In the US, 52.3% of the adult population has either type 2 diabetes or prediabetes. Less than 12.2% of the adult population is metabolically healthy. Six feedings a day are a recipe to insulin resistance. Dietary carbs are only necessary if a person is currently taking diabetes medications associated with the risk for hypoglycemia such
Sensory-specific satiety: the relationship between perceived taste and quantity consumed of food. As individuals consume more of a food item, they experience diminishing marginal taste perception, which means their level of perceived taste from additional consumption tends to decline (additional consumption becomes less pleasurable). The first bite of chocolate is better than the 10th. In
Once the body is in nutritional ketosis, reduced insulin shifts the metabolic pathways to preferentially burn fat stores instead of storing fat stores. This leads to weight loss and can reverse the symptoms of diseases like Type 2 diabetes. Impaired glucose tolerance and type 2 diabetes mellitus are associated with increased risk of cardiovascular disease.
According to a “NEW” study published in Obesity, “lifestyle interventions focused on altering dietary and physical activity habits using behavioral strategies can produce sustained weight loss among African Americans and Hispanics who have type 2 diabetes (T2D)” Which ivory tower have they been living in or is this new information to their sources of funding?
I operate an interventional pain clinic in the urban core. More than 90% of my chronic pain patients have metabolic dysfunction and have always presumed that the Standard American Diet was to blame for their metabolic syndrome and subsequent metainflammation. Even the ones who do not have high waist circumference, still had elevated fasting glucose
My clinic started as an interventional pain clinic, but I quickly realized that chronic pain was more than an isolated pathology of excessive pain. I have amazing tools that can relieve a patient’s symptoms, but I can’t reverse the course of disease unless I treat the underlying cause, the metainflammation. Pain simply doesn’t become chronic
Many dietary recommendations suggest regular inclusion of breakfast for weight management, as a protective factor against obesity and suggest that “breakfast is the most important meal of the day.” A meta-analysis of randomized controlled trials evaluated data on the effects of breakfast on obesity prevention or weight loss. Breakfast for weight loss in adults, has
Mindset effects weight at a biochemical level. Clinically we tell patient’s that weight loss is about mindset, but I’ve struggled explaining the biochemical pathway why epinephrine associated with stress would cause insulin resistant patients to gain weight, rather than lose weight. 1. Chronic elevated stress responses lead to elevated epinephrine. 2. Epinephrine normally signals for
Fat is more than an issue of appearance. Fat can lead to multiple chronic illnesses, and obesity is by far the greatest risk factor contributing to the burden of chronic diseases in the U.S. Obesity increases insulin resistance, blood pressure, LDL cholesterol, and triglycerides. Further, obesity lowers HDL cholesterol and places the body in a
Many people think that obesity isn't treatable once they have reached a certain age, and thus have an indifferent attitude. I have patients in their 60s who tell me they are too old to reverse their obesity, and what difference would it make anyway? They assume that being overweight is an issue of how they