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Youll also have to reckon with the fact that even if you keep quiet about your own struggles, your children will notice if youre swearing off gluten to lose weight while they scarf down cheesy crackers, or if you never wear shorts on the hottest of summer days because you dont like your legs. Kids are so perceptive, Dr. Millner said. We need to be honest with ourselves and recognize that if were dieting, our kids will pick up on that. They may not have the language for it yet, but theyll know theres something going on for you with food.

Avoid statements like, Youre so lucky you can eat cake, when Im stuck with these carrot sticks! It may feel as if youre giving your kids permission to enjoy their treat, but youre also reinforcing the message that treats need to be earned, or that eating carrots is a punishment. Instead, try your best to share meals and snacks with your children. And consider whether following a diet that makes it difficult for you to embrace family meals is healthy for you, as a parent and as a person.

[Is mealtime miserable? Try this.]

If youre feeling like, I need to hide my diet from my kids, maybe what youre really saying is, I dont want to do this but I dont know what else to do, said Rebecca Scritchfield, M.A., R.D.N., a registered dietitian nutritionist who offers family counseling in Washington, D.C. Its OK to be in a hard place with your body. You dont have to have all the answers. But if you want your kids to not have such a fraught relationship with pizza, then you need to work on your own relationship with it.

Scritchfield suggests evaluating any potential diet or workout plan by asking two questions: In the long run, will this plan allow me to have a flexible, positive and joyful connection to food and movement? And, Is this advice Id happily teach my kids? If the answers are no, it might be time to reframe your health goals in a kinder, more body-positive light. Forget calories, and focus on enjoying your food even the ones you think of as bad, Scritchfield advised.

One recent study on intuitive eating found that giving ourselves permission to eat any food resulted in a healthier, more varied diet overall. Similarly, choosing physical activities because you find them genuinely fun tends to result in more regular exercise in the long-term than forcing yourself to do punitive workouts in the name of weight loss. Above all, be as patient with yourself as you are with your child when shes mastering a new skill. Most chronic dieters have years of body bashing to unlearn, Scritchfield said. Allow time to learn and grow.

Virginia Sole-Smith is the author of The Eating Instinct: Food Culture, Body Image and Guilt in America, and co-host of the Comfort Food Podcast.

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Your Kids Dont Have to Inherit Your Body-Image Issues - The New York Times

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Kamden Glade is a 25-year-old graduate student at Bemidji State University who is in charge of gathering most of the diet data. The Minnesota DNR and Bemidji State University have a contract to complete the project, with Brian Herwig of the Bemidji DNR office and Jeff Reed of the Glenwood office leading the overall research.

The work is scheduled to look at 11 bodies of water in Minnesota. Seven of those lakes hold muskies, but northern pike, largemouth bass and walleyes are also a part of the study that is designed to do a wide-ranging diet overview of some of the states most popular predatory fish and see how the species are co-existing in Minnesota waters.

Were taking diets from muskies, northern pike, walleye and largemouth bass in all the lakes so that were able to compare diets between lakes and between seasons, Glade said. Then we have (four) reference lakes too to see if theres any kind of significant difference in walleye, pike and largemouth bass diets in lakes that do or dont have muskies in them.

Miltona, Little Boy (Longville), Bald Eagle (East Metro), Ten Mile (Hackensack) and South Center (Chisago) Lakes were sampled in 2019 during the spring, summer and fall seasons. Other muskie lakes that are scheduled to be sampled for the study include Bemidji and Shamineau (Little Falls) in 2020 and North Star (Grand Rapids) and Pelican (Fergus Falls) in 2021. Lakes without muskies in the study are Ten Mile, South Center, Grace and Deer (Bemidji).

The COVID-19 pandemic is likely to stop spring sampling in 2020, but Glade said they are hopeful that sampling not done this year could be rescheduled to 2021. The work is scheduled to be completed in the fall of 2021 with final publication of the results following that.

Glade has not analyzed all the numbers from every lake that was sampled in 2019 due to the study being ongoing, but he has taken a hard look at the data from Lake Miltona.

Most of the muskies that are sampled are captured through electrofishing at night. Researchers also looked at the diets of fish on Miltona by going along with crews from the Glenwood Area Fisheries department during netting surveys in 2019.

Kamden Glade watches as a muskie swims free on Lake Miltona after taking a diet sample from the fish in 2019. (Contributed photo)

Diet samples are taken from muskies by placing a small piece of clear tubing through the fishs mouth and into the back of its stomach. Water is then slowly pumped in before pressure builds enough to cause the fish to regurgitate any stomach contents. Some fish sampled had nothing in their stomachs due to not feeding recently.

Overall, we had a 67% full stomach rate on muskies throughout all seasons, which is actually quite a bit better than most of the other studies that Ive seen, Glade said.

