Researchers at McMaster University have unlocked one of the secrets behind the many benefits of metformin.

One of the most widely used medications in the world, metformin is commonly prescribed for Type 2 diabetes. However, in addition to its effects on lowering blood sugar, in preclinical models, metformin shows benefits on aging and a number of diverse diseases such as cognitive disorders, cancer and cardiovascular disease.

One question researchers have been asking is how this is being achieved.

A multi-year study led by a collaboration of McMasters basic science and clinical researchers has found that metformin induces the expression and secretion of a protein called growth differentiating factor 15, or GDF15.

The results were published today (December 9, 2019) in Nature Metabolism.

Hertzel Gerstein, left, professor of medicine; Emily Day, PhD medical sciences student, and Gregory Steinberg, professor of medicine at McMaster University. Credit: McMaster University

Studies over the past two decades have shown that metformin does more than lower glucose, but we havent understood why, said Gregory Steinberg, senior author and professor of medicine at McMaster. He is also co-director of the Centre for Metabolism, Obesity and Diabetes Research at McMaster.

We went into this study with the idea that metformin might communicate with other tissues in the body by causing the secretion of a protein from the liver. We were totally surprised when we found out that metformin caused the secretion of GDF15, a protein which is known to suppress appetite.

The study team took that knowledge and applied it to mice to better understand the science behind the outcome. Scientists deleted the gene that makes GDF15 in mice, then treated them with metformin. The results showed that mice without GDF15 did not eat less or lose weight, despite being administered metformin, establishing GDF15 as the connection between metformin and weight loss.

The researchers say the findings open a number of avenues of research. There are currently over 1,500 registered clinical trials to test the effects of metformin in aging and different diseases.

The possibility that GDF15 has a role in multiple beneficial effects of metformin treatment on aging or diseases like cancer needs to be studied, Steinberg said.

Reference: Metformin-induced increases in GDF15 are important for suppressing appetite and promoting weight loss by Emily A. Day, Rebecca J. Ford, Brennan K. Smith, Pedrum Mohammadi-Shemirani, Marisa R. Morrow, Robert M. Gutgesell, Rachel Lu, Amogelang R. Raphenya, Mostafa Kabiri, Andrew G. McArthur, Natalia McInnes, Sibylle Hess, Guillaume Par, Hertzel C. Gerstein and Gregory R. Steinberg, 9 December 2019, Nature Metabolism.DOI: 10.1038/s42255-019-0146-4

The study was funded by the Canadian Institutes of Health Research (CIHR) and Diabetes Canada.

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Secret Behind Metformins Weight Loss and Anti-Aging Benefits Revealed - SciTechDaily

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Incredible weight loss stories happen here - KGUN

Weight loss surgery

Weight loss surgery might not just be a last resort anymore.

ATLANTA - At 19, Ruby Hernandez has become a runner, something the Georgia Gwinnett College sophomore could never have imagined just a year ago.

"I had a lot of depression growing up," Hernandez says. "A lot of it was linked to the disease that I had, and my obesity."

Ruby Hernandez, 19, has lost just over 100 pounds since undergoing weight loss surgery in May of 2019. (Ruby Hernandez)

At 10, Hernandez was diagnosed with an autoimmune disease that causes painful skin abscesses, which are worsened by weight gain and have required surgery.

By 18, she was having heart palpitations.

"I was, like, 'Okay, I think my body is trying to send me signals: you're shutting down at this point,'" she says.

Last fall, Hernandez and her mom came to see Children's Healthcare of Atlanta's Dr. Stephanie Walsh, the Medical Director of the Strong4Life program, to see if she could qualify for weight loss surgery.

She began a 6-month evaluation process, that Hernandez saw as her "crunch time."

Ruby Hernandez underwent gastric sleeve surgery at Children's Healthcare of Atlanta in May of 2019. (Ruby Hernandez)

She would need to prove to the Children's team that she was emotionally ready for the changes weight loss surgery would bring.

"I was really trying to better my diet," Hernandez says, "I wasn't napping anymore, I was exercising, trying to better myself. Because I knew this was going to be a slap in the face, and I wasn't going to do much, if I didn't fix myself before the surgery."

