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Showing posts with label Main Principle. Show all posts
Showing posts with label Main Principle. Show all posts

Strategies to Avoid Emotional Eating

The holidays can be stressful... and unfortunately, many people reach for food as comfort. If you find yourself regularly eating in response to stress, anxiety, sadness, boredom, anger, loneliness, relationship problems, or poor self-esteem, try to break the habit with some of my strategies below.

* Learn to recognize your hunger. Before you automatically pop something into your mouth, rate your hunger on a scale of 1 to 5 -- 1 being ravenous and 5 being full. Make every effort to avoid eating when your hunger is a 4 or a 5.

* Find alternatives to eating. Make a personal list of activities you can do instead of eating. Perhaps go for a walk, call a friend, listen to music, take a hot shower/bath, exercise, clean your house, polish your nails, surf the Internet, schedule outstanding appointments, watch television, look through a photo album, etc.

* Keep a food journal. Logging your food will help to identify your toughest timeframes. It also will make you accountable... so perhaps you'll be less apt to reach for unnecessary food.

* Three-food interference. Make the commitment to first eat three specific healthy foods before starting on caloric comfort foods (i.e., an apple, handful of baby carrots and a yogurt). If after that, you still want to continue with your comfort foods, give yourself permission. However, most of the time, the three foods are enough to stop you from moving on.

* Exercise regularly. Daily exercise relieves stress and puts you in a positive mindset, which provides greater strength to pass on the unhealthy fare.

* Get enough sleep. Research shows that sleep deprivation can increase hunger by decreasing Leptin levels, the appetite regulating hormone that signals fullness. With adequate sleep, you'll also be less tired and have more resolve to fight off the urge to grab foods for comfort.

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Diet Myths Exposed: Part 2

Here are more facts about common diet myths…

* Exercise in the morning burns more calories.

Studies show that people who exercise in the morning tend to be more consistent with their daily workouts. However, exercising in the morning does not actually burn more calories than exercising later in the day.


* Dairy is bloating.

Dairy is only bloating for people with lactose intolerance… and in some instances, for people with irritable bowel syndrome (IBS). For people without lactose intolerance or dairy specific IBS, low-fat milk, yogurt and cheese should not cause bloating.


* You can “save” calories by skipping breakfast.

Studies report that breakfast eaters weigh less than breakfast skippers (obviously, it has to be a healthy breakfast). Plus, breakfast skippers tend to overeat after dinner.


* Colonics help you lose weight.

Colonics simply dehydrate you -- you may weigh less, but it’s mainly water weight NOT fat weight. Lost water weight typically comes right back on after a few glasses of fluid.


* Weight lifting makes you bulky.

Appropriate weight lifting will not make you bulky (unless that’s your goal and your program takes this into consideration). Light weight lifting helps to increase lean body mass, which helps you burn more calories 24-7. In the end it will help you lose weight and enable you to eat more.


* The scale is your absolute best indicator of weight loss.

Checking your weight loss progress on a scale is certainly simple and encouraging (depending upon the outcome!). However, there are other effective ways to track your progress: take body measurements with a tape measure, test body fat, compare personal photos, and assess the fit of your clothing.


Get more facts about diet myths in Diet Myths Exposed: Part 1.


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Diet Myths Exposed: Part 1

The following diet myths come up over and over again at my nutrition center. My next two blog entries will help set the record straight. Hope you find this helpful!

* If you eat late at night, the food turns straight into fat.

Not true.If your overall calories are appropriate for weight loss, you certainly can eat something after dinner. Late night calories will ultimately get used the next day (and even while you sleep).

However, for the sake of energy, it is always better to eat your calories during the day when your body needs the fuel. Plus, eating consistently throughout the day will stabilize blood sugar levels -- so you’ll feel energized and experience fewer cravings. If you are going to snack after dinner, I suggest choosing something 250 calories or less.


* Fresh fruits and vegetables are more nutritious than frozen.

Not necessarily. Frozen can be a great produce option (just avoid varieties with added salt, sugar, and sauce). Frozen foods are picked in the peak of ripeness, then frozen. You can eat them as you need them -- and most of the nutrients are locked in. On the other hand, fresh fruit and vegetables are typically harvested before they ripen, and can have nutrient variability. Also, the longer fresh produce sits around in your fridge, the less nutrients it will contain.

Bottom line: Buy both fresh and frozen and eat as much as you can.


* Cravings are your body's way of telling you it needs something.

This has never been proven. You normally crave what you like to eat (or smell or see someone else eating). Also, hormonal changes are sometimes responsible for food cravings. Ice cream and pickles anyone?


* Any type of water is always better than soda.

No. There are a few caloric waters with sexy marketing ploys. In fact, some brands have quite a bit of sugar. Always check labels.


