Are You Drinking Enough Water?

Water is used for everything! Our planet is 71% water. Your body is 50%-70% water, your brain and heart are composed of 73% water, and lungs are about 83% water. Skin contains 64% water, muscles and kidneys are 79%, and even our bones have around 31% H2O! Water is truly one of the most important…

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End of Summer Recipes for IP

IP Phase 1 Basil Pesto This Basil Pesto recipe is wonderful when tossed with zucchini noodles. You can easily prepare this ahead of time; add to any dish and/or use on the IP rotini with mixed veggies! Ph1 Basil Pesto: Yields 2 cups Ingredients 3 cups fresh basil leaves 1 cup fresh parsley sprig 4 garlic…

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Dining Out on IP

Just because you’re on a diet doesn’t mean you have to give up your social life. Stay engaged with friends and colleagues and yes, go out to dinner. Now, that doesn’t grant permission to stray, but it does present you with the challenge of ordering something that works with Ideal Protein. It is possible to…

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Summer Recipes for IP Dieters

Asparagus Guacamole Looking for a healthy, good tasting salsa or guacamole replacement? Look no further. Try this with the BBQ ridges or the salt & vinegar ridges. It is also a great meat and vegetable dip. Would be wonderful with marinated, chicken or beef skewers. Delightful, with a zing. 12 spears cooked asparagus chopped 1…

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Dieter Tips from an IP Health Coach

Experiment to keep things interesting! Change things up a bit and get creative with your meals.  Go online and look up low carb recipes, purchase Janeva’s cookbook, take old favorites and add new spices…mix things up so you don’t get bored and give up.  Vegetables can be fun to experiment with too, if you usually…

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Turkey Chili for Phase 1 Dieters

Ingredients: 1 pound lean ground turkey breast, approximately 93% lean 1 yellow onion, diced (phase 4 only) (substitute dried minced onion for phase 1 and 2) 1 teaspoon rubbed sage 1 teaspoon paprika 1/4 teaspoon crushed red pepper flakes 1/2 teaspoon black pepper 4 cups chopped bell peppers 1 (14.5 ounce) can diced tomatoes, (no…

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Easter Day Tips

If you’re like us you have a brunch or get together coming up this month. You probably have an Easter Egg Hunt or Easter Baskets to prepare and chocolate, Peeps and Jelly Bellies are EVERYWHERE! If you are nervous about how to stay on track with Ideal Protein and avoid these temptations, below are some…

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New & Improved IP Products: This month!

Non-Restricted Chocolatey Soy Puffs are now available! An upgrade of a favorite, the new formula for our filling, protein-dense Chocolatey Soy Puffs makes them not only more delicious but non-restricted too! Clients and patients can now enjoy this chocolatey delight as part of a meal or as a tasty snack and in a new, more convenient…

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What is Oahu Spine & Rehab?

As OSR Weight Management is an affiliate of Oahu Spine and Rehab, we wanted to give you a little introduction to what it is that OSR does. OSR is an integrated health center that offers a multidisciplinary care system for patients that are treating chronic pain. At Oahu Spine & Rehab they combine physical medicine, chiropractic care,…

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Sugar & Obesity: The Bitter Truth

by: Dr. Anegawa Original article here! America has a sweet tooth- and it’s causing a lot more harm to our health than just cavities. According to the U.S Department of Agriculture (USDA), The United States is the world’s largest consumer of sweeteners, including high-fructose corn syrup. Since the 1970’s, Americans have been steadily eating more…

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Heart Health Awareness Month

By: Kelli Wilson The perfect gift this Valentine’s Day is the gift of heart health. Along with Valentine’s Day, February marks American Heart Month, a great time to make a commit to a healthy lifestyle and to make changes that can lead to a lifetime of heart health. Heart disease is the leading cause of…

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Breast Cancer Awareness Month

By: Dr. Linda Anegawa October is Breast Cancer Awareness Month, a global campaign to increase awareness of the disease. Adult women of all ages are encouraged to perform breast self-exams at least once a month, according to the National Breast Cancer Foundation. There are several environmental and lifestyle risk factors that could potentially influence the…

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Halloween Tips

By: Kelli Wilson Fill 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…

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“Is this OK on Phase 1?”

