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Jul 4

High Fat Content of the Keto Diet: Is It a Health Concern? – Healthline

Though the keto diet may reduce insulin resistance and improve heart disease risk factors, other dietary patterns may be easier to adhere to.

Q: Is the high fat content of the keto diet a concern for people with certain health conditions like insulin resistance or heart disease?

The ketogenic or keto diet is a very low carb, high fat diet that many people use to promote weight loss and manage their blood sugar levels.

For example, studies show that the keto diet may aid weight loss, enhance blood sugar control, and improve heart disease risk factors like triglyceride and LDL (bad) cholesterol levels. The keto diet may also increase heart-protective HDL cholesterol (1).

Additionally, the keto diet may help reduce insulin resistance, a condition in which cells become resistant to the blood-sugar-regulating hormone insulin, leading to high blood sugar levels and an increased risk of diabetes (2).

Therefore, the high fat content of the keto diet might not necessarily be a concern for people with certain conditions like insulin resistance and heart disease.

However, although evidence suggests that following a keto diet may have metabolic benefits, such as reducing blood sugar and triglyceride levels, high quality, long-term studies exploring the relationship between keto dietary patterns and overall health are lacking (2).

Plus, the keto diet is highly restrictive and not typically necessary to promote weight loss, improve insulin sensitivity, or reduce heart disease risk factors. In fact, less restrictive dietary patterns that focus on nutrient-dense foods and overall diet quality rather than macronutrient composition are usually a better option.

This is because keto diets are so low in carbs typically under 10% of your total calorie intake that theyre generally not sustainable long term (3).

On the other hand, the Mediterranean diet, a dietary pattern thats rich in fiber, protein, and healthy fats, has decades of scientific research supporting its ability to promote weight loss and reduce chronic disease risk not to mention good adherence scores (4).

While the keto diet may offer some health benefits, the same benefits can likely be achieved by following a less restrictive eating pattern that can be followed for life.

Jillian Kubala is a Registered Dietitian based in Westhampton, NY. Jillian holds a masters degree in nutrition from Stony Brook University School of Medicine as well as an undergraduate degree in nutrition science. Aside from writing for Healthline Nutrition, she runs a private practice based on the east end of Long Island, NY, where she helps her clients achieve optimal wellness through nutritional and lifestyle changes. Jillian practices what she preaches, spending her free time tending to her small farm that includes vegetable and flower gardens and a flock of chickens. Reach out to her through herwebsiteor onInstagram.

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High Fat Content of the Keto Diet: Is It a Health Concern? - Healthline


Jul 4

Keto vs Speed Keto diets – It’s not about which of them wins. It’s about your win – London Daily Post

Ketogenic diets have been surging in popularity recently among those who are comfortable with their high-fat, low-carb approach to health and weight loss. Hollywood celebrities, Silicon Valley trendsetters, and health marketers are among those promoting the low-carb, high-fat keto diet.

The keto diet is not without controversy, however. Some health practitioners feel that it cannot live up to its promises. But its recent spike in popularity shows no signs of abating in 2020, with the keto diet market now exceeding an incredible eight billion dollars in the U.S. alone.

Keto Diet Fast Facts:

How It Works

The ketogenic diet is centered around a dietary plan consisting of high amounts of fat, small amounts of protein, and low carbohydrates. It works by forcing the body to burn fat instead of carbohydrates. The diet was originally created to help treat severe forms of epilepsy in children; however, it has found mainstream success among those seeking to improve their health.

Under normal circumstances, dietary carbohydrates are converted by the body into glucose. In turn, this glucose travels around the body and is an important factor in providing fuel for the brain. When suboptimal amounts of carbohydrates are consumed, the liver begins converting fat into fatty acids, or ketone bodies. It is these ketones that pass into the brain and replace glucose as its energy source.

It was found that children had fewer epileptic seizures when they were on a keto diet. Almost 50% of children with severe forms of epilepsy experienced less frequent seizures when on a keto diet. It was even found that the effect remained even after stopping the diet.

Many believe that the keto diet is also effective for other types of neurological disorders, including Alzheimers disease, headaches, Parkinsons disease, and amyotrophic lateral sclerosis.

Rise of the Speed Keto Diet

Entrepreneur, Harlan Kilstein, is the creator of the Speed Keto diet plan. According to Kilstein, his personal interest in keto grew out of his desire to experience healthy weight loss. His public advocacy of the keto diet was marked by the publishing of his Completely Keto cookbook in 2018. He launched his Speed Keto program shortly after as a potential long-term solution for better health.

Harlan Kilsteins Speed Keto diet plan is a ready-made meal plan combined with a careful fasting schedule to produce rapid weight loss beyond what is known as the keto plateau, which is where many keto dieters hit a wall and stop obtaining weight loss results after several weeks or months on the basic keto diet.

Intermittent Fasting

Speed Keto is a hybrid diet combining the conventional ketogenic program with another type of dietary change known as intermittent fasting.

Intermittent fasting is an increasingly popular dietary plan involving no food consumption for a certain number of hours. For example, some intermittent fasting plans encourage dieters to eat only within an eight-hour window each day. This allows for 16 hours of fasting, while still eating some each day, making it far easier psychologically on the individual. Near the end of this period of fasting, the body switches into fat-burning mode. The changes forced upon the body at this time also allow the body to divert energy that would otherwise be spent in digestion into healing processes.

