3 Easy Steps to Fast and Lasting Weight Loss

3 Steps To Lose Weight That Will Last

When it comes to losing weight there are no magic pills or secret diets that can help you reach your weight loss goals. But you can achieve your goals with these 3 steps to help lose weight.

Like most things in life losing weight (a lot of weight) boils down to conscious effort, discipline, determination and perseverance.

Losing 10, 20, 50 or 100 pounds or more all comes back to what you do on a daily basis. If you do what you’re supposed to do (eat right + exercise) day in a day out you will eventually lose all the weight you want.

However, if you throw caution to the wind and don’t do what you’re supposed to do then you may never see your weight loss dreams come true. This my friend is the saddest scenario there is.

If you’re bored of being fat, if your tired of being overweight, if your ready to start your new life today then hold on because I am about to give you the simple yet extremely effective weight loss plan you’ve been waiting for.

Are you ready? I am going to tell you in no uncertain terms what you have to do to lose all the weight you want in 3 easy to do steps. However, in order for this to work you must maintain your focus and discipline everyday to keep doing the steps until you reach your desired results.

Even if you falter and veer off your weight loss track, it’s OK. If you are able to quickly get back on track you will overtime, reap the benefits of dramatic weight loss and improved health.

And now, without further adieu here are your 3 basic steps to weight loss…

1. EAT LESS

2. EAT BETTER

3. EXERCISE

There they are. What do you think? A little anti-climatic, huh? Maybe you were expecting more… Well, let me tell you if you are able to grasp and implement this powerfully safe and effective weight loss plan is you will never again have to spend another unnecessary dime on weight loss products that don’t work.

You see, your body is a fine tuned weight loss management machine. If you follow the right plan and give your body only what it needs to survive it will do all the hard work for you.

Given enough time and following the 3 steps above you can lose tens and even hundreds of pounds without starving yourself or resorting to bogus weight loss pills or dangerous body sculpting surgeries.

Now, this is not to say that the road to significant weight loss will be easy or that you will not have to suffer a bit to reach your desired results. There will be days when you feel like throwing in the towel and giving up.

On those days you might just cave into your undeniable cravings and go crazy at your local all you can eat artery clogging buffet. But hey,that’s OK. You’re human. Sometimes you have to go a little nuts to get back on track.

However, if you are truly committed to reaching even your most seemingly unattainable weight loss goals you can and will do it by following the plan above. Now, for your benefit let’s go a little deeper into each step of the plan.

1. EAT LESS

There is really no doubt about it. If you want to lose weight you have to start eating less. You have to create a calorie deficiency in order for you body to start shedding pounds.

If you do not begin to limit how much food you take in no amount of exercise will help you reach your goals. Eating less of your favorite greasy, fat filled foods will be the quickest way to dramatic weight loss.

It really doesn’t matter how much weight you have to lose. Unless you take control of both your conscious and unconscious eating habits you’ll be hard pressed to lose even one pound.

No, you have to start cutting back on the amount of food you are used to eating. I’ve heard of stories where people would go to Mc Donald’s and pack away two Super Sized Big Mac Meals.

Obviously, this is way too much. In this situation even cutting down to one Super Size meal would be an improvement. But, as we will see in our next step, a better plan would be to do away with the Super Size meal all-together and start eating better.

2. EAT BETTER

As the saying goes, “We are what we eat.” If we eat crap, guess what? However, if we learn to eat well then not only will our waistline thank us for it but we’ll also feel better about ourselves to boot.

One of the quickest changes you can make to your diet when trying to lose weight is to ditch all the junk food you may be used to eating (chips, sodas, pizzas, donuts, cookies, etc) and start eating more vegetables.

Now, I know what you might be thinking. You may still be traumatized by your mother not letting you get up from the dinner table until you finished all your broccoli but let me tell you, your mother was right.

If you can fill half your plate at every meal with high fiber and nutrient packed vegetables you are well on your way to significant and long lasting weight loss. This is probably one of the simplest things you can do to really kickstart your weight loss journey.

While it might not be easy to start eating vegetables at every meal the sooner you begin the better off you’ll be and the quicker the weight will start to melt off your body.

3. EXERCISE

In order to kick your weight loss adventure into high gear you have to get your body moving. I don’t care if you call it working out, exercising, aerobics or whatever the point is you have to do something to get your heart rate up and your sweat glands working overtime.

Exercise is the key to sustainable, long lasting and real weight loss. For every pound you lose by eating right and exercising that is one more pound that will never come back to haunt you.

Why? Because you now know the “secret” to safe and effective weight loss. If you ever feel yourself creeping back up on the dreaded scale o’ fat all you have to do is put these 3 steps into action and watch as you stabilize and contradict any unwanted weight gain.

By exercising on a regular basis you are giving your body the energy boost it needs to ramp up your metabolism rate to start efficiently and effectively losing weight on a daily basis. I don’t about you but that sounds pretty darn good to me.

The more you push yourself physically the faster you will see change in your body occur. You may not have to work out with a personal trainer everyday but you do need to do something.

