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LOUISVILLE, Ky. People living with Parkinsons disease can experience difficulties with activities they enjoy. An exercise class allows those with the neurological disease to move their bodies and meet other people with Parkinsons disease.

Edward Heymann heads to the gym Tuesday afternoons to pump his muscles. But he also plays another role in the workout class.

I want them to know that they love when they come in," Heymann said. "That's part of what this is all about: the camaraderie that takes place."

Heymann was diagnosed with Parkinsons disease more than seven years ago. The neurological disease has affected his ability to balance, preventing him from enjoying some of his hobbies such as golf.

Heymann noticed there were programs for people living with cancer and diabetes, but there was nothing like it for those with Parkinsons disease. He worked to change that.

You see people talk to people, communicate with people who (feel) belonging," Heymann said.

The Northeast YMCA in Louisville started the Total Movement fitness programin 2022.

Everybody's on a different journey ... maybe they're not running the marathon, but we're trying to slow down the process and give them a quality of life, instructor Barb Millhollan said.

The free 12-week program aims to provide community for people of all ages living with Parkinsons disease, which Heymann said is a large component of the program.

You're together," he said. "You know that you're now not an island to yourself."

Participants in the program work with a Healthy Living Coach to come up with a plan to stay active. Instructors are certified to work with Parkinson's patients.

The classes are open to all ages of people who have been diagnosed with idiopathic Parkinsons disease. Right now, the class is offered at the Northeast Family YMCA and the Southwest Family YMCA of Greater Louisville.

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Exercise program helps those with Parkinson's - Spectrum News 1

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Featured Image Credit: Lionel Hahn/Getty Images / Nathan Congleton/NBC via Getty Images

Published 14:34 22 Apr 2024 GMT+1Updated 14:41 22 Apr 2024 GMT+1

Kelly Osbourne has dismissed the idea that she used the popular weight-loss drug Ozempic, despite previously calling it amazing.

The drug Ozempic has caused concern in recent months despite many a celebrity who said it helped them quickly lose weight. The drug is primarily aimed at helping people manage type 2 diabetes, and many have slammed its use by celebrities.

Kelly Osbournes mother, Sharon Osbourne has publicly explained that she was able to lose significant amounts of weight while taking the drug, but also shared a warning.

Sharon said: "You can lose so much weight and its easy to become addicted to that, which is very dangerous."

However, Kelly wanted to address the rumors that she was using the drug following the birth of her son, Sidney, in 2022.

Speaking in an interview with Extra, she said she rapidly lost the weight simply by cutting out sugar and carbohydrates.

I know everybody thinks I took Ozempic. I did not take Ozempic. I don't know where that came from. My mom took Ozempic, she said.

I had gestational diabetes, and I had to lose the weight that I had gained during pregnancy, otherwise I was at a higher risk of actually getting diabetes, which I did not want.'

I cut out sugar and carbohydrates and I rapidly lost weight.

While Kelly has said she hasnt used the drug, her mother has been candid about her use and its impact.

After she stopped taking the drug in November of last year, Sharon said she now felt she looked too gaunt.

"Im too gaunt and I cant put any weight on.

"I want to, because I feel Im too skinny. Im under 100lb and I dont want to be."

She also explained some of the less than favorable effects of the drug she encountered since she started taking it in December 2022.

Speaking on Piers Morgan Uncensored, Osbourne said of feeling nauseous: "You dont throw up physically, but youve got that feeling, and I was about two, three weeks where I felt nauseous the whole time.

"You get very thirsty, and you dont want to eat. Thats it."

She also said the drug needed to be kept out of the hands of teenagers who may see it as a shortcut to healthy weight loss.

The U.S. Food and Drug Administration (FDA) has addressed the side effects that some people experience and said that 'the benefits of Ozempic outweigh its risks'.

The full statement issued to UNILAD said: "The FDA maintains that the benefits of Ozempic outweigh its risks when used according to the approved labeling."

Topics:Celebrity, Health, Food and Drink, Drugs

Link:
Kelly Osbourne denies using Ozempic to lose 85 pounds and reveals exactly how she did it - UNILAD

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Obesity is defined as a BMI greater than or equal to 30 by the CDC and is currently among the most prevalent diseases in the world, in addition to being an important risk factor for many other diseases. It has high rates of morbidity and mortality21,22 and, in this context, weight loss can bring countless positive impacts to the individual. Currently, there are several treatments for obesity, and we can divide them into non-surgical or surgical.

