OSR Weight Management

Marijuana and Diabetes? What’s the Connection?

Posted on September 17, 2015 by to press, Uncategorized, Weight Management

Marijuana use has been colloquially associated with “the munchies,” the phenomenon of increased appetite that can occur following use.  However, in the journal Obesity, researchers have published data showing that regular marijuana users actually have lower Body Mass Indexes (BMIs) than the general population. Since elevated BMI is associated with diabetes risk, some of the researchers’ figures seem to…
Marijuana use has been colloquially associated with "the munchies," the phenomenon of increased appetite that can occur following use.  However, in the journal Obesity, researchers have published data showing that regular marijuana users actually have lower Body Mass Indexes (BMIs) than the general population. Since elevated BMI is associated with diabetes risk, some of the researchers' figures seem to indicate that marijuana users may in fact have lowered diabetes risk. The mechanism for this is not entirely clear, but one might imagine that since marijuana is very effective at reducing anxiety, smoking marijuana may prevent anxiety states which compel some of us to emotionally overeat.  Naturally, pharmaceutical companies have jumped on board.  Many are studying cannabinoid receptors in the brain, which are responsible for marijuana's psychogenic effects, to see if new drugs can be targetted to modulate weight and reduce diabetes risk. So should all of us be using marijuana to keep our weight in check and to prevent diabetes? Unfortunately, the data are anything but clear at this point.  The journal Diabetologia also contains published reports that heavy marijuana smokers in their 20s may be up to 40% more likely to develop diabetes in middle age. As the state of Hawaii is on the verge of legalizing medical marijuana dispensaries in early 2016, this issue is especially timely for island residents.   Read more at: http://www.msn.com/en-us/money/other/can-marijuana-help-with-diabetes-research-is-conflicting/ar-AAehq3V

Mushrooms for Weight Loss

Posted on September 14, 2015 by to press, Uncategorized

Mushrooms are full of hunger-quenching fiber and that “umami” taste that gives so much satisfaction after meals. These are well-known reasons why eating mushroom can help in weight loss and maintenance. There may be another, more intriguing mechanism as well: just published in Nature Reviews are findings from China showing that extract of Ganoderma mushroom…

Mushrooms are full of hunger-quenching fiber and that "umami" taste that gives so much satisfaction after meals.

These are well-known reasons why eating mushroom can help in weight loss and maintenance. There may be another, more intriguing mechanism as well: just published in Nature Reviews are findings from China showing that extract of Ganoderma mushroom can modulate the gut microbiome, reducing obesity in mice. The mice were fed a high-fat diet, but after receiving extract from the mushroom Ganoderma lucidum, body weight and markers of inflammation and insulin resistance all decreased in the mice. Ganoderma mushrooms are available at most Asian markets, and because the taste can be described as 'tough' and 'woody', they are not often used in cooking but rather made into a tea. And of course, one other important caveat is that this study was done in mice, not human beings, so there's still more work to be done for us to fully understand how extract of Ganoderma can help reduce weight. In the meantime though, feel free to chow down on all those portabellas, shiitake, enoki, chanterelles and crimini mushrooms for all the benefits mentioned above. Read more at: http://www.nature.com/ncomms/2015/150623/ncomms8489/abs/ncomms8489.html

