A Review of Complementary and Alternative Therapies for Weight Loss

weightlossScamsRemember these?


Most of our information is obtained from bias sources (infomercials, Dr. Oz, etc. The following is an excerpt from Medscape, which I consider to be a very reliable source for medical news.)
 
Human Chorionic Gonadotropin
 
Studies have disproven the notion that hCG, administered orally or via injection, has any effect on appetite, fat mobilization, or satiety. In addition, it has been associated with serious adverse effects, including ovarian hyperstimulation, hypercoagulability, and multiple pregnancies. However, hCG continues to be promoted on a variety of Websites as a potential solution to obesity. The US Food and Drug Administration has issued warnings to manufacturers and consumers noting that these products are unapproved for use. There is no human evidence supporting the use of hCG for weight management.
 
Green Coffee Beans
 
Green (unroasted) coffee beans have likewise received plenty of attention and are sold as extracts and capsules on multiple Websites. Green coffee beans are reported to provide lower levels of caffeine and higher amounts of chlorogenic acid than do roasted coffee beans. Chlorogenic acid is believed to affect glucose metabolism and to inhibit fat accumulation by altering adipokine levels.
 
Published human studies on green coffee beans are of short duration and poor quality, reporting weight loss of around 1.5-2.5 kg over 1-2 months using extracts at doses ranging from 80-1000 mg of extract daily.[10] Orally, green coffee bean is well tolerated, and adverse effects are those caused by excess caffeine intake, including headache, diuresis, gastric distress, vomiting, insomnia, anxiety, and arrhythmias. Use of green coffee beans concomitantly with other caffeine-containing products, such as cocoa or tea, may increase the risk for caffeine-related adverse effects. High caffeine intake in postmenopausal women has been linked to osteoporosis. There is currently insufficient evidence supporting the use of green coffee beans as a weight-loss product.
 
Green Tea
 
Compared with green coffee beans, more robust evidence, including clinical trials of at least 12 weeks' duration, is available on the effects of green tea for weight loss. A recent Cochrane systematic review examined 8 studies conducted in Japan (1030 patients) and 6 studies conducted in other countries (532 patients). Green tea was provided either as a beverage or as catechins (purified extract from green tea) and compared with placebo. The studies were considered to be of moderate quality.
 
In aggregate, weight loss in obese patients over an average of 12 weeks of daily ingestion was minimal and did not achieve statistical significance. The authors concluded that it was not likely to be clinically important. Adverse effects were mild. However, green tea has been associated with other beneficial, mainly cardiovascular, outcomes because of its antioxidant effects.
 
Açaí Berry
 
Açaí is a palm tree growing in the north of South America; its berry is consumed raw or as a juice. Its antioxidant content is believed to be higher than that of other berries, such as strawberries, blackberries, and blueberries. Because of this, it has been advocated for use in inflammatory conditions and prevention of cardiovascular disease. In food manufacturing, the açaí berry is used as a colorant.
 
Information from Industry
Effective eczema symptom relief
 
Treatment significantly reduced the severity of pruritus (itching) in adult patients with eczema.
 
Açaí berry has been marketed as a weight-loss product in the form of pills, capsules, and juice. A small recent pilot study suggests a benefit for metabolic syndrome. However, there is no clinical evidence supporting its efficacy in weight loss.
 
Raspberry Ketone
 
Raspberry ketone is one of the most expensive flavoring agents in the food industry and is found in low concentration in red raspberry fruits. It is extracted from such sources as peaches, grapes, apples, and rhubarb, which have higher concentrations. There is no dose standardization for raspberry ketone. It has been promoted widely as a weight-loss agent owing to celebrity endorsement.
 
Raspberry ketone has been reported to have antioxidant effects in rats, as well as to promote lipolysis in vivo. It was reported to reduce low-density lipoprotein cholesterol and increase high-density lipoprotein cholesterol in an animal model.  However, antilipemic and antiobesity effects on humans have not been demonstrated in clinical trials.
 