Be it going for a walk, running, swimming, biking, hiking, or any other physical activity you like to do start doing it now. Don’t spend another night on the couch watching the latest re-runs. Get your body moving and start losing weight today.

CONCLUSION

Losing weight (even a lot of weight) is not rocket science. So rest assured that anyone can do it, even you. However, it will require all the patience, discipline, determination and perseverance you can muster.

Start slow. Take it one day at a time. You may not reach your ideal weight in one week, one month or even one year but stick with it and reach it you will. By following the 3 steps above you too can become a success story like so many other before you.

So go forth and start losing all that unwanted weight that years of undisciplined living have left behind. Take control of your life starting today. Soon you’ll be glad you did. When that day comes there will be no looking back.

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Fletcherism – A Weight Loss Method

What is Fletcherism? Will it Help you Lose Weight?

When I was at school – boarding school – we tried all sorts of different ways to eat. Probably because we were hungry and could drag out the eating. One of the games we played was fletcherism. Someone had heard about this way of eating was a really healthy way to eat!

So what exactly is fletcherism? According to Wallace Wattles, who wrote about it about 100 years ago, it “consists in tasting and chewing every mouthful of food until it is reduced to a liquid, so that it gets away from you by involuntary swallowing”. The reason for doing this is to assist in the digestion process. Instead of wolfing down your food you chew it 20 to 30 times or more until it becomes a liquid in your mouth and mixed well with saliva. The process of digestion begins in the mouth, with saliva mixing with and beginning to break down the food before it gets to the stomach.

Using fletcherism as a method by which to eat has two advantages. It helps with digestion but it also helps with weight loss. And why would this be. Well, you are generally only hungry for about 20 minutes, so if you are eating slowly by using the fletcherism method you will not consume as much food in the twenty minutes that you are hungry. A simple healthy way to lose weight. You dont really have to change what you are eating for this method to have an effect as long as you stop eating when the hunger feeling passes and you feel content. Even though you have left some of your meal on your plate, lol!

This method is easier to implement when you eat unrefined food because these foods, naturally,because of the fibre in them, need more chewing. White bread and cakes made from refined flour and sugar sort of slide down without any chewing and you have to force yourself to keep chewing, counting the chews when you eat this sort of food. Yuk! But it can be done!

If you put down your knife and fork between mouthfuls you will find that you slow down your speed of eating. It works similarly to fletcherism as you are forced to eat slower.

Both methods need practice and can be done together. But it takes changing your lifetime habit of the way you eat to a new one. Strangly enough you will find that you are not over eating and leave the table feeling content and not bloated. By aiding your digestive system with saliva it will function better. Not to forget the fact that you may lose some of those extra kilos.

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The Big Picture of Permanent Weight Loss

Most people who read my articles and e-books know me as a science guy who likes to quote studies and apply research to everyday problems such as weight loss, bodybuilding, and other health/fitness related topics. However, sometimes you have to step back from the science and look at the big picture to help bring people back into focus, so they can see the forest for the trees, so to speak.

For most people reading this article, finding an effective diet that works most of the time must seem as complicated as nuclear physics. It’s not, but there are a bewildering number of choices for diets out there. High fat or no fat? High carbohydrate or no carbohydrate? Low protein or high protein? To make matters worse, there are a million variations and combinations to the above diet scenarios to add to the confusion. It seems endless and causes many people to throw up their hands in frustration and give up. In this article I will attempt to change all that.

There are some general guidelines, rules of thumb, and ways of viewing a diet program that will allow you to decide, once and for all, if it’s the right diet for you. You may not always like what I have to say, and you should be under no illusions this is another quick fix, “lose 100 lbs. in 20 days,” guide of some sort. However, if you are sick and tired of being confused, tired of taking the weight off only to put it back on, and tired of wondering how to take the first steps to deciding the right diet for you that will result in permanent weight loss, then this is the article that could change your life…

Does your diet pass “The Test”?

What is the number one reason diets fail long term; above all else? The number one reason is…drum roll…a lack of long term compliance. The numbers don’t lie; the vast majority of people who lose weight will regain it – and often exceed what they lost. You knew that already didn’t you?

Yet, what are you doing to avoid it? Here’s another reality check: virtually any diet you pick which follows the basic concept of “burning” more calories then you consume – the well accepted “calories in calories out” mantra – will cause you to lose weight. To some degree, they all work: Atkins-style, no carb diets, low fat high carb diets, all manner of fad diets – it simply does not matter in the short term.

If your goal is to lose some weight quickly, then pick one and follow it. I guarantee you will lose some weight. Studies generally find any of the commercial weight loss diets will get approximately the same amount of weight off after 6 months to a year. For example, a recent study found the Atkins’ Diet, Slim-Fast plan, Weight Watchers Pure Points program, and Rosemary Conley’s Eat Yourself Slim diet, were all equally effective. (1)

Other studies comparing other popular diets have come to essentially the same conclusions. For example, a study that compared the Atkins diet, the Ornish diet, Weight Watchers, and The Zone Diet, found them to be essentially the same in their ability to take weight off after one year. (2)

Recall what I said about the number one reason diets fail, which is a lack of compliance. The lead researcher of this recent study stated:

“Our trial found that adherence level rather than diet type was the primary predictor of weight loss”(3)

Translated, it’s not which diet they chose per se, but their ability to actually stick to a diet that predicted their weight loss success. I can just see the hands going up now, “but Will, some diets must be better than others, right?” Are some diets better then others? Absolutely. Some diets are healthier then others, some diets are better at preserving lean body mass, some diets are better at suppressing appetite – there are many differences between diets. However, while most of the popular diets will work for taking weight off, what is abundantly clear is that adhering to the diet is the most important aspect for keeping the weight off long term.

