Posts categorized "Diets" Feed

Recommended Carbohydrate Levels After Gastric Bypass

Via Bariatric Times -

Btlogo1a

After you read this study, let's discuss:  

  • Did your nutritionist give YOU guidance in regards to carbohydrate intake after your roux en y gastric bypass surgery?
  • Background: Exact carbohydrate levels needed for the bariatric patient population have not yet been defined. The aim of this study was to correlate carbohydrate intake to percent excess weight loss for the bariatric patient population based on a cross-sectional study. The author also aimed to review the related literature.
  • Materials and Methods: A cross-sectional study was conducted, along with a review of the literature, about patients who underwent Roux-en-Y gastric bypass at least 1 year previously. Patients had their percentage of excess weight loss calculated and energy intake was examined based on data collected with a four-day food recall. Patients were divided into two groups: 1) patients who consumed 130g/day or more of carbohydrates and 2) patients who consumed less than 130g/day of carbohydrates. 
  • Limitations: The literature review was limited to papers published since 1993. 
  • Results: Patients who consumed 130g/day or more of carbohydrates presented a lower percent excess weight loss than the other group (p= 0.038). In the review of the literature, the author found that six months after surgery patients can ingest about 850kcal/day of carbohydrates, 30 percent being ingested as lipids. A protein diet with at least 60g/day is needed. On this basis, patients should consume about 90g/day of carbohydrates. After the first postoperative year, energy intake is about 1,300kcal/day and protein consumption should be increased. We can, therefore, establish nearly 130g/day of carbohydrates (40% of their energy intake) 
  • Conclusions: Based on these studies, the author recommends that 90g/day is adequate for patients who are six months post Roux-en-Y gastric bypass and less than 130g/day is adequate for patients who are one year or more post surgery. 
  • The author concludes that maintaining carbohydrate consumption to moderate quantities and adequate protein intake seems to be fundamental to ensure the benefits from bariatric surgery.

Faria_table6_march13

http://bariatrictimes.com/recommended-levels-of-carbohydrate-after-bariatric-surgery/


What does 2000 calories look like!?

I might be slightly disturbed by this, and it is blatantly obvious why I was 320 lbs, and even more clear How Easy It Is To Regain Weight After Bariatric Surgery.

Just a few calories a day - it adds up so damned fast.

My before-WLS diet would easily dwarf this 2000-calorie business.  

Related articles


Sugary drinks linked to 180,000 deaths worldwide - Sugar is a toxin?

Well, yeah?  Listen to the entire video before judging please.  

Domino-Sugar-Granulated-5-lb-bag

"What if you're NOT an athlete?" <-- like most of us?  Sugar is NOT okay, builds up, and causing obesity.

Gatorade


Lipozene - TO THE RESCUE! NO.

Lipozene sounds like a pharmaceutical drug doesn't it?

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8 weeks = 3.66 lbs weight loss in a study. "Wow."

LIPOZENE!  (What sounds like a...) HARDCORE FAT BURNER TO THE RESCUE!

It's NOT.

But, the commercials, websites and marketing might make you think so.

It is a fiber - glucomannan -

http://en.wikipedia.org/wiki/Lipozene

A health advisory was released by Health Canada stating the following: "natural health products containing the ingredient glucomannan in tablet, capsule or powder form, which are currently on the Canadian market, have a potential for harm if taken without at least 8 ounces of water or other fluid. The risk to Canadians includes choking and/or blockage of the throat, esophagus or intestine, according to international adverse reaction case reports. It is also important to note that these products should NOT be taken immediately before going to bed."[10] The health advisory was issued after authorization of some products containing glucomannan for the purposes of appetite reduction, weight management, treatment of constipation and management of high cholesterol levels

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"Lipozene is made from the Konjac root, most commonly known as >Glucomannan. This water-soluble fiber expands and acts as a dietary fiber gel in your stomach that helps you feel full, so you eat less and as a result, reach your weight loss goals quicker.

 This water-soluble fiber has been cultivated as a weight loss aid in Japan for generations. In fact, there are even studies that connect its main ingredient Glucomannan with alleviating constipation, reducing cholesterol and regulating blood sugar.

