Low Carbohydrate Dietary Intervention Improves Insulin, Hormonal Levels and Inflammatory Markers in Early Stage, Postmenopausal Breast Cancer SurvivorsA study published by the Avera Cancer Institute shows that low carbohydrate dietary intervention improves insulin, hormonal levels and inflammatory markers in early stage, postmenopausal breast cancer survivors. The results of the study concluded that: 1. A low carbohydrate dietary intervention can successfully be implemented in a group of overweight breast cancer survivors to achieve significant amounts of weight loss 2. A rapid and significant reduction in serum hormonal levels and serum inflammatory markers can be achieved with dietary intervention 3. This feasibility study provides additional support for larger trials evaluating the role of carbohydrate restriction in cancer survivors
By: Kelli WilsonFill up before trick-or-treating Try eating your healthy IP snack or dinner before heading out. Another trick is to prepare your evening IP snack before you head out. Try cutting your favorite IP bar into bite size pieces and freezing them. Then when you return from trick-or-treating, you can enjoy a sweet treat with everyone while staying on track! Get Exercise While Your Kids Trick-or-Treat Walk with your children from house to house instead of driving them. Make a friendly game out of it by seeing who’s most active for the night; have your friends or family members track their evening with their apple watch, pedometer, or Fitbit, to see who wins! Hand out healthier food options, toothbrushes, and/or toys By choosing more healthy options or by passing out non-edible treats, you are less likely to be tempted to indulge yourself! Party success If you are planning to attend a Halloween party, bring a dish that you can enjoy along with everyone else. Get creative by making fun veggie tray or check out Janeva’s Ideal Recipes for ideas. Make a Plan Make a plan for the candy…the main goal being to get that candy out of the house! No matter how much “self-control” you have – you will eat it if it’s in the house and so will your kids. Check with your family dentist or see if there is a dental office near you that is taking in candy in trade for fun items. You can also have your children make two candy piles 50/50: one for the candy they want to keep, another for the candy they will not eat. Consider donating the second pile Ronald McDonald House, or another wonderful charity. In the process, children can learn a valuable lesson about givingJ Drink Up Don’t forget to stay hydrated!
- Creating accountability
- Tracking progress
- Identifying patterns or triggers (ie: overeating at night, emotional eating)
- Increasing awareness of what you are eating
- Identifying areas/foods of concern and extra calories
- The TBL dieters’ insulin resistance/metabolic syndrome tendencies were incompletely addressed. By having our dieters at OSR Weight follow the Ideal Protein protocol, we ensure that first, insulin hypersecretion is reversed through diet – the pancreas “rests” if you will. Then, through the gentle and very gradual re-introduction of small amounts of dietary carbohydrates, the pancreas is slowly “restarted”. Without going through this pancreas-resting and then re-starting process, individuals with metabolic syndrome will tend to regain weight quite rapidly if carbs are re-introduced in too great amounts, or too frequently in the diet. I’ve definitely witnessed this firsthand in the last year of prescribing the Ideal Protein protocol for patients. What’s more is, the study’s authors even point this out themselves: “Interestingly, insulin resistance was not significantly improved 6 years after the competition compared with baseline despite significant weight loss.” Not a surprise.
- Overall very little was revealed about the TBI dieters’ intake or metabolic status. Were dieters eating adequate protein? How many carbs did they consume, exactly? What was fat intake – and was it healthy fat with plenty of Omega-3s? Improper diet can dramatically impact weight regain. Were dieters screened for other hormonal issues such as low testosterone in the men? Hormonal imbalance can adversely affect healthy weight maintenance, sometimes dramatically.
- Issues of body image and adjustment to a new frame were likely incompletely addressed. During and after weight loss, both the conscious and sub-conscious mind needs to adjust to the dieter’s new size, a process which psychologists say can take at least a year. If in a dieterʻs sub-conscious mind she still sees herself as obese, she will gravitate towards eating more food than is necessary to maintain a slimmer frame, and thus regain weight. Strategies which can be helpful for adjustment include taking photos every 15-20 pounds throughout the transformation, professional counseling, support groups, and frequent dieter followup, especially early in the maintenance phase when dieters are most vulnerable. It’s not clear from the study that any of this was done for the TBL dieters.