What is a diet?

A diet is a short term strategy to lose weight. Long term weight loss is the result of an alteration in lifestyle. We are concerned with life long weight management, not quick fix weight loss here. I don’t like the term diet, as it represents a short term attempt to lose weight vs. a change in lifestyle. Want to lose a bunch of weight quickly? Heck, I will give you the information on how to do that here and now for no charge.

For the next 90 to 120 days eat 12 scrambled egg whites, one whole grapefruit, and a gallon of water twice a a day. You will lose plenty of weight. Will it be healthy? Nope. Will the weight stay off once you are done with this diet and are then forced to go back to your “normal” way of eating? Not a chance. Will the weight you lose come from fat or will it be muscle, water, bone, and (hopefully!) some fat? The point being, there are many diets out there that are perfectly capable of getting weight off you, but when considering any eating plan designed to lose weight, you must ask yourself:

“Is this a way of eating I can follow long term?”

Which brings me to my test: I call it the “Can I eat that way for the rest of my life?” Test. I know, it does not exactly roll off your tongue, but it gets the point across.

The lesson here is: any nutritional plan you pick to lose weight must be part of a lifestyle change you will be able to follow – in one form or another – forever. That is, if it’s not a way of eating you can comply with indefinitely, even after you get to your target weight, then it’s worthless.

Thus, many fad diets you see out there are immediately eliminated, and you don’t have to worry about them. The question is not whether the diet is effective in the short term, but if the diet can be followed indefinitely as a lifelong way of eating. Going from “their” way of eating back to “your” way of eating after you reach your target weight is a recipe for disaster and the cause of the well established yo-yo dieting syndrome. Bottom line: there are no short cuts, there is no free lunch, and only a commitment to a lifestyle change is going to keep the fat off long term. I realize that’s not what most people want to hear, but it’s the truth, like it or not.

The statistics don’t lie: getting the weight off is not the hardest part, keeping the weight off is! If you take a close look at the many well known fad/commercial diets out there, and you are honest with yourself, and apply my test above, you will find most of them no longer appeal to you as they once did. It also brings me to an example that adds additional clarity: If you have diet A that will cause the most weight loss in the shortest amount of time but is unbalanced and essentially impossible to follow long term vs. diet B, which will take the weight off at a slower pace, but is easier to follow, balanced, healthy, and something you can comply with year after year, which is superior? If diet A gets 30 lbs off you in 30 days, but by next year you have gained back all 30 lbs, but diet B gets 20 lbs off you in the next 3 months with another 20 lbs 3 months after that and the weight stays off by the end of that year, which is the better diet?

If you don’t know the answer to those questions, you have totally missed the point of this article and the lesson it’s trying to teach you, and are set up for failure. Go back and read this section again…By default, diet B is superior.

Teach a man to Fish…

A well known Chinese Proverb is – Give a man a fish and you feed him for a day. Teach a man to fish and you feed him for a lifetime.

This expression fits perfectly with the next essential step in how to decide what eating plan you should follow to lose weight permanently. Will the diet plan you are considering teach you how to eat long term, or does it spoon-feed you information? Will the diet rely on special bars, shakes, supplements or pre-made foods they supply?

Let’s do another diet A vs. diet B comparison. Diet A is going to supply you with their foods, as well as their special drink or bars to eat, and tell you exactly when to eat them. You will lose – say – 30 lbs in two months. Diet B is going to attempt to help you learn which foods you should eat, how many calories you need to eat, why you need to eat them, and generally attempt to help teach you how to eat as part of a total lifestyle change that will allow you to make informed decisions about your nutrition. Diet B causes a slow steady weight loss of 8 -10 lbs per month for the next 6 months and the weight stays off because you now know how to eat properly.

Recall the Chinese proverb. Both diets will assist you to lose weight. Only one diet, however, will teach you how to be self-reliant after your experience is over. Diet A is easier, to be sure, and causes faster weight loss than diet B, and diet B takes longer and requires some thinking and learning on your part. However, when diet A is over, you are right back where you started and have been given no skills to fish. Diet companies don’t make their profits by teaching you to fish, they make their money by handing you a fish so you must rely on them indefinitely or come back to them after you gain all the weight back.

Thus, diet B is superior for allowing you to succeed where other diets failed, with knowledge gained that you can apply long term. Diet programs that attempt to spoon feed you a diet without any attempt to teach you how to eat without their help and/or rely on their shakes, bars, cookies, or pre-made foods, is another diet you can eliminate from your list of choices.