By: Dr. Anegawa Besides what’s on the Phase 1 sheet, dieters often wonder about the ‘extras’ – sugar-substitute products that may seem OK to incorporate.  There are sugar-free gums, drink additives, diet sodas, and of course those Walden Farms salad dressings.  Why shouldn’t we be able to add these in?   Overall, these products are…

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The Importance of Journaling

You can’t change what you can’t measure! According to various research, people who keep food journals are more likely to be successful in losing weight and keeping it off. There are several benefits of journaling, including: Creating accountability Tracking progress Identifying patterns or triggers (ie: overeating at night, emotional eating) Increasing awareness of what you…

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Lessons from “The Biggest Loser” – Our Take

By. Dr. Linda Anegawa It seems everyone is talking about the article published this week in the New York Times, about the long-term outcomes of some of the most successful dieters in “The Biggest Loser” (hereafter referred to as “TBL”) reality TV series.   This research, published in the journal Obesity, looked at long-term outcomes of…

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Dieting With Your SO: Should You Do It?

One of the most difficult parts of doing a diet can revolve around your relationship with your Significant Other. If you’re living together, but you’re the only one dieting, it can be a nightmare – especially if much of your couple’s time together revolved around food-related activities like dining out.   Here at OSR Weight…

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Got Knee Pain?  Noninvasive Treatment Almost Always Best

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…

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Curing Type II Diabetes: Is it possible?

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…

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Fitness Kailua

Can Morning Exercises Benefit You More?

Everyone has a different time of day that they prefer to work out. Some people enjoy a gym session or quick jog before bed, others like to get up early and get their workout finished before their day even starts. Could a switch up in your routine make a difference? Researchers at Bangor University in…

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Can’t Sleep? Use these Tips!

Getting enough sleep affects every part of your body including your metabolism, your gut health, your stress level, and your happiness. It’s safe to say that it’s pretty important for you to get enough sleep. For adults, you should be getting 7-8 hours of sleep each night to remain fully rested. Do you have a…

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Mindful Eating Explained

What is mindful eating? How often have you sat down for a meal and then before you realize it, the food on your plate is gone, and you don’t even remember what it tasted like? Too often, I’m sure. There are so many wonderful things about food including taste and texture and HEALTH. These things…

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Magnesium: A Mineral that Matters

By: Dr. Linda Anegawa You may know magnesium as a mineral that is important for the function of all our muscles:  low magnesium levels may cause painful cramps in our arms and legs, particularly after we’ve done very intense exercise.  Magnesium is also critical for the function of our heart muscle, and when our levels…

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Can Clutter Lead to Obesity

Can living in a cluttered environment lead to obesity? A study from Environment and Behavior led to the conclusion that people that are in a cluttered kitchen will eat almost three times more cookies than people in an orderly kitchen. The study found that the more chaotic the environment, the more likely you are to…

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Sleep Deprivation Leading to Obesity in Keiki

Inadequate sleep in keiki increases food responsiveness and overeating behaviors.  This may be an important mechanism driving childhood obesity, according to findings published in the International Journal of Obesity. Sleep deprivation in adults had already been linked to obesity, but no such studies existed for kids.  Now, McDonald and colleagues conducted a study of children…

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Makapu’u Lighthouse Hike

Address: Ka Iwi State Scenic Shoreline Kalanianaole Hwy Honolulu, HI 96825 Suggestions: Great for kids & strollers Wear Sunscreen Visit on a weekday to avoid heavy traffic Visit earlier in the day Keep an eye out for dolphins and whales depending on the season Bring a signed lock to add to the fence at the…

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Pillboxes Hike

Suggestions: Wear closed toe shoes. (This hike can be done in slippers, but it’s easier in real shoes!) Wear sunscreen if you’re going any time after sunrise Visit on a weekday instead of a weekend to avoid heavy traffic The pillboxes hike is a great choice if you’re looking to get a short workout, with…

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Lulumahu Falls

Lulumahu Falls

  Lulumahu Falls Guide by OSR Weight Management Suggestions: Wear shoes you don’t care about/water shoes. Your shoes will get muddy and most likely wet, as you cross the water 3-4 times. Same with clothes. Wear a swimsuit under your hiking clothes, the water is deep enough and the waterfall is worth standing under! If…

