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How Can CBD Help You Lose Weight?

CBD, as is well known, teeters back and forth between scientific insight and mass attention and popularity. Research is limited and regulations are loose, so distinguishing between fact and fiction, especially when so much contradiction exists, is like wading through a swimming pool full of grains of salt. CBD is pretty great, that much is fairly well established. It has shown promise treating anxiety, depression, pain, restlessness.

But what about weight loss? The connection between the most popular wellness trend was bound to catch up with our collective concern for small waistlines eventually, wasn’t it? Can CBD help boost your metabolism and reduce your weight? If so, the consequences are far from vain – CBD could help with health concerns associated with obesity, like diabetes, high cholesterol, and high blood pressure.

Let’s take a closer look at the facts, the fictions, and what we know about CBD to help figure out if CBD can help us lose weight. If so, what are the best methods to maximise its weight loss potential? We’ll give you a useful guide.

How Does CBD Interact With Our Bodies?

Of course by now we all know what CBD is (and what it isn’t – THC), so the first step to unpacking whether or not it can help with weight loss is to take a closer look at how it interacts with our bodies. Although this is probably pretty common knowledge as well, we can put a weight-loss specificity on our explanation.

CBD interacts with our endocannabinoid system, which is responsible for, as much as we have determined so far, overall homeostasis. It’s a regulator, and if something is irregular, the ECS will help to get things back to normal. It has a role in promoting balance throughout our bodies and brains, and has proven to help regulate mood, pain, memory, sleep… and appetite. The ECS responds to compounds in the body through receptors: CB1 receptors and CB2 receptors. CB1 receptors are found mostly in the brain and central nervous system, whereas CB2 receptors are present throughout our bodies.

As a cannabinoid, CBD can stimulate these receptors to promote homeostasis as well, and does so indirectly, promoting the ECS to function more effectively on its own. The very interesting thing to note here is that, in people with obesity, CB1 receptors become more far reaching and take up residence in fatty tissues throughout the body. So, the train of thought goes: if CBD interacts with CB1 and CB2 receptors and CB1 receptors are more prominent in fatty cells, CBD should be able to interact with these fatty cells somehow.

What’s CBD’s Weight Loss Potential?

Based on this information, then, what is CBD’s potential when it comes to weight loss? Well, lucky for everyone involved, there’s at least a few ways that CBD could potentially help us slim down, both directly and more indirectly, because as we know, there are both direct and indirect causes for weight gain in the first place. I humbly present these to you now:

Increased Motivation

Maybe a less considered option, but CBD’s propensity to help relieve anxiety, boost mood, regulate sleep, and decrease pain could have another subsequent effect: motivation. If we are well rested, less anxious, and in less pain, it only follows that we may be in a much better mood, both mentally and physically. Better moods lead to more motivation to do the things that are important to you, and if one of those things is losing weight, well, there you go. And, of course, anxiety and stress lead to stress eating, something we all know too well.

CBD Affects Mitochondria

More targeted and direct, then, CBD can affect the body’s mitochondria, which convert molecules like sugars into energy. CBD has been shown to increase the number and activity of mitochondria (which increases our ability to burn calories) within our bodies. We can’t really get any more direct than that!

CBD Promotes Brown Fat

Leading on from mitochondria, but indeed linked to it, CBD has been shown to promote the production of brown fat. Brown fat is good fat, so don’t get scared away by the ‘f’ word. Brown fat converts food, or energy, into heat, helping to use up calories. CBD, it has been shown, promotes white fat to turn into brown fat. Mitochondria take brown fat and allow it to burn, literally burning your fat away.

CBD Can Suppress Appetite

It’s easy to think otherwise, I know. With CBD’s association with THC and the notorious munchies, it’s easy to be skeptical. However, studies have found that rather than promoting appetite, CBD might actually help to curb our hunger. The hunger associated with cannabis comes solely from THC, and research has even suggested that CBD may help decrease the hunger pangs so typical of ingesting this substance.

But even more than this, CBD might be able to help combat the fringe deficits that obesity can cause to our health, namely by regulating blood sugar levels and lowering blood pressure. These maladies are caused in part from obesity, stress, and of course poor diet and lack of exercise. CBD can lower blood pressure by decreasing stress and anxiety levels and by acting as a vasodilator, which widens the arteries, allowing for better circulation.

In terms of blood sugar levels, the major cause of type 1 and type 2 diabetes, CBD may have a helping hand to offer. Both types of diabetes, although caused from different sources, both boil down to having too much glucose circulating around our blood. The body needs insulin to regulate blood glucose levels, and insulin resistance as it is demonstrated in type 2 diabetes basically indicates that the body no longer responds to insulin, primarily caused by obesity and lack of exercise.

Not only has CBD shown promise regulating blood sugar levels, but also shows promise with quelling inflammation, which is known to impact the development of insulin resistance and, therefore, type 2 diabetes. And, indeed, this is already one of the most popular reasons people use CBD to date.

Use CBD to Help You Lose Weight

How To Use CBD to Help You Lose Weight

So what kind of CBD should you be taking to help with weight loss, and how should you be taking it?

Try A Sublingual (under the tongue) Application

This hits the bloodstream faster, and begins to work more quickly. It also doesn’t get absorbed through the stomach and liver, like edibles, and therefore will prove more potent and potentially more effective.

Look for Quality Products

We would recommend a good quality, lab tested full-spectrum CBD oil or supplement. Edibles may be full of extra calories you are most likely trying to avoid, and topicals don’t actually hit your bloodstream, so the effects are quite different to those of oils and capsules.

