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Dec 7

How to lose weight like this guy who lost 42 kgs by implementing these changes in his life instead of dieting – GQ India – What a man’s got to do

The tricks to lose weight are aplenty but only a few are sustainable and long-term in nature. Aditya Chaubey, a student by profession and self-proclaimed fitness freak by choice tells us that there is no one rule that fits all when it comes to weight loss. However, there is one cardinal sin that many people (including me) indulge in while trying to lose weight and that is dieting.

You see, dieting, at its core means restriction. And no human being enjoys being placed under restrictions. Moreover, no diet is sustainable in the long run, he says. One should strive to adopt healthier eating habits and not a diet, he adds. A healthy lifestyle does demand certain sacrifices, but it is worth it in the long run! I used to feel ashamed of how I looked (at his heaviest he weighed 110 kgs or as his father would say Quinton and 10) and as a result, I was afraid to even step inside a gym, he adds.

Add to that the fact that my father is an army officer, well, I think you can understand my discomfort. So, I took up running, he explains before revealing his step-by-step approach to weight loss by making small changes in his daily life instead of resorting to a diet plan an approach that helped him shed 42 kgs and trim from 110 kgs to 68 kgs.

Running is the best form of free physical exercise, which actually burns more calories than any other form of cardio workout as it requires many different muscles to work together. It also helps burn belly fat and preserve lean body muscle.

Says Aditya, my goal was simple to be able to run a 5K in under 20 minutes. But, when I started, I could barely get run 100 metres before I was left gasping for breath. However, I was encouraged by many people to carry on, no matter what. Honestly, this was perhaps one of the best motivational bouts during those tough initial months.

QUICK READ: How running a little bit every day for two months changed my life

Make no mistake, it didn't get any easier, I just got used to it and within 2 months I ran a full 5 Km without stopping in about 45 minutes. Granted, it was not what I wanted, but it was a start. And, now, I was ready to join a gym! During this phase, my college started and I had to leave my beautiful support system behind."

"I joined my college gym but still continued going on runs. It is the best form of exercise, it builds cardio-vascular strength, and one can do it anywhere, anytime. Below, Aditya breaks down his new weight loss workout routine.

QUICK READ: How "mindful running" can help you run faster, farther, and more peacefully

The key is to train hard, day in and day out, each workout should demand a better you. For me, it was running on alternate days with a continuous attempt to increase the distance with each progressive day and then at the end of the week (usually Sunday) go for a long run (10 km). I used to hit the gym 5 days a week. I targeted 2 muscle groups in each session doing 4 exercises of each muscle group. Apart from this, there was my one complete rest day. No gym, no running, nothing!

QUICK READ: How to run faster without ever touching a treadmill

I followed the principles outlined in this brilliant book, titled, "Don't Lose Your Mind, Lose Your Weight" by Dr. Rujuta Diwekar. It helped me develop healthier habits. To give you a gist:

- The key to weight loss is to consume small meals spread over the course of the whole day instead of binging and making conscious healthy choices even when you are forced to dine out. For example: I eat tandoori roti instead of butter naan, tandoori chicken instead of a rich chicken curry and pasta instead of pizza. I also make sure that the food I am consuming is not calorie-rich but is rather rich in nutrients.

- Don't leave your staple food. As far as our varied cuisine choices are concerned one should think global but eat local. In essence eat the local cuisine, dosa and Idli for Southern India, momos and Chinese in hilly areas, etc.

- Even during weight loss, it's important to meet your body's basic nutrient and energy needs. Over time, not eating enough can lead to nutrient deficiency and serious health problems. We are looking to improve our health, not sabotage it. Use a calorie tracker app to guide you through this, I personally recommend MyFitnessPal or Samsung Health.

I also followed this adage - eat breakfast like a king, lunch like a prince and dinner like a pauper to emphasise portion control.

QUICK READ: How many calories should you eat every day to lose weight?

I have been able to maintain my weight by regularly running and gymming. Although I have dialled back the frequency and intensity of my workouts, I still make sure that I indulge in at least three workout sessions and one long run every week.

I also monitor my calorie intake and check my weight daily. I didn't come this far just to gain it all back. One has to be consistent and relentless when it comes to weight loss.

Here are a few pointers which I gleaned through my journey:

1. Always be truthful to yourself. Only when you are honest with yourself about your body, will you strive to be able to change it.

2. Be consistent. If you want it bad enough you'll find a way and you'll also find the time otherwise you'll find an excuse.

3. The weighing machine is your best friend and the mirror is your most brutal critique. Check your weight weekly and at the same time, don't forget to glance in the mirror to see how your body is transforming.

4. Keep taking pictures of yourself throughout the journey, and when you feel demotivated or those extra kilos refuse to drop; look at your pictures. They will re-energise you.

5. Keep varying your exercise regime to break the monotony of the routine. Following the same pattern takes a toll on our mental state as we start getting bored with it. As a consequence, we don't put in as much effort as we can and the weight stagnates leading to immense frustration. Each workout should stimulate both your mind and body.

