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Mar 13

Online Obesity Program Helped Primary Care Patients Lose Weight – Medpage Today

Pragmatic implementation of an automated online behavioral obesity treatment program that included 9 months of active maintenance helped people with overweight or obesity lose a clinically significant amount of weight by 12 and 24 months, a randomized trial showed.

In the intention-to-treat analysis, after a mean estimated weight loss of 3.6 kg (95% CI -4.3 to -2.9), or 7.9 lb, following a 3-month weight loss program among primary care patients, the amount of weight regained at 12 months in the two maintenance groups that involved additional patient engagement was significantly less compared with the control maintenance group (P=0.004):

This pattern persisted at 24 months, reported J. Graham Thomas, PhD, of the Weight Control and Diabetes Research Center in Providence, Rhode Island, and colleagues in JAMA Internal Medicine.

"This study shows that a fully automated online obesity treatment program can produce beneficial results for many patients in real-world primary care settings," Thomas told MedPage Today. "We were encouraged to find that the online weight-loss program performed just as well in real-world primary care practices as it does in our previous highly controlled clinical trials."

These patients lost weight "at rates comparable" to those seen in studies in which the researchers were completely hands-on in every aspect of the program, he added.

Because the treatment program is online and fully automated, Thomas said it is quite practical for widespread implementation across primary care practices. "The data show that the primary care clinicians were able to implement the program independently, and patients were able to use it successfully."

Across all maintenance groups, age, sex, and race/ethnicity were not linked with the rate of weight regain, while greater self-monitoring and patient engagement with lessons were associated with significantly less weight regain. For example, patients who viewed at least four lessons had less weight regain at 12 months relative to those who were less engaged -- 0.46 kg versus 1.51 kg (1.01 lb vs 3.33 lb; P=0.004).

"Treatment outcomes were highly associated with program engagement," said Thomas. "Many patients did not engage with the program in a meaningful way and were less likely to lose weight. On the other hand, patients who engaged at a high level tended to achieve very good outcomes."

Because of this, he pointed out that "there is likely an important role for doctors in encouraging and supporting their use of a program like this to produce the best outcomes."

For this study, the researchers recruited patients from a Rhode Island primary care network with about 60 practices and 100 physicians. Eligible participants were ages 18 to 75 with overweight or obesity who were referred by their nurse care manager and enrolled from 2018 to 2020.

Thomas and team included 540 patients in the intention-to-treat analysis. Mean age was 52.8, 71.1% were women, 94.3% were white, and mean body mass index was 36.

The Rx Weight Loss program consisted of 12 weekly interactive 15-minute video lessons teaching evidence-based behavior-change strategies for weight loss like goal setting and problem solving. Patients submitted self-monitoring data including daily weight, minutes of moderate to vigorous physical activity, and energy intake, and received weekly automated tailored feedback.

Goals of the program were a weight loss of 0.5 to 1 kg (1.1-2.2 lb) per week, a calorie intake of 1,200 to 1,800 kcal per day tailored to their starting weight, and an activity goal that gradually increased to 150 minutes or more per week.

Weight was monitored from electronic medical records through 24 months.

In a per-protocol analysis of 253 participants who engaged with a maintenance intervention, mean weight loss at the end of the initial 3-month intervention was 6.19 kg (95% CI -7.25 to -5.13), or 13.6 lb. At 12 months, there was less weight regain in the monthly (0.61 kg [1.3 lb]) and refresher (0.96 kg [2.1 lb]) maintenance groups than in the control maintenance group (1.86 kg [4.1 lb]).

Kristen Monaco is a senior staff writer, focusing on endocrinology, psychiatry, and nephrology news. Based out of the New York City office, shes worked at the company since 2015.

Disclosures

The study was supported by a grant from the National Institute of Diabetes and Digestive and Kidney Diseases.

Thomas and co-authors reported relationships with the National Institutes of Health, Medifast, Lumme Health, the National Institute on Minority Health and Health Disparities, the Rhode Island Foundation, the National Institute of Diabetes and Digestive and Kidney Diseases, Brown University, and Noom.

Primary Source

JAMA Internal Medicine

Source Reference: Thomas JG, et al "Pragmatic implementation of online obesity treatment and maintenance interventions in primary care" JAMA Intern Med 2024; DOI: 10.1001/jamainternmed.2023.8438.

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Online Obesity Program Helped Primary Care Patients Lose Weight - Medpage Today


Mar 13

7 Small Changes That Helped Me Lose 110 Pounds – EatingWell

In 2015, I sold everything I owned to travel the world. Already at an unhealthy weight for me, I believed traveling would help me get fit. Daily, for four years, I awoke in incredible spots in 25 countries around the world, but I struggled to explore them. Being 5 feet, 5 inches tall and 350 pounds made simple routines a challenge, let alone exploring new worlds. My nomad dream ended in 2019 in a Sicilian rooftop terrace apartment, where the 88 steps up to my suite left me in agony daily. I realized I needed to stop traveling and change my life.