Going under the knife to lose weight may seem extreme.

But, with 4.5 million teens and kids in the U.S. now considered severely obese, the American Academy of Pediatrics, or AAP, says bariatric surgery can be a safe, effective way to help very overweight teens unlikely to be able to lose weight on their own, even with the best of medical care.

"So, (we're) realizing that obesity is a disease, and we need to treat it, and we need to treat it properly," Dr. Walsh says. "So, if this is an option, and we know it can cause extreme benefits for kids, then it's something we need to offer them."

Ruby Hernandez, 19, underwent gastric sleeve surgery at Children's Healthcare of Atlanta in May of 2019. (Hernandez Family)

The AAP says studies have found the two most common bariatric procedures, Roux-en-Y gastric bypass and vertical sleeve gastrectomy, had low complication rates and no attributable deaths when they were performed at a comprehensive pediatric surgery center like the one at Children's Healthcare of Atlanta.

In the Strong4Life program, teens are individually evaluated, based on factors like their weight, health conditions, maturity and family support.

Dr. Walsh says the lengthy evaluation period is designed to prepare young patients for the lifestyle changes that are critical to the success of their surgeries.

The AAP and Dr. Walsh also agree surgery should be offered to more young people, and not just as a last resort, when nothing else has worked.

"A lot of times, people were waiting until kids were extremely heavy," Dr. Walsh says. "The the surgery was able to help, but not help in the way it could. So we want people to realize this is an option."

Ruby Hernandez underwent gastric sleeve surgery in May of 2019.

Ruby Hernandez underwent a vertical sleeve gastrectomy in May of 2019, which reduced her stomach size by about 85%. T

The heart palpitations stopped, and she couldn't believe how little she could eat after surgery.

"It was crazy," she says. "I could eat only, like, 2 ounces, and that wasn't what I used to eat, I used to eat big plates of food."

Walsh says the procedure diminishes a person's hunger.

That's something for the kids to get used to," she says. "No one is used to not feeling hunger that way. So, they have to retrain themselves to eat and to eat regularly."

Anna Valle of LaFayette, Georgia, underwent the same surgery in September of 2016, when she was nearly 365 pounds.

Three years later, she down about 150 pounds and holding.

Valle, a popular student athlete, was recently elected her school's homecoming queen.

Anna Valle underwent gastric sleeve surgery in September of 2016.

"To see Anna now, it's like a whole different kid," Dr. Walsh says. "She lights up. She just can't wait to talk about herself."

Ruby Hernandez is six months out from surgery, and down 100 pounds.

For the first time in her life, she says, it feels like anything is possible.

See original here:
Pediatricians' group says obese teens should have easier access to weight loss surgery - FOX 5 Atlanta

(Reuters Health) - Obese women who have weight-loss surgery between pregnancies may be less likely to experience complications like high blood pressure and preterm births in their second pregnancy, a recent study suggests.

Researchers examined hospital records from 2002 to 2014 for more than 1.6 million women 15 to 45 years old in New South Wales, Australia. The study focused on 326 women who had bariatric surgery between their first and second pregnancies and 461,917 women who had two pregnancies without a weight-loss operation in between.

The study found that for obese women who had the surgery between pregnancies, the risk of complications dropped markedly from the first pregnancy to the second, although it didnt reach the level seen in the general population of women.

The odds of adverse pregnancy outcomes among women who have bariatric surgery do not decrease to the level observed in the general birthing population; however, there was substantial improvement, lead study author Dr. I Ibiebele of Royal North Shore Hospital in New South Wales and colleagues write in BJOG.

Although body mass index (BMI) was not directly assessed in this study, bariatric surgery performed for the management of obesity, in accordance with current clinical criteria, is likely to result in improved pregnancy outcomes in women who have a subsequent pregnancy, Ibiebele and colleagues write.

During the study period, there was a 13-fold increase in hospitalizations for women having bariatric surgery for the first time, the analysis found.

Compared with women in the general population, those who had bariatric surgery had higher rates of high blood pressure, diabetes and preterm deliveries overall.

