Archive for Hunger
‘Tune-Up’ can put weight loss back on all cylinders
Posted by: | Comments
Successful weight loss clients, whether they use surgery for leverage or not, identify new habits and a new lifestyle that results in a healthier stable weight and a better ability to live the life that they’ve wanted. Of course, finding the habits that work requires some up-front practice. Even though everyone enjoys healthier living, staying healthy requires maintenance.
Dr. Justin Braverman
Sometimes a person will be doing well and then either hit a plateau or, for some reason, begin to regain weight. If this has happened to you, it’s important to recognize it and then get back on track. The need to get back on track is something everyone experiences now and then in life and to make the process easier we have developed a simple program to assist our clients. The N.E.W. Tune-Up Program is designed specifically to help you get back on track quickly and to regain your success.
This program is short and focused. It is not for people that need to establish a completely new lifestyle from scratch, but instead it helps people who already know what lifestyle they want get back there quickly. The program focuses on maximizing weight loss, permanently.
Through The N.E.W. Tune-Up Program we will help you reset your goals and re-establish the lifestyle patterns you need to maintain permanent success.
The Tune-Up Program is a structured eight-week nutrition and exercise coaching program. It includes an initial comprehensive primary client assessment that consists of an executive medical evaluation, an evaluation of eating patterns and baseline activity level, and a comprehensive nutritional assessment.
It begins with a one-week metabolic re-adjustment followed by a structured nutritional progression over the next three weeks. The meal replacements used for the nutritional progression, the vitamins and all nutritional supplements needed to complete the entire program are included. Regularly scheduled nutrition re-assessment and dietary coaching will help clients develop the eating patterns and choices necessary for weight loss success.
Weekly Lifestyle Management workshops, exercise group meetings, and support group sessions are also provided to help clients develop the necessary tools to maintain permanent weight control. Finally, at the end of the eight-week program a thorough medical re-assessment will be completed.
If you have hit a plateau, or even regained some weight, remember that this happens to almost everyone in our society now and then. Realize that the important thing is to not be too hard on yourself, and consider using our Tune-Up Program to help you get back on track. The first step towards better health and a return to a healthier lifestyle is to recognize that it is something you want. Once you know this, give us a call, we’ll be glad to help.
More than edible, eggs a plus in weight loss
Posted by: | Comments
Most health-conscious people know that breakfast is the most important meal of the day and no other food item represents breakfast than the little, but incredible egg. Starting the day off with eggs will not only get your metabolism burning, it will also give you valuable nutrients to bolster both brain and body.
There are 6 grams of protein in one egg. That’s 12 percent of the total recommended for most adults in one day. Not all forms of protein are equal, but eggs provide the highest quality protein available because they provide all of the essential amino acids our bodies need in a near-perfect pattern.
In a 2005 study, researchers looked at “Short-Term Effect of Eggs on Satiety in Overweight and Obese Subjects.” The results were published in the Journal of the American College of Nutrition and it showed that the high-quality protein in eggs helps you to feel full longer and stay energized, which contributes to maintaining a healthy weight. In fact, the research showed that eggs eaten at the start of the day can reduce daily calorie intake, prevent snacking between meals and keep you satisfied on those busy days when mealtime is delayed.
Check out the next blog entry for a Western Egg White Omelet recipe.
Five healthy eating principles road map to success
Posted by: | Comments
1. Eat Chewable Food—Not “Mush”
Chewing food provides more satisfaction when eating. Also, adequate chewing is important to avoid discomfort after surgery. Eating soft mushy foods that don’t require chewing will decrease your satisfaction after a meal, result in less satiety and limit your post-surgical success. (Mac and Cheese is high-calorie mush)
2. Eat 2-3 meals per day and 2-3 snacks per day. (Eat 5-6 times/day)
Eating regularly during the day will maintain a higher metabolism. Skipping meals will also result in fluctuations of your blood sugar and energy level and may cause cravings and headaches. Always eat breakfast.