I had a new dream: staying alive. I wanted to be healthy. My mother died when she was 57 years old, and here I was at age 46. Was I nearing my final chapter, or could I change my future? I decided I could. My goal was to be healthier at 50 than I was at 40. It was a hell of a mountain to climb, but I started with one good new habit at a time, starting with moving back to Canada.

So far, Ive lost 110 pounds and I recently bought my first large-sized shirts in 15 years, after previously reaching size 4X. Once unable to walk a half-mile without breaks, now I can walk 7 miles or more without pain or consequences. Ive got further to go, but I created a healthy lifestyle I enjoy, and I look forward to decades of new adventures. Heres how I got here:

Like many others, I moved in the early months of the pandemic. I went home to Victoria, British Columbia, Canada, and now live a 15-minute walk from downtown and shops, and just 5 minutes from a park and the ocean. My feet take me to most places, but I supplement my lifestyle with a car-share membership and buses. Shopping is a breeze with my granny cart, which painlessly hauls a weeks groceries home in a single trip. I stretch and do light qigong while watching TV, and Im fitter than Ive been in 15 years.

I love eating, but living in Europe for two years and guzzling wine like it was my life force is partly how I reached my heaviest weight. Not drinking calories means I dont fret about counting them either. Smoothies might taste good, but they never satisfy my hunger. I dont tend to worry about day-to-day totals because I find my consumption tends to work itself out over the course of a week. I may eat lighter vegan meals one day and have a rib-eye steak the next. Thats where the next point comes in.

Years of traveling without having access to a proper kitchen and constantly eating out left me longing for a well-stocked kitchen. When my nomad life ended, I dove into cooking. I learned to make pasta in Rome, so when I came home, I made pasta from scratch. I kneaded and shaped loaves of bread while stews simmered all day on my stove. From there, I stumbled into a passion for scratch-made foodeverything from yogurt and salsa to chili crisps and complex curries. And when I recently realized I was gluten-intolerant, I saw it as a challenge to find a few good recipesnot a radical new lifestyle designed on deprivationand Ive had great success. The additional time I spend in the kitchen may be comparable to time others spend in the gym, but its something I enjoyand a habit I can keep for life.

We werent all born with the gift of parents or family who appreciated the finer points of vegetable cookery. I grew up in a 70s meat-and-potatoes home. Eating boiled veggies was the way to eat veggies. While travel helped open my eyes to new vegetables and preparations, my real inspiration has been cooking shows. At the start of the pandemic, a Portuguese Twitter buddy got me hooked on MasterChef Australia, with its 50-plus episodes a season set in a vegetable-loving nation. It helped me think of meat as the side and vegetables as the star. Recently, I seared harissa-rubbed cauliflower steaks in a cast-iron pan and served it with a walnut-and-parsley salsa, inspired by recipes by Simon Toohey (one of the Aussie MasterChef finalists) and famed cookbook author Yotam Ottolenghi. Afterward, I immediately had an identity crisis. Who have I become? Someone healthy, it turns out.

My 5-by-15-foot balcony is home to a mini-jungle of 20 herbs, salad greens, ever-bearing strawberries and a few 10-gallon bags of tomatoes. All I have to do is step outside and snip chives to sprinkle over scrambled eggs, or tarragon to rub over a chicken before I roast it. For a few months each year, a fresh salad is always at my fingertips. It feels fancy, but its so easy. Plus, nothing recharges me more when working from home than five minutes on my balcony in the spring and summer surrounded by my container garden of produce.

Im not strict about an end-time for eating because life is beautifully inconsistent, and flexibility is important. But if I eat at 9 p.m. or so, I wont nosh till 10 or 11 the next morning. (I work from home, so I have that flexibility.) Call it intermittent fasting if you want, but for me its less about cutting calories than it is about ending destructive behavior. For example, as a traveler, I drank a bottle of wine a night, which led to a little taste wont hurt attitude when it came to snacking along with my vino. Today, I may have fruit after dinner or bitter hot cocoa, but thats all, if I want good digestion and peaceful sleep.

The scale isnt my friend. The wrong meal, the wrong calibration, and suddenly self-worth can go out the window because of a number. If I worried about the scale, Id have given up long ago! My weight can fluctuate as much as 5 pounds in a day, and it took years to understand whyand to stop judging myself for it. Instead, I focus on how I feel: how walking feels, how roomy that chair is, how my clothes fit. That feeling is what success feels like.

Im glad I allowed myself to be present in the worst of how I felt, before my fitness journey began. Ill never forget hitting my rock bottom that sunny day on a rooftop in Palermo, Sicily, overlooking a centuries-old world with a broken heart because I was in far too much pain to explore it. There, I gave up on what was then the adventure of my lifetime.

Today, I have a new life. I long to return to that city, those cobblestones and the possibilities within those twisting old alleys, because the joy of exploration never needs to elude me again.

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7 Small Changes That Helped Me Lose 110 Pounds - EatingWell


Mar 13

Is calorie deficit really the only way to lose weight? What to know about risks, according to a dietitian – Yahoo Canada Shine On

Welcome to Ask A Dietitian, a series where Yahoo Canada digs into food trends and popular nutrition questions with registered dietitian Abbey Sharp.

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Contact a qualified medical professional before engaging in any physical activity, or making any changes to your diet, medication or lifestyle.

