New Science Of Metabolic Diagnosis And Weight Management

Metabolic Diagnosis And Weight Management
Dr. Frederic J. Vagnini, a nationally-known anti-aging and bariatric physician specializing in cardiovascular disease, weight management, and diabetes, introduces his metabolic diagnosis and weight management system.
"Weight management is serious business. National health authorities are concerned that more than half of Americans are over weight, and for many obesity is not merely a matter of looking unattractive. It is a health hazard. Then why leave it to amateurs -- faddists, diet marketers, and celebrity promoters of the latest 'food system'?"
The first phase of the metabolic diagnosis and weight management system (MD/WM) consists of three tests to determine multiple parameters of energy metabolism.
(1) A segmental body composition test measures lean body mass, total body water, and percent of body fat.
(2) The calorimetry determines the body's basal metabolic rate or resting energy expenditure and locates a weight management zone.
(3) The patient wears a multisensor arm band 5-10 days at home to measure four key energy parameters: skin temperature, galvanic skin response, heat flux, and motion.
The result of this 3-step test is a reading of total energy expenditure per day/per week, of calories burnt, plus physical activity levels (METs), and amount of sleep and steps taken.
In the second phase of the system, based on this scientific diagnosis, Dr. Vagnini sets up an individualized comprehensive weight management program for each patient.
Diabetes Prevention
The weight management program includes an initial cardiovascular workup, comprehensive thyroid, food allergy assessment and detoxification. According to government health statistics there are 40 to 60 million pre-diabetics in the country today for whom a comprehensive scientific weight management program can prevent the onset of full blown diabetes.
The treatment program follow-through includes partial meal replacement, fresh home food delivery services, and frequent medical nutritionist consultations with the use of nutraceuticals.
Finally, there are programs that use pharmacologic therapy, including appetite suppressants, insulin sensitizers, and new injectable weight management therapies.

Who Loses Weight After Gastric Bypass Surgery

It is known that gastric bypass surgery does not give equally successful weight loss results to all patients. A new research suggests that diabetics and those with a larger stomach pouches lose less weight than the others do.
Gastric bypass surgery is a procedure when stomach size is being changed to limit the possible amount of food intake. This is being done by creating a stomach pouch which is smaller than the stomach and it helps lose weight quickly, effectively, and safely. However, from 5% to 15% of patients do not significantly benefit from the surgery, and this study reveals who exactly doesn’t benefit from this weight loss surgery.
The study comes from a team of researchers from University of California, San Francisco and examines 361 patients who underwent a weight loss surgery during the period between 2003 and 2006. Participants were followed for a year and 310 patients finished the study. It was defined that 40% excess weight loss is not a good result, but over 40% is a good one.
At the beginning of the study the average body mass index (BMI) was 52, after the study it was 34. Most patients lost weight significantly, but there were 38 patients (12.3%) who reported poor weight loss. Researchers found that diabetics and those with larger stomach pouch after a surgery lost less weight than others did.
Researchers suggest that diabetes drugs may stimulate fat and cholesterol increase while trying to control blood sugar levels. For those with a larger stomach pouch the study suggests sizing balloon used to define the new size of stomach should be replaced by an algorithm, which should take into account patient’s anatomical landmarks to estimate the optimal size.
Overall, researchers urge the need of improving gastric bypass surgery results because it is a very effective weight loss treatment, which becomes more and more popular. This study suggests changes in diabetes drugs to improve the weight loss surgery outcomes and help patients fight excess weigh and changes in terms of defining stomach pouch size before the surgery.

Scales Are For Fish, Not For Weight Loss

Weight Loss and Diet

Contrary to common belief, your weight is not really the indicator of a weight problem. The actual percentage of body fat is the true indicator. You need to know what percent of you is actually FAT. How are you going to monitor your weight loss if you do not know what percent of your body is fat before you begin your program?
Let me give you an example on measuring body fat, this is important in understanding weight loss, or should I say FAT LOSS. This is actually what we are trying to lose.
Lets say someone weighs 200 pounds and when we measure their body fat we find out there body fat is 40%. This means that 40% of the members body is made of fat (80 lbs). The other 120 lbs is muscle, bones, organs, water, etc. (everything but fat).
Any true weight loss program should include some form of strength training, customized to their personal abilities (another reason you need someone who truly understands the whole body and how it works). Because if you can gain some of that muscle mass that we lose with age, our bodies will burn more calories and therefore burn more fat.
Let's say it's few weeks into the program and this person steps on the scale and they now weigh 198 lbs. They are a little disappointed because they thought they were doing better. Their clothes fit better, they have more energy, and they are feeling better. But they are still depressed because they only lost a lousy 2 pounds.
We check their body fat and it is now 36% not 40%. Let's do a little math. 200 lbs at 40% body fat means that 40% of them is fat, which equals 80 lbs of FAT, and 120 lbs are muscles and everything else (called the lean body mass). 198 lbs at 36% body fat means that 36% of them is fat which equals 71 lbs of FAT, and 125 lbs of lean body mass.
This person actually lost 9 pounds of FAT (the stuff we are trying to lose) and gained 5 pounds of lean body mass (mostly muscle mass, which is a good thing because this will allow their body to burn more calories).
You need to measure and focus on PERCENT OF BODY FAT, AND NOT WEIGHT.
However, don't worry, when your body fat goes down, as your body fat decreases so will the numbers on the scale.