Some benefits of intermittent fasting include:

Gene expression: Intermittent fasting leads to functional changes in genes that help protect against many forms of disease and increase longevity.

Speed Keto vs. Regular Keto

When the body goes into fat-burning mode, it is known as ketosis. At this time, the body is focused on using fat for fuel, rather than sugar or glucose. This part of the Speed Keto diet is similar to the conventional ketogenic diet. The difference is the addition of intermittent fasting.

The goal of the Speed Keto diet is the incorporation of intermittent fasting. At some point during the Speed Keto program, dieters will be eating only one meal per day. This meal will be low in carbohydrates, contain adequate protein, and high-fat.

Keto Diet Critics

Although conventional keto diets and Speed Keto diets are extremely popular right now, the programs are not without their critics. Some doctors and health practitioners feel that the low-carb portion of the programs are unsustainable. Proponents of keto diets feel that every diet involves some level of willpower and habituation. Once dieters have spent some time with the Speed Keto plan, they tend to adapt and develop new habits that allow them to push through any temporary barriers.

Ultimately, the goal of any weight loss diet is to create a calorie deficit. Speed Keto helps people do just that. The reward comes in the form of reduced Body Mass Index (BMI) that has been scientifically proven to lower rates of cardiovascular disease, obesity, diabetes and cancer.

Speed Keto Diet Adherents

Although the Speed Keto diet is not for everyone, practitioners of the diet provide mostly favorable reviews. Most dieters found that the diet helps increase their energy levels, boosts their mood, and changes their metabolism into fat-burning mode.

Patsy Goodell: Before Speed Keto, I had no energy and loved anything with sugar. Now on Speed Keto, I totally love it. I have energy, I sleep thru the night and I want to exercise, not HAVE to exercise.

Erin Bowman: Speed Keto gave me back what I thought I had lost. I found a whole world of possibilities in tricking my metabolism, eliminating inflammatory foods, and Im loving every minute of it.

Cathy Jelinek: Ive been enjoying Speed Keto. Recipes are easy to make and delicious! Ive also noticed extra energy throughout the day. And I must be losing inches as a couple of my pants are getting pretty baggy!! Lovin it!!

Speed Keto: The Takeaway

As with any diet, it is recommended that you first check with your primary health practitioner to ensure that you are physically able to follow a ketogenic diet like Speed Keto. Your results will depend upon your careful adherence to the diet protocols, getting adequate sleep, and shifting your body into ketosis to obtain the metabolic benefits of this innovative diet.

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Keto vs Speed Keto diets - It's not about which of them wins. It's about your win - London Daily Post


Jul 4

Nutritionist Reveals The Secret To Eating Healthy Sustainably, With Lesser Cravings – NDTV

Healthy eating tips: Practice moderation and portion control while eating

To practice healthy eating in a sustainable manner, mindful eating and a few more principles are required. Nutritionist Ishi Khosla, in an Instagram post, talks about a few principles of healthy eating that can help in maintaining your health, fitness levels and weight goals. Calorie-restrictive and weight loss diets aren't the ideal way to go. You needn't starve yourself and go to extremes just to lose a few kilos. Moderation is the key. Have you favourite dessert and even fried food at times. Maintaining a balance and eating everything you love, in controlled proportions, is the key to being healthy and fit.

In an Instagram post, Khosla talks about a few rules that can you help you live a healthy liftestyle with lesser cravings, mood swings and irritability.

Whatever you eat, practice portion control. This stands true for desserts, junk food, fried food and sugary drinks. Limit the intake of these foods to occasions only but do not starve yourself. "A small portion of dessert rather than the entire helping will be a good idea and is unlikely to conflict with your goals," writes Khosla in her post.

Practice portion control and do not overeatPhoto Credit: iStock

Also read:Struggling To Follow A Diet? Follow These Expert Recommended Tips For Healthy Eating

Maintain a balance. Avoid binging one meal but do not skip the other to make for it. "The principle of balance helps you undo the damage and lighten the next meal to compensate for the previous one, and this will ensure that you do not mess up your goals," says Khosla. You can also achieve balance by being physically active or even walking for an extra mile. Do not snack all day and eat less on meal times, recommends the nutritionist. She also adds that your diet should include fruits, vegetables and salads. "Alternate day fasting is both a traditional and scientific approach to balance out the excesses during the week," she suggests.

Also read:Kids Diet: Nutritionist Recommends Diet Tips For Kids For Their School From Home Days

To be able to follow any diet plan in the long term, it is important that it has variety. Having variety in your diet also serves the purpose of giving you all the nutrients you need. Foods from all food groups should be a part of your diet. "For example, an apple is rich in vitamin E and poor in vitamin C while an orange is rich in vitamin C and poor in vitamin E. Eating both ensures that you get enough of both the nutrients," Khosla exemplifies.

Your diet must have variety if you want to follow it sustainablyPhoto Credit: iStock

Also read:Consume A Balanced Diet To Get Sufficient Vitamin K: Here's Why The Nutrient Is Important For You

If weight loss and fitness is on your mind, then these principles can take you a long way!