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Myths about Obesity in the Workplace

Myths about Obesity in the Workplace

By: Dr. Linda Anegawa Many employers view Hawaii’s obesity problem as entirely separate from their businesses.  This is a risky proposition, as problems related to weight and weight-related illnesses can in fact be quite harmful to a company’s growth.   A study by researchers at Duke University tabulated that obesity-related absenteeism and presenteeism cost U.S. employers $73…

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The “Fast Can’t Last” Weight Loss Myth

It’s one of the most deeply entrenched and persistent myths about weight loss.  It’s even on the CDC website: “People who lose weight gradually and steadily (about 1-2 pounds per week) are more successful at keeping weight off.” Turns out that it is truly a myth that doesn’t hold up at all to scientific scrutiny,…

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My Afternoon at Dream Float Hawaii

I was lucky to get a wonderful gift recently, good for a 90 minute float tank experience at Dream Float Hawaii. I admit, at first I thought it might be a little weird.  Floating in darkness? Wouldn’t I sink if I’m not actively moving my arms and legs?  Would I get bored, or worse, have…

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Menopausal?  Metabolic Syndrome is Sneaking Up.

Are you approaching menopause (or already there)? Congratulations – you’ve accumulated a wealth of wisdom, experiences, and have no doubt blessed the lives of your ohana and many others around you through your young adulthood. Watch out though – if you don’t follow lifestyle measures like staying at a healthy weight and exercising regularly, you…

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Too Little, and WAY Too Late

By: Dr. Linda Anegawa The Annals of Internal Medicine just published new guidelines from the US Preventive Services Task Force (USPSTF) that recommend broader screening for type II diabetes among those who are overweight. This should be good news, right?  Let’s take a look at the latest recommendations. The USPSTF now advises adults with overweight…

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Would YOU eat THESE?

Study Underway to test freeze dried poop-pills for weight loss. Several years ago, researchers took the gut microbes from a set of twins – one who was lean, and one who was obese, and transplanted them into two sets of gut-microbe-free mice.  Even though all the mice at the same foods, the ones who got…

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The Year of Ideal Protein

2015 was The Year of Ideal Protein was the year of Ideal Protein. This is according to website Dietsinreview.com. As an obesity medicine physician who has been prescribing custom-tailored diets using Ideal Protein, I’m not the least bit surprised. My patients have lost over 2200 pounds since April of 2015, and lost countless medications for…

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Could Bite-Counting Aid in Weight Loss?

Hate counting calories and/or carbs?  Have you tried counting your BITES of food?   This is only a small study of 61 individuals, but based on the results, bite-counting in the absence of any other effort to diet may result in modest weight loss at one month (3.5 pounds in the bite-counting group compared to the…

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Obesity and Sudden Cardiac Death in Women

We’ve believed that the dangers of overweight and obesity were highest in midlife and beyond.  A new study of young adult women now suggests that early-adulthood obesity may increase the risk of sudden cardiac death.   A re-analysis of data from the well-known Nurse’s Health Study showed that women who were overweight or obese at the beginning…

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More Evidence that BMI Does Not Tell the Whole Story

The Annals of Internal Medicine’s latest edition calls attention to a high-risk segment of the population:  those individuals with a normal BMI but with a high body fat percentage. Normal BMI?  How could that be possible?  Most clinicians tell our patients that they are doing great with their normal BMIs.  But just how at risk are these patients, really?…

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Obesity Rates Still on the Rise

What plateau?  A preliminary peek at the latest data from the CDC:  in 2011-2012, the overall rate of obesity among US adults was 35%, a number that seemed to be holding steady from 2003-2004.  However, for 2013-2014, that overall obesity rate is now 38%. What are we doing wrong?  We’ve finally got obesity recognized as a treatable…

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How Weight Affects Arthritis

How does your weight affect your osteoarthritis, degenerative joint disease of the spine, rheumatoid arthritis, fibromyalgia, lupus, or gout? Besides just sheer pressure (for every extra pound of weight we carry, our knees feel an extra 4 pounds of force), there’s another layer here. Why does excess weight worsen arthritis of the hand and wrist?  We…