But women who had bariatric surgery between their first and second pregnancies were 61% less likely to experience high blood pressure, 37% less likely to have infants that were large for their gestational age, 63% less likely to have a preemie and 36% less likely to have their baby sent to the neonatal intensive care unit (NICU) than in their first pregnancies.

Women who had surgery and those in the general population were around the same age when they had their first pregnancy. But the women who had bariatric surgery waited an average of two years longer to have their second child, the study found.

The women who had bariatric surgeries between pregnancies were also more likely to use assistive reproductive technology (ART) to conceive and to have multiples.

Even though diabetes and high blood pressure rates were higher for women who had bariatric surgery between pregnancies, these women did have a bigger drop in the risk of these complications from one pregnancy to the next compared to the general population.

After bariatric surgery, womens risk of high blood pressure in the second pregnancy fell by 67%, compared with a 49% reduction for women who didnt have the weight loss procedures.

And the risk of gestational diabetes, a form of diabetes that develops during pregnancy, dropped by 39% in second pregnancies for women who had bariatric surgery, compared with a 24% decline for women who didnt have surgery. This difference, however, was too small to rule out the possibility that it was due to chance.

Although preterm birth rates were higher in the bariatric group in first pregnancies, in second pregnancies there was a 63% reduction in the odds of preterm birth in the bariatric surgery group compared with a 20% reduction for women who didnt have surgery.

For women who had bariatric surgery between pregnancies, the odds of having an infant large for its gestational age were higher in the first pregnancy. But the risk of this outcome decreased 37% in the second pregnancy, compared with a 74% increase among women who didnt have bariatric surgery.

The study wasnt designed to prove whether or how weight loss surgery might directly impact pregnancy outcomes.

One limitation of the analysis is that researchers lacked BMI data to see if the magnitude of weight change between pregnancies might have influenced the risk of various complications.

SOURCE: bit.ly/33VvJHM BJOG, online November 20, 2019.

Link:
Weight-loss surgery between pregnancies tied to better outcomes - Reuters

Posted: Dec 9, 2019 / 11:54 AM MST / Updated: Dec 9, 2019 / 01:38 PM MST

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This article contains sponsored content.

Read more:
Why weight loss requires correcting the metabolism first - ABC 4

While we all like indulging in our cravings and eating junk food, we don't realize the damage it does to our bodies until later. 25-year-old Lipsa, an auditor by profession went through the same ordeal. An unhealthy relationship with food made her overweight. Determined to look her age, she fought off the flab and lost 16 kilos! To know how she did it, read the entire story below:Name: Lipsa Priyadarsini ChaudhuryOccupation: AuditorAge: 25 yearsHighest weight recorded: 76 kilos

Weight lost: 16 kilosDuration it took me to lose weight: 5 months

The turning point: While I was never really bothered about how much I weighed, I was always conscious about my looks and what I ate put me at fault. I used to eat everything without realising the number of calories in them. I just ate what I felt like eating and ended up paying a high price for this habit. I used to munch on something every other hour and it was usually something fried or junk. My midnight cravings, the biggest culprit and the sedentary lifestyle made it all worse!

At 76 kilos, I felt so lazy and there was zero excitement in life, so much so, there were days I couldn't drag myself to work! My self-confidence was hit really bad. Getting ready in front of the mirror was hard. Whenever I used to stand amongst my peers, I used to feel like I was the oldest one in the group. This was the time I decided to take the matter into my own hands. As the saying goes, A journey of a thousand miles begins with a single step, the same happened with me. With sheer determination and will, I was able to drop down 16 kilos.

My breakfast: 2 egg whites and oats/muesli.

My lunch: 2 Chapati with a cup of daal, chaas (buttermilk) and salads.

My dinner: For dinner, it is usually something like grilled chicken/ sauteed paneer with a bowl of slightly tempered daal. I also upped my water intake and keep myself hydrated by drinking around 4 litres of water every day.

Pre-workout meal: Coconut water/ Black coffeePost-workout meal: Fruit (like an apple or banana) or a handful of nuts and seeds.

My workout: My workout is largely centered on doing aerobic exercises. I do Zumba six times a week, at home. I also supplement it with some essential cardio moves. This has helped shed the flab faster.