In a world obsessed with quick fixes and fad diets, the concept of a calorie deficit stands out as a cornerstone in the weight loss conversation. But is it the be-all and end-all way to shed unwanted pounds?

Canadian registered dietitian Abbey Sharp gave Yahoo Canada the scoop on whether you really need to be in a calorie deficit to lose weight and how it works. Here's what you need to know.

A calorie deficit occurs when you consume fewer calories than your body uses. According to Sharp, this fundamental mechanism forces the body to draw on its stored energy reserves, typically fat, to make up for the shortfall, leading to weight loss. In simple terms: you burn more calories than you intake through food and drink.

When a person maintains a calorie deficit over time, that use of stored fat leads to a loss of body fat, aka weight loss. So yes, you do need to be in a calorie deficit to lose weight, Sharp said, adding it's "thermodynamics."

You do absolutely need a calorie deficit it's a fundamental principle for weight loss.Abbey Sharp

However, Sharp emphasized a critical distinction that often gets blurred in mainstream discussions: "There's a significant difference between a calorie deficit and calorie counting." Calorie counting is just one of many strategies to achieve a calorie deficit, she claimed.

Alternative methods, such as intermittent fasting or adopting the plate method (filling half the plate with vegetables), can also result in a calorie deficit without the need for meticulous calorie tracking.

Story continues

"Mindful eating is another way that some people may achieve a calorie deficit," Sharp said. "Or using my hunger crushing combo method, which really focuses on building meals with fiber, protein and healthy fat."

Weight loss is influenced by a myriad of factors beyond simple calorie equations. Metabolic rate, age, sex, body composition and hormone levels all play roles in how effectively a person loses weight, Sharp said.

"Your metabolism is your body's process of converting food into energy, and some folks just have a faster metabolism. So they're burning more calories at rest and during physical activity," she explained. "We all have our kind of genetically determined body shape and size. So some folks have more muscle mass naturally... and muscle tissue is more metabolically active than fat tissue, so it's going to burn more calories at rest."

Questions about nutrition and diet? Contact us at yahoo.canada.lifestyle.editors@yahooinc.com and your question could be featured in an upcoming Yahoo Canada article.

Hormones (especially insulin, leptin, ghrelin, cortisol and thyroid hormones) are important in regulating our appetite and energy balance."All of those can affect our hunger, satiety and our body's ability to burn fat," Sharp said.

Certain conditions (like hypothyroidism or PCOS), and medications (antidepressants, antipsychotics, corticosteroids) are going to make it more difficult to lose weight. The gut microbiome, an area of particular interest to Sharp, can also significantly impact metabolism and nutrient absorption.

While a calorie deficit is necessary for weight loss, a person's caloric needs will change as they lose weight. This means that eventually, once weight is lost, you won't need to keep being in a deficit.

"A healthy calorie deficit is one that translates to around one to one-and-a-half pounds of weight loss per week. Usually, that's a 20 per cent deficit or around 500 calories [a day]," Sharp explained. "If you're dieting and losing weight actively, you're going to get to a point where hopefully, you don't want to be in a calorie deficit anymore."

Maintaining such a state for an extended period can have adverse effects, however. Sharp cautioned that prolonged calorie deficits can lead to loss of muscle mass, nutrient deficiencies, hormonal imbalances and even weakened immune function. In women, it can also impact reproductive hormones, putting them at risk of fertility issues.

In an era where wellness influencers often dispense dietary advice, Sharp raised concerns about misconceptions with calorie deficits. One is the notion that a one-size-fits-all calorie intake, such as 1200 calories per day, is suitable for everyone.

"For most adults, this is way too low," Sharp warned, adding it can be "dangerous" even. "These are the caloric needs of a three-year-old toddler. It's not going to be enough for you to be able to sustain long term."

Bodies are unique. We shouldn't be taking general nutrition or calorie cutting advice from random people on the internet.Abbey Sharp

Sharp's advice is clear: steer clear of generalized diet recommendations from non-professionals and seek guidance from a registered dietitian to determine safe and effective calorie deficits.

So, how should one approach the concept of calorie deficits in the context of weight loss? Sharp advocated for a nuanced perspective. "You need to find a method of weight loss that allows you to achieve a modest, safe calorie deficit in the most enjoyable way possible," she advised.

Whether through mindful eating, focusing on nutrient-dense foods, or incorporating physical activity, there are multiple pathways to achieve a calorie deficit. The key is to adopt a strategy that is sustainable, enjoyable, and promotes your overall health.

Let us know what you think by commenting below and tweeting @YahooStyleCA! Follow us on Twitter and Instagram.

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Is calorie deficit really the only way to lose weight? What to know about risks, according to a dietitian - Yahoo Canada Shine On


Mar 13

Does the GOLO Diet work? Experts explain the pros, cons, and risks – Fortune

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Does the GOLO Diet work? Experts explain the pros, cons, and risks - Fortune


Mar 13

Can you keep up with firefighters? The Super Fitness Weight Loss Challenge firefighter challenge event – WTOL

An annual favorite, this year's Super Fitness Weight Loss Challenge firefighter challenge tested participants Saturday.