 

Arthritis: Exercise vs surgery

 

arthritExerc



his is an excerpt from the British Medical Journal
 
 
What are the conservative treatment options?
Core conservative treatments for all patients include education and exercise, with weight loss for those who are overweight or obese.
Exercise is essential for all patients, irrespective of disease severity, age, comorbidity, pain severity, or disability. Local muscle strengthening and general aerobic exercise are recommended, whereas aquatic exercise may be better for people with serious mobility and functional limitations or those who cannot exercise on land. Although exercise is beneficial, sports that involve twisting and high impact activities such as running should be avoided. Instead, advise younger active people who develop osteoarthritis after a knee injury to modify their activity and participate in low impact sports such as cycling, rowing, swimming, and deep water running.


What is the role of surgery?
The American Academy of Orthopedic Surgeons recommends that arthroscopic lavage or debridement (or both) and meniscal resection be performed only in patients with mechanical symptoms, such as sudden onset of inability to fully extend the knee or repeated disabling catching or locking. This operation has no demonstrable effect on pain in osteoarthritis of the knee, with the latest studies showing similar benefits to optimized physical therapy and medical treatment.

Please call Kaizen Total Wellness to learn more about our physical therapy and exercise programs for arthritis.
941-556-7788T
 
 

Weight loss surgery linked to colon cancer risk

 

obesity2

 

by Kerry Grens/ April 10, 2013 / Reuters

Obesity is already linked to a higher risk of colon or rectal cancer, but a new study suggests this risk is even greater for obese people who have undergone weight-loss surgery.
Based on a study of more than 77,000 obese patients, Swedish and English researchers found the risk for colorectal cancer among those who have had obesity surgery is double that of the general population.
Though colorectal cancer risk among obese patients who didn't have the surgery was just 26 percent higher than in the general population, researchers said the results should not discourage people from going under the knife.
"These findings should not be used to guide decisions made by patients or doctors at all until the results are confirmed by other studies," said Dr. Jesper Lagergren, the new study's senior author and a professor at both the Karolinska Institute in Stockholm and King's College London.
Each year more than 100,000 people in the U.S. have surgery to treat obesity.
Lagergren and his colleagues point out in their report, published in the Annals of Surgery, that obesity is tied to elevated risks for a number of cancers, including colorectal, breast and prostate.
Whether surgery to lose weight can affect those risks is uncertain.

Read more: http://www.foxnews.com/health/2013/04/10/weight-loss-surgery-tied-to-colon-cancer-risk/#ixzz2SR2RaqbT

NEWS: Insurance covers dietary services available at Kaizen Total Wellness, Lakewood Ranch

ChristinePasquali
Christine Aikman, Certified Dietitian
Kaizen Total Wellness



Kaizen Total Wellness and Harvey S. Mishner MD are please to announce that we can now accept Medicare for nutritional services with our registered dietition, Christine Aikman MS, RD, LD/N. Christine has her Masters Degree in clinical nutrition from the New York Institute of Technology. She has previously worked at both Manatee Memorial Hospital and Sarasota Memorial Hospital. She specializes in diabetes. kidney disease, and weight loss and is experience in gluten free diets.
We are working with other insurance companies but unfortunately both Blue Cross/Blue Shield and United offer no nutritional benefits for their customers (whatever happened to wellness?).
For these patients, we can continue to accept self pay.

Please call our office at either 941-747-2090 or 941-556-7788 to make an appointment.

Obesity, Diabetes, and Heart Disease: THE LOOK AHEAD STUDY

 

LookAheadStudy


Even though losing as little as 5% of your weight can be beneficial, losing 10%-15% was even better in reducing diabetes and heart disease. This is why, in my practice, I emphasize weight loss so much. Believe it or not, losing weight can actually be healthier for you in the long term then taking a lot of prescription medications!
 
 
Clinical Evidence Has Shown That Greater Weight Losses Were Associated With Greater Improvement in Cardiovascular Risk Factors Associated with Diabetes
For overweight and obese patients, the NIH recommends 10% weight loss over the course of 6 months as a goal for clinically meaningful differences in patients’ health. An observational analysis examined the association between the magnitude of weight loss and changes in cardiovascular (CVD) risk factors at 1 year and the odds of meeting predefined criteria for clinical significant improvements in risk factor in individuals with type 2 diabetes.
Significant Improvement in HbA1c (Diabetes)
Significant improvement in HbA1c (P<0.0001) was noted with a 10%-15% weight loss goal. The clinical endpoint evaluated was a 0.05% decrease in HbA1c (odds ratio, 5.44 [95% CI, 4.15-7.13]).

