Long-Term Multistep Weight Management

In February of 2001 my wife and I attended an anti-aging conference in San Diego. The keynote speaker was Dr. Barry Sears who is the inventor of the zone diet. We had read a book from him before the conference and were excited to hear him speak in person. We liked the book; we liked the talk, so we cut out sugar, starchy foods and stuck to a diet where the calories derived 50% from low-glycemic, complex carbohydrates, 25-30% from lean meat, poultry and fish. Calories derived from fat were reduced to about 15-20% (there is hidden fat even in lean meat). No butter, but instead some lean cheeses and olive oil for cooking and in salad dressings. We shed both 50 pounds within 3 months without any hunger pangs. Our energy increased and this has stayed  this way ever since. There was no problem getting down with our BMI’s (body mass index) to 23.5 or 24.0, which is usually viewed as normal by the medical profession. We noticed, however, that when we did not exercise, there was a problem maintaining our normal weight.  We are under the care of an anti-aging physician who did special tests like fasting insulin, C- reactive protein, and hormone tests. They were all normal. We took up ballroom dancing really seriously having been inspired by “Dancing With the Stars”. This was 6 years ago. What started innocently with only a few basic ballroom lessons three times per week has now blossomed into dancing more than 10 different dance styles 5 times per week.

Long-term Multistep Weight Management

Long-term Multistep Weight Management

3 ½ years ago both of our energy levels were slowly going down, particularly after a long night of dancing. Hormone tests revealed the initial stages of age-related hormone deficiencies which did not come as a surprise , as  decreasing hormone levels was a topic discussed  in detail at the conference in San Diego in 2001 (we also attended several other anti-aging conferences on a yearly basis from 2009 onwards). With bioidentical hormone replacements these levels normalized within one year, our energy was back and our weight stayed normal. We enjoy travelling, but there can be problems with our multistep weight management program. We need to watch our diet (no toxins, preferably only organic food), and physical exercise may be less regimented. In 2008 we read Suzanne Somers’ book “Breakthrough”. We ordered urine tests for toxic metals and we were shocked that we had noticeable levels of mercury and lead. Since then we started to cut our salmon consumption from 3 to 4 times per week down to once or twice per week. To get rid of the heavy metals we started intravenous chelation treatments with vitamin C (10 Gm) and Glutathione (1250 mg) every two weeks. In July 2012 there were reports of radioactive salmon from the Japan nuclear disaster earlier that year in the Canadian media. After this news we stopped eating all fish and other seafood, not only because of radioactivity, but also because of other toxins like mercury, cadmium, PBC’s etc.  We do take high doses of molecularly distilled omega-3 fatty acids along with our other supplements. We also started eating mostly organic foods as we do not want to ingest insecticides, herbicides and other toxins.

We acquired body composition scales, which give information about fat percentage including visceral fat percentage, muscle mass percentage, BMI, weight and the basic metabolic rate. We wanted to define the end point of what our ideal body weight would be. We noticed that our dance program was not good enough to lower the BMI below about 23.5; using the body composition scales we noted that our body fat content was still too high and the visceral fat percentage was still in the 6% range. It took a prolonged trip to the US where we could not find enough dance events to decide that we would introduce a one hour gym program consisting of 30 minutes of treadmill, 15 minutes of upper body circuits, and 15 minutes of lower body circuits every day as a basis to our exercise program. Any dance activity would be just an additional exercise on top of the base exercise from the gym. It took only about 2 months before our fat composition decreased, our muscle mass increased, the visceral fat went to a normal at 5% and the BMI was now stabilized at the 21.5 to 22.0 range. We feel a lot more confident in managing our weight long-term without really thinking much about the weight. It is now a routine we follow, like an athlete would do to stay in shape. While nobody has a permanent guarantee to everlasting health, we do it to prevent the diseases we do not need in our retirement like diabetes, arthritis, heart attacks, strokes, cancer or Alzheimer’s.

What we did not know until after the 20th A4M Anti-Aging Conference in Las Vegas (mid December 2012) was that inadvertently we were protected from exposure to chemically modified wheat from 2001 onwards as we had cut out all refined carbohydrates and starchy foods (including wheat) since then. Unfortunately many Americans still expose themselves unknowingly to larger or smaller quantities of wheat, suffer from leaky gut syndrome with the associated changes in the immune system and the development of autoimmune diseases.

Personally, I believe that long term weight management is possible: you can turn older and hopefully wiser…not wider. The good news: it can be done. The bad news: this is not an instant fix, but a program that needs to be part of your lifestyle package.

More information on weight loss: http://nethealthbook.com/health-nutrition-and-fitness/weight-loss-and-diet/

Last updated Nov. 6, 2014


Early Childhood Weight Gain Leads To Weight Problems in Teens

A Finnish Study enrolled 541 children in a prevention trial at the age of 7 months. The same children were seen again at the age of 13 years. Every year the height and weight were measured. By the time the children were 13 years old, 16% were classified as overweight, based on body mass index determinations. For girls, there was an abnormally high weight gain (2.8 to 7.5 kg annually) from the 3rd to 4th year until the 12th year of age while normal weight kids gained only 2.1 to 4.8 kg annually. Boys showed no difference in weight gain pattern until the age of 5 years or older. Now the boys who developed an overweight pattern showed an increase from 3.5 to 7.9 kg annually while normal weight boys gained only from 2.6 to 5.5 kg annually. With respect to the body mass index the upper limit of a normal was exceeded for girls at the age of 5 years and for boys at the age of 8 years. Another important finding of the study was that the parents of the overweight adolescents were also overweight while the parents of normal weight adolescents were also within the range of a normal body mass index.

