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Controversial weight loss procedure now available FOX31 Denver It allows them to really be successful long term, especially when you have somebody that has a lot of weight to lose, Dr. Sullivan said. Eric Wilcoxon is a patient from Missouri who participated in the clinical trials with Dr. Sullivan, and still ...

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Proponents of intermittent fasting contend that this popular way to lose weight is better than conventional dieting. But this type of diet isn't necessarily best for everyone, a top expert says.

Fasting is currently one of the newest diet fads and, while there are studies showing benefits, there are also potential downsides, Dr. Kent Holtorf tells Newsmax Health.

A recent University of Illinois at Chicago study finds intermittent, or alternate-day fasting, was equal in results to calorie counting when it came to weight loss, along with keeping off the excess pounds.

The study, which followed 100 obese people for a year, found that those who engaged in intermittent fasting lost 6 percent of their body weight, while those who ate a calorie-restricted diet lost 5.3 percent, not a statistically significant difference, the researchers say in JAMA Internal Medicine.

Holtorf is the Los Angeles-based medical director of the Holtorf Medical Group and a founder and director of the nonprofit National Academy of Hypothyroidism. He also has appeared as a medical expert on several TV shows, including The Today Show, Good Morning America, and ABC News.

Here are excerpts from his recent interview with Newsmax Health.

Q: What exactly is intermittent fasting?

A: The idea is to intermittently significantly reduce calories in a strategic way to reduce overall caloric intake instead of eating less per day. One common method is called the 5:2 diet, which involves significant caloric restriction two non-consecutive days per week while eating normally the other five days.

Q: How did this type of diet catch on?

A: Several studies were published showing that severe periodic calorie reduction had been shown to have many benefits including changing gene expression and stimulating cell repair, reducing the risk of Type 2 diabetes, improving cholesterol, lowering the risk of cholesterol levels, reducing heart disease and cancer risk and even extending lifespan.

Q: What do you think of intermittent fasting for weight loss?

A: There is a large amount of research supporting the safety and efficacy of intermittent fasting. If an individual fasts for a designated period of time, weight loss is to be expected as caloric intake has been reduced; however, research finds fasting offers long-term benefits including reduction of inflammation and improvement in mood. For example, a randomized, clinical trial of 71 people who followed intermittent fasting for three months lost an average of 5.7 pounds while the weight of the control group, which didnt alter their eating habits, lost no weight. Those in the fasting group saw a reduction in blood pressure, body fat, and waist size.

Q: What effect does intermittent fasting have on mood?

A: Going without food for 10-16 hours causes the body to release fatty acids known as ketones. According to Mark Mattson, a senior investigator for the National Institute of Aging, who has done extensive investigation on the health benefits of intermittent fasting, ketones have been shown to protect memory and learning function as well as slow disease processes in the brain. Ketones are also shown to boost the bodys formation of particular stress reducing neurotransmitters, such as serotonin and GABA, which helps you stay calm under stress and have fewer cravings.

Q: What are the drawbacks of using this type of diet for weight loss?

A: While it can be a way to jumpstart weight loss and have health benefits, studies also show that it can permanently reduce metabolism (calories burned per day). The metabolism may not go back to normal when normal eating is resumed unless steps are taken to prevent or reverse the drop in metabolism. Thus, fasting or so-called yo-yo dieting can contribute to long-term weight gain, wiping out the short-term health benefits of fasting.

Q: Are there any groups for which this may be a particular problem?

A: This is shown to be more of an issue for women because women's bodies appear to perceive fasting as more of a threat of starvation and respond by lowering metabolism to survive the perceived famine. This is especially true if a woman has any signs of low thyroid, including low body temperature, depression, cold intolerance, PMS, cold extremities or suffers with fatigue.

Q: So is there any one best diet out there for everyone?

A: Studies show that most diets are successful short-term but most suffer from equal long-term failure. But thyroid evaluation and optimization, if low, can increase the likelihood of successful weight loss whether via fasting or other diet plan.

2017 NewsmaxHealth. All rights reserved.

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Obesity is a growing problem in the United States and Americans have increasingly turned to surgery to help them lose weight. Nearly 200,000 people now get bariatric surgery each year. The procedures have improved and evolved over the last decade. Dr. Gustavo E. Bello, a bariatric surgeon for the GBMC Comprehensive Obesity Management Program, discusses the latest in bariatric surgery.

