OSR Weight Management

Myths about Obesity in the Workplace

Posted on February 2, 2016 by to press

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…
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 billion annually. Another study measured that while normal-weight employees cost on average $3,838 per year in health are costs, overweight to morbidly obese employees cost between $4,252 and $8,067. Each additional body mass index (BMI) point above normal weight costs $194-$222 per year per employee.  When you add that all up, it’s staggering.   Why do businesses fail to address obesity amongst their employees?  Bruce Y. Lee in Forbes lists 7 myths that deter companies from taking an interest in obesity.  He states: “Why should employers care about obesity…as long as revenues are “fat” and costs are “lean?” Many myths still exist about the growing global obesity epidemic and, like doughnuts, have major holes. These myths, in turn, may be keeping employers from addressing what is becoming a major problem for businesses. “   Read his 7 Myths here: http://www.forbes.com/sites/brucelee/2015/09/01/obesity-is-everyones-business/#63a3fec43fa0

The “Fast Can’t Last” Weight Loss Myth

Posted on February 1, 2016 by to press

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,…
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, according to a new randomized controlled study published in the journal Obesity. The authors found that with the rate of weight loss, fast or slow, has zero effect on whether a person can maintain their loss. It is true however, that we all lose at different rates – some dramatically quick, others more slowly.  Dr. Casazza, in the New England Journal of Medicine, describes the phenomenon perfectly:  “Although it is not clear why some obese persons have a greater initial weight loss than others do, a recommendation to lose weight more slowly might interfere with the ultimate success of weight-loss efforts.” We’d agree based on what we see with our patients in Kailua and Honolulu.  It might be that a quick initial drop in weight is truly healthiest for the body, OR perhaps it motivates dieters to continue their efforts.  Regardless of the reason, keeping weight is clearly NOT about how slow you go, it’s about the method, coaching, and long-term dieter education. This is why OSR Weight Management here in Kailua is offering you just that, contact us today to set up your first appointment! Read more here: http://conscienhealth.org/2016/01/the-fast-cant-last-weight-loss-myth/

Prostate Cancer and Your Weight:  Is There a Connection?

Posted on January 25, 2016 by to press

Prostate cancer has a wide spectrum of behavior in men.  Most prostate tumors are quite small and non-aggressive.  They rarely cause symptoms and often can be found in men incidentally – such as during a workup for another problem, or even on autopsies.  However, metastatic prostate cancer that spreads throughout the body can have a…
Prostate cancer has a wide spectrum of behavior in men.  Most prostate tumors are quite small and non-aggressive.  They rarely cause symptoms and often can be found in men incidentally – such as during a workup for another problem, or even on autopsies.  However, metastatic prostate cancer that spreads throughout the body can have a very aggressive course, infiltrating the bones and other organs, even leading to early death. It’s well established that prostate cancer is more aggressive in men who are obese.  But why that is, has not been clear up until now.  In Nature Communications on January 12, French scientists published research which postulates a possible cellular pathway that could be responsible. The normal prostate gland’s capsule is surrounded by a small amount of fatty tissue which produces a molecule called CCL7.  CCL7 acts as an attractant for tumor cells.  Because the amount of fatty tissue surrounding the prostate is greatly increased in obese patients, much larger amounts of CCL7 were found to be produced, increasing the ability of tumor cells to grow and spread beyond the prostate. As obesity worsens among Hawaii’s men, especially young men, it’s critical to take action as soon as possible, to lower your risk. Read more at: http://www.sciencedaily.com/releases/2016/01/160112125531.htm