From Miltona, 29 muskies were sampled with full stomachs in the spring, compared to two in the summer and 15 in the fall. The contents ranged from easily identifiable species that had just been eaten, down to matter that was nothing more than bones or a small piece of tissue.

Some of those you can identify the species based on the bone structure, Glade said. Beyond that, were working with Dr. Loren Miller from the University of Minnesota and the Minnesota DNR. Hes a geneticist. Hes able to take a little chunk of flesh from a diet and he can do genetic barcoding on that chunk of flesh and tell us what species it was.

The preliminary numbers on Lake Miltona showed that yellow perch made up the largest percentage of the muskies diet by numbers.

Largemouth bass were a fairly important diet item for them as well, Glade said. They had a decent amount of bullheads there, and also some crappie and bluegill. Then white suckers were also important for them.

Yellow perch came out to about 65% of the total diet items by number for Miltona muskies, but that is not the only thing researchers look at when assessing diet studies.

Percentage by mass, the total mass of one prey species divided by the total mass of all prey species present, is also an important factor. Yellow perch made up about 8% of the muskies diet by mass on Lake Miltona.

Thats because muskies will commonly feed on larger prey. One muskrat, one ring-billed gull, 11 northern leopard frogs and two northern pike were found in muskies on Miltona. A couple of bowfin, commonly known as dogfish, were also found.

Theyre not eating extremely frequently, but when they do eat theyre eating some fairly large diet items, Glade said. We had a couple muskies from Miltona that had white suckers in their stomach that were at or over 20 inches in length.

A total of three walleyes were found in muskies on Lake Miltona. That made up less than 1.5% of the muskies diet by number and less than 2% by mass.

Its definitely not like they were targeting walleyes, Glade said. We expected to see some. I was kind of surprised we didnt see more, just based on how often we saw muskies and walleyes in the same areas when we were sampling.

Kamden Glade holds up a Lake Miltona muskie. (Contributed photo)

Researchers for the study are using an overlap metric to analyze how the predator species are competing for limited resources within a lake. That overlap metric is accumulated by looking at each species diet as it relates to percentage by number and by mass.

It gives a number between zero and one. For muskies and walleye, that was about 0.23, so definitely low, Glade said. Anything below 0.4 is considered low overlap. So its definitely looking like at least on Miltona they are not competing for the same resources too much.

Yellow perch are an important prey species for all the game fish, but the low percentage by mass that perch accounted for in the muskies diet made for that low overlap with walleyes.

Northerns surveyed on Miltona had a diet of yellow perch that consisted of almost 70% by number and 40% by mass. Largemouth bass also had nearly 40% by mass of yellow perch, and walleyes relied on perch for their diet at 40% by number and about 60% by mass.

Walleyes, northern and bass exist in the lake at much higher densities. Miltona is managed as a trophy lake for muskies, and fingerlings are stocked at low numbers in order to create better opportunities for fish measuring 50-plus inches.

I havent really analyzed the numbers from a lot of the other lakes, but just from looking at Miltona, there was a lot higher chance of overlap between the other three species than muskies had on any of the other three species, Glade said. For instance, walleye had a relatively high overlap with both pike and largemouth bass. That was a little interesting to see, but not entirely unexpected. The muskies had relatively low overlap with all three of the other species.

Sampling is completed on Lake Miltona, with more lakes left to look at across Minnesota over the next two years. The end result should be some modern research that can help guide management decisions on Minnesota waters.

If there is a significant shift in diets when were stocking muskies, maybe that is something we need to look at a little closer, Glade said. If theres not, that also gives managers important information theyre able to continue stocking or increase stocking and have scientific data to back that up instead of anecdotal observations.

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What are muskies eating in Miltona? Local lake part of Minnesota diet study on four major game fish - Grand Forks Herald

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The first thing Brandi Hudson saw in the pitch black night was a small light that grew closer in the Arctic cold.

A GPS signal had alerted Hudson and her three colleagues to the approach. She stood in a frozen riverbed waiting, the distant light the only indication that the eerily silent and dark Alaskan wilderness was about to turn chaotic.

When the light finally made it to Hudsons group, the night suddenly became like a scene from a silent black-and-white movie.

Steam rose from the exhalations of the team of approaching sled dogs, their path illuminated by the beam of their mushers headlamp as it sliced through the condensation to the trail ahead.

It wasnt until the sled was nearly upon Hudson that the sound of their approach exploded around her.

The first action for the Gillette-raised veterinarian at the legendary Iditarod Sled Dog Race was about to begin.

On the bucket list

The first time Hudson set eyes on the Iditarod Trail was nearly a week prior from thousands of feet above the ground as she gazed from the window of a small aircraft at the snow-covered Alaska wilderness. The trail cut a clear ribbon through a sea of green treetops.