 Lipozene is natural and does not contain any stimulants. There are no known harmful side effects when used as directed.

 Lipozene is not a pharmaceutical drug and is available without a prescription.

You should not be taking this "dietary fiber gel" that "expands" inside your stomach if you have had bariatric surgery.

Stop it and talk to your physician.

 


Salt, Sugar, Fat - Michael Moss

From a Pulitzer Prize–winning investigative reporter at The New York Times comes the explosive story of the rise of the processed food industry and its link to the emerging obesity epidemic. Michael Moss reveals how companies use salt, sugar, and fat to addict us and, more important, how we can fight back.

Continue reading "Salt, Sugar, Fat - Michael Moss" »


Study - Caffeine Consumption And Mortality -- WAIT, what?!

A large study of nearly half a million older adults followed for about 12 years showed --

As coffee drinking increased, the risk of death decreased.

Coffee-cup-01
I'm going to live forever.

Sorry.

MNT -

Study author Neal Freedman, PhD, MPH, National Cancer Institute, discusses the significance of these findings and the potential links between coffee drinking, caffeine consumption, and various specific causes of disease in an interview in Journal of Caffeine Research, a peer-reviewed journal from Mary Ann Liebert, Inc., publishers. The article is available on the Journal of Caffeine Research website. 

"Epidemiology of Caffeine Consumption and Association of Coffee Drinking with Total and Cause-specific Mortality" presents an in-depth interview exploring the many factors that could contribute to the association between coffee, disease, and mortality. 

Dr. Freedman examines the relationship between coffee drinking and behaviors such as smoking and alcohol abuse, the physiological effects of caffeine on blood pressure and cardiac function, and the importance of differentiating between the effects of coffee and caffeine. 

"Given the near-universal daily consumption of caffeine, Dr. Freedman's research underscores the urgent need for randomized controlled trials to identify which components of coffee and other caffeine beverages benefit or harm consumers, under what circumstances, and in relation to which health outcomes," says Jack E. James, PhD, Editor-in-Chief of Journal of Caffeine Research.


Panera Bread Hidden Menu - Or - This is how to get a MM to GO to Panera Bread?

I was just fumbling through my morning routine of empty dishwasher, make coffee, listen to morning radio.  I heard this story on NPR about Secret Menus and I stopped and thought, "Well, there's today's blog entry."

BECAUSE LOOK WHAT PANERA DID AND I WOULD HAVE NEVER KNOWN CAUSE IT WAS A BIG OLE SECRET!

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Screen Shot 2013-02-21 at 7.43.10 AM

Panera (Bread, which I avoid... because it is a BREAD. STORE. CLOAKED. AS. A. SIT. DOWN. RESTAURANT.) now offers on the sly, teh foods that I can enjoy, and that many of you can also enjoy, but we have to play the secret game to get them.

NPR -

One thing you won't see on Panera Bread's secret menu? Bread.

As Scott Davis, who oversees menus for Panera Bread, explains, "This is probably the most extreme anti-kind of Panera diet you can have, right? It doesn't include bread and flour and that sort of stuff."

Davis says that the company had been missing out on a whole group of diners: diabetics and people who were cutting carbs or avoiding gluten. This menu lets the company tap into that growing health-conscious market.

"If someone never considered Panera before because the name 'bread' is in it ... this is a way of opening that door," says Davis.

So at its 1,800 stores around the country, Panera trained its employees to either pull out the secret menu card or scan a code that'll put the menu on a customer's mobile device.

But only if someone asks for it.

Here's my rant about this -- It's A Schtick, It's A Marketing Ploy -- to get foot traffic into the restaurants to "find all the foods" that are on the "hidden" but not-so-hidden-because-we-promoted-them-on-our-website-menus.  

 

The restaurant also desires that while you are there, you will add-on a purchase of a simple-carb from the bakery-porn-case of scones, souffles, muffins, cookies, bagels, or loaves of bread?

