(Reuters Health) - Doctors rarely talk about weight concerns with patients who are overweight or obese, and when they do, patients experiences tend to be negative, according to a new review of research based on interviews.

Most often, doctors avoid the topic, leaving patients feeling stigmatized and neglected, the study team reports in the journal Clinical Obesity. When doctors do talk about weight issues, they often seem to assume patients simply arent trying to address their weight, and offer banal advice.

As a doctor myself, listening to these patients stories was, in many cases, uncomfortable. Many patients recounted tales where they had been patronized, marginalized unintentionally, or occasionally insulted, senior study author Paul Aveyard of the University of Oxford in the UK told Reuters Health in an email.

We know that obesity is caused by a collision between susceptibility due to our genetic make-up and a food environment that makes appetite control really hard, he said. You would imagine that doctors and nurses would know this, and this might be uppermost in their mind when they consulted patients.

More than 2.5 billion adults worldwide - about 40% of the population - are overweight or obese worldwide, Aveyard and colleagues note in their report. Being overweight increases risks for diabetes, cancer, heart disease and poor mental health.

Guidelines recommend that doctors intervene when a patient is obese, but its unclear how many do and how patients respond, Aveyard and colleagues write.

To better understand how obesity is discussed in clinical visits, they analyzed 21 studies that interviewed a total of 466 people who were overweight or obese about appointments with their primary care doctors. Eleven studies were conducted in the U.S. or Canada, and the rest in the UK, Germany, Norway, Australia and New Zealand.

Overall, patients and doctors didnt discuss weight concerns often, yet many patients said they would have liked to have those conversations. Some patients believed the discussions didnt happen because they were viewed as unworthy of medical time or doctors didnt think their weight was a serious risk. Patients also internalized stigmas around weight and picked up on clues that suggested doctors judged them negatively.

When conversations did occur, patients said doctors offered banal or flippant advice, which assumed the patient didnt eat well, exercise or try to address weight problems. In addition, patients felt doctors assumed their symptoms were related to their obesity, even without taking a full medical history or performing an exam, and these patients feared a serious illness may have been missed as a result.

For several patients, the term obese made them feel demotivated and hopeless. Others had experiences with nurses or doctors who directly said a procedure would be a lot easier if they were smaller.

It seems that the general view, that obesity is due to a failure of willpower, is so ingrained that this dominates thinking, at least on some occasions, Aveyard said. As a result, doctors and nurses sometimes say unhelpful things that undermine the motivation of their patients to lose weight.

At the same time, patients tended to respond positively to supportive advice around weight loss and active monitoring of weight control. Some said when a doctor commented on weight loss, even small changes, they felt motivated to keep going.

It doesnt take a lot for the conversation to be a big positive for patients, Aveyard said. Doctors and nurses could notice small changes in weight, perhaps by regularly weighing their patients, and commenting on modest losses.

Doctors and nurses can also discuss a range of options available and offer referrals, he said.

There are many missed opportunities to discuss the health risks associated with overweight and obesity with doctors. These missed opportunities can lead to misunderstandings between doctors and their patients, said Kristen Glenister of the University of Melbourne in Australia, who wasnt involved in the study.

Discussions regarding overweight and obesity in the context of increased risk of developing chronic diseases are important to have but need to be undertaken with the appropriate language and tone, permissive approach, with trusted clinicians, adequate time and tailored advice, Glenister told Reuters Health by email.

SOURCE: bit.ly/2S1TGeb Clinical Obesity, online December 2, 2019.

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Patients face difficulty talking about weight with doctors - Reuters

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New year, new him.

While a lot of people usually wait until after the holidays to start getting into shape, actor and comedian Kumail Nanjiani got an early start. The star took to his Instagram to show off his shocking body transformation for his film Eternals. The world is used to seeing the funny man as the nerdy technology obsessed characterDinesh Chugtai in the hit HBO series Silicon Valley, but he's sporting a much different look these days.

"I never thought I'd be one of those people who would post a thirsty shirtless, but I've worked way too hard for way too long so here we are," the comedian joked about his new muscular physique. "You either die a hero, or you live long enough to see yourself become the villain."