Non-surgical treatments include non-drug and drug treatments. Among the non-medicated, we can highlight the change in eating habits, regular physical exercise, and cognitive behavioral therapy8. Ideally, these measures should be implemented for all patients living with obesity, even for those who will undergo drug or surgical treatment. Recently, in addition to lifestyle change, neuromodulation with deep transcranial stimulation has also been studied and has shown effectiveness in weight loss reduction23.

A systematic review carried out in 2021, which analyzed 64 articles concluded that among the most effective non-surgical interventions are low-carbohydrate or low-fat diets and combined therapies. This study also showed that non-drug interventions, such as physical exercise, when used alone, are not very effective in reducing the weight of these patients Therefore, a combination of two or more therapies should be chosen24.

Pharmacological treatment must be chosen together with the patient. One or more drugs can be used, the main ones used being: Liraglutide, Semaglutide, Tirzepatide, Orlistat, Phentermine and Sibutramine25.

Liraglutide was recently approved for the treatment of obesity and is now one of the most widely used drugs. It acts as a GLP-1 receptor agonist26,27,28, enhancing its effects. This group of drugs is already known in the treatment of Type 2 Diabetes Mellitus, a condition that can often be associated with obesity29,30, since its pathophysiology involves increased insulin resistance. The main actions of this drug are: increased satiety due to a reduction in the speed of gastric emptying, increased insulin release and decreased glucagon release. Semaglutide is a drug with a similar mechanism of action who demonstrated not only a substantial weight loss31, but was also associated with a lower 10-year T2D risk in people with overweight or obesity after 2years of follow up32. More recently, a new drug that combines GLP-1 and GIP receptor agonist, Tirzepatide, has shown even better results in the short term33.

Orlistat, in turn, reversibly inhibits the lipase enzyme34, which has the function of breaking down fat from food for its absorption, as well as inhibiting the absorption of ingested triglycerides. Thus, there is elimination of fat in the feces35. The main adverse effects are gastrointestinal symptoms, however this can be beneficial as it leads to a change in behavior, for example causing a lower consumption of foods rich in fat36.

Phentermine, an amphetamine analogue, can be used in conjunction with topiramate for the treatment of obesity. The mechanism of action of the drugs is not yet known, however, significant weight loss has already been observed, in addition to a reduction in the consumption of hypercaloric foods and a decrease in the speed of gastric emptying with the use of this combination of drugs37,38.

Sibutramine, widely used in the 1990s, acts to inhibit the reuptake of serotonin, norepinephrine, and dopamine34. Serotonin, in turn, activates POMC system neurons and inhibits NPY neurons, thereby promoting reduced appetite and increased satiety. Despite generating weight reduction39, some data show increased cardiovascular risk40, and therefore, it is no longer used as a first-line drug.

Among the possible surgeries, the most performed today are: Roux-en-Y Gastric Bypass (RYGB), Biliopancreatic diversion (BPD), Laparoscopic Sleeve Gastrectomy (LSG) and Laparoscopic Adjustable Gastric Band (LAGB). According to the NIH and the American Bariatric Society41,42, some indications for performing bariatric surgery are adults with BMI greater than or equal to 40 and adults with BMI greater than 35 accompanied by some comorbidity such as type 2 diabetes mellitus, obstructive sleep apnea or hypertension.

RYGB is one of the best-known procedures and its complications vary according to the surgical technique used. Some complications include gastric distention, ulcers, cholelithiasis, hernias, dumping syndrome, and hyperammonaemia encephalopathy.

BPD presents long-term nutritional complications, such as anemia, bone diseases and fat-soluble vitamin deficiency. This technique has high mortality rates, mainly due to the complexity of the technique.

Among the procedures described, LSG is the one with the fewest complications, being described in the literature bleeding or stenosis of the stoma. An alternative technique using endoscopy for sleeve gastroplasty has shown to be safe and efficient for weight loss after 104weeks, with important improvements in metabolic comorbidities43.

The procedure with the lowest mortality rate is the LAGB44. Despite this, it can present complications such as obstruction, band erosion, band slippage and gastric prolapse, esophagitis, hernia, in addition to having a high rate of reoperation, reaching 50% of patients who underwent this surgery45.

In this article, we compare data on weight loss through intensive drug treatment, which includes changes in eating habits, physical exercise, and medications, and through surgical treatment. Both treatments showed that weight loss caused an improvement in the lipid panel, with a reduction in total cholesterol, triglycerides and LDL, an increase in HDL, improvement in systolic and diastolic blood pressure, decrease in glycated hemoglobin and insulin resistance (accessed through HOMA), in addition to reducing the risk for cardiovascular diseases.