Ketogenic Diet Q&As

Posted on September 14, 2015 by to press, Weight Management

At OSR Weight Management, weight loss occurs via the process of nutritional ketosis.  Read some commonly asked questions about ketogenic diets and how they are answered by Dr. Anegawa. Q.What is a ketogenic diet? A. ketogenic diet is one designed to trigger nutritional ketosis, the process by which the body mobilizes its own fat stores…
At OSR Weight Management, weight loss occurs via the process of nutritional ketosis.  Read some commonly asked questions about ketogenic diets and how they are answered by Dr. Anegawa. Q.What is a ketogenic diet? A. ketogenic diet is one designed to trigger nutritional ketosis, the process by which the body mobilizes its own fat stores to be used as energy. Normally, the body first uses dietary sugars and carbohydrates for energy first, making it difficult to burned stored fat.  By minimizing dietary sugars and carbs, the body is forced to metabolize its own stored fat for energy via the process of nutritional ketosis.  This is the mechanism by which weight loss occurs.  Historically though, ketogenic diets have been used for other purposes, such as to control blood sugars in diabetes and to treat seizures.   Q. Isn’t ketosis dangerous? A. Nutritional ketosis is sometimes confused with ketoacidosis, a potentially life-threatening condition associated with the production of excess ketone bodies in type 1 diabetes. Nutritional ketosis though is extremely safe, especially when medically supervised.  Many physicians advocate for a life-long ketogenic diet to aid in weight maintenance as well as blood glucose control.  At OSR Weight Management, the main cautions that we carefully observe patients for especially at the start of a ketogenic diet are dehydration and electrolyte imbalances (due to increased urination and fluid losses while in nutritional ketosis).  With sensible hydration practices and vitamin supplementation though, these are easily preventable.   Q. I noticed that the Ideal Protein foods contain small amounts of carbohydrate. Shouldn’t I restrict all carbohydrates in order to be ketogenic? A. The exact amount of carbohydrate restriction needed to be in ketosis is not known, and likely varies considerably from individual to individual. In general, most people can eat anywhere from 40-60g of net carbs and still remain in ketosis.  Ideal Protein foods do contain small amounts of carbohydrate which is the reason for the great taste and textures of the foods and meals.  However, this is the reason why our coaches strictly emphasize ‘no cheating on protocol!’  Any extra carbohydrates have the potential to kick a dieter out of ketosis and halt the fat-burning process altogether.   Q. I’ve tried to test my urine with Ketostix to see if I am in ketosis, but it only reads ‘trace’ ketones – am I doing something wrong? A.Urine ketone testing is not necessary or always helpful, mainly because the ketone strips only test for one type of ketone produced by the body. Our bodies produce multiple different types of ketones that are not always picked up by the test strips.  The one way we know for sure at OSR Weight Management whether our dieters are in ketosis is quite simply by measuring the Body Fat % with our BCA monitor.  When our dieters’ body fat percentages are declining week by week, we know for sure that ketosis is proceeding exactly as it should be.   Read more at: http://get.smarter.com/qa/health/ketogenic-diet-be717c4c9944453b?ad=semD&an=msn_s&am=broad&o=32827

A Reporter’s Goal for Optimal Health – Accomplished!

Posted on September 10, 2015 by to press

OSR Weight Management here in Kailua is offering the Ideal Protein method to the island of Oahu! Watch this inspiring story of one man’s journey to better health, made even more meaningful when his daughter finally found her own path as well. Source: CBS News, Pittsburgh, PA Additional Information Read more…
OSR Weight Management here in Kailua is offering the Ideal Protein method to the island of Oahu! Watch this inspiring story of one man's journey to better health, made even more meaningful when his daughter finally found her own path as well. Source: CBS News, Pittsburgh, PA Additional Information

1/2 Adults with DM/Prediabetes

Posted on September 10, 2015 by to press, Weight Management

There’s an important reason why every new patient at OSR Weight Management gets so many tubes of blood drawn at their first visit: in a new study, investigators have found that 50% of US adults have either outright diabetes or pre-diabetes – and they may not have even known.   This number has increased sharply since…
There's an important reason why every new patient at OSR Weight Management gets so many tubes of blood drawn at their first visit: in a new study, investigators have found that 50% of US adults have either outright diabetes or pre-diabetes - and they may not have even known.   This number has increased sharply since 1990 in every single ethnic group in the USA.  Also notable is that the proportion of undiagnosed diabetes was as high as 50% in Asian-Americans, most of whom were totally unaware of the diagnosis.  Given that Asian-Americans make up such a large proportion of Hawaii's population, this should serve as a wake-up call for everyone to intensify screening efforts for this extremely costly disease.  Diabetes damages the heart and blood vessels, the eyes and kidneys, and can cause devastating infections.  Nearly 71,000 people die annually from diabetes-related complications, according to the American Diabetes Association.   Our Kailua patients should know that a simple blood glucose test to check for diabetes or prediabetes may not tell the whole story.  This is why we run a test called the Hemoglobin A1C, or as most doctors call it, an "A1C."  By looking at how much glucose is bound up within our blood cells, the A1C test can give us a broad look at whether glucose is chronically elevated in the blood.  This is in contrast to a blood glucose test, which only gives us a read within a given moment.  Diabetes is defined as an A1C greater than 6.5%, and prediabetes is defined as an A1C between 5.7% and 6.5%.   Our comprehensive medical evaluation for weight loss always includes measurement of this number, especially if you have other risk factors such as a family history of diabetes or cardiovascular disease.  Early diagnosis of diabetes and prediabetes is critical, and we can help: weight loss can dramatically lower your risk of problems and complications.   Read more at: http://www.forbes.com/sites/robertglatter/2015/09/08/50-percent-of-adults-in-u-s-have-diabetes-or-pre-diabetes-study-finds/