In general, how has bariatric surgery changed in the last decade?

The field of metabolic and bariatric surgery has evolved significantly and continues to do so. Basic science and clinical research, along with new technology, have made weight loss surgery not only a safer strategy to fight obesity, but one that is overwhelmingly better and more efficient than any other. The field continues to expand globally and surgeons now have the ability to complete a much more thorough and specialized training process.

What are the main Bariatric surgeries now performed?

Laparoscopic sleeve gastrectomy and gastric bypass are the most commonly performed weight loss surgeries across the board. Together, they account for more than 90 percent of all bariatric surgical procedures. Laparoscopic sleeve gastrectomy, which sits comfortably in first place, has been around for nearly 14 years. It is a procedure that alters the capacity of the stomach by actually removing around 75 percent of its reservoir and leaving the rest of the anatomy intact. It also reduces the levels of Ghrelin, the so-called "hunger hormone," causing a profound and positive change in the relationship between patients and food. The Roux-en-Y gastric bypass, the second most popular, has been performed for more than 40 years now. It is a well-studied, researched and reliable procedure. It helps patients lose weight and get healthier by reducing the capacity of the stomach, by rearranging the intestinal transit that interferes with the different mechanisms involved with how food gets digested and absorbed and by altering and improving patient's metabolisms. A less used procedure is the the biliopancreatic diversion with duodenal switch, where part of the stomach is removed and the remaining portion is connected to the lower part of the small intestine. Doctors also have cut back on the use of gastric bands, or lap bands, when a surgeon places a band around the upper part of your stomach to create a small pouch to hold food. The band limits the amount of food you can eat by making you feel full after eating small amounts of food

Why is the once popular lap band rarely used anymore?

The adjustable gastric bands that were so popular about a decade ago, have fallen out of favor and are very rapidly fading away. In my opinion, there are actually many reasons why this is happening but the perception that bands are "less invasive" has kept them alive for many years. Compared to other options, a gastric band simply isn't a good and efficient enough procedure to help patients lose weight and get healthier. Also, the majority of patients struggle with poor quality of life and lack of long-term success which has become increasingly notorious lately with the rise and acceptance of sleeve gastrectomy.

Has bariatric surgery become more affordable and are more insurance companies covering it?

No doubt weight loss surgery is now covered widely by virtually every insurance with very few rare and disappointing exceptions. This has given almost every patient affected by obesity access to this great tool and treatment modality. The better understanding of the obesity epidemic and its detrimental effects on overall health have increased awareness and made us more proactive on addressing and treating it. Simplified pathways, better outcomes and shorter hospital stays have significantly lowered the overall cost of surgery and that is not counting all the health care cost savings that come with eliminating obesity.

Who qualifies for bariatric surgery?

For many years now, the overwhelming majority of insurance companies, including Medicare and Medicaid, have provided coverage for weight loss surgery to those patients with a Body Mass Index (BMI) of 35 Kg/m2 or higher and who can demonstrate that they suffer from an obesity-related medical problem, such as hypertension, diabetes, sleep apnea, liver disease, among others. This is often waived if the patient's BMI exceeds 40 Kg/m2.

What are the risks and potential complications of bariatric surgery?

Fortunately, bariatric surgery has become extraordinarily safe with extremely low mortality rates that are now comparable to much more commonly performed operations such as gallbladder removal and hip replacement. Of course it is not completely free of possible complications, including bleeding, infection and the exceedingly uncommon, but troublesome, leakage.

What do people have to do to prepare for bariatric surgery?

As good and as efficient weight loss surgery can be in helping patients lose weight and become healthier, it should not be forgotten that, in the end, it is just a great tool that must be used wisely and decisively by the patient to obtain desired results. Preparing well for this life-changing event is of utmost importance. It includes becoming more knowledgeable about nutrition, getting mentally prepared, committing to adopting new and better habits, and finding creative ways to increase physical activity.

What protocols do patients have to follow after surgery for long-term success?