Our systematic review confirmed the findings of individual studies that bariatric surgery has a greater potential for weight reduction, BMI and waist circumference, as already described in individual articles and widely in the literature. It should be noted that even in the long term, this difference remained. Similarly, a 2014 Cochrane systematic review46 comparing RCT with more than 1year of follow-up showed that all 7 articles included demonstrated an advantage of the surgical group. An article47 on the use of pharmacological treatment for obesity showed that even recent drugs approved, including GLP 1 agonists, are not able to reduce weight to levels similar to those of bariatric surgery to date, despite the emergence of new drugs still in initial phase48. It is worth mentioning that in these studies the comparison time is relatively short (12months) and that we do not have data on the long-term impact. Thus, in relation to long term weight loss, bariatric surgery is still the best option.

Most articles were not able to individually demonstrate that surgical treatment is superior to non-surgical in terms of pressure reduction. However, the result of the meta-analysis showed a superiority of the surgical group in relation to both systolic and diastolic pressure, more pronounced in the BPD group. Wang49 performed a systematic review focused on the impact on pressure and demonstrated that there was a reduction in systolic and diastolic values, but the subgroup analysis showed that this occurs only in the RYGB groups for systolic pressure. Similarly, Schiavon also demonstrated a significant reduction in the need of blood pressure medication after 3years in the RYGB group when compared intensive medical treatment for obesity50. This difference found in only one subtype of surgery seems to be just a reflection of the sample size, which can be interpreted that surgical treatment in general tends to reduce pressure to a greater extent than non-surgical treatment. The fact that different types of surgery are significant may reflect the studies selected in our meta-analysis, which have longer follow-ups.

In relation to both HOMA-IR and glycated Hb, there was a more significant improvement in the group that underwent surgery. The way in which the data on diabetes remission was reported in the articles did not allow a meta-analysis to be carried out with these data and, therefore, it was not included. However, individual data from the Mingrone 2015, Mingrone 2021 and Schauer articles showed that the surgery group had better results. A network meta-analysis from 202151 comparing the different types of metabolic surgery for the treatment of obesity and diabetes showed that RYGB was 20% more likely to result in remission of type 2 diabetes compared to SG. There was no significant difference between the other groups. Moreover, the effects of bariatric surgery on diabetes is not exclusive for patients with obesity, as shown by a study with patients with a BMI of 2732kg/m2 that had a better glycemic control when treated with RYGB20. Regarding the lipid profile, Schauer's study was not able to demonstrate superiority in relation to LDL and HDL parameters. However, by combining the data from Mingrone's articles, it is possible to demonstrate that surgical treatment is superior. Regarding cholesterol reduction, Mingrone's studies showed that although RYGB and BDP were better in relation to non-surgical treatment, the BDP technique had a statistically greater reduction in relation to RYGB. This can be explained by the greater intestinal exclusion in BDP and, therefore, having a greater impact on lipid absorption. Despite Sayeed's study52 et al. was not included in this meta-analysis due to the inadequate way of separating the groups for analysis, the results regarding the lipid profile showed that the group that received both interventions was superior to the exclusive non-surgical treatment. It is important to point out that despite a statistically significant difference between the groups, the effect size of this difference is probably not clinically significant.

The choice of treatment for obesity can also have an impact on several other patient comorbidities. Hossain et al.53 performed a systematic review with 26 studies that showed that bariatric surgery appears to be more effective in the treatment of asthma. Similarly, a study by Crawford et al.15 showed that there is a greater increase in bone turnover in groups undergoing bariatric surgery in relation to pharmacological treatment. Other than that, bariatric surgery is also demonstrated to be superior in the treatment of other obesity related pathologies, such as Non-Alcoholic Steatohepatitis (NASH), and in the treatment of obesity in adolescents54,55.

The effect of major cardiovascular adverse events (MACE) and mortality56 have also been promising for bariatric surgery. A recent cohort comparing bariatric surgery in patients with obesity and use of GLP1-agonists inpatients with diabetes showed a lower risk of MACE in the surgical group57. The surgical treatment has also shown superiority when compared to medical treatment regarding the prevention of diabetic kidney disease in 5years for patients with diabetes and obesity58. Boyers et al. evaluated the cost-effectiveness of surgical and pharmacological treatment in the treatment of obesity and found that RYGB should be the treatment of choice only if the optimization of health system costs is considered59.

Another important consideration is the fact that pharmacological and surgical treatment for obesity are not mutually exclusive. Most clinicians choose to combine both treatment modalities in practice to improve results. Weight gain after bariatric surgery is a known possibility, and for those patients, two-thirds of the weight regain can be safely lost with GLP1 agonist, providing clinicians with a therapeutic option for this clinical challenge.

