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Top health and obesity experts meet to discuss evidence-based practices that will lead to most effective patient weight loss.

(PRWEB) March 13, 2012

The CMWL scientific advisory board is comprised of top experts in health and weight management with decades of experience in their fields. The board formed more than a year ago to provide CMWL with advice on publishing a multi-site effectiveness study of the CMWL program; the 12-week efficacy results of the CMWL weight loss programs will be featured in the April 2012 edition of The American Journal of Medicine.

The advisory board is helping to shape the CMWL program using evidence-based practices to make our program more and more effective all the time, said Dr. Michael Kaplan, founder and chief medical officer of The Center for Medical Weight Loss. Weight loss maintenance has become one of our key focuses. Keeping the weight off long term is just as important as losing the weight.

The advisory board also helps CMWL to design future research studies using evidence-based practices, including the largest clinical research trial to use aggregated, non-identified patient data. These studies are structured to determine the programs and procedures that will lead to the best long-term weight loss results for all patients under the care of CMWL physicians.

The CMWL scientific advisory board members include:

The Center for Medical Weight Loss (CMWL) clinically proven, evidence-based programs provide an approach to long-term weight loss and maintenance under the care and support of trained physicians. Each fully individualized program is customized to the patient, taking into account his or her medical history, body composition, and personal goals. This individual care is supported with on-going one-on-one counseling by the physician on important topics including nutrition, fitness, behavioral modification, motivation, and, where necessary, prescribed medications. Physicians in The Center for Medical Weight Loss network are all medical professionals specially trained in non-surgical bariatric medicine who have access to the latest techniques and medical data, including high-quality nutritional products and FDA-approved weight loss medications only available to medical doctors.

Marian Coletti The Center for Medical Weight Loss 914-332-4190 200 Email Information

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The Center for Medical Weight Loss Advisory Board Evaluates Best Long-Term Weight Loss Techniques

Washington, Mar 11 (ANI): Scientists are now offering gastric plication, a novel surgery that folds the stomach into a smaller and more compact size, to patients seeking weight-loss treatment that does not require an implanted device or permanent change to their anatomy.

Santiago Horgan and his team have a new clinical trial option at UC San Diego Health System.

"This minimally invasive surgery is a new choice for patients who are more than 30 pounds overweight," Horgan said.

"By folding the stomach, we can reduce the volume by 70 percent. Patients can expect to lose up to 2 pounds per week following the procedure," he said.

Horgan compares gastric plication, a way to fold the stomach into a new functional form, to the art of origami. Gastric plication is potentially reversible and is performed laparoscopically.

During a one-hour procedure, one to five small incisions are made in the abdomen to reach the stomach to place the folds.

Depending on the size of the patient's stomach, one or two folds are created with non-absorbable sutures.

"After surgery, with a smaller stomach size, a patient feels fuller faster and is likely to have an actual decrease in appetite.

"If, for some reason, we need to return the stomach to its original size, we can do so. Also, since the patient's anatomy is not rerouted, the patient does not have severe food restrictions," Horgan said.

Horgan said that, in addition to weight loss, many surgery patients see an associated benefit in reducing their blood pressure, diabetes and depression medications.

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New Origami-inspired weight loss surgery folds stomach into smaller size

New research from Tel Aviv shows that starting the day with a full meal that includes a sweet dessert contributes to weight loss success.

PROBLEM: Though restrictive diets often result in weight loss, most obese dieters fail to keep the pounds off as soon as their cravings start to overpower their discipline. Can a more forgiving breakfast topped off with sweets help prevent this all-too-common obesity relapse?

METHODOLOGY: To determine if and how the timing and composition of meals affect short- and long-term weight loss, researchers led by Tel Aviv University's Daniela Jakubowicz randomly assigned 193 clinically obese, non-diabetic adults, ages 20 to 65, to one of two diet groups with identical daily caloric intake -- 1,600 for men, 1,400 for women. Those in the first group ate a low-carbohydrate diet that included a small 300-calorie breakfast while members of the second cluster were given a 600-calorie breakfast high in protein and carbs that always included dessert.

RESULTS: Halfway through the 32-week trial, participants in both groups had lost an average of 33 pounds per person. Things changed drastically soon after, however. While participants in the large-breakfast group lost another 15 pounds each, those in the low-carb group regained an average of 22 pounds each. At the end of the program, those who had less restrictive breakfasts had lost an average of 40 pounds more per person than their peers.