TOLEDO, Ohio In a display of athleticism and determination, members of the Super Fitness Weight Loss Challengers recently transformed into local superheroes at their March challenge held at the Owens Community College Center for Emergency Preparedness.

Hosted by Kelly Heidbreder, the event witnessed participants stepping into the shoes, or rather, sliding into the turn-out gear of firefighters, provided by the Toledo Fire and Rescue Department.

"This is the toughest challenge we have in our line-up," Heidbreder said. "Our challengers have been hitting the gym, doing cardio and lifting weights, but today, they faced a whole different kind of challenge. Pulling fire hoses, maneuvering life-size dummies, and running flights of stairs with extra weight on their backs. It's just a tiny peek at what our firefighters do every day. They truly are amazing, and we give them all the respect they deserve."

The challenge kicked off with participants donning turn-out coats and firefighter helmets before grabbing two fire extinguishers and racing around the perimeter of the building. From there, they tackled a series of grueling tasks including the dummy pull, sledgehammer slam, fire hose relay, and the dreaded stair climb with a stack of hose over their shoulders.

After an intense battle against the clock, Josh Carabelo emerged as the ultimate victor, completing the entire course in an impressive 2:46 finishing time. Nikki Orolowski trailed closely behind with a time of 2:47, securing second place. Jonathan Allan clinched third place with a time of 2:58, followed by Jen Desellums in fourth at 3:00, and Mary Billiard in fifth at 3:17.

"This is just the beginning of an exciting journey for our challengers," Heidbreder said. "And we couldn't have done it without the support of our local heroes at the Toledo Fire Department."

With the stage set for a thrilling finale, the Super Fitness Weight Loss Challengers continue to inspire and motivate as they strive towards their fitness goals, one challenge at a time.

Through the May finale, the Super Fitness Weight Loss Challenge participants weigh In once a month and have workout opportunities together every week.

For more information about the challenge and more tips for getting fit, check out our Super Fitness Weight Loss Challenge section.

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Can you keep up with firefighters? The Super Fitness Weight Loss Challenge firefighter challenge event - WTOL


Mar 13

I’m a doctor lose weight by adding these 5 foods to your diet – Yahoo Life

Milk this diet for all its worth.

Dr. Michael Mosley a BBC presenter and author who popularized the 5:2 fasting diet and developed the Fast 800 diet, which combines intermittent fasting and Mediterranean-style eating is sharing the five food groups to incorporate into your routine for weight loss.

Mosley swears by non-starchy vegetables; olive oil; full-fat dairy; nuts and seeds; and lean protein.

This eating approach was highlighted in a post on the Fast 800s website in November 2022, which resurfaced last week in honor of World Obesity Day (March 4).

The vegetables Mosley prefers are broccoli, spinach, cauliflower, cucumber, and eggplant because they contain a host of vitamins, minerals and other important nutrients like phytochemicals that have been shown to lower cholesterol and the risk of Type 2 diabetes while helping digestion. Theres no need to count these vegetables in your daily calorie tally, Mosley says.

Olive oil, meanwhile, can be used as a salad dressing or a dip.

Its a good fat, containing anti-inflammatory compounds such as oleic acid, omega-3 fatty acids, and polyphenols, Mosley argues on the Fast 800 site. It is known to reduce effects on depression and gut health, reduce the risk of developing cardiovascular disease and lower blood pressure.

A 2022 Harvard University study found that people who consumed just over half a tablespoon of olive oil a day had a 19% lower risk of death over 28 years compared to those who didnt.

Olive oil should replace butter, margarine, and mayonnaise, the researchers said.

Mosleys push for full-fat dairy, via Greek yogurt and milk, may seem surprising. The Dietary Guidelines for Americans recommends low-fat (1%) or skim milk.

But Mosley says full fat is arguably the healthier option.

It contains more essential fatty acids like omega-3, high levels of protein, VitaminB-12, and iodine, all of which have been recognized to slow cognitive decline, reduce anxiety and depression, control energy levels and improve metabolic rate, he writes.

Dr. Dariush Mozaffarian, a cardiologist and professor of medicine at Tufts University, told The New York Times in December that studies havent identified benefits of prioritizing low-fat dairy.

Mozaffarian endorses consuming at least one or two servings of yogurt and cheese a day, with whichever fat content you prefer, but without added sugar.

Also on Mosleys go-to list are nuts and seeds such as almonds, cashews, hazelnuts, and pistachios, and lean proteins like fish, turkey, chicken breast, and tofu.

A diet which is high in lean proteins has many health benefits: it reduces hunger, lowers blood pressure, assists with weight management, improves muscle mass and strength, and lowers the risk of osteoporosis as lean protein is great for bone health, Mosley penned.

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I'm a doctor lose weight by adding these 5 foods to your diet - Yahoo Life


Mar 13

I Will Eat You Alive: An Ode To Being Fat – Baltimore Beat

With I Will Eat You Alive, Katie Hileman, the director, playwright, and intimacy director, presents the story of three fat womens journey to lose weight, the social pressure they have felt since they were children, and the horrible things people believe to have agency to say to fat people online simply for existing.

