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May 16

New weight loss therapy offered in Colorado – FOX31 Denver


FOX31 Denver
New weight loss therapy offered in Colorado
FOX31 Denver
It does really help people make those behavior changes so that they can have long term weight loss success. Dr. Sullivan said this balloon procedure is different from the liquid filled balloons because there is no surgery or downtime required. There

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New weight loss therapy offered in Colorado – FOX31 Denver


May 16

Obesity as a disease – Tribune-Review

Updated 23 hours ago

Doctors who specialize in weight loss say people need to view obesity as a disease, not as a reflection of lifestyle, to start to slow the spread of the dangerous condition.

Like other diseases, obesity has an agent food that in the right environment strikes genetically susceptible hosts and makes damaging changes to the way their bodies function, according to authors of a World Obesity Federation paper in the latest edition of journal Obesity Reviews.

The American health care system has not fully embraced that view, said Pittsburgh doctors who specialize in weight loss.

It’s a major burden on people’s health, on the economy and on society, and I don’t think we have enough resources to tackle it, said Dr. George Eid, assistant director of Allegheny Health Network’s Bariatric and Metabolic Institute.

More than a third of U.S. adults are obese, according to the National Institutes of Health. The mother of all diseases, as Eid calls it, increases risks of heart disease, diabetes, cancer, liver and kidney problems, stroke, mental illness and other deadly diseases.

The characterization of obesity as a disease goes back at least 250 years, to when Scottish physiologist Dr. Malcolm Flemyng said it tended to shorten life by obstructing the free exercise of the animal functions, according to the paper. The American Medical Association recognized it as a disease in 2013 and other organizations followed.

The Centers for Medicare & Medicaid Services eliminated language saying obesity is not a disease in 2004, but hasn’t fully recognized it as a disease, according to the paper. Insurance coverage for FDA-approved weight loss medications remains spotty, doctors said.

Once obesity reaches a certain threshold typically a body-mass index of 30 it changes the body in ways that make it extremely difficult for people to return to a healthy weight, said Dr. Vicki March, medical director of the comprehensive weight loss program at Magee-Womens Hospital of UPMC.

Long-term studies have shown that obese people reach a set point weight to which their bodies tend to return gradually over time. At a BMI of 30, which would be about 200 pounds for someone who is 5’8, changes in metabolism and hormone production affect caloric needs, March said. People who lose dozens of pounds by limiting their calories to 1,500 per day might never return to eating 2,000 calories per day without regaining weight, she said.

At BMIs of 25 to 30, people can often reach a healthy weight through diet and exercise, she said.

Weight-loss medications, which are indicated for people with a BMI of 27 or higher, can help people lose up to about 15 percent of their body weight, she said. Those with a BMI above 35 often need surgery, she said.

Lynne Erlich, 72, of Robinson Township, tried every diet that came down the pike after she gained weight in her 50s and 60s following a divorce. Erlich, an administrator of liability for Eat’n Park, said she would lose 10 pounds and the weight would return, over and over.

She had high blood pressure and her knees hurt and she worried she would get diabetes. She asked her doctor about gastric bypass surgery, and underwent the operation five years ago. She lost 83 pounds.

Now she feels full after eating less food, she said. She runs up flights of stairs for exercise. She eats better, having made adjustments to her diet such as replacing mashed potatoes with mashed cauliflower. She participates in UPMC BodyChangers, a group networking program to support weight loss, and keeps her weight around 140 pounds.

I’m a much happier person, Erlich said.

Jim Delman, 62, of Bridgeport, Ohio, had the surgery after being overweight for most of his life. He graduated high school weighing 185 pounds and at his heaviest weighed about 420 pounds, Delman said.

The weight wore his knee down to the point where it would need to be replaced. He saw a need to change, and he and his wife both decided to try surgery. Dr. Eid performed bariatric surgery on him February of last year, he said. He lost 50 pounds before the surgery and since then has dropped his weight to about 172 pounds.