CONCLUSION: Starting the day with a full meal that includes a sweet dessert can bolster and maintain a dieter's weight-loss progress.

IMPLICATION: Curbing cravings is better than deprivation for dieting success, says Jakubowicz in a statement, since avoiding sweets altogether can create a psychological addiction to these same foods in the long-term.

SOURCE: The full study, "Meal Timing and Composition Influence Ghrelin Levels, Appetite Scores and Weight Loss Maintenance in Overweight and Obese Adults," is published in the journal Steroids.

Image: Shutterstock.

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Study of the Day: Eating Chocolate for Breakfast Is Good for Your Diet

04-01-2012 17:37 weightlossmotivationbible.com There is so much misleading information out there about weight loss solutions. Trends come and go. Let's see now, are carbohydrates the source of dietary evil -- or is it still fat? Is protein's popularity over or is it just beginning? Does your blood type matter when you are looking for weight loss solutions, or should you just count calories? If you feel confused that is no surprise. New weight loss solutions come and go with the seasons along with those annoying infomercials with their endless array of exercise gadgets all promising to help you shed unwanted fat. Contradictory and incomplete weight loss solutions are everywhere and the average overweight person is likely to simply throw up their hands in despair and continue to eat 'whatever, whenever' and stay glued to the couch. What are the weight loss solutions that do work? Firstly, we should forget about finding miracle cures and instant fixes for what is nothing more than ongoing lifestyle habits. We must stop falling for the fairytales that perpetuate an endless cycle of weight loss and gain. There is no "magic bullet" such as single-faceted diets or extreme measures and these things are not good weight loss solutions as they mess up the metabolism, generate cravings and sap energy levels. Old rule: Go on a diet to lose weight New rule: To lose weight, choose a healthy eating plan Most mainstream diets are poor weight loss solutions as they call for a drastic reduction in calories ...

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Weight Loss Solutions - Video

Weight-loss supplements advertised as fat blockers, appetite suppressants or body-composition changers usually have little effect especially over the long term and may even harm you, according to a new U.S. study.

Of the hundreds of products reviewed by Oregon State University researcher Melinda Manore, many were scrutinized in randomized clinical trials to prove their effectiveness, and only a few products such as green tea, fibre and low-fat dairy supplements resulted in a modest weight loss compared to placebo groups.

Manore, whose study was published in Tuesday's online International Journal of Sport Nutrition and Exercise Metabolism, also notes that most of the supplements that had any weight-loss benefit were also tested as part of a reduced-calorie diet, meaning purchasing such products usually amounted to a waste of money.

"There is no strong research evidence indicating that one specific supplement will produce significant weight loss, especially long term," her study concludes. "Some foods or supplements may complement a healthy lifestyle to produce small weight losses and/or prevent weight gain over time."

"For most people, unless you alter your diet and get daily exercise, no supplement is going to have a big impact," Manore, a professor of nutrition and exercise sciences who is on the science board for the President's Council on Fitness, Sports and Nutrition, said in a release.

In the U.S., weight-loss supplements are a $2.4-billion-a-year industry. The overall weight-loss industry in Canada and the U.S. is estimated to be worth $44 billion US.

Health Canada notes that an increasing number of Canadians are using health products for weight loss, including prescription drugs and natural health products. However, since 2007, Health Canada has issued warnings involving at least 170 weight-loss products, including the supplement Hydroxycut, which in the U.S. has been linked to at least a dozen cases of liver toxicity and one death.

Although some weight-loss supplements may provide benefits when used properly as part of a weight management program, misuse can pose serious health risks, Health Canada warns. It urges anyone considering use of weight-loss products especially people under age 18, pregnant or breastfeeding women, or those who have any medical conditions or serious diseases such as heart problems, high blood pressure or diabetes to discuss any potential risks with a health-care practitioner.

The supplements examined in Manore's study fell into these categories:

Chitosan, which blocks absorption of fat or carbohydrates.

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Weight-loss supplements deemed a waste of money

CORVALLIS, Ore. An Oregon State University researcher says weight loss supplements don't work.

Melinda Manore, professor of nutrition and exercise sciences at the university, reviewed the evidence surrounding hundreds of weight loss supplements and found no credible evidence that any single product results in significant weight loss. Many have detrimental health benefits, she reported.

The weight loss supplement industry rakes in about $2.4 billion a year in the United States.

The study, "Dietary Supplements for Improving Body Composition and Reducing Body Weight: Where is the evidence?" is published online in the International Journal of Sport Nutrition and Exercise Metabolism.