 

Significant Improvement in HbA1c (Diabetes)
Significant improvement in HbA1c (P<0.0001) was noted with a 10%-15% weight loss goal. The clinical endpoint evaluated was a 0.05% decrease in HbA1c (odds ratio, 5.44 [95% CI, 4.15-7.13]).

 

 

 

Significant Improvement in Fasting Glucose
Significant improvement in fasting glucose was noted in patients achieving ≥10% loss in total body weight (P<0.0001). The clinical endpoint evaluated was a 20-mg/dL decrease in glucose (odds ratio, 4.07 [95% CI, 3.09-5.36]).

 

Study Conclusions
The Look AHEAD study confirmed the benefits of modest weight loss in improving cardiovascular risk factors in overweight and obese individuals with type 2 diabetes:
    •    The magnitude of weight loss at 1 year was highly related to the improvements with glycemic control
    •    Patient who lost 10%-15% had great odds of improvement than those who lost 5%-10%


Study Design
The Look AHEAD (Action for Health in Diabetes) study* is a multicenter, randomized clinical trial that examined the long-term effects of lifestyle interventions on cardiovascular morbidity and mortality in 5,145 overweight or obese participants with type 2 diabetes who were randomly assigned to intensive lifestyle intervention (ILI) or to usual care, referred to as diabetes support and education (DSE).

Five obesity theories

 

obesity

 

 

Dr. George Bray (Chief of clinical obesity and metabolism at Pennington Biomedical Research Center): Calories in- calories out. The more you eat-the fatter you get. Government subsidies to farmers for cheap corn and sugar have lead to cheap high calorie food and candy.
 
Gary Taubes (Science journalist): Obesity stems from a dietary overload of carbs (Adkins). More carbs lead to higher blood insulin levels which then increases fat. Protein and fat do not increase insulin levels.
 
Kevin Hall (Senior investigator at the National Institute of Diabetes, Digestive and Kidney Diseases): He wants to know why we are not more obese! He is using computer models to try to figure out whether it is “calorie in-calorie out” or just “carbs”
 
Dr. David Kessler (Former medical school dean and FDA commissioner):He seems to think that the food industry has added so much fat, sugar and salt to food that it has made us addicted to them, which causes overeating.
 
Bruce Blumberg (Biologist at University of California at Irvine): OBESOGENS (chemical additives to foods) interfere with body functions which then lead to obesity. Not necessarily the calories!
 
Let us know what you think.

Weight loss statements from the New England Journal of Medicine (and Kaizen's 2 cents!)

 

weighloss2


(published online January 31, 2013)
 
1. Moderate lifestyle changes can be as effective as weight loss medications. (Easier said than done!)
2. Diets do help people lose weight, but attempting it and doing it are two different things. (Absolutely true)
3. Physical activity can have health benefits even in the absence of weight loss. (I have written about this many times in the past)
4. Providing actual meals or using meal replacements works better than general advice. (This is why we use a registered dietician)
5. Weight loss prescriptions and bariatric surgery can help with long term weight loss. (Qysmia has FDA approval for long term use, but only 305 of insurance companies will pay for it)
6. Small changes in diet/exercise will  not produce long term weight loss. (We don’t know why, but over 85% of people who lose weight will gain it all back no matter what kind of program they are on)
7. Realistic weight loss goals WILL NOT keep people motivated. (I don’t believe this statement-accountability will help keep people motivated. That’s why The Biggest Loser is so effective, until the people no longer have access to that kind of support)
8. Slow weight loss is not as good as rapid weight loss using very low calorie diets. (I don’t know where they got this from, but it is absolutely flawed. We know that fad diets do not work long term unless you plan to live on 500 calories the rest of your life. All rapid weight loss does is give you a quick fix, which is not only not sustainable, but also leads to decrease muscle mass and preservation of fat----“normal weight obesity”)
9. Sexual activity does not burn enough calories to lose weight. (Agreed)
10. Skipping breaking has no bearing on weight loss. (I have to disagree. Eating a nutritious breakfast after not eating for 8-12 hours is very beneficial and sets the tone for the rest of the day)
11. Adding fruits and vegetables do not help weight loss. (Yes a calorie is a calorie but when we recommend adding fruits and veggies, we are assuming that you are not eating chips, candy and soda!)
 
