If you've ever wondered what the best ever foods are that you should be eating to lose weight, good news: So have we! That's why we reached out to scores of top doctors, registered dietitians, weight loss coaches and other relevant expertswith a single question in mind: What are the absolute greatest foods you can buy at any supermarket that are the most effective at driving weight loss results? Here are their answers, below. So read on and take good notes, because what follows is your ultimate, expert-backed, weight loss shopping list. And for some handy tips and tricks to help you achieve your weight loss goals, be sure to read this list of Simple Ways to Lose Weight Starting Now, According to Experts.

1

"Avocados are a vitamin rich food, high in fiber, low in carbohydrates (9 grams per serving) and contain a healthy monounsaturated fat (MUFA) oleic acid that our body needs to decrease inflammation and disease," says Monisha Bhanote, MD, FCAP, a triple board-certified physician with expertise in integrative medicine and pathology. "Using the benefits of the MUFA in an avocado can increase our insulin sensitivity and lower our cholesterol."

Additionally, she says, the fat content can help with appetite regulation and aid in weight loss by increasing the rate at which fat is burned. "You can get all the benefits from just one portion size which is usually a quarter of an avocado," she says. If you're ready to supplement your diet with avocados, don't miss this roundup of 18 Things You Had No Idea You Could Do with an Avocado.

2

"Cherries are often overlooked, but they're a superfood that can help boost weight loss," says Lynell Ross, a psychology-trained Certified Health and Wellness Coach and Nutritionist who is also a National Diabetes Prevention Program Instructor. "They are packed with nutrients such as potassium, copper, manganese, and vitamin C. But the health benefits go beyond vitamins and minerals, as cherries also pack 2 grams of protein, 3 grams of fiber. Tart cherries also may help you sleep better. Studies have shown that better sleep promotes more weight loss. And if these benefits weren't enough, cherries can help with joint pain, allowing you to get more exercise, which helps you lose weight."

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3

Though classified as a whole grain, quinoa is actually a seed that provides eight grams of protein and five grams of fiber per cup. "Eating foods high in fiber, like whole grain quinoa, will fill you up and help prevent overeating," says Amanda W. Izquierdo, MPH, RD, LDN. For more great tips to help you along your journey, don't miss this list of Underrated Weight Loss Tricks That Totally Work!

4

"Many don't eat protein first thing in the morning," says Sunny Brigham, MBA, MS, CNS. "Then they'll have a little at lunch and a huge influx at dinner. Several studies show we can only digest and absorb about 20-25 grams of protein at a time. So, if someone is really only eating protein at dinner, they aren't getting enough in throughout the day."

Fact: Healthy protein intake supports muscle structure, liver and kidney function, and your metabolism. "Working to get in anywhere from 10-20 grams of protein at breakfast will boost the metabolism and satiate hunger until lunch," says Bingham. "Good options would be free-range organic eggs, oatmeal, nuts, nut butter, and a quality protein powder."

Just about all of the weight loss experts we spoke to for this article preached the benefits of eating more eggs. "Studies show that people who eat eggs for breakfast lose more weight than those who eat foods high in carbohydrates in the morning," adds Ross. "Eggs contain valuable nutrients and protein, which helps you feel satisfied so you eat less throughout the day." For more on the benefits of scrambling your breakfast, know that This Is What Happens to Your Body When You Eat Eggs Every Day.

5

"For starters, all seafood is good to eat if weight loss is your goal," says Rima Kleiner, MS, RD. "Recent studies have shown that eating seafood several times every week can help promote weight loss. Because fish and shellfish tend to be rich in protein with relatively fewer calories than other animal proteins, seafood can help you feel satisfied, which may help to curb overeating."

Additionally, seafood is a great source of omega-3 fatty acids, which have been shown to help reduce inflammation and boost heart and brain health. "When it comes to weight loss and health, more important than what kind of seafood to eat is choosing seafood that has been healthfully prepared and cooked. So say no to fried, and ditch the dishes with calorie-dense sauces."