Despite the large number of articles in the literature on the treatment of obesity, there are few RCTs comparing non-surgical and surgical treatment, and most of them only follow up in the short term. In addition, many articles do not adequately describe the strategy used in non-surgical treatment. This lack of data and standardization in this type of treatment can lead to bias and possibly the formation of extremely heterogeneous groups for analysis.

Most of the studies included in our systematic review have diabetes as an inclusion criteria. In this circumstance, our findings may not be generalized to patients with obesity without diabetes.

Another important limitation of our systematic review refers to pharmacological treatment in the non-surgical group. The use of GLP 1 agonists has great potential in the treatment of obesity, but they have only started to be used recently. As the purpose of our article is to assess the long-term impact, there are still few articles available that used this drug. The use of the most recent medications, such as Tirzepatide, could not be evaluated in our study, once there are no RCTs in the literature presenting its long-term effects. Those drugs proved to be very efficient and might have similar effect in the long term. Future systematic reviews may reveal a different results when including the new generation of weight loss medication.

Finally, choosing the most appropriate treatment often involves individual characteristics of each patient, and the impact on quality of life can be extremely subjective and difficult to assess.

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Surgery is associated with better long-term outcomes than pharmacological treatment for obesity: a systematic review ... - Nature.com

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The carnivore diet, according to Cleveland Clinic, is as simple as it sounds: You eat meat or animal products for every meal, and mostly avoid every other food group.

Health has reported that the all-meat diet is attractive to those wanting to lose weight. Adherents keep their daily carbohydrate intake to a minimum and eat only small amounts of plant-based foods, such as low-carb vegetables. The bottom line is that people following a carnivore diet focus on getting calories strictly from meat and animal products.

But is the carnivore diet actually healthy? Healthline and other outlets have reported that the diet is too restrictive and not well-balanced, and that its not completely backed up by research.

According to Health, several researchers and health professionals have examined the meat-based diet over hundreds of years.

In 1797, Dr. John Rollo reportedly treated patients with Type 2 diabetes through a meat-and-fat based diet after studying the low-carb diet of indigenous people in St. Lucia. Low-carb diet treatments became widely adopted for managing diabetes until 1921 with the discovery of insulin, Health reported.

The carnivore diet enjoyed a surge in popularity in 2018 with the rise of The Carnivore Diet, a book by Dr. Shawn Baker, who recommended the complete version of the diet after claiming to benefit from it, per Health.

Healthline reported that aspects of a high-protein, low-carb diet may result in select benefits.

Protein can help you feel more full and simultaneously increase your metabolic rate, enabling you to not only reduce your calorie intake, but potentially burn more calories.

These aspects of following the carnivore diet promote weight loss, but they may not last, health experts say.

A 2021 study examining self-reports of the carnivore diet found that participants who followed the diet for nine to 20 months reported improvements in their overall health, physical and mental well-being, and some chronic medical conditions, according to Health.

These findings might have resulted from cutting out foods and drinks associated with poor physical and mental health, so health experts say more research is needed to see how the carnivore diet impacts long-term health.

According to CNBC, people following the carnivore diet do not get enough carotenoids, polyphenols and fiber, which are cancer-preventing substances abundant in fruits and vegetables.

Registered dietitian Kate Patton told Cleveland Clinic that the lack of fiber will cause a lot of constipation, and that the diet, which is potentially high in saturated fats and sodium, could lead to health complications.

Even if you have digestive issues, this diet can make things worse with all that protein and fat, which takes a lot longer to digest, Patton said.

In addition, the diet limits consumption of certain micronutrients and plant compounds. While meat does provide some micronutrients, the carnivore diet may result in the deficiency of some nutrients, and the overconsumption of others.

Diets rich in plant-based foods, unlike the carnivore diet, have been associated with lower risks of long-term conditions, such as heart disease and Alzheimers, per Healthline.

Walter Willett, a professor of epidemiology and nutrition at Harvard T.H. Chan School of Public Health, said to CNBC, Its possible that some people who have been eating a lot of refined starch and sugar may get better in the short run. ... But this sounds like a diet that is going to be very unhealthy in the long run.

The rest is here:
Is the carnivore diet healthy? Here's what to know Deseret News - Deseret News

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Its that hold-your-breath moment, often at the start of the day: The numbers on the scale can have so much influence on your sense of self-worth. Each one of us is so much more than the figure that flashes upyet research has shown that consistently weighing yourself is one of the most effective ways to lose weight and subsequently keep it off.