Diet plans that offer weight loss by drinking their product for several meals followed by a “sensible dinner;” diets that allow you to eat their special cookies for most meals along with their pre-planned menu; or diets that attempt to have you eating their bars, drink, or pre-made meals, are of the diet A variety covered above. They’re easy to follow but destined for failure, long term. They all fail the “Can I eat that way for the rest of my life?” test, unless you really think you can eat cookies and shakes for the rest of your life…Bottom line here is, if the nutritional approach you use to lose weight, be it from a book, a class, a clinic, or an e-book, does not teach you how to eat, it’s a loser for long term weight loss and it should be avoided.

The missing link for long term weight loss

We now make our way to another test to help you choose a nutrition program for long term weight loss, and it does not actually involve nutrition. The missing link for long term weight loss is exercise. Exercise is the essential component of long term weight loss. Many diet programs do not contain an exercise component, which means they are losers for long term weight loss from the very start. Any program that has its focus on weight loss but does not include a comprehensive exercise plan is like buying a car without tires, or a plane without wings. People who have successfully kept the weight off overwhelmingly have incorporated exercise into their lives, and the studies that look at people who have successfully lost weight and kept it off invariably find these people were consistent with their diet and exercise plans. (4)

I am not going to list all the benefits of regular exercise here, but regular exercise has positive effects on your metabolism, allows you to eat more calories yet still be in a calorie deficit, and can help preserve lean body mass (LBM) which is essential to your health and metabolism. The many health benefits of regular exercise are well known, so I won’t bother adding them here. The bottom line here is, (a) if you have any intentions of getting the most from your goal of losing weight and (b) plan to keep it off long term, regular exercise must be an integral part of the weight loss strategy. So, you can eliminate any program, be it book, e-book, clinic, etc. that does not offer you direction and help with this essential part of long term weight loss.

Side Bar: A quick note on exercise:

Any exercise is better than no exercise. However, like diet plans, not all exercise is created equal, and many people often choose the wrong form of exercise to maximize their efforts to lose weight. For example, they will do aerobics exclusively and ignore resistance training. Resistance training is an essential component of fat loss, as it builds muscle essential to your metabolism, increases 24 hour energy expenditure, and has health benefits beyond aerobics.

The reader will also note I said fat loss above not weight loss. Though I use the term ‘weight loss’ throughout this article, I do so only because it is a familiar term most people understand. However, the true focus and goal of a properly set up nutrition and exercise plan should be on fat loss, not weight loss. A focus on losing weight, which may include a loss essential muscle, water, and even bone, as well as fat, is the wrong approach. Losing the fat and keeping the all important lean body mass (LBM), is the goal, and the method for achieving that can be found in my ebook(s) on the topic, and is beyond the scope of this article. Bottom line: the type of exercise, intensity of that exercise, length of time doing that exercise, etc., are essential variables here when attempting to lose FAT while retaining (LBM).

Psychology 101 of long term weight loss

Many diet programs out there don’t address the psychological aspect of why people fail to be successful with long term weight loss. However, quite a few studies exist that have looked at just that. In many respects, the psychological aspect is the most important for long term weight loss, and probably the most underappreciated component.

Studies that compare the psychological characteristics of people who have successfully kept the weight off to people who have regained the weight, see clear differences between these two groups. For example, one study that looked at 28 obese women who had lost weight but regained the weight that they had lost, compared to 28 formerly obese women who had lost weight and maintained their weight for at least one year and 20 women with a stable weight in the healthy range, found the women who regained the weight:

o Had a tendency to evaluate self-worth in terms of weight and shape

o Had a lack of vigilance with regard to weight control

o had a dichotomous (black-and-white) thinking style

o Had the tendency to use eating to regulate mood.

The researchers concluded:

“The results suggest that psychological factors may provide some explanation as to why many people with obesity regain weight following successful weight loss.”

This particular study was done on women, so it reflects some of the specific psychological issues women have – but make no mistake here – men also have their own psychological issues that can sabotage their long term weight loss efforts. (6)

Additional studies on men and women find psychological characteristics such as “having unrealistic weight goals, poor coping or problem-solving skills and low self-efficacy” often predict failure with long term weight loss. (7) On the other hand, psychological traits common to people who experienced successful long term weight loss include “…an internal motivation to lose weight, social support, better coping strategies and ability to handle life stress, self-efficacy, autonomy, assuming responsibility in life, and overall more psychological strength and stability.” (8)

The main point of this section is to illustrate that psychology plays a major role in determining if people are successful with long term weight loss. If it’s not addressed as part of the overall plan, it can be the factor that makes or breaks your success. This, however, is not an area most nutrition programs can adequately tackle and should not be expected to. However, the better programs do generally attempt to help with motivation, goal setting, and support. If you see yourself in the above lists from the groups that failed to maintain their weight long term, then know you will need to address those issues via counseling, support groups, etc. Don’t expect any weight loss program to cover this topic adequately but do look for programs that attempt to offer support, goal setting, and resources that will keep you on track.

