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Tag Archive: weight loss

FDA Removes HCG Diet Products from Market for Weight Loss

To long time readers this came as no surprise.  The use of HCG for weight loss has probably been studied more than nearly any other weight loss fad or diet, and the evidence that it does not work is overwhelming.  See my prior post:

HCG Diet:  Nothing New– One More Fad Diet That Doesn’t Work published on this health blog on May 8, 2010.

Today the FDA released an announcement that it has sent warning letters to seven makers of HCG products to companies marketing these non-prescription products stating that they are both unproven and not safe.  I believe that they are not only not proven to  be effective, but that there is considerable evidence that they are not effective.  All the recommended diets using HCG are combined with severe calorie restriction, and this low calorie diet, usually 500 calories daily, can be associated with gall stone formation, cardiac arrhythmias, and are simply not safe.

Unfortunately there are no magic tricks for losing weight.  Eating less, exercising more, and doing these things for long periods of time are the best approach.  It is clear that we simply do not understand everything about weight control.  It is a very complex and incompletely understood dilemma, but one thing is clear.  The HCG diet simply does not work and I’m glad to see the FDA wielding its clout to get it off the market.

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Is Intuitive Eating Right for You?

What is intuitive eating? Intuitive eating also is known as normal eating, diet survival, non-dieting, and the no-diet approach. It is structured around the belief that people need to trust themselves enough to believe that they will eat what and how much food they need. Very few people are able to handle a traditional diet as a temporary or flexible plan, and they, instead, become embroiled in an endless cycle of dieting, bingeing, and guilt.

Intuitive eating teaches you to listen to your inner signals of hunger and fullness, and to respond accordingly. The plan does not mean that you should eat whatever you want, whenever your stomach starts to growl. You still must pay attention to proper nutrition. However, people are encouraged to not deny themselves. So, if you want ice cream, and nothing else will do, go ahead and have ½ cup. Savor every bite and eat it slowly. The point is to stop telling yourself that you “cannot” or “should not” eat certain foods. Moderation not Deprivation!

Food habituation research has proven that the more times a person is exposed to food, the less appealing it becomes over time. This is why people on traditional weight-loss diets find themselves obsessing with what they cannot have. For instance, some people do not allow sweets into their house, because they feel that they cannot trust themselves to have control. When these people are confronted with sweets in a social setting, they are likely to find themselves eating more than they want, because they are not sure when they will have the chance to eat sweets again.

What’s wrong with traditional weight-loss diets? A review of the scientific literature on diets proves two things. First, diets do generally lead to weight loss. An average of 5%−10% of body weight is lost in most clinical trials. Second, the weight loss is not maintained. The question is not whether or not the weight is regained, but how long it will take for this to happen following completion of a weight-loss plan.

Furthermore, these diets teach people to ignore their natural hunger cues and to look at food as the enemy. Frighteningly enough, weight cycling seems to lead to overall higher rates of mortality. Links are hypothesized between weight cycling and myocardial infarction, stroke, diabetes, hypertension, and suppressed immune function.

What are the benefits of intuitive eating? A study conducted at Brigham Young University showed that 24 female students following the intuitive eating plan had reduced body mass index (BMI), lowered triglyceride levels, increased high-density lipoprotein (HDL) levels, and reduced overall risk for cardiovascular disease. In addition, the plan leads to better body image and a diet with a higher nutritional quality, which has multiple health benefits.

Who is a candidate for this approach? Intuitive eating is a wise-eating approach for all people. However, it originally was designed for “chronic” dieters. It is especially useful for people with „perfectionistic‟ tendencies, addictive personalities, a strong-learned connection between love and food, distorted body images, and for people who are no longer reliable judges of when they are and are not hungry.

How should I get started? Consulting a nutritionist is a great way.  In my consultations we will start by observing when you are eating. Are you eating in social situations as a way of keeping busy? Are you eating at the movie theater, simply because it is a tradition for you? Are you eating as a way to expel nervous tension or to deal with boredom? These are all signs that you are not eating intuitively.