She was in disbelief, unable to fathom how dog-sled teams could possibly complete the daunting nearly 1,000-mile adventure through the elements and rugged Alaska frontier.

Hudson had said goodbye to her husband and two children March 2, but her journey to Alaska started almost two years earlier, precipitated by an ominous dream.

Hudson dreamed she had breast cancer. The next morning she checked and, sure enough, it was true, she said.

An early diagnosis saved crucial time for the veterinarian and treatment was effective. Her final radiation appointment was Feb. 28, 2019, nine months after the dream she now calls divine intervention.

Her battle with cancer was motivation to attempt and accomplish bucket-list things she wouldnt have otherwise. Included on that list was to start a Bible study and lead young women to Christ.

So, too, was traveling to Alaska and working with dogs during the Iditarod.

As a young girl, Hudson became enthralled with Susan Butcher, a four-time champion and the second woman to win the race. That was when the race was becoming heavily publicized in the 1980s.

Actually, one of the first things I wanted to be was a musher when I grew up, she said. Then it kind of evolved into being a veterinarian.

The dream of the Iditarod never left Hudsons mind. She wanted to at least see it once in her lifetime. Her chance came last June.

She applied to be a volunteer veterinarian for the 2020 Iditarod Sled Dog Race, thinking her chances of being accepted were slim to none. In September, the letter arrived.

When I opened it up and read that I was actually accepted, it was pretty exciting, Hudson said. I actually didnt believe it for a while.

It was about a week before she shared the news with her family, waiting until she was 100% sure she wanted to go. Her two kids were outraged not that she was going, but that she would even consider passing up the opportunity.

That she could actually be a part of the Iditarod adventure didnt hit until Hudson was looking out of the plane window at all the snow and ice surrounding the inlet near Anchorage.

That was four days after her one-year anniversary of being cancer free.

Through the darkness

Hudson spent many long days and late nights calving as a girl on the Nuselli Ranch south of Gillette. The 1995 Campbell County High School graduate also has many years of pregnancy testing livestock in the middle of the night as a veterinarian.

That still wasnt anything like being on the ground supporting the mushers and their teams during the Iditarod. She felt prepared as she stood in the minus-15-degree night with the dog sled team approaching.

She and the three other veterinarians were about to begin their first night of work in Skwentna, Alaska, 83 miles into the race and third of 22 checkpoints along the trail.

There was no barking. The dogs just lay down until a runner came to grab the leash of the lead dog and guide the team to an area where their musher had straw laid out.

Then Hudson and her colleagues set to work making sure every dog was fit to continue the race a tall order with all 57 teams still racing in a relatively tight pack at that point.

Starting at 11:30 p.m., Hudson and the three other vets in Skwentna examined more than 700 dogs that night.

Robert Redington, whose father Joe founded the Iditarod in 1973, was the first musher to arrive. It was the light from his headlamp that Hudson saw.

She and the other vets worked tirelessly until the final team pulled in at 7 a.m. the following morning.

It was a mad rush, Hudson said.

By the end of it, Hudson had been awake for nearly 40 hours, including the prep time before teams arrived. Not until the final dog had been examined did the vets retire to the cabin at the Skwentna checkpoint, a small, off-the-grid community of about 90 people.

After about eight hours of sleep, Hudson and one of the other vets hopped on a plane and flew to the eighth checkpoint, McGrath, 311 miles in.

Shed already experienced what many vets dream of, but there was no way to predict all the eye-popping things she would see as she stayed ahead of the 938-mile race for the next two weeks.

Down the trail

As a child, Hudson was constantly going to the mountains with her parents, Kelly and Georgia Rice. In summers, they rode motorcycles and four-wheelers. In the winters, it was snowmobiles.

But the playing didnt start until the work on the ranch was done. Hudson was a hand since age 5. She and her sister werent spared any of the hard work of ranch life. They helped with the branding, docking, shearing, fencing and haying.

After Hudson completed her undergraduate work at the University of Wyoming, she attended veterinarian school at Colorado State University, where she met her husband, Jay.

She and Jay spent many years on 24-hour call as cattle veterinarians. With that lifestyle, shes never been a stranger to freezing cold mornings and taking care of animals at all hours of the night.

But the first time Hudson experienced doing so at minus 50 degrees (without wind chill) was at the McGrath checkpoint. It was so cold that her stethoscopes tubing was almost stiff enough to break and she had to take special care to keep it warm.

Outfitted in her brother-in-laws rock-climbing gear, she managed to fight off the biting cold for the most part. But seeing a sled proceeded by 14 furry bodies was always a welcome and awesome sight.

Thats how we stayed warm, she said.

Born to race

Hudson marveled at the dogs she saw at the six checkpoints she worked. She had spent many hours working with ranch dogs growing up and as a vet, but it didnt take long to realize sled dogs are a different breed of animal.