Fitness secrets I unveiled: More than the exercise, it's the diet you follow that matters. I made a lot of conscious changes in my diet. Timely food intake, mindful calorie count and following a strict disciplined diet helped me get the shape I always desired to have.How do I stay motivated: The one thing I have realized is that weight loss is a slow, gradual process and you have to be consistent with your goals. Plus, it is also important that you have to take note and realize every step of progress you make. I consider that a reward in itself, noticing every positive, helpful development.How do you ensure you dont lose focus: I have invested in a weighing scale, which I keep at home. This helps me stay watchful and track my journey accordingly.

Other than that, I won't deny that the transformation in itself feels tremendous and works wonders. Yes, you have to make conscious choices and eat the right kind of foods (which aren't always what your taste buds demand), but when you start seeing the progress, you will never want to go back to the old lifestyle. Plus, seeing the fitness models on the internet always picks me up on the low days.

Whats the most difficult part of being overweight: When I was overweight, I experienced a crash in my motivation and self-esteem. I was less enthusiastic about life and suffered from low confidence. This made me really unhappy.

What shape do you see yourself 10 years down the line: I want to be able to sustain the shape I am in right now, work on my body and if I manage to be an inspiration to others, I will be really happy and feel that I have taken steps in the right direction.

Original post:
Weight loss story: 'At 25, my BMI levels showed my body age as 60!' - Times of India

LET'S face it - Christmas isn't Christmas if you don't treat yourself.

And for most of us, it's not just December 25, with weeks spent gorging on rich foods, boozing on mulled wine, late partying and general over-indulgence.

1

And, according to nutritional therapist Claire Barnes, from Lepicol, this is the nightmare formula when it comes to bloating and ultimately weight gain.

But she says Christmas doesn't need to be tainted by bloating - and there are lots of ways to tackle the problem.

Here, she takes The Sun Online through her top tips on how to deal with tummy troubles and boost weight loss this Christmas...

Many people would much rather stay in by a warm fire than venture out into the winter chill on Christmas day.

But something as simple as a walk can be key to help ease your bloated belly and burn off all the food you've binged on.

Claire says: "While its easy to slip into a food-coma on the sofa after eating Christmas dinner, instead wrap up warm, get outside and go for a gentle walk.

"During rest research shows we retain a significantly higher proportion of gas in the gut.

"Gentle exercise on the other hand has been shown in studies to enhance intestinal gas clearance and reduce symptoms in those who suffer with abdominal bloating."

Rich indulgent foods are often prioritised on our plates over fibre rich vegetables at Christmas.

However, Claire has emphasised the need to eat more fibre over the festive season to prevent bloating.

She says: "Fibre is particularly important for digestion as it keeps our bowel movements regular, preventing constipation which can contribute to feelings of fullness and bloating.

We should aim to fill half our plates with vegetables, so this Christmas why not experiment with some new vegetable recipes

"Soluble fibre also feeds our beneficial gut bacteria which in turn produce extra nutrients that our body can absorb.

"We should aim to fill half our plates with vegetables, so this Christmas why not experiment with some new vegetable recipes or order an extra side of veg when eating out.

"In addition, taking a high fibre supplement such as Lepicol may be beneficial."

As well as heading out for a walk, Claire recommends trying some relaxation exercises to prevent bloating.

"Yoga, Pilates, meditation and mindfulness all help to relax the body and improve both nervous system health and digestion," she says.

"Stretching and twisting of the abdomen in yoga moves may particularly reduce bloating.

"You may feel more comfortable trying these moves at home first.

"Ultimately though joining a course of classes will have greater long-term benefits and you may be able to seek out individual guidance for your specific concerns."

Sitting down with a cuppa of herbal tea on Christmas tea may work wonders when it comes to tummy woes.

Claire says: "If you do over-indulge and have one pig-in-blanket too many, many herbal teas such as peppermint and ginger can have a calming effect on the digestive tract. Fennel is particularly effective for bloating.

"Try soaking a teaspoon of fennel seeds in hot water and drink as a tea after eating, or chew on the fennel seeds themselves.

"You can also buy fennel drops from some herbalists."

As we age, our stomach acid and digestive enzymes reduce, making it more difficult for the body to break foods down ready for absorption.