Experts all single out salmon as a wonderful weight loss food. "Even if you think it's too fishy, there are some tricks you can try [to make it more palatable]," advises Kleiner. "Soaking fish in milk for about 20 minutes prior to cooking can help lessen the fishiness. Also, try squeezing lemon juice over the fish to mask some of the fishy smell or taste. Or, serve topped with a nutritious and delicious sauce, like a tzatziki sauce, teriyaki sauce, or mango salsa."

6

"I'm a huge advocate of eating chia seeds for weight loss," says Natalie Knezic, Health&Wellness Coach with expertise in weight-loss, weight management, and digestive health. "Chia seeds are staples in my kitchen and high on my favorite foods list, as they are among the healthiest, most nutrient-dense foods on the planet."

Despite their tiny size, chia seeds are full of essential nutrients and very filling, and are therefore excellent for losing weight. "They are a great source of omega-3 fatty acids, soluble fibers, and proteins," says Knezic. "Just one serving (two tablespoons) of chia seeds contains almost 10 grams of fiberclose to 40 percent of your recommended daily intake. The fiber makes us feel full, which prevents overeating. Also, chia seeds mixed with water expands in our stomach and keeps you super satisfied for hours."

7

"They help quell hunger, and emerging research shows that eating pistachios will help you lose weight," says Katherine Brooking MS, RD. "Results from several recent studies suggest that adults who consume nuts, such as pistachios, may have a lower body weight and decreased prevalence of health risks such as heart disease and metabolic syndrome. They also tend to have better diets compared to people who don't regularly eat pistachios. Pistachios are also a complete proteinideal for vegans and vegetarians."

In fact, a new study published in the journal Nutrients reveals how pistachios may indeed be your new weight-loss secret weapon. The study, conducted by researchers at the University of California, San Diego, followed 94 adults of varying body sizefrom slim and healthy to obeseas they embarked on the same weight-loss program. The only difference? Half of the participants added 1.5 ounces of pistachios to their diet, while the other half didn't. Though participants across the board lost weight, the ones who ate pistachios had much rosier biometrics at the end of the trial. They ultimately experienced lower blood pressure, consumed more fiber, and consumed "less sweets" than those who didn't supplement their diets with pistachios.

8

"Leafy greens are an excellent addition to your weight loss diet," says Lisa Young, Ph.D., RD, a professor of nutrition at NYU. "Not only are they low in calories but also high in fiber that helps keep you feeling full." To know the all-time greatest greens to add to your diet, don't miss this list of The Healthiest Leafy Greens on the PlanetRanked by Nutrition.

9

"Cruciferous vegetables like broccoli, cauliflower, and cabbage are high in fiber, low in calories, and very filling," says Young. In fact, according to a recent study, one particular cruciferous vegetable was singled out as The #1 Greatest Weight Loss Food for Women.

10

"Beans are one of the best kept secrets for weight loss," says Lynell Ross. "A one-half cup serving of kidney beans contains about 7 grams of fiber."

According to Ross, all beans and legumes are high in fiber, which will help your digestive tract to work effectively and result in weight loss. "Women should aim for about 21-25 grams of fiber per day, while men need between 30-39 grams," she says.

11

"Apples are one of the healthiest foods you can eat to help with weight loss," says Ross. "Not only does one medium-sized apple have about 5 grams of fiberwhich aids in weight lossbut also the sweet and crunchy taste can substitute for dessert while helping you feel full."

12

"Studies have shown that people who eat dairy foods lose more weight than those who don't include dairy foods in their diet," says Ross. "Yogurt is high in calcium and vitamin D, which helps strengthen your bones, and it's high in protein, which balances your blood sugar and helps to cut sugar cravings. Just be sure to select a plain yogurt that's low in sugar and add your own fruit." If you're in the market for more weight loss tips, be sure to see the 200 Greatest Ever Weight Loss Tips on the Planet!

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These 12 Foods Drive the Most Weight Loss of All, Say Experts - Yahoo Lifestyle

Provided by Eat This, Not That! Breakfast bento box high protein with hard boiled eggs fruit nuts cottage cheese cucumber

Obesity has never been a bigger problem in the U.S. than it is right now. At the same time, a recent study indicates thatmore Americans are on dietsthan ever before. Could it be that notwithstanding our best intentions, we've been dieting wrong?