6. The most important step - keep a track of everything and not just calories what you eat, how much youve exercised today, how much ran...you get the gist. The devil is in the details, and it's these details that will ultimately help you analyse the ways to make your routine better. Losing weight is simple mathematics, burn more than you eat. Everyone burns some calories even while resting. This is known as Basal Metabolic Rate. There are online calculators to find one's BMR. After determining your BMR, aim to maintain a deficit of 150 calories and whatever happens, do not exceed 300 calories.

Notably, Aditya informs that during his weight loss journey, he also fulfilled his lifelong dream of becoming a certified mountaineer from the Himalayan Mountaineering Institute. Our instructors were some of the most elite climbers that the country has to offer and many of them were from Special forces. As you can imagine my physical fitness and weight loss increased dramatically during this phase. This coupled with the above strict routine helped me get in shape.

Disclaimer: The diet and workout routines shared by the respondents may or may not be approved by diet and fitness experts. GQ India doesn't encourage or endorse the weight loss tips & tricks shared by the person in the article. Please consult an authorised medical professional before following any specific diet or workout routine mentioned above.

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How to lose weight like this guy who lost 42 kgs by implementing these changes in his life instead of dieting - GQ India - What a man's got to do


Dec 7

The ketogenic diet may help fight against the flu – Big Think

The low-carb, high-fat ketogenic diet might not just be good for your waistline; it could also keep you healthy this flu season. Yale University researchers discovered that mice who were fed a ketogenic diet were better at fighting off flu infections that those fed a high-carb diet instead.

People can use the keto diet to quickly lose weight by capitalizing on a metabolic state called ketosis. Normally, the human body gets most of its energy from glucose (i.e., blood sugar) derived from carbohydrates, but the body doesn't have a good way of storing glucose. Because of this, the humans need an alternative energy source to get them through periods when they can't get access to any food. Once the body is deprived of glucose, the liver begins to break down fat into an alternative energy source called ketones that can keep the body going long after it last ate.

Luckily, we can jump into this metabolic state without having to actually starve ourselves by simply eating no or very little carbohydrates eating more fats and proteins keeps us feeling full while our bodies still burn fat to make ketones.

Interestingly, the keto diet seems to have a lot more effects other than weight loss. Ketosis appears to have wide-ranging effects throughout the body, with potential beneficial outcomes for diabetics and epileptics. There's also some evidence suggesting a correlation between the keto diet and improved mental health and better outcomes in cancer treatments though the research is still far from conclusive.

The researchers discovered that a keto diet appeared to activate genes that produce a specialized type of immune cells called gamma delta T cells. Tissue samples from the lungs of mice in the keto group confirmed that they had higher levels of these cells. The researchers suspected that these elevated levels of gamma delta T cells killed infected cells in the mice's lungs, and they also appeared to increase mucus production in the lungs, helping to trap more of the virus.

Furthermore, when the researchers fed a keto diet to mice specially bred to lack the genes that code for gamma delta T cells, the diet had no effect on their survivability, confirming that ketosis was somehow upregulating these genes.

Further experiments confirmed that ketosis itself, rather than just a low-carb diet, seemed to be the triggering factor. The researchers fed some mice a high-fat diet with less carbs than the standard diet but more than the keto one. Specifically, the keto diet contained less than 1 percent carbs, the standard diet contained 58 percent carbs, and the high-fat, high-carb diet contained 20 percent carbs. While the high-fat, high-carb diet did elevate gamma delta T cell levels, it did not appear to do so to the degree where any benefit could be gained.

While this exciting finding does suggest that the keto diet may help you power through flu season, it's important to remain realistic. For one, this study was conducted on mice, not humans. Animals respond differently to both treatments and diseases than humans do, and some researchers have found that animal trials tend to be conducted under different circumstances than human trials and can be less rigorous as well, sometimes resulting in biased findings.

What's more, the keto diet may come with many health benefits, but its also not without its risks. The high meat component of the keto diet can damage your kidneys and cause gout, and the diet's restrictive nature can lead to vitamin deficiencies. It ought not need to be said, but pregnant women and young children shouldn't be put on the keto diet the diet tricks your body into thinking it's starving, which is not ideal for development.

Ironically, quickly switching from your normal diet to a keto one can actually give you flu-like symptoms. The "keto flu" is a temporary side effect of rapidly removing carbs from your diet that can cause nausea, headaches, weakness, issues with concentration, and other symptoms. Hardly ideal if you're trying to stay ahead of the flu bug!

Fortunately, most of these negative effects can be mitigated or avoided by building a healthy keto meal plan and transitioning gradually into a keto diet. Undertaking any diet with the goal of improving your health will require doing some homework to figure out what works, and the keto diet is no exception. It's also important to remember that the keto diet probably works best as a short-term diet. Few people can stick with the diet over the long term, so hard evidence on its long-term impacts is scant, but it's unlikely that excluding healthy components of a normal diet (like fruit) would be sustainable. That being said, if these findings are verified, then it might not be a bad idea to try the keto diet once flu season rears its ugly head once again.