She learned that a few products, including green tea, fiber and low-fat dairy supplements, can have a modest weight loss benefit of 3-4 pounds. But they were tested as part of reduced calorie diets.

For most people, unless you alter your diet and get daily exercise, no supplement is going to have a big impact, Manore said.

The supplements Manor examined fell into four categories:

Many products had no randomized clinical trials to hold up the claims. Many don't include exercise as part of the regimen.

No regimen for weight loss has replaced eating a balanced diet and regular exercise, she said.

Follow health reporter Harry Jackson Jr. on Twitter at http://www.twitter.com/STLhealthfor coverage of health, outdoors, health gadgets and tips from fitness trainers.

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Weight loss supplements don't work, says (another) researcher

DURHAM, NC--(Marketwire -03/06/12)- Wellspring at Structure House, a residential program for weight loss and lifestyle change, has announced the hiring of Thomas Britton, DrPH (ABD), MA, LPC, LCAS, CCS, ACS, as Executive Director. Britton's first day was February 21, 2012.

"We are very pleased to welcome Thomas to the Wellspring at Structure House team," said Candance Henderson-Grice, MS, President of the Weight Management and Eating Disorder Division for Wellspring at Structure House's parent company, CRC Health Group. "Thomas' extensive work experience will be of great benefit as he leads Wellspring at Structure House into a new era."

Britton's involvement in the behavioral health field spans more than 20 years. Most recently, he was Western Regional Director for a comprehensive provider of substance abuse and dual diagnosis treatment for adults and adolescents in North Carolina. In this role, Britton managed the daily clinical and administrative operations for the multi-site facility, and was instrumental in the achievement of accreditation from the Commission of Accreditation for Rehabilitation Facilities (CARF). Prior to this, Britton served as the director of a 42-day residential substance abuse unit providing counseling services to adults and adolescents experiencing addiction and mental health issues. Britton also spent five years as a therapist, and has held positions as program director, teaching parent and peer educator. Throughout his professional career, he has held the belief that "all people hold the innate potential to improve their life and the lives of those around them."

As Executive Director, Britton will be responsible for the overall direction and management of Wellspring at Structure House, a comprehensive weight management program that has recently undergone a merging of two like-minded, world-renowned and scientifically-based weight loss solutions, Wellspring and Structure House. This new Wellspring at Structure House program approaches the mind, body and spirit by reinforcing cognitive therapeutic solutions to weight loss issues. Updated options include culinary experiences with professional chefs, more than 50 exercise classes, spa treatments and clinical therapies to help clients master the proven steps for living a healthy lifestyle with sustainable results that do not end when they return home. The program can be booked for a week at a time -- "weight-loss vacations" -- but program clinicians do suggest a minimum of a four-week stay for optimal results.

When asked what attracted him to Wellspring at Structure House, Britton remarked, "Wellspring at Structure House has a long history of teaching participants new skills and helping to identify what perpetuates the behaviors driving obesity. True change requires a deep exploration and resolution of old patterns of thinking and behavior. Insight, however, is not enough alone to create change. One needs to learn the skills and information necessary to act on the insights learned through therapeutic activities. I am excited to apply my experience as a leader and clinician to the ongoing evolution of clinical excellence at Structure House."

Britton is near completion of his PhD (awaiting board decision) in Public Health and Executive Management from the University of North Carolina at Chapel Hill's Gillings School of Public Health, and earned his MA in Community Counseling (double masters in Addictions and Marriage and Family Therapy) from Appalachian State University, and a BA in Sociology and Psychology from the University of Connecticut. He has taught extensive interdisciplinary training on a variety of topics through continuing education classes throughout the country, and maintains several licensures and certifications, including Licensed Professional Counselor, Licensed Clinical Addictions Specialist, Clinically Certified Supervisor (Addictions), and Approved Clinical Supervisor (Mental Health). Britton is a 2009 North Carolina Substance Abuse Delegate and received the 2009 Curtis Glenn Southard Award in Community Mental Health Scholarship. In 2008, he was chosen to take part in the Governor's Institute in Mental Health Leadership. Britton is a Board Member and Treasurer of the Mountain Counsel on Drug and Alcohol Dependence, and was one of its founders. He is an accomplished public speaker and author with several professional publications and presentations.

"As Executive Director of Wellspring at Structure House, I am most excited by our potential to expand our services to support more individuals struggling with weight management," said Britton. "I am excited to be a part of a new beginning at Structure House that capitalizes on the success of our past and the potential of our future. Very few individuals are provided with an opportunity to be a part of such an incredible program and I consider myself extremely fortunate."

