Nutrition


The Truth about Weight Loss and Obesity
Nutrition
Written by Dr. James P. Cima, D.C.   
Wednesday, 22 September 2010 12:43

The Truth about Weight Loss and Obesity

by Dr. James P. Cima, D.C.

 

Why Diet and Exercise Do Not Work and How Our Profession Can Spear-Head the Obesity Epidemic

How many patients and or loved ones do you treat where there is a direct correlation between their weight and their physical condition(s)?

There are many instances when patients come into my office where their weight is the largest contributing factor to their physical impairment and yet a lot of doctors will not address this issue. Even when you address this issue as delicately and politely as possible, do you create a nutritional program to improve their weight control? If not, then you are losing a very lucrative portion of your practice.

If you are not addressing this issue, either by omission or commission, then you are not giving the patients what they really need and desperately want.

This is an epidemic where people are paranoid because they have such issues with their weight. How many times do you hear, "Can’t eat this," or "Have to eat that even though I hate it." You go out to a fine restaurant and instead of enjoying yourself, you either feel guilty by what you ordered or deprived by what you did not order.

Weight Loss

Why? Because people are obsessed with their weight and they do not know the truth and are misinformed about weight control, and the statistics bear this out.

In 1962, the Centers for Disease Control (CDC) research statistics showed that the percentage of obesity in America’s population was at 13 percent. By 1980, it had risen to 15 percent; by 1994 to 23 percent; and, by the year 2000, the obesity progression in America had reached an unprecedented 31 percent!

Web MD states that:

• 58 million people are overweight.

• 40 million people are obese.

• 3 million people are morbidly obese.

• 80% of type II diabetes is related to obesity

• 70% of cardiovascular disease is related to obesity

• 42% of breast and colon cancer diagnosed among obese individuals is related to obesity.

The U.S. Surgeon General, Richard H. Carmona, stated in a report on July 16, 2003, that, "These overwhelming research statistics reveal an alarming obesity trend, the need for diagnosis, and a call to action." (The Surgeon General forgot to mention the musculo- skeletal degenerative damage due to this epidemic that we see daily.) The two leading culprits perpetuating the epidemic of obesity are the food and the weight loss industry. The food industry is continually pushing calorie dense foods loaded with fat, white sugar, salt, and chemicals that not only put pounds of fat on our bodies, but are addicting as well. The only thing growing faster than the epidemic of obesity is the weight loss industry. We have diets, exercise programs, and weight loss Guru’s now more than ever. So why are we a nation of overweight and obese people? Because of all the garbage and nonsense that they are feeding us, literally!

The purpose of this article is to arm our profession with sensible and sound nutritional principles that will allow us to deal with this epidemic. If we, as a profession, do not seize this opportunity, others will, and it will threaten the health and economy of this nation. In this article, I will be addressing the questions that most of my patients ask about the principles of weight control.

Why does "losing weight" not work?

It is because weight loss is not only the wrong target or goal but it is unhealthy. If your goal is to lose weight, then I can almost guarantee you that you will fail and damage body chemistry. In fact, I can bet that after you lose your weight it will come back and you will have gained more weight than you lost. The biggest problem for most people is that they are fixated on achieving some number on the scale…. You get on the scale and, if you do not like the number, your day is ruined…. Sound familiar? The truth is the only one who knows how much you weigh is you, nobody else cares. Life isn’t a carnival or circus where people guess your weight. They have no idea how much you weigh, but they DO know what you look like. If you look great, you get complimented; they never ask how much you weigh. So, if your target is weight loss, then you are shooting at the wrong target and you can never do the right things to achieve the body and health you always wanted to achieve.

What should my target (goal) be if I want people to compliment my physical appearance?