Please call 941-556-7788 to make an appointment with our registered dietician.
KAIZEN TOTAL WELLNESS
LAKEWOOD RANCH, FLORIDA

Unbiased truth about Amberen Claims

 


weightloss


(Excerpt from Prescriber’s Letter FEB 2013)
 
 
  Ads for Amberen (AM-bur-in) will bring up questions about using supplements to treat menopausal symptoms.
   Estrogen is still the most effective treatment.
   But many women turn to natural products due to concerns about estrogen's risks...thrombosis, cancer, etc.
   Amberen is a combo of calcium, magnesium, vitamin E, zinc, ammonium succinate, and other ingredients.
   It's promoted for hot flashes, irritability, weight loss, and more...and costs $100 for 3 months.


 DO NOT  buy into the hype...there's not enough reliable evidence Amberen is effective for these uses.
   For hot flashes, steer women first towards weight loss if needed and avoiding triggers such as caffeine.
   SOME supplements have SOME evidence of benefit.
   Soy contains phytoestrogens that produce a MODEST benefit in some women...probably due to the isoflavone genistein. Advise consuming at least 20 g/day of soy protein or 15 mg/day of genistein.
   Flaxseed used to look promising for hot flashes...but the latest evidence is casting some doubt. If women want to try it, caution about possible diarrhea due to flaxseed's high fiber content.
   Black cohosh is a top seller for menopausal symptoms...but the evidence for a benefit is spotty.
   Plus, there are lingering concerns about liver toxicity with black cohosh based on some cases years ago. If women use it, advise them to report symptoms of liver toxicity...abdominal pain, jaundice, etc.
DO NOT rely on wild yam, dong quai, evening primrose oil, DHEA, or vitamin E...these don't seem to help and some are risky.
 

Certified Dietitian

 

 

Dietitian

 

Christine Pasquali, a Registered Dietitian with the American Dietetic Association has joined the professional staff of Dr. Harvey Mishner’s medical practice and wellness programs.  In addition, Ms. Pasquali is a licensed nutritionist and has a Masters degree in Clinical Nutrition from the New York Institute Of Technology. She has worked in the medical community here since 1995 at Sarasota Memorial and Manatee Memorial hospitals as a clinical dietitian. Christine has also worked as a renal dietitian at a large dialysis center here in Sarasota. Her experience in a variety of health care settings has enabled her to help improve her patients’ quality of life.

Not all dietary and nutritional needs are the "one size fits all" offered in numerous weight loss programs! If your individual needs and/or preferences for help with weight loss, weight control or dietary limitations necessitated by health issues, a one-on-one consultation may be what is right for you.
To schedule an appointment that suits your personal needs call our office..

Kaizen Total Wellness
(941)556-7788

Harvey Mishner, M.D
Office
(941)747-2090

2012's Top 10 Diet Headlines (for better or worse!)

 

 

feedingTubeDiet

An except from Time Magazine article on how we are changing the way we eat for better or worse!

by Alexandra Sifferlin, Dec. 4, 2012, Time Magazine

Please click on link to read more information about each of these headlines:

 

http://pulse.me/s/g8hFn

10. Healthy Restaurant Seal of Approval
  9. The Feeding-Tube Diet
  8. The Best Diet
  7. Big Brother at the Soda Fountain
  6. Organic Doesnt Mean More Nutritious
  5. Salt, Salt Everywhere
  4. Two New Diet Drugs
  3. Are Love Handles Lethal?
  2. Have Pie with Your Eggs
  1. Weight Watchers Works

At Kaizen Total Wellness we offer the services of a nutritionist to help you sort out what works and what doesn't work, the good trends (healthy) from the bad trends (unsafe!)
Call our office for a consultation and make 2013 a year of healthy eating!
(941)556-7788

Bee pollen and weight loss?