“There’s a sucker born every minute”

So why don’t you see this type of honest information about the realities of long term weight loss more often? Let’s be honest here, telling the truth is not the best way to sell bars, shakes, books, supplements, and programs. Hell, if by some miracle everyone who read this article actually followed it, and sent it on to millions of other people who actually followed it, makers of said products could be in financial trouble quickly. However, they also know – as the man said – “there’s a sucker born every minute,” so I doubt they will be kept up at night worrying about the effects that I, or this article, will have on their business.

So let’s recap what has been learned here: the big picture realities of permanent weight loss and how you can look at a weight loss program and decide for yourself if it’s for you based on what has been covered above:

o Permanent weight loss is not about finding a quick fix diet, but making a commitment to life style changes that include nutrition and exercise

o Any weight loss program you choose must pass the “Can I eat that way for the rest of my life?” test,

o The weight loss program you choose should ultimately teach you how to eat and be self reliant so you can make informed long term choices about your nutrition.

o The weight loss program you choose should not leave you reliant on commercial bars, shakes, supplements, or pre-made foods, for your long term success.

o The weight loss program you choose must have an effective exercise component.

o The weight loss program you choose should attempt to help with motivation, goal setting, and support, but can’t be a replacement for psychological counseling if needed.

Conclusion

I want to take this final section to add some additional points and clarity. For starters, the above advice is not for everyone. It’s not intended for those who really have their nutrition dialed in, such as competitive bodybuilders and other athletes who benefit from fairly dramatic changes in their nutrition, such as ‘off season’ and ‘pre-contest’ and so on.

The article is also not intended for those with medical issues who may be on a specific diet to treat or manage a specific medical condition. The article is intended for the average person who wants to get off the Yo-Yo diet merry-go-round once and for all. As that’s probably 99% of the population, it will cover millions of people.

People should also not be scared off by my “you have to eat this way forever” advice. This does not mean you will be dieting for the rest of your life and have nothing but starvation to look forward to. What it does mean, however, is you will have to learn to eat properly even after you reach your target weight and that way of eating should not be a huge departure from how you ate to lose the weight in the first place. Once you get to your target weight – and or your target bodyfat levels – you will go onto a maintenance phase which generally has more calories and choices of food, even the occasional treat, like a slice of pizza or whatever.

Maintenance diets are a logical extension of the diet you used to lose the weight, but they are not based on the diet you followed that put the weight on in the first place!

Regardless of which program you choose, use the above ‘big picture’ approach which will keep you on track for long term weight loss. See you in the gym!

References

(1) Truby H, et al. Randomised controlled trial of four commercial weight loss programmes in the UK: initial findings from the BBC “diet trials” BMJ 2006;332:1309-1314 (3 June),

(2) Michael D., et al, Comparison of the Atkins, Ornish, Weight Watchers, and Zone Diets for Weight Loss and Heart Disease Risk Reduction. A Randomized Trial. JAMA. 2005;293:43-53.

(3) Comparison of Diets for Weight Loss and Heart Disease Risk Reduction-Reply. Michael Dansinger. JAMA. 2005;293:1590-1591.

(4) Kruger J. et al. Dietary and physical activity behaviors among adults successful at weight loss maintenance. International Journal of Behavioral Nutrition and Physical Activity 2006, 3:17 doi:10.1186/1479-5868-3-17

(5) Byrne S, et al. Weight maintenance and relapse in obesity: a qualitative study. Int J Obes Relat Metab Disord. 2003 Aug;27(8):955-62.

(6) Borg P, et al. Food selection and eating behaviour during weight maintenance intervention and 2-y follow-up in obese men.Int J Obes Relat Metab Disord. 2004 Dec;28(12):1548-54.

(7) Byrne SM. Psychological aspects of weight maintenance and relapse in obesity. J Psychosom Res. 2002 Nov;53(5):1029-36.

(8) Elfhag K, et al. Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain. Obes Rev. 2005 Feb;6(1):67-85

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Treatment of Obesity: Weight Loss and Bariatric Surgery

Bariatric surgery includes a kind of procedure performed on people who have obesity. Weight loss is achieved by reducing the size of the stomach with a gastric band or through taking away a portion of the stomach (sleeve gastrectomy or biliopancreatic diversion with duodenal switch) or by resecting and re-routing the small intestine to a small stomach pouches (gastric bypass surgery).

The fundamental basis for bariatric surgery for the purpose of accomplishing weight loss is the determination that severe obesity is a disease associated with multiple adverse effects on health which can be reversed or improved by successful weight loss in patients who have been unable to sustain weight loss by non-surgical means. It even helps in the reduction of cardiovascular disease (CVD) as well as other expected benefits of this intervention. The ultimate benefit of weight reduction relates to the reduction of the co-morbidities, quality of life and all-cause mortality.

Specific criteria established by the NIH consensus panel indicated that bariatric surgery is appropriate for all patients with BMI (kg/m2) >40 and for patients with BMI 35-40 with associated comorbid conditions. These standards have held up over the long years, although specific indications for bariatric/metabolic surgical intervention have been recognized for persons with less severe obesity, such as persons with BMI 30-35 with type 2 diabetes. The indications for bariatric surgery are evolving rapidly to consider the presence or absence of comorbid conditions as well as the severity of the obesity, as reflected by BMI.