But when can you take a step back from all that vigilance over your food intake, exercise, and weight? A study conducted by researchers from the University of Florida and the University of Virginia set out to determine how often an individual should weigh themselves to effectively keep weight off.

The results and analysis were published in March 2024 in the journal Obesity. Led by scholars of metabolism, cardiovascular health, and psychology, the study followed 74 adults who were overweight or obese with an average age of 50. The study tracked these participants throughout a nine-month maintenance period after completing a three-month-long weight loss plan, asking them to monitor their weight, food intake, and activity and to report on the days they tracked every week.

What Is Your Set Point Weight? Heres How To Gauge ItAnd Why a Doctor Says Youll Want To

The researchers found that weight re-gain correlated with the frequency per week that the participants monitored their weight. Those who continued monitoring their weight, diet, and activity at least three days per week were likelier to have maintained their weight at the end of the nine months. Participants who tracked their values for five days or more each week were more likely to continue losing weight. And interestingly, tracking for one to two days per week was associated with significant weight gain.

The researchers were encouraged by the results because in this study, maintenance was attainable with just three to four days of monitoring per week. These results provide support for using modified schedules of self-monitoring during maintenance, with the potential to lower self-monitoring burden and ultimately improve long-term adherence and weight-loss maintenance, they said.

Additionally, they note that the data support the idea that a slow and steady approach is more effective than bursts of weight monitoring. Also, consistently reporting metrics three to four days per week worked much better than reporting seven days one week and then only one day on another week.

This modified maintenance is encouraging for people who want to be a little more flexible, but still mindful, with their diets after weight loss.

Originally posted here:
The Best Way to Keep Weight Off? Weigh Yourself This Often, Says New Study - The Healthy

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When will we see through the haze of drugs like Ozempic and Wegovy?

Hopefully soon. These drugs might reach 30 million U.S. users by 2030. Surging, off-label demand has come with unintentional overdoses, rising prices and medication shortages. Further expansion seems likely with the Food and Drug Administrations recent approval of another class of medications to reduce the risk of cardiovascular death, heart attack, and stroke in adults with cardiovascular disease and either obesity or overweight.

These medications, called GLP-1 receptor agonists or semaglutides, have gotten the attention of the New York City Council. One member has proposed a law requiring the city health department to release information on the consequences of off-label use of these medications for weight loss.

About 20% of patients taking GLP-1s for weight loss experience nausea and vomiting; 30% get diarrhea. Add headaches, swelling of nasal passages, allergic reactions, pancreatitis, and fatigue to the list, along with rare cases of thyroid cancer in laboratory animals.

Admittedly, bariatric surgery, my area of expertise, also poses risks, like any surgical procedure. Still, it remains a safe, long-term option offering better long-term control of weight and glucose levels than medical therapies for patients with Type 2 diabetes. Patients need accurate information about the risks and benefits of all options.

There is no denying: Semaglutides are a powerful class of drugs helping push back on the obesity epidemic. They offer weight loss, reduced appetite, and slower emptying of the stomach that makes patients feel full faster.

Ive also seen at my Great Neck-based practice what can happen when patients stop taking semaglutides. It can trigger weight (re)gain, a greater appetite, a surge of blood sugar, and lean muscle mass loss with body fat percentage gain. There can be withdrawal symptoms.

Data, physician awareness, and patient education can help us assess whats best for each patient, medication or bariatric surgery. The lack of knowledge translates into only about 200,000 patients per year pursuing weight-loss surgery about 1% of those who qualify for it.

Physicians need to share that bariatric surgery remains an effective, long-term tool that has become safer and less invasive. It can be highly effective for weight loss and management of obesity-induced complications, especially when surgeons use minimally invasive procedures. This approach, used in 90% of bariatric surgeries, results in shorter hospital stays, less blood loss during procedures, less postoperative pain, and fewer pulmonary complications and wound infections.

We need to review data comparing outcomes for patients who have undergone gastric bypass, sleeve gastrectomy, and intensive medical therapy alone. Of patients who underwent medical therapy, 12% achieved the desired diabetes targets after a year, but positive effects of metabolic surgery lasted longer and also improved cholesterol and triglyceride levels. Those advantages must be considered against potential post-surgical drawbacks like anemia or gastrointestinal problems.

Its clear semaglutides have tremendous potential, though we dont yet know their full impact. If we can find optimal ways to wean patients off those them, perhaps they might help patients maintain weight loss after bariatric surgery.

Semaglutides also have opened the door to reframing obesity as a medical condition without shame. When we can consider weight-loss options without stigma, patients are better positioned to receive information from their doctors and make decisions. The less starry-eyed we are, the better we can focus on the positive, long-term health outcomes each patient deserves.