Pay attention to your hunger level. Rate your hunger on a scale of 1−10 every time that you eat. If the number is low, try to figure out why you are eating. Understand that one “not so healthy‟ meal or one “not so nutritious” day will not have any long-term effects on your health or weight. Nutrition is progressive, and your health is built on a pattern of lifestyle choices. You are not a “good” or “bad” person because of what or how you eat, and “good” or “bad” foods do not exist.

What about exercise? Exercise is strongly encouraged. It leads to a better understanding of the mind-body connection. Do not concentrate on how many calories you are burning on those digital displays at the gym. Instead, focus on how good it feels to move your body and how the food that you ate is fueling your activity.

 

You can find Brooke by calling 253-227-8284 or at NutritionAuthority.com  Most insurance is accepted!

Editorial Comment from Dr. Pullen:  This is a lot like the way people eat in cultures where the diseases of the first world are much less common.  Eat when you are hungry, eat lots of vegetables, and get lots of day to day exercise through activities that you do naturally.   Nice post Brooke!

Brooke Douglas on Portion Control

Brooke Douglas

Portion control is one of my problems. Most foods seem like Lay’s potato chips to me, I can’t have just one. Brooke has suggestions.

PORTION CONTROL: Don’t Go Overboard!

No one wants to gain 10# at the end of one year?  But in order for the weight to ‘creep’ on, all you have to do is eat 100 extra calories per day.  If you want to lose 20# at the end of one year?  Then eat 200 less calories daily.  Healthful living involves nutrition education not just on WHAT you eat, you must also become more aware of HOW MUCH you eat!

The next time you pour yourself a bowl of cereal, STOP before you pour the milk on.  Get out a measuring cup and see how much your ‘typical pour’ is?  Is it ¾ cup or is it 2½ cups?  Most cereals call for about a cup – about the size of a tennis ball.  For meat, you want about 3 oz/meal – about the size of a deck of cards.  Portion size makes a big difference when you are adding up the calories per serving.  Especially when you discover that you are eating 4 or 5 servings … according to the label.

We all eat in food ruts. We eat the same foods every week to ten days. So take the time, (just once or twice) to check the true quantity you are eating.  Then do the math! It’s a great idea to write down what you eat in any given day in order to figure out how many calories you are eating.  Can you shave 100 calories from each meal by eating a smaller portion?  If you saved 300 calories a day you could lower your blood sugar, blood pressure, cholesterol levels and lose 30# in just one year without too much effort! 

 Here are some tips:

 Use smaller plates and cups

  • Read Nutrition Facts Labels
  • Order small or a la carte
  • Beware of big baked goods
  • Share large entrees
  • Don’t eat out of the bag
  • Don’t eat in front of the TV
  • Eat before you go out

 The difference between a smaller portion and a super-sized portion could be much more than you realize.  For example:

                                                             Large                                      Small

French fries                                         570                                          250

Burger                                                 730                                          260

Soda                                                    310                                          150

Cookie                                                 470                                          110

Ice cream                                             560                                          230

  Totals                                                  2,640                                       1,000

 Awareness is key!  Becoming more aware of common portion sizes is a good idea, especially if you have never paid attention in the past to how much you are really eating!

 Brooke Douglas, RD

www.nutritionauthority.com

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How to Prevent Diabetes

By many estimates as many as 40 million Americans, or one in 5 of us has pre-diabetes.  Many of these people will develop diabetes.  The obvious question is how can we delay or prevent the development of diabetes in this vast group.  The good news is we know how to accomplish this. 

Even modest weight loss leads to improved heart health


Many may say “Duh?” when told that losing a bit of weight improves your cardiovascular health.  It seems intuitive, but it is not something that has a lot of good data to prove.  Here is an article about a recent study from Washington University in St. Louis that shows that modest weight loss in obese patients leads to improved heart and blood vessel function, even when the weight loss is fairly modest.  Improvements in both heart pumping function and carotid artery wall thickness.   (see full article)  This is good news.  Get fit and lose those pounds!