As a matter of fact, that's precisely what a team of scientists out of the Alberta Diabetes Institute at the University of Alberta is suggesting. Their newstudy, publishedin The American Journal of Clinical Nutrition, suggests that while we've been busy struggling to subsist on the high-fat keto diet and shunning meat to go plant-based, what we really need to eat if we want to lose weight is more protein. (Related: 15 Underrated Weight Loss Tips That Actually Work.)

The scientists, led by University of Alberta professor, Carla M. Prado, Ph.D., were aware that "total diet replacements" (short-term diets consisting solely of nutritionally complete meal replacements) can be an effective weight-loss strategy for people with obesity and obesity-related conditions such as type 2 diabetes. They also knew that diets emphasizing protein can support weight management through increased energy and feelings of satiety. What they didn't know was how these two diet concepts might work together for healthy normal-weight adults.

The scientists recruited 44 healthy normal-weight adults between the ages of 18 and 35 (19 females and 24 males) to spend 32 hours in a metabolic chamber (a sealed room that measures oxygen, carbon dioxide, and nitrogen, among other things, to provide a highly detailed look at metabolism). The scientists then randomized the subjects into two groups, and fed them as follows:

Half were fed a high-protein total diet replacement (35 percent carbohydrates, 40 percent protein, and 25 percent fat).

Half were fed a diet meant to approximate what the study authors referred to as the "standard North American dietary pattern" (55 percent carbohydrates, 15 percent protein, and 30 percent fat).

Perhaps most importantly, however, both groups were fed thesame number of calories.

As it turned out, despite having consumed the same number of calories, the two groups differed significantly in terms of how what they consumed impacted their metabolism. The high-protein group's metabolic readings showed higher levels of energy expenditure and fat oxidation (two indicators of weight loss) than the other group. In other words, it appears the high-protein diet was more effective at inducing weight loss.

And so it appears that eating more protein could be the key to unlocking weight loss, at least among healthy, non-obese adults. More research is needed as to the long-term effects of high-protein diets and how these results might translate to adults with obesity, Dr. Prado told Science Daily. However, this study should help scientists to better understand the effects of high-protein diets while adding to the discussion that "a calorie is not just a calorie."

Here are 29 of the best sources of protein for weight loss. In case you've gone plant-based, here are 26 of the best vegetarian sources of protein.

To get all the latest diet and weight loss news delivered directly to your inbox every day, be sure to sign up for our newsletter.

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This Is What You Need to Eat to Lose Weight, Experts Say - msnNOW

When trying to slim down, personal trainer at Snap Fitness Burntwood Liam Smith explained dieters should be mindful of the foods they eat.

Eating meals high in protein can help boost the metabolism and speed up weight loss, he said.

"Choosing the right diet for weight loss can get confusing with all these new products and fad weight loss diets," Liam explained.

"However the simplest and most effective way is tracking your macronutrients - fats, carbohydrates and proteins - especially your protein intake.

READ MORE: Eating more of six foods can help burn fat

"Having a structured training plan and diet is essential for weight loss, a high protein diet in particular will aid in muscle repair and will keep you fuller for much longer."

A study published in the National Library of Medicine revealed eating protein can increase the production of hormones GLP-1, peptide YY and cholecystokinin, which all suppress the appetite.

The study showed that high protein meals also reduce levels of the hunger hormone ghrelin.

Liam claimed that foods high in protein can help build muscle and burn fat.

DON'T MISS

High protein foods include meat, fish, eggs, dairy, tofu, nuts and pulses.

Liam added: "I suggest with my clients roughly one gram of protein per one pound of bodyweight.

"This amount of protein is sufficient to both maintain muscle mass, and keep you fuller for longer which will aid your weight loss journey.

"Protein also has a high thermic effect which means your body requires more energy to digest them, your main sources of protein can come from meat, fish, nuts, dairy and eggs.

"For a practical approach when it comes to weight loss ensure youre staying within a calorie deficit, and make sure you hit your protein intake each day.

"With reduced snacking, wider food variety and more muscle mass, a weight loss diet can be significantly less painful than the traditional methods."