(Ishi Khosla is a practicing clinical nutritionist, columnist and author)

Disclaimer: This content including advice provides generic information only. It is in no way a substitute for qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.

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Nutritionist Reveals The Secret To Eating Healthy Sustainably, With Lesser Cravings - NDTV


Jul 4

Ford Government Given Failing Marks in Response to Recommendations on Long-Term Care COVID-19 Response in Joint Open Letter from more than 200…

TORONTO, June 30, 2020 (GLOBE NEWSWIRE) -- The Ontario Health Coalition issued an open letter to Premier Doug Ford on May 28, 2020 calling for key improvements to safety and care in Ontarios beleaguered long-term care homes where more than 1,860 residents and staff have died as a result of COVID-19. Recent a number of media reports, accounts from families, and the military report have revealed that long-term care residents are suffering serious weight loss and decline or even dying of dehydration and malnutrition due to inadequate care. That the staffing crisis is now a full-blown emergency in long-term care is not an overstatement, reported the Coalition, which is hearing from the front-lines of workers and families of residents and is calling for immediate action.

In Quebec and British Columbia, governments have intervened to increase wages and provide full-time work to boost care levels. In recent weeks, Quebec set out to recruit 10,000 PSWs, offering $21 per hour for training and increasing wages to $26 per hour. They have more than 65,000 applicants and are well into the process. In Ontario, there has been no such response. In fact, the Health Coalition reports that it is hearing from front-line staff and families that staffing shortages are worse than ever with many more shifts unfilled even with unprecedented overtime. The Coalition held cross-province consultations on the staffing crisis in 2019 and wrote a report on its findings commissioned by Unifor in December that detailed the staffing crisis (including that virtually every home was working short every shift, worse on weekend and worse in the evenings) and made recommendations to address it. Today the Toronto Sun is reporting that the Ford governments Treasury Board twice, in the months leading into COVID-19, refused funding appeals to improve staffing levels. Staffing levels equate to care levels in long-term care: without enough staff, there is not enough time to bathe, feed, hydrate, reposition, and provide even the most basic care for residents, let alone provide care with residents and staff sick with COVID-19 and in isolation.

The Health Coalition issued the following report card today, grading the Ford government on its response to the key recommendations made in its open letter, sent a month ago, which has now been signed onto by more than 200 groups representing almost two million Ontarians. Premier Ford has not responded to the Coalitions letter despite the huge body of Ontarians represented by the groups that have jointly signed.

For more information: Natalie Mehra, executive director (416) 230-6402.

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Ford Government Given Failing Marks in Response to Recommendations on Long-Term Care COVID-19 Response in Joint Open Letter from more than 200...


Jun 30

Keto Diet: How Safe and Effective is it? – Yahoo Singapore News

The keto diet (short for ketogenic diet) isa wildly popular weight loss diet.It is also controversial as it inverts the traditional balanced food pyramid. Instead of carbohydrate forming the bulk of ones calorie intake, it drastically restricts daily carbohydrate consumption to between 20g and 50g (less than a bowl of rice), and replaces it with protein and fat.

When the bodys first source of energy carbohydrate becomes unavailable, it then taps into the 500g of glycogen a form of glucose that serves as energy storage stored in the liver and muscles. Once that too is depleted, it turns to fat stores.

With a lot of weight loss attempts, the body fights back with hunger-adaptive hormones, which makes us want to eat more. That is why people regain weight. However, when your body breaks down fat, ketones are produced. These counteract hunger hormones and suppress hunger pangs,explained the Department of Endocrinologyfrom Singapore General Hospital (SGH), a member of the SingHealth group.

Related article:If you have a chronic illness like diabetes, how will the keto diet affect you?

Short-term studies have shown that people on this diet lose weight faster initially an average of 7 per cent of their weight in six months as compared to other low-fat diets. This can have a positive psychological effect on many dieters.

One problem, though, is people may over-indulge in processed meats like sausages or fatty cuts of meat, when they should go for lean types like fish and chicken, pick poly- and monounsaturated fat such as olive oil and avocado, and complex carbohydrates such as quinoa and oats.

Related article:10 Golden rules for safe and effective weight loss

A diet high in saturated fat has been shown to increase the risk of heart disease, a low-fibre diet increases the risk of cancer, and a high-protein diet of meat and dairies has negative long-term effects on the kidney.

Those on the keto diet also run the risk of lacking important nutrients like vitamin B when they cut out carbohydrate or grains. So a multivitamin supplement is necessary.

When these guidelines are followed, the ketogenic diet is generally safe for most dieters in the short term. Whether such a diet is safe if followed over a long period is unclear as longer-term studies on its benefits and effects are not yet available.

Related article:Top foods to eat to boost metabolism and burn fat

The best [dietary] intervention for weight loss is a sustained one with both short-term and long-term health benefits, advised the SGH Endocrinology department. This involves a slow transition period of reintroducing some complex carbohydrates, learning new healthy eating habits, and exercising regularly to reduce sugar levels and hunger pangs.