It has been said that long-term success following weight loss surgery occurs in more than 85 percent of cases. Success on definitively eliminating obesity relies first on being well-prepared ahead of time by better understanding the impact that nutrition has in our overall health and being mentally ready to adopt new lifestyle changes. This allows patients to more easily adhere to any post-surgery guidelines and key principles that are necessary to achieve adequate and sustainable weight loss. This begins with following a postoperative diet for a few weeks to allow stomach healing, to then monitoring protein intake to secure adequate nutrition as well as proper hydration, compliance with vitamin intake and the increase of physical activity, among other lifestyle and behavioral changes.

amcdaniels@baltsun.com

Twitter.com/ankwalker

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Life & Style Weekly

Melissa From 'My 600-lb Life' Looks Totally Different Today See Her Weight Loss! Life & Style Weekly Melissa weighed over 600 pounds on the TLC reality show, and later shocked viewers by losing over 500 pounds following gastric bypass surgery. But, her weight loss journey didn't end with her episode on the reality show, and fans are curious to know ...

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Melissa From 'My 600-lb Life' Looks Totally Different Today See Her Weight Loss! - Life & Style Weekly

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Weight-loss balloons swallowed rather than surgically inserted in the stomach were shown to be safe and effective in preliminary trials, according to findings unveiled Thursday at a medical conference.

So-called intragastric balloons have been used for decades to help obese patients shed unwanted kilos. Inflated with water, the devices curb hunger and make it easier to diet by inducing a feeling of fullness.

Up to now, however, they could only be implanted in the stomach surgically, a costly procedure requiring general anaesthesia or sedation.

In a small trial led by Roberta Ienca, a researcher in experimental medicine at Sapienza University in Rome, 42 obese patients - 29 men and 13 women - were fitted with balloons that were swallowed in a pill-like form before being inflated with liquid.

A catheter is attached to the balloon, which is folded into a capsule, Ienca explained.

A doctor fills the balloon via the tiny tube, which is then removed via the mouth with a tug. This process takes just a few seconds, she added.

The body-mass index (BMI) of the volunteers varied between 30 and 45. The threshold for obesity is a BMI - ones weight in kilos divided by ones height in centimetres squared - of 30.

The balloons remained in the stomach for 16 weeks, during which time patients were put on a low-carbohydrate, low-calorie diet.

At the end of that time, an internal release valve automatically opens and drains the balloon, which is then excreted.

On average, volunteers shed more than 15kg, which amounted to 31 per cent of excess weight.

No serious side effects were reported.

After the trial, patients were transitioned to a Mediterranean diet, heavy on vegetables and olive oil, and light on protein and starch.

The new technique appears to be a safe and effective weight-loss method, Ienca commented in a statement.

Because the swallowable balloon does not require endoscopy, surgery or anaesthesia, this may make it suitable for a larger population of obese patients not responding to diet or lifestyle treatment.

It could also lead to significant cost savings, she added.

In itself, gastric balloons are not a long-term solution for weight loss, Simon Cork, a researcher in investigative medicine at Imperial College London who was not involved in the study, commented after reviewing the results.

Nevertheless, gastric balloons are still useful for some patients, and the introduction of a device which doesnt require surgery to implant is a positive step forward.

Developed by US-based Allurion Technologies, the system is already marketed in Europe in France, Italy, Spain, Belgium and Greece. It is also available in Saudi Arabia and Kuwait.

The company intends to begin the FDA approval process in the United States soon, Ienca said.

The findings were presented at the European Congress on Obesity in Porto, Portugal, which runs through May 20.

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Inflatable weight-loss 'pill' that shrinks stomach helped patients lose average of 15kg - South China Morning Post

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Most of us know to be wary of anything that promises to help you drop a dress size by Friday! Experts continually tell us that gradual weight loss is the most effective way to lose kilos and keep them off: when you lose weight quickly, your body goes into survival mode and your metabolism works to try to gain it back. Sabotage!

But if youre a month out from a beach vacation, or get invited to the same event as your ex and want a revenge body, its possible to drop a few kilos quickly and safely.

It depends on how much weight you want to lose and how much time you have, but nutritionist Susie Burrell, creator of the Shape Me program, has shared her advice with Coach no lemon juice and maple syrup required (looking at you, Beyonce).

Aim for 15-20 grams of protein to help regulate your insulin and glucose levels, Burrell advises. The earlier you eat your breakfast, the better it will be for your metabolism.

Go for eggs on toast, or one of these nine high-protein breakfast ideas.