When trying to tone up, dieters must make sure they are not eating more than they are burning off.

However, Liam warned against diets that are too low in calories and restrictive.

'Fad' diets can be difficult to maintain and are often unhealthy options.

"Your main concern should be staying in a calorie deficit, which if protein is low will result in muscle loss," the expert commented.

"Restrictive fad diets can be very limiting and incredibly difficult to sustain.

"Finding a diet that suits you both with taste and hitting your macronutrients will allow for it to be more sustainable and therefore successful."

Read this article:
Weight loss expert's 'simplest and most effective' way to burn fat with high protein plan - Express

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The study also contains the major strategic developments of the market, including new product launch, R&D, agreements, M&A, partnerships, collaborations, regional growth, and joint ventures of the leading competitors active in the market on a regional and global scale.

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The Thorough Analysis Of The Global Weight Loss Pills market Research During COVID-19 Health Crisis - The Courier

The Global Weight Loss and Diet Management Market is anticipated to expand at a CAGR of around XX% during the forecast period, 20202026. Growing adoption of cloud-based solutions and rising need for amalgamating health records on a single platform is anticipated to boost the market Weight Loss and Diet Management growth. These are some of the major factors, which has an impact on the Weight Loss and Diet Management market. The use of technology has transformed the its uses in different sector. This drives the growth of Weight Loss and Diet Management market. Technology is used for the transformation of this sector, and to reduce the burden on employees.

List ofTop Key Playersof Weight Loss and Diet Management Market:Pepsico, The Coca-Cola, Acatris, Alpro Ltd, Nutrisystem, Weight Watchers

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Weight Loss and Diet Management is an advanced integrated information system for the management of all the aspects involved in operations such as financial, medical, administrative, legal, and compliance. These are some of the factors, which contribute to the Weight Loss and Diet Management market. The report on Weight Loss and Diet Management market also includes business intelligence, revenue cycle management, and electronic health records. Across the globe, various health organizations have installed Weight Loss and Diet Management software in order to streamline their business and operation process, better manage projects of all sizes, and boost their work efficiency across the management or board. These are some of the factors, which contribute to the growth of the Weight Loss and Diet Management market.

Market Trends, Drivers, Restraints, and Opportunities:

Increasing adoption of cloud-based solutions and integration of emerging technologies such as Artificial Intelligence (AI) and Machine Learning (ML) with hospital management solutions for data analysis is a major factor driving the growth of the Weight Loss and Diet Management market. Rising adoption of latest technologies such as online report generation that helps in cost cutting and improves the communication with patients is expected to boost the demand for an integrated software. This, in turn, is driving the growth for the Weight Loss and Diet Management market.

Growing demand for maintaining transparency across different departments and flexibility to access data at any time and from anywhere has increased the demand for innovative solutions and thus fueling the growth of the Weight Loss and Diet Management market. Shifting organizations preference from traditional ways of management, rising demand for automated systems and solutions, and streamlining all the aspects of business management is propelling the Weight Loss and Diet Management market growth.

Growing need to manage regulatory compliance through effective utilization of workforce management systems is propelling the market growth. Rising expenditure in the healthcare industry and government initiatives to upgrade healthcare facility infrastructure is fueling the Weight Loss and Diet Management market growth. Growing concerns for data security and high costs of deployment has been restraining the Weight Loss and Diet Management market growth.

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Key Businesses Segmentation of Weight Loss and Diet Management Market:

By Types, the Weight Loss and Diet Management Market can be Splits into:Better-for-You-Food & Beverages, Weight Loss Supplements, Meal Replacements, Low-Calorie Sweeteners, Other

By Applications, the Weight Loss and Diet Management Market can be Splits into:Supermarkets and Hypermarkets, Health & Beauty Stores, Independent Retailers, Online Distribution

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Global Weight Loss and Diet Management Market (2020) to Witness Huge Growth by 2026 | Pepsico, The Coca-Cola, Acatris, Alpro Ltd, Nutrisystem, Weight...