--Articles on HealthXchange.sg are meant for informational purposes only and cannot replace professional surgical, medical or health advice, examination, diagnosis or treatment. Photo courtesy of iStock.

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Keto Diet: How Safe and Effective is it? - Yahoo Singapore News


Jun 30

Prader-Willi syndrome symptoms: What is Prader-Willi syndrome? – Express

Harvey Price, the son of Katie Price and Dwight Yorke, is the reason many Brits will have heard of Prader-Willi syndrome. He recently fell ill at his younger sister Princess birthday party and was sent to a local hospital for urgent medical attention. Harvey has a number of health concerns, so it isnt certain the illness is connected with Prader-Willi syndrome.

Prader-Willi syndrome is caused by a fault in a group of genes on chromosome number 15.

This happens by chance, and boys and girls of all ethnic background could be affected.

However, it is extremely rare for parents to have more than one child with Prader-Willi syndrome.

Both Prader-Willi syndrome and Angolan syndrome are caused by mutations in chromosome 15.

READ MORE- Boy who ate TOILET PAPER and 'DIRT' due to rare disease dies aged 11

This fault leads to a number of problems and is thought to affect a part of the brain called the hypothalamus.

The hypothalamus is responsible for producing hormones and regulating growth and appetite.

The typical features of Prader-Willi syndrome are delayed growth and persistent hunger.

There is no cure for Prader-Willi syndrome, but there are ways to manage the symptoms.

Prader-Willi syndrome causes a range of symptoms, learning difficulties, and behavioural problems.

Most cases are spotted shortly after birth and can be confirmed by carrying out genetic testing.

If a baby is very floppy at birth, they may be tested.

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an excessive appetite and overeating, which can easily lead to dangerous weight gain restricted growth (children are much shorter than average) floppiness caused by weak muscles (hypotonia) learning difficulties lack of sexual development behavioural problems, such as temper tantrums or stubbornness

The key to caring for a child with this illness is trying to help them maintain a normal weight.

The child should have a health, balanced diet and avoid high-calorie treats as soon as the illness is recognised.

If you dont keep an eye on what they eat, they will become dangerously overweight.

A child with Prader-Willi syndrome can eat three to six times more than other children the same age and still feel hungry.

It will be challenging to limit their intake, and suffering children may behave badly to get food or hide and steal food.

The illness is not life-threatening, but it is easy for sufferers to spiral out of control and develop obesity-related conditions such as type 2 diabetes, heart failure or respiratory difficulties.

If the child becomes obese, they will die a lot younger than expected.

Prader-Willi syndrome can be managed and adults can have a good quality of life.

These adults who successfully control the illness could live a fully independent life with a normal life expectancy.

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Prader-Willi syndrome symptoms: What is Prader-Willi syndrome? - Express


Jun 29

Olive Oil for Weight Loss: Is It Beneficial? – Healthline

Olive oil is made by grinding olives and extracting the oil, which many people enjoy cooking with, drizzling on pizza, pasta, and salad, or using as a dip for bread.

Some of the most well-known benefits of consuming olive oil include its ability to reduce inflammation, support heart health, and lower blood pressure. It may even have potential anticancer effects and protect brain health (1, 2, 3, 4).

This article reviews whether olive oil can be used to promote weight loss.

Many of olive oils benefits have been observed in the context of following a Mediterranean diet.

This eating pattern is characterized by a high consumption of fruits, vegetables, whole grains, potatoes, legumes, nuts, and seeds. While the diet often incorporates fish, the main fat source is olive oil, and it also limits red meat and sweets (5, 6, 7).

Olive oil contains monounsaturated fatty acids (MUFAs), which have one unsaturated carbon bond in their chemical composition. MUFAs are typically liquid at room temperature.

One older 4-week study found men with overweight or obesity who replaced saturated fat with monounsaturated fats in their diets experienced small but significant weight loss, compared with a saturated-fat-rich diet, despite no major change in total fat or calorie intake (8).

More recent research agrees that unsaturated fatty acids are likely more beneficial than saturated fats when it comes to healthy weight maintenance (9).

Diets rich in monounsaturated fats have also been shown to prevent weight gain and the accumulation of fat in animal studies (10, 11).

Furthermore, olive oil is a rich source of medium-chain triglycerides (MCTs), which have been long studied for their ability to play a role in healthy weight loss and maintenance (12, 13, 14).

MCTs are triglycerides that contain fatty acids comprising 612 carbon atoms. Theyre broken down quickly and absorbed by your liver, where they can be used for energy.

While some studies have found a positive effect of MCTs on weight loss, others have found no effect.

Still, one study compared MCTs with long-chain triglycerides, finding that MCTs resulted in greater production of certain appetite-regulating hormones like peptide YY, which promotes feelings of fullness (15).

Other research indicates that MCTs may encourage weight loss by increasing calorie- and fat-burning in the body (16, 17).

Olive oil is a good source of monounsaturated fatty acids and medium-chain triglycerides, both of which have been shown to offer potential benefits when included in weight loss diets.

Olive oil may be useful for weight loss, but it appears to be most beneficial when used in certain ways and amounts.

While some people claim that olive oil massages could help promote weight loss, theres no research to support this idea. That said, studies have found that such massages can help preterm babies gain weight (18).