 

BeePollen

 

(Natural Medicines Comprehensive Database)
 
 Bee pollen is getting a lot of attention as a treatment for weight loss. Advocates claim that it helps reduce weight by providing the nutrients to stimulant metabolism. But some bee pollen products, Classic Zi Xiu Tang and Ultimate Formula Bee Pollen, have been found to be contaminated with the weight loss drug sibutramine (Meridia). This drug was recently withdrawn from the market due to safety concerns. There is no proof that taking bee pollen supplements alone reduces weight. Remember that weight loss claims that sound too good to be true,

More on Sensa and weight loss

 

weightloss2

Several months ago I wrote about the ineffectiveness of SENSA. It consists of multiple ingredients that are formed into sprinkles that are called “tastants” that you sprinkle on top of your food which would then allow you to lose weight without “dieting, counting calories or sacrifice”.
The company claimed they had clinical studies that proved most people lost 30 pounds while taking it. The only problem is that the studies did not meet FTC guidelines.
To make a long story short, they were fined almost $1,000,000 and told to set up a settlement fund of $9,000,000 after losing a class action suit.
 
To lose weight the RIGHT way, call out KAIZEN professionals and learn about healthy and effective weight loss.
 
KAIZEN TOTAL WELLNESS
LAKEWOOD RANCH, FLORIDA
941-556-7788

DASH Diet, hypertension and the Kaizen Total Wellness Center

DASH 

 

 

Many people have heard about the DASH diet but few actually know what it is.

DASH stands for Dietary Approaches to Stop Hypertension. It emphasizes eating fruits, vegetables and low-fat dairy products. These foods are rich in calcium, potassium and magnesium which may help lower blood pressure.

Notice how this does not mention SALT. Salt is only a minor contributor to high blood pressure in most patients. The problem is that we eat too much of it. Please note that DASH also says nothing about Carbohydrates, but remember how fattening they are.

The sample DASH diet would include:

1.   6 servings of grains (preferably WHOLE GRAINS)

2.   4 servings of veggies

3.   4 servings of fruits

4.   2 servings of low fat or fat free dairy

5.   3-5 ounces of lean meats,poultry or fish

6.   1 tsp. oils (olive oil, please!)

7.   1/2 cup beans, 1/3 cup low salt nuts (avoid honey roasted, please)

8.   limit sweets, like frozen yogurt to 3 times/week.

For more information, and to tailor this to your individual needs, please make an appointment with our certified nutritionist, Patricia.

KAIZEN TOTAL WELLNESS

LAKEWOOD RANCH, FLORIDA  34202

941-556-7788

Why do we have an FDA?

Ever heard of Pai You Guo? Apparently it is a weight loss supplement from China that, even though recalled in the US, continues to be sold here. It contains sibutramine (Meridia), which was the subject of a recent blog and was pulled from the market due to cardiotoxicity. Looks like it has also been linked to cancer.

Published August 16, 2011
MyHealthNewsDaily
A potentially hazardous weight loss supplement that has been recalled in the United States continues to be sold and consumed in significant amounts, a new study suggests.
The study found that women are taking Pai You Guo, a weight loss supplement from China that has been found to contain banned pharmaceutical substances, including a drug linked to cancer.