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The ketogenic diet may help fight against the flu - Big Think


Dec 6

Weight loss surgery enables a Pinehurst banker to be both half and twice the woman she used to be – Sandhill Sentinel

Weight loss surgery enables a Pinehurst banker to be both half and twice the woman she used to be - Sandhills Sentinel Home /Health & Wellness/Weight loss surgery enables a Pinehurst banker to be both half and twice the woman she used to be

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Weight loss surgery enables a Pinehurst banker to be both half and twice the woman she used to be - Sandhill Sentinel


Dec 6

Eating All Your Food During This Window of Time Could Help With Weight Loss – Newsweek

Eating during a specific window of time could help with weight loss, sleep, and high blood pressure, research suggests.

The small study involved 19 participants who had metabolic syndrome, characterized by a person having a number of conditions such as high blood pressure, high fasting glucose levels and obesity. The syndrome affects around 23 percent of adults, according to the American Heart Association, and raises the risk of a patient having conditions including cardiovascular disease, diabetes, and experiencing stroke.

To test the potential benefits of what is known as time-restricted eating, researchers asked the volunteers13 men and six womento eat all of their food in a 10-hour window of their choosing for 12 weeks.

The volunteers were told to eat and exercise as normal, and drink water whenever they pleased. Participants also used an app to track their calorie intake for two weeks before trying time-restricted eating and during the 12 weeks. Of the total, 16 participants were taking were taking a statin or blood pressure medicine.

Over the course of the 12 weeks, most participants found they ate breakfast around two hours after waking up, and ate dinner around two to three hours before going to bed, study co-author Professor Satchidananda Panda, of the Regulatory Biology Laboratory at the Salk Institute, told Newsweek.

At the end of the study, the patients on average saw a 3 to 4 percent drop across body weight, their body mass index, abdominal fat, and waist circumference. They also had lower blood pressure, lower levels of fats linked to cardiovascular disease, and slept better, overall. The subjects did not report any unwanted effects from the regime, like feeling sick.

Pam Taub, a cardiologist and Associate Professor of Medicine at the University of California San Diego School of Medicine who also co-authored the study, said some participants stopped their medications after the study was over.

"TRE [time-restricted eating] is a potentially powerful lifestyle intervention that can be added to standard medical practice to treat metabolic syndrome," the researchers said in their paper published in the journal Cell Metabolism.

However, they acknowledged time-restricted eating could have simply made the drugs people were taking work better.

In the journal, the researchers explained patients diagnosed with metabolic syndrome are often told to make radical changes to their diet and lifestyle, including cutting down on calories, switching to a healthier diet, and exercising more. But if, for whatever reason, this does not work, patients are put on medication.

Evidence suggests eating at irregular times and throughout the day upsets our 24 hour biological clock, or circadian rhythm, which in turn could increase the risk of the conditions linked to metabolic syndrome, they said. So the team wanted see if eating during allotted times would make a difference to patients with the syndrome.

Panda explained his team had previously found "significant benefits" of 10-hour time-restricted eating in mice. The approach returned their blood glucose to a normal level, even when the animals were fed a diet known to exacerbate signs of diabetes.

Emily Manoogian, a postdoctoral fellow in Panda's lab who co-wrote the study, said in a statement that eating and drinking everything except water in a consistent 10-hour window "allows your body to rest and restore for 14 hours at night."

"Your body can also anticipate when you will eat so it can prepare to optimize metabolism," she said.

Panda told Newsweek: "Most people with diabetes or a metabolic disease are usually on one or more medication after they try diet and exercise. So, the idea has been these people may not benefit from a behavior intervention.

"Our study showed that there is still room for health improvement beyond what medicines can offer.

"On a personal note, I have seen this approach has helped many of my family members reverse their early stage diabetes who have been controlling their blood glucose for four plus years without medication. So, we had a strong hunch that this approach might work in patients," he said.

The study also offered an insight into how easy the regime is to follow. Panda said the team didn't expect as many as 70 percent of the patients to stick with the method, with some continuing for at least a year after the study was completeeven though they were not required to do so.

However, Panda highlighted the research involved on a small number of patients, and a larger clinical studywhich the team has already started will shed more light on the potential of time-restricted eating.

Should the average person adopt this approach off the back of the research? Panda responded the average healthy person can try eating within 10 hours for at least six days out of seven.

"Those with some medical issues and taking medications, they should consult their physician," he advised, as doctors can regularly monitor their progress, adjust medication dosage and check if they are susceptible to hypoglycemia.

Time-restricted eating is sometimes referred to as a type of intermittent fasting. But Panda argued the method should not be considered a form of fasting.

"Fasting typically means a form of deprivation from food, feeling hungry and does not imply when and how long one should avoid food. I would connect it to circadian rhythm," he said, adding that the term "fasting" puts patients off an approach to eating which could improve their health.

Libby Dowling, senior clinical advisor at the charity Diabetes U.K., who did not work on the paper, told Newsweek: "While there's a lot of interest in the effects of intermittent fasting, research into its use in diabetes is still at a very early stageas is this study.