Another popular claim is that a mixture of olive oil and lemon juice can promote rapid weight loss. However, this is likely because its often used as a cleanse that usually results in very low calorie intake and consequently both fat and muscle loss (19).

Still, olive oil incorporated into an overall healthy diet is a different story.

There are 119 calories and 13.5 grams of fat in 1 tablespoon (15 mL) of olive oil. This can quickly add up on a calorie-restricted diet, so its best to incorporate olive oil in limited quantities as not to promote weight gain (20).

One systematic review of 11 randomized controlled studies found that following an olive-oil-enriched diet for at least 12 weeks reduced weight more than following a control diet (21).

Olive oil can be used as a salad dressing, mixed into pasta or soups, drizzled onto pizza or vegetables, or incorporated into baked goods.

While olive oil can be beneficial for weight loss when consumed in limited quantities, steer clear of claims that olive oil massages and detoxes are a long-term solution.

Olive oil is a healthy source of monounsaturated fats and medium-chain triglycerides, both of which have been shown to offer potential benefits for weight loss.

While there are claims that olive oil can be used as a massage oil or for a detox, the most effective way to use olive oil for weight loss is to incorporate it into your overall healthy diet as a primary fat source.

Keep in mind that a small serving of olive oil can contribute a significant number of calories and amount of fat to your diet. As such, it should be used in limited quantities. Olive oil used as part of a plant-based diet like the Mediterranean diet may offer the greatest benefit long term.

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Olive Oil for Weight Loss: Is It Beneficial? - Healthline


Jun 29

Ombudsman program brings awareness of disabled adults | News – Tahlequah Daily Press

One of the primary responsibilities of the Long-term Care Ombudsman program is to bring awareness to people about the abuse and neglect of vulnerable adults which includes long-term care residents, the elderly and disabled adults.

"Our goal is to not only stop abuse and neglect that is happening now but also to help prevent it in the future," said Scott Harding, ombudsman program supervisor. "June 15, is World Elder Abuse Awareness Day. And while our efforts continue every day, we want to observe this day by being more aware of elder abuse, educating ourselves on the causes and effects and resolving to do more now and in the future to protect some of the most vulnerable individuals in our society."

Elder abuse takes many forms, including physical, sexual, verbal and psychological. In the State of Oklahoma, abuse is defined as causing or allowing infliction of physical pain, injury, sexual abuse, sexual exploitation, unreasonable restraint or confinement or mental anguish. It also includes depriving vulnerable adults of nutrition, clothing, shelter, health care or other services that can cause serious harm.

"While many people might consider physical and sexual abuse the most serious types of abuse, verbal and psychological are more prevalent and can often cause harm just as serious, and sometimes more so," said Harding.

Verbal abuse is defined as the use of words, sounds, gestures, actions, behaviors or other communication by a person responsible for providing services to a vulnerable adult that is likely to cause a reasonable person to experience humiliation, intimidation, fear, shame or degradation. While the outward signs of physical abuse may eventually heal, the scars and effects of verbal and psychological abuse may never fully heal, said Harding.

Another common form of abuse is financial exploitation which is defined as the improper use of a vulnerable adults financial, real or personal resources for the benefit of another person.

It is estimated that one in 10 older Americans is the victim of abuse and much of that abuse goes unreported. The various types of abuse can occur in the home, community and in long-term care facilities.

"The victims can be our loved ones, neighbors and friends. Often, the abusers are someone the victim knows well and may be their own family," said Harding.

Signs of abuse may include: unexplained injuries; drastic and sudden changes in behavior; unexplained weight loss; withdrawal from normal activities; fearfulness; depression; and more.

"Whether an advocate, loved one or just concerned citizen, everyone has a role to play in stopping and preventing elder abuse," said Harding. "If you observe or suspect abuse, report the abuse to Adult Protective Services and local law enforcement. Depending on the situation, the victim may need your care and support through such a difficult situation. If you have friends and family who are elderly or may be considered vulnerable, keep in touch with them and raise your awareness of any signs of abuse or neglect."

The APS Hotline is 800-522-3511. To find a local long-term care ombudsman, contact Scott Harding or Gina Elliott at the Area Agency on Aging, 918-682-7891. The state long-term care ombudsman office can be reached at 405-521-6734.

We are making critical coverage of the coronavirus available for free. Please consider subscribing so we can continue to bring you the latest news and information on this developing story.

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Ombudsman program brings awareness of disabled adults | News - Tahlequah Daily Press


Jun 29

ReShape Lifesciences and inHealth Lifestyle Therapeutics Launch ReShapeCare(TM) Virtual Health Coaching for Patients with Obesity – BioSpace

SAN CLEMENTE, CA / ACCESSWIRE / June 22, 2020 /ReShape Lifesciences Inc. (OTCQB:RSLS),a leading developer and distributor of minimally-invasive medical devices to treat obesity and metabolic diseases, today announced a partnership with inHealth Lifestyle Therapeutics (formerly inHealth Medical Services), a Lifestyle Therapeutics company, to launch the ReShapeCare virtual health coaching program this month. The new service is tailored to patients under treatment for obesity, those who may have lost continuity of care, and patients pursuing weight loss surgery and medically supervised weight loss programs. ReShapeCare will enable bariatric surgeons and physicians to optimize management of their patients' care by providing a turn-key, personalized service proven to improve treatment and health outcomes for obesity and associated chronic disease while reducing administrative encumbrances.