The pictures in question feature a shirtless Kumail with his newly minted six pack and bulging arms on full display. The comedian posted these two first-look photos of his body, and in one he's cheekily looking off to the side, while in the other you can see him facing the camera straight on in all his newfound glory.

"I found out a year ago I was going to be in Marvel's Eternals and decided I wanted to transform how I looked," he shared about his transformation process. "I would not have been able to do this if I didn't have a full year with the best trainers and nutritionists paid for by the biggest studio in the world. I'm glad I look like this, but I also understand why I never did before. It would have been impossible without these resources and time."

The comedian went on to thank all the people responsible for getting him to this place and the people who got him this far.Eternals is a Marvel's newest and most exciting project on the horizon. The film will follow a race of immortal beings and Kumail will play Kingo. Angelina Jolie, Richard Madden and Salma Hayek will also star in the film.

Congrats on the hard work, Kumail!

Watch the 2019: What E! Year end-of-year special Tuesday, Dec. 17 at 10 p.m.! E! News returns Monday morning, Jan. 6 at 7 a.m.!

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Kumail Nanjiani's Eternals Body Transformation Will Shock You - E! NEWS

Apple Cider Vinegar, or ACV, hassomething of a cult following as a diet hero, complete withentire websites devoted to it as a weight-loss elixir. It's used for detoxing, curing stomachailments and even is known to cure warts. Hippocrates (c.420 BC) used vinegar medicinally to manage wounds. But the most common use today is for weight loss.

So how does apple cider vinegar help people lose weight? According to Healthline, acetic acid is the vinegars main active component which is a short-chain fatty acid that dissolves into acetate and hydrogen in your body. Studies have shown a correlation between apple cider vinegar and the regulation of fat and metabolism burn by the increased fat burn and decrease of fat storage from short-chain fatty acids.

Apple cider vinegar appears to speed up metabolism by accelerating the bodys ability to break down nutrients efficiently and quickly, giving your food less opportunity to stick -- and lowering your blood sugar levels.

You can drink a detox tea with it oreasily incorporate it into your meals, as a simple salad dressing.Apple cider vinegar consists of both malic acid and acetic acidalong withpectin, potassium, and several other minerals, and vitamins, all of which appear to be beneficial to your gut health.

It's a simple two-step process, that's very similar to how kombucha is made.

1. Crush apples and squeeze out the juice, which allows for the alcoholic fermentation process because the liquid is exposed to bacteria and yeast.

2. Once the bacteria become active, the fermented alcohol turns into acetic acid (the main active compound in vinegar).

While ACV is knownfor its bitter taste, it goes way beyond that. It can be used to cook almost anything in a pan, like stir fry, pancakes instead of butter or oil. It works to sautee meatless meatballs andratatouille. Its powerful flavor contrasts well with stovetop foods because it takes away their bitterness.Add it to your vegetable broth for more flavor and tangy taste to your minestrone soup.

Simple Tangy ACV Salad Dressing:

Place ingredients into a mixing bowl and stir it together until ingredients combine. If you want a thicker taste, add olive oil as necessary until you are satisfied with thetexture.

If you have a special recipe or specific way you like to use apple cider vinegar, email us at info@thebeet.com, we would love to share it with everyone.

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This Simple Ingredient Has Proven Weight-Loss and Health Benefits - The Beet

Starting your day off with a healthy meal can be a key component in achieving sustainable weight loss. Specifically, incorporating high protein foods into your favorite breakfast recipes is an easy routine shift that could yield considerable weight loss results.

To make it easier for you to find flat-belly breakfast recipes, we collected four of our favorite morning meals that can help you lose weight fast.

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If you have a sweet tooth, this is an excellent healthy breakfast option for you. This gluten-free breakfast is high in protein and a healthy way to start your day, especially if you love the combination of chocolate and bananas

What You'll Need: chocolate whey protein, pancake flour, chia seeds, baking powder, eggs, banana, almond milk

Recipe: Dr. Axe

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If you need a quick breakfast before starting your day, this is a fantastic recipe that is healthy and easily customizable. Although oatmeal is delicious on its own, the egg adds necessary protein for a well-balanced breakfast. Choose either sweet or savory toppings depending on what you are craving.