THIS GUEST ESSAY reflects the views of Dr. Aurora Pryor, system director for bariatric surgery at Northwell Health and surgeon in chief at Long Island Jewish Medical Center.

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Given their side effects, weight-loss drugs might not be good for all - Newsday

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If you put a lab mouse on a diet, cutting the animals caloric intake by 30 to 40 percent, it will live, on average, about 30 percent longer. The calorie restriction, as the intervention is technically called, cant be so extreme that the animal is malnourished, but it should be aggressive enough to trigger some key biological changes.

Scientists first discovered this phenomenon in the 1930s, and over the past 90 years it has been replicated in species ranging from worms to monkeys. The subsequent studies also found that many of the calorie-restricted animals were less likely to develop cancer and other chronic diseases related to aging.

But despite all the research on animals, there remain a lot of unknowns. Experts are still debating how it works, and whether its the number of calories consumed or the window of time in which they are eaten (also known as intermittent fasting) that matters more.

And its still frustratingly uncertain whether eating less can help people live longer, as well. Aging experts are notorious for experimenting on themselves with different diet regimens, but actual longevity studies are scant and difficult to pull off because they take, well, a long time.

Heres a look at what scientists have learned so far, mostly through seminal animal studies, and what they think it might mean for humans.

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Could a Calorie-Restricted Diet or Fasting Help You Live Longer? - The New York Times

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A WOMAN who couldn't afford a gastric band instead imagined one - and was stunned to see the pounds falling off her.

Sheila Hannah was desperate to lose weight, but she was shocked at the 12k price tag of a gastric band.

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She weighed over 17 stone and knew she needed to shed the pounds - but couldnt afford the surgery.

So instead she hypnotised herself into thinking she had a gastric band - and has managed to lose an amazing seven stone!

Sheila, 64, from Ormskirk, Lancs, said: Ive been on a programme which talks you through the gastric band surgery, step by step, and even all the pre-op tests too, so you really feel like you have gone through each stage.

I was horrified when I found out that gastric band surgery cost so much money.

Ive had gallbladder surgery before, and that was bad enough, so I didnt really want to have an operation.

Having a virtual operation has really suited me a lot better.

Sheila was spurred into action last year, after her husbands health deteriorated and she realised that it had impacted on her too.

Id always be telling him to just put the kettle on or run upstairs and fetch me something down, and when he wasnt able to do that, I realised how much energy it took and how much my weight was getting in the way, said Sheila.

So I knew I had to do something about it. Id tried lots of diets in the past and Id never been able to lose weight and keep it off.

After finding out the cost of gastric band surgery was too much for her to pay, she found the Hampshire Hypnotherapy Centre and asked them to help her with their Virtual Gastric Band Hypnosis.

I started it in May last year, and by July Id lost two stone and went on holiday to Greece and none of my holiday clothes fitted me anymore, as they were too big, recalls Sheila.

The programme was brilliant - I would listen to the tapes in the morning and evening, and even in bed Id fall asleep listening to them.

Almost immediately my eating habits just kept getting better and I was naturally pushing my plate away when I felt satisfied, and I was dishing up smaller portions without even thinking about it.

Beforehand, Sheila would have tea and toast for breakfast, then sandwiches, crisps and chocolate for lunch, and shed munch on a packet of biscuits whilst she was cooking dinner.

Now I have weetabix and fruit about 11am, said Sheila.

And then snack on fruit and have a chilli or something else homemade in the evening.

But Ill only eat half a portion, and then put the other half in the freezer for another day.

Losing weight should be a long-term commitment to healthier living, rather than any drastic measures.

The NHS tips - which can be adopted slowly - include:

Read about:

And it really works. Ill have a roast dinner, but Ill only eat one roast potato.

Before Id have eaten lots more potatoes without really tasting them. It was mindless eating as a habit.

The programme is based around a Think Eat Sleep Repeat basis, using powerful hypnotherapy sessions and a weekly live support group session.

The weight just fell off me, said Sheila. By February this year Id lost a total of seven stone, and I feel fantastic.

I work in a hardware store and customers come in who havent seen me for a while and dont even recognise me.

Ive never been a gym bunny, but I love walking now as Ive got so much more energy.

Ive lost the same weight as my granddaughter weighs, so she has even fitted with me in an old dress I used to wear.

Im the lightest weight Ive been in 40 years. I lost weight after my daughter was born and got down to ten stone, and shes 43 now!

And Ive never been as light since, until now!