Those teams of dogs were doing exactly what they had been bred and trained for. They ran more than 100 miles every day and Hudson couldnt help but notice how happy and ready to go they were each day.

Chow time at days end was a sight to behold. When racing, the dogs consume 12,000 calories a day because theyre burning so much energy, and Hudson said the mushers fed them almost pure protein and fat a diet that would kill a normal dog.

She even started to recognize individual dogs as they pulled into checkpoints.

One was the lead dog from Monica Zappas team, called Steel Eyes. The way it responded to Zappa was impressive, she said.

Whenever Zappas team pulled into a checkpoint, Steel Eyes dropped straight to the ground and curled up like it was sleeping. And then was always ready to go at the drop of a hat.

As soon as Monica would say, Are you ready? It would jump up on all fours and bark twice, wag its tail and it was ready to go, Hudson said.

The highly trained canines werent the only ones Hudson took care of along the trail. She remembers second-place finisher Mitch Seavey arriving at the Ruby checkpoint covered in his own blood.

He wasnt doing too well, she said of Seavey, a three-time Iditarod winner. He was kind of panicked, because he had a nosebleed that had happened for three hours and he couldnt stop it.

Hudson and the other vets treated him, cauterizing Seavers nose to stop the bleeding.

Near the finish line in Nome, more complications arose from overflow water that accumulates on top of the snow. Hudson and the other veterinarians switched roles again and joined rescue teams driving snowmobiles with trailers to retrieve teams stuck in the deep slush.

Hudson had been driving a snowmobile since she was 8 years old and knew what she was doing. Her Wyoming upbringing was coming in handy, and not for the first time along the trail.

One of the few times she became uncomfortable was when the head veterinarian asked for volunteers to drive vans on icy roads back to headquarters. Hudson waited for one of the Alaskan workers to volunteer, but nobody did.

Finally someone says, Well, shes from Wyoming, shell do it, Hudson said. They definitely view Wyomingites as people who can deal with the stuff in Alaska.

The finish line

Hudson used to envision being a musher to glide into Nome under the famed Burled Arch having completed the legendary Iditarod Trail at the end of a wild Alaska adventure.

The adventure she had was just as satisfying. Hudson was the only rookie Iditarod veterinarian to make it all the way to the the finish line in Nome this year.

When the final team crossed, a weight was lifted off her shoulders. The race was over and not a single dog had been lost.

Hudson now looks at her Iditarod experience and doesnt feel a sense of accomplishment as much as one of being blessed to be a part of something so special, something she had dreamed of most of her life.

The veterinarians had to monitor the dogs for 72 hours before they flew home. That was when Hudson said she got to know the mushers on a completely different level.

Once the race was over, they let their guard down and told their stories. They were different people after the stress of the race dissipated.

The day after the dogs boarded planes to go home, so did Hudson.

As her flight took off from the airport in Nome, her only thought was getting back to her family. Her bucket list was now one item shorter.

Hudson never became a musher like Susan Butcher. But she completed every checkpoint and challenge put in front of her at the 2020 Iditarod Trail Sled Dog Race and finished in Nome, something not many rookie volunteers or mushers can say.

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Gillette veterinarian treats hundreds of dogs along the Iditarod Trail - Gillette News Record

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How to achieve weight loss healthily. Learn more in our easy-to-understand videos on the latest research.

The largest study ever to compare the obesity rates of those eating plant-based diets was published in North America. Meat eaters topped the charts with an average body mass index (BMI) of 28.8close to being obese. Flexitarians (people who ate meat more on a weekly basis rather than daily) did better at a BMI of 27.3, but were still overweight. With a BMI of 26.3, pesco-vegetarians (people who avoid all meat except fish) did better still. Even U.S. vegetarians tend to be marginally overweight, coming in at 25.7. The only dietary group found to be of ideal weight were those eating strictly plant-based (the vegans), whose BMI averaged 23.6.

People who had once eaten vegetarian diets but then started to consume meat at least once a week were found in one study to experience a 146 percent increase in odds of heart disease, a 152 percent increase in stroke, a 166 percent increase in diabetes, and a 231 percent increase in odds for weight gain.

But vegetarians may suffer high rates of chronic disease if they eat a lot of processed foods. Take India, for example, where rates of diabetes, heart disease, obesity, and stroke have increased far faster than might have been expected given its relatively small increase in per-capita meat consumption. This has been blamed in part on the apparent shift from brown rice to white and substitution of other refined carbohydrates, packaged snacks, and fast-food products for Indias traditional staples of lentils, fruits, vegetables, whole grains, nuts, and seeds.

The dividing line between weight loss-promoting, health-promoting, and disease-promoting foods may be less plant- versus animal-sourced foods and more whole plant foods versus most everything else.