Although it sounds gross, Claire recommends taking a peek at your stool to see if you're digesting properly.

Claire says: "A quick and useful sign to see if you have a reduction in digestive enzymes is to take a peek at your stool, if you see undigested particles in it, theres a strong indication that your body is not breaking down the foods well.

"These undigested foods may start to ferment in the digestive tract causing gas and bloating.

"Pineapple, papaya and mango also contain enzymes that help to break foods down. Why not make some fruit canapes or include these foods in a Christmas buffet

"Taking a tablespoon of organic unfiltered apple cider vinegar in a small glass of water before eating main meals and eating more bitter foods, such as leafy green vegetables can help.

"Pineapple, papaya and mango also contain enzymes that help to break foods down.

"Why not make some fruit canapes or include these foods in a Christmas buffet."

While it's supposed to be the season of peace and goodwill, many people find Christmas stressful with juggling seeing family, cooking Christmas dinner and wrapping presents - which can make bloating worse.

Claire says making sure you're relaxed will help speed up your digestion.

"Ensure you are in a relaxed state and free of distractions before and whilst eating," she says.

"If we are feeling stressed, our body turns its attention away from digestion meaning we cant break down and digest foods properly.

"Try taking ten deep breaths in through the nose and out through the mouth before starting to eat, sit in a comfortable upright position ideally looking out of a window where you can stare off into the distance.

"Take your time to chew the food well, as we chew we produce saliva, which contains enzymes to break down the foods for absorption and also sends signals to the brain to produce stomach acid ready for the food thats on its way."

Claire says: "Consume more fermented foods, such as sauerkraut, cottage cheese and yogurt, or take a multi-strain live bacteria supplement such as Bio-Kult daily.

"Certain strains of beneficial bacteria produce enzymes such as lactase which help us to digest the lactose in milk.

Alcoholic drink swaps to help you stay on track during the festive period

Diet guruTerri-AnnNunns shares her advice on how to enjoy alcoholic drinks without overindulging and the best swaps you can make this Christmas.

1. Swap eggnog for...sloe gin

A glass of eggnog could quite easily exceed 350kcals. Another drink that is equally enjoyable but for different reasons is sloe gin. You can have it warm or on ice but it is still a tasty treat - with much fewer calories.

2. Small glass of desert wine for...glass of sherry

Opting for a glass of Sherry (60 calories) would halve your calorie intake in comparison to a small glass of desert wine (118 calories).

3. Mulled wine made with sugar for...mulled wine made with sweetener

Adding the sugar obviously adds more calories but you can actually use sweetener instead of sugar to achieve that sweet taste without the calories.

4. Large glass of wine for...glass of prosecco

A glass of prosecco is likely to be less than half the calories of a large glass of wine. A large glass of wine is 250ml or a third of a bottle, whereas prosecco is served in smaller glasses, generally serving 125ml.

5. Pint of lager for...a bottle of beer

Swapping a pint of beer for a bottle significantly reduces the volume you will drink and therefore the calories, especially if you plan to have more than one.

6. Gin and tonic for...gin and slimline tonic

By changing your mixer to one that is sugar-free, you can make a significant reduction to your calorie intake.

7. Long Island Iced Tea for...Bloody Mary

If you want to go for a healthier cocktail, choosing something like a Bloody Mary would mean you would consume much fewer calories and you could even hit two of your five a day.

"Our bodies cant digest fibre, however the beneficial bacteria in our colons can feed on these fibres.

"After fermenting the fibres, the beneficial bacteria can produce nutrients which the body can then absorb.

"An unbalanced gut flora, that has higher numbers of harmful bacteria produce unfavourable by-products, such as gases, when they ferment un-absorbed foods in the colon.

"A more balanced gut flora should therefore produce less gas and bloating."

Claire recommends ditching processed foods and refined carbs such as white bread, pastries and pasta to help with bloating and weight loss.

She says: "Certain bacteria in the gut will prefer different diets, while the beneficial bacteria like to feed on fibre from grains, vegetables and fruits, harmful bacteria will feed on most things!

"A diet high in processed and sugary foods will encourage the growth and multiplication of harmful bacteria at the expense of the beneficial good guys.