Don’t Jump The Gun

Don’t assume that downing a bottle of CBD oil will result in instant results, the dosage requirements are there to help. CBD works subtly, and it needs time, sometimes up to 6 weeks to notice a difference. If it doesn’t show life-changing results right away, persevere. It’s not really meant to be a miracle cure but more of a helping hand.

Incorporate CBD Into a Healthy Lifestyle

Taking CBD should, of course, not be your only means of losing weight, but should rather be incorporated into a routine of exercise and healthy eating.

CBD and Weight Loss: What’s the Verdict?

So, although much research needs to be conducted to fully substantiate these early findings, it seems that CBD may just be able to help not only with fighting weight gain, but fighting the less seen, auxiliary effects of such. Not only does CBD offer a natural alternative to prescription medications, it does not at present have any known adverse side effects. Of course we would also suggest conversing with a medical professional before attempting this. It might not turn us into supermodels overnight, but might be able to help us get a better grip on a healthier lifestyle, and all the benefits that go with it.

Shane Dwyer
Author: Shane Dwyer
Shane Dwyer is a cannabis advocate who isn’t afraid to tell the world about it! You can find his views, rants, and tips published regularly at The 420 Times.

Marijuana & Cannabis News – The 420 Times

Too Much Salt Might Make You Gain Weight

MONDAY, Oct. 28, 2019 — Too much salt has long been linked to high blood pressure. In fact, one way to help control blood pressure is to reduce your salt intake. Research done at Vanderbilt University and published in The Journal of Clinical Investigation shows that salt may also be involved in weight gain.

Traditional thinking has been that salty foods make people drink more water, but the scientists found that it actually reduces thirst and makes people more prone to overeating, weight gain and even metabolic syndrome, which can lead to diabetes and other serious conditions.

Packaged Foods With High Salt Content

  • Smoked and cured meats, like frankfurters
  • Frozen dinners
  • Canned meals
  • Salted nuts and seeds
  • Processed cheeses
  • Crackers and croutons

Since most Americans eat 50% more salt than recommended on a daily basis, it’s more important than ever to find ways to cut back. The National Kidney Foundation suggests limiting prepared foods with a high salt content.

In addition to packaged and deli meats, some canned and frozen foods, from beans to vegetables, can have very high salt levels, so always read labels. Foods you may not associate with being salty could still have sodium in the ingredients. Look for no-salt-added brands. When that’s not possible, rinse the food under cold running water to remove as much salt as possible.

When cooking and seasoning foods, replace salt — including garlic salt and onion salt — with herbs and spices. Pure granulated garlic and freeze-dried onions should be acceptable alternatives.

At restaurants, ask the chef to limit the salt in your food and reach for the pepper, not the salt shaker, if a dish needs more seasoning.

Give yourself up to eight weeks to undo a salt habit. Once you lose your taste for it, you’ll also find it a lot easier to taste when foods have too much salt in them.

More information

The National Kidney Foundation has more ways to reduce salt in your diet.

© 2019 HealthDay. All rights reserved.

Posted: October 2019

Drugs.com – Daily MedNews

You’ve Lost the Weight — Now Keep It Off to Keep Diabetes at Bay

By Serena Gordon
HealthDay Reporter

WEDNESDAY, Oct. 9, 2019 (HealthDay News) — The health of people with type 2 diabetes often improves dramatically with a 5% to 10% weight loss — but to sustain the benefits, you need to keep the weight off, new research claims.

After losing weight with a yearlong intervention, blood sugar and blood pressure levels go down and cholesterol results improve. People who kept at least 75% of that weight off for another three years retained or had even greater health benefits, the study reported.

“A lot of times, the emphasis is put on weight-loss programs, but it’s just as critical to help people maintain their weight loss,” said study senior author Alice Lichtenstein. She’s director of the Cardiovascular Nutrition Laboratory at Tufts University’s Jean Mayer USDA Human Nutrition Research Center on Aging in Boston.

“People tend to think of diets as short-term, but it’s really something that has to be lifelong. If you’ve found a successful way to lose weight, don’t revert to old habits. Figure out how to incorporate the changes you made to lose weight,” Lichtenstein suggested.

Excess weight is a major risk factor for developing type 2 diabetes. Studies have shown that losing weight can improve the symptoms of type 2 diabetes. And shedding around 10% of your body weight may even put the disease into remission, a recent study from Diabetic Medicine found.

The current study — published Oct. 9 in the Journal of the American Heart Association — included more than 1,500 people with type 2 diabetes who were recruited for an intensive lifestyle intervention that lasted one year.

After losing weight, participants entered a three-year maintenance phase that included monthly group meetings. They were encouraged to get regular physical activity and to use a single meal replacement product each day.

Lichtenstein and her team looked at blood pressure and levels of blood sugar, triglycerides (a type of blood fat linked to heart disease), and HDL (or “good”) cholesterol. They checked just after the weight loss and again after three years of maintenance.

The researchers tried to find the specific point where people started to lose the benefits of weight reduction, but couldn’t find one. But they did find that when people who lost 10% or more of their initial weight regained about one-quarter of the lost pounds, the health benefits began to wane.

Continued

“The more weight loss that is maintained, the better people will be in terms of [heart and metabolic] health. There’s a long-term benefit from maintaining weight loss,” Lichtenstein said.

Dr. Berhane Seyoum, chief of endocrinology at Detroit Medical Center, reviewed the study and said keeping weight off is no easy feat.

“Maintaining weight loss is the most difficult part as the body tries to bring back the weight that has been lost. Weight loss and maintenance is a lifetime struggle. You have to watch what you’re eating and exercise,” he said.

For type 2 diabetes patients who struggle with hunger, medications can help keep hunger at bay, Seyoum said.

