The new math on weight loss: Goodbye 3500 Calorie rule

Posted: Jan 24 in Research, Resource by

For years doctors have been telling their patients to cut out 3500 calories and they will lose 1 pound of fat. By cutting 500 calories daily, one should lose a pound each week. The calculation came from simple thermodynamics: If one burns a pound of fat in a bomb calorimeter, it releases 3500 Kcals. [Read more]

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Don’t Underestimate Sleep in Weight Loss

Posted: Jan 24 in Resource by

Very few people get the 7 hours of sleep required for optimal health. They likely do not understand how sleep deprivation is affecting their health. As health care providers, we have an opportunity to make a significant impact in our patients’ lives without prescribing medications. [Read more]

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Obesity Medication Update

Posted: Jan 24 in Pharmacology by

Anti-obesity medications are FDA approved for patients who have a BMI over 30 and for patients who have a BMI over 27 if they also have a weight related medical condition, like high blood pressure, high cholesterol, type 2 diabetes mellitus or sleep apnea. I also use medication if a patient has obesity based on body fat percentage, which is generally accepted to be >32% for women and >25% for men. [Read more]

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Comparing common diets to those at a medical weight loss center, one year results analyzed

Posted: Jan 24 in Research by

It has been previously shown that 5% weight loss leads to a 50% reduction hypertension and diabetes risk, or 15 pounds for a 200 lb. individual. Long term weight loss is difficult as it leads to compensatory reduction of Leptin, which reduces metabolism and increases appetite at the level of the hypothalamus. Also, weight loss causes an increase in baseline and peak levels of the appetite stimulating hormone ghrelin. These changes persist for at least one year, and likely lifelong. [Read more]

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Metformin Underused in Patients With Prediabetes.

Posted: Jan 24 in Pharmacology, Research by

One of the most common diseases treated in our obese/overweight populations is Diabetes. Why are we hesitant to using Metformin early? Early use of Metformin has been a topic for years with the US Diabetes Prevention Program (DPP) results and the follow-up DPP Outcomes Study (DPPOS). Both of these studies have shown the decrease in the prevalence of diabetes developing with the addition of metformin. Combined with lifestyle modifications, results were even better. [Read more]

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