"Since it is only looking [at] whether time restricted eating is feasible in people at risk of type 2 diabetes, not whether it's effective, we can't fully understand its potential benefits yet. Until we do, we can't make any assumptions about the real world implications," she said.

"However, if you're overweight or obese, losing weight is one of the most impactful ways to reduce your risk of type 2 diabetes. If responsible intermittent fasting helps you do thatgreat. It's important you find a way that works for you," she said.

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Eating All Your Food During This Window of Time Could Help With Weight Loss - Newsweek


Dec 6

Trident Ph.D. Alumnus Publishes Research on the Health Benefits of Coconut Oil – Yahoo Finance

Dr. Scott Howell, a 2019 graduate of Trident's Ph.D. in Health Sciences program, recently published, "Coconut Oil Intake and Its Effects on the Cardiometabolic Profile: A Structured Literature Review" in Progress in Cardiovascular Diseases.

CYPRESS, Calif., Dec. 6, 2019 /PRNewswire-PRWeb/ -- Dr. Scott Howell, a 2019 graduate of Trident University International's (Trident) Ph.D. in Health Sciences program, recently published research on the health benefits of coconut oil in the 7 November 2019 edition of Progress in Cardiovascular Diseases.

"Coconut Oil Intake and Its Effects on the Cardiometabolic Profile: A Structured Literature Review," led by Dr. Hector O. Santos, examines the effect of coconut oil intake on the cardiometabolic profile through the exploration of lipid indices, as well as potential non-lipid effects, like weight loss. Those with a cardiometabolic risk have increased chances of having diabetes, heart disease, or stroke.

"Our review reveals that coconut oil is not an effective weight loss strategy and it should not be considered as an appetite suppressant," states Dr. Howell. "Lauric acid a fatty acid that is the main component of coconut oil is known to increase concentrations of both low-density and high-density lipoprotein cholesterol."

The research suggests that coconut oil intake in a weight loss regimen should be limited to no more than 10% of total caloric intake. Given that both health and industry professionals have encouraged the use of coconut oil for its health benefits, this research could have far-reaching public health benefits.

Dr. Howell teaches in Trident's College of Health and Human Services and has research interests in the long-term effects of therapeutic androgen use and endocrine disrupting chemicals exposure. He also serves as the research director at Tier 1 Health and Wellness in Chattanooga, TN.

Earlier this year Dr. Howell co-authored, edited, and published the exercise text, "Integrated Periodization in Sports Training and Athletic Development," with Dr. Tudor Bompa, Professor Emeritus at University of Toronto, and Dr. James Hoffmann, of East Tennessee State University. He also had papers published in the Journal of Ethnopharmacology and Pharmacological Research in April.

Dr. Howell has received several acknowledgements for his contributions to academic scholarship. He received the American Military University Academic Scholar Award in 2016 and has taken part in two major National Institutes of Health (NIH) and Department of Defense (DoD) funded studies at Wake Forest University: Strength Training for Arthritis Trial (START) and The Runners and Injury Longitudinal Study (TRAILS).

Dr. Howell holds a Ph.D. in Health Sciences from Trident's College of Health and Human Services and a Master of Science in Sport and Health Science from American Military University.

About Trident University Founded in 1998, Trident University International (Trident) is an online postsecondary university serving adult learners. Trident uses the EdActive learning approach, which employs case-based learning in an online setting to teach real-world relevant critical thinking skills to enhance the lives and education of students. Trident offers quality associate's, bachelor's, master's, and doctoral degree programs and certificates, led by a qualified faculty team, over 80% of whom have doctoral degrees. Trident is regionally accredited by the WASC Senior College and University Commission (WSCUC) and has more than 22,000 with a military affiliation. The University has received multiple acknowledgements from Military Times and Military Advanced Education & Transition for their dedication to military-affiliated students. Visit http://www.trident.edu, Trident's Facebook page, or call at (855) 290-0290 to learn more about Trident's wide range of educational options.

SOURCE Trident University

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Trident Ph.D. Alumnus Publishes Research on the Health Benefits of Coconut Oil - Yahoo Finance


Dec 6

‘Don’t over think it’: Elizah’s inspiring 38kg weight loss – Queensland Times

LEAVING the decade 38 kilos lighter with new outlook on life, Elizah Swan now hopes she can inspire others with their own journey.

Ms Swan who has been living in Roma for the past five years knows losing weight and getting healthy can be daunting, so she became a wellness coach to ensure no-one had to brave it alone.

I remember feeling lonely and like I had no support. Nobody to cheer me on or listen when I faced an obstacle, Ms Swan said.

Theres also so much conflicting information out there in the diet and fitness industry that I felt really overwhelmed. I had no idea where to start or what would work for me.

I had tried many diets and programs over about seven years and I just seemed to fall off the wagon and feel like a bit of a failure. I was sick of it.

But I had to do something about my weight, as it was starting to impact my health.

In 2013, Ms Swan decided to take a different approach and shift her focus towards long term health, rather than instant results.