Ive got so much more confidence now in what I look like. And having a virtual gastric band was so much better than having to have an operation to have one fitted.

It's given me a whole new lease of life.

For more information on the Think Eat Sleep Programme visit http://www.tesr.co.uk

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I couldnt afford a gastric band so I IMAGINED one and lost 7st in 8 months the weight just fell off... - The Sun

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Billie Jean King is opening up about using weight loss injections to help "quiet the noise" of her eating disorder.

The tennis legend, 80, appeared on the April 24 episode of Julia Louis-Dreyfus podcast Wiser Than Me, where she discussed her decision to try the popular weight loss aid.

I'm a binge eater. Every morning I wake up, I tell myself I have an eating disorder. I still go to therapy. I still think about it, she said on the show. It's interesting with the new injections, you know, with the Ozempics of the world. It's very interesting because my doctor wants me to try it.

Ozempic is an FDA-approved prescription medication for people with type 2 diabetes. It's one of the brand names for semaglutide also known as Wegovy (FDA-approved for chronic obesity) which works in the brain to impact satiety. Ozempic and Wegovys competitors are Mounjaro and Zepbound brand names for tirzepatide, which works by reducing appetite and improving how the body breaks down sugar and fat.

The four medications taken by injection in the thigh, stomach or arm have been trending in Hollywood due to celebrities using it for weight loss when not medically necessary.

King, a longtime advocate for womens and LGBTQ+ rights, revealed that she's actually taken a few injections now. However, she said she doesnt want to lose weight fast because she thinks its unhealthy.

My therapist asked me, Has it quieted your mind? With an eating disorder, I have two voices in my head sometimes that argue, she explained. Let's say I want a quart of ice cream. One side will say, Yeah, baby, I'm going to have that ice cream no matter what. And the other side says, No, don't do that. It's not healthy. You don't need it. So I have this discussion that goes on in my head and sometimes it's very elevated.

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It was such a great question because if [weight loss medication] does quiet the voices if that's a part of it now Im [interested in] it because that would be really great, she added. Because that gets exhausting and tiring. And I don't wanna fight over these things.

In addition to going to therapy and trying the weight loss injections, King said on the podcast that in the past, she went to The Renfrew Center, an inpatient eating disorder clinic, for help.

When I was around 50 and I was going through all my sexuality, oh my God, it was a mess. And that I think caused a lot of my eating disorder as well, she said. I went to Renfrew in Philadelphia back in 95-ish. I went to therapy and I lived there for six weeks. I would go to therapy three times a week.

Although she still deals with a few health struggles, King said getting older has allowed her to be happier than ever.

[Aging] is tough physically, there's no question, and also for your mind. I don't want to get dementia, for instance. I'm scared of that because my parents had it, she said. But I'll tell you, whats really been fantastic, and that is that, emotionally, I am so happy compared to my young days. I've worked at it through therapy, through thinking, through just going through tough times. But I just emotionally am in such a great place now.

If you or someone you know is struggling with an eating disorder, please go to NationalEatingDisorders.org.

Link:
Billie Jean King Says She Has 'Taken a Few Injections' to Quiet the Noise of Her Binge Eating Disorder - PEOPLE

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In this time of peak health and fitness, were constantly being bombarded with news and information on latest developments, diets and exercise trends.

From YouTube workout videos and social media fitness influencers to traditional and holistic medical advice, theres an array of platforms and channels from which to access information or find inspiration for different body types and lifestyles.

At the core of most health messaging, however, the basics remain the same.

Many people continue to track body weight as an indicator of health. Whether trying to lose weight or bulk up, the numbers on the scale have remained the most popular way of assessing body changes.

We weigh ourselves to monitor changes in body composition, assess health status and track progress towards goals, says Nur Al Abrach, clinical nutritionist at Nabta Health. Its advisable when done moderately and under professional guidance, especially for individuals managing conditions like obesity or undernutrition.

Regular weigh-ins provide feedback on progress, aiding motivation and adjustment of strategies. Weekly weigh-ins are generally recommended to prevent obsession and promote a balanced approach to weight management under professional guidance.

While some diet programmes suggest keeping track of weight on a daily basis to track fluctuations, others say once a week gives a better overview. There are also some who suggest not weighing yourself at all, chucking out the scales and using markers such as body measurements or the fit of clothing to track progress instead.

So, how often should you weigh yourself?

One of the most important things to consider when trying to change your weight is how much it fluctuates, not only on a day-to-day basis, but sometimes hourly.

Weight is not only dependent on calories in versus calories out, but is also affected by sweating, exercise and other environmental, physical and emotional factors.