Overview of Weight Loss & Weight Management Market:

Weight Loss & Weight Management Market includes Overview, classification, industry value, price, cost and gross profit. It also covers types, enterprises and applications. To start with, analytical view to complete information of Weight Loss & Weight Management market. It offers market view by regions with countries, development in Weight Loss & Weight Management industry, opportunity with challenges, sales strategies, growth strategies and revenue analysis to include price.

Weight Loss & Weight Management Market research report which provides an in-depth examination of the market scenario regarding market size, share, demand, growth, trends, and forecast for 2020-2026. The report covers the impact analysis of the COVID-19 pandemic. The COVID-19 pandemic has affected export imports, demands, and industry trends and is expected to have an economic impact on the market. The report provides a comprehensive analysis of the impact of the pandemic on the entire industry and provides an overview of a post-COVID-19 market scenario.

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Impact of COVID-19 on Weight Loss & Weight Management Market

The report also includes the impact of ongoing global crisis i.e. COVID-19 on the Weight Loss & Weight Management market and what the future holds for it. It provides an analysis of the effects of the pandemic on the global economy. The outbreak has directly disturbed the demand and supply chain. The report also analyzes the financial impact on firms and financial markets. Adroit Market Research has gathered insights from several delegates of the industry and got involved in the primary and secondary research to provide the clients with data and strategies to combat the market challenges during and after COVID-19 pandemic.

Some of the Important and Key Players of the Global Weight Loss & Weight Management Market:

BRUNSWICK CORPORATION, Nutrisystem, Inc., Amer Sports, Covidien plc (Wholly-Owned Subsidiary of Medtronic PLC), HERBALIFE NUTRITION LTD., Johnson Health Tech. Co. Ltd., Technogym S.p.A, Apollo Endosurgery, Inc., WW International, Inc., eDiets.Com Inc., Kellogg Co., Jenny Craig, Inc., Ethicon, Inc. (A Subsidiary of Johnson & Johnson) and GOLDS GYM

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This section of the report identifies various key manufacturers of the market. It helps the decision market to understand the strategies and collaborations that key players are focusing on combat competition in the market. The comprehensive Weight Loss & Weight Management Market report provides a significant microscopic look at the market. The decision-maker can identify the footprints of the manufacturers by knowing about the global revenue of manufacturers, the price of manufacturers, and production by manufacturers during the forecast period.

The global Weight Loss & Weight Management Market report offers a complete overview of the Weight Loss & Weight Management Market globally. It presents real data and statistics on the inclinations and improvements in global Weight Loss & Weight Management Markets. It also highlights manufacturing, abilities & technologies, and unstable structure of the market. The global Weight Loss & Weight Management Market report elaborates the crucial data along with all important insights related to the current market status.

Weight Loss & Weight Management Market Segmentation

Type Analysis of Weight Loss & Weight Management Market:

by Equipment (Surgical Equipment {Noninvasive surgical equipment and Minimally invasive surgical equipment}, Fitness Equipment{ Strength training equipment, Body Composition Analyzers, Fitness Monitoring Equipment, and Cardiovascular training equipment); by Service (Slimming Centers and Commercial Weight Loss Centers, Online Weight Loss Programs, Fitness Centers and Health Clubs, and Consulting Services); by Diet (Beverages, Meals, and Supplements)

Applications Analysis of Weight Loss & Weight Management Market:

NA

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Weight Loss & Weight Management Market Analysis, Growth by Top Companies, Trends by Types and Application, Forecast Analysis to 2026 : BRUNSWICK...

It's post-Thanksgiving andyou may befeeling weighed down by second, third, fourth helpings, and a hefty array of appetizers and cocktails.If there were one thing that could help us lightly detox, we would all get our hands on it. However, there are many things that can help including, exercise, rest, vitamins, and this drink, in particular, apple cider vinegar.

This simple ingredient is full of powerful health benefits and has a strong taste. Personally, my favorite brand is Bragg's because of its long history as a "health food" that detoxifies and boosts metabolism, and the founders were health advocates long before such a thing was trendy.