It meant that the weight loss would take longer but in the end, speed doesnt matter, forward is forward, she said.

My weight loss took about 3 years for the first 30kgs, and slower since then.

The journey hasnt been without its difficulties, but the benefits including an abundance of energy, better sleep, feeling stronger and fitter and improved relationships has made it more than worth it for Elizah.

I literally just take it one step at a time one healthy choice after another, and if I want to celebrate and have drinks and/or cake, I make that decision consciously, she said.

Its all about balance, and not depriving myself of the things I enjoy. As for exercise, it took about two years for me to start enjoying it, but since then Ive stayed consistent and its paid off.

While Ms Swan did initially have a goal weight in mind, she came to realise it was unrealistic and started realising the non scale victories are the most satisfying such as improved self confidence.

I learnt that sometimes our body doesnt lose the weight in the way we think it will, so learning to accept that as part of the process, is an important part, she said

Ms Swan says the best way to begin your journey and avoid temptations is to plan your week out in advance, with both meals and workouts.

That way I can do a solid grocery shop and always have the ingredients for a meal on hand and also, LOTS of good snacks, so Im not (as) tempted by chips and chocolate, she said.

My other tip for people who want to make changes is, just start. Dont overthink it.

Ms Swan says while it is easy to get sucked into the Roma Coma, adapting a healthy lifestyle in a country town is still achievable.

I think if youre just starting out, it helps to go and do something with a friend whether its a walk or a class, it will ease you in and keep you accountable, she said.

In terms of nutrition, I think Roma has a pretty good selection of healthy options. I think it all just comes down to motivation.

Elizah encourages anyone who is struggling to find their own motivation to seek that extra help.

I struggled on my own, so thats why I became a coach. It helps a lot to have someone who understands and can support and guide you, she said.

If you would like to contact Elizah for her help as a wellness coach, click here

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'Don't over think it': Elizah's inspiring 38kg weight loss - Queensland Times


Dec 6

Myles Stephenson shows off weight loss in the I’m A Celeb camp – Heart

4 December 2019, 21:40 | Updated: 5 December 2019, 17:21

The Rak-Su is the latest I'm A Celebrity... Get Me Out Of Here! contestant to show off his weight loss.

Myles Stephenson showed off a dramatic transformation on last night's episode of I'm A Celebrity... Get Me Out Of Here!

At the start of the episode, he was seen walking around the campsite chatting to James Haskell, who told him: "Looking leaner again today."

Read more: James Haskell defends himself after being branded a bully during Im A Celebrity stint

Myles then replied: "Am I?", to which James replied: "Yep. So lean brother."

The Rak-Su star then said: "Thanks brother."

Myles was at the centre of some controversy earlier this week after his ex Gabby Allen released 'sexts' she claimed that he sent to other women while they were together.

She told her followers on Sunday: 'I just want to reiterate/ set the record straight. I have tried to bite my tongue and keep my dignity.

"But afterdiscovering the new endless determined pursuit of women and a long term affair that Myles undertook.

"I wanted to deal with this break up privately but I have been left with no choice after deflective behaviour and my name being questioned.

Read more: I'm A Celebrity pantomime hailed 'best episode ever' as fans beg they do it every year

"So, will stand up for myself but I'm not going to talk about this again after today. Thanks to all the girls who came forward and sent me details of Myles' cheating.

"You will see how hard it has been to digest all of this. Have a little look yourself."

Responding to the controversy, a spokesperson for Myles said: "Gabby hasnt stopped talking to the press about Myles since he went into the jungle.

Read more: I'm A Celeb viewers distracted by Declan Donnelly's 'huge bulge'

"We expected this to happen when he did the show, and it has. The public can make their own minds up about what her motivation is."

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Myles Stephenson shows off weight loss in the I'm A Celeb camp - Heart


Dec 6

Busting the myths around bariatric surgery – The Loop

The information provided on the show is for general information purposes only. If you have a health problem, medical emergency, or a general health question, you should contact a physician or other qualified health care provider for consultation, diagnosis and/or treatment. Under no circumstances should you attempt self-diagnosis or treatment based on anything you have seen on the show.

In the larger discussion around long-term weight management, bariatric surgery, or weight-loss surgery, its clear that it has become a topic that seems riddled with misconceptions. Here to speak to those misconceptions is the founder and medical director of the Bariatric Medical Institute, Dr. Yoni Freedhoff, who gave us a crash course in all you need to know about bariatric surgery, and dispelled some of the myths surrounding it.

Bariatric surgery is not just one surgery. Its rather a catch-all term used to describe surgeries which are used in the treatment of obesity. Amazingly, these surgeries dont simply work by way of making the stomach much smaller, but rather their main mechanisms of action are metabolic whereby they have a huge impact on the bodys production of hunger hormones, peptides, and even our microbiome in a way that not only leads to long term weight loss and the resolution of many weight-related medical conditions.

Bariatric surgery is not just stomach stapling, as many people might think it is. Twenty years ago, these surgeries were open surgeries with big scars. Nowadays, they are done laparoscopically, consisting of 5 small holes.