The answer is simple: it’s body composition! What is body composition? It is looking at the composition of what the body is composed of, which is water, fat, and lean tissue (muscle). You see, when you lose weight through fad diets and exercise programs, you never take into account that your weight loss (especially at the beginning) is mostly lean tissue (muscle, organ, gland and bone) and water and very little fat. Depending on what type of diet(s) and exercise(s) you engage in over time can speed up this process where you continually increase the fat composition of your body until it is almost too late. You have stalled your metabolism and your body fat content has gone through the roof. Now you look for a simple fix to a complex problem as you go to the next huckster for the next con game. So, it is not how much weight you lose, it is what you lose. Now you can see why weight loss does not work and is the wrong goal.

When your goal is body composition, you must have the proper nutrition to fuel, repair and rebuild your body so those percentages stay healthy

What are healthy body composition percentages?

If we were to look at the healthy percentages of what your body composition should be composed of, it would be this:

1. Water makes up about 50-60% of your body weight

2. Lean body tissue makes up from between 30-40% of your body weight and is composed of your organs, glands, muscles, bones, and integument. (THE CALORIE BURNING CAPACITY OF YOUR BODY)

3. Body fat should make up 10-20% of your body weight. This fat is important for the production of your skin, cell membranes, protection of your organs, brain and nervous system, energy storage, and lymph production.

4. Minerals and carbohydrates account for 1-2% of your body weight.

How can I master my body composition?

Through the secrets of metabolic stimulation! If you can master your body composition, you will never have to worry about your weight and how you look again! Once you learn the secrets of metabolic stimulation to change and improve your body composition, you will be able to eat more and create the body you always wanted. The secrets of metabolic stimulation will be explored through the next three segments of this article.

 

Dr. James Cima D.C.For more information about this program, contact Dr. Cima at 1-877-627-2770 or visit www.cimasystem.com.

 
Baby, "Ma Ma" and "DHA DHA"
Nutrition
Written by John H. Maher, D.C.   
Thursday, 25 February 2010 00:00

Docosahexaenoic acid (DHA) is an omega-3 fatty acid that is an important structural element of the central nervous system and retina. The need for DHA may be most critical for brain and eye development from conception through the second year of life. Significant brain growth occurs during the third trimester of pregnancy and through the first two years of life. This is a time of rapid accumulation of DHA over EPA in an infant’s brain.

Supplementation with DHA, whether from fish oil or algal oil vegan sources, has been shown to increase DHA levels in both the blood and milk of pregnant women.3,4,5 Therefore, although DHA supplementation is indicated in anyone who does not eat fish regularly; it is especially important for pregnant and nursing women and their infants to support structural development of their babies' brain and eyes.

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Benefits for Breastfed Babies’ Brains

The children of mothers who received DHA for the first four months of breastfeeding were tested and compared to the children of mothers who consumed a placebo with results as follows:

• At 2.5 years of age, they were found to have enhanced psychomotor development.4

 • At 4 years of age, they showed improved intelligence scores.6

• In their fifth year of life, they performed better on some sustained attention tests.7

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DHA Current Intakes and Recommendations

• The average intake of DHA by pregnant or nursing women in the U.S. is about 54 mg/day.8

• While a daily value for DHA has not yet been established, expert panels have recommended at least 200 to 300 mg DHA/day for pregnant and nursing women.9,10

• Although there are no official intake recommendations for DHA in children, studies showed that actual intakes are far less than adequate for optimal growth and development. While most experts recommend at least 100 to 150 milligrams of DHA for kids per day, actual intakes appear to be closer to 20 to 50 milligrams per day only.11 Dietary DHA sources include foods such as salmon, tuna, and other fatty fish. A 3 oz serving of salmon provides about 600 mg of DHA.

• The FDA and EPA have advised pregnant and nursing women to avoid certain fish due to mercury levels, and to eat up to 12 ounces per week of a variety of fish and shellfish that are lower in mercury.12

• DHA from agal oil (MartekTM) offer a vegan, environmentally sustainable and toxin free alternative to fish oils. This DHA source accepted as GRAS (Generally Recognized as Safe) by the U.S. Food and Drug Administration for use in infant formula.