"Following a more Mediterranean-type diet by eating at least five vegetables and two fruits each day from a rainbow of different colours and consuming more oily fish, such as mackerel and salmon will provide numerous nutrients that the body needs as well as reducing inflammation."

Claire claims you can encourage regular bowel movements by eating more soluble fibre.

She says: "Soluble fibre from grains, such as psyllium husks or soaked flaxseeds forms a soft gel in the intestines encouraging movement in the digestive tract and helping to eliminate excess toxins and hormones from the body.

"Alongside fibre, ensure you are drinking two litres of water each day in order for the fibre to form a gel and to encourage food to move through the digestive tract.

"Try to consume the majority of water before food and between meals, as drinking large amounts of water with the meal or directly afterwards may dilute the digestive enzymes."

As it may be tricky to eliminate food groups over Christmas, Claire instead recommends keeping anote of which foods you are eating so you can see when the symptoms of bloating occurs.

She says: "When we are intolerant to a food, our bodies produce antibodies to that specific food, when we consume it again the antibodies will produce symptoms such as bloating and stomach cramps.

"If we continue to eat foods that we are intolerant to, inflammation in the gut may occur, triggering other symptoms such as diarrhoea or constipation.

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"Unlike food allergies where the onset of symptoms is immediate after consuming an allergic food, symptoms of food intolerance may take hours or even days to occur.

"Common food intolerances to look for are dairy, wheat, yeast, alcohol and eggs.

"So potentially discovering these intolerances now gives you something to work with in the New Year."

More here:
Weight loss: 10 ways to beat the Christmas bloat and still enjoy yourself - The Sun

Overweight and obese patients not only have few interactions with physicians about their weight but the encounters they do have are largely negative experiences, a new systematic review of patients' perspectives on the subject reveals.

"The overwhelming theme [from this review] was that interactions between patients and doctors about being overweight and weight loss were rare, [and] for participants, not discussing these issues had several meanings...the most profound [being] that people who were overweight felt stigmatized and assumed others, including the doctor, were judging them negatively," write Thanusha Ananthakumar, MD, University of Oxford, UK, and colleagues in their article, published online December 2 in Clinical Obesity.

"Many clinicians fear that if they discuss weight with patients, some will find this unwelcome or offensive," the researchers hypothesize

They advise that physicians start a discussion with the assumption that a person may well already be taking action to lose weight and that what is required is guidance and encouragement.

And clinicians should note that a person's harshest critic of weight status is usually themselves and therefore avoid making "statements that may be interpreted as a judgment carrying moral connotations."

In their review, the authors included 21 qualitative studies in which people with overweight or obesity had consulted a primary care physicianand given their reactions to consultations during which weight could have been or was discussed.

Participants in all but one study had a body mass index (BMI) in excess of 25 kg/m2 and in most studies, it was in excess of 30 kg/m2, the investigators note.

When the issue of weight was not discussed, some patients indicated that they felt their healthcare providers' silence suggested they were not worthy of their time, or that being overweight or obese was not a serious health issue.

"Others regarded it as a failure of the doctors' duty to warn patients of future health problems related to excess weight," Ananthakumar and colleagues observe.

But on the other hand, there was uncertainty and mixed views about whose responsibility it was to bring up weight in a consultation.

A few respondents thought that their physician should ask permission to discuss their weight before initiating a conversion about it even though some participants indicated they would have liked their physician to actually start a discussion about it, at least in part because they were ashamed of being overweight and unable to lose the weight.

"Where it was mentioned, most participants reacted negatively to doctors describing them as 'obese'," the authors note.

In fact, when described as "obese", "in some cases, the word demotivated participants to lose weight because they felt hopeless," they explain.

For many patients, even the tone of voice and the manner in which weight was raised by the physician created negative feelings, again undermining their motivation to lose weight.

"A recurrent theme across studies was that doctors often assumed a person who was overweight must have an unhealthy diet," the investigators write, "[and] these assumptions reflected a common belief that people who are overweight eat a lot of 'junk food' and are not physically active."

Physicians also sometimes offered advice about weight loss that patients felt was banal, implying that the patient was either not trying to look after themselves or they were too stupid to not have already realized what physicians themselves were suggesting and already done something about it.