Many patients view merely considering bariatric surgery to be a personal failure. They believe that if they simply tried harder or had more self-efficacy, theyd be able to lose the weight without the surgery. While its true that weight management is about eating less and exercising more, that truism is about as useful to long term success as buy low, sell high is to becoming a millionaire. A patients job is to do their best, to live with the healthiest life that they can enjoy. If that best effort doesnt afford them sufficient success to reduce medical comorbidities and/or improve their quality of life then we might consider medications, and if behaviour plus medications didnt do the trick, thankfully, we have a surgical option.

Right now, the requirements for bariatric surgery include a body mass index of 35 or higher with weight responsive medical conditions, such as high blood pressure, type 2 diabetes, sleep apnea, etc., or a BMI of 40 regardless of medical issues. While BMI is relative, to give you an idea of what these numbers look like in real life for a person who is 5 foot 6, a BMI of 35 would come at a weight of 210 pounds and a BMI of 40 would put them at 240 pounds.

The procedure presents no more risk than a gallbladder removal, with mortality rates ranging from 2% to 0.2%. It would be important for you as a clinician to check with your local surgical site and ask them if they could provide you with their statistics, but generally, surgical centres of excellence say that bariatric surgical mortality is comparable to any other intra-abdominal surgery. Most patients are off of painkillers, aside from acetaminophen, within three to four days.

Though bariatric surgery can help patients achieve dramatic and sustained weight losses, its not curative. For surgery to be a long term success, behavioural effort is required. While not the effort of classic dieting, if a patient ignores their surgerys required nutrition guidelines and dietary recommendations, over time, they risk regaining all of the weight theyll lose through surgery, and that once weight lost through surgery is regained, its very unlikely there will be the option of a second surgical procedure to help.

One of the most common patient concerns is that following surgery they will be faced with the scenario of being constantly hungry and yet unable to eat. Bariatric surgery does affect hunger hormones but it actually decreases their production. Much more often than not, bariatric surgery patients find themselves with far less hunger post-operatively, and on those rare occasions that a post-operative patient does struggle with a resurgence of hunger, early experiences with liraglutide suggest that it may be a very useful drug in its management.

Generally speaking, post bariatric surgery patients are encouraged to eat multiple smaller meals throughout the day with an emphasis on the inclusion of protein. Part of the reason for this is that due to the small stomach, they fill quickly, and so if youre not eating frequently, you may not be able to meet nutritional needs.

We also discourage eating and drinking at the same time in part because it may lead to those small stomachs to fill quickly and actually hurt. The first 3-6 post-operative months can be especially difficult in terms of patients learning how to eat again. That said, with time, patients will learn how to manage their new anatomies and they will find their new normals in terms of what, when, and how much they can eat. The other major caution is to alcohol consumption, which post-surgically, affects people very differently than prior and actually increases the risk of dependency and alcohol use disorder.

Nutritional deficiencies are the main side effect of bariatric surgery. Deficiencies post-surgery depend in part on which surgery is performed. Consequently, patients who have surgery must be prepared to take supplements and regularly (at least annually) have their blood drawn and analyzed. Speaking to the most common bariatric surgery, the roux-en-y gastric bypass, part of the deficiencies are a consequence, in part, to the sort of intestines that are bypassed, and in part due to decreased dietary consumption. Risk, and consequently, surveillance, is for life. That said, we monitor for deficiencies and we replace them with supplements if need be.

At least in the early weeks and months post-surgery, patients should expect a bit of an emotional ride. From days where they wish they had done the surgery years earlier, to days where they feel they made the biggest mistake of their lives, because its quite challenging. Its relearning how to eat in terms of pace. Often palates change. If you eat too quickly a person can experience pain or nausea. Its just a great deal of change quickly and thats challenging to take in at times.

Reassuring them that this rollercoaster is normal, and pointing them in advance towards the myriad of online resources that they can access for peer support (ask your patients who have had surgery already if there are any local Facebook groups and also you can steer patients to obesityhelp.com) can help them weather their surgical journeys.

Studies on post-bariatric surgery pregnancy demonstrate that the pregnancies are actually safer for both mother and baby than pregnancies with pre-bariatric surgical weights. Theres no data to suggest its more difficult to get pregnant post-bariatric surgery. In terms of wait times post-surgery, in Ontario we recommend a woman wait 18 months post-surgery to conceive, but of course if it happens sooner, we simply manage those pregnancies.

The benefits of the surgery are staggering. We see long term remission of type 2 diabetes in 75-85% of patients, we see resolution of high blood pressure, sleep apnea, and reflux. We often see pain decrease consequent to decreased mechanical loads on joints, we know that the risk of many different cancers decrease and we know too, that it extends lifes quantity and also, dramatically, lifes quality so many patients express the sentiment that theyre finally able to live the lives they want to live running marathons, travelling, playing and keeping up with their kids and grandkids, taking on challenges that they felt, fairly or not, were not within the realm of possibility when they were heavier.