A dietary quality index was developed that simply reflects the percentage of calories people derive from nutrient-rich, unprocessed plant foods on a scale of 0 to 100. The higher the score, the more body fat may be lost over time and the lower the risk may be of abdominal obesity, high blood pressure, high cholesterol, and high triglycerides. The standard American diet was found to rate 11 out of 100. According to U.S. Department of Agriculture estimates, 32 percent of our calories comes from animal foods, 57 percent from processed plant foods, and only 11 percent from whole grains, beans, fruits, vegetables, and nuts. That means on a scale of one to ten, the American diet would rate about a one.

For more in-depth data on this topic, check out Dr. Gregers book, How Not to Diet.It hones in on the optimal criteria to enable weight loss while considering how these foods actually affect our health and longevity.

Image Credit: sam74100 / Thinkstock. This image has been modified.

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Weight Loss and Nutrition: The Latest Research ...

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Weight loss surgery (bariatric surgery) is a life-changing procedure. It isnt a quick fix, but the results can be dramatic. In the long-term, people can lose up to 60% of their excess body weight. Success depends on initial BMI (body mass index), the type of surgery, and how well people stick with the lifestyle changes. Typically, results peak one year after surgery. But the changes right after surgery can be intense. Heres what to expect during the first 30 days after bariatric surgery.

Diet is an area of drastic change after weight loss surgery. Nutritional goals include getting enough protein to keep your muscle mass, staying hydrated, and using vitamin and mineral supplements.

For most of the first 30 days, bariatric surgery patients eat a liquid diet. This transitions to a soft-food diet 2 to 3 weeks after surgery. Protein drinks and shakes will help maintain muscle mass. Nutritionally complete protein drinks or liquid supplements will provide vitamins and minerals. You will only be able to consume 1 to 2 ounces at a time. As a result, the intervals between meals are short.

Frequent fluids are also necessary. In order to avoid dehydration, people need 6 to 8 cups of fluid each day. This means you may need to drink small amounts of fluids several times an hour to stay hydrated. Maintaining this schedule of frequent fluids and liquid meals can be a challenge. It may be helpful to write out the plan for your day. Downloadable smartphone apps like Daily Water can help you stay hydrated.

Weight loss is one of the goals of bariatric surgery. The amount of weight loss will depend on the person and the procedure. But it tends to be rapid in the first few months. During the first 30 days after bariatric surgery, the average weight loss is 5 to 15 pounds per week. Men tend to lose weight at a faster pace than women. By two months, most people average a 20% loss of excess weight.

Weight loss surgery changes how you can take medicines and which medicines you need. It also changes the way the body absorbs some drugs. As a result, extended-release, delayed-release, and enteric-coated medicines may not work well after bariatric surgery. Immediate-release forms of drugs tend to work better.

You will need to take vitamin and mineral supplements for your lifetime. You will also need to avoid aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs) unless your doctor says otherwise. Doctors usually prescribe an acid-blocking drug for the first few months after weight loss surgery. Some people continue this drug if they must take aspirin for a heart or blood condition.

Doctors also use ursodiol (Actigall) to prevent gallstones after weight loss surgery. This is a frequent complication that occurs in up to 50% of bariatric surgery patients.

On the other hand, weight loss surgery may improve many obesity-related conditions, such as diabetes. You may find that you no longer need medicines to control symptoms or diseases you had before surgery. Talk to your doctor before stopping any of your medicines.

Obesity-Related Conditions

Reducing the risk of obesity-related conditions is another goal of weight loss surgery. Here again, the results can be rapid and dramatic. High blood pressure, diabetes, and GERD (gastroesophageal reflux disease) often improve within days of bariatric surgery.

In the first 30 days after surgery, its important to monitor blood sugars daily. They often return to normal quickly. In fact, most people are able to completely stop blood pressure and diabetes medications soon after surgery. This can happen even before weight loss.

There can be some problems in the first 30 days after weight loss surgery. Constipation is common shortly after surgery. Its usually due to pain medicines and dehydration. Keeping up your fluid intake will help. Wound infections can also be a problem, especially with a large incision from open surgery. Call your doctor right away if you have fever or pain, redness and discharge from your wound.

Vomiting may occur a few times a week. Often, it feels like food gets stuck and you must regurgitate it. During the first 30 days, this may mean that youve eaten too much. Talk to your doctor to be sure you are eating or drinking the right amount of food. You may need to weigh your food on a food scale to confirm you are eating the correctly-sized portions.

You should also call your doctor if you have persistent vomiting; your vomit is bloody or looks like coffee grounds; you have dark, tarry stools; or you feel faint or lightheaded. These are signs of possible complications, including internal bleeding from your stomach or intestines. Your doctor may recommend an endoscopy to check your stomach.