Now he rarely eats bread, choosing salads and vegetables instead. He drinks water instead of soda or beer. He said he went to the gym every day but one in April.

Doctors’ discussions with overweight patients often go no further than telling them they need to lose weight, said Dr. Mark Woodburn, a primary care physician with Pittsburgh-based Genesis Medical Associates.

Of the 86 million Americans estimated to be obese, only about 3 million are treated for it, he said.

Imagine if that was our treatment rate for hypertension; you’d be an awful doc if you were only treating three percent of your hypertension patients, he said.

Each of the doctors said insurers rarely cover weight-loss medications, nor does Medicare.

Highmark Inc. spokeswoman Wendy Morphew said in an email that the insurer covers the drugs for people with severe obesity and in some cases for people with moderate obesity. Employers may choose not to include the drugs in their plans, Morphew said in the email.

UPMC Health Plan spokeswoman Gina Pferdehirt said in a statement that the insurer doesn’t cover the drugs, but is considering it.

UPMC Health Plan is collaborating with physicians and our specialists to evaluate new and existing anti-obesity medications to determine what is both safe and effective for our members, Pferdehirt said in the statement.

Woodburn said he took an interest in treating obesity more aggressively after realizing how differently he was treating obesity than hypertension and other weight-related diseases. Now he said he makes a point of setting up follow-up appointments to talk about obesity, refers patients to dietitians and follows obesity treatment guidelines that he said many doctors haven’t learned.

Any doctor can incorporate this, he said. You just have to be comfortable bringing it up with patients.

Wes Venteicher is a Tribune-Review staff writer. Reach him at 412-380-5676, wventeicher@tribweb.com or via Twitter @wesventeicher.

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Obesity as a disease – Tribune-Review


May 16

5 Weight-Loss Mistakes You Didn’t Know You Were Making – Women’s Health


Women’s Health
5 WeightLoss Mistakes You Didn't Know You Were Making
Women’s Health
But while sticking to a g-free diet might help you shed a few pounds at first, it's not a sustainable choice for keeping the weight off. In the long term, it doesn't really teach you anything about the diet, and, in fact, going gluten-free can put you

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5 Weight-Loss Mistakes You Didn’t Know You Were Making – Women’s Health


May 15

Dietitians weigh in on popular alkaline diet craze – NBC Montana

Dietitians weigh in on alkaline diet…

MISSOULA, Mont. – One of the hottest diets on the internet promises you’ll lose weight if you cut down on acidic foods, including animal products and processed foods.

Two Missoula dietitians we talked to about alkaline diets say people may be losing weight on them, but not because of acidity.

Emily Smith is a registered dietitian at Providence St. Patrick Hospital.

“The problem with this diet is that our studies are showing that food rarely, or does not significantly, change the pH of our bodies,” said Smith.

Smith, and registered dietitian Denise Zimmer, of Peak Health and Wellness, say the weight participants are losing likely has more to do with eating more whole foods and controlling portions.

They say a well-rounded diet is more successful for long-term weight loss.

“We like to see people make lifestyle changes in just eating healthy, whole foods, unprocessed foods from every food group,” said Zimmer.

Dietitians say half your plate should be made up of fruits and vegetables, and you should get a balance of protein, which can include lean meat.

The meat and seafood manager at the Good Food Store in Missoula suggests looking for the terms “prairie-raised” and “grass-finished” on meat labels.

“I would look for what’s raised here in Montana. It doesn’t have to travel far to be processed and it gets nothing but grass its entire life. It’s higher in omega threes, much lower in fats, much lower in saturated fats, and so it’s a much healthier product,” said Russ Kubisiak.

Dairy products also can offer protein. Zimmer suggests three to four servings a day.

“In the diets that are out there, dairy is one thing they eliminate, when really, studies show people who get adequate dairy are at better weights than those who don’t,” said Zimmer.

Dietitians do agree with cutting out processed foods, but say you should get a limited amount of whole grains every day.

An average person is recommended to have about six ounces of whole, unprocessed grains every day. This may be less than you think.