What You'll Need: almond milk, old fashioned oats, egg, salt

Recipe: Nutrition Starring You

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If you're looking for a more savory breakfast option, this is another delicious recipe that will keep you full and prevent you from snacking before lunch. Summer Yule, RDN, explains, "This dish is low-calorie but high in protein and veggies, with enough fat to leave you feeling satisfied."

What You'll Need: eggs, cheese, olive oil, onion, sun-dried tomatoes, baby kale

Recipe: Summer Yule

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If you want to meal prep a healthy breakfast, this is a fantastic option that can incorporate protein and fruit into your diet. Combining protein, almonds, and cherries, this is a great recipe and easy way to add more nutrients into your diet first thing in the morning.

What You'll Need: rolled oats, vanilla protein powder, baking powder, cinnamon, bananas, vanilla extract, egg whites, almond milk, cherries, almonds

Recipe: Radical Strength

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4 Flat-Belly Breakfast Recipes You Should Try This Week For Weight Loss - SheFinds

New Years resolutions run the gamut from the simple to the complex. Some people resolve to make small changes that dont affect their daily lives all that much, while others aim to make significant changes in the hopes of dramatically improving their quality of life. Resolving to lose weight, which often tops annual lists of the most popular resolutions, falls into the latter category.

A 2018 survey from Cision and Varo Money found that 45 percent of respondents resolved to lose weight or get in shape in 2018. Unfortunately, various studies have found that resolutions often fall by the wayside long before people achieve their goals. In fact, a 2015 report from U.S. News indicated that 80 percent of resolutions fail by the second week of February. Such success rates, or lack thereof, might not be too big a deal for people who make silly resolutions that, successful or not, would not have too big an impact on their lives. But many people resolve to lose weight for serious reasons, such as lowering their risk for disease or improving their quality of life. In such instances, success can be a matter of life or death.

After resolving to lose weight, people might be derailed by some common pitfalls. Recognizing these pitfalls and learning how to avoid them can help people achieve their weight loss goals.

Youre not specific enough. Try not to be vague when setting your weight loss goals. Simply saying I want to lose weight likely wont provide the motivation you need to achieve your goal. Speak with your physician and ask about how much weight you need to lose. Once you learn that number, work with your doctor and a personal trainer to set realistic goals. For example, if you need to lose 10 lbs., resolving to lose one pound per week for 10 weeks is a specific, realistic and healthy approach to weight loss. And by the end of that 10-week period, you likely will have grown accustomed to your new health routine, increasing the likelihood that you will keep it up even after you achieved your goal.

You try to save up your calories. The experts at Northwestern Medicine note that many people think skipping a few meals per day will decrease their overall calorie intake. However, such an approach typically leads to overeating when you sit down for a meal or increased snacking throughout the day. In addition, skipping meals slows down your metabolism, adversely affecting how your body approaches burning calories.

You embrace a fad diet. Various studies examining an assortment of fad diets have indicated that such diets typically only produce short-term results, if any. Any weight lost while adhering to a fad diet is typically regained once dieters go off the diet. Instead of adopting a fad diet, work with your physician to devise a healthy, long-term eating plan.

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You eat more than you think. Audra Wilson, RD, a clinical dietitian affiliated with Northwestern Medicine, notes that people typically underestimate their calorie intake by 30 percent. Chances are, youre consuming more calories than you think, even while you attempt to lose weight. Track the calories you consume each day so you can stay the course in regard to what your physician recommends.

Avoiding some common weight loss pitfalls can help people turn their resolution to drop some weight into a reality.

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Pitfalls to avoid as you try to lose weight - Williston Daily Herald

Carrots are loaded with multiple health benefits. Do you know carrots can help in weight loss as well? If you are trying to lose weight this winter, carrot can be a part of your weight loss diet. Here's how

Weight loss: Carrot can keep you full for longer and promote weight loss

Carrot- a root vegetable that is quite famous during the winter season. It is mainly available during the winter season which can provide you multiple health benefits. During the winter season, carrot halwa is one of the favourite delicacies. But do you know carrots can help in weight loss as well? Carrots are rich in various nutrients. If you are trying to lose weight this winter, carrot can be a part of your weight loss diet. Not just weight loss carrots can also provide you other health benefits as well. During the winter season, you can cook carrots in different ways and speed up your weight loss process. Here's how carrots can help you lose weight.