Shortbread cookies are my nememis.  Thank you for noticing.  Let's see if I can get through there without looking.  > - <


Hapi Fork - Vibrate your obesity away!

HAPIfok

Introducing the positivity-enhanced HAPIfork!  It is an electronic fork that monitors your personal eating style and habits and gives you cues as to when you are eating too fast.  The HAPIform will alert you with lights and vibrations when you are shoveling food into your piehole.
I have a better idea.  Add moar amps.  Give your Happy A Charge!
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Electricity travels through conductors - any material which allows electrical flow - as it tries to reach the ground. Because people make excellent conductors, minor electrocution is a common household hazard. Fortunately it is usually more surprising than dangerous and does not require medical attention. However, some basic precautions should be taken to insure that the shock does not interfere with the body's normal electrical impulses including the functions of the brain and the heart. Prolonged exposure to a direct source of electricity can also cause severe burns to the skin and the tissue.
It would work faster than a $100.00 vibrating fork.
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Hungry Girl's 2013 Supermarket List

ShoppingListGraphicJan25Hungry Girl just sent out her semi-annual grocery shopping list, and it's huge and not half-bad!  In fact, it looks a lot like my shopping cart, times fifty?  

I loooooove products, I like lists, I dig single ingredients not mashed together, and until you add things like Cool Whip -- we're good.

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Download all four pages of the list like I did -- Download HG Supermarket List  2013 and take a gander for yourself.



So maybe being pear-shaped is not such a good thing?

Pear
We have heard for years that being pear-shaped was preferable to other body-shapes, that carrying excess body-fat in the hips, thighs, legs and rear was 'healthier' than the belly.  That 'pears' were a preferable body-shape to have than 'apples.'  This is not necessarily so.
Chicago Tribune - via Journal of Clinical Endocrinology

If you're pear-shaped and smug, a new study's findings may take you down a peg: For those at slightly increased risk of developing diabetes, fat stored in the buttocks pumps out abnormal levels of two proteins associated with inflammation and insulin resistance. (And that's not good.)

The new research casts some doubt on an emerging conventional wisdom: that when it comes to cardiovascular and diabetes risk, those of us who carry some excess fat in our hips, thighs and bottoms ("pear-shaped" people) are in far better shape than those who carry most of their excess weight around the middle ("apples").

The new study was posted online this week in the Journal of Clinical Endocrinology and Metabolism, and it focuses on a number of proteins, with names such as chemerin, resistin, visfatin and omentin-1, that could one day be used to distinguish between obese people headed for medical trouble and those whose obesity is less immediately dangerous.

The subjects in the study were all people with "nascent" metabolic syndrome — meaning patients who already have at least three risk factors for developing diabetes (large waist circumference, high blood pressure, high triglcerides, low HDL, or "good" cholesterol, and high fasting blood sugar) but no cardiovascular disease or diabetes complications yet.

The researchers found these subjects' "gluteal adipose tissue" — fat in and around the buttocks — pumped out unusually high levels of chemerin, a protein that has been linked to high blood pressure, elevated levels of C-reactive protein, triglycerides and insulin resistance, and low levels of good cholesterol. The blood and subcutaneous fat drawn from gluteal tissue also contained unusually low levels of omentin-1, a protein that, when low, is linked to high triglycerides, high circulating glucose levels and low levels of good cholesterol.

"Fat in the abdomen has long been considered the most detrimental to health, and gluteal fat was thought to protect against diabetes, heart disease and metabolic syndrome," said Ishwarlal Jialal, a professor of pathology and laboratory medicine and of internal medicine at UC Davis and lead author of the study. "But our research helps to dispel the myth that gluteal fat is innocent," he added.


Ceelo Green signs with eDiets to lose weight

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CeeLo.  Really?  No, really?  You eat flash-frozen diet-delivery food?  Mr. Lo, you sir, are a multi-millionaire with access to personal chefs and high-end kitchens with additional access to likely The Best Healthcare in the World.  I call bullshit.
"You can change. You can change for the better. You can be a better version of yourself. I choose eDiets because it works."
No, you just ripped off Weight Watchers slogan.  This isn't about eating frozen food. 