- The prevalence of eating disorders may have been undetected and thus incompletely addressed with TBLʻs protocols. Eating disorders such as binge eating disorder, bulimia, and night eating disorder are under-recognized and under-treated in those who are 100 or more pounds overweight. No diet can ever possibly treat these complex disorders alone! We often recommend that individuals with suspected eating disorders first undergo a psychological assessment prior to attempting healthy lifestyle change. Otherwise, dieters are doomed to fail before they even start.
- No reference was made to any kind of weight maintenance protocol for TBL alumni to help keep them on track. Unlike Ideal Proteinʻs phase 4 which gives our dieters clear rules, behaviors, and education to stay healthy and manage occasional indulgences, Iʻm not sure that the TBL dieters had this comprehensive of a plan in place, which places them at a significant disadvantage.
by: Dr. Linda Anegawa
Knee symptoms are the most common musculoskeletal symptom among patients seeing PCPs in the USA, according to the 2012 National Ambulatory Medical Care Survey.
In most cases, except where breaks or infection are felt to be likely, nonsurgical treatments should always be recommended first. Physical therapy and other integrative care modalities should also play a leading role for at least 6 weeks, according to experts at the Hospital for Special Surgery in New York. Strengthening of knee support muscles under the guidance of a trained clinician can be highly effective.
In addition to physical therapy, weight loss can play a critical role in alleviating knee pain. For every extra pound a person carries, the knee must bear an extra 5 pounds of force. Multiple studies have linked weight loss with reduction of symptoms and improved function among those who are obese - even in patient with end-stage osteoarthritis symptoms. Besides just symptoms though, a study in the Annals of Rheumatic Diseases in 2014 showed that among 112 obese individuals, their percentage of weight loss corresponded to a reduction in their knee cartilage loss. What this means: actual reversal of disease!
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By: Dr. Linda Anegawa
A headline in the New York Times yesterday, "Hope for Reversing Type II Diabetes," expresses great surprise at what we have observed in our practice: an endless cycle of ever-increasing medications is probably not the way to go in the care of this dread disease.
Afflicting millions of Americans, Diabetes can cause kidney failure, heart disease, blindness, and nerve damage. Long described as incurable, the medical establishment has had us believe that more medications in higher doses is the only real solution.
The study described in the New York Times describes the exact opposite phenomenon: that weight reduction can, in many cases, effect a complete diabetes cure.
What weʻve witnessed in our patients who have gotten the weight off has been exactly the same phenomenon.
Are YOU treating your dietary indiscretions (aka Diabetes type II) with drugs, instead of with lifestyle change? Remember, with every bite we eat, we either feed disease or fight it.
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- Restaurants: Always look up the online menu beforehand so you have an idea of what type of offerings are there. If there is no online menu, call ahead! You can never prepare too much – it is just not worth being surprised and then unintentionally throwing yourself out of ketosis. At the establishment, whenever possible, see if you can order individual dishes rather than going ʻfamily styleʻ which will give you more control over your order. Your best bet is to simply tell the waiter that you are on a very strict diet for medical reasons, and need a simply prepared item (such as grilled fish with lemon/salt/pepper and a plain salad). We are lucky that we live Hawaiʻi and chefs are very used to accommodating visitors from all over who follow special diets. It never hurts to ask for exactly what you want!
- Office parties: If catered, try to be a part of menu planning and make sure lean, non-breaded proteins and salad are on the menu. If itʻs potluck, thatʻs even easier, because you can prepare and bring exactly what you want to contribute!
- Other non-potluck events/parties where you donʻt have say over the menu: do the best you can to only choose to eat a lean, non-breaded protein item plus a green vegetable or salad. Prepare yourself beforehand by making sure you have a healthy IP snack or a protein-rich snack so you are not starving once you are at the party – youʻll be far less tempted to cheat. Drink plenty of water throughout the event, and try to focus less on the food and more on the company.