Synergistic Considerations

Omega-3 fatty acids are polyunsaturates (PUFA) and, as such, are highly liable to oxidation. Therefore, coincident supplementation with vitamin E, a lipid antioxidant, is to be strongly considered. Also, as fatty fish is a major source of dietary vitamin D, inclusion of vitamin D in the supplementation schedule is also to be strongly considered in those supplementing with fish oil, partly because they do not frequently consume fatty fish. At the same time, vitamin A intake is to be limited because of its teratogenic potential. For vegans, meat and fish are major sources of folic acid and vitamin B12, so supplementing these as well, may be important. Indeed, as neural tube defects occur early in pregnancy, folate status is an important consideration in all fecundate females.

Delivery Forms

Fortunately, today there are many ways to supplement DHA. Formats include small easy to swallow capsules, gummies, ready to mix powdered drinks and inclusion in foods like OJ and yogurt. Some of these formats also provide vitamins D, E and/or folate and B12.

Closing Remarks

As doctors of chiropractic, we are especially concerned with the optimal function of the nervous system. As such, given the important time window for optimal DHA supplementation in the fetus and infant and its relation to brain development, it behooves us to consider sharing this information with our female patients of childbearing age.

Dr. John H. Maher is co-founder of BioPharma Scientific and creator of "The SuperFood Solution™: Lifelong Wellness Made Easy" (www.superfoodsolution.com). He can be reached by email at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

 
Weight Loss without Dieting, Drugs, Packaged Meals; A New Year’s Resolution: Incorporating Nutrition Counseling into Your Practice during a Recession
Nutrition
Written by Christopher Fuzy, M.S.,R.D.,L.D.   
Monday, 25 January 2010 00:00

As a practicing clinical and sports nutritionist for 20 years, I am experiencing a substantial increase of patients from varied backgrounds seeking nutritional counseling. Individuals with a very basic nutritional understanding are coming in as a result of side effects from prescribed medications or abnormal lab results from a recent blood test and are being told by their doctor to change their eating habits. Usually, they are handed a generic diet sheet and require more guidance.

A significant segment of our practice consists of professionals, athletes and perfectionists, who are working harder than ever to achieve success and are turning to food for stress reduction, comfort or reward. Due to “long hours” and  obsessive-compulsive behavior (OCD) they are searching for the “optimal” diet. Often their personal relationships or business affairs are in disarray, so they turn to food and /or exercise for control.

Both types of patients are highly motivated to learn what to eat and are spending close to $800 to $1,000 out of their pockets (credit cards) for nutritional counseling.  Do not let these patients slip by in your practice by not having screening tools such as surveys and a program that addresses how to eat whole healthy foods that are adaptable for each patient’s background, food preferences, and lifestyle based on their metabolic, nutritional and medical needs. By providing a program that focuses on food, you can offer a less expensive counseling program that is 50% the cost for most commercialized programs that are not medically supervised.

The American Psychological Association found that more than half of America's population actually eats a lot more whenever they are feeling stressed. Most comfort foods are high caloric items like Grandmother’s apple pie, which most people remember eating during happy times.  Hershey’s and Cadbury’s sales are up and, according to the industry experts, candy store sales are at a record high. Clients report “sugar is comforting” because there is a small temporary increase in serotonin and dopamine which are relaxing neurotransmitters.  McDonald's and Burger King report their sales are up. In my practice, the average stress eater gains approximately 20-30 pounds and many are being told by their doctors they need counseling for high blood sugar or pre-diabetes.

Research conducted at California State University shows that, when stress levels are increased, so does one’s craving for carbohydrate rich food. Cortisol increases insulin and insulin resistance, which is associated with metabolic syndrome and pre-diabetes. In a stressful situation, the body does not stop producing cortisol and that is when a person starts to crave carbohydrate dense food in order to replenish their energy.  A recession is a long term event and people are under stress for days, weeks and even months at a time. As a result, many individuals turn to counting calories, and can become obsessed with food and are generally always hungry, regardless of whether or not they have eaten.