I saw I Will Eat You Alive at the Voxel in Charles Village on the opening night of January 26. I am always interested in shows and media that center on fat individuals because they rarely exist without making fat people the subject of ridicule or shame. This play takes those tropes and plays with them in an off-kilter way. On opening night, I watched people around me be moved to tears as they related to what was happening in the play.

The unique set design added a level of intimacy and audience interaction, allowing myself and the rest of the audience to be folded into the story. The set was two rows of tiered seating to the left and right of a long white table. The three main characters and 11 willing audience members were seated as dinner guests. A feeling of heaviness and discomfort hung over the set as dining with the main characters made the characters shame, pain, and discomfort, shown through tight smiles and overly preppy voices, palpable.

Written in what could be described as a love letter to herself, Hilemans I Will Eat You Alive is more than fiction; it is a stylized reality that many fat people may find painfully resonant.

Written in what could be described as a love letter to herself, Hilemans I Will Eat You Alive is more than fiction; it is a stylized reality that many fat people may find painfully resonant.

Hilemans role as an intimacy director is particularly significant in this instance because she skillfully facilitates a space in which actors understand what is expected of them in hyper-exposed scenes and ensures there is informed consent.

Its always my intention to make my actors feel like they have a lot of power, even though theyre putting themselves in these really vulnerable spots and saying some horrible things at times in the play, Hileman told me.

The day after the opening, I spoke with Hileman and the cast, Vicky Graham, Betse Lyons, and Meghan Taylor, who respectively played Fat Woman 1, 2, and 3. We spoke about our favorite fat characters growing up and how there were not too many of them, our least favorite style options as fat kids in the 90s and early 2000s, and what it means to be a fat person in this day and age.

Although IWEYAs run at the Voxel has ended, you can stream it.

______

Individually, what does it mean to be a fat person to each of you?

Vicky Graham: It just means that Im fat. I have weight on me, and I got curves with no speed limits. I think when I was younger, it was just strictly derogatory, something that I would avoid saying at all costs or try to defend myself by using, like, chubby or thick. But I think just the word itself is so short, its so simple, and it can just be used for what it is and not have any negative connotations behind it. And thats something that this show has really helped me learn and embrace so that I have less stress and shame. I just can exist. And this is the adjective that best describes my body.

Betse Lyon: I guess its still pretty complicated for me. Its a lot better than it used to be. I dealt with the terrible 90s stuff as a teenager. And so I do use fat, simply and sometimes proudly. But there are still little knives in the back of my brain, stabbing me every time I do it.

Its just a cycle sometimes. It is still hard for me to use the word. But now, at least, its more likely that Ill get frustrated, annoyed, or angry when people are saying bad things about fat folks instead of just retreating into myself, which I feel like getting frustrated and angry is a lot healthier.

Meghan Taylor: I feel like that questions answer depends on the day. And some days, I dont know. Being fat means literally nothing to me. It doesnt define me. Its just my body. Its just this vessel that I have to move around in on this planet. But its not really indicative of who I am or what I can do or how much Im worth. But if Im having a shitty day, then I might be more aware of it. And then it means that being a fat person is like a burden youre carrying around, and just extra weight, for lack of better terms.

Lately, Ive been more in a space where Im like, it really doesnt mean shit. My body is not me. I mean, my body is me, but my body is not indicative of my worth, what I have to contribute or what I can do, or anything else.

The show does a great job layering general attitudes and acceptances of fatphobia throughout the show through pop culture references, from Kate Moss infamous nothing tastes as good as skinny feels line to the cultural phenomena that was Jenny Craig and Weight Watchers, in a tongue-in-cheek kind of way. What stood out to me was the litany of increasingly violent tweets and messages to fat people that were projected onto the table. Did those come up during the interview that led to this show, or were those aimed at any of you?

Hileman: When I see something really fatphobic on social media, I will take a screenshot of it. Its shocking to me that people feel such permission to say such horrible things. People dont think twice about what is said to fat people online. People dont think that this stuff is actually said about fat people, but it is, and all the time and very casually, and its everywhere. So when I had an opportunity to present it back and show people, I took it. I like the dichotomy of them [the characters] saying this stuff and laughing and sort of eating it.

Lyons: I think about the people, like fat women probably, who are on the receiving end of those actual comments. I have a small amount of popularity on TikTok, and so I have trolls. The shit that people think they can say to you is stunning. As a fat woman in todays world, I learn to let most of it slide off my back.

Its awful to include them [the projected messages] because theyre terrible, but its also nice because its cathartic. Everyone in that room is recognizing how awful they are. And some of the people in that room have never thought about that before.

There is a deeply intimate and personal scene towards the end of the show where the characters strip and essentially lay it bare to the audience. What did that scene mean to you, and how was it having an audience so close during that moment?

Hileman: The audience did exactly what I always intended for that moment to be.

That moment felt so perfect because I dont think it is a moment about them [the actresses] sexualizing themselves. Although if they want to and they go for it, I love that. I think thats great.