"At a time when providers are grappling with the impact of COVID-19 on their patients and practices, we are accelerating our plans to offer an outcomes-focused, high-touch virtual service that enhances patient engagement between required practice visits and is adaptable to their daily lives," said Bart Bandy, CEO and President, ReShape Lifesciences. "We selected inHealth as our chosen provider based on the high quality of their coaches, their exceptional telehealth-enabled platform with a unique reimbursement system for practices, and the strong body of clinical research that proves their method works. Emerging from the effects of this pandemic and recognizing how all of our lives may be changed moving forward, we are excited to introduce this progressive lifestyle centered program that will assist healthcare providers in empowering their patients throughout their weight loss journey."

ReShapeCare is a live, telehealth-based coaching program that provides online weight loss coaching and lifestyle therapy for patients affected by obesity and its associated comorbid conditions such as hypertension and diabetes. Through the service, patients are matched with a dedicated, certified health coach and enjoy one-on-one video sessions with exclusive access to validated educational resources. The service must be prescribed by a physician, can be customized to their practice, and is covered by most insurance plans.

Published clinical studies demonstrate that virtual health coaching leads to more adherent patients and more successful weight loss outcomes. In a 2017 study published in theJournal ofTelemedicine and Telecare[i], 69.2% of patients achieved weight loss with a 12-week telemedicine-based weight loss program versus just 8% in the control group that received initial instructions and recommendations although they also had access to the same virtual platform and devices throughout the 12 weeks.

Rashmi S. Mullur, MD, Chief of Telehealth at the VA Greater Los Angeles, endocrinologist at UCLA Health and an investigator on the study, said, "Our study demonstrated the clinical benefit of telehealth-based coaching for improved weight loss. We were able to increase patient access, via video visits, and elevate the level of care we can provide. Our model showed that this approach increases patient adherence and motivation, and allows for greater, shared decision-making responsibility between providers and their patients to reach their health goals."

ReShapeCare acts as a seamless extension of a healthcare provider's practice, driving new revenue at a time when many physicians are bracing for the opposite. The program can be customized to support existing programs of care and provides HIPAA-compliant dashboard reports for the individual medical supervision of enrolled patients. ReShapeCare will be available as a pre- and post-operative service and is appropriate for all bariatric surgery and medically supervised weight loss patients.

"Medical device innovators like ReShape Lifesciences understand that without proper outpatient care and support, a patient's health goals are at risk. To ensure that patients maintain their weight loss, and manage or reverse their chronic disease, we must treat the major underlying cause of that disease: their lifestyle," said Aubrey Jenkins, Co-Founder and President, inHealth Lifestyle Therapeutics. "Our Lifestyle Therapeutics are a perfect complement to the ReShape Lifesciences mission, extending the care their providers deliver and enveloping their patients with a whole health solution that works."

For those providers interested in learning more, please emailcustomerservice@reshapelifesci.com. For more information on ReShape Lifesciences visitwww.reshapelifesciences.com. For more information on inHealth and its work with private practices and corporate partners, visitwww.inhealthonline.com.

About inHealth Lifestyle Therapeutics

inHealth is a Lifestyle Therapeutics company with a mission to unlock the human potential for preventing and reversing chronic disease. Our clinically validated, virtual solutions are scientifically proven to activate and sustain long-term patient outcomes, and delivered by trained, certified health coaches. Our Lifestyle Therapeutics can be prescribed by physicians, covered by most insurance, and delivered through our partnerships with clinicians, health plans, employers, and medical devices and digital health innovators. Like our services, we are a virtual company with team members all over the U.S., and we are hiring. To learn more, visitwww.inhealthonline.com.

About ReShape Lifesciences Inc.

ReShape Lifesciences is a medical device company focused on technologies to treat obesity and metabolic diseases. The FDA-approved LAP-BAND Adjustable Gastric Banding System is designed to provide minimally invasive long-term treatment of severe obesity and is an alternative to more invasive surgical stapling procedures such as the gastric bypass or sleeve gastrectomy. The ReShape Vest System is an investigational, minimally invasive, laparoscopically implanted medical device that wraps around the stomach, emulating the gastric volume reduction effect of conventional weight-loss surgery, and is intended to enable rapid weight loss in obese and morbidly obese patients without permanently changing patient anatomy.