Coca-Cola + OBESITY + Bad PR.

Oh Coca-Cola!  Is this an admission of guilt?  Finally, you understand?  You get that drinking pure liquid diabetes leads our children to instant weight gain?

KO 20 oz

^ This twenty ounce bottle of typical Coke has more sugar than a typical person requires in a day.  

Please note that I am a bit sugar-shocked and twitchy just reading the label since I can't handle more than 10-15 grams of sugar at any given time due to my altered (superhero status...) roux en y digestion and reactive hypoglycemia.  If you gave a this blogger a Coke?

...She'd Have A Seizure, Slip Into A Hypoglycemic Coma, And You Could Pay The Ambulance Bill?

Screen Shot 2013-01-15 at 8.05.52 AMIronically, the cause of my potential demise would also be the cure as the Coke could be poured into my facehole to fix my problem.

"Her blood sugar is 20?  GIVE HER A COCA COLA!  STAT!"

Twitch.  Twitch.  Twitch.

But, I digress.  

I haven't had a regular-sugar soda, or "tonic" as we up heah in Beantown call it -- in at least ten years.  Before that maybe a can here and there but oddly, this formerly 320 lb girl is a Diet Coke-head.  

Twitch.

Right.  I never took to the real "sugared" stuff.  Many of my long term weight-loss surgery peers would say that their drink of choice was actually the super high-caffeine sugar Mountain Dew -- that is before much of them found coffee drinks.  I was ALWAYS a "Diet" soda drinker, regardless of the FOOD I would eat alongside the drink.

Coca-Cola is finally opening up the discussion - but sort of not really blaming everyone else -  

WAIT - they say - It's not OUR FAULT -  you just ATE too much.

Remember COKE LOVES YOU.  

We love everyone!  Everyone hug, smile, get together, have a COKE AND SMILE!  GET HAPPY!  PEACE!  SMILE! HUGS AND KISSES!  PAY NO ATTENTION TO THE FAT KIDS HAVING BARIATRIC SURGERY!  Because EVERYTHING is GREAT when WE COME TOGETHER FOR GOOD.  Good is good enough.  We don't HAVE TO BE PERFECT.  

COKE LOVES YOU JUST THE WAY YOU ARE.

I think I need a new college major.  Advertising hurts my heart.

Coca-Cola to tackle obesity for 1st time in TV ads

Coca-Cola became one of the world's most powerful brands by equating its soft drinks with happiness. Now it's taking to the airwaves for the first time to address a growing cloud over the industry: obesity.

The Atlanta-based company on Monday will begin airing a two-minute spot during the highest-rated shows on CNN, Fox News and MSNBC in hopes of flexing its marketing muscle in the debate over sodas and their impact on public health. The ad lays out Coca-Cola's record of providing drinks with fewer calories and notes that weight gain is the result of consuming too many calories of any kind — not just soda.

For Coca-Cola, the world's No. 1 beverage company, the ads reflect the mounting pressures on the broader industry. Later this year, New York City is set to enact a first-in-the-nation cap on the size of soft drinks sold at restaurants, movie theaters and sports arenas. The mayor of Cambridge, Mass., has already introduced a similar measure, saying she was inspired by New York's move.

Even when PepsiCo Inc., the No. 2 soda maker, recently signed a wide-ranging endorsement deal with pop singer Beyonce, critics called for her to drop the contract or donate the funds to health initiatives.

New research in the past year also suggests that sugary drinks cause people to pack on the pounds independent of other behavior. A decades-long study involving more than 33,000 Americans, for example, suggested that drinking sugary beverages interacts with genes that affect weight and enhances a person's risk of obesity beyond what it would be from heredity alone.

Michael Jacobson, executive director for the Center for Science in the Public Interest, was skeptical about Coca-Cola's ads and said the company would stop fighting soda taxes if it was serious about helping reduce obesity.

"It looks like a page out of damage control 101," he said. "They're trying to disarm the public."

The group has been critical of the soft drink industry and last year released a video parodying Coke's famous polar bears becoming plagued with diabetes and other health problems.