Many patients also reported that they visited their doctor with symptoms that may have been related to being overweight or obese but their physician immediately presumed their symptoms were weight-related without taking a history or doing a physical exam.

"This left participants feeling dismissed and anxious that a more serious cause for their symptoms might go undetected," the authors point out.

By so doing, patients also felt they had been denied a legitimate treatment and were instead being made to suffer in a punitive manner because of their weight.

"Clinicians should take care when linking weight to a presenting medical issue and discuss weight loss as one of a range of treatment strategies rather than presenting excess weight as the cause of the problem and weight loss as the only cure," the authors emphasize.

When physicians did address the health risks of being overweight or obese, nobody appreciated being scolded or made to feel personally responsible for their presumed weight-related symptoms, as this attitude reflects an all-too-common belief that obesity is a failure of willpower, the authors explain.

On the positive side, patients said that when they trusted their doctor, discussions about being overweight and weight loss were easier and that trusting their physician motivated them to act on their doctors' advice.

"People in society, including many clinicians, hold stigmatizing views of people who are overweight, believing them to be generally less capable and weak-willed," Ananthakumar and colleagues observe.

"And patients with overweight internalize weight stigma, sensitizing them to clues that clinicians are judging them negatively, even if weight is not discussed," they add.

This is in direct contrast to the fact that most people who are overweight are trying hard to lose that weight and, over the short-term at least, are even likely to lose some weight.

"It may [thus] be helpful to start a discussion with the assumption that a person may well be taking action and that what is required is guidance and encouragement towards more effective interventions," the authors suggest.

Clinicians should also remember that the harshest critic of a patient's weight status is likely the patient themselves and avoid statements they may perceive as judgmental.

"Weight loss discussions are more likely to be successful when they involve a trusted clinician who gives time to share options for weight loss in a nonjudgmental manner," they conclude.

Clin Obes. Published online December 2, 2019. Full text

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Original post:
GPs' Discussion of Weight With Patients Rare and Mainly Negative - Medscape

One of the most dreaded complications of PCOD diagnosis is weight gain. When Poulami Ghosh faced the same problem, she knew she had to change her bad lifestyle habits and get fitter and healthier. Determined, she fought off the excess weight and shed close to 12 kilos in a span of just four months. What's more? She didn't even go to the gym!To know the details of her inspiring diet and workout, read her story here:Name: Poulami Ghosh AdityaOccupation: Marketing and Public Relations Professional

Age: 30

Height: 5 feet 6 inches

City: Kolkata

Highest weight recorded: 80 kilos

Weight lost: 11 kilosDuration it took me to lose weight: 4 monthsThe turning point:

When I was diagnosed with PCOD (Polycystic Ovary Disorder), it was the time I realized I had to do something. I never took my lifestyle seriously and had a bad habit of binging on unhealthy foods. I was a total foodie and food delivery apps were always on my mind. However, when my doctor told me that PCOD could be reversed through a lifestyle overhaul and weight loss, I decided to give it all in.

The first step was to delete all those food delivery apps from the phone and soon enough, I stopped eating outside food. Yes! I was able to do this! I might have just lost 11 kilos in the past four months (festivals and work commitments), but with thyroid and PCOD, I gave my very best and will continue to do so.

My breakfast: The first thing I eat as soon as I get up is almonds and walnuts. Later, I usually have something low-calorie like poha/ oats chilla/ egg whites or a portion of fruits.

My lunch: Lunch can be something like Bajra rotis (2) with a bowl of dal, vegetables or chicken or sometimes, it is fish curry and rice. Salads are something I don't miss out on. Everything is homemade.

My dinner: For dinner, it is either daal with bajra roti or chicken/vegetable/paneer sauteed slightly.

When I do get to cheat on my diet, I feast on biryanis and kebabs. However, I always moderate my portion size.

I also ensure that I drink 2-3 liters of water every day and three cups of green tea throughout the day. Apple cider vinegar gets me going in the mornings. This way, my caffeine intake has also cut down drastically.My workout: I don't depend on the gym and work out in the comfort of my home. I like to go for a brisk walk in the mornings and evenings every day for 40-50 minutes and also do yoga at home for 15-20 minutes in the day. Sundays, I usually skip the exercise but otherwise, I am fairly regular.