Here are some guidelines for fine tuning or introducing nutrition counseling for your practice:
• Consider using surveys and questionnaires to screen your patients to find out which patients are interested in nutritional counseling, especially if implementing a new service within your practice.

• Have the patient commit contractually & economically to a series of 4-12 nutritional visits in which they focus on different specific topics weekly. Provide an economic incentive for patients to add more nutritional sessions if necessary.

• Utilize diagnostic equipment to measure lean body mass and metabolic rate to more accurately determine the type and amount of food to provide a patient.  Carbohydrate, fat and protein percentages should be a sliding scale—the more lean body mass, the higher the metabolic rate and activity level, the higher the carbohydrate intake. ACCURATE BODY COMPOSITION IS IMPERATIVE.

• Provide specific written out goals & shopping lists (with name brands) each week that focus on different foods and behaviors, i.e. breakfasts, snacks, proteins, carbohydrates, healthy desserts, salad dressings, stress reduction, exercise, etc.

• Try not to give out generalized food lists that omit specific foods. Concentrate on the solution, not the problem to eating—this provides a more positive uplifting experience.

• Concentrate on managing blood sugars and preventing or reversing disease with the correct food combinations rather than calorie counting or food weighing.

• Give specific examples of meals and snacks that have a low glycemic load and that focus on higher lean protein contents with more fiber. Provide salty, crunchy sweet examples and volumetric foods that fill patients’ bellies up with a low caloric density. Review restaurant eating.

• Provide a program for your patients that is 50% the cost of commercialized non-medically supervised programs.

 

Christopher Fuzy, M.S., R.D., L.D., has a Masters degree in Clinical & Sports Nutrition with offices in Fort Lauderdale and Boca Raton, Florida. He has implemented & trained over 700 physicians nationwide with the Lifestyle Nutrition Counseling Program in the past 19 years.  The program incorporates a metabolic analyzer & software to provide customized nutrition and exercise programs. For more information or a practice consultation, visit www.PhysicianWellnessProgram.com or call 1-800-699-8106.

 

 
Recognizing Drug Induced Nutrient Depletion in Chiropractic Practice
Nutrition
Written by Dr. James B. Lavalle   
Monday, 25 January 2010 00:00

Part 2 of a 2 part Series (cont. from part 1 in nov. 2009)

Abstract:  Detrimental effects of drugs on nutrition status are a common occurrence but, because they usually occur over time (vs. what is considered an adverse event or allergic reaction, which occurs quickly), they are seldom recognized or corrected. Chiropractic treatment, however, takes place over a much longer time frame. Because of this, doctors of chiropractic are in a unique position to recognize the interactions of medication and nutritional status and, if knowledgeable in the area of drug induced nutrient depletion, they have an opportunity to help their patients recover nutritional adequacy and restore metabolic homeostasis.

http://www.theamericanchiropractor.com/images/table1.jpgThiazide Diuretics:  Hydrochlorothiazide (HCTZ) depletes magnesium, zinc, CoQ10 potassium and sodium. Side effects of the drug include the development of back pain, anxiety and leg weakness. And long term, it can even contribute to development of Type 2 diabetes. The depletion of magnesium alone can lead to all of the above-mentioned side effects. CoQ10 depletion significantly impacts energy production in cells because it is needed to shuttle carnitine into cells. Since heart cells are very dependent on that constant source of energy, CoQ10 depletion can really affect the heart, in addition to other large muscles. People experiencing CoQ10 depletion will often have noticeable muscle weakness. For example, I have had patients report much more difficulty getting up off the floor or even out of their chair.