Coca-Cola said its ads aren't a reaction to negative public sentiment. Instead, the idea is to raise awareness about its lower-calorie drinks and plans for the coming months, said Stuart Kronauge, general manager of sparkling beverages for Coca-Cola North America.

"There's an important conversation going on about obesity out there, and we want to be a part of the conversation," she said.

In the ad, a narrator notes that obesity "concerns all of us" but that people can make a difference when they "come together." The spot was produced by the ad agencies Brighthouse and Citizen2 and is intended to tout Coca-Cola's corporate responsibility to cable news viewers.

Another ad, which will run later this week during "American Idol" and before the Super Bowl, is much more reminiscent of the catchy, upbeat advertising people have come to expect from Coca-Cola. It features a montage of activities that add up to burning off the "140 happy calories" in a can of Coke: walking a dog, dancing, sharing a laugh with friends and doing a victory dance after bowling a strike.

The 30-second ad, a version of which ran in Brazil last month, is intended to address confusion about the number of calories in soda, said Diana Garza Ciarlante, a spokeswoman for Coca-Cola Co. She said the company's consumer research showed people mistakenly thought there were as many as 900 calories in a can of soda.

The company declined to say how much it was spending on the commercials, which it started putting together last summer. It also declined to give details on its plans for the year ahead. But among the options under consideration is putting the amount of activity needed to burn off the calories in a drink on cans and bottles.

The company noted that it already puts calorie counts on the front of its cans and bottles. Last year, it also started posting calorie information on its vending machines ahead of a regulation that will require soda companies to do so by 2014.

Coca-Cola's changing business reflects the public concern over the calories in soda. In North America, all the growth in its soda unit over the past 15 years has come from low- and no-calorie drinks, such as Coke Zero. Diet sodas now account for nearly a third of its sales in the U.S. and Canada. Other beverages such as sports drinks and bottled water are also fueling growth.

Even with the growing popularity of diet sodas, however, overall soda consumption in the U.S. has declined steadily since 1998, according to the industry tracker Beverage Digest.

John Sicher, the publisher of Beverage Digest, noted that the industry "put its head in the sand" when obesity and soft drinks first started becoming an issue more than a decade ago. Now, he said Coca-Cola is looking to position itself in the public debate rather than being defined by adversaries.

 


People Magazine - Half Their Size - No Surgery! No Gimmicks - A Rant from a Bariatric Patient.

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I watched ABC's 20/20 on Friday night as I typically do, and I was half-inspired, refreshed to push forward in my own journey as I continue to press on nearing nine years post gastric bypass surgery and ever so slightly PISSED OFF.  Why?  Read that cover again.  "No SURGERY - No GIMMICKS!"

People Magazine does this every year, much to the chagrin to every surgically altered bariatric patient in the blog-o-sphere.  ABC.  People Magazine.  The show and the magazine, both -- FULL OF GIMMICKS, and quite possibly more than one surgery.  "No SURGERY - No GIMMICKS!"

 Except when they're touting Beachbody, "lost the weight Atkins" AND a gastric bypass?    
Why is it celebrated to Lose Weight With Diet Plans like "Beachbody, Visalus and Atkins"   (All three were referred to in the program to at one point in the program ... were they sponsors?  Hello, RUBY GETTINGER IS HAWKING the 90-DAY VISALUS CHALLENGE?!?!) but life-saving bariatric
surgery or weight loss surgery --- is shunned in the same category?  Diets fail.  That's why they are so lucrative!  You go ON a diet so that you can fail a diet so that you can get on a diet so that you can fail a diet so you can go on a diet.  This is how people become morbidly obese and meet bariatric surgeons.
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(Image from Roni's Weigh)

I get it.  Diet companies pay to be on the show and in the magazine.
 
However, those living with morbid obesity also need to see the opportunity for success, and showing them the success of those who have succeeded with bariatric surgery is not something to be ashamed of.  Clearly SHAME made the woman in the article hide.