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Holiday Eating Strategies

  Aloha to our Dieters and Maintenance-phase Graduates! Time to talk strategy for getting through the holidays!   There are a couple different approaches to holiday eating: THE IRON WILL APPROACH Some of you are recent grads and some are only weeks from graduating to maintenance. Some of you will choose the “Iron Will” approach,…

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Ideal Protein Re-Boot

*for when you hit a plateau* *NO RESTRICTED ITEMS NO OCCASIONAL VEGGIES* Breakfast: packet, as usual Lunch: packet, veggies, and salad Dinner: 2 packets, veggies and salad No meat protein Snack: packet, as usual Stick to soups, “jello”, juices, and pudding packets You can make an omelet with 1 whole eff and 3 egg whites…

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FDA Recommends Cap on Americans’ Sugar Consumption

Finally. Obesity medicine experts and public advocacy groups, have been nudging the FDA for years to change their lifestyle and to help kick the sugar habits.  A high-sugar diet is likely to cause harmful metabolic effects separate from weight gain:  it likely promotes chronic inflammation, high blood pressure, and insulin resistance which can lead to outright diabetes…

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National Obesity Care Week

35+ healthcare organizations team up to tackle obesity By Chelsea Lacey-Mabe It seems everyday popular culture provides some kind of reminder to eat healthier, exercise more and ultimately lose a few pounds. But what about the people who need to lose 30 or even 50 pounds -the people who may have already been diagnosed with obesity?…

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Water Assisting with Weight Loss

Conventional wisdom advises drinking plenty of water, especially during a weight-loss program.  Now, there’s new evidence to support this recommendation. By drinking water throughout the day, you can avoid “bored eating” as well as all of the great benefits that come along with being hydrated! Water is essential in life and also in weight loss. A recent randomized…

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Sleep Apnea Dangers for Women

If Hypertension is a ‘silent killer,’ sleep apnea is easily another less-discussed one.  Sleep apnea occurs when there are pauses or breaks in a person’s breathing during sleep, preventing air from entering the lungs and forcing the person to wake briefly to start breathing again, before falling back to sleep.  This interruption in breathing can…

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Weight-Related Gestational Diabetes Slows Infants’ Brain Responses

Hawaii’s ethnically-diverse women are at high risk for the development of diabetes in pregnancy.  Known as gestational diabetes, or GDM, this weight-related condition puts women at higher long-term risk of developing diabetes and all its related complications including heart attack, stroke, and kidney disease.  GDM also increases the health risk for babies including a higher…

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safe supplements

Using Supplements More Safely

Consumers spend $32 billion a year on over-the-counter supplements which claim to treat a myriad of symptoms, including excess weight. Regardless of whether they work, the first thing anyone needs to know is whether a supplement is safe, or whether it can cause harm.  This is not always an easy question to answer because there is little regulation of…

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Is Obesity a Brain Disease-

Is Obesity a Brain Disease?

You may have never imagined that what we eat can literally change our brains!  New research published this week raises questions about whether obesity is a truly metabolic vs. a neurologic phenomenon, or a little bit of both. Animal research done at Vanderbilt University this week headed by Dr. Aurelio Galli reveals a mechanism for…

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Water Pills: Exposed

What are legit medical reasons to take water pills? Water pills as a general class are among the most commonly prescribed medications.  Known in medical terms as diuretics, they are often used for patients with hypertension (to help reduce blood pressure), heart failure (to help prevent fluid buildup in the lungs and elsewhere in the…

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Halloween Candy: A Treat or a Trick?

Fall is fast approaching, and when many of us think of this season of cooler temps and falling leaves, we think Halloween.  Some of your kids are probably already dreaming of their costumes, Halloween parties, trick-or-treating in Kailua – AND all the candy. Don’t let these little treats trick your body this Halloween season! What…

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Obesity Rates

The 2014 obesity rate statistics in the USA have just been released, and the news is not good. Data released via the Centers for Disease Control and Prevention’s annual Behavioral Risk Factor Surveillance System show that nearly half of all states have a morbid obesity rate of 30% or more.   Obesity is defined as a body…