WebMD News from HealthDay

Sources

SOURCES: Alice Lichtenstein, D.Sc., lab director and senior scientist, Cardiovascular Nutrition Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging, and professor, nutrition science and policy, Tufts University, Boston; Berhane Seyoum, M.D., M.P.H., chief, endocrinology, Detroit Medical Center and Wayne State University, Detroit; Oct. 9, 2019,Journal of the American Heart Association

Copyright © 2013-2018 HealthDay. All rights reserved.

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Just a Little Weight Loss Can Put Diabetes Into Remission

FRIDAY, Oct. 4, 2019 — British researchers have good news for people with type 2 diabetes — you don’t need to lose a ton of weight to make a difference in your health.

In fact, they found that losing just 10% of your body weight during the first five years you have the disease can lead to remission of type 2 diabetes. That weight loss would be 18 pounds for someone who weighs 180 pounds.

It doesn’t matter what diet helps you lose the weight. And it doesn’t matter how slow or how quickly those pounds come off, the investigators found.

“Even small amounts of weight loss can help you achieve remission. Extreme dieting and exercising are not necessary,” said study author Dr. Hajira Dambha-Miller, a general practice physician and clinical lecturer at the University of Cambridge School of Clinical Medicine, in the United Kingdom.

“Type 2 diabetes should no longer be seen as a lifelong disease,” she added. The disease can essentially be cured if you lose weight and keep it off, according to Dambha-Miller.

The researchers said that type 2 diabetes affects 400 million people around the world. It’s typically considered a chronic, progressive disease. But significant weight loss through extreme dieting (less than 700 calories a day) can bring about remission in almost 90% of people with type 2 diabetes, the study authors noted. Weight-loss surgery also tends to bring on remission.

Intensive exercise coupled with a modest weight loss of 7% or less of body weight brought on remission in almost 12% of people in one study, according to the new report.

But maybe bringing on remission didn’t need to be so hard, the researchers surmised.

“The existing evidence for achieving remission suggests extreme levels of exercise and rather restrictive diets. This is simply not realistic or achievable for my patients, especially in the longer term,” Dambha-Miller said.

“It is also demotivating for my patients when they are unable to achieve large amounts of weight loss. Accordingly, we decided to look at modest weight loss over a longer period in a real-world population without any crazy diet or exercise requirements,” she explained.

For the new study, the researchers followed the health of almost 900 people newly diagnosed with type 2 diabetes for five years. The study participants, aged 40 to 69, provided information on weight, activity levels, diet and alcohol consumption.

Thirty percent of the group had achieved type 2 diabetes remission at the five-year follow-up. Those who had achieved a 10% weight loss were 77% more likely to be in remission after five years, the findings showed.

There was no specific intervention in the study. “This means there were no mandatory exercise or dietary requirements. All our participants did different things and still managed to lose weight and beat diabetes into remission,” Dambha-Miller said.

She said that experts don’t know exactly how losing weight helps, but they hypothesize that as people lose weight, the beta cells in the pancreas that produce insulin start to work again. That means the body can properly use sugar from foods instead of letting it build up in the blood.

Dr. Berhane Seyoum, chief of endocrinology at Detroit Medical Center and Wayne State University in Michigan, wasn’t involved in the current research, but said the findings are encouraging.

“People with type 2 diabetes can be encouraged to lose weight, and it doesn’t matter how. They can do whatever is convenient for them. Controlling diabetes keeps you healthy, gives you more energy and makes you feel better,” he said.

Seyoum also noted that any amount of weight loss can help the body use insulin better and will help with diabetes management.

The study was published online recently in the journal Diabetic Medicine.

More information

Read more about weight loss and diabetes from the American Diabetes Association.

© 2019 HealthDay. All rights reserved.

Posted: October 2019

Drugs.com – Daily MedNews

It Takes Less Weight to Trigger Diabetes in Minorities Than Whites

By Serena Gordon
HealthDay Reporter

TUESDAY, Sept. 24, 2019 (HealthDay News) — One of the biggest risk factors for type 2 diabetes is excess weight. But you don’t have to be overweight to have the disease — and new research revealed that some racial and ethnic minority groups are more likely to have diabetes at lower weights.

“Patients who belong to one of the high-prevalence racial or ethnic groups may be at risk for diabetes or prediabetes even if they are not overweight or obese,” said Dr. Assiamira Ferrara, senior author of the new study. She’s associate director at Kaiser Permanente Division of Research in Oakland, Calif.

“This study suggests that along with screening patients who are overweight and obese, minorities should probably be screened even if they have a normal body mass index, particularly as they get older,” Ferrara said. Body mass index (BMI) is an estimate of body fat based on height and weight. Any measure over 25 is considered overweight, and over 30 is obese.

The researchers found rates of diabetes in normal-weight people were:

  • 18% in Hawaiian/Pacific Islanders,
  • 13.5% in blacks,
  • 12.9% in Hispanics,
  • 10.1% in Asians,
  • 9.6% in American Indians/Alaskan natives,
  • 5% in whites.

Why might certain groups be more likely to develop diabetes at a lower weight?

Ferrara said the reasons aren’t yet clear, but an individual’s body composition and physiology likely play a role.

“For instance, it has been shown from previous studies that Asians have a higher percentage of visceral fat [fat that accumulates around abdominal organs] than whites at a given body mass index,” and visceral fat can affect how the body metabolizes blood sugar, she explained.

The observational study does not prove a cause-and-effect relationship, just an association. But the findings suggest the importance of looking beyond obesity to other causes of type 2 diabetes, Ferrara noted.