3. At least three of the meals should be high protein meals
Remember, “protein first.” Protein causes more satiety than carbohydrates. When eating smaller portions, following a pattern of starting with protein-based foods (meat, fish, eggs, etc…) will also ensure better nutrition.
4. Get adequate hydration, but don’t drink with meals
Drink at least 2 quarts of calorie-free beverage per day, and drink 1 glass (8oz) of water, 30 minutes prior to regular meals. Do not drink during meals. Dehydration will often be mistaken as hunger, resulting in a need to eat more. Drinking a thirst-quenching liquid prior to meals will also eliminate the feeling of a need to drink during the meal. Drinking during a meal will “wash” food through the pouch and leave you hungry.
5. Eat good tasting, flavorful food; chew well and eat slowly
This is very important. There is no rule that patients cannot eat spicy, hot or tangy foods after surgery. You will be eating slowly and chewing for a longer time, and therefore you need to make sure that you have good tasting food that you enjoy. This is an important part of feeling satisfied after a meal. Eat well.
Study looks at treatment options for binge eating
Posted by: | CommentsBinge eating is more than a dieting/nutrition issue. The American Psychiatric Association has proposed that binge-eating disorder be recognized as a mental disorder.
A new study by Kaiser Permanente offers hope for binge eaters — people who frequently eat an unusually large amount of food in a short amount of time and feel their eating is out of control.
Some criteria for the binge-eating diagnosis include:
- Eating an amount of food that is definitely larger than most people would eat in a similar period of time under similar circumstances.
- Bingeing at least once a week for three months; feeling a lack of control during episodes.
- Three or more of the following: eating more rapidly than normal; eating until feeling uncomfortably full; eating large amounts of food when not hungry; eating alone because of being embarrassed about the amount; feeling disgusted, depressed or guilty.
For complete article, see Treating binge eating need not be extensive or expensive.
Mind, body work together to combat binge behavior
Posted by: | Comments
A binge is defined as an uncontrollable behavior indulged to access and it can involve drinking, drug use or eating. Binge-eating is not merely a question of volume; it also involves the lack of control while consuming. This problem may affect many areas of the body, but the root of the issue lies in the brain.
The clinicians at the Mayo Clinic advise that binging may or may not be linked to binge-eating disorder and this could have negative effects on weight-loss attempts and create a dangerous and uncomfortable situation for patients who have had restrictive procedures. Binge-eating disorder is characterized by numerous behavioral and emotional signs and symptoms, such as:
- Eating large amounts of food
- Eating even when you’re full
- Eating rapidly during binge episodes
- Feeling that eating behavior is out of control
- Eating a lot when not hungry
- Depression
- Anxiety
- Frequent dieting, possibly without weight loss
- Frequently eating alone
- Feeling depressed, disgusted or upset about your eating
The N.E.W. Program’s weekly workshop series continues Tuesday when Karla Campbell, registered dietician with The N.E.W. Program, looks at “Recognizing and Avoiding Binging.” Ms. Campbell’s workshop will be presented at 5:30 p.m., Tuesday, April 6 at our Newport Beach location.
Eat more, weigh less: Add planned snacks to routine
Posted by: | Comments
Having healthy snacks in between meals keeps metabolism high and appetite low. It is important to never skip a meal or go on a starvation diet. Eat frequently to prevent hunger and to keep your energy levels consistent which in turn will increase and speed up your metabolism.