[Its about] fat people sexualizing themselves on their own terms. Its about that freedom. Theyve been so restrained the whole time. By the time they take their clothes off, theres nothing but them. And we finally get to see them exactly as they are. And so thats why I love the clothes off moment.

I think that is so visceral, and everyone, by the end of the play, is just so hungry for it. And the fact that they are right there in your face, fully presenting themselves as they are and telling them that they are going to eat you alive.

Its always my intention to make my actors feel like they have a lot of power, even though theyre putting themselves in these really vulnerable spots and saying some horrible things at times in the play.

Honestly, theres a lot of trauma in the play, and thats an understatement that speaks to fat folks relationships with their bodies. But I always want my actors to feel like theyre throwing it back in the peoples faces. They are not there to be laughed at or to be ridiculed. Theyre there to tell them exactly who they are, which we dont get to see fat people do.

This is one 75-minute play on this topic, but what do you hope that people take away from the show?

Hileman: I want people to think about how this happens to fat people in their lives, right? This isnt just a story about these three fat women. I dont want to assume that it happens to everybody, but I think there are some pretty universal experiences in the play, and I want people to think about how they treat fat people.

Its not necessarily your fault that you are complicit in it. All the bad things, white supremacy, and patriarchy. This is just like another arm of that anti-fatness.

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I Will Eat You Alive: An Ode To Being Fat - Baltimore Beat


Mar 13

90 Day Fianc: The Shocking Secret Behind Devin Hoofman’s Weight Loss – Screen Rant

Summary

90 Day Fianc star Devin Hoofmans weight loss raised eyebrows during the season 10 Tell All making viewers wonder what her secret was. Devin is a 25-year-old from Arkansas who was introduced in the 2023 show with her South Korean partner, Nick, AKA Seungdo Ham. Devin met Nick on the dating app Tinder while she was on a solo trip to Sydney in Australia. Nick and Devin had spent just three weeks together in person when they embarked on their K-1 visa journey. However, Nick from Daejeon needed the blessings from his parents before he could move to America.

Devin was awkward and cried at the drop of a hat during her segments on 90 Day Fianc season 10. Devin broke down in front of Nicks parents, but the meal ended on a good note as Nicks parents bid him farewell, so he could start a new life together with Devin in the U.S. Nick and Devin got married in April 2023 and returned to the show for the Tell All to give a relationship update. While it wasnt shocking that Nick and Devin were still together, what shocked viewers was Devins extreme weight loss.

Devins weight wasnt discussed on 90 Day Fianc until the Tell All. However, it did become something viewers were interested in since Devins season 10 debut. Viewers who looked up Devins Instagram page after her first episode on 90 Day Fianc noticed that she looked very different in real life compared to what was shown on the TV series. Devins weight loss had led to her dramatic transformation and, it was evident through the photos she had posted herself on social media. Moreover, Devins manner of speaking on the show had viewers asking if she was developmentally delayed.

I would like to clear up some semi-disappointing comments.

Devin had decided to answer these questions herself instead of making fans discuss them among themselves and creating assumptions about her physical and mental health. Devin created an Instagram post to address the comments about her physical appearance and her speech. Devin called the comments disappointing. She wrote that she was not slow or delayed. Devin said she had always been someone who spoke in a very relaxed manner and had a deeper voice. Devin said her voice was Exacerbated because of the circumstances her green screen interviews were filmed in.

Devin said the interviews were filmed in the middle of the night with her and Nick.

While Devin did not reveal the work she did for a living, she said she had to go film the confessional scenes right after she was done with her full-time job. Devin said she remembered being so tired that she feared driving home. Devin mentioned she had TMJ and chronic jaw tension since she was a child which worsened as she aged. Devin started taking the injections after noticing how big her face had gotten and the pain she was in.

I have lost somewhere between 25-30 pounds since that shoot

Devin admitted that she knows she looks very different from the photos and videos shown of her on 90 Day Fianc. Devin said the show was filmed after she gained weight. Devin spoke about having put on a lot of weight from binge-drinking and eating. Devin was anxious about shooting the show and was trying to cope with it by drinking and eating excessively. Devin hoped that the statement would clear up rumors about her. Devin thought it was unfortunate that she felt and looked her lowest when she was being filmed for national TV.

Nick revealed his nickname Piggy for Devin during their introductory episode of 90 Day Fianc season 10. Nick thought he said it in an endearing way because he thought his partner was cute. Nick didnt seem to mind calling Devin Piggy in front of her parents and their family friends after coming to the U.S. When they wanted to know what Koreans thought about Americans, Nick said people back home associated American people with greasy foods and being fat. Devin tried explaining there was a price disparity between unhealthy and healthy foods in America.

Youre lazy, so you always get fast food for lunch.

Nick told Devin while acknowledging Devins dads observation. Nick patted Devins stomach before adding, No wonder youre a piggy. When a family friend asked Nick if he was being serious, he said he was just telling the truth. Nick shrugged and said that Devin was always having fast food for lunch. Devins father had told the cameras that Nick calling Devin Piggy concerned him even though Devin acted as if it didnt bother her. Devin too admitted that her family was uncomfortable and Nick could have avoided commenting on her body.