Specific Bariatric Surgical Procedures are Roux-en-Y Gastric Bypass (RYGB), Sleeve Gastrectomy, Biliopancreatic diversion with duodenal switch, Implantation of Devices (includes Adjustable Gastric Banding, Intermittent vagal blockade, Gastrointestinal Endoscopic Devices).

Bariatric surgical community enacted a number of changes to result in this improved safety record. Included is the identification of the importance of surgeon and center experience, the establishment of pathways, care protocols, and quality initiatives and incorporation of all of these aspects of care into an accreditation of centers program. The transition to laparoscopic methodology occurred during the same time period and also contributed to the improved safety.

Weight loss following bariatric surgery has been studied and reported both short- and longer-term following all surgical procedures undertaken, as weight loss is the primary objective of bariatric surgery. Mean weight loss is uniformly reported. It is crucial to identify however, the high variability of weight loss following apparently standardized operative procedures such as RYGB or Laparoscopic Adjustable Gastric Banding (LAGB).

The ultimate benefit of weight reduction, whether medical or surgical, relates to the reduction of the co-morbidities, quality of life and all-cause mortality. Despite the importance of assessing these risks and taking steps to implement effective medical management with variable success, surgery has proven to be more effective.

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Weight Loss Success Stories Before and After

Gaining weight is very easy while losing weight is very hard and complicated. To inspire you my dearest readers, I will share to you a weight loss success stories before and after of some of my friends. Their stories will help you get motivated to lose weight and to stay fit and healthy.

REUNITED LOVE OF EMMA

Emma has shown me that having a fat body can really turn around. She made a remarkable transformation from being fat to fit. You just have to bring the proper ingredients then you’ll get the remarkable result. So what are the ingredients by the way? You’ll find the ingredients to one of my friends who experienced weight loss success story before and after.

BEFORE

During her college days, she was pretty and sexy. After graduating, she immediately got married. When she got pregnant, she ate a lot of food. I mean a lot. After the pregnancy, she gained weight. From 143 lbs., she gained 44 lbs. She never noticed her weight gain because she was busy taking care of her daughter. She was happy by that time. One day, their family decided to go to the beach and have fun. They took pictures, swim, and enjoyed the heat of the sun. When they finally got home, Emma viewed their pictures. She was shocked to see her once sexy body turned into a not so sexy body. She deleted the photos. Not only that, her husband suddenly went a bit cold to her. Later on, she found out that her husband was cheating on her. Emma felt very sad and insecured. She wanted her husband back and she wanted her body back so badly.

DURING

Feeling so badly wounded and motivated to lose weight, Emma started to watch her diet. She started by eating small meals frequently, increasing her fibre diet and protein intake, as well as lowering her fat intake. After wards, she also started exercising by doing brisk walking every morning for about 40 minutes per day. She also included aerobics in her routine as a cardio workout. Every week, Emma monitors her weight to check if she lost a pound or so. She became so conscious with herself and she wanted to be fit, healthy and sexy once again. Her motivation was so strong that he made it through all the way. Her very heavy 187 lbs weight became 143 lbs now.

AFTER

After the vigorous exercise and strict diet, Emma achieved her target body. Her strong will to change as well as her great deal of discipline made her body ever sexier. Not only that, her husband noticed her beauty once again and they were reunited once again and much sweeter than ever.

REALIZATIONS

The ingredients in Emma’s weight loss story were having a proper diet plus exercise. But don’t forget the most important ingredient is dedication. A great deal of dedication and perseverance is really needed to attain your goals. That is the largest factor in weight loss. No matter what happens, you have to be strict in following it and never give up. By following those ingredients, maybe, you will be the next one to share your weight loss success stories before and after.

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Weight Loss and Carb Cravings

One of the most common complaints I hear from weight loss clients is that they are experiencing carb cravings, so I thought it would be helpful to give you a very brief explanation of some of the reasons this could be happening to you and suggest some ways to deal with them.

My first step is to be sure you are eating enough food in general. It’s counter-intuitive but not eating enough can stall weight loss too. You’d be surprised at how common it is that people are not eating enough and can’t figure out why they are struggling with fatigue and not losing weight.

The next thing is to be sure you are eating balanced meals that include adequate protein, healthy fats and fiber from non-starchy veggies which will keep you full and satisfied and also stabilize blood sugar. Of course if you have any other underlying health issues, you should seek to address those with your health care practitioner.

Often we reach for a simple carb like a cookie, candy or crackers when we are beginning to get hungry or need a quick energy boost. This is where being well prepared with a better alternative will pay huge dividends for you. Keep hard boiled eggs ready to grab in the fridge. A small handful of nuts like almonds, walnuts, pecans or pistachios is a great, high protein and healthy fat alternative that will fill the bill nicely without feeding that carb craving.