A rich vegetable soup based on leeks, onions and celery is not only delicious but will help rid the body of any extra fluid you have been accumulating, leaving you feeling lighter and more energized, Burrell explains.

Have a bowl of veggie soup for lunch and/or dinner and youre likely to lose a kilo or two within a couple of days.

Having salad for lunch can start out with the best intentions, and end with you raiding the office biscuit tin by 3pm. But it doesnt have to be this way.

Base your lunch around a salad with lean protein (grilled chicken, tuna or smoked salmon) and some low GI carbs like corn, sweet potato or beans to help keep you full all afternoon, says Burrell.

Skipping carbs at dinner may help you lose weight faster, since we tend to be less active at night so are less likely to burn off what eat (plus its easier to skip carbs at dinner than lunch, since you go to bed soon after).

Keep dinner light, with a palm size serve of lean meat, chicken or fish and plenty of vegetables, Burrell advises.

When youre trying to slim down, the earlier you eat dinner the better a period of fasting overnight, say from 7pm to 7am, is believed to encourage weight loss.

The milk in your coffee or tea can add up to a significant amount of calories throughout the day enough to make the difference between losing weight or not.

Coffee and tea can also disrupt your natural hunger and fullness signals, Burrell warns.

Switch to black coffee or herbal tea, as well as lots of water, and Burrell says youll quickly notice how much more in control of your appetite you are.

RELATED: 12 classic dieting tricks that are totally wrong (and what to do instead)

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Heavy seniors who want to lose pounds safely shouldn't skip the weight machines or the treadmill, new research suggests.

Experts have worried about recommending weight loss to older, obese people because it speeds up bone and muscle loss, increasing the danger of falls and broken bones. Losing weight plus aerobic activity and strength training improved their health more than dieting plus either type of exercise alone.

The results suggest a combination of exercises is the safest approach, and may have big implications for helping people continue to live independently as they age. Medicare, the U.S. health insurance program for people 65 and older, now covers behavioral therapy for weight loss and some plans offer gym memberships.

"It is the worst of both worlds, being fat and frail," said Dr. Dennis T. Villareal of Baylor College of Medicine in Houston, who led the study under a grant from the National Institute on Aging.

More than a third of Americans ages 65 and older are obese. Obesity can make the elderly vulnerable to medical problems, but losing weight can worsen frailty by hastening muscle and bone loss.

The study, published Wednesday by the New England Journal of Medicine, involved 141 older obese people who were randomly assigned to a diet-and-exercise program. They scored in the frail range on a standard test used with seniors.

One group did aerobics such as treadmill walking. Another did strength training with weight machines. A third group did aerobics and strength training. All exercised three times a week.

A control group didn't diet or exercise and only attended monthly nutrition classes.

After six months, all the groups except the do-nothing group had lost weight, about 19 pounds on average.

The combination and aerobics-only groups built their ability to use oxygen most efficiently, which can increase endurance. The combination and strength-only groups preserved the most lean mass and bone.

The health differences showed up in follow-up testing where participants did a series of nine tasks including picking up a penny, standing up from a chair and climbing stairs.

Most improved was the combination group with a 21 percent average increase in scores compared to 14 percent improvement in the aerobics-only and strength-only groups.

"It's never too late to change lifelong unhealthy habits," Villareal said.

Minor injuries such as knee pain and shoulder pain among the exercisers were not enough to outweigh the benefits, he said.

The study excluded people with severe heart disease and other serious health problems, so the results apply only to people well enough to start an exercise program.

"You get more bang for your buck with doing both types of training, especially when it comes to improving frailty scores," said Dr. Lawrence Appel of Johns Hopkins University, who was not involved in the study.

Follow AP Medical Writer Carla K. Johnson on Twitter: @CarlaKJohnson

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The world runs on coffee. We drink it in the morning for a quick energy boost, and often throughout the day as we work, socialize, and relax. Its a miracle substance that helps us stay alert and focused, even when were overworked and underslept. Its the top agricultural export for a number of countries, and over 500 billion cups of the stuff is consumed each year.

But did you know that it might just be able to help you lose weight, as well?

Coffee is more than just flavored waterkeep in mind that this is a drink derived from the berries of the Coffea plant, which is full of nutrients and compounds that make it into your cup! These compounds affect everything from your neurotransmitters to your hormone levels to your metabolism, and if you drink your coffee just right, can help speed you toward your weight loss goals.