Devins co-star Ashley Michelle revealed she lost over 100 kilos during the Tell All Part 1. However, it was Devins weight that caught the attention of fans. Viewers were certain that Devin took Nicks comments to heart and had possibly been taking Ozempic for a drastic weight-loss transformation. While Devin had tried to show she wasnt affected by Nick calling her Piggy she was noticeably worried about the way her arms looked in a dress when she was picking one for her wedding day. Devin had rushed off to the trail rooms to cry without telling her mother why.

Yes, she's skinny now, way skinnier, Nick remarked.

Nick said when asked if he still called her Piggy. Jasmine Pineda jumped into the conversation and turned to Devins mom, Katrina, said, Its evident that she has lost a lot of weight. Jasmine wanted Devins mother to answer whether his weight loss had been related to the fact that Nick was calling her piggy and associating it to her being chubby. Devins mom admitted she couldnt say with 100% certainty that it hadnt impacted her emotionally and mentally.

All I know is that she has been this size before," Devin mom noted.

Katrina said that Devin used to be slim before she met Nick. It wasnt new, but Katrina was nave to believe that Nicks comments affected Devins diet and exercise habits. Nick continued defending himself, saying he meant Piggy as a joke. Devin agreed with her mother, saying that she had indeed lost weight when she was in Australia but gained it after coming to America. However, it was one of those things that Devin didnt notice.

Devin did add, Once, like we started doing the wedding stuff and I was having to try on dresses. It puts it in your face. Instagram followers have noticed her wearing what looks to be a diabetes monitor in her Reels. Devin has talked about having diabetes with her followers as well. The 90 Day Fianc stars medical issues may have led to her losing weight even if she didnt intend to. Devin has dropped a considerable amount of weight and her not revealing how it happened suggests there could be a more serious reason behind it.

90 Day Fianc airs Sundays at 8 p.m. EST on TLC.

Source: Devin Hoofman/Instagram, 90 Day Fianc/YouTube

90 Day Fiance is a reality TV series that follows the trials and tribulations of Non-U.S. citizens who travel from abroad each season to meet their potential spouses utilizing a K-1 visa. This three-month visa gives the pair 90 days to determine whether or not their romantic and life goals are aligned before they're forced to return home unmarried. Drama and tension unfold as the couples navigate the tricky dynamics of international marriage.

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90 Day Fianc: The Shocking Secret Behind Devin Hoofman's Weight Loss - Screen Rant


Mar 13

Probiotic L. bulgaricus may not help with weight loss but could decrease blood triglyceride levels new trial – NutraIngredients-Asia

Elevated levels of TG are a symptom of metabolic syndrome, a cluster of conditions that includes obesity and abnormal lipid (fat) levels.

The researchers wanted to examine if L. bulgaricus could contribute to a reduction in body weight and alleviate health risk factors associated with obesity. L. bulgaricus is commonly found in the gastrointestinal tract and in fermented dairy products such as cheese, yoghurt, and kefir.

In a placebo-controlled trial, researchers observed overweight patients at the Chinese Medical University Hospital in Taiwan.

They found that L. bulgaricus did not affect the body weight, fat percentage, or body mass index (BMI) of the participants. However, it resulted in a notable decrease in blood TG levels.

Therefore, while daily supplementation with L. bulgaricus may not lead to a reduction in body weight, it could potentially offer health benefits for obese individuals, the researchers wrote in Metabolites.

Clinical trials that examined the influence of probiotics on obesity-related factors have yielded inconsistent outcomes.

Some reported significant decreases in body weight and/or body fat with probiotics, while others indicated no effect or even increased body weight. These findings suggest that specific probiotics could treat or manage health symptoms in overweight individuals.

Thus, researchers devised a study to examine the effectiveness of daily L. bulgaricus supplementation in lowering body weight and addressing risk factors related to obesity.

In September 2021, 36 overweight participants were assigned to either a probiotic or a placebo group. The probiotic group were given L. bulgaricus powder (containing 1 108 colony-forming unit (CFU) of the probiotic) daily for 12 weeks. The placebo group were given placebo powder daily over the same period. Before and after the trial, the researchers ran blood tests and profiled the body composition for each participant.

Twelve weeks of supplementation with L. bulgaricus failed to induce weight loss in the subjects, the researchers observed.

However, there are potential benefits of probiotic L. bulgaricus for overweight individuals with high blood TG levels.

Overall, there were significant improvements in the regulation of TG and lipid content in VLDL and HDL, which were not observed in the placebo group, said the researchers.

VLDL stands for very low-density lipoprotein. Lipoproteins are made up of proteins and fats (cholesterol and TG). VLDL is one of the three main types of lipoproteins and contains the highest amount of TG. VLDL is known as bad cholesterol.

HDL, or high-density lipoprotein, is known as good cholesterol.

The distribution, composition, and population of lipoproteins in the bloodstream are crucial indicators of overall health.

Lipoproteins serve as transport vehicles, allowing lipids to be carried throughout the body to various tissues and organs, researchers explained. The metabolic profile analysis shows that daily supplementation with the probiotic, L. bulgaricus, had a positive effect by improving the lipoprotein lipid profile in overweight people.