Forward-Looking Safe Harbor Statement:

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements generally can be identified by the use of words such as "expect," "plan," "anticipate," "could," "may," "intend," "will," "continue," "future," other words of similar meaning and the use of future dates. These forward-looking statements are based on the current expectations of our management and involve known and unknown risks and uncertainties that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements. Such risks and uncertainties include, among others: risks related to the effects of the COVID-19 outbreak on our results of operations, financial condition or liquidity; risks and uncertainties related to our acquisition of the LAP-BAND system; our ability to continue as a going concern if we are unable to improve our operating results or obtain additional financing; risks related to ownership of our securities as a result of our delisting from the Nasdaq Capital Market; our proposed ReShape Vest product may not be successfully developed and commercialized; our limited history of operations; our losses since inception and for the foreseeable future; the competitive industry in which we operate; our dependence on third parties to initiate and perform our clinical trials; the need to obtain regulatory approval for our ReShape Vest and any modifications to our LAP-BAND system; physician adoption of our products; our ability to obtain third party coding, coverage or payment levels; ongoing regulatory compliance; our dependence on third party manufacturers and suppliers; the successful development of our sales and marketing capabilities; our ability to raise additional capital when needed; international commercialization and operation; our ability to attract and retain management and other personnel and to manage our growth effectively; potential product liability claims; the cost and management time of operating a public company; potential healthcare fraud and abuse claims; healthcare legislative reform; and our ability to obtain and maintain intellectual property protection for our technology and products. These and additional risks and uncertainties are described more fully in the Company's filings with the Securities and Exchange Commission, particularly those factors identified as "risk factors" in our annual report on Form 10-K filed April 30, 2020. We are providing this information as of the date of this press release and do not undertake any obligation to update any forward-looking statements contained in this document as a result of new information, future events or otherwise, except as required by law.

CONTACTS:

ReShape Lifesciences Investor Contact:Thomas StankovichChief Financial Officer949-276-6042ir@ReShapeLifesci.com

ReShape Lifesciences Marketing Contact:Diane Utzman-O'NeillSr. Director Marketing952-460-0171dutzman-oneill@reshapelifesci.com

inHealth Lifestyle Therapeutics Contact:Amanda GuisbondDirector of Marketing and CommunicationsinHealth Lifestyle Therapeuticsaguisbond@inhealthonline.com

[i] Alencar, M. et al.Journal of Telemedicine and Telecare. "The efficacy of a telemedicine-based weight loss program with video conference health coaching support." 6 November 2017. DOI: 10.1177/1357633X17745471

SOURCE:ReShape Lifesciences Inc.

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ReShape Lifesciences and inHealth Lifestyle Therapeutics Launch ReShapeCare(TM) Virtual Health Coaching for Patients with Obesity - BioSpace


Jun 29

The brutal blow that pandemic isolation has dealt residents of long-term care residences – mississauga.com

In February, the month before the lockdown, 12.5 per cent of Sheridan Villas 142 residents had experienced a worsened depressive mood. That number increased to 15 per cent in March, 15.7 per cent in April and 17.5 per cent in May. The most recent provincial average for depression was 22.3 per cent, according to Sheridan documents.

During the lockdown in March, April and May, Sheridan had slight increases in the number of residents with unexpected weight loss, pressure ulcers and falls. Those changes may look minimal on a spreadsheet, but staff say they know the people behind the data, calling the increase of a percentage point or two deeply personal.

Data for so-called behaviours noted a 6.4 per cent increase from February (when it was at 8.6 per cent) to 15 per cent in May. The most recent provincial average for behaviours was 12.6 per cent, according to Sheridan. Behaviours is a traditional nursing-home term used to describe people, mostly with dementia, who walk constantly, shout or sometimes act aggressively. Advocates say these are reactions to a life that is sterile.

Milligan said the behavioural changes are likely the result of resident confusion after provincial rules required isolation in rooms. She said many, particularly those with cognitive decline, are feeling rejected because they can no longer hug staff or hold hands.

They are also feeling a profound sense of abandonment because many do not understand why their families no longer visit, she said.

The Ontario government banned family visits in mid-March when the virus began its surge through homes.

On June 18, the Ministry of Long-Term Care began allowing one family member one outdoor visit each week. Unlike staff, who do not need regular COVID testing, families must test negative for COVID every two weeks. The demand for swabbing is onerous, particularly for fragile older spouses.

It took a deadly virus, but the long-term care industry is starting to understand the need for transformation that elevates emotion-focused care, said Laura Tamblyn Watts, CEO of CanAge, a seniors advocacy group.

Social isolation syndrome, as we are calling it, is a combination of low mood, loss of physical mobility and a loss of connection with people, Watts said. Weve seen it in Canada and around the world.

Having homes share the impact of isolation really brings to light how important it is to move to emotion-focused care in long-term care homes in Canada, Watts added. Only through tracking things like mood, things like social connection, can we take care of the whole person, not just their physical well-being.

Theres a new willingness in the industry to explore the programs and approaches that offer seniors vibrant lives, she said, not just medical care and meals.

What we are seeing now is associations and industry in long-term care are really understanding the importance of this model in a new way.

In traditional homes, where the task-focused system rules, isolation is pervasive. If there is a chance for real change, industry insiders say the government must ensure that homes provide individualized care that offers purpose and activities that connect with each person not the typical activities, like sitting in a circle tossing balls to each other.

I look at long-term care as being a pyramid and at the top of it is the resident, said Chris Brockington, a 20-year consultant in the nursing and retirement home industry.

With every decision, it has to be framed with, Will this be good for the resident? Staff has to say, If Im in their shoes, is this something I would like for my mother or father? Its the simple understanding of, how do we build a culture that cares?

