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When Calories Are King

In a world where we are taught that the way to control our weight is to eat less and exercise more, the only thing that matters in our food choices is how many calories they contain. With this method you will see some shocking food comparisons which can make some very healthy food choices seem bad. Such food comparison bits have been on TV a lot lately with the recent release of book called, Eat This, Not That.
Lose Weight with No Hunger

In traditional approaches to dieting, one of the tools that seems to improve weight loss is food journaling, writing down everything you eat. This method works because it helps control the mindless eating that people do — just popping something in your mouth even if you aren’t hungry. In fact, one study found that food journaling every day led to twice as much weight loss among dieters.1
Are You Ready for Bathing Suit Season?

We have only six short weeks left until Memorial Day, the unofficial start of summer — and bathing suit season for most people. If your New Year’s resolution to lose weight hasn’t worked as well as you had hoped, don’t despair. There’s still time to look better at the beach. And I can tell you how to do it.
Several studies comparing different methods of weight loss give the scientific evidence that supports what I’ve been telling you all along: low-carb eating plans are the best way to lose weight.
The first study, published in the Journal of the American Medical Association,1compared the weight-loss results for 311 overweight and obese women who were assigned to follow either the Atkins (very low-carb), Ornish (very low-fat vegetarian), Zone (40% carbs) or LEARN (calorie-controlled, low-fat) diets. Those on the Atkins diet lost 10.3 lb compared to an average of 4.6 lbs in the other groups, and interestingly, far fewer people dropped out on the low-carb diet compared to the other diets.
Study two, from the Journal of the American Dietetic Association2 looked at how a low-carbohydrate/high-protein diet compared with a high-carbohydrate/low-fat diet on ratings of hunger and eating restraint. Both groups ate less, but the low-carb group was significantly less hungry. Not surprisingly, they also lost more weight.
Study three is from the Journal of Clinical Endocrinology & Metabolism.3 This study of 53 obese women compared a very low-carbohydrate diet to a calorie-restricted diet with 30% of the calories as fat. The very low carbohydrate diet group lost almost 16 lb in 3 months, and more of the weight lost was actual body fat compared to a 9-lb weight loss in the calorie- and fat-restricted diet.
There you have it. In all three studies, low-carb diets led to the greatest weight loss. End of story, right?
Falling Off the Diet Bandwagon? Read This

A New York Times article this week confirmed my worst fears – stress is sending Americans to candy stores in droves.1
While at first glance this little headline, “When Economy Sours, Tootsie Rolls Soothe Souls” seems amusing, from my perspective it unwittingly brings up two important issues in healthcare today:
1. The simplistic assertion that to manage our weight, all we have to do is control calories in and calories out.
There are many factors that influence our ability to lose weight and keep it off, and this headline is an example of an important one – stress. Stress from economic crisis is doing what we see over and over again in patients at LMI — reducing serotonin and inducing carbohydrate cravings.
So what’s the harm in eating a little candy if you’re stressed? Nothing if you can stop at “a little,” but if you make that stop at the candy bowl too much of a habit, you can quickly undo weight loss and start to increase health risks.
Stress management is such an important factor for long term weight control, I have made it one of the key components of my approach to weight loss.
Weight Loss Motivation That Really Works

What is it that separates folks who can stay disciplined with their eating and exercise from folks who feel they “blow it” every 4 weeks?
Obesity – Is it Genes or Lifestyle?
Is obesity genetic, or is lifestyle is a bigger factor? Over thousands of years, human genetics haven’t changed much; yet over the past couple of decades there’s been an exponential increase in obesity and its related problems like metabolic syndrome, a group of risk factors that leads to heart disease and diabetes.1 So, even though it may seem that some people are hard wired to be overweight, the sudden increase in obesity indicates that something more than genetics is playing out.
As it turns out, our genetics can be steered toward obesity, but it is guided by something called our epigenetics, certain behavioral or environmental influences that tell our genes what to do. And guess what? Our epigenetics are heavily influenced by our nutritional intake, including what we eat too much of and what we don’t get enough of.
Let me explain. Everybody is born with a unique set of genes, your hardwired DNA. (That’s called our genome.) Your genes lie there and wait to see if they will be turned on or not as directed by tagging systems that sit on top of genes, called the epigenome. Our genes and epigenetics have been compared to a computer and its software.2 Our genes are the hard drive; the epigenetics are the software telling the hard drive what to do.
The Worst Addiction Ever: Part 2: Are You a Food Addict? A 12-Point Checklist
I have created this checklist out of my personal and professional experience with food addiction.
Having a food addiction does not make you bad or worthless. Food addicts are worthwhile persons who have a problem with food.
Can You Really Be Fit When You’re Fat?

Have you noticed over the past several years that people are starting to get comfortable with the idea of carrying around “a few extra pounds?” I see this a lot in my new patients: the thinking that if you can work out “hard” you can be “fat but fit.”
Don’t believe it.
Take a recent conversation I had with one of my patients, who I’ll call Alice. She’s middle-aged. When she came to me she was “a little on the heavy side,” as she put it. I told her she really would have to drop the extra pounds to avoid heart disease and other serious health problems.
The Worst Addiction Ever: Part 1
What is the addiction that is more difficult to manage and overcome than heroin, cocaine, speed or alcohol?
What addiction has a 95% recovery failure rate?
What highly addictive substance appears daily in the lives of every single American?
The Forbidden Secrets of Weight Loss
Would you buy a product that had a 95% failure rate?
Not one of us would buy a car or a computer that was known to fail 95% of the time. So why then do so many of us pay enormous amounts of money and give hours of our time to diets with a 95% failure rate??