My Afternoon at Dream Float Hawaii

Posted on January 25, 2016 by to press

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…
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 a claustrophobic freak-out?  What exactly would happen inside there? My fears were definitely put at ease when I arrived at Dream Float with its serene atmosphere and kind friendly staff.  The entire float process was explained to me carefully.  I wouldn’t be fighting gravity due to a super-concentrated salt solution that fills the tank.  The water is kept at body temperature so you don’t feel cold.  The float tank is dark but there is light in the room, so you can float either with the tank door open – or closed, in total darkness.  The idea, which was explained to me by Geoff the owner, is that when you are not fighting gravity or constantly taking in sensory information, your body can truly relax, and you enter a naturally meditative state.  Geoff also explained that there’s only 10 inches of water in the tank, so you can’t drown in there.  And no matter your weight – you WILL float, he said. I was definitely still a little skeptical, but I went ahead.  I chose to float with the door partially open at first.  I felt totally comfortable after a few minutes, so I did eventually close the door. During my float, the outside world really did disappear – it was quiet and soothing, and I could systematically feel each of my muscle groups starting to release and let go.  I could barely feel where the water began and my skin ended.  I was just breathing and tuning into sensation, without distraction. I was stunned when the gentle music began, signaling that it was time to get our.  My 90 minute float was over.  How did it go by so fast? To sum up, I found float quite transformative.  I felt relaxed, peaceful and with heightened mental clarity the rest of the day.  My chronic neck pain was instantly improved.  Geoff explained that these reactions are heightened the more one floats. How is this relevant to weight and weight loss?  Why am I writing about this here? We all lead busy, stressful lives, and making such a huge behavior change that our protocol requires takes a lot of drive and effort.  It also takes mindfulness – the ability to tune into bodily sensation so we better notice hunger and fullness and where these sensations are coming from (heart? head? somewhere in between?).   When you are working this hard, it’s nice to shut out the rest of the world and give yourself the time to tune in to all that your body is experiencing, and deeply relax.  I’d strongly encourage all our Kailua and Honolulu patients to give this a try.  Geoff has even created a discount code specifically for those who are OSR Weight Management patients.  Email me at dr.anegawa@osrweightmanagement.com for the code, and give this amazing experience a try! Here’s how to contact Dream Float Hawaii for more info: http://www.dreamfloathi.com/

Menopausal?  Metabolic Syndrome is Sneaking Up.

Posted on January 13, 2016 by to press

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…
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 could be at much higher risk of metabolic syndrome (a cluster of conditions that increase the risk of heart disease, stroke, and diabetes).  A study in Korea that followed 1200 perimenopausal women reveals that overweight women had more than 4 times the risk and obese women more than 12 times risk of metabolic syndrome. Women who didn't exercise had a 1.6 times greater risk than exercisers. Overweight women who became postmenopausal during the study had 3 times and obese women 8.5 times greater risk than those with normal body weight. And postmenopausal women who did not exercise had a 1.6 times greater risk than high-level exercisers.  These risks were even higher for women who lacked education or who are at lower income levels.  What are the reasons for this?  It’s likely a combination of factors such as hormonal changes, less muscle mass, and life stressors (such as being part of the ‘sandwich’ of caring for growing teens plus aging parents).  On Oahu with our high housing prices, being part of a ‘sandwich’ is especially common due to high housing costs – so many of us have elders living with us who we care for in our homes. The solution?  We believe it is affordable, intensive education on lifestyle change especially if you are menopausal or perimenopausal.  Even though it does become more challenging to maintain a healthy weight and stave off metabolic syndrome and diabetes, we have the expertise and the dedication to help you make this critical life transformation through menopause as healthy as possible! Read more at: http://www.sciencedaily.com/releases/2015/12/151216081921.htm http://www.mayoclinic.org/diseases-conditions/metabolic-syndrome/basics/definition/con-20027243  