About Wellspring at Structure HouseWellspring at Structure House, an internationally recognized residential weight loss center in Durham, N.C., offers a unique, behavioral approach to weight loss and healthy lifestyle change. The program, recognized by Health magazine as "America's Healthiest Diet," integrates principles of nutrition and exercise with psychology in a treatment approach designed to transform the eating habits and lifestyles of overweight individuals. Since 1977, Structure House has helped more than 30,000 people from all 50 states and 35 nations battling obesity. The name Structure House underscores the critical role structure plays in achieving long-term weight loss.

Gerard J. Musante, PhD, one of the nation's leading experts on obesity and weight loss, is the founder and director of Wellspring at Structure House. A renowned clinical psychologist, Dr. Musante was the first person to adapt the principles of behavior modification to the eating habits of significantly overweight people and food abusers. Dr. Musante is the author of The Structure House Weight Loss Plan. For more information, visit http://structurehouse.crchealth.com.

About CRC Health GroupWellspring at Structure House is a member of CRC Health Group, the most comprehensive network of specialized behavioral care services in the nation. CRC Health Group offers the largest array of personalized treatment options, allowing individuals, families, and professionals to choose the most appropriate treatment setting for their behavioral, addiction, weight management and therapeutic education needs. CRC is committed to making its services widely and easily available, while maintaining a passion for delivering advanced treatment. Since 1995, CRC programs have helped individuals and families reclaim and enrich their lives.

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Wellspring at Structure House Announces New Executive Director, Thomas Britton

Harper's Bazaar

By Leah Ornstein - Radar Style & Beauty Editor

Actors are famous for miraculously transforming their figures for a film role, but apparently there are some long-term affects of drastically losing weight!

Mila Kunis reveals in the April 2012 issue of Harper's Bazaar magazine that her body hasnt been the same since she lost a shocking amount of weight to play a ballerina in Black Swan. PHOTOS: Mila Kunis Sassy Terry Richardson Shoot For Harpers Bazaar

Noting that her body has never been the same, Mila explains about her 20-pound weight loss. My shape is different. When I got down to 95 pounds, I was muscles, like a little brick house, but skin and bones. When I gained it back, it went to completely different areas."

Unfortunately, the weight was not reassigned to her booty!

PHOTOS: Stunning Celebrities Who Have Taken Really Bad Photos

"No, I'd be happy if my a** got bigger. All the weight that left my chest went to my side hip, my stomach."

But that doesnt mean she wouldnt do it all over again if the right role came along!

PHOTOS: Most Cheat Worthy Celebrities

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Mila Kunis On Drastic Black Swan Weight Loss ‘My Body Hasn’t Been The Same Since’

When it's your job to look good, there's no telling what you'll do to get there. U.S. News, which publishes annual Best Diets rankings, has rounded up some of the wackiest celebrity diets and weight-loss tricks of recent years. Warning: Most of these don't reflect widely accepted guidelines for weight loss or a healthy lifestyle, and some are downright dangerous, even if they do provide fast results. Here are seven:

[See: Diet Plans That Work]

Watercress Soup Diet. Elizabeth Hurley's secret to dropping 10 pounds in seven days: a diet of watercress soup. "I drink at least six cups a day when I am eager to lose a few pounds," she told London's Daily Mail in 2007. "It's fat-less, low-calorie, full of vitamins and iron, and delicious enough to serve at a dinner party." Watercress soup typically consists of onions, light chicken stock, three large bunches of watercress, and salt and pepper. Such a restrictive diet, however, could open the door to nutrient deficiencies, a weakened immune system, and rebound weight gain.

The Facial Analysis Diet. Kate Winslet shed pregnancy weight with the Facial Analysis Diet, created by celebrity nutritionist Elizabeth Gibaud. The premise is that differently shaped faces need different diets, and that facial imperfections, such as forehead wrinkles or large pores, can signal dietary needs. Red or puffy cheeks, for example, are considered signs of dairy intolerance. And people with shiny noses are advised to avoid mangoes, chocolate, yeast-related products, red wine, and white flour, while sticking to apples, cucumbers, potatoes, and oats. A facial analyst will first examine skin for markings, color, and texture, and then create a customized plan that begins with a two-day detox. Most versions of the diet are low in calories, but claims in the book aren't backed by scientific research.