Carrots have many properties that can help in weight loss. It can be a powerful ingredient of your weight loss diet. Carrots contain very few calories which makes it an appropriate food for weight loss. It is also loaded with fibre which can keep you full for longer and make you eat less. Carrots are also loaded with vitamin A which also helps you lose weight.

Also read:Too Lazy To Workout During Winter? Do Not Compromise On Your Fitness Goals With These Weight Loss Tips

Weight loss: Eating carrots is loaded with health benefits including weight lossPhoto Credit: iStock

You can simply add a bowel of fresh carrot to your diet. You can also eat boiled carrots. You can also add to your salad or different foods you prepare. Carrot can be a part of soups as well which can help in weight loss. This crunchy vegetable will provide you many other health benefits as well.

Also read:Achieve Your Weight Loss Goals This Winter By Adding These Seasonal Fruits To Your Diet

Adding carrots to your diet is associated with many other health benefits other than weight loss. As it is loaded with essential nutrients and vitamins, it can benefit your health in various ways. Some health benefits of eating carrots may include-

Also read:Orange: An Amazing Winter Fruit For Diabetes, Weight Loss, Skin And Much More; Know All Health Benefits

Disclaimer: This content including advice provides generic information only. It is in no way a substitute for qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.

DoctorNDTV is the one stop site for all your health needs providing the most credible health information, health news and tips with expert advice on healthy living, diet plans, informative videos etc. You can get the most relevant and accurate info you need about health problems like diabetes, cancer, pregnancy, HIV and AIDS, weight loss and many other lifestyle diseases. We have a panel of over 350 experts who help us develop content by giving their valuable inputs and bringing to us the latest in the world of healthcare.

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Speed Up Your Weight Loss Process With Carrots This Winter; Know Other Health Benefits - Doctor NDTV

"Love Island" starAlexandra Cane looked incredible as she stepped out in London showing off her weight loss.

Thereality star, 28, showed off her slimmer figure in a tight red sequined jumpsuit.

She looked in good spirits as she left Ciros pizza restaurant in Knightsbridge.

LOVE ISLAND HOST CAROLINE FLACK CHARGED WITH ASSAULT BY BEATING: REPORTS

Since leaving "Love Island" last year, Cane has been working hard on her body and has shed the pounds through "diet and exercise".

At the start of November, the reality star hit back at fans who claimed she Photoshopped an image posted to her Instagram account.

After posting a picture which some followers claimed she had altered she insisted her appearance is down to her healthy lifestyle, she fumed: "eating well and exercising is unrealistic????? There are zero filters and zero photoshop. Damned if I do, damned if I dont." [sic]

'LOVE ISLAND' US EDITION REVEALS ITS 11 LOVE-SEEKING SINGLES

Meanwhile, Alexandra recently revealed how she thoughtWinter Love Island will "kill the show off".

The TV star, who starred in the 2018 version of the series, said: "As a contestant that's been on the show, it just makes the industry so much more saturated.

"It just means that more TV companies are having to bring out more shows to place these people on.

REALITY TV STAR LUCIE DONLAN SHOWS OFF INCREDIBLE WEIGHT LOSS

"There's so many characters and it's like how many people can you fit into the reality TV world before it like I have a feeling it's gonna kill it off."

Cane revealed she was scouted for "Love Island" and turned the show down multiple times before accepting a spot in 2018.

She said: "I turned down 'Love Island' a couple of times before I went on the show, the same year and they finally got me ten days before I went on the show, so it all happened very organically for me.

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"I didn't have time to get in the gym and train and look super buff, so I was just in there as me and I think that was the best thing about it."

Since leaving the villa a single woman, Cane has been linked to Rykard Jenkins and boohooMAN CEO Samir Kamani.