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After Weight Loss Surgery: The First 30 Days

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Appointment options in response to COVID-19

In response toCOVID-19recommendations to keep you, our patients, and staff safe:

Summa Healths Weight Management Institute has implemented the use of telemedicine or TeleHealth for most patient office appointments. TeleHealth visits include new patient appointments, before weight loss surgery visits and after surgery post-operative care visits. Our current TeleHealth visits are currently telephone-based. There is a plan to add video capabilities soon.

Our offices are open to see patients who need to be seen in-person. We have implemented Summa Health guidelines for COVID-19 screening including temperature monitoring to ensure patient and staff safety.

Please know that Summa Healths Weight Management Institute providers and staff are committed to continue to provide you care. Our goal is to continue to provide the highest quality, compassionate care to our patients while also keeping their safety and that of their family in mind!

The Summa Health Weight Management Institute has been helping people lose weight since 2004. Since our inception, we have promoted a physician-driven, team-based approach to weightloss.

There are numerous quick fixes on the market, none of which results in long-term significant weight loss. While it is appealing to think of taking a pill to miraculously and effortlessly melt away the pounds, the reality is that it takes hard work and time to undo the eating behaviors and choices that lead toobesity.

The Summa Health Weight Management Institute offers many options for weight loss. We understand that readiness to lose weight varies from one patient to the next, so we offer a continuum of services starting with lower intensity options with a dietitian, and then including behavioral, nonsurgical and surgical options. All of our higher intensity services are designed to take place with a physician or behavioral specialist to make sure you get the level of care that youneed.

Our nonsurgical and surgical services are considered to be medically supervised weight loss options because your primary provider is a physician or surgeon. Depending upon the degree of your obesity and the level of knowledge you have regarding the options for addressing it, we can help you decide which of our weight management programs best fits yourneeds.

All patients of the Summa Health Weight Management Institute experience a clinician-driven solution, with the assistance of our team of registered dietitians, clinical psychologists, clinical exercise specialists, physicians and surgeons. We believe that patients struggling with excess weight, whether in the early (pre-obese) or late stages of the disease, require a multidisciplinarysolution.

The reasons for obesity are many and varied, and as such require a personalized solution and life-long support. We work with each individual to achieve the best possibleoutcome.

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Weight Loss Options | Summa Health Weight Management Institute

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Prescription weight loss medicines are given to you by your doctor. They can help obese people lose weight. They are usually used when diet and exercise alone are not working. People who use these medicines may not feel as hungry. Or they may feel full after eating only a small amount of food. Another type of medicine makes it harder for your body to absorb fat. Prescription weight loss drugs can be helpful when used in combination with a low-calorie diet and regular physical activity.

Prescription weight-loss medicines are only for people who are obese. Most of these medicines are designed for people who weigh 20% or more above what is ideal for their height and body type. Or they are used with people who have a high body mass index (BMI). The BMI is a measure of your weight in relation to your height. Your doctor may prescribe you medicine to treat your obesity if you have:

Your doctor can tell you if prescription weight-loss medicines might be helpful for you.

Prescription weight-loss medicines generally work in 2 ways. Most work in your body to make you less hungry or feel full faster. One FDA-approved medicine works in your digestive tract. It blocks the amount of fat your body can absorb. Some medicines are approved only for a short period of time, usually no more than 12 weeks. Others can be used long-term.

The following are medicines currently approved by the FDA for weight loss. Also included is information on how they work, common side effects, and warnings for each.

Orlistat is also available in a lower dose without a prescription. That over-the-counter medicine is called Alli. Orlistat is the only medicine of its kind to be approved in the U.S.

The following medicines make you feel less hungry or full faster. They share common side effects, including constipation, dizziness, dry mouth, diarrhea, and nausea. Additional side effects are listed for each medicine.

There are other medicines that can reduce your desire to eat. These include:

These medicines are only FDA-approved to be used short-term, up to 12 weeks. They have some side effects, too. These include:

You should not use these medicines if you have uncontrolled high blood pressure, heart disease, hyperthyroidism, or glaucoma. You should tell your doctor if you have anxiety or mood disorders before using these medicines.

In rare cases, some weight-loss medicines can cause seriousliverinjury. Call your doctor right away if you notice symptoms of liver injury, including:

Some weight-loss supplements containing ephedra, ephedrine, orcaffeineare available without a prescription (over the counter). It is not known whether these medicines are safe. Such supplements have been linked to reports ofheartattack, seizure,stroke,and death. It is important to talk to your doctor if you are taking or are considering taking an over-the-counter weight-loss supplement.

There is no easy cure for being overweight. Prescription weight-loss medicines can help you get off to a good start. But once you stop taking them, the weight you lost may come back. To keep the weight off, you must eat ahealthy dietand bephysically activeon a regular basis. You must continue these healthy habits even after you stop taking the medicine. Remember that losing weight and keeping it off is a lifelong effort.