The study included 4.9 million people. The group was diverse. Fifty percent were white; 21.6% Hispanic; 12.7% Asian; 9.5% black; 1.4% Hawaiian/Pacific Islander; and 0.5% American Indian/Alaskan native. Just over 4% were multiracial or unknown.

Continued

There were slightly more women — 55.7% — in the group. The average BMI was almost 29.

“Greater attention needs to be paid to the prevalence of diabetes and prediabetes even among underweight people for racial and ethnic minorities at high risk,” said lead author Yeyi Zhu, a Kaiser Permanente research scientist.

Dr. Louis Philipson, president of medicine and science for the American Diabetes Association, reviewed the study and said it “strongly reinforces” what diabetes specialists have known — that some non-white individuals may get diabetes at a lower weight. He said he hoped that message would get out to primary care doctors.

“The implication is that they need to be testing earlier in non-Caucasian people who are not obviously overweight,” Philipson noted.

The study was published Sept. 19 in the journal Diabetes Care. It was funded by the Patient-Centered Outcomes Research Institute and the U.S. National Institutes of Health.

WebMD News from HealthDay

Sources

SOURCES: Assiamira Ferrara, M.D., Ph.D., associate director and senior research scientist, Kaiser Permanente Division of Research, Oakland, Calif.; Yeyi Zhu, Ph.D., research scientist, Kaiser Permanente Division of Research, Oakland, Calif.; Louis Philipson, M.D., president, medicine and science, American Diabetes Association, and professor, medicine, University of Chicago Medicine;Diabetes Care, Sept. 19, 2019

Copyright © 2013-2018 HealthDay. All rights reserved.

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Police ordered to pull their weight as Indonesia fights obesity

MOJOKERTO, Indonesia (Reuters) – An Indonesian province has put 50 overweight police on a crash program of aerobics, swimming and jogging, telling them they’d better shape up for the job.

The officers in East Java are being closely monitored on the two-week program and also get guidance from nutritionists and medical experts, said spokesman Frans Barung Mangera.

“We think all the selected personnel don’t have the ideal body weight,” said Mangera.

The police force had determined that the ideal weight for an officer in kilograms should be their height (in centimeters) minus 110, Mangera said.

Indonesia has seen a spike in obesity in recent years and the World Health Organization in 2016 estimated that at least 28 percent of Indonesia’s 250 million people were overweight.

A 2018 health survey of 300,000 families concluded that about one in five adults was obese, media said. A sedentary lifestyle as well as a diet often rich in oil and sugar have been blamed.

During one part of the training, the police punch their fists in the air and twist their waists to music blasted from loudspeakers.

Indonesian police officers perform aerobics during a weight-loss programme in Mojokerto, East Java province, Indonesia, July 25, 2019. REUTERS/Titik Kartitiani

“Being overweight makes us less agile when we are on duty and we often fall sick,” said officer Iwan Sutanto. He claimed to feel healthier after losing 3.5 kg (7.72 lb).

Police spokesman Mangera said the program was likely to be extended to the entire province of East Java.

“Body shape determines whether the officer is fit to serve the public,” said Mangera.

Writing by Ed Davies; Editing by Nick Macfie

Reuters: Oddly Enough

Formula + Nursing OK to Help Newborns Gain Weight

By Alan Mozes

HealthDay Reporter

MONDAY, June 10, 2019 (HealthDay News) — If your newborn is breastfeeding and losing weight, will feeding her formula do any harm?

Though doctors have long advised against it, a new study suggests giving baby both formula and the breast is OK.

Researchers said the answer depends on how long a mother intends to breastfeed and it needs to be balanced against the risks newborns face when their weight is dropping more than normal.

“Counseling that implies all formula is harmful would be inaccurate and may be detrimental to long-term breastfeeding success,” said the study’s first author Dr. Valerie Flaherman. She is a pediatrician at the University of California, San Francisco.

“Our study’s results show that early, limited formula may have significant benefits as well as risks for subsequent breastfeeding duration,” she added in a university news release.

The American Academy of Pediatrics recommends that mothers exclusively breastfeed until their babies reach 6 months of age, then continue while transitioning to solid food at 12 months.

But when a breastfed newborn loses more weight than normal in the first days of life, many parents wonder if they should supplement mother’s milk with formula.

The new study tracked the feeding habits of 164 babies born at one hospital in California and one in Pennsylvania.

All were breastfed between day one and day three of life, and all were of above-average weight. Half the mothers also gave them syringe-fed formula for two to five days. The others continued to breastfeed exclusively.

Investigators then tracked mothers and babies to see whether mixing in formula for a few days to combat weight loss affected breastfeeding rates down the road.

The results were mixed. By 6 months of age, infants who received formula at birth were just as likely to be breastfed as those who hadn’t. But the formula-fed group was less likely to still be breastfeeding at 12 months, the study found.

That’s not surprising. About one-third of U.S. babies breastfeed at 12 months, according to the U.S. Centers for Disease Control and Prevention.

“The results suggest that using early, limited formula may not have a negative impact on infants, but it may alter maternal attitudes toward breastfeeding,” Flaherman said.

If formula is used during the first few days after birth to tackle weight loss or dehydration, she added, “it should be discontinued as soon as possible, since ongoing use at one week of age indicates a mother is at high risk of early breastfeeding cessation.”

Flaherman and her colleagues reported their findings in the June 3 issue of JAMA Pediatrics.

WebMD News from HealthDay

Sources

SOURCE:JAMA Pediatrics, news release, June 3, 2019

Copyright © 2013-2018 HealthDay. All rights reserved.

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Bedroom Light at Night Might Boost Women’s Weight

MONDAY, June 10, 2019 (HealthDay News) — Women, beware: Sleeping with a light on or the TV going in your bedroom could make you put on weight.