In 2009, the Food and Drug Administration (FDA) announced a voluntary recall of Pai You Guo and issued alerts about the supplement's potential health risks.
The new study found nearly a quarter of Brazilian-born women surveyed in Boston use Pai You Guo. No one who took the supplement was aware of the recall, and most experienced side effects.
The findings demonstrate a much larger problem — that regulation of dietary supplements in the United States is too lax, said study researcher Dr. Pieter Cohen, an assistant professor of medicine at Harvard Medical School and a general internist at Cambridge Health Alliance.
"Even when the FDA clearly determines that there's a hazardous product," the agency is incapable of effectively removing it from the market, Cohen said.
The doses of banned drugs in the supplements "convinces us that this was no error" on the part of the manufacturer, Cohen said.
Because consumers, standing in a store aisle, can't be sure whether the supplements they buy have been recalled or contain dangerous substances, they should steer clear of them for now, Cohen said.
"I do not believe that it's safe to purchase weight loss supplements in the United States at this time," Cohen said.
Adulterated pills?The FDA regulates dietary supplements, but the agency can only step in after the supplements come to market and recall ones they find to be hazardous. Since 2005, the FDA has identified more the 300 weight loss supplements that contain banned pharmaceuticals.
That's likely only a small fraction of the actual number of adulterated supplements, Cohen said.
Cohen and colleagues surveyed more than 500 women in the Boston area originally from Brazil. Earlier research identified a particularly high use of diet pills among Brazilian-born women.
Twenty-three percent reported using Pai You Guo, in either capsule or pill form. Eighty-five percent reported at least one side effect, including dry mouth, anxiety and insomnia. About 66 percent of users purchased Pai You Guo from acquaintances, 30 percent from stores and 9 percent over the Internet. Most participants bought the supplement after the recall.
People take Pai You Guo thinking they're using a natural weight loss remedy. "Instead, they're consuming banned pharmaceutical product," Cohen said.
Pai You Guo has been found to contain sibutramine, a weight loss drug that was recalled in 2010 due concerns it might increase the risk of heart attack and stroke. Some capsules and teas containing Pai You Guo have been found to contain doses of sibutramine six times higher than the doses found in prescription pills, Cohen said, and the substance is not even listed on the product label.
This problem likely extends beyond the Boston area, Cohen said. Pai You Guo has been reportedly sold in California, Florida and Washington state. "We're talking about a national problem," Cohen said.
Others say the problem is likely not common in the general population. It is likely confined to certain pockets of the population, said Dr. Bimal Ashar, an associate professor of medicine at John Hopkins School of Medicine in Baltimore.
Rotten tomatoes?Congress should re-write the rules that govern dietary supplements, Cohen said. The FDA should be given the authority to approve dietary supplements before they go to market, Cohen said, and should ensure the drugs are safe and really contain what's on the label, he said.
Right now, "supplements are regulated by the FDA as if they are food," Cohen said. But unlike, say, a spoiled tomato, "the consumers has absolutely no ability when they're popping a pill to know if it's spoiled or rotten or not," Cohen said.
Ashar agreed regulation of weight loss supplements should be enhanced. And the FDA, he said, should increase awareness about the way these products are regulated.
"I don't think the public really knows that this stuff is not regulated," before it comes to market, Ashar said. "They think ok, this is in a bottle…it must be pure, it must be fine to take."
"There needs to be a very, very highly publicized campaign about dietary supplement," in which the FDA says what it can do and will do to regulate these substances, Ashar said. However, even if better regulations are put in place, it may be tough to prevent the sale of these weight loss supplements if most are acquired through acquaintances, Ashar said. The FDA would not have the resources to track down such sales the way law enforcement tracks down the sales of narcotics, making it practically impossible, Ashar said.

Bacteria and obesity

 

Researchers at the University of Maryland (Go Terps!), have discovered a potential connection between 26 different species of bacteria in the human gut and obesity. These bacteria have also been linked to diabetes, high blood pressure and high cholesterol. Question #1 is: What caused what first? Bacteria then obesity, OR obesity altering bacteria?
More research is obviously needed, but wouldn’t it be interesting (question #2) if we could cure obesity with antibiotics. (If you are laughing, please remember the entire medical community once thought bacteria that caused stomach ulcers was a joke. If you have had an ulcer in the last 20 years, you know that we use antibiotics routinely for ulcers!)

Power Plate for weight loss

 

Click on the picture above to for a video demonstration of a Power Plate
workout for weight loss.

 

 

 

 

US OBESITY PROJECTIONS

 

39 states' obesity rates to pass 50 percent

By 2030, medical costs from treating obesity-related diseases are likely to increase by $48 billion, to $66 billion per year
 
Published September 18, 2012
Associated Press
 

 
SUMMARY

Listed are 2011 obesity levels followed by the Trust for America's Health projections for 2030:
Mississippi, 35 percent, 67 percent
Oklahoma, 31 percent, 66 percent
Delaware, 29 percent, 65 percent
Tennessee, 29 percent, 63 percent
South Carolina, 31 percent, 63 percent
Alabama, 32 percent, 63 percent
Kansas, 30 percent, 62 percent
Louisiana, 33 percent, 62 percent
Missouri, 30 percent, 62 percent
Arkansas, 31 percent, 61 percent
South Dakota, 28 percent, 60 percent
West Virginia, 32 percent, 60 percent
Kentucky, 30 percent, 60 percent
Ohio, 30 percent, 60 percent
Michigan, 31 percent, 59 percent
Arizona, 25 percent, 59 percent
Maryland, 28 percent, 59 percent