Early Childhood Weight Gain Leads To Weight Problems in Teens

Overweight child turns into overweight teen

Two major risks of developing overweight and later obesity were found: overweight parents and abnormally high weight gain in early childhood (ages 2 to 4). The investigators concluded that treatment for developing overweight problems in childhood needs to be addressed at this age, not later when it is much more difficult to treat.

More information about health for children: http://nethealthbook.com/news/health-children/

Lack of B vitamins in children predicts obesity: http://nethealthbook.com/news/lack-b-vitamins-children-predicts-obesity/

Pediatrics. 2008;122:e876-e883

Last updated November 6. 2014


Liver Cirrhosis Threatens Overweight Children

Generally the condition of liver cirrhosis has been associated with excessive alcohol intake, and the victims have been adults.
A similar condition is the fatty infiltration of the liver, where the function becomes impaired through the growth of fatty tissue, which replaces healthy tissue. In its worst form this non-alcoholic fatty liver disease can advance to cirrhosis and end-stage liver disease. So far this devastating course of illness has been seen in adults, but it is not confined to the adult population. The most important risk factor for this disease is obesity, and with one in three children in Canada now overweight, the previous adult-only disease is now affecting kids. Non-alcoholic fatty liver disease is now the most common cause of abnormal liver tests.

Dr. Ariel Feldstein, a pediatric gastroenterologist from the Mayo Clinic in Rochester reports that the average age of children with these symptoms is about 12, which is an alarmingly low age for this picture. There is also a warning, that children do not even have to sport a sky-high body-mass index (BMI). The risk is already significant with a high BMI.The most direct approach to prevent type 2 diabetes and fatty-liver disease in children has to start within the family. Instead of singling out the child it is important to work together as a family to become healthier. The terms”fat”, “chubby”, “exercise” and “diet” are less conducive to improvement than “physical activity” and “better nutrition”. Consistent minor changes are also more important than crash diets that come and go.

Liver Cirrhosis Threatens Overweight Children

Liver Cirrhosis Threatens Overweight Children

Eating more vegetables and fruit, not eating and snacking mindlessly in front of the TV, eating together as a family and preparing healthy snacks instead of tossing a cookie bar or a bag of chips into the lunch bag are all ways that benefit the entire family.
A study from Dr. Robert Berkowitz at the Children’s’ Hospital of Philadelphia affirms even more, that prevention has to start with the parents: children born to overweight mothers have a higher risk of following the pattern of having a high body mass index than those whose parents were normal weight.

More information about liver cirrhosis: http://nethealthbook.com/digestive-system-and-gastrointestinal-disorders/liver-cirrhosis/

Reference: The Medical Post, February 15, 2005, page 21

Last edited October 27, 2014


Newly Detected Hormone May Help Obesity

At a recent meeting of the Endocrine Society in Philadelphia new findings by British researchers were presented regarding hormone interactions with weight problems.

Dr. Simon Aylwin, a consultant from the King’s College Hospital in London, England, presented data showing that peptide hormone PYY levels were much lower in patients who were significantly obese versus normal weight controls.

As Dr. Stephen Bloom’s research group from Imperial College, London, UK had shown earlier, with a meal rich in calories the gut produces the PYY hormone in a way that with higher amounts of calories in food consumed more of the hormone PYY is secreted into the blood stream. The new information that was discussed at the meeting of the Endocrine Society was the fact that these hormone signals are registered in the hypothalamic tissue, a part of the brain situated just above the pituitary gland. It has been known for a long time that weight is regulated by a satiety centre in the hypothalamus. Now it has been appreciated that there are at least two or more pathways of registering weight related hormone signals: one being the gut related PYY hormone that tells the brain that enough food was consumed in a meal, and secondly leptin hormone signals where the hormone leptin is secreted from the fatty tissues in the body, which tells the satiety centre of the brain that not as much food needs to be consumed when our weight has reached a certain threshold.

Newly Detected Hormone May Help Obesity

Newly Detected Hormone May Help Obesity

Dr. Aylwin measured PYY hormone levels in a number of different groups of patients such as in patients who were obese, in patients who had gastric bypass surgery done and in a group who only had gastric banding done. They observed that the group who had bypass surgery done had a higher than normal response of PYY hormone release as a response to a meal. This enabled them to adhere to low calorie meals without any hunger pangs and this group of patients did well in terms of weight control on the longterm.

In contrast to this the group with gastric banding had a flat response curve to the stimulus of a meal with respect to the PYY hormone as did patients with obesity. The low PYY levels in response to meals likely explains why these patients continue to eat too much making their weight loss efforts more difficult.

Dr. Aylwin explained that with future research efforts new forms of medications could be developped that mimic the effects of the PYY hormone leading to satiety and allowing patients to control their weight easier. Dr. Linda Fish, an endocrinologist from the University of Minnesota, mentioned that for excessive obesity with a body mass index of more than 45 the only effective therapy right now would be the invasive gastric bypass procedure. With an anologue type medication that would have the same effect as the PYY hormone, many patients might be able to have persistent weight loss with these new medications allowing them to lose weight persistently without bypass surgery. However, results of this type of research likely would take about 10 years before a new drug would be available to the public.

This summary is based on an article in the July 15, 2003 issue of the Medical Post (page 50) as well as on the newsdesk article entitled “Obesity-is it all in the mind?” in The Lancet Neurology Volume 2, Number 1, January 2003.
Link to related topic (nasal spray for obesity).

Last edited December 9, 2012