That’s the finding of new research published in JAMA Internal Medicine. While the study doesn’t prove that sleeping with a light on causes weight gain, it suggests the two may be linked, the researchers said.

“Turning off the light while sleeping may be a useful tool for reducing a possibility of weight gain and becoming overweight or obese,” said lead author Dr. Yong-Moon Mark Park. He is a postdoctoral fellow at the U.S. National Institute of Environmental Health Sciences in Research Triangle Park, N.C.

Park said that exposure to artificial light at night may suppress the sleep hormone melatonin and disrupt the natural sleep-wake cycle.

“It also may disturb day-to-day variations of stress hormones and affect other metabolic processes in ways that contribute to weight gain,” Park added.

Keeping a light on might also result in poorer sleep. Shorter sleep could prompt you to exercise less and eat more, he noted.

For the study, Park’s team relied on self-reported data from nearly 44,000 women, aged 35 to 74. They weren’t shift workers, daytime sleepers or pregnant when the study began.

Women who slept with a light on were 17% more likely to gain 11 pounds or more over five years, the study found. And the level of artificial light seemed to matter, Park said.

“For example, using a small nightlight was not associated with weight gain, whereas women who slept with a light or television on were,” he explained.

The findings didn’t change when researchers accounted for women’s diet and physical activity, which suggests that light during sleep may be important in weight gain and obesity.

Dr. David Katz, director of the Yale-Griffin Prevention Research Center in New Haven, Conn., reviewed the findings. He said the link between exposure to artificial light at night and obesity may not indicate that one causes the other.

“As with any study of association, two findings are true — true, but not directly related,” he said.

The key takeaway relates to poor sleep, Katz suggested.

“Sleep deficiency and impairment is a known obesity risk factor, for reasons ranging from mood and reduced restraint, to changes in hormonal balance,” he said.

It’s also possible that reliance on artificial light at night and obesity are both linked to other factors, such as “loneliness, anxiety or some form of social insecurity,” Katz said.

The report was published online June 10.


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Balloons, Pills, Sleeves: Weight Loss Options Grow

DDW 2019, Digestive Disease Week, San Diego, CA, May 18-21.

Lisa Rivera, endoscopic sleeve gastroplasty patient, Manhattan.

CDC, NCHS Data Brief: “Prevalence of Obesity Among Adults and Youth: United States, 2015-2016,” October 2017.

Christopher Thompson, MD, director of endoscopy, Brigham & Women’s Hospital; associate professor of medicine, Harvard Medical School.

Shelby Sullivan, MD, associate professor of medicine and director, Gastroenterology Metabolic and Bariatric Program, University of Colorado School of Medicine, Aurora.

Reem Sharaiha, MD, associate professor of medicine, Weill Cornell Medicine; assistant attending physician, New York-Presbyterian, New York City.

Andres Acosta, MD, PhD, senior associate consultant, gastroenterology and hepatology, Mayo Clinic, Rochester, MN.

Lian Cunningham, spokesperson BAROnova Inc.

Stephanie Simon, spokesperson, Gelesis.

Mayo Clinic: “Endoscopic sleeve gastroplasty.”

Obesity, Feb. 12, 2019.

Surgery for Obesity and Related Diseases, November 2018.

CDC: “The Health Effects of Overweight and Obesity.”

Diane Utzman-O’Neill, director of marketing, ReShape Lifesciences Inc.

Obesity Surgery: “Efficacy of Endoscopic Interventions for the Management of Obesity: a Meta-analysis to Compare Endoscopic Sleeve Gastroplasty, AspireAssist, and Primary Obesity Surgery Endolumenal.”

FDA: “FDA approves AspireAssist obesity device,” “TransPyloric Shuttle/TransPyloric Shuttle Delivery Device – P180024.”

Aspire: “AspireAssist Cost and Insurance.”

Spatz Medical.

Johns Hopkins Medicine, Digestive Weight Loss Center: “Endoscopic Sleeve Gastroplasty (Accordion) Procedure.”

UpToDate: “Patient Education: Weight Loss Surgery and Procedures.”

WebMD Health

How Much Protein Do You Need for Weight Loss and Muscle Growth?

FRIDAY, May 10, 2019 — Low-carb, vegetarian, Mediterranean — whatever your diet, it’s important to get enough protein.

Although research hasn’t yet pinpointed one perfect formula, experts say that the typical “recommended” daily minimums aren’t optimal, and that it helps to factor in your weight and activity level to determine how much protein you personally need.

A good baseline for people who exercise at a moderate level is between one-half and three-quarters of a gram of protein per pound of bodyweight. If you weigh 150 pounds, for example, eat between 75 and 112 grams of protein per day. To lose weight, diets with higher amounts of protein — between 90 and 150 grams a day — are effective and help keep you from losing muscle along with fat.

Since the body uses protein most effectively when you have it at regular intervals, divide your daily intake into four equal amounts for breakfast, lunch, a snack and dinner. If you work out at a high level, consider eating another 50 grams of protein before you go to bed to help with overnight muscle repair.

You might be familiar with calorie counting, but it’s also important to know how to tally your protein intake. While one ounce of chicken weighs 28 grams, it contains only about 9 grams of protein. So it takes a 3-ounce portion to deliver 27 grams of protein, or about one-quarter of the average daily need.

27-Gram Protein Portions

  • 3 ounces of fish, turkey, chicken or lean beef
  • 7 ounces plain Greek yogurt
  • 3/4 cup cottage cheese

You can also get high-quality protein from some plant-based foods. These include tofu, whole grains, legumes and nuts — all better options than eating extra red meat or any processed meats.

More information

The USDA has more on high-protein foods and how to choose wisely.