It's time to stop calling weight loss surgery a quick-fix, a gimmick or a cheat and give it the respect and attention it deserves.  The individuals who most benefit from having a bariatric procedure can be exposed to it's benefits instead of a constant barrage of useless diet advertisements.
WLS is the ONLY "diet" that has allowed myself, my husband, my mother in law and my sister in law  to live within normal weight ranges for the last 7-9 years.  What say you about your diet?

Dieting can lead to food withdrawal and depression

I hate it when people abuse poor, poor mice.

Fat mouse
Dieting can lead to food withdrawal and depression

Over a six-week period, the team of experts fed one group of mice a low-fat diet, while feeding a second group of mice a high-fat diet, so that they could analyze how the different foods impacted the behavior of the animals.

Eleven percent of the calories in the low-fat diet consisted of fat, and 58% in the high-fat diet. This caused the high-fat group an 11% increase in their waist size, but they were not yet considered obese.

Fulton and her team then examined the association between rewarding mice with food and their behavioral and emotional outcomes by using a variety of methods that have been scientifically proven. The brains of the animals were also analyzed so that the experts could observe any changes that had occurred.

The researchers found that the high-fat group showed signs of anxiety, for example, they tried to avoid areas that were open. According to the authors, the animals' experiences physically changed their brains

Dopamine was one of the molecules in the brain that was observed. It allows the brain to reward people with good feelings, which in turn, motivates individuals to acquire particular behaviors.

Dopamine is a chemical which works the same in humans as it does in mice and other animals. CREB is a molecule which regulates the activation of genes that play a part in the functioning of human brains, including the ones that cause dopamine to be produced. It also contributes to the forming of memories.

Study -  Adaptations in brain reward circuitry underlie palatable food cravings and anxiety induced by high-fat diet withdrawal


How much water should I drink? #adultdiapersarehawt

How much water should I drink?  

Aren't we all supposed to have eight glasses of water a day?  

Or is it one ounce per pound of body weight?  HELP!  

I see water challenges on social media sites constantly -- I never know what their purpose was for -- considering they look a lot like this:  "EVERYONE STOP WHAT YOU ARE DOING AND TAKE A DRINK OF WATER ---------- GOOD --------- NOW PEE!"  

I never caught on.  

Stupidwater

Huffington Post -

How much water am I meant to drink? Is it really eight cups a day?

The notion that we must all drink eight cups of water per day to improve our health is an old one, but it isn't exactly accurate. Although the suggestion dates back to at least the 1940s, the latest to carry the mantel are, unsurprisingly, bottled water companies.

Writing in the medical journal BMJ, Glasgow doctor Margaret McCartney pointed out that much of the current recommendations come from events sponsored by Danonewhich owns bottled water lines Evian, Volvic and Badoit.

The "8x8 advice" may also endure because, cost aside, it's harmless. And being over-hydrated sure beats dehydration, which can cause headaches, light-headedness, fatigue and other, more serious complaints. Water is essential for proper digestion, kidney function and brain function and is required by every cell of the body. But that doesn't mean we need to sip on it all day.

There may be another reason we've stuck with an inaccurate eight cups -- and that answer isn't nearly so straight forward: the right amount of water to drink is the amount that quenches your thirst.

"When you think about the way that the body handles water, you pee it out. The body regulates water very carefully and doesn't allow it to accumulate. Extra water is immediately excreted," says Dr. Stanley Goldfarb, a professor of medicine at University of Pennsylvania and an expert on fluid management.

What's more, our bodies tell us when we require water -- that's what the thirst mechanism does. Thirst doesn't mean you've reached a dire level of dehydration either. Explains Goldfarb: "When you get thirsty, the deficit of water in your body is trivial -- it's a very sensitive gauge. It might be only a one percent reduction in your overall water. And it just requires drinking some fluid."

Or food: about 20 percent of the fluid we receive each day comes from water-heavy foods like fruits and vegetables.

There is, however, one exception: for those who suffer from kidney stones -- masses of crystals that form in the urine and pass painfully through the urethra -- staying overly hydrated is very beneficial, as it dilutes the concentration of material that forms into the clumps.