To me that is the starting point. I think we can get on that really, really quick. Maybe we need to start thinking of (residents) as the customer. They are paying for the service. What do they get for it? Do they deserve to be awakened at 7 oclock when they really dont want to be awakened at 7 a.m.?

Brockington consults with for-profit and not-for-profit homes along with service providers such as pharmaceutical or medical device companies. After the public outrage over flaws exposed by the pandemic, he believes many operators are willing to change the old culture that put the needs of residents behind efficiencies and scheduling.

They are going to be open to anything right now because they know the onslaught that is coming toward them, he said. Culture in long-term care for the most part is not great. We do need to move it away from, say, an ivory-tower approach of We know best for your home.

Ask Doris Grinspun, CEO of the Registered Nurses Association of Ontario about Premier Doug Fords promise for transformation and shell say theres a good chance hell bring legitimate change.

I believe the premier takes this to heart, Grinspun said. And this is indeed a matter that we need to solve with heart, not only with the numbers, the budget. And we need to put the budget where the heart is.

Grinspun is pushing the government to commit to a minimum of four hours of direct nursing and personal care for each resident, each day. Currently, the RNAO says the average resident gets roughly 2.7 hours of direct daily care.

The estimated cost of the additional staffing, a mix of registered nurses, registered practical nurses and personal support workers, is $1.75 billion, according to RNAO reports. In its June 2020 report on staffing, the RNAO said the additional cost to bring staffing up to a new standard is truly an investment, not an expenditure, as it will save us from enormous costs in the future. It also said the cost is not large relative to the $63.8 billion health budget.

The pandemic exposed the staffing shortage in long-term care although the problems have existed for years, with residents sitting in filthy briefs, going hungry or left alone for hours. It was the report written by the Canadian Armed Forces, whose staff worked in homes with the most COVID infections, that got Fords attention.

Grinspun wants the government to commit to the staffing formula, saying it would help residents get the time and individual attention they need. She doesnt believe the industrys problems need to be studied again. The upcoming commission into long-term care, promised to begin in July, will produce yet another report, she said. Her staff recently counted 35 long-term care reports in the last 20 years. None led to lasting change.

Give us a plan, she said. Give us a two-year plan. But dont put this on an election platform.

The industry has never had the hiring power or the cachet of hospitals even though nursing home residents share the same conditions as acute care hospital patients, said Brockington, the consultant.

Part of it is, we are not portraying the sector as being a thought leader, he said.

Weve been left behind for so many years in terms of innovation. With innovation, you think of acute care, not long-term care. So, we are playing catch up, for years, trying to bring in new ideas. Because it is slow, the (nursing home) culture is make my life easy.

We need to make it a place where our educational system is actually promoting it as innovative, as fair, as doing something that is thought-provoking, that is compassionate.

Susan Veenstra is a registered nurse who spent two decades in long-term care, working in administrator and director of care roles. She now works as a consultant, often with Brockingtons company, In Initiatives Inc.

Veenstra agrees with the assessment that theres a culture of fear in many homes, with top-down decisions leaving staff and families afraid to speak up.

The ones who have done the best are probably with the most open communication, she said.

The industry is ready for a shakeup, eradicating the old task-focused system and replacing it with individualized care that allows frontline workers and residents to engage, she said. But that wont happen unless the upcoming commission into long-term care brings in new people with fresh ideas.

At the end of the day, they dont need to have the same old, same old, sitting at the table thinking that they are going to make things better if the same people are at the table.

Its like the definition of insanity: doing the same thing every time and expecting a different result.

For Derek Hoare, who left a 32-year career in private and not-for-profit long-term care management to run a restaurant on Prince Edward Island, the instrument of change is always the homes leader.

Ive given this a lot of thought, Hoare said. When I look at the homes on the list of the ones that had greater (COVID) fatalities than the other ones, I would hazard a guess that the homes that did better had a much stronger employer-employee relationship and a much more common goal relationship where they worked toward the common good and developed programs for residents collaboratively.

That is what Ive seen, and that is what I have found has worked. It is not autocratic leadership but one that has involvement.

Most long-term care managers dont call attention to negative outcomes, but Sheridan Villa administrator, Marianne Klein, said the declines in her homes data, particularly in worsening mood category, prove that homes need creative approaches moving forward.

Klein said Sheridans emotion-focused program, Meaningful Care Matters (formerly Butterfly) gave staff an edge when, for example, they tried to get a man, declining with COVID, to eat. He had been refusing food and drink.

His registered practical nurse, Darryl Hawtin, knew the man well and remembered that he liked Polish sausage. Hawtin spoke to Sheridans dietitian who bought a package of Polish sausages at the grocery store. Culinary staff cooked the meat the next day. The resident ate the sausage and later asked for ice cream. Hes been eating well ever since, Klein said.

If we know the people we are caring about, if we understand them, what their needs are and what their strengths and limitations are, we are able to provide care that meets their needs, Klein said.

If we dont do that, we treat people like a piece of data and thats not what this is all about.

Moira Welsh is an investigative reporter based in Toronto.

Excerpt from:
The brutal blow that pandemic isolation has dealt residents of long-term care residences - mississauga.com



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