* Certain foods, like grapefruit, celery, or cabbage soup can burn fat and make you lose weight.

These are anecdotal stories that have no scientific back up. It’s true these foods are low in calories, but they do NOT actually burn fat.

Learn the facts about more diet myths in: Diet Myths Exposed: Part 2

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Eat to Lose

The Prevention Reshape Your Body plan incorporates easy food strategies you can follow for life. "Women succeed at weight loss when they get a handle on their portions and eat in a balanced way," says nutritionist Lisa Young, PhD, RD, who dished out the dietary advice for our program.

Her three key tips:

Get your protein.
Research shows that protein-rich foods such as fish, chicken, low-fat dairy, and lean meats can increase satiety, meaning they help you feel full longer. "Eat them with every meal, especially breakfast, to curb the urge to snack all day long," says Young.

Eat early.
Have breakfast, even if it's simply oatmeal or a hard-boiled egg. It jump-starts your metabolism and prevents late-day bingeing. Studies have found that dieters are most successful when they start their day with a meal.

Get a "hand-le" on portions.
"Most of us eat too much—period. To lose weight, you have to eat proper portions," says Young. Use your hand to measure.
Food How to measure
Meat, fish, poultry 3 ounces = palm of hand
Mixed nuts 1/4 cup = 1 layer on palm
Cereal/popcorn 1 cup = 2 cupped hands
Cooked pasta 1/2 cup = 1 rounded handful
Cheese 1 ounce = 1 thumb
Butter/oil 1/2 teaspoon = 1 fingertip

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DASH Diet Has Extra Benefits for Women's Health

- MONDAY, May 11 (HealthDay News) -- A diet that prevents and lowers high blood pressure has been linked to a reduced risk of heart failure in women, a new study finds.

"The Dietary Approaches to Stop Hypertension [DASH] diet may contribute to prevention of heart failure in some cases because it effectively reduced blood pressure and low-density lipoprotein (LDL, or "bad") cholesterol levels in clinical trials," wrote Emily B. Levitan, of Beth Israel Deaconess Medical Center in Boston, and colleagues.

"This diet features high intake of fruits, vegetables, low-fat dairy products and whole grains, resulting in high potassium, magnesium, calcium and fiber consumption, moderately high protein consumption, and low total fat and saturated fat consumption," the authors added.

The researchers analyzed data from 36,019 Swedish women, aged 48 to 83, who did not have heart failure in 1997-1998 when they completed a questionnaire about their eating habits. During seven years of follow-up, 443 of the women developed heart failure, including 415 who were hospitalized and 28 who died of the condition, according to the report published in the May 11 issue of the Archives of Internal Medicine.

The 25 percent of women with the highest DASH diet scores had a 37 percent lower rate of heart failure than the 25 percent of women with the lowest DASH diet scores, the researchers found. Women within the top 10 percent of DASH diet scores had half the rate of heart failure of those with the lowest DASH diet scores.

Previous research has shown that the DASH diet cuts systolic (top number) blood pressure by about 5.5 mm Hg, a decrease that could lower the rate of heart failure an estimated 12 percent, Levitan noted in a news release from the journal. Lower levels of LDL cholesterol, the estrogen-like effects of some of the nutrients in the diet, and a decrease in oxygen-related cell damage may also contribute to reduced heart failure risk in those who eat the DASH diet.


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Become Fit! Don't Just Lose Weight

So what’s the best way to get from here to there? How do you get to fit from fat, to active from lazy, to healthy from hopeless? I suggest you begin with the idea that you would like to become fit, not just lose weight.

There is a very big difference – fitness, unlike when people go on a diet to lose weight, is a lifelong goal. So, you are not going to be looking for immediate and dramatic results, but rather long-term, life-changing benefits. If this is not thrilling to you, that’s ok. It doesn’t sound exciting to me either. You will have to trust me on this one, though – the small steps toward total (mind and body) fitness will bring grand benefits in the end.

You will see that if you practice the steps I am about to lay out for you, immediately you will feel better. Soon after, your body will change, and then you will be hooked.

Step 1: Embrace small, subtle changes
Be more compassionate and gentle with yourself. If you are not insistent on immediate results, you can allow yourself to accept, and even embrace, small, subtle changes – rather than only being satisfied with dramatic, instantaneous shifts. Take it slow and easy, implement realistic and doable changes.

Take one or two things out of your diet each week, and add as little as 10 minutes of walking per day, three times a week, to your exercise routine.

Step 2: Make minor changes to your diet
Here’s how to set yourself up for success with dietary changes:

* allow yourself to reduce sugar intake by cutting out candy, and reducing desserts to weekends only, rather than cutting out