Zimmer explains that one half cup of whole grains is one ounce. One slice of bread also is considered to be about one ounce.

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Dietitians weigh in on popular alkaline diet craze – NBC Montana


May 11

UW Health cooking class connects weight loss surgery patients – Channel3000.com – WISC-TV3

UW Health cooking class connects… More Headlines

Bariatric surgery is a decision many people dealing with obesity choose to go through, but the transition back to a healthy, normal diet can be challenging.

Dietitians at UW Health saw the need for their weight loss patients to learn nutritious recipes so they created a series of free cooking classes.

“We want to promote the best possible outcome for the patients and as dietitians, our goal is to empower them to make healthier food choices,” said Wendy Hahn, UW Health dietitian.

One of those patients who regularly attends the classes is Stephanie Wild, who went through gastro sleeve surgery in February, which removes about 70 percent of the stomach.

“I’ve struggled with weight my whole life. Nothing was working long term,” Wild said.

She said it’s been a process getting used the liquid diets and restricted meals.

“It’s hard to kind of separate food as pleasure from food as fuel, but you kind of have to learn to do that,” Wild said.

Helping make that distinction is what UW Health’s cooking class is all about. They start with liquid foods and work their way up to solids.

“Today, we’re doing the liquid blender shaker class, featuring protein shakes and different additives. Protein kind of serves as the base of the metabolism for patients to optimize their weight loss,” Hahn said.

The class is also a great way to patients to get to know each other and find more support.

“These classes have been great because as we’re cooking, we’re talking about where we are in our journeys,” Wild said.

She’s already lost about 80 pounds since her surgery, and is looking forward to getting to her 100 pound goal. She said it will help her get back to a normal lifestyle that she has been missing.

“I can’t wait to go on roller coasters this summer. That’s something I haven’t been able to do in years. I’ve been out riding my bike, I bought a bike, and I hadn’t been on one in eight years,” Wild said.

She encourages anyone else struggling with obesity to consider Bariatric surgery as an option.

“It’s a really tough road, but the pain of surgery is just temporary. Knowing that you put the work in, the rewards are out there. You can start doing things that you didn’t think you were capable of doing anymore,” Wild said.

The next series of cooking classes will take place in the fall.

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UW Health cooking class connects weight loss surgery patients – Channel3000.com – WISC-TV3


May 10

Diet Doc Reviews The Boiled Egg Diet: Can it Really Help You Lose Weight? – Marketwired (press release)

RALEIGH, NC–(Marketwired – May 10, 2017) – The Boiled Egg Diet claims rapid weight loss results of up to 24 pounds in just two weeks. Any version of the egg diet is very low calorie, is ketogenic and is high in protein. Carbohydrate consumption (including servings of fruit) is severely limited. Typically, the dieter will consume anywhere between 4-6 eggs per day, for breakfast, lunch and dinner. A small salad, or another small serving of lean protein usually accompanies each meal.

Essentially, there are a few benefits to egg diets. High-protein diets tend to cause a reduction in appetite (at least in the beginning). This helps one to feel fuller longer and eat fewer calories overall, which normally leads to some weight loss. High protein diets also aid in enhanced protein synthesis, which increases the rate of caloric burn and naturally raises the body’s metabolism. Eating eggs for breakfast has also been shown to increase weight loss due the fact that a high-protein breakfast helps one to feel satiated, and less prone to high-calorie snacking and drink consumption throughout the day.

However, there are also downsides to such a restrictive diet. Low-calorie diets cannot be sustained long-term due to their negative impacts on nutrition and energy. Exercise, which is necessary for optimal physical and mental health, is discouraged while on egg diets due to their low-calorie and low-carbohydrate count. Fatigue, irritability and mood swings are common with diets such as these, as is the tendency to binge eat. Overall, eggs are a great addition to any diet, but a comprehensive and healthy approach to nutrition is going to be the surest and safest way to achieve weight loss in both the short and long-term. Diet Doc, an industry leader in weight loss across the U.S., advises that individuals who need to lose weight seek out certified nutritionists and doctors for personalized strategies, rather than one-size-fits-all fad diets. Diet Doc’s team assesses all patients via a health assessment profile and customizes each weight loss plan to ensure that patients are on the best possible track for success.