© 2019 HealthDay. All rights reserved.

Posted: May 2019

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Newborn’s ‘Microbiome’ Could Give Clues to Weight Later

FRIDAY, April 12, 2019 — A newborn’s first stool holds telltale clues about his risk for becoming an overweight 3-year-old, according to a European study.

The clues come from the population of bacteria (microbiome) in the baby’s gut.

Finnish researchers used genetic sequencing to analyze the first stool produced by 212 newborns and another sample at age 1. Called meconium, a baby’s first stool is composed of material ingested while in the womb.

The children’s weight and height were checked at regular visits, and their antibiotic use recorded.

Researchers found that the greater the abundance of Staphylococcus bacteria in an infant’s first stool, the shorter the child was at 1 and 2 years of age.

Kids who were overweight by age 3 had much more (29% versus 15%) Bacteroidetes in their infant microbiome than those who were not overweight, the study found. Bacteroidetes are a large group of bacteria found in many environments, as well as in the guts and skin of many animals.

Newborns who were overweight by age 3 also had less Proteobacteria (19% versus 35%), according to the team led by researcher Katja Korpela from the University of Oulu.

The study is scheduled for presentation at a meeting of the European Congress of Clinical Microbiology and Infectious Diseases, to be held Saturday through Tuesday in Amsterdam, the Netherlands.

The research also found that antibiotics can alter a child’s microbiome.

Babies who were given antibiotics in their first year of life had lower levels of Actinobacteria at age 1 than did those who received antibiotics shortly after birth, whose mothers took antibiotics during pregnancy, and those who had no exposure to antibiotics.

In a meeting news release, Korpela’s team said that shows the lasting impact of antibiotics on a child’s microbiome.

Research presented at meetings is typically considered preliminary until published in a peer-reviewed journal.

More information

The U.S. Centers for Disease Control and Prevention has more tips for parents on how to maintain healthy weight for children.

© 2019 HealthDay. All rights reserved.

Posted: April 2019

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Exercise Key to Staying Slim After Weight Loss: Study

THURSDAY, April 4, 2019 — If you’ve lost a bunch of weight and want to keep those pounds from piling back on, you’ll need to make regular physical activity a part of your life.

New research looking at people who lost 30 pounds or more and kept it off for a year or longer found that regular exercise was key.

“These people rely on physical activity to maintain their weight rather than restricting calorie intake. This shows how critical physical activity is for maintaining weight,” said lead author Danielle Ostendorf. She’s a postdoctoral fellow at the University of Colorado Anschutz Health and Wellness Center.

But Ostendorf was quick to point out these findings don’t mean that people shouldn’t pay attention to their diet. “Diet is very important, especially for weight loss,” she said.

To lose weight, you need to eat fewer calories than you use during the day, according to the U.S. Centers for Disease Control and Prevention. The number of calories someone needs depends on several factors, including age and activity level.

Generally, a 40-year-old woman needs between 1,800 and 2,200 calories a day, the U.S. government’s dietary guidelines recommend. A man the same age usually needs about 2,400 to 3,000 calories daily. The more you move, the more calories you can eat.

The current study looked at three groups of people.

The weight maintainer group included 25 adults who had lost about 30 pounds or more and kept it off for more than a year. Another group included 27 adults at a normal weight. The final group had 28 adults who were either overweight or obese.

All three groups were monitored over a week while they were living as normal. No one gained or lost weight.

The volunteers weren’t given any specific instructions on diet or exercise. They gave urine samples at the beginning and end of the study to measure how many calories they used (energy expenditure).

Each participant also wore a fitness device to measure their activity. It could differentiate whether people were standing or stepping and determine intensity level, Ostendorf said.

The study found that people who maintained their weight loss burned about 180 more calories a day during physical activity than other participants.

People who are overweight and obese use more calories normally, just to move a larger body throughout the day, the researchers explained. So, the fact that the maintainers used more calories than people who were still overweight or obese suggests they were more physically active.

Data from the fitness devices suggested the same. Maintainers clocked about 12,000 steps per day. Normal-weight adults had about 9,000 steps daily, and those who were overweight or obese had 6,500.

The maintainers spent about 95 minutes a day doing moderate to vigorous activity, Ostendorf said. Moderate activity might be walking up a hill; you can still talk but you might be a little out of breath. Running is an example of vigorous activity, she said.

Compared to the normal-weight group, both the maintainers and the overweight and obese group ate and used 300 calories more a day. But the maintainers appeared to compensate with more activity, researchers said.

The takeaway: You have to be active to stay at a healthy weight.

“People can lose weight and maintain the weight loss. There are people who have done this successfully. And it doesn’t have to be an extreme workout,” Ostendorf said.

Current U.S. physical activity guidelines call for at least 150 to 300 minutes weekly of moderate-intensity activity. Any physical activity counts toward that goal.

Dana Angelo White, a registered dietitian and clinical assistant professor of athletic training and sports medicine at Quinnipiac University in Hamden, Conn., agreed with the study’s conclusion.

“If you manage to successfully lose weight, there’s a certain level of maintenance required. And, you can’t just rely on diet or exercise by themselves,” said White, who wasn’t involved with the study.

She emphasized that everyone — regardless of weight status — needs to be physically active for good health.

“Commit to moving more. That doesn’t mean you need to go from zero to a hundred overnight. But find some sort of enjoyable exercise routine, and increase your activity outside of exercise as well. Make extra steps wherever you can. Walk around on your lunch break, or if you can, walk your kids to school. Anything to keep moving,” White suggested.

The study was published in the March issue of Obesity.

More information

Learn more about the importance of exercise from the American Heart Association.