Sometimes protein just doesn’t cut it and you want something sweet. Choosing a low sugar fruit like berries or Granny Smith apples is a great choice. Choosing a healthier carb option is also a good strategy. I always like making healthier substitutions. Keeping roasted veggies that are well seasoned can stop a carb craving in its tracks. Roasted sweet potatoes seasoned with Himalayan crystal salt, pepper and Ceylon cinnamon is very comforting, satisfying and a much healthier option. So are roasted cauliflower, broccoli or Butternut squash. Beans and legumes are also a good substitute for simple carbs. Seasoned and roasted chickpeas are another snack you can make quickly and enjoy occasionally that provides protein, fiber and crunch.

The point is to substitute a better quality of carb or replace it with a healthy protein.

It’s also important to realize that if you have been regularly indulging in simple carbs it will take some time to break that addiction. Do not overlook the emotional component. Often when a carb craving strikes, you are in the midst of some strong emotional reaction. Try to stop and analyze what’s happening mentally and emotionally before giving in to the craving. It’s very possible you are just seeking comfort and there are better, more effective ways to get it than eating simple carbs.

This is exactly why the Today is Still the Day Plan addresses spirit and soul issues and not just physical nutrition and detoxification. You must pay attention to your mental, emotional and spiritual condition and take them into consideration when dealing with weight loss and overall health.

What triggers carb cravings for you and how do you handle them?

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White Willow Bark – The Critical Weight Loss (Diet) Assistant

Hippocrates was possibly the first person to record the benefits of white willow bark. He did so in the Fifth century BC. In 1828 a French pharmacist, Henri Leroux and an Italian chemist, Raffaele Piria, we able to isolate a compound in the grayish brown bark from the white willow tree (Salix alba) known as salicin. Since then, salicylic acid, an active derivative of salicin has been further separated out and has found a home as one of the primary ingredients in aspirin.

In an effort to get bigger, better, faster, the body building industry popularized the concept of “stacking” or combining certain ingredients to take advantage of their synergistic effect. Synergy occurs whenever ingredients are combined and the specific combination of those ingredients provides a greater benefit than the individual benefits that could be realized if each of those ingredients were taken independent of each other.

For decades, the ECA stack reigned supreme for its popularity in the body building industry. This was a “stack” that combined Ephedra, Caffeine and Aspirin. Although the ratio of this combination varied, 25 milligrams of ephedra was commonly combined with 200 milligrams of Caffeine and 325 milligrams of Aspirin. Unfortunately, this combination became extremely hard to put together when the Food and Drug Administration (FDA) banned the sale of all dietary supplements containing ephedra on February 6th, 2004. Despite numerous studies demonstrating the safety of ephedra in controlled doses, the FDA would not budge on their finding that ephedra posed an “unreasonable risk of illness or injury.” On August 17th, 2006, after being challenged in a federal appeals court, the FDA upheld the ephedra ban with a 133,000 page report citing 19,000 individual adverse reactions. In the wake of this dilemma, ephedra alternatives were quickly located to combine with caffeine and aspirin.

Conceptually, the ECA stack effectively assists with weight loss and energy gain. Certain stimulants, such as ephedra are known to be “beta agonists”, meaning they function as keys on a certain gene in the body (by targeting the “beta-2 adrenergic receptor” or “ADRB2”) to unlock a genetic response. Three responses that are believed to be unlocked are increased levels of norepinephrine, increased levels of epinephrine and increased levels of cyclic adenosine monophosphate (cAMP).

Norepinephrine and epinephrine are quite similar. Both are common neurotransmitters in the brain that also function as hormones in the body. As norepinephrine levels and cAMP levels increase, heart rate increases and the release of glucose is triggered from stored energy in the body. When taken in a stack with caffeine and aspirin, this chain of events increases blood flow to muscle tissue and increases body temperature, creating a thermogenic effect on the body. It is also believed that during this process, the body begins burning white adipose fat tissue, appetite becomes suppressed, and fatigue is reduced as energy levels increase.

When a stack of stimulants and aspirin (or white willow bark) enter the body, a little light goes off (not literally) telling the body that it was just stimulated as the metabolism begins increasing. In response, the body begins producing phosphodiesterase inside your cells and prostaglandins outside your body’s cells. Both of these reactions lower cAMP levels, slowing the metabolism boost from the ECA stack.

Caffeine prevents cAMP levels from decreasing by blocking the production of phosphodiesterase inside cells, while further increasing the body’s production of epinephrine, which again helps raise cAMP levels. Aspirin (or white willow bark) prevents cAMP levels from decreasing by blocking the production of prostaglandins outside the body’s cells. Through these specific actions of caffeine and aspirin (or white willow bark), thermogenesis is sustained for longer periods of time while the metabolism is held at a higher rate, allowing the body to burn more calories longer.

Taking this combination of ingredients prior to exercise should also help with a better work out, as the body will not get fatigued as quickly and muscles will recover and feel fresh faster. All that being said, please remember that your body is not designed to burn stored fat as fuel, if you are eating more calories each day than your body is burning as fuel. Taking a dietary supplement may help your body burn more calories, but do not expect dramatic, long-term changes in your body shape without also making lifestyle changes to your eating and exercise habits.