Patients can get started immediately, with materials shipped directly to their home or office. They can also maintain weight loss in the long-term through weekly consultations, customized diet plans, motivational coaches and a powerful prescription program. With Diet Doc, the doctor is only a short phone call away and a fully dedicated team of qualified professionals is available 6 days per week to answer questions, address concerns and support patients.

Getting started with Diet Doc is very simple and affordable. New patients can easily visit https://www.dietdoc.com to quickly complete a health questionnaire and schedule an immediate, free online consultation.

About the Company:

Diet Doc Weight Loss is the nation’s leader in medical, weight loss offering a full line of prescription medication, doctor, nurse and nutritional coaching support. For over a decade, Diet Doc has produced a sophisticated, doctor designed weight loss program that addresses each individual specific health need to promote fast, safe and long term weight loss.

Twitter: https://twitter.com/DietDocMedical

Facebook: https://www.facebook.com/DietDocMedicalWeightLoss/

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Diet Doc Reviews The Boiled Egg Diet: Can it Really Help You Lose Weight? – Marketwired (press release)


May 10

Overcoming Obesity One Patient at a Time – Annals of Family Medicine

We have developed an innovative office-based weight loss program that inspires patients to achieve long-term weight loss by making small, incremental diet and lifestyle changes.

Our practice consists of 2 family physicians and 1 family nurse practitioner. Our behavioral intervention program uses the 5 As of Behavior Change model1 and is based on Change Control Diet,2 by Harry H. Suiter, who himself struggled with weight management for decades. In collaboration with Mr. Suiter, we have developed a formal office-based weight loss program with Mr. Suiters book for the patient, a health care providers guide (Supplemental Appendixes 1 and 2), and webinar modules3 to help other practices implement this program and achieve the same successes our patients have experienced.

Unlike traditional weight loss programs, we focus on small changes over time. We do not prescribe diets or medications, and the program does not require a formal education in nutrition to administer. A physician or nurse practitioner meets one-on-one with the patient and directs him or her through the self-managed program. Our experience is that patients need 6 to 10 office visits to learn the program before continuing to apply its principles on their own. We bill for these visits with preventive counseling or chronic disease management codes. Treating obesity as a priority problem at office visits allows us to focus on patients current eating and activity choices and introduce small improvements.

We initially teach patients to lose weight with their current food choices by using basic calorie counting. Not being asked at the outset to eat healthy as well as to eat less reduces their initial stress. The health care providers guide gives the clinician talking points and handouts for patients to use in self-monitoring.

We spend initial visits educating patients on calorie counting and nutrition, and we start them on a food diary. Then, after thoroughly evaluating their 7- to 10-day food diaries, we start leading them through small changes until they master the principles of the program. These include eating a set number of meals and snacks throughout the day, aiming for a daily caloric intake goal consistent with the patients sex, age, and activity level, increasing physical activity by small increments, and learning how to manage stress and think positive. Follow-up visits focus on changing habits, increasing self-efficacy, and engaging family and friends. In our pilot program with 39 patients, including 15 with prediabetes and 9 with diabetes, the mean baseline weight was 241.59 pounds, (SD 47.19 pounds). The mean weight change for participants completing at least 3 months of follow-up (N=39) was 6.96 pounds (SD 10.19 pounds; P <.001 and the mean change in hba1c values for patients with prediabetes or diabetes was p=".045).">

In developing this program we have learned many valuable lessons, in particular that making small changes and losing weight gradually is more likely to succeed than making major changes to achieve major initial weight loss. Patients appreciate the one-on-one guidance we provide. Some have lost more than 20 pounds, which has improved their mental and physical health, resulting in outcomes such as reduced HbA1C levels and decreased diabetic medication. Finally, this program can benefit all involved parties. Patients learn self-management strategies and improve their health. Clinicians learn how to counsel patients about obesity while developing personalized healing relationships and learn how to bill insurance companies for the office visits. Practices improve reportable quality metrics. Finally, health insurance companies and health systems reduce medication costs, emergency department visits, and hospitalizations for comorbid diseases.