Childhood Obesity Awareness Month

Posted on September 8, 2015 by to press, Weight Management

A staggering 24 million children in the US are now overweight or obese – that is 1 of every 3 of our kids!  Childhood obesity puts kids at risk for health problems that were previously seen only in adults, like diabetes, high cholesterol, high blood pressure, osteoarthritis, and heart disease.  Sadly, the current generation of children is expected, for…
A staggering 24 million children in the US are now overweight or obese - that is 1 of every 3 of our kids!  Childhood obesity puts kids at risk for health problems that were previously seen only in adults, like diabetes, high cholesterol, high blood pressure, osteoarthritis, and heart disease.  Sadly, the current generation of children is expected, for the first time in human history, to have a shorter lifespan than their parents as a result. The good news? Childhood obesity can be prevented and treated. One of the most important things we can do as parents is to model healthy eating behaviors for our kids.  We've observed again and again at OSR Weight Management that when Mom and Dad make that commitment to changing their diet and lifestyle - cutting out excess sugars and unhealthy carbs - kids actually DO follow along.  Kudos to all our hard working parent-patients:  you are making a big difference! Some other tips for families: -Be proactive; at your child's annual physical, ask the physician to calculate your child's Percentile BMI which can identify whether s(he) is at a healthy weight, or at risk for obesity and associated health problems. -Get your kids involved in planning/cooking meals, rather than stopping for fast foods on a regular basis. -Make veggies interesting, like "ants on a log" (almond butter on celery sticks with a few raisins on top) -Start gardening as a family.  Kids are more likely to want to eat veggies if they helped grow and harvest them from the ground. Plus - what a fun Kailua activity! -Mix up family time around activities, movement, and the outdoors rather than just sitting in front of a screen (which can lead to over-snacking)   Read more at: http://healthfinder.gov/NHO/Septembertoolkit.aspx  

Living Life to it’s Fullest – Without Fear

Posted on September 3, 2015 by to press

Do you have the courage to bring forth the treasures that are hidden within you?  This is the question asked posed by author Elizabeth Gilbert in her new book, “Big Magic:Creative Living Far Beyond Fear.”  The aim of her book is to map out a path to what Gilbert refers to as an “amplified existence”…

Do you have the courage to bring forth the treasures that are hidden within you?  This is the question asked posed by author Elizabeth Gilbert in her new book, "Big Magic:Creative Living Far Beyond Fear."  The aim of her book is to map out a path to what Gilbert refers to as an "amplified existence" - a life full of passion, creativity, and fulfillment.  Gilbert believes that we shelter what is wonderful inside ourselves, and we can often be our own worst enemy.  She states, "The universe buries strange jewels deep within us all, and then stands back to see if we can find them."

 

I strongly believe that this applies to many of us on a journey to physical wellness, including a weight loss journey.  The beauty and creativity inside of us may be hidden under layers of fear:  fear of failure, fear of rejection, fear of being misunderstood.  Many of us may fear we are also too old, too sick, or just plain too tired to start the journey.

 

But, being successful on the journey doesn't mean we need to run from fear - we just need to create space for it.  Our fear AND our bravery and creativity can peacefully coexist, argues Gilbert, in some of her best lines:

"It isn't always comfortable or easy, but it is always worth it, because if you can't learn to travel comfortably alongside your fear, then you'll never be able to go anywhere interesting.  And that would be a pity, because your life is short and rare and amazing, and you want to do really interesting things while you're still here.  And you have treasures hidden within you, and so do I, and so does everyone around us.  And bringing those treasures to light takes work and faith and devotion, and the clock is ticking, and the world is spinning, and we simply do not have time anymore to think so small."

 

Read more at:  http://www.health.com/health/article/0,,20943382,00.html

“Smart Desks” For Your Health

Posted on September 3, 2015 by to press

  One of the most detrimental things to your health can be an office job. Not because of stress or constant eating out, but because of your desk. Most desks at office jobs are provided by your employer, the desks may be too short or too tall; your chair too soft or too hard. Since…
  One of the most detrimental things to your health can be an office job. Not because of stress or constant eating out, but because of your desk. Most desks at office jobs are provided by your employer, the desks may be too short or too tall; your chair too soft or too hard. Since you are sitting in that chair at that desk, 40+ hours a week, the added up hours can negatively affect your health. Being too sedentary in general is bad for your muscles and joints, as well as your weight. Sitting for more than three hours per day can shave your life expectancy by two years, even if you are healthy overall. It may sound like there is no solution, but that isn’t the case. A new market for “Smart Desks” is here to rescue your sedentary work life. A smart desk is a desk that can change from a sitting desk, to a standing desk in the matter of seconds. There are many different types of desks and accessories that are designed to get you up and moving throughout the day. Desk designs vary from hand cranks and monitor boxes, to electronic tables that move automatically to sitting and standing throughout the day. Some of the higher end desks can be more expensive (around $4,000) but in one workers tests, these desks got a standing ovation-literally. The most expensive of the desks is the Stir Kinetic Desk F1 that includes Wi-Fi, Bluetooth, and a thermal sensor on the underside of the desk that tracks your activity. The desk moves itself up and down every few hours without disturbing your work environment. The cheapest version of the StandStand which you just place on top of your desk that you can manually move up and down. To learn more, check out Jennifer Jolly’s review of tons of different “Smart Desks” and see which one might work the best for you. Meanwhile, remember that keeping active throughout your day is important. Remember to take stretching breaks and walk as much as you can throughout the day. If you spend over 80% of your day sitting, try to make a change in your daily routines in order to optimize your health.   Resources: http://bmjopen.bmj.com/content/2/4/e000828.full http://well.blogs.nytimes.com/2015/06/02/smart-desks-to-keep-you-moving/?ref=health&_r=2