© 2019 HealthDay. All rights reserved.

Posted: April 2019

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Looking to Make Big Weight Changes? Start Small

man eating meal

Have you resolved to shed some excess pounds? You need a plan that leads to a sustainably healthier and trimmer you, so you’re not back where you started this time next year.

Some men tend to fixate on numbers and lose sight of other things. If you weigh 300 pounds and want to shed half your weight, for example, you just might get overwhelmed by the task ahead before you get started.

Here’s a better approach: Break your big weight loss goal into smaller, more realistic steps you can take to improve your quality of life, says Seattle-based registered dietitian and nutritionist Angel Planells.

“Aim first to drop from 300 to 270,” he says. “The health benefits of that 10% drop are tried and true.”

Blood pressure and cholesterol will likely improve significantly, and back and knee pain may ease as well, which allows you to be more active, further improving your health. “Small increments can lead to amazing quality-of-life improvements,” says Planells.

Not sure where to start? Here are two plans to consider.

Intermittent fasting, which requires you to restrict eating to certain times. In one version called 16:8, you eat your normal diet during an eight-hour window, say from 10 a.m. to 6 p.m., then you fast for 16 hours. One theory behind the diet: By limiting your meals to daytime hours, your body is better able to metabolize what you eat. The result? Some recent studies suggest benefits like weight loss, improved blood pressure, and reduced appetite, and, in men at high risk of diabetes, it countered some of the things that lead to the disease.

Diet breaks, a different intermittent approach that a 2017 study found to work well for men. Over 4 months of dieting, men who alternated every 2 weeks between a low-calorie diet and a normal-size healthy diet lost 11 pounds more than those who dieted nonstop.

No matter what plan works for you long-term, strive for more than just a number or quick fix, says Planells. “Your goal should be life change, not just pound change,” he says. “Be patient, and focus on the process.”

Continued

Questions for Your Doctor or Dietitian

What’s the best plan for me? That depends on your goals, your motivation, and your health. If one plan does not work for you, keep looking until you find the right fit.

How do I stay motivated? Focus on the potential benefits of weight loss. You eventually may need fewer medications, for example, or have more energy for your kids and grandkids.

Do I have to change everything right away? No. Gradual shifts may make long-term change more likely. So if you drink a sugary soda or a sweet coffee drink every day, slowly wean yourself off of it.

What’s a good first step for making this work? Get your spouse or partner involved. When you reinforce each other’s efforts and hold each other accountable, you both improve your chances of success.

Find more articles, browse back issues, and read the current issue of WebMD Magazine.

Sources

SOURCES:

Angel Planells, registered dietitian; spokesperson, Academy of Nutrition and Dietetics, Seattle.

International Journal of Obesity: “Intermittent energy restriction improves weight loss efficiency in obese men: the MATADOR study.”

CDC: “Losing Weight.”

Nutrition and Healthy Aging: “Effects of 8-hour time restricted feeding on body weight and metabolic disease risk factors in obese adults: A pilot study.”

E. Cell Metabolism: “Early Time-Restricted Feeding Improves Insulin Sensitivity, Blood Pressure, and Oxidative Stress Even without Weight Loss in Men with Prediabetes.”

© 2019 WebMD, LLC. All rights reserved.

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Pancreatic Cancer Survival Odds Linked to Weight Before Age 50

SUNDAY, March 31, 2019 — Need another reason to stay slim? People who are overweight have a greater risk of dying from pancreatic cancer, especially those who are carrying extra pounds before age 50, a new study suggests.

“No matter what the age, there was some increase in pancreatic cancer deaths associated with excess weight. But the association was stronger for excess weight measured in people’s 30s and 40s,” said the study’s lead author, Eric Jacobs, senior scientific director of epidemiology research at the American Cancer Society (ACS).

“We’re not completely sure why this is. Weight gain later in life may simply have less time to cause cancer,” he said.

Between 2000 and 2015, the rate of pancreatic cancer rose about 15 percent, he said. It’s now the third-leading cause of cancer death in the United States.

One reason pancreatic cancer is so deadly is that it often isn’t discovered until it has reached an advanced stage. The disease rarely causes noticeable symptoms, and there are no effective screening tests, according to the cancer society.

But a few risk factors for pancreatic cancer can be changed. Smoking, weight and exposure to workplace chemicals are the three known risk factors that can be modified.

In the new study, researchers looked at data for almost 1 million U.S. adults with no history of cancer. The participants were enrolled in a nationwide study that began in 1982, and were followed through 2014.

The study participants reported their weight and height once — at the start of the study. This information was used to calculate each person’s body mass index (BMI), an estimate of body fat based on height and weight. A BMI from 18.5 to 24.9 is normal, while 25 to 29.9 is overweight. Over 30 is considered obese.

When BMI rose by five units — equivalent to about 32 pounds for someone who is 5 feet 7 inches tall — the risk of dying from pancreatic cancer rose:

  • 25 percent for those between 30 and 49 years old.
  • 19 percent for people between 50 and 59.
  • 14 percent for people in their 60s.
  • 13 percent for those between 70 and 89.

As newer generations who are heavier than past generations reach older ages, Jacobs said he expected pancreatic cancer deaths to rise.

About 28 percent of that risk for people born between 1970 and 1974 comes from BMIs in excess of 25. That’s about double the risk people born in the 1930s face, the investigators found.

Dr. Matthew Weiss, deputy physician-in-chief of surgical oncology at Northwell Health Cancer Institute in Lake Success, N.Y., reviewed the findings.

He said, “This study shows a clear association between obesity in patients under 50 years old and an increased risk of dying from pancreatic cancer. Interestingly, this phenomenon does not seem as impactful at older ages.”