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Busting the myths around bariatric surgery - The Loop


Dec 6

Luigi The Chubby Beagle Wins Slimmer Of The Year! – Euro Weekly News

A formerly overweight and chubby Beagle has been crowned top dog after losing a third of his body weight.

Luigi, whose love of Sunday dinners saw him bulge to nearly 5st, shaved eight inches off his tubby waistline in six months after he went through a regular ands strenuous workout regime by a fitness club for unfit dogs.

The diet busting hound was awarded his title by animal charity PDSAs Pet Fit Club after reaching 3st 3lb the perfect weight for his breed after his huge appetite saw him fatten up to almost 40% over his ideal bodyweight which threatened his health.

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Luigis diet and exercise regime included spending more time outside for walks and cutting out his intake of extra food and snacks.

His owner Perrie Eedy, 28, said: His love of roast dinners was entirely my fault, I love them myself. As a treat I would give him a bit of carrot or some beef. I thought I was being kind.Since overhauling Luigis diet and exercise regime, the change weve seen in him has been unbelievable, hes a different dog now.

At first the weight came off slowly, but after a couple of months of being strict and really sticking to it, we noticed a big difference in him and his body shape.

Miss Eedy, from Newport, South Wales, said her dogs fitness regime also had a positive effect on herself and husband Matt Jordan, 35.

She said: We spend more time outdoors exploring new places with him now, and its helped me with my exercise too as I go out on runs and long bike rides with him.

He has totally transformed from the dog we used to drag out on walks before, hes often running well ahead of us now.

But Luigis weight-loss journey was not without dramas on times.

Miss Eedy said: We got married earlier this year and put Luigi in a home boarding kennel for a few nights, but while he was there he managed to break into the locked utility room where the food was kept.They found him head-first in a bag of food. We dont know how much he managed to eat but he didnt lose any weight that month.

On another occasion he also managed to steal a birthday cake Id made and left cooling on the kitchen counter before I decorated it.

Vets at the Cardiff PDSA Pet Hospital in Splott Cardiff, who oversaw Luigis challenge, called on pet owners concerned about their pets weight to work with their vet.

PDSA vet nurse Nina Downing said: Pet obesity is a growing issue that affects millions of UK pets. We believe up to 50% of dogs and cats in the UK are overweight or obese, which can lead to serious long-term health problems and a shortened life expectancy.

We the Euro Weekly news asked Beagle owner and local entertainer Ricky Lavazza how he kept his beagle Hugo in check Its tough he laughed, tying the kids up and storing them in the cupboard to prevent treats might help he laughed.

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Luigi The Chubby Beagle Wins Slimmer Of The Year! - Euro Weekly News


Nov 30

And Is It A Safe Weight-Loss Method? What Is Alternate-Day Fasting – Infuse News

One more day, another irregular fasting diet that is putting on genuine buzz in the weight reduction needing network. This one? Exchange day fasting (ADF), which is, at its generally fundamental, what it seems like.

Interchange day fasting includes eating insignificantly every other day, and eating anything you desire in the middle. Sounds truly basic, isnt that so? Indeed, its in reality a piece complexand surprisingly outrageous.

That is the reason they acquired the specialists: Jessica Levinson, MS, RD, CDN, a culinary sustenance master in New York City and creator of 52-Week Meal Planner, and Alyssa Dweck, MD, a ladies wellbeing master. They have the responses to all the Qs, since with regards to a fasting, genuine news matters. People should dive in

People definitely realize that its a sort of discontinuous fasting (IF), which implies people wont eat during an assigned timeframe. Yet, as referenced, exchange day fasting stands apart from hours-based discontinuous fasting consumes less calories (like the ever-famous 16:8 eating routine), as it rotates around entire days one after another. Ordinarily, on fasting days (state, Monday, Wednesday, Friday), the vast majority restrict themselves to 500 or 600 calories for the whole day, Dweck says.

Remember, as indicated by the Dietary Guidelines for Americans, ladies ought to devour around 1,800 to 2,400 calories per day. So constraining yourself to only 500 calories every dayregardless of whether its only a couple of days of the weekis very extraordinary, and can carry with it some genuine symptoms, both great and terrible.

Initially, as most IF consumes less calories, substitute day fasting can be simpler for certain individuals to keep up than different sorts of prohibitive weight control plans. I like the fact that its not eliminating a specific food group, says Levinson. This likewise implies peoplere less inclined to pass up fundamental supplements that evacuating, state, grains from their eating routine could include.

At that point theres the weight reduction advantage, which they realize peoplere keen on (obviouslypeoplere here). Ongoing exploration took a gander at severe substitute day fasting over a four-week time span and found an improvement in (solid, moderately aged) subjects general wellbeing, just as a 37 percent normal decrease in calories. The examination additionally indicated improved cardiovascular wellbeing, decreased fat mass, and upgrades in fat-to-lean-mass proportion.

The reference mark, however? My hesitation is that we dont have long-term studies on it, Levinson says. That is the reason they suggests balance and part control as a superior, progressively dependable other option. Dr. Dweck, then again, is an immense devotee of the Mediterranean eating routine, for the entirety of its weight reduction, heart-solid and mind boosting bennies.