Conflicts of interest: Jeanne M. Ferrante reports none. Ronald M. Frank and Clair L. Carragino have a financial relationship with Change Control Diet, LLC, which is based in part on revenue of the program.

Author affiliations, references and supplemental appendixes are available at http://www.AnnFamMed.org/content/15/3/280/suppl/DC1/.

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Overcoming Obesity One Patient at a Time – Annals of Family Medicine


May 7

There’s More to Mama June’s Weight Loss Than Meets the Eye – TVOvermind

Whether you (secretly) love Mama June or cringe every time you hear her name, you have to admit that Mama June Shannons dramatic weight loss has completely transformed her appearance for the better. If you havent been following her weight loss journey on WE TVs Mama June: From Not to Hot, you may not be familiar with how she managed to drop 300 pounds. The truth is that even if you have watched every second of the show, there are several things you might not know. Here are 5 things you were never told about Mama Junes weight loss.

There was more to her weight loss than just diet and exercise.

After losing 90 pounds, Mama Junes weight loss plateaued and she began to experience fainting episodes. With a goal of losing at least 80 more pounds, she opted to undergo gastric sleeve surgery. This procedure involves taking out around 80% of the stomach, though the digestive tract stays intact, unlike gastric bypass surgery. While this procedure is permanent, shell still have to exercise and eat healthy or run the risk of regaining the weight she lost.

To perfect her look, she underwent over $75,000 worth of surgery.

In addition to having 9 pounds of loss skin removed from her stomach, bat wings (sides of her arms), and turkey neck, Mama June also underwent a variety of plastic surgery procedures. They include liposuction around her neck and on her face, a tummy tuck, and breast implants and a lift. She also had porcelain veneers placed on her teeth. Finally, she had a procedure referred to as cool sculpting to get rid of her double chin.

She didnt rely on anyone else for help with her medical bills.

In an interview with the Dominic Nati Show, Mama June was quick to point out that she alone was responsible for the costs of her surgery. She said, I had to pay, just like everybody else. Of course, she did receive money from WE TV for appearing on the show, which made it easier for her to afford the procedures. On the other hand, no one has revealed how much she was paid for doing the show.

Shes joined a support group.

Although she was nervous about walking into a room of people I dont know and talking about my overeating, Mama June decided it was necessary to join an overeaters support group to help maintain her weight loss long-term. She opted for a small support group, which was particularly beneficial after she fell off the wagon due to the stress of Sugar Bears upcoming wedding.

Her weight loss has taken a (positive) toll on her emotional health.

Although Mama June admits that her weight loss was initially motivated by revenge and a desire to make Sugar Bear kind of jealous, thats no longer the case. Now, shes motivated because I dont want to disappoint everybody and not be the skinny Mama June that everybody is looking forward to. it cant be about making everyone happy its got to be about me.

So, what do you think? How does Mama June look and more importantly, will she be able to maintain her weight loss?

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There’s More to Mama June’s Weight Loss Than Meets the Eye – TVOvermind


May 7

Guest Column – Diet Center’s Weight Loss Tip of the Week: Why do I do this to myself? – Kdminer

One reason why people turn to food is to avoid facing unpleasant emotions. Hi, this is Eunice with Diet Center.

It can be very difficult to face our feelings, and a lot easier to take comfort in food. Ignoring our feelings wont make whatever is bothering us go away. Identifying your feelings will help you understand what you are experiencing so that you can address a situation and improve it. Enduring unpleasant emotions is necessary in order to process them.

The next time you feel the urge to binge or indulge yourself to feel better, try facing your feelings first. Think about what is causing you to feel the way you do, and how you can improve the situation without food. You may need to cry, turn to a friend, or address the actual situation or person that is making you unhappy.

Then there are those of us that celebrate with food.