The typical U.S. adult downs about four cups a day, which is shy of the Institute of Medicine's recommendation to drink about three liters of fluid for men and 2.2 liters for women. But others disagree with this assessment -- if that's the amount of water a person naturally drinks in response to thirst, that's fine. But there is no benefit to forcing extra water.

Just to reiterate, we're talking exclusively about over-hydration. Beware dehydrating factors like exercise, salty foods and hot weather, and be sure to replace the fluid you've lost. A surefire way to tell if you've replaced your water sufficiently? It's all in your urine. If you're producing pale yellow pee, you've reached a hydrated status.

You can keep drinking, but why?

 


Stress triggers eating problems - WHATSTRESS?!?!??!?!?!?

Shocked Comic Face
Huffington Post - 

While the holidays typically come with a great deal of celebration and joy, they can also bring up feelings of loss, regret or depression. And that's the problem: no matter the emotional response, an emotional eater will often turn back to food.

"Many people use eating as a way to cope with difficult emotions, not only bad ones, but also happiness, excitement and celebration, for example," says Alexis Cona, a clinical psychologist in private practice and a researcher at New York Obesity Research Center.

Researchers believe that many emotional eaters turn to food to numb emotions that are too painful or difficult to process. As Cona explains, it can be a mindless cycle in which an emotional eater suddenly finds himself in front of the fridge, not quite knowing how he got there.

Family time during the holidays can be a particular challenge, as many disordered eating habits begin with poor boundaries between family members, Cona says. Preparing oneself for difficult and triggering interactions might be an important aspect of getting ready for the holidays.

What's more, during this season, food is more plentiful. Many people have favorite, traditional treats that they only eat during this time of year.

"There are all sorts of memories associated with family favorites -- these foods are imbued with expectations," says Ellen Shuman, president of the Binge Eating Disorder Association and an emotional and binge eating recovery coach. "That feeling of deprivation can make an emotional eater feel like they have to eat their fill in that moment. They become forbidden foods -- and that brings out the rebel in many emotional eaters."

Instead, Shuman counsels patients not to have once-a-year foods. If they love a certain dish, they should make it occasionally all year long to avoid that panicked feeling of scarcity.

So what's someone with a history of stress-based eating to do as the holidays loom large?

First of all, work on mindfulness. Cona asks her patients to check in with themselves before they eat anything. Do you feel physiologically hungry? Rate your hunger on a scale. And if you aren't actually hungry, but you want to eat, think about what you might be feeling and what underlying desire is at the bottom of the impulse to eat.

Cona also recommends practicing kindness to oneself, especially in the aftermath of an overindulgence. "Trying to find acceptance can be challenging, especially in a society that condemns us for having eaten this way; especially if our bodies don't look the way society says they should. But it's important not beat ourselves up over it. If this happens, try to learn from it. Don't shame yourself."

But Shuman adds, you may not be the only person you need to forgive. Letting go of painful family history could help prevent the emotional eater's cycle. "Keep in mind that you don't have to spend the holidays with your history with Mom -- just with Mom in that moment."

 


The FDA's Assessment of Two Drugs for Chronic Weight Management — NEJM

The FDA's Assessment of Two Drugs for Chronic Weight Management — NEJM.

 

Nejm_colmanp_10-25-2012

 

  • Listen to the podcast above - it's amazingly interesting
  • Qsymia is a combination of phentermine, a sympathomimetic amine anorectic, and topiramate extended-release, an antiepileptic drug, indicated as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of:   30 kg/m2 or greater (obese) (1) or 27 kg/m2 or greater (overweight) in the presence of at least one weight-related comorbidity such as hypertension, type 2 diabetes mellitus, or dyslipidemia  

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You should always consult with your physician before introducing any changes to your diet or level of physical activity.

Indication

Qsymia is indicated as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of:

  • 30 kg/m2 or greater (obese) or
  • 27 kg/m2 or greater (overweight) in the presence of at least one weight-related medical condition such as high blood pressure, type 2 diabetes, or high cholesterol

 NEJM - http://www.nejm.org/doi/full/10.1056/NEJMp1211277?query=featured_home