I make it a regular practice to put any patients on HCTZ for high blood pressure on magnesium and CoQ10 at the very least; however, it is best if a multi vitamin includes some zinc and that they eat a high potassium diet. The CoQ10 is especially important to prevent the development of congestive heart failure, the very problem you are trying to prevent from the high blood pressure for which this drug is used.

Antacids
Proton Pump Inhibitors (PPI's) such as Prilosec (omeprazole), Prevacid (lansoprazole), Aciphex (rabeprazole), and Protonix (pantoprazole) have long been known to deplete vitamin B12 and folic acid. The H2 blocking drugs like Tagamet (cimetidine) and Zantac (ranitidine) also deplete B12 and folate in addition to vitamin D and, because this category of drugs reduces stomach acid, it affects the absorption of the minerals, calcium, iron, and zinc.

These are the second leading category of drugs sold in the United States. While these drugs were intended only for short-term use, many people remain on these drugs for years without monitoring vitamin D status or other symptoms. Studies have now clearly shown a link between use of these drugs and increased risk of osteoporosis. In fact, PPI's now actually carry a warning that they can cause osteoporosis. Typically, women are considered to be a greater risk of osteoporosis; but the studies found that these drugs also dramatically increased the risk in men, as well. So, it is important to be on the lookout for both men and women who are at risk of developing osteoporosis through long-term use of this category of drugs.

Oral Contraceptives
Oral contraceptives, likewise, cause significant chronic nutritional imbalances. In the past, we warned women that oral contraceptives depleted B vitamins, including folate, vitamin C, magnesium, selenium, zinc, and the amino acid tyrosine. Newer studies have found that oral contraceptives also deplete CoQ10. While it is well known that young women need to replace folate after being on birth control before trying to get pregnant, to prevent neural tub defects, it has been my observation that many young women undergo mood changes after going on oral contraceptives, in addition to noticing that they are very tired. Several studies have reported that the B6 depletion results in depression because of the reduced synthesis of serotonin in a subset of women. However, these depletions can lead to a host of problems including anemia, cervical dysplasia, bleeding gums, lowered immunity, and elevated homocysteine.

It has been discussed that these nutrient depletions were observed in older studies in which higher dosages of hormones were used. While I have noticed the effects of lower dosage birth control are not as pronounced as they used to be in the higher hormone dosage pills, depending on the woman's nutritional habits prior to starting the pill, they can still have significant side effects.

The contraceptive Yaz (ethinylestradiol + drospirenone) gets tremendous interest from women and huge ad dollars. This medication has been approved in Europe long enough that the Belgian government financed post-release impact studies. Yaz causes a relative deficiency of zinc by causing accumulation of copper.7 Other contraceptives are also noted to cause a less severe accumulation of copper, but are better known for the depletions I mentioned above, as well as the disruption of the metabolism of the carotenes and tocopherols. Specifically, oral contraceptives frequently result in depletion of beta-carotene and gamma- (although not alpha-) tocopherol.8 Depletion of these important anti oxidants could increase a person's risk of any of the diseases related to increased internal inflammation such as heart disease and cancer.

These are just a few examples of how important it is to consider drug actions on metabolism. Doctors of chiropractic are in an enviable position, because they can stop the downward spiral in their patients' health by counseling on drug-induced nutritional depletions and, in so doing, can build patient trust and satisfaction. While this endeavor will require professional supervision of a carefully considered program of nutritional supplementation, appropriate care for nutritional balance will greatly enhance the ability to deliver the results patients expect and deserve.

 

Dr. James B. LaValle is a clinical pharmacist and board certified clinical nutritionist. He is co-founder of the LaValle Metabolic Institute and an adjunct professor of pharmacy practice at the University of Cincinnati College of Pharmacy and University of South Florida College of Medicine. He is the author of 16 books and has 25 years of clinical experience in pharmaco-nutrition and therapeutics. Call 1-513-366-2127 for more information.