Too Little, and WAY Too Late

Posted on January 13, 2016 by to press

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…
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 or obesity to have one of three tests between the ages of 40-70:  either a fasting plasma glucose, an oral glucose tolerance test, or a hemoglobin A1C test to help detect diabetes earlier. It certainly is good news that the USPSTF feels there are enough studies to recommend broader screening than in the past.  After all, diabetes is a major risk factor for cardiovascular disease, the leading cause of death in the US. So what is the problem?  There are several. First:  based on what types of patients are seen in a typical obesity medicine practice, these recommendations just don’t go far enough to protect the public. Type II DM typically develops slowly and insidiously, and unfortunately by the time it is detected, complications such as eye and kidney disease already are present.  This is especially true with many of the ethnic groups in Hawaii, who are at much higher risk than the general population of the US and at lower BMIs.  That means that high risk ethnicities such as native Hawaiians, Japanese, Chinese, and those from the Philippines are at high risk even when their Body Mass Indices don’t meet the traditional “overweight” cutoff of 25 for screening!  We could be missing thousands and thousands of new cases of diabetes in Hawaii, and not even know it. Then, why is the USPSTF not recommending screening earlier in adulthood, especially in high-risk ethnicities?  The American Academy of Pediatrics does:  they recommend diabetes screening in children and adolescents who are overweight or obese, and have two additional risk factors such as a family history of diabetes, or are of a high risk ethnicity as defined above.  So does the American Diabetes Association. Nearly every patient we see at OSR Weight Management would meet early-screening criteria, and indeed when we test, we find diabetes or prediabetes 99% of the time.  Especially in Hawaii, there are great arguments to recommend screening at lower weights and MUCH earlier in adulthood than the USPSTF recommends. Second:  based on the science of how Type II diabetes develops, the most commonly performed and the cheapest test – the fasting plasma glucose – may miss the mark in many patients.  The reason is because fasting glucose is not generally a problem unless an individual makes no insulin at all (Type I diabetes).  In Type II diabetes, the problem is really in how individuals process the glucose in the blood after they eat.  So the fasting glucose may actually be normally, but the after-meal sugar is generally elevated.  This will only be picked up by either the glucose tolerance test or the Hemoglobin A1c, which are not as commonly performed for screening. Third:  the USPSTF acknowledges that ‘evidence on the optimal rescreening interval is limited’ but then states that ‘rescreening every 3 years may be a reasonable approach.’   Unfortunately, waiting 3 years to re-screen gives diabetes plenty of time to effect major damage on the body and vastly increase the risk of cardiovascular disease. My biggest worry is that the USPSTF’s recommendations are what guide 3rd party payers in reimbursing lab tests ordered by your doctor.  So some of our patients may have to fight to get the costs of such testing covered, even though they are at high risk of morbidity and mortality from this dread disease.  Why so little, so late, USPSTF?    

Would YOU eat THESE?

Posted on January 11, 2016 by to press

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…
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 the obese twin’s microbes gained weight.  The mice that got the lean twin’s mix stayed slim. Were the microbes calling the shots when it came to the animal's’ weight?  Other small studies have yielded similar intriguing results.   But, up until now there hasn’t been a randomized controlled clinical trial, considered the gold standard in determining whether a therapy is actually effective.  So it’s exciting that later this year we’ll have this in the works in Boston! I strongly believe gut flora plays a role in weight in some way (probiotics are highly recommended on our protocol).  If a randomized trial such as the one proposed above demonstrated a true cause and effect, it would pave the way for much more specific and tailored gut microbe treatment for obesity.  And while there may never be a ‘magic bullet’ for weight loss, whatever we can do to tip the scales in favor of dieters’ successes a step in the right direction. Read more at:  http://arstechnica.com/science/2016/01/freeze-dried-poop-pills-being-tested-for-obesity-treatment/

Are You a High-Level Athlete? How Ideal Protein Can Help

Posted on December 30, 2015 by to press

Here at OSR Weight Management (in Kailua AND now Honolulu!), our main focus is on reducing health risk factors by helping our dieters correct abnormal body composition.   You may not know though, that if you are a competitive athlete who is already fit, Ideal Protein can also be a great resource for you.  …
Here at OSR Weight Management (in Kailua AND now Honolulu!), our main focus is on reducing health risk factors by helping our dieters correct abnormal body composition.   You may not know though, that if you are a competitive athlete who is already fit, Ideal Protein can also be a great resource for you.   Tien Tran, MD PhD actually developed the very first Ideal Protein products for the requirements of France’s Olympic weight lifting team nearly 20 years ago.  These athletes wanted clean, highly bioavailable protein sources without excess sugar and carbs.  Seeing how helpful these products were in preserving the fit athlete’s highly tuned body composition, Dr. Tran then started using products with his patients who had insulin resistance and metabolic syndrome (and the rest is history)!   If you are an athlete looking to fine-tune body composition and improve game-time or competition performance, come talk to us.  We understand that becoming a high performance athlete does not happen overnight – to truly be elite, one needs to understand nutrition and self-care, starting with adequate protein in the diet (the building block for all the body’s needs).   You’ll also start with a comprehensive medical and metabolic analysis with individualized goal-setting, and we’ll develop a personalized protocol incorporating a combination of Ideal Protein products and whole foods, to keep you at the top of your game.  Email us at info@osrweightmanagement.com to get set up a complimentary consultation!