Daily supplementation with L. bulgaricus may not lead to weight loss, but it could reduce blood TG levels, thus having a positive impact on preventing diseases associated with metabolic syndrome.

Further large-scale and long-term trials with higher dosage treatments are needed to clarify the effect of L. bulgaricus across various criteria for optimal application, the researchers concluded.

Source: Metabolites

DOI: 10.3390/metabo14020129

The Efficacy of Lactobacillus delbrueckii ssp. bulgaricus Supplementation in Managing Body Weight and Blood Lipids of People with Overweight: A Randomized Pilot Trial

Authors: Pei-Yi Chu, Ying-Chun Yu et al.

We will be taking a closer look at Clinical Nutritionin our Growth Asia Summit 2024 this coming July, which will feature insights from a wide range of industry leaders and experts. Don't miss out register here today!

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Probiotic L. bulgaricus may not help with weight loss but could decrease blood triglyceride levels new trial - NutraIngredients-Asia


Mar 13

What is amycretin? Ozempic maker reveals new weight loss pill more effective than jab – Yahoo Singapore News

A phase two drug trial for amycretin will kick off during the second half of the year (Pexels)

The manufacturer of weight loss drugs Ozempic and Wegovy has started developing a brand new obesity pill intended to help patients shed weight faster than its existing jabs.

According to Novo Nordisk, a pharmaceutical company headquartered in Denmark, early trials for its experimental obesity drug amycretin revealed patients were able to lose more than 13 per cent of their weight after 12 week. However, Wegovy only helps people lose up to six per cent over the same period.

A phase two drug trial will begin the second half of the year, with results expected in early 2026, the company said.

Amycretin targets the same glucagon-like peptide-1 hormone that Ozempic and Wegovy do, which regulates appetite and feelings of fullness. It also stimulates another, called amylin, which also reduces hunger and slows stomach emptying.

The side effects experienced were in line with its other GLP-1 drugs, according to Novo Nordisk, including gastrointestinal issues like nausea, vomiting, constipation and diarrhoea.

Martin Holst Lange, Novo Nordisk's head of development, said he anticipated the pill could be available to consumers "within this decade".

"I never commit to timelines but I would be very comfortable to say at the very least within this decade", he said.

Novo Nordisk is worth around $428bn (336bn), making it more valuable than the annual output of the entire Danish economy.

As the new drug is in the works, here is a look at the companys top products: Ozempic and Wegovy.

As with Wegovy, adults with type 2 diabetes use the once-weekly injectable drug Ozempic to help control their blood sugar levels.

Despite Ozempic not being classified as a weight-loss medication, research indicates that those who use it may experience slight weight reduction while doing so.

Wegovy is an injectable medicine used for adults with obesity or a (body mass index) BMI of 27 or more. Patients will be required to inject themselves weekly.

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It suppresses appetite by mimicking a hormone named glucagon-like peptide-1 (GLP-1) that is normally released after eating. This makes people feel full, meaning they eat less and lose weight.

Nick Finer, honorary clinical professor at the National Centre for Cardiovascular Prevention and Outcomes at University College London, said: The efficacy of semaglutide is a true game-changer for the medical treatment of obesity, a chronic disease that shortens life through its many complications.

It has been reported that some users have hailed the drug as a miracle given the dramatic weight loss they have enjoyed.

Semaglutide has received various high-profile celebrity endorsements, with figures such as Twitter boss Elon Musk claiming to have used the drug. A Twitter user asked Mr Musk last October how he remained fit, ripped, and healthy, to which he replied fasting and Wegovy.

Those with a BMI of 30 or more, or those with a BMI of 27 or more who also have a weight-related medical problem, can use the drug. Patients who are prescribed the medication will have the injections as part of a thorough weight-management programme and an increase in exercise.

Nice said that weight-related conditions that will make obese people eligible will include type 2 diabetes, prediabetes, high blood pressure, dyslipidaemia (unbalanced or unhealthy cholesterol levels), obstructive sleep apnoea and heart disease.

A study found that the weight of people who were given the drug fell by 12 per cent on average after 68 weeks.

Wegovy helps with long-term weight loss by regulating the bodys appetite and the amount of calories people consume.

Wegovy was approved for NHS use following research that indicated users could lose more than 10 per cent of their body weight but experts have warned that skinny jabs are no substitute for exercising and maintaining a healthy diet.

Nice said side effects should be minimal when the drug is used correctly. Symptoms include mild nausea, diarrhoea and headaches, but they were found to be mild to moderate in severity and subsided with time.

Analysis discovered that several patients who took Wegovy and Ozempic suffered severe gastroparesis, better known as stomach paralysis. Two patients who had taken the type 2 diabetes medication Ozempic said their stomachs are paralysed in a CNN article from July 25.

Wegovy is one of several weight-loss drugs being investigated for a possible link to thoughts of suicide and self-harm among users, the BBC has reported. The European Medicines Agency will investigate Wegovy, Saxenda, Ozempic and other similar drugs after three cases were identified in Iceland.

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What is amycretin? Ozempic maker reveals new weight loss pill more effective than jab - Yahoo Singapore News



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