If you decide weight-loss medicines arent right for you, you can still meet your weight-loss goals. Its important to develop healthy eating habits. But dont expect to change everything overnight. Start by training yourself to eat without doing anything else at the same time. For example, dont eat while you watch TV. Focus on what youre eating. Try to eat slowly.

Next, change what and how much you eat. Your doctor can help you create a low-calorie diet plan that will help you lose weight.

It is also important to be physically active. A good goal for many people is to work up to exercising for at least 30 minutes, 4 to 6 times a week. Regular exercise helps you burn calories faster, even when you are sitting still. Exercise also helps you burn fat and build muscle.

Aerobic exercise raises your heart rate and helps you burn calories. Aerobic exercises include swimming, brisk walking, jogging, and bicycling. Anaerobic exercise, such as weight training, is also good because it addsmusclemass to your body. Muscle burns calories faster than fat.

Be sure to check with your family doctor before you begin an exercise program. He or she can help you create an exercise plan that will help you meet your goals.

National Institute of Diabetes and Digestive and Kidney Diseases, Prescription Medications to Treat Overweight and Obesity

Centers for Disease Control and Prevention, Healthy Weight

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Common mistakes while trying to lose weight

New Delhi, April 19 (IANSlife) Trying to lose weight can come with its own disappointment. Even when you believe that you are going the right way, there are times when your weighing scale doesnt budge.

Maybe, it''s those fascinating fad diets are to be blamed but there can be other reasons. Celebrity nutritionist Nmami Agarwal shares a few common diet mistakes that people do while losing weight.

Eliminating Fats Completely

Fat is an important macronutrient. Period. Fats are crucial for brain health, heart health, gut health, and to provide suppleness to your skin. Many vitamins can only be absorbed by the body in the presence of fats. It''s the type you choose to consume - refrain from having saturated fats like butter, margarine, hydrogenated and trans fats.

But, you must include essential fatty acids in your diet through foods like fatty fish, walnuts, seeds, avocados and eggs. Special mention to walnuts if you are a vegetarian/ vegan- as they are the only tree nuts highest in plant-based Omega-3 fatty acids that are vital for many body functions.

Fad Diet Trends

Diets that promise to do miracles with your weight and force you to follow the process of starving or choosing specific foods is a big problem. Crash diets work by eliminating important food groups from your diet say- carbs or fats and rely on limited sources of energy. These diets might give you short-term results but are non-sustainable for longer periods and once you''re back to your normal eating regime, your weight bounces back, sometimes even more than before. Such diets also hamper with your metabolism, in the long run, affecting your digestion and absorption.

The solution? Stick to a balanced diet that has foods from every food group. Just master the art of portion control.

Extreme Calorie Restriction

It''s a common misconception that the lesser calories you eat, the faster your weight loss will be. Yes, you might lose weight initially but at the cost of your overall health. Extreme calorie restriction can lead to severe nutritional deficiencies and can also give rise to food disorders hampering your mental health as well. Stick to a simple, basic diet regime comprising of whole foods like grains, legumes, fruits, vegetables, nuts, seeds, and dairy.

--IANS

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Disclaimer :- This story has not been edited by Outlook staff and is auto-generated from news agency feeds. Source: IANS

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By: Lifestyle Desk | New Delhi | Published: April 19, 2020 8:00:44 pm Scroll down to know which food products will help you shed those extra kilos while you are in self-isolation. (Photo: Getty)

Lockdown might be hard but it also provides us with ample of time to get back in shape. However, there is also the constant lure of stress eating and while it might be tempting to give in, wont it be ideal to come out of the quarantine without those extra kilos? In case you are wondering what to do and how to take the situation in your hands, scroll down to know which food products will help you shed those extra kilos while you are in self-isolation.

Stevia

Kiss your refined sugar goodbye because trust us it will do you no good. It not only spikes your blood sugar but also triggers a flood of insulin through your body, which gradually leads to fat accumulating around your tummy area. Ms Dolly Kumar, Founder & Director, Gaia says, befriend stevia instead. Also known as Meethi Tulsi, Stevia is a 100 per cent zero calories natural sugar alternative. Obtained from natural herbs, it does not contain Aspartame and has absolutely no side effects. This food product is also beneficial for Type 2 diabetics, heart patients and those who are conscious of gaining weight.

Muesli

Ms Kumar suggests a diet enriched with fibre and protein. The best way to incorporate a diet like that is by consuming Muesli. This helps with weight management and with zero cholesterol, it becomes good for the heart as well. The low fat and high fibre properties in Muesli make it a healthy breakfast option for the health-conscious says Ms Kumar. Theres nothing like kickstarting your day with a bowl of muesli topped with your choice of fruits and milk.

