be age 65 or older. As the prevalence of obesity in the US has increased to include nearly 40% of the adult population, Sastre and her team found that IBTO with a dietitian is an effective method to addressing not only obesity in older adults but its associated conditions, such as type 2 diabetes.

Their results showed that the patients who received the treatment lost nearly three pounds on average and improved other health outcomes in comparison to those who did not receive IBTO.

"Coupled with the fact that nutrition is not required content in medical school curricula, medical professionals may not have the time or the skills to develop and implement nutrition interventions for patients," said Dr. Emily Wilcox Gier, Dietetics Program Leader for the Division of Nutritional Sciences at Cornell University, who wasn't part of the study. "Referring patients to [dietitians] is an easy, cost-effective and necessary step to ensure that patients receive the treatment they need to meet weight loss goals."

Losing weight with a dietitian

At the first visit, physicians helped patients establish their calorie limit and food-tracking method based on their personal habits and preferences. Subsequent sessions were check-ins in which patients focused on improving their exercise habits and diet.

The researchers also measured the patients' weight, BMI, A1C and medication use. A1C is a blood test that helps doctors make a diagnosis for pre-diabetes and type 2 diabetes by measuring your average blood sugar level over the past three months. It also can show how well a person has been managing their diabetes.

After three years of treatment, from 2016 to 2019, patients who received IBTO experienced greater BMI decreases, larger A1C declines and stopped taking their prescription medication sooner, the study found.

"[Dietitians] have the knowledge and skills to work with patients [or] clients on an individual basis to develop interventions that work," said Dr. Emily Wilcox Gier, dietetics program leader for the Division of Nutritional Sciences at Cornell University, who wasn't part of the study. "[Dietitians] know how to tailor nutrition recommendations to fit one's needs, including medical conditions, living situations and preferences. This evidence helps support the fact that our training helps patients meet their weight loss goals."

Demographic differences did affect the patients' results, however, as the study notes that minorities and older respondents experienced smaller results.

Yet given the overall results found for lowering A1C, the researchers think the intensive therapy model advised by a dietitian could be helpful for people who aren't obese but do have diabetes -- although current requirements for Medicare IBTO include having a BMI of more than 30.

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Want to lose more weight? Intensive therapy from dietitians can help older adults, study finds - CNN


Feb 21

Lipotropic injections: Cost, dosage, and risks – Medical News Today

Some clinics offer lipotropic injections for weight loss. However, researchers have not comprehensively studied the efficacy and safety of these.

Lipotropes in lipotropic injections include a mix of different vitamins, minerals, and amino acids that people report help them lose weight and fat.

Keep reading to learn more about lipotropic injections, including the ingredients, cost, dosage, and possible risks.

Some people use lipotropic injections because weight loss clinics market them as treatments that promote fat burning. In combination with a healthful diet and regular exercise, people who use lipotropic injections should lose fat more easily.

Each clinic has its own specific type of injection, so the components may differ from clinic to clinic.

Lipotropes are substances that promote the removal of fat from the liver and reduce the production of fat. Some of the more common lipotropes that clinics use include:

Vitamin B-12 and methionine are important nutrients required for reactions in the body that regulate fat and protein metabolism. That said, researchers have not confirmed that taking doses of vitamin B-12 or methionine above the recommended amount will actually help a person lose weight.

Researchers from the Pennington Biomedical Research Center in Louisiana found that restricting dietary methionine in people with metabolic syndrome caused an increase in fat digestion. In this study, people in the control group and those restricting methionine lost the same amount of weight.

Another study showed that a combination of diet, myoinositol, and D-chiroinositol may have accelerated weight and fat loss in women with polycystic ovary syndrome. However, researchers need to conduct further studies to confirm the effects of inositol.

The substances in lipotropic injections may not be effective in reducing a persons weight or fat. Although, theoretically, these substances may have important roles in fat metabolism, researchers are still unsure if higher doses are beneficial for weight and fat loss.

Other clinics may introduce additional vitamins and amino acids that some practitioners believe provide additional weight loss support.

Although research into lipotropic injections is limited, researchers have studied the effects of plant-based foods as a source of lipotropes in rats. The researchers state that the major plant lipotropes include:

Other substances in plant foods such as fatty acids, fiber, and flavonoids may also have lipotropic effects. This study only explored the effect of lipotropic substances in the diet. The researchers did not investigate the effect of lipotropic injections in the test rats.

Clinical trials that have studied lipotropic injections are scarce. For this reason, some doctors may not recommend using them for weight or fat loss.

Weight loss clinics will establish the price of lipotropic injections, so the cost will vary from one weight loss clinic to the next.

One of the factors that may influence the cost they settle on is the components included in the lipotropic injection.

Vitamin B-12 injections alone may be less costly, but there is no scientific evidence around the cost of these injections.

Some clinics offer packages of injections, or they may include the cost of the injection in the price of a weight loss program.

The dosage depends on the ingredients in the injection. Also, each clinic may follow a different protocol and scheduling of the injections.

In some clinics, people receive lipotropic injections once weekly, whereas other clinics suggest more frequent injections.

As with cost, there is no scientific data to back any dosage claims that weight loss clinics make.

In one study, researchers administered 1,000 micrograms of vitamin B-12 intramuscularly to explore the effects on weight loss. Other clinics may choose different strengths of vitamin B-12 and other ingredients in their injection formulations.

People who want to use lipotropic injections should choose a clinic with a registered physician. Some clinics may not have doctors on staff, whereas others may have weight loss specialists who are also medical doctors.

Some lipotropic injections may not be appropriate for everyone. Before receiving their first injection, a person should check if any of the ingredients can be harmful in combination with their medications or a medical condition they have.

Apart from pain at the injection site, one of the risks of using lipotropic injections is that they may not work. People cannot rely on these injections to promote fat loss, so they should also try to adopt more healthful habits, such as exercising regularly.

Researchers have not studied the side effects of lipotropic injections. Information on side effects comes from anecdotal evidence from people who have used the injections for weight loss. Side effects may also vary from person to person.

People who want to lose weight can speak with a doctor or other healthcare provider to create a safe, effective, and individualized weight loss plan.

Doctors can help people find healthful ways to meet their weight, body mass index (BMI), and hip-to-waist ratio goals, which can promote overall health.

Before planning a weight loss regimen, people may wish to consider their current eating and exercise habits. Some questions they should ask themselves include:

Doctors, dietitians, and weight loss specialists can help answer some of these questions.

To lose weight and maintain the loss, a person may need to change lifestyle habits other than eating and exercise.

For example, weight loss programs that are safe and effective should also include:

People should try to avoid weight loss programs that are scams. They should report these to the Federal Trade Commission.

Some simple changes a person can make to their diet to promote more healthful habits include:

The 20152020 Dietary Guidelines for Americans provide nutrition and exercise recommendations. People who want to lose weight can follow these recommended guidelines, along with suggestions from their doctor.

Read about some other scientifically backed weight loss tips here.

Some people use lipotropic injections to aid fat loss and lose weight.

The purpose of these injections is to speed up the metabolism of fat. However, in order to maintain a moderate weight, people should also try to eat more healthfully and adopt regular exercise habits. Lipotropic injections are not a substitute for these healthful habits.

Researchers have not confirmed that lipotropic injections are effective.

Individual ingredients include some vitamins, minerals, and amino acids that may be involved in fat metabolism. However, most data on the success of lipotropic injections come from anecdotal evidence. Therefore, researchers should continue to study their effectiveness.

To lose weight and fat, a person should try to focus on lifestyle and diet.

See more here:
Lipotropic injections: Cost, dosage, and risks - Medical News Today



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