 
How to Make Your Practice More Profitable - Add an In-House Nutritional Center to Your Practice
Nutrition
Written by Stan Guberman, D.C.   
Wednesday, 25 November 2009 00:00

We, as chiropractors, should begin or continue our thinking process into as many natural healing avenues, so that we can become known as the natural healing source in our communities. We should be known as the "go to guy" when a patient or community member has any question concerning what he or she has been diagnosed with. We should be the primary physician when it comes to treating all types of health related situations through the usage of natural techniques and nutritional materials.

You are sitting on a gold mine of an untapped profit center in your office. Let me give to you a simple example. You walk into your favorite grocery store and look around. Every available space on every aisle is filled with food and related products that make money for the grocer. Your local grocery store is filled with hundreds of individual profit centers all under one roof.

Look around your office. Do you have available space to open a new profit center in your office—a profit center that could and will help every patient that comes through your clinic doors? Of course you do. I began years ago bringing in a nutritional profit center, just by putting up three shelves over the CA’s desk. Now, we have shelves everywhere ,with hundreds of products that we sell to our patients as well as through our website. My rationale for bringing a nutritional profit center into my office was the following: Every patient that walks into my office has other health concerns besides spinal problems: allergies/high blood pressure/diabetes/hormone imbalances/overweight/stress/thyroid, just to name a few problems. And there are many more. With your in-house nutritional center, you can offer sound nutritional foundations and formulations for all these health problems.

What an in-house nutritional center can do for you

 

Here are various reasons why each and every chiropractor should consider adding an in-house nutritional center in their office. Remember, all that it will take is a few shelves and nutritional supplements:

• Expand Your Services to Each and Every Patient

• Show the Patient that Their Doctor Has the Finest Nutritional Products on the Market Today

• Sending Patients to the Health Food Store Gives Extra Revenue to the Store, Not to the Doctor

• Sending Patients to the Health Food Store Ends in Noncompliance on the Part of the Patient. They May Even Pick up the Wrong Product

• Adds an Additional Revenue Stream to Your Practice.

• Capitalizes on The Wellness Boom by Positioning Your Chiropractic Practice as the Community Wellness Center

• You Can Private Label Your Nutritional Products, so that Your Patients Will Recommend Your Products to Others

• Retains Your Patients Longer. They Will Come Back to Purchase Professional Branded Products Not Available to the General Public.

The most simplistic way to begin to bring a nutritional center into your office is doing what I did about 15 years ago. I began to offer to my patients the most basic of nutritional product—the Multiple Vitamin. I can guarantee you that almost every patient and person that you see is taking a multiple vitamin. My question to you is, did they get this vitamin supplement from you? It can be that easy. After finding success with a multiple vitamin you can begin to bring into your practice common popular nutritional products. These could include an emulsified Vitamin D, an All Natural Vitamin C, a Joint Repair Formula to give to all your joint related cases from accidents to sports injuries, a CoQ10 for cardiac health, a fish oil supplement, a cholesterol lowering supplement and many more. Start slow; learn more and then bring more into your nutritional profit center. A few months after the success that you are having, you can become more objective with your nutritional recommendations. You can begin to analyze blood tests for their nutritional deficiencies, and order saliva testing for hormonal imbalances and adrenal fatigue. You can take this profit center to any heights that you desire. Of course, we must never lose sight of our primary intention: to get our patient well. Unlike thirty years ago, when orthopedic supports and hot packs were the only extra profit center most chiropractors had, we now have an array of nutritional healing materials, as well as techniques available to us to offer to our patients.

Now you can become known as the community wellness center by bringing into your office an in-house nutritional center. A profit center for you = a healing center for your community.

by Stan Guberman, D.C.

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Dr. Stan Guberman is a licensed chiropractic physician and a certified acupuncturist. He has been practicing clinical nutrition for over 30 years. He has developed many private labeled nutritional formulations used by 1000’s of chiropractors. He can be reached at 1-800-333-9942 or at his website, www.drguberman.com.

 
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