Paul Bragg was an alternative health food advocate and fitness enthusiast.who wrote on subjects such as detoxification, dieting, fasting, longevity,andphysical culture. Back when he started his apple cider vinegar company people thought he was a quack but it turns out that for hundreds of years apple cider vinegar has been used as a "cleansing" ingredient in foods. and Bragg's current CEO Linda Boardman, explains that the company is now enjoying aresurgence in popularity, as the entire country seeks out health boosters that they can trust to add to their food that will help keep our bodies in peak form right now.

Bragg has a collection of vinaigrettes you can buy from theBRAGG website, however, many of them include honey so if you're a vegan who doesn't eat honey, I recommend making your own dressing using the apple cider vinegar.

I try to add ACV to almost everything I eat, even if it's a small drop.I like to use it as an olive oil replacement with I sauteed fresh vegetables and make delicious stir-fry for dinner. Not only does it have a tangy flavoring and adds a kick to my meals, but ACV also has many health benefits. The most common use of apple cider vinegar is for weight loss.According toHealthline,studies have shown that vinegar can make us feel fuller faster and eat fewer calories which may result in weight loss. The study of 175 people with obesity showed that "daily apple cider vinegar consumption led to reduced belly fat", here are the exact numbers:

The bottom line is that ACV can trick your body into thinking you are full, so you avoid overeating and gaining weight. Add a few tablespoons to your salad dressings, cocktails, pasta sauces, smoothies, baking goods, or simply to your pan when you sautee vegetables or make a breakfast sandwich usingJUST eggs. We included three vegan recipes from plant-based chefs that are easy to make and taste even more delicious with ACV.

For the dough: (makes 2 pizzas)

For the toppings: (for 2 pizzas)

To prepare the dough:

Dry ingredients

Wet ingredients

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This Ingredient Helps You Feel Healthier Lighter, and Lose Weight - The Beet

A mum who lost four-and-a-half stone has set up a healthy food delivery business.

Danielle Byrnes lost the weight in two years and dropped down from 14 stone.

At the time she said she was "classed as obese" and she explained she began trying to lose weight five years ago.

Explaining how she achieved her results, she said: "I was a gym-goer when I was heavier but I was obviously just still eating the wrong foods so it was a mixture of eating the right foods and going to the gym and finding exercise that I enjoy rather than forcing myself to do something I didn't like."

She has since maintained her weight and in that time has had a baby.

After she was made redundant from her previous job as a product manager at Experian, she decided to launch her own company, selling prepared healthy meals and lunches which she delivers to customers.

The idea is to provide "tasty food that's not unhealthy".

Explaining how the idea came about, the 33-year-old said: "My husband is a bodybuilder, a heavy weightlifter, as well as working full-time.

"And I've lost all that weight. I'd do all of our cooking together, would prepare it for the week and that's what we'd eat.

"I'd have three meals a day to lose weight and then to maintain it but my husband has five or six for muscle building.

"My friends always said 'I wish I could do that' and 'how do you do it?'

"I just thought: 'You know what, it's probably something I could make a business from'.

"I sell meal prep to people so they'll buy five to 10 meals in bulk off me in one go.

"Or I do a one-off meal, like a lunch with a drink."

The business, Aubrey's Healthy Bites Ltd, is named after her two-year-old daughter.

The meals can be warmed up in the microwave for customers to eat.

"I've been doing a new menu each week with a few choices, I keep it quite small because it's just me," said Mrs Byrnes.

Options can be made with meat or suitable for vegetarians.

Speaking about the types of meals available, she said: "I keep them high in protein and around about 500 calories.

"This week it's teriyaki chicken with egg noodles and lean sausage, mash and vegetables.

"I've done a satay chicken with broccoli and rice, a lentil and chickpea dal - those went down really well."

Mrs Byrnes, who lives in Cotgrave, explained she was currently delivering across Rushcliffe.

She added: "It's doing well, I can see it getting busier and busier, especially into January when people are trying to lose weight after Christmas."

The business has been running for a month since she left Experian in October.

Her husband Shon, a 35-year-old business analyst, said: "At the end of the day she's taken that risk, she believes she can do it - she hasn't held back.

"This is what she wants to do and she's done all of her research, done all of her marketing - it's all been her. This is just the start, hopefully."

The business has a website and Facebook and Instagram accounts customers can use to place orders.