Weight can fluctuate quickly or slowly, says Dr Donald Hensrud, associate professor of preventive medicine and nutrition at Mayo Clinic. When it fluctuates quickly hourly or daily it is usually due to fluid changes because changes in body fat and lean tissue do not occur that rapidly. If someone is in hot weather and/or exercising, they can lose quite a bit of weight through sweating or when exercising, using the bodys stores of glycogen.

Glycogen is a form of glucose and is how carbohydrates are stored in the body, in the muscles and liver. Glycogen contains a lot of water and is used by the body as a quick energy reserve.

When used, glycogen releases water, says Hensrud. Conversely, if someone eats a lot of food, especially salty food, and drinks a lot of water, they may gain some body water weight and/or glycogen relatively quickly.

Along with food intake and hydration, stress levels and hormones can play a big part in weight fluctuations, the latter especially affecting women with weight changes caused by water retention and change in appetite. In this instance, escalating numbers on the scale are due to an increase in body weight, but not fat.

Hormonal changes such as the menstrual cycle can affect water retention and eventually shows as weight gain, says Sushma Ghag, clinical dietitian at Aster Hospital, Mankhool.

The average adults weight fluctuates up to five to six pounds per day [2.5kg-2.7kg].

While the number on a scale offers a snapshot of weight at any given time, it cannot differentiate between water retention and body fat.

Measuring body fat percentage can be more informative than just body weight, says Ghag. There are various methods to measure body fat percentage, like bio-electrical impedance scale, skin fold callipers and Dexa scan. A decrease in body fat percentage is a good indicator of a healthy body composition.

If the goal is weight loss, fat loss should be tracked over a longer time period than water loss.

Its important to recognise the difference between weight loss and fat loss, which takes longer to gain and lose, says Sarah Lindsay, cofounder of Roar Fitness. Everyone's weight fluctuations are different and generally the bigger the person and the more muscle mass the more potential for greater disparity. My body weight will fluctuate by 2kg daily depending on the time of day, what and how much I have eaten and drunk, if I have travelled and if I have exercised, especially in high heat.

In addition to or instead of stepping on the scales, there are many other ways to track changes in body shape that dont focus on weight. One of the most popular methods is to take measurements of body parts such as waist, hip, chest, arms and thighs to see if there has been loss or gain.

Taking pre and post-diet photos can help you to visually track changes in your body shape and appearance, says Ghag. Fitness levels and overall stamina are good indicators of a healthy body too.

Trying on smaller-sized clothes or digging out items from your wardrobe that no longer fit and trying them on each week is a great way to check progression, along with being aware of energy levels, sleep quality and mood.

The only way to track your body weight is to weigh yourself but there are far more important health and fitness progress markers to note, says Lindsay. Such as body composition: is your muscle-to-fat ratio improving? Strength: are you lifting heavier weights? Recovery: is your recovery between sets or sessions getting faster? And most importantly, how do you feel?

The answer will vary depending on the individual, their goals and the way in which weight tracking affects their mental health.

Constantly weighing oneself may result in individuals feeling unhappy or disappointed when they do not see the number they expect on the scale, says Ammarah Ashraf, clinical psychologist at Nabta Health. Constantly exposing oneself to such disappointment can also lead to developing unhealthy habits such as skipping meals, following crash diets that can impact ones nutrition requirements and disordered eating habits just to see the numbers on the scale move.

She adds: Some of the signs that it has become obsessive could be experiencing anxiety around weighing, developing extreme reactions to scale readings and developing a preoccupation with weight.

If the goal is weight loss, experts recommend a slow and steady approach to make effective and sustainable changes, with the loss of between one to two pounds per week considered average. This approach lends itself to daily or weekly weigh-ins.

There is some controversy about this in the medical literature, says Hensrud. To track true changes in weight, not just changes in fluid status that affects weight, many people recommend weighing perhaps weekly and looking at the trend over time. This is generally what most medical professionals recommend.

Individuals should take note of weight changes over time to adjust their diet or exercise routine to achieve goals.

If you can weigh yourself without it having a negative impact on your mental health then potentially twice a day, morning and night for consistency, can give some useful information, says Lindsay. The problem with weighing yourself irregularly is that it can be a snapshot of a particularly high or low reading which can be misleading and change behaviours unnecessarily.

Adds Hensrud: However often someone weighs themselves, looking at trends over time, such as over weeks, will be a more accurate reflection of true changes in body fat and lean tissue, and not just fluid shifts.

Updated: April 25, 2024, 9:50 AM

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Daily or weekly, how often should you weigh yourself? - The National

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