Many significant events in life are celebrated with food. Food is also there when everyone else has left. Is it any wonder that our unconscious mind associates food with comfort, control, acceptance, self-worth, confidence, or happiness? Food doesn’t provide any of these things.

There are many sensory associations that trigger certain eating behaviors. For example, many people desire something sweet after dinner. It may be that after you eat something savory that taste on your palette triggers an association for something sweet.

You can retrain your palette!

Whenever you have the feeling that you just have to eat something sweet after dinner, it may be that your unconscious mind has linked flavors and sensory data to initiate this behavior. You can retrain your palette by making a conscious effort to practice new behaviors. Instead of eating sweets, drink water, brush your teeth, or begin some other enjoyable activity that doesnt involve food.

In addition, you should know what youre eating. Keep a food diary, and write down everything that you eat. This will help make your conscious mind aware of what you are eating. When you know what is good for you and practice good behaviors, you can retrain your mind to help you achieve your goals.

Setting goals are important to your long-term success. Successful people set goals to monitor their progress and motivate themselves to accomplish tasks important to them. It is important that your goals are truly yours. Think about the goals you have set for yourself. Who benefits most from these goals? Are you striving to please your spouse, friends, family, or doctor? Maybe your goals were set as a result of someone elses prompting and not your own ideas.

For example, are you trying to lose 10 pounds because your doctor said you should? You will only succeed at achieving your weight loss goals if you find meaningful reasons for making changes in your lifestyle.

Thank you for reading Diet Centers tip of the week. If you are struggling with weight loss, please call me today at 928-753-5066, or stop by at 1848 Hope Ave. in Kingman.

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Guest Column – Diet Center’s Weight Loss Tip of the Week: Why do I do this to myself? – Kdminer


May 7

Significant Improvement in Glycemic Control With Weight Loss Intervention – Monthly Prescribing Reference (registration)

May 06, 2017

Baseline average in the phentermine group was 229.6lbs vs. 209.7lbs in the OPTIFAST group

This article is written live from the American Association of Clinical Endocrinologists (AACE) 2017 Annual Meeting in Austin, TX. MPR will be reporting news on the latest findings from leading experts in endocrinology. Check back for more news from AACE 2017.

A medically supervised weight loss program over 6 months led to a significant improvement in glycemic control, presented Jonathan Allen, MS, RD, from the North Florida Regional Thyroid Center, at the AACE 2017 Annual Meeting.

The rise of obesity over the past 40 years has brought with it a significant rise in prediabetes and type 2 diabetes, carrying health, financial, and social burdens. A loss of 5% of body weight has demonstrated significant improvements in blood pressure, lipid levels (eg, HDL, triglycerides), and blood sugar. A loss of 1015% of body weight has also demonstrated a higher likelihood of achieving health improvements.

Weight loss recommendations start with an initial lifestyle modification, including improved dietary intake and more physical activity. Medication therapy is also available for patients who have severe comorbidities as are medically supervised meal replacement programs when major dietary interventions are warranted.

Allen and colleagues conducted a retrospective study to assess phentermine and the OPTIFAST diet program on weight and diabetes outcomes at 6 months. They reviewed 15 patients who completed treatment with phentermine and 6 patients who completed 6 months of the OPTIFAST program with HbA1c >6%. At baseline, the average in the phentermine group was 229.6lbs vs. 209.7lbs in the OPTIFAST group.

The analysis showed a significant effect on HbA1c where phentermine therapy led to a 0.06% increase vs. a 1.8% decrease with OPTIFAST (P

In general, improved glycemic control was seen following a 6-month, medically supervised meal replacement weight loss program. “Despite reduced or discontinued diabetes medication, sustained weight loss promotes improvements in long-term blood glucose control,” concluded Allen.

For continuous endocrine news coverage from the AACE 2017 Annual Meeting, check back to MPR’sAACE pagefor the latest updates.

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Significant Improvement in Glycemic Control With Weight Loss Intervention – Monthly Prescribing Reference (registration)



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