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Mum's incredible 4st weight loss inspires her new healthy eating business - Nottinghamshire Live

PITTSBURGH, Pa. In the most recent issue of the Annals of Surgery, epidemiologists from the University of Pittsburgh published two separate analyses that could help guide clinicians and policymakers in counseling bariatric surgery patients to improve their quality of life for many years to come.

A study led by Dr. Gretchen White, assistant professor of medicine and clinical and translational science at Pitts Institute for Clinical Research and Education, identified several patient characteristics pre- and post-surgery such as insufficient social support and unrealistic weight loss expectations that can predict not being satisfied long-term with Roux-en-Y gastric bypass surgery.

In a second paper, Whites colleague and collaborator Dr. Wendy King, associate professor of epidemiology at Pitts Graduate School of Public Health, found that higher physical activity levels after bariatric surgery lessen depressive symptoms and improve mental and physical quality of life, irrespective of weight loss.

Every year, tens of thousands of Americans who struggle with obesity undergo gastric bypass surgery to manage their body weight and comorbidities, such as diabetes. Yet, the Pitt scientists found, while most patients are at least somewhat satisfied with their surgery long-term, satisfaction decreased from 85% to 77% three to seven years post-surgery. Most patients also continue to lead sedentary lives, which contributes to weight regain and negatively affects their mental well-being.

Knowing which patients are more likely to be dissatisfied with their surgery can help doctors guide a conversation about expectations and maximize beneficial effects of the procedure, White said. Similarly, providing quantitative data that show being more physically active has positive effects on a persons well-being might help shift a patients perspective on exercise.

Our data support why its important to counsel patients regarding their physical activity behaviors, said King. Although patients in general are not meeting physical activity recommendations post-surgery, we found a dose-response relationship the more active patients were, the better improvement they had in depressive symptoms and health-related quality of life. Every bit matters.

Both studies analyzed data collected from 1,700 adults who underwent Roux-en-Y gastric bypass surgery between March 2006 and April 2009 and were followed for up to seven years.

In a pre-operation assessment, younger age, lower body mass index (BMI), higher percent weight loss needed to reach dream weight, worse physical and mental health status, and less social support all independently predicted higher risk of not being satisfied with surgery. In addition, less weight loss, worsening physical and mental health status, less social support and greater depressive symptomology after the surgery were associated with not being satisfied.

Knowing these characteristics can be useful for clinicians when talking to patients about how realistic their post-surgery expectations are, particularly when having conversations about achieving their dream weight, said White. Modifying expectations early may lead to better satisfaction long-term.

In a separate study, King found that improvements in mental and physical health-related quality of life differed by physical activity level. By analyzing objective measures collected from wearable activity monitors step count, amount of time spent sedentary and amount of time spent doing moderate-to-vigorous activity she found that higher levels of physical activity related to improvements independent of weight loss. In her recent work, also published in the Annals of Surgery, King showed that higher activity level predicted better weight loss and less weight regain but that study didnt look at quality-of-life measures.

Even after the surgery, an average bariatric surgery patient leads a significantly more sedentary lifestyle than recommended by physicians.

King says this may explain why the magnitude of associations between physical activity level and improvement in health-related quality of life and depressive symptoms in their cohort was small. Still, the findings provide support for expanding measures that increase physical activity in bariatric surgery patients to influence mental and physical health outcomes.

Most insurance providers include coverage for dietary counseling but dont reimburse expenses for hiring a health coach or getting a gym membership, said King. There needs to be more systemic support to help patients increase their activity level and maintain an active lifestyle post-surgery.

Dr. Anita Courcoulas, of Pitt and UPMC, is a coauthor on both studies. Amanda Hinerman, M.P.H., and DrSteven H. Belle, both of Pitt, are coauthors on the depressive symptoms study.

No grant support was provided for the analysis or preparation of both manuscripts.

The Longitudinal Assessment of Bariatric Surgery-2 (LABS-2) study that produced the data used in these analyses was funded by the National Institute of Diabetes and Digestive and Kidney Diseases.

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Pitt Scientists Identify Predictors of Satisfaction after Bariatric Surgery and Demonstrate Positive Effects of Physical Activity in Patients -...