Her time on the ITV2 dating series came to a bitter end after Alex George dumped her days before the final leaving her humiliated.

This article originally appeared in The Sun.

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'Love Island' star Alexandra Cane reveals weight loss in form-fitting red jumpsuit - Fox News

There are two types of people in the world: those who do CrossFit, and those who hear about the commitment, dedication, and effort involved with this intense fitness mindset and say, Yeah...no thanks.

If you fall into the former camp, then youve probably already heard the vertical diet being talked about around your local box. But non-CrossFitters may still be in the dark about this inverted diet trendwhose nutrient profile is often described as an upside-down letter Tand wondering if it could help them lose weight.

The vertical diet was created to help bodybuilders easily put on mass to meet weight-gain goals without digestive issues."

The vertical diet was created to help bodybuilders easily put on mass to meet weight-gain goals without digestive issues, says Amy Shapiro, RD, founder of Real Nutrition. The foods allowed are easy to digest and dense, yet they are clean and minimally processed.

But before you jump on yet another diet bandwagon with a catchy name, theres some stuff you should know about it. Its not for everyone, first of alland it doesnt meet all your nutritional goals as is. Heres the whole scoop.

Okay, back to the upside-down T. The vertical diet gets its name because it emphasizes receiving the majority of your calories from a restricted number of nutrient-dense foods instead of eating more evenly, or horizontally, across several different food groups.

The bottom of the upside-down T is your foundationmeant to be filled with small quantities of foods providing necessary micronutrientswhile the vertical line represents the bulk of your calories for the day (mainly red meat and white rice, but Ill get to that later).

The diet was designed by a bodybuilder, Stan Efferding, and because of its focus on protein and carbs, its meant to help people build muscle mass and improve energy, stamina, and endurance. According to Efferding, reducing your food intake to a limited number of easily digestible foods allows you to enhance your metabolism and improve your gut health.

When youre following the vertical diet, youre supposed to build a solid foundation of micronutrients by eating things like milk, eggs, fish, vitamin C-rich fruits, and some vegetables, like potatoes, spinach, and carrots, says Shapiro. These foods are not, however, meant to contribute to your overall calorie intake. Instead, you eat them in small amounts for their vitamins, minerals, and antioxidants.

The bulk of your calories comes from red meat and white rice. Why? Well, red meat is a nutrient-dense protein source that's rich in iron, zinc, and vitamin B12 (more so than other proteins, like chicken. Meanwhile, white rice is easily digestible, so its a good carb source for athletes. The vertical diet also encourages you to keep increasing your carb intake, i.e. moving up the vertical line over time.

As for what's off the vertical diet menu: chicken, fish, brown rice, wheat-based and whole-grain foods, beans and legumes, and high-raffinose (a.k.a. gassy) foods, like broccoli and cauliflower. You can't have added or artificial sugars. There are no onions or garlic allowed, either. Basically, any food thats not super digestible should be avoided.

The only reason people who arent extreme athletes or powerlifters might consider doing a diet like this is if it promises weight loss, right? (Otherwise, just...why?)

But here's the thing: Though the vertical diet could result in weight loss for some (such as those who eat a lot of processed foods or sugars), its not really designed for that. Remember, the diet is supposed to help people gain muscle mass, so to lose weightas in, faton the diet, you have to do some strategic tweaking.

You could lose weight on this diet if you watch portions and eliminate excessive amounts of white rice and simple carbs, says Shapiro.

Because the program limits many plant-based foods needed for weight loss, she adds, you would also want to increase the amount of vegetables and reduce the quantity of fatty cuts of meat and cheese you consume. (Hello, keto's antithesis!)

Great Q! The vertical diet claims that it will improve your gut health, and that may be true: The diet is based around foods that are mostly low in FODMAPs (a.k.a. fermentable carbs), which can contribute to bloating, gas, diarrhea, and other GI conditions like irritable bowel syndrome (IBS) and Crohns disease when eaten in high quantities.

A 2016 review published in Clinical and Experimental Gastroenterology showed that mostly all of the studies done on low FODMAP diets are correlated with improvement of IBS symptoms, with up to 86 percent of patients reporting fewer GI symptoms.