Oats

Oats are the perfect balance of health and taste! It is highly rich in dietary fibre and this is exactly why it keeps you feeling fuller for longer, thereby, helping you manage weight. Ms Kumar also points out that they also help in reducing the blood pressure and aid in digestion, which increases the bodys metabolism to lose weight faster. Consume them in your breakfast like overnight oats or simply use them as a flour to make gluten-free bread, dosas or even desserts says Ms Kumar.

Green tea

Green tea is the best way to burn that body fat since it does a great job in breaking fat cells. Ms Kumar points out that the EGCG content in green tea helps impede an enzyme that breaks down norepinephrine. As a result, she adds, the norepinephrine hormone increases in the body to breakdown the fat cells. The caffeine in green tea is a well-known stimulant that can aid fat burning and improve exercise performance.

Honey

Honey is not only great for your skin but the blend of natural sugar along with trace enzymes, minerals and vitamins, is unlike any other sweetener on the planet. Want to aid weight loss? Switch your sugar for honey and add it to your desserts, breakfasts and fruit bowls for a guilt-free indulgence.

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Obesity is a serious, chronic, treatable, and global disease epidemic. Over 98 million people currently have the disease of obesity, and in a recent New England Journal of Medicine article, Harvard researchers predicted that by 2030, 50% of the population in the United States will have the disease of obesity.

Type 2 diabetes (T2D) is significantly associated with obesity. While many people with obesity do not have diabetes, most people with T2D have the disease of obesity. Excess adiposity (body fat storage), which is present in obesity, contributes to many chronic diseases beyond T2D. These include high blood pressure, heart disease, and non-alcoholic fatty liver disease, which is becoming the number one reason for liver transplant across the globe.

Metabolic surgery, also known as weight-loss surgery and bariatric surgery, can be an effective way to lose excess weight and keep it off. Two of the more popular procedures are gastric bypass and sleeve gastrectomy.

We have known for many years that weight-loss surgery has a positive impact on cardiometabolic risk factors, including high cholesterol, high blood pressure, and abdominal obesity. It is also the most successful treatment for remission of T2D, which is another cardiometabolic risk factor.

A recent study published in JAMA set out to determine whether the beneficial effects of weight-loss surgery on cardiometabolic risk factors translated into improved cardiovascular (CV) outcomes in people with obesity and T2D. To do so, they compared CV outcomes (death, heart attack, stroke, heart failure, kidney disease and atrial fibrillation) in 2,287 adults with T2D and obesity who underwent weight-loss surgery against CV outcomes in 11,435 adults with T2D and obesity who did not have weight-loss surgery.

The researchers found that weight-loss surgery in people with T2D and obesity reduced the risk of death by about 40% over the eight years of observation. In fact, weight-loss surgery resulted in a significant benefit for all CV outcomes compared to no surgery. These study results illustrate the benefit of weight-loss surgery for both diabetes remission and heart disease risk reduction.

This was a large study with many patients in both the surgery and no-surgery groups. The researchers did a comprehensive analysis of the data, and controlled for many differences in the groups, including age, sex, body mass index (BMI), and average blood sugar level. The study authors appropriately acknowledge that since the study was observational, it cannot be seen as conclusive. A randomized trial of patients moving forward is needed to determine whether weight-loss surgery actually caused the beneficial outcomes.

The human body is incredibly engineered to promote fat storage; weight loss induces physiological changes that promote regaining of lost weight. This survival mechanism is hard to overcome by lifestyle interventions like diet and exercise alone.

Weight-loss surgery leads to physiologic changes that help regulate excess body fat, thereby promoting fat loss. For example, it influences metabolism, and can help you lose weight more efficiently and maintain the lost weight more effectively. These changes cannot currently be replicated with nonsurgical interventions in their entirety.

Our genes also play a large role in the disease of obesity and our tendency to store extra fat, given an environment in which we are surrounded by inexpensive, unhealthy, supersized food options. Genetics also plays a large role in the development of diabetes.

This helps explain why reversing diabetes can require re-engineering our physiology through a combination of specific lifestyle changes, medications, and surgery. As illustrated by this study, the remission of diabetes and obesity may prevent a host of future complications such as heart disease and stroke.

No one wants to have surgery, but when a surgical intervention produces the greatest odds of disease remission, we must consider it to get the best long-term outcome. We see this for example in cancer treatment, where a combination of surgery, medication, and radiation is used to produce the best chance of remission.

All people with T2D and obesity (a BMI greater than or equal to 35) should strongly consider metabolic surgery to reverse their diabetes and, as this study suggests, potentially prevent future heart attacks, stroke, and other cardiovascular complications. Metabolic surgery is increasingly safe, and currently has the same risk profile as having your gallbladder removed; less than 1 out of 1,000 people have a risk of death from the surgery itself.

If you have T2D and obesity, an evaluation at a comprehensive multidisciplinary obesity treatment center can help you understand your individual risks and benefits for metabolic surgery, and can help with medications and lifestyle interventions if you choose not to undergo surgery.

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