Low-calorie recipes I swear by: Poha, chillas, yogurt with fruitsFitness secrets I unveiled: Discipline and determination are the biggest things that have helped me reach my goals faster. If you ask me, a little discipline goes a long way.How do I stay motivated? While I am very strict with my diet, I do try to reward myself. I set goals for myself and if I manage to push myself more or achieve the goal in time, I treat myself with a little reward.

How do you ensure you dont lose focus? The motivation of indulging in a cheat meal is what gets me going for the next goal.

Whats the most difficult part of being overweight? When you are overweight, there are a lot of health problems which come in. For me, my battle with PCOD and suffering from chronic back pain at a young age was depressing.What shape do you see yourself 10 years down the line? Fitter, stronger and healthier- away from the health complications and problems.

Excerpt from:
Weight loss: How this woman lost 11 kilos and beat PCOD without going to the gym! - Times of India

The cabbage soup diet promises slimmers great weight loss results in only seven days. Fans of this popular dieting technique claim to be able to trim down by ten pounds or more in just one week but, is it as effective as slimmers claim?

However, health experts warn that slimmers shouldnt stay on the diet for too long as consuming such low amounts of calories is unhealthy and unsustainable long term.

No one knows exactly where this unique diet originated from, though it first gained popularity during the 1980s and has stuck around ever since.

Health expert and nutritionist Stephanie Waterson warned slimmers: Many claim to be able to drop 10 or more pounds in one week, which is true its achievable with perseverance.

But before you stock up on cabbage, know that this crash diet won't help you in the long run, as it doesn't give your body thenutrientsit needs to stay healthy.

Therefore this is more of a quick fix weight loss solution than a long term healthy and sustainable method of losing weight.

DON'T MISS

The basic one-week cabbage soup diet plan to jump start weight loss is fairly simple to follow.

In order to lose weight successfully a slimmer is required to prepare a large batch of soup to eat for the entire week.

Ingredients required;

6 large green onions (1 bunch)

2 green bell peppers

1 or 2 (14 1/2-ounce) cans of diced tomatoes

1 bunch celery (sliced)

1/2 head cabbage (chopped)

1 package onion soup mix (Lipton brand)

Optional: 1 or 2 cubes bouillon

1 (48-ounce) can V8 juice (or 6 cups water or light chicken or vegetable broth)

Kosher salt (to taste)

Freshly ground black pepper (to taste)

Optional: parsley, curry powder, garlic powder, paprika, etc.

Directions:

1. Chop all vegetables into cubes.

2. In a large stock pot, saut onions in a small amount ofoil.

3. Then add the remaining vegetables and cover with water or vegetable cocktail and add bouillon cubes or other seasonings, if desired.

4. Bring to a boil, then reduce to medium heat. Let simmer until vegetables are tender, about 3045 minutes.

It is advised for a slimmer to eat one or two other pieces of low-calorie foods daily in addition to the soup, however, it is important not to make any other substitutions and to drink only water or other calorie-free beverages, such as unsweetened tea.

A daily multivitamin is often recommended because the diet may be low in certain nutrients.

These are the rules for each day of the Cabbage Soup Diet

Day 1: Unlimited cabbage soup and fruit, but no bananas.

Day 2: Only soup and vegetables. Focus on raw or cooked leafy greens. Avoid peas, corn and beans. You may also have one baked potato with butter or oil.

Day 3: As many fruits and vegetables as you can eat, in addition to the soup. However, no baked potato and no bananas.

Day 4: Unlimited bananas, skim milk and cabbage soup.

Day 5: You are allowed 1020 ounces (280567 grams) of beef, which you may substitute for chicken or fish. You may also have up to six fresh tomatoes. Drink at least 68 glasses of water.

Day 6: Soup, beef and vegetables. You may substitute the beef for broiled fish if you did not do so the day prior. Focus on leafy greens. No baked potato.

Day 7: You may have vegetables, brown rice and unlimited fruit juice but no added sugar.

See the rest here:
Weight loss: Does the cabbage soup diet work? Is it safe? - Express