The Year of Ideal Protein

Posted on December 30, 2015 by to press

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…

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 diabetes, hypertension, and hyperlipidemia. Of those who reached their goals and phased off through the protocol into maintenance, almost every single one has stayed within 2% of their goal weight. And as a dieter myself who shed 12 pounds (plus a dependence on Lipitor), and maintained this loss for over a year, I’m also not the least bit surprised. It simply works. When you choose to commit to this diet under medical supervision, the results are predictable, repeatable, and measurable. When I decided to start my solo practice focusing on helping those achieve weight loss and improved health, I knew I wanted to incorporate a meal replacement product. Studies show that patients using meal replacements early on lose weight more easily and they keep the weight off better than those eating an isocaloric whole foods diet. I must have tasted hundreds of energy bars, shakes, and other meal replacements from various companies to find a favorite. But it was Ideal Protein that emerged for me as a clear winner. FIRST – Ideal Protein is only available through clinicians’ offices. Medical supervision is mandatory for the program for maximum safety and effectiveness. And there’s nothing ‘cookie cutter’ here – physician's’ autonomy in patient care is in no way undercut. I custom tailor the protocol as I need to for each individual person. SECOND – The products are clean and highly bioavailable adequate (but not high) sources of mostly soy, pea, and whey proteins. THIRD – there is a huge variety of products – over 70 – and they taste amazing. I mean, barbeque crisps? A chocolate coconut bar? (seems made for us here in Hawaii, right?) Hands down, these were the clear winners in taste. And, when my 12 year old kept stealing my stash, that sealed the deal for me. FOURTH – products aside, the coaching structure and protocols are incredibly effective. Education on weight maintenance is stressed from day 1. Dieters are listened to, supported, encouraged, and given the ‘tough love’ when necessary in order to succeed for the long term. It’s no good to lose the weight only to regain, and Ideal Protein Certified coaches are specifically educated to empower dieters with the tools they need to keep a lifelong healthy weight. Remember though: as amazing and wonderful as the Ideal Protein protocol is that we use, it is NOT a vaccine against obesity or a magic bullet. We require a substantial commitment from our dieters: journaling, weekly office visits, and lots of communicating together at all times. We see it every day: dieters who give 100% commitment get 100% of the results. 90% commitment however gives you zero. It’s a lifestyle change, no doubt. But it’s one that will give YOU so much more, for the rest of your life, for less than you might think. Read more at: http://www.dietsinreview.com/diet_column/12/the-25-most-popular-diets-of-2015-ideal-protein-tops-list-while-weight-watchers-and-nutrisystem-take-a-tumble/

“Reversing Diabetes Starts With Ignoring The Guidelines” – Dr. Sarah Hallberg

Posted on December 22, 2015 by to press

This TEDx talk really shakes things up for the New Year! The status quo would have us believe that diabetes is a progressive disease requiring more and more medicine over time. Shouldn’t our goal be instead to cause diabetes remission, meaning patients should need LESS medicine? Our goal at OSR Weight Management is to do…
This TEDx talk really shakes things up for the New Year! The status quo would have us believe that diabetes is a progressive disease requiring more and more medicine over time. Shouldn’t our goal be instead to cause diabetes remission, meaning patients should need LESS medicine? Our goal at OSR Weight Management is to do just this: cause type II diabetes remission, and get rid of medicines wherever possible. By reducing unnecessary carbohydrates in the diet, the secretion of hunger-inducing and fat-storing insulin is reduced. Now low carb is not zero carb, and it is not necessarily high protein. It also doesn’t necessarily mean animal fat – you can even be a vegetarian, and eat low carb. It works, and there are significant metabolic advantages whether you are diabetic or not. As Dr. Hallberg so eloquently states, why do we use expensive medicines to treat problems related to food? We couldn’t agree more. View Dr. Hallberg’s talk here: https://www.youtube.com/watch?v=da1vvigy5tQ