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Wild Game Camera – The Key to a Successful Hunt

A wild game camera is a must for every serious hunter. These cameras allow you to scout out a hunting area without having to actually be physically present. These trail camera can provide you with vital information about the age, sex, and condition of the animals in a particular area. You can also use these cameras to get information regarding the feeding times and population of game before you go hunting.

One of the most important functions on a game camera is the date and time. A camera which does not record the time that a picture was taken is more or less useless. Without knowing when the animals travel through a particular area, the pictures taken become little more than scenery shots. There are even game cameras available that can record the temperature, barometric pressure, and even the phase of the moon when the picture was taken. The more information that a hunter has the more successful he will be.

When purchasing a game camera it is important to choose one with enough resolution. A camera that takes low resolution photos might not provide a detailed enough image of the animal to provide any clear information. The higher the resolution of a camera, the more expensive it will be so there is a definite trade off between quality and price.

It is also important to consider the sensing mechanism before deciding on a camera. One that has a wider angle will provide you with a higher quality images. The trigger time of a camera is also an important feature to consider. The faster a camera’s trigger time is the more likely it will be to capture images before the animal leaves the frame. It is also worth noting that different cameras require different storage cards. When you choose a digital trail camera do not forget to purchase a high capacity storage card. If a camera runs out of storage space it will no longer be able to take photographs and will be little more than expensive toy sitting alone in the woods.

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Aquatic Turtles As Pets

Aquatic turtles are often considered easy to maintain and cheap pets. That is not really the case with these little animals.

Time consuming or not

Aquatic turtles are great pets for people that do not like to interact with animals too much but still want to have a pet. They do not need you to train them or spend any time with they.

Cost

The turtle itself is not very expensive but the costs of tank and its accessories goes very well over several hundreds of dollars.

Still, this is only the initial cost. The maintenance of the pet is not too expensive and should not exceed 50 US dollars a month.

If you decide on turtle as pet, invest some money at the beginning in buying a large tank so you do not have to do that once the turtle grows.

Cleaning

Keeping a pet turtle will not take away your time except for cleaning it. This can sometimes be an overwhelming task. Turtles will not make a mess around your apartment but the tank can get pretty messy. To prolong the time between tank cleaning, invest in a good water filter.

To completely clean the tank you will need to remove decorations, filter, pump, basking platform and what ever you might have in it. You will need to clean all that separately and than set up the tank again.

Wild animal or not

If you are thinking if you should get a wild or a bred-in-captivity turtle, please do not take a wild one. It is never a good choice to separate a wild animal from its habitat.

Space requirements

Small pets are considered a good solution for small apartments but an aquatic turtle will need a fairly large tank once it is an adult so make sure you have enough space for it.

Are they good pets for kids?

Probably not. If the kid wants a pet to play with do not get a turtle. Also, take in consideration that a kid cannot take care of it so you will have to.

The last thing to consider about kids and aquatic turtles as pets is – salmonella. Turtles can be carriers of this illness and kids often put their hands in their mouth. If you have a turtle, make sure that your kid washes hands every time it is in contact with the pet.

Summary

So, are aquatic turtles as pets good or bad? Bottom line – setup costs money but the upkeep price is low, you do not need time to socialize with it but you will need time to clean the tank, turtles are silent and will not interrupt your daily routine.

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Where Do Squirrels Live?

The answer to that question is simple. Squirrels live in dreys. These are nests, either in houses, in trees, or hedges, which are high up and hidden from predators.

Squirrel drays are made from a mixture of things ordinarily found in the wild – twigs, mud, ivy, feathers and similar. Squirrel dreys can vary a lot is size. A typical example might be 22 inches long, 14 inches wide and 9 inches high.

From the outside it looks like a rather eccentric bird nest, large, and completely enclosed… maybe a ball of sticks would be a good description. They are often hidden at the top of a tree, where a branch comes off the main stem, and are sometimes hidden by ivy.

While squirrels most generally nest in trees, they can also nest in hedges, and even sometimes in out buildings or garages.

Obviously, squirrels are very pleasant animals from a distance, but they are wild animals. If they decide to make a home in your outbuildings, you shouldn’t approach them. They will bite. They also carry various diseases, some of which are very unpleasant.

Unfortunately, in towns and cities the main habitat of squirrels can be quite rare.

Often, as well as nesting in outbuildings, squirrels make a drey in people’s homes, and this can be very disturbing to the resident of the home. Let’s face it, the noise and mess a squirrel makes can be very unpleasant. While you can get a pest controller in, I think it is important to trap the squirrel, block up any holes it can return through, and then offer it a new home.

Probably the best way to do that is to look into artificial squirrel homes.

There are a number of squirrel homes on the market, and you don’t really need anything too fancy. The main thing is to make sure before you buy that the home is suitable for the particular variety of squirrel that you own. Each variety of squirrels needs different sizes of entrance, and has slightly different requirements in terms of height as well.

The other thing you need to be careful of it to make sure the artificial squirrels’ house is set up so that it is high off the ground, but there is an approach route to the nest. In particular, you need to make sure there is a tree or hedge nearby, and that the house is somewhat hidden.

Squirrel houses are not exactly expensive, but they can take a little effort to put up.

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