Weiss pointed out that the study doesn’t prove a cause-and-effect relationship. It only shows an association.

“It may be that some of the factors that are important in the development of obesity also increase the risk of pancreatic cancer, which is a highly lethal disease,” Weiss said.

It’s also possible that both conditions are on the rise, but for different reasons, he said. However, Weiss added, obesity has been linked to other cancers as well.

Dr. Rishi Jain is an assistant professor of hematology/oncology at Fox Chase Cancer Center in Philadelphia. He urged people who are overweight to do something about it, to reduce their cancer risk.

“When lifestyle modification — such as diet and physical activity — are insufficient in promoting weight loss, patients may seek additional support from a weight management program, which may incorporate other interventions including weight-loss medications or bariatric [weight-loss] surgery procedures,” Jain suggested.

Jacobs is scheduled to present the findings Sunday at the American Association for Cancer Research meeting, in Atlanta.

Findings presented at meetings should be viewed as preliminary until they’ve been published in a peer-reviewed journal.

More information

Learn more about pancreatic cancer from the American Cancer Society.

© 2019 HealthDay. All rights reserved.

Posted: March 2019

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Is Your Doctor Helping or Hurting You Lose Weight?

March 20, 2019 — If you’re trying to lose weight, your doctor can be a hindrance — or, a new study found, a big help.

Plus, if your doctor does give advice about losing weight, the type of advice matters. And if your doctor is empathetic about how hard it is to lose weight, you are likely to be more successful, the researchers found.

“This study shows that doctors can be helpful in assisting their patients to lose weight, but they have to counsel their patients in a very specific way,” says Gary Bennett, PhD, professor of psychology at Duke University and the study’s senior author. “They can’t just give generic advice.” Instead, he found that the more specific the advice and recommendations, the more successful the weight loss.

Empathy translated to pounds shed, too. “Patients respond to physicians who really show a lot of care and concern, and especially for something that is difficult like weight loss,” he says. The study is published in the Journal of General Internal Medicine.

While guidelines on obesity recommend that doctors and other health care professionals counsel patients to lose weight, research has shown that simply telling patients to lose weight, without support from a comprehensive weight loss program, is usually not effective, Bennett says.

In the study, the researchers wanted to see if the type of counseling doctors gave patients in a comprehensive weight loss program called Track made a difference. The researchers also asked the participants how empathetic they felt their doctors were about their weight loss efforts, to see if that made a difference.

Study Details

Bennett’s team invited 134 men and women, average age 51, with an average body mass index (BMI) of 36, which is considered obese, to participate in the Track program for a year. 

Track includes digital components and personal support. The researchers gave the people tailored goals, such as to walk 10,000 steps a day. The goals changed every 2 months.

Participants also received educational materials and got weekly calls or texts asking about progress and providing reinforcement. Coaches, including dietitians and psychology graduate students, called the participants 18 times during the year for additional support.

The 64 doctors or nurse practitioners in the study received notes in the electronic health records with reports on patients’ progress, including weight and habit changes.

During the study, participants reported whether their doctors or nurse practitioners gave them general weight loss advice or specific advice about the Track program. Researchers also checked to see if the professionals gave general weight loss advice or specific advice to patients during office visits.

Specific Advice + Empathy = Weight Loss

Overall, people in the study lost an average of 8.8 pounds over the 12 months.

However, specific advice and empathy were linked with more weight loss, Bennett found. “People who received specific counseling lost 8.8 pounds more than those who received no counseling and almost 7 pounds more than those who received generic counseling [such as being told to lose weight, eat better],” he says.

“People who reported their clinicians to be the most empathetic lost about 7 pounds more than those who were rated as least empathetic,” he says.

Why Empathy and Advice May Count

“What’s happening here, we think, is that doctors can hold patients accountable,” Bennett says, by making concrete suggestions such as taking the calls from the weight loss coaches. He says other research has shown, for instance, if a doctor recommends a specific medicine, ”a patient is likely to take it.”

And the empathy? “When providers signal to patients that weight loss is a very challenging condition to change, patients can rise to the occasion,” Bennett says. “So many people need to lose weight.” He suspected doctors who don’t show empathy to their overweight patients may be unwittingly sending a message of shaming the patients.

Neither the specific advice or showing empathy take much time, Bennett says. Sometimes, it’s a matter of a few words.

Second Opinion

The results make sense to Katrina Hartog, a registered dietitian and clinical nutrition manager at Lenox Hill Hospital in New York. She reviewed the findings and often counsels patients at Lenox Hill about weight loss.

Giving specific instructions makes people accountable, she says, and that is key.

In her practice, she finds, more specific recommendations are better. Instead of telling people to eat less, she says, better to specify daily calorie goals, for instance.

A little empathy from a health care professional goes a long way for a few reasons, she says. “If you can connect more with a person, it enhances the rapport and opens further dialogue. Then the patient feels more comfortable discussing their struggles or will tell you where they need more guidance.”

And if someone’s doctor doesn’t have specific weight loss advice? “They can always ask a physician for a referral to [a registered dietitian],” she says. There, the person can obtain the specific information the researchers found helpful, such as daily calorie intake.

The study was funded by the National Institutes of Health.

Bennett is on the advisory board for WW (formerly Weight Watchers), a member of the board of directors for Girl Trek and holds equity in Coeus Health, LLC.

Sources

Gary Bennett, PhD, professor of psychology, Duke University, Durham, NC.

The Journal of General Internal Medicine, online, March 20, 2019.

Katrina Hartog, RD, MPH, clinical nutrition manager, Lenox Hill Hospital, New York.

© 2019 WebMD, LLC. All rights reserved.

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