Back to School Recipe

Posted on August 3, 2015 by to press

Are you feeling in a hurry with all the back to school craziness? OSR Weight Management knows how hard it is to eat healthy when you are stressed and rushing around during that back to school time. Here is a quick recipe to make preparing a little easier.    
Are you feeling in a hurry with all the back to school craziness? OSR Weight Management knows how hard it is to eat healthy when you are stressed and rushing around during that back to school time. Here is a quick recipe to make preparing a little easier.     Are you feeling in a hurry with all of the

The Worst Drinks in America

Posted on July 29, 2015 by to press

Water is the most vital thing that we put into our bodies. Studies say that your body could survive 3 weeks maximum without food, whereas our bodies can only survive 3 DAYS without water. If this doesn’t prove to you how much you need water, then we don’t know what will. Now imagine if you…
Water is the most vital thing that we put into our bodies. Studies say that your body could survive 3 weeks maximum without food, whereas our bodies can only survive 3 DAYS without water. If this doesn’t prove to you how much you need water, then we don’t know what will. Now imagine if you put 9 teaspoons of sugar in each cup of water that you drink, welcome to the American diet. Some people love water. They carry a water bottle around and make sure they hit their body’s daily requirement of liquids. Other than this group, there is a large population that is not drinking enough water, or water AT ALL during their days. These people assume that they are consuming enough liquids throughout the day that they don’t need water. Or they don’t like water because it’s “boring” or “doesn’t taste good” so they don’t want to drink it. The reason that these water haters exist are because of the other beverages that are available to them in America. In a supermarket there are rows and rows of beverages available to you other than water. This includes the soda pop aisle, the juice aisle, the coffee aisle, and the refrigerated juices/milks/iced beverages. One thing that all of these aisles have in common is that their beverages are packed with sugar. Parents assume that if its juice, it’s healthy for their children, which is not actually the case. In supermarkets especially, the juices that are offered. In Welch’s “100% Grape juice” There are over 9 teaspoons of sugar PER SERVING which is an 8oz glass. It is important to check nutrition labels, especially when it comes to items that you are giving to your children. If children are given such high amounts of sugar when they are young, they are more likely to suffer from obesity or diabetes as they go on in their lives. This includes all food and drinks that are packed with sugar that are marketed straight to children. Lasater G, Piernas C, Popkin BM did a study on beverage patterns and trends among school-aged children in the US from 1989-2008 and found that one soda a day increases a child’s chance of obesity by 60%. Worst Kids Drink (1) The sugar doesn’t stop at children’s drinks, it find itself into plenty of beverages that are meant for teenagers and adults. One main group of culprits are the iced espresso drinks that are sold at coffee shops and marketed towards young adults. Coffee itself has zero sugar and has actually proved itself to be healthy when drank without being over loaded with added sugar and creamers. Blended Frappuccino’s and gourmet iced coffees are among some of the highest sugar loaded beverages out there. There are other options at the coffee shop that you can drink instead of grabbing the largest size of the most sugar filled drink. To avoid being trapped into these sugar loaded drinks, focus on the ingredients you DO know when ordering coffee. Avoid flavored syrups that are packed with 22grams of sugar in nearly every OUNCE. #20- Worst Water (1)   Be careful when buying flavored waters or waters with extra electrolytes, as these products often come with sugar added as well to add flavoring. Not all flavored waters are good for you just because they are water. Try a natural flavor enhancer like lemon or grapefruit essential oils in order to make your water more tasty and not pack on a bunch of sugar. #20- Worst Water    

Along with these three sugar filled drinks, check out the other top five worst drinks that you can get in America.

As you can see, the amount of sugar in these drinks is alarming, especially for the consumer that is trying to lose weight and doesn’t get why it isn’t working. It’s important to make sure that you aren’t trying to get your daily liquids by using sugar filled alternative like store bought juices and coffee drinks. There isn’t anything that can take the place of good old fashion water. If you must drink a sugar filled drink, try to limit it to one eight ounce drink per day. Let OSR Weight Management help you meet your health and weight loss goals by using the Ideal Protein method.  

Resources:

https://www.quitehealthy.com/nutrition-facts/welchs/L439451.html http://fedupmovie.com/#/page/about-the-issue http://www.webstaurantstore.com/documents/nutrition/880362818_nutrition.pdf RECOMMENDED READING   Added Sugar: What the Food Industry isn't telling you Are you at Risk for Weight Related Health Problems? Photos are from menshealth.com