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.

Seven Ways to Lose 10 Pounds This Month

Diet and Weight Loss
It's almost like the quest for world peace. It's something everyone says they want, yet very few ever do what it takes to move them in a permanent positive direction. It is the focus of so many people's lives, yet their successes are few and far between. So what am I talking about? Weight loss. How many people do you meet in the course of a day who would not like to lose a few pounds? Not very many, I bet.
So why aren't more people losing weight successfully? With all of the attention on weight loss and the $40 billion spent each year on diet aids, America should be the fittest country on earth (we are not, in case you were wondering). Did you know that there are more overweight and obese people today then ever before in history? Did you also know that deaths associated with obesity- related diseases are at an all time high?
This I find interesting; that despite the constant barrage of diet information with new studies, new super diet pills, and the like, we are still fat. So what is going on?
I can tell you that part of the problem is all of the information and misinformation out there. There are studies that prove one method works, and another study contradicting the previous study. We have various "experts" who cannot seem to agree on even the most basic information. So who do you believe, who do you trust? One quick indicator is if they have a product to sell, (i.e. nutritional supplements, meal replacements) you may want to check into their claims, as well as their motives. Read More About Rapid Weight Loss Tips, Techniques and Strategies >>
I don't have an M.D., but if there is one topic that I know a lot about, its weight loss. When it comes to weight loss, I have been there, done that and am 45 pounds lighter, thank you very much.
What I am about to share with you is not new information. It's common sense. (Now there is something that is missing from the world today.) If you follow the tips I am about to share with you, I can almost guarantee permanent weight loss and a healthier future. Here we go?
Give up the bacon and eggs that you have been eating for breakfast and start your day off with plenty of fresh fruit. Forget about breakfast cereals too. Instead eat bananas, oranges, mangoes, strawberries, watermelon, whatever fruits you feel like having. Don't be concerned about calories. Let fruit be all you eat until lunch.
Limit your meat (steaks, chicken, fish, yes, it's a meat.) to 3 meals a week. A lot of people like to eat meat at every meal. I used to be one of them. If you are one of them, you need to do some research of your own to understand how hard that is on your body. Eating that much animal product is good for no one except your doctor and the meat producers.
Increase the amount of salad you are eating. If you normally have a small token salad on the side just to add color to your meal, its time to refocus. Move that small salad to a bigger plate and add to it. Make the salad the center of your meal and watch the pounds drop off. Now remember, adding a bunch of things from the salad bar that are not vegetables is not what we're talking about. Forget the high fat dressings too. Using less dressing and those of a low fat variety will allow you to taste the salad and not just the dressing
4 Limit the amount of processed foods. What is processed food you ask? If you didn't find it in the produce section of the grocery store, it is probably a processed food. Anything that requires an ingredient list is probably a processed food. Breakfast cereals and granola bars are advertised as health foods, but in reality they have very little going for them nutritionally. Really start to pay attention to the amount of processed foods that are out there and you will begin to understand why there is an 'obesity epidemic' in this country. Take note of the amount you are eating, and how much you are feeding to your children. Your children deserve better than that. Get them eating more of the wholesome foods too.
Increase the amount of veggies you eat, especially raw veggies. If there is a magic food out there for weight loss, fresh fruits and veggies are it. Start eating predominantly fresh fruits and veggies and just watch the pounds melt away.
Limit the amount of dairy products you consume to 3 meals a week. This one can get tricky. The Dairy Association is convinced that you need to be eating dairy every day at every meal whether you want to or not. When I go out and order a garden salad, why does it more often than not come with cheese and bacon on it? Since when did we start growing cheese in a garden? And how is bacon a vegetable? You really have to be paying attention because they will sneak it in anywhere they can.
Get some form of exercise everyday. This is almost a no-brainer. Is there anyone alive who does not know what happens to muscles if we don't use them? Are we all aware that your heart is a muscle? Get out there and get your heart going. If you follow all of the above tips, you are going to have so much extra energy that you are going to need to do something with it anyway, so get out there. 20 minutes of vigorous aerobic exercise 4-5 mornings a week coupled with a good weight training routine will do wonders for you. Don't Miss Diet And Weight Loss Tips And Plans >>
It is important to remember that there is no magic pill. Permanent weight loss has to be tied to your lifestyle. A healthy lifestyle will promote good health while an unhealthy lifestyle will produce health problems, excess weight, and potentially deadly diseases. You can make your choice. I have made mine, and life on this side of the fence is pretty great.

Mediterranean, Low-Carb Diets Safe And Effective Weight-Loss Diets

Research on the safety and effectiveness of different diets has been previously limited due to the high number of participants who drop out of studies and because the length of time that the participants are followed is often too short. Researchers at Ben-Gurion University of the Negev in Beer Sheva, Israel, and at Brigham and Women’s Hospital’s (BWH) Channing Laboratory have effectively evaluated three different weight-loss diets over two years and found that both Mediterranean and Low-carbohydrate diets are as effective in achieving weight-loss as low-fat diets.
“The findings suggest that because Mediterranean and low-carbohydrate diets are effective alternatives to low-fat diets, individual preferences could be taken into consideration when tailoring dietary interventions for weight loss,” said Meir Stampfer, MD, DrPH, associate director of the Channing Laboratory at BWH and senior author of the study. The lead author, Dr. Iris Shai of Ben Gurion University, planned the study when she was a Fulbright fellow at Harvard School of Public Health and Channing Laboratory.
Researchers followed 322 obese patients who were randomized to either a low-fat, Mediterranean or low-carbohydrate diet for two years. Patients on the low-fat and Mediterranean diets were restricted in the number of calories that they could eat, but patients on the low-carbohydrate diet were not. Researchers report that after one year, 95 percent of patients had stuck to the diet and after two years, 85 percent had.
After two years, patients in the low-fat diet group lost 2.9 kg; patients in the Mediterranean diet group lost 4.4 kg; and patients in the low-carbohydrate diet group lost 4.7 kg. The Mediterranean diet-group consumed the highest dietary fiber and monounsaturated to saturated fat ratio. The low-carbohydrate diet-group consumed the fewest carbohydrates and the highest fat, protein and cholesterol. Among all three diet groups, the number of calories consumed was similar. Improvements in other health measures such as liver function and levels of cardiovascular disease were also similar among groups.
In an effort to encourage retention and to enable participants to stick to the diet, the trial was conducted in an isolated workplace at the Nuclear Research Center Negev, Israel, with an on site clinic. Daily diet-group-specific colored food labels were displayed in the cafeteria at the workplace.
The findings suggest that Mediterranean and low-carbohydrate diets are effective alternatives to low-fat diets. The more favorable effects on lipids (low-carbohydrate) and on glycemic control (Mediterranean) suggest that personal preferences and metabolic considerations might inform individualized tailoring of dietary interventions.