[See: Celebrity Weight Loss: Tales of the Scales]

The "Bleak Diet." In 2007, Mariah Carey told reporters that she'd dropped two dress sizes by following a "bleak diet" built around fish and soup prepared very blandly--no oil or butter, for example. On the plus side, the diet emphasizes lean protein, which is a healthy choice. But neglecting flavor makes for a monotonous diet that will likely prove difficult to stick to over the long term.

Vinegar shots. Megan Fox and Fergie have admitted to taking shots of vinegar--typically three times a day, before each meal--in the name of weight loss. Advocates claim that vinegar flushes out fats in the colon, helping the body digest food while curbing cravings. But vinegar isn't a weight-loss panacea, experts say: There's no evidence it does anything but leave behind an unpleasant taste.

Grapefruit oil. Carmen Electra reportedly carries a vial of grapefruit oil around with her, sniffing it whenever hunger strikes. However, no research suggests that grapefruit oil has appetite-suppressing properties.

[See: Why These Famous Vegetarians and Vegans Pass on Meat]

The "Air Diet." Madonna has been linked to the "air diet"--dubbed by the French magazine Grazia as the "it" way to lose weight in 2010. The idea is to go through the motions of eating without ever taking a bite. Followers put food on their plates, cut it, dig their fork into it, and hold it up to their mouths to savor the scent--never tasting it. What can they consume? Soup made from water and salt. Madonna helped popularize the plan in a 2010 Dolce and Gabbana ad campaign in which she and other stars were pictured holding food to their mouths but not eating it. (It's unclear whether she has actually tried the diet.) Medical experts don't condone such a restrictive, low-calorie diet.

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7 Wacky Celebrity Diets and Weight-Loss Tricks

Newswise Washington, DC (March 1, 2012) Weight-loss surgery is safe for chronic kidney disease (CKD) patients who are obese, according to a study appearing in an upcoming issue of the Journal of the American Society Nephrology (JASN). The study is the largest of its kind to focus on the impact of kidney function on patients health following weight-loss surgery.

Its not known whether weight-loss surgeryalso known as bariatric surgeryis safe for patients with CKD or how diminished kidney function might impact the risks of the procedure. To find out, Nicole Turgeon, MD, John Sweeney, MD (Emory University School of Medicine), and their colleagues analyzed information from 27,736 patients who underwent weight-loss surgery between 2006 and 2008.

The researchers found that patients with more severe CKD experienced more complications following surgery. Complication rates ranged from 4.6% for those with stage 1 CKD or normal kidney function to 9.9% for those with stage 5 CKD.

Even though patients with more severe CKD experienced more complications, complication rates remained below 10%. This work provides strong evidence that it is safe to proceed with bariatric surgery in kidney failure patients who suffer from obesity, said Dr. Sweeney.

The findings are encouraging because maintaining weight loss is challenging for CKD patients, many of whom have a decreased ability to exercise. Also, obesity can limit CKD patients eligibility for kidney transplants. Whether the potential benefits of weight-loss surgery outweigh the risks in this population requires further study, though.

Study co-authors include Sebastian Perez, Max Mondestin, MD, S. Scott Davis, MD, Edward Lin, DO, Sudha Tata, MD, Allan Kirk, MD, PhD, Christian Larsen, MD, DPhil, Thomas Pearson, MD, DPhil (Emory University School of Medicine).

Disclosures: The authors reported no financial disclosures.

The article, entitled The Impact of Renal Function on Outcomes of Bariatric Surgery, will appear online at http://jasn.asnjournals.org/ on March 1, 2012, doi: 10.1681/ASN.2011050476.

The content of this article does not reflect the views or opinions of The American Society of Nephrology (ASN). Responsibility for the information and views expressed therein lies entirely with the author(s). ASN does not offer medical advice. All content in ASN publications is for informational purposes only, and is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse effects. This content should not be used during a medical emergency or for the diagnosis or treatment of any medical condition. Please consult your doctor or other qualified health care provider if you have any questions about a medical condition, or before taking any drug, changing your diet or commencing or discontinuing any course of treatment. Do not ignore or delay obtaining professional medical advice because of information accessed through ASN. Call 911 or your doctor for all medical emergencies.

Founded in 1966, and with more than 13,500 members, the American Society of Nephrology (ASN) leads the fight against kidney disease by educating health professionals, sharing new knowledge, advancing research, and advocating the highest quality care for patients.

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Weight-Loss Surgery Safe for Obese Kidney Disease Patients

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