Lets take a look at the weight-loss benefits of coffee, and how you can take advantage of these properties to start the process of slimming down.

Numerous studies show that drinking caffeinated coffee can help you not only lose weight, but keep it off, as well. This is because coffee suppresses the source of all weight gainthe desire to eat!

According to Mayo Clinic nutritionist, Katherine Zeratsky, caffeine suppresses hunger, but the effects dont last long. This means that a small cup of joe is the perfect antidote to those sudden cravings for snack foods and high-calorie meals. Used strategically, coffee can help you through a low-calorie diet by keeping those hunger pangs at bay at key moments.

Coffee can also give you an energy boost while dieting, helping you to feel energized rather than tired. Cutting calories can make us feel lethargic and unhappycoffee helps offset this by stimulating the brain to produce pleasure-causing chemicals.

And did you know that one serving of a caffeinated drink can raise your metabolism by as much as 8 percent, which equates to burning, approximately, an extra 174 calories per day? One study shows just this.

Your metabolism is simply the overall chemical processes which occur within your body. Here, were talking about how many calories your body expends on a daily basis. When you safely speed up your metabolism through external meanswith coffee, in this caseyou increase those outgoing calories.

Adding coffee to your day, as part of a healthy, low-calorie diet, can make losing weight so much easier, so take advantage of the power of this dark liquid!

The benefits of coffee extend beyond diet and into your exercise routine!

According to Maik Wiedenbach, owner of New Yorks Adlertraining, coffee is a powerful anti-oxidant, which is important for your recover from exercise and overall immune health. Also, coffee mobilizes free fatty acids, which can then be oxidized during exercises. So, not only does coffee help you keep going during a long stay at the gym, but it helps you recover faster afterward. Thats a win-win.

Drinking about the equivalent of a medium Americano before working out also stimulates thermogenesisthe bodys way of making heat and energy from digested food. This can cause you to burn a few extra calories as you exercise.

Aerobic exercise is the best way to begin dropping pounds, so use that caffeinated energy to jog, climb, or swim your way to fitness. This is where coffee really shinesexercises that require endurance will benefit most from caffeines energy boosting power.

So, with coffee giving you an edge in the gym or on the track, why not add it to your diet?

Now that you know the benefits of coffee, lets look at how you can integrate it into your weight-loss plan!

For the best results, you want a sustainable, long-term diet plan that uses coffee to curb cravings, boost exercise benefits, and enhance metabolism.

This is more of a lifestyle than a diet, and involves cutting down calories just enough so that you consistently lose weight over a long period of time. To do this, downsize your portions until youre eating 300-500 fewer calories per day than what you need. Most people need around 2,000 calories a day to maintain their current weight, but your exact threshold may vary, so dont be afraid to experiment!

What your diet is composed of is also vitalyoure going to need lots of protein and fiber to help you feel full and build lean muscle. Youre also going to need the nutrients of leafy, green vegetables, so try steaming some broccoli and kale, for example.

Integrate coffee into this diet by having a cup between breakfast and lunch, and between lunch and dinner, to stave off hunger and to keep you feeling great. Because your calories arent drastically cut in this kind of diet, you shouldnt feel tired or worn out, but if you do, a quick cup twice a day will leave you feeling refreshed and energized.

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Physical Fitness means being well rounded and competent in all areas of fitness. That's why SPARC bases overall physical fitness on 4 Pillars. Last week, we told you about Pillar 1,Strength. Pillar 2,Body Composition,means having an appropriate amount of fat tissue, bone density, and muscle mass. Body composition affects all other aspects of physical fitness. While the affects may be subtle, they can make a huge difference in your longevity and quality of life.

There are 3 elements of body compostition to consider.

There are few resources for obtaining a total snapshot of your body composition. Conventional means such as skin calipers do not provide necessary information, such as bone density metrics and measurements of the potentially dangerous fat tissue around organs. The gold standard of body composition testing is through a DEXA Scan which uses low level xrays to give regional and overall measurements of fat tissue, bone density, and lean mass.If you are interested in receiving a DEXA Scan, please contact SPARC to schedule an appointment in our Performance Lab.