The following are some suggestions for healthy snacks/meals:
- Roll asparagus spear in deli meat
- Vegetable and cheese omelet using a reasonable amount of cheese and one whole egg with one additional egg white
- Cottage cheese with added fruit (breakfast) or added salsa or green peas (lunch)
- Roll a pickle in a slice of deli meat
- Deviled eggs with pickles
- Eat the middle out of a taco or burrito
- Grated cheese on refried beans with vegetables and salsa
- Mini chef salad with meat and cheese
- Pickled mushrooms or pearl onions with a dash of soy sauce
- Frozen grapes or other berries
- Shrimp in cocktail sauce
- Celery with low-fat peanut butter
- Slices of tomato with slices of cheese
- Cucumber with tomato
- Cucumber with shrimp and low-fat mayo
- Hard boiled egg dices with a reasonable amount of melted grated cheese
- Freeze Crystal Lite and blend for slush
- Lettuce wrapped around deli meat, cheese and veggies
- String less snap peas, sugar peas or china peas
- Light yogurt
- Beef jerky or turkey jerky
- Slices of deli meat with chunks of cheese eaten plain
- Chili
- Slices of fresh turkey or chicken, divided in snack-size portions, refrigerated to be eaten later
If you have questions about your nutritional needs, the clinicians of The N.E.W. Program can help you design a dietary regimen that works best for you and gets you started on your way to developing your own eating patterns that will leave you with eating satisfaction and permanent weight control.
Nutritional needs vary in weight-loss procedures
Posted by: | Comments
Of the three most-accepted procedures performed worldwide, gastric banding (Lap-Band, Realize Band) has the least overall weight loss, about 50 percent of excess weight, has the most variability in terms of success, but is statistically the safest operation and poses almost no nutritional risk. At The N.E.W. Program, however, we have never had a death from a surgical complication with any primary bariatric surgery. Because of this amazing track record of success, many patients that come to The N.E.W. Program will decide to proceed with the gastric bypass. We generally leave this decision up to our patients, and although we do perform many Gastric Bypass operations, we also have a very successful gastric banding program. In fact, Dr. Brian Quebbemann was one of the original surgeons in the country to be trained in the Lap-Band procedure, was one of the surgeons selected to be involved with the FDA clinical trial for the Lap-Band, and is considered an expert in gastric banding and management of gastric band patients. In fact, his father is a success Lap-Band patient.
The Sleeve Gastrectomy (VSG) results in significantly better weight loss than gastric banding – around 65 percent of excess weight. It has far less variability and carries only a small risk for developing nutritional issues. Although the national average for complications after Sleeve Gastrectomy is not as low as the gastric banding, the Sleeve Gastrectomy is a very safe operation when performed by surgeons who are experts in laparoscopic weight loss surgery and gastric bypass. (A surgeon who performs mostly gastric banding operations, and is not as comfortable with Gastric Bypass, should not perform the Sleeve Gastrectomy.) In the long run, the Sleeve Gastrectomy is a very safe procedure when performed by expert surgeons, has excellent weight loss and has minimal risk of malnutrition.
The Gastric Bypass results in the best average weight loss, around 75 percent of excess weight and is highly consistent. Also, when performed by surgeons who are experts in all aspects of laparoscopic weight loss surgery (like the surgeons at The N.E.W. Program who are not only trained in the Lap-Band procedure, but are experts in all major bariatric operations), the Laparoscopic Gastric Bypass is extremely safe. However, the Gastric Bypass does carry a small risk for developing nutritional deficiencies. Of the nutritional deficiencies that can occur, calcium deficiency is possibly the most important. The N.E.W. Program’s recommended nutritional program for all of its clients, whether involved in the non-surgical or the surgical weight control program, is them to supplement their diet with a multivitamin daily, and a calcium and iron supplement daily. By following this plan, the potential for nutritional deficiencies is significantly reduced.
It’s important to note that the most common form of malnutrition in the world, according to the World Health Organization, is obesity. And, severe obesity is associated with many nutrition problems. As a result, people who come into our clinic for weight loss are always tested for problems with nutrition, and we have found our surgical patients are more likely to possess nutritional deficiencies before surgery, probably as a result of the poor eating patterns. When a patient undergoes surgery for weight loss at The N.E.W. Program, and they attend their follow-up appointments, their risk of having nutritional problems is actually far less than it was prior to coming into our clinic.