So, by sheer virtue of being mostly low in FODMAPs, the vertical diet may ease some of your GI distress. And, certainly, if youre an athlete looking to put on muscle, the nutrient profile here can help you meet your goals without causing other problems.

Usually, when you're trying to put on muscle mass and eating large quantities, you can feel overly full, gassy, and bloated, explains Shapiro. Vertical-diet foods are streamlined to digest easily and with minimal side effects. But because they are calorically dense, they assist with weight gain"unless, once again, you customize the plan for your goals.

Though the foods you eat on the vertical diet are relatively clean, whole foods, theres historically been a lot of concerns about the effects of high red meat consumption on overall health. The American Heart Association warns that eating too much red meat can have negative effects on your cholesterol levels and heart health, but some newer studiesincluding one done at the Harvard School of Public Healthdebate whether red meat is really to blame for heart disease.

This woman lost weight by adding meat back into her diet. Hear her story:

Its also worth noting that the vertical diet is fairly deficient in fiber, since it emphasizes white rice and cuts out whole grains, legumes, and some vegetables. Shapiro says that fiber is crucial for maintaining cholesterol levels and heart health (not to mention regular bowel movements). She also notes that the diet is low in probiotics (because it cuts out most fermented foods) and high in animal protein, saturated fat, and simple carbs.

So although youre eating cleaner, youre not necessarily eating more nutritiouslyand you could suffer from a lack of fiber and probiotics if youre not compensating for those losses.

Shapiro says if youre a bodybuilder or extreme athlete looking to put on mass as your number-one goal, the vertical diet can be an effective way to get there. And even if youre a more moderate gym rat, she says, it can still work for youbut with some important modifications.

I would recommend including additional sprouted grains, nuts, seeds, vegetables, and fruits, and limiting the intake of saturated fat from red meat and full-fat dairy, Shapiro advises.

I would recommend including additional sprouted grains, nuts, seeds, vegetables, and fruits, and limiting the intake of saturated fat..."

Although the diet mostly eliminates added sugars and processed foods (always a good thing), casual dieters just looking to lose weight might struggle to follow the high-protein, high-carb requirements of the vertical diet without accidentally gaining weight. And they might find themselves deficient in many nutrients that contribute to a broader definition of health.

At the end of the day, it's your call, but only try an eating plan that suits younot your kinda-obnoxious, CrossFit-obsessed next-door neighbor.

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What Is The Vertical Diet? An RD Reviews The CrossFit Eating Plan - Women's Health

In case you were looking for a little inspiration to get your health goals on track in 2020, look no further than Tamela Mann. The gospel singer and actress has lost close to 50 pounds since teaming up with Weight Watchers.

During a recent episode of ESSENCEs Yes, Girl! podcast, The Manns dropped tons of gems on life, love and their new business ventures. Tamela says after joining WWs roster of ambassadors, her health transformed for the better. I didnt think it was going to go as well, but I made my mind up to be healthier, and to be able to have accountability with WW and my coach, she says. This new app that they have makes it so much easier to follow. Im just really enjoying my journey.

Though she and husband David Mann practically do everything as a team, she says this journey was one she needed to embark on alone. Hes loved me at my heaviest, which was [around] 365, says Tamela. I just really thank God for the encouragement that hes given me, and the encouraging words, youre doing it. I told him and our family they dont really need to join, because this is something that I want to do with WW. This is a goal that I want to reach. And I told him, its not that I dont want you to be involved, but I really just want to stand on my own and say, I did this thing.'

David supported his wife along the way, helping her research the point value on various foods. Seeing how far shes come makes him super proud. This is the first time Ive seen her this tunnel vision dedicated and focused on it, he says.

The Manns have been married for 31 incredible years. They first met in the mid-80s when Tamelas best friend invited her to watch David and his former music group perform. After tying the knot, the couple welcomed two children together, David Jr. and Tia, and they also raised his two daughters from a previous relationship, Porcia and Tiffany, as well asTamelas niece, Sonya.

Listen to David and Tamelas Yes, Girl interview below.

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Tamela Mann Talks Getting Fit With Her Husband David's Support - Essence