We are constantly told to lose weight and exercise, but we are rarely advised how to improve our body composition as a whole. Pursuing healthy levels of fat tissue, bone density, and muscle mass simultaneously will improve your overall health without the tradeoff of seeking one aspect of health at the cost of the others. SPARC's 4 Pillars of Health will guide your comprehensive approach, so be sure to continue visiting our posts weekly as we outline each Pillar.

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Youve been prescribed an anti-inflammatory diet. What does that even mean?

In my daily interactions with patients, there are certain buzzwords that always seem to weave into conversation: gluten-free, coconut, protein, genetically modified organisms (GMOs), and the big one and often most obscure anti-inflammatory.

Many people come to me because they read about inflammatory food, or their doctor has put them on an anti-inflammatory diet. Few know what that even means or how diet even plays a role.

Inflammation can come from a variety of sources. First, lets look at the role our immune system plays in our health: It protects the body from foreign invaders, called antigens. These invaders can take shape as the pollen that triggers your allergies, the bacteria in the nail you step on that causes swelling and soreness, or the food you may be sensitive to that causes hives and itching.

The response to each antigen comes from our immune system doing exactly what its supposed to do: attack the foreign substance and put you back in a state of homeostasis (normality). It does this by releasing cytokines, which induce inflammation and respond to infections. Swelling, for example, is your bodys mechanism to isolate an injury and spare other cells around it.

So essentially, during the process of inflammation, defense mechanisms develop. The injury is repaired and the inflammation is eventually resolved. We also have antigens that live within us called human leukocyte antigens (HLA). They're friends with your immune system and wont be attacked. This is a simple explanation as the entire process involves a complex cascade of reactions within the body.

Sometimes, the immune system backfires and either responds too much or too little, or views a relatively harmless substance as a deadly threat. At this point, our normal inflammation can turn into a systemic or chronic version.

The inflammation occurs, even though it was not necessarily needed, and may not get the signal from the body to stop. The result is chronic disease. It can occur in the brain, the arteries, the gut and the joints. Autoimmune conditions may occur when those friendly HLA antigens become enemies and the body starts attacking its own tissues. Thats probably why people are looking for a way to silence inflammation, get rid of it and avoid getting it in the first place. Enter the anti-inflammatory diet.

Before it became trendy, most of us equated anti-inflammatory products with medications such as acetylsalicylic acid (aspirin). The drug works by blocking body mechanisms that cause inflammation. There are foods that can do this as well.

Blood tests look for inflammatory markers by measuring acute phase proteins in the blood triggered by cytokines. For example, C-reactive protein (CRP), sedimentation rate (ESR) and plasma viscosity (PV) are common tests. They all may demonstrate the presence of inflammation. However, they wont tell you if you have a specific condition or disease.

Hippocrates once said, Let food be thy medicine. He was right. We know from many rigorous studies our food choices can impact our inflammation status. The foods with the highest anti-inflammatory benefits are:

fruits and vegetables (especially green leafy vegetables),

nuts

colorful roots and herbs (including turmeric and ginger)

omega-3 fatty acids (found in fatty fish and chia seed)

healthy fats (including olive oil)

high fiber whole grains.

These foods also stimulate growth of healthy gut bacteria that have an anti-inflammatory impact.

On the flip side, these are foods you want to consume less of:

sugar, which has been shown in one study to activate inflammatory pathways that may increase the risk for breast cancer.

red meat consumption, refined grains and a high intake of saturated fat have also been shown to induce inflammation.

gluten, because studies have found it may cause inflammatory side effects when consumed by people with either celiac disease (an autoimmune condition) or non-celiac gluten sensitivity.

What really matters is your overall eating pattern and lifestyle rather than individual foods. The next frontier in eliciting the bodys anti-inflammatory factors will most likely result from the work on stress and relaxation methods such as meditation and yoga.

Eat real (unrefined) food, practice stress relief techniques on a regular basis and be physically active the ultimate anti-inflammatory drug. Chances are youll set the stage for less inflammatory disease and a longer, healthier life.

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Kristin Kirkpatrick, MS, R.D., is the manager of wellness nutrition services at the Cleveland Clinic Wellness Institute in Cleveland, Ohio, and the author of "Skinny Liver." Follow her on Twitter @KristinKirkpat. For more diet and fitness advice, sign up for our One Small Thing newsletter.

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