Florida, 27 percent, 59 percent

North Carolina, 29 percent, 58 percent
New Hampshire, 26 percent, 58 percent
Texas, 30 percent, 57 percent
North Dakota, 28 percent, 57 percent
Nebraska, 28 percent, 57 percent
Pennsylvania, 29 percent, 57 percent
Wyoming, 25 percent, 57 percent
Wisconsin, 28 percent, 56 percent
Indiana, 31 percent, 56 percent
Washington, 27 percent, 56 percent
Maine, 28 percent, 55 percent
Minnesota, 26 percent, 55 percent
Iowa, 29 percent, 54 percent
New Mexico, 26 percent, 54 percent
Rhode Island, 25 percent, 54 percent
Illinois, 27 percent, 54 percent
Georgia, 28 percent, 54 percent
Montana, 25 percent, 54 percent
Idaho, 27 percent, 53 percent
Hawaii, 22 percent, 52 percent
New York, 25 percent, 51 percent
Virginia, 29 percent, 50 percent
Nevada, 25 percent, 50 percent
Oregon, 27 percent, 49 percent
Massachusetts, 23 percent, 49 percent
New Jersey, 24 percent, 49 percent
Vermont, 25 percent, 48 percent
California, 24 percent, 47 percent
Connecticut, 25 percent, 47 percent
Utah, 24 percent, 46 percent
Alaska, 27 percent, 46 percent
Colorado, 21 percent, 45 percent
District of Columbia, 24 percent, 33 percent

This is why we added wellness programs to our practice. To learn more, please call 941-556-7788 or 941-747-2090
HARVEY S MISHNER MD
LAKEWOOD RANCH, FLORIDA

 

Want to lose weight? Learn how to read a food label!

Journal Agricultural Economics
 
People -- particularly women -- who read food labels while they grocery shop are thinner than people who don't, a new study finds. Women who checked nutritional labels weighed what amounted to nearly 9 pounds less than those who didn't. Nutrition labels tell consumers how many calories are contained in a food portion, as well as levels of sodium, fats, sugars, protein, dietary fiber and key vitamins and minerals.
The study found big differences between the people who read food labels and those who did not. People who live in cities were the most careful about reading food labels. People with high school and college educations also paid more attention to nutritional labels. Fifty-eight percent of men took the time to read labels, compared with 74 percent of women.
 
It can be very difficult trying to read and understand food labels. At KAIZEN TOTAL WELLNESS, when you meet with our nutritionists, this is one of the things we teach our patients.

Kaizen Total Wellness
941-556-7788

Weight loss: pounds vs. inches

Many of our patients get discouraged when the scale does not show a lot of rapid weight loss. Our recommendations suggest losing weight slowly over long periods of time in order to develop healthy lifestyle changes.
Most fad or gimmick diets that lead to rapid weight loss basically are achieved by water loss and muscle loss (not to mention up to 97% failure rate in keeping the weight off!). Our goal, at KAIZEN TOTAL WELLNESS is to teach you how to make muscle and burn fat. This does not occur rapidly. We also encourage our patients to drink plenty of fluids (there goes the diuretic effect!)
 
In order to achieve both weight loss and a flatter belly, one has to include strength training and make sure enough protein (and fat) is included in the diet. Building muscle will not only burn fat but burn more calories.
Since muscle weighs more than fat, some people will NOT see changes on the bathroom scale even though they continue to lose inches.
 
To learn more about healthy weight loss, make an appointment with our nutritionist and call for a free demo with our fitness trainers.
 
KAIZEN TOTAL WELLNESS
941-556-7788

 

Kaizen Total Wellness • 11505 Palmbrush Trail Suite 220 • Lakewood Ranch, FL 34202 • 941.556.7788 

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