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Weight and Gut Microbiome

A hot topic in Kailua and the news concerns the role of our intestinal bacteria in maintaining optimal weight and health.  “Take a probiotic!” is becoming a popular refrain.  Is it really that simple though?  How much probiotic?  What kind?  Lactobacccilus? Acidophilus?  Bifidobacterium?  Saccharomyces?  Faecalibacterium? How should these be dosed, and when?   It’s all…

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Take A Different Kind of Break

We often associate ‘taking a break’ with a chance to chill, put our feet up, or sit in front of the TV.  A just-published study in the journal Obesity shows that an entirely different type of break can have significant health benefits:  this is, a break in the time we spend being sedentary.     …

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Beat Oahu’s Heat Wave – Try Mall Walking

Many of us enjoy going to Ala Moana Center or to the Kahala Mall to shop, browse the bookstores, and to meet friends for coffee.  But are we overlooking them as fitness destinations as well?   The CDC has now officially recommended mall-walking as a highly effective form of physical exercise.  Brisk walking of 150 minutes…

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Marijuana and Diabetes? What’s the Connection?

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…

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Mushrooms for Weight Loss

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…

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Ketogenic Diet Q&As

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…

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Childhood Obesity Awareness Month

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…

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“Smart Desks” For Your Health

  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…

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Back to School Recipe

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

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…

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Will my cholesterol med give me diabetes?

“Statin” drugs like atorvastatin, simvastatin, and lovastatin are associated with significant reduction in risk for cardiovascular disease in a vast body of medical research.  This is true for both patients who have never had a heart attack or stroke, and for those who have. What is less clear about these medications is how they affect…

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Is “social jetlag” influencing your weight?

You may have heard that lack of sleep can contribute to unhealthy weight gain. More studies are now linking our habit of sleeping against our chronological clocks as being another major factor – and possibly being just as critical as sleeping too little.   This sleeping against our bodies’ natural rhythm is referred to as…

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Ideal Me – Journey to Weight Loss

All of my adult life I have struggled with my weight. I have tried everything short of gastric bypass.  Most successfully I did South Beach Diet teamed with exercise and lost a significant amount of weight.  I went from 204 lbs on a 5’4” frame to 137 lbs.  I slowly gained it back even though I…

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Taking Control of Your Diabetes

Are you or a loved one affected by diabetes, prediabetes, gestational diabetes, or the metabolic syndrome?  Come join Dr. Anegawa on April 25, 2015, where she will join a distinguished lineup of speakers at the nationally-renowned “Taking Control of Your Diabetes” conference. Held this year at the Hawaiʻi Convention Center, the conference will address all…

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Pregnancy and Excess Weight Dangers

OB/Gyn Dr. Claire Putnam relays her concerns about obesity and pregnancy for both moms and babies.  Besides preeclampsia (extreme high blood pressure in pregnancy) and gestational diabetes, the rate of stillborn births are much higher among women with obesity. Whatʻs even worse is that many doctors are still not comfortable addressing these dangers with patients:…

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The “D” blues and your weight

Patients with obesity have a higher rate of Vitamin D deficiency than the general population. One major reason is that Vitamin D is fat-soluable, so for the overweight, more of your D is locked up in fat cells and less is readily available in the bloodstream. Vitamin D deficiency has been linked to many problems…

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Sugar cravings? Get moving!

Earlier studies have shown that exercise can reduce hunger and cravings in normal weight people. New research shows that the same may hold true for the overweight. 47 people who identified themself as sugary snack eaters were broken into two groups (one walker group, and one control group) after being deprived of sugar for 3…

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What is an Obesity Medicine Physician?

Dr. Anegawa has been certified by the American Board of Obesity Medicine (ABOM) as an ABOM Diplomate. ABOM Diplomates are specialists in obesity medicine who undergo rigorous training and an extensive examination process to achieve this designation. This designation represents the highest level of achievement in the medical specialty of obesity medicine. The American Board…

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Prediabetes: Could you be at risk?

One in 3 US adults – that’s around 86 million people – are estimated to have prediabetes.   Why is this so important?  It is estimated that 15-30% of prediabetics will develop diabetes within 5 years!  Once you have diabetes, you have increased risk of heart disease, stroke, eye problems, and kidney failure.  But fortunately, weight…

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