To put it plainly, its about fat breakdown, as indicated by Dweck. The sugars and starches in your body are depleted first when youre expending calories [a.k.a. doing any kind of movement or work], and that doesnt take very long. So after you use lose all of your stored carbohydrates, you start to burn fat, they clarifies.

Be that as it may, there are a couple of provisos. If someone does overeat on a non-fasting day, its very possible they dont lose weight at all, Levinson says. People can most likely go over the prescribed 1,800 to 2,000 calories and be alright, since peoplere expending way less a few days of the week, yet people would prefer not to go over the edge. By the days end (or week, rather), calories in versus calories out still issues.

Its the calories that consider well as what type they are, as well, btw. Planning is the most important thing, so when it comes time to eat, youre not just grabbing the first thing you see, Dweck says. (Any individual whos at any point fasted realizes how simple that can be the point at which peoplere voracious and hangry AF.) So in case peoplere considering receiving interchange day fasting, people should begin dinner preparing around evening time, to maintain a strategic distance from those superfluous extravagances.

Heres the place it gets somewhat fluffy: The security of ADF relies upon the individual. In general, its not horrendously dangerous, however there are a few people who shouldnt attempt it.

First off, that is pregnant ladies or ladies who are breastfeeding.The nutrients needed during pregnancy [and breastfeeding] are so much higher, Levinson says. On the off chance that this is people, any fasting eating routine is anything but a smart thought.

This sort of fasting is likewise hazardous for diabetics, since they have to keep their insulin levels consistent. Individuals with a past filled with dietary issues should avoid ADF too, since any sort of fasting diet can rapidly regress into something significantly progressively outrageous.

On that note, in case peoplere somebody who works out different hours daily, substitute day fasting could be somewhat dangerous for people, as well. You need a certain amount of energy to work out, Levinson says. Without enough cals in, people probably wont have the vitality people have to strive (also, enough supplements to support their muscles a while later).

Presently, in case peoplere not one of those individuals, interchange day fasting could be exceptionally useful to people. Dr. Dweck manages loads of ladies who as of now battle with PCOS, a hormone awkwardness that happens because of negligible ovulation. Ladies with PCOS frequently experience weight gain as a symptom and make some hard memories shedding pounds; Dr. Dweck thinks exchange day fasting could support them.

They additionally prescribes ADF to her perimenopausal and menopausal patients. Because of age, loss of bulk, and hormonal changes, they frequently battle with weight reduction, as well.

Thats right! To start with, realize that for some individuals, their first endeavor at interchange day fasting can make them feel exhausted, sick, tipsy, and additionally foggy. People may need to stay with it for a few days to check whether those responses pivot (for most, they do). In the event that they dont, quit fasting, or take a stab at doing one fasting day like clockwork to stir their way up to the exchanging design.

There are additionally sure supplements that people could be passing up by receiving this eating routine, Levinson says. For instance, on the off chance that people start eating way less dairy since youre cutting calories during fasting days, at that point people may not be getting the calcium people need. The equivalent goes for protein. In case peoplere avoiding a couple of chicken suppers seven days, people may not be getting the nutrient B12 people need.

That is the reason Dweck says, when you do eat, you still have to mindful of the kind of diet youre ingesting. Be certain peoplere non-fasting days depend on healthy, nutritious nourishments (foods grown from the ground, lean proteins, vegetables, etc.not bundled garbage).

Also, the main thing the two specialists concur on? Hydrate. With water above all else, obviously. Yet in addition dont hesitate to have espresso, which Dweck says can help control their hunger (much obliged, caffeine!).

With all the intermittent-fasting approaches, its really what works for each individual person, Levinson says. For some people alternate-day fasting is really helpful and beneficial to them. For other people, however, its extremely hard.

In any case, Levinson views theirself as to a greater degree a standard eating routine promoter. I go back to moderation, knowing how to balance your plate, and portion control, they says. I really believe that all foods for the most part can fit into a diet when consumed in moderation. Going on an eating regimen that disposes of nourishment for a particular timeframe isnt as sensible as long as possible, they underscores.

Dweck, then again, is more hopeful about this fasting plan. While they sees acknowledges it has its hazard, they are seen a decent number of patients have weight reduction accomplishment with it.

Notwithstanding their expert sentiment, the two specialists underline the significant primary concern: Talk to their PCP first! Theyll know their ailments, medical problems, and weight reduction historyall the data people have to get genuine, customized, and fair guidance about whether interchange day fasting is directly for people.

Gabriel Fetterman has been writing since an early age. When in school, he wrote stories plagiarized from what he'd been reading at the time, and sold them to his friends. This was not popular among his teachers, and he was forced to return his profits when this was discovered. After finishing his university studies with a B.S. in English, Gabriel took a job as an English teacher. During this period, Gabriel began a number of short stories. Recently he starts to write news articles. Gabriel publishes articles on infusenews.com as a free lance writer.

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And Is It A Safe Weight-Loss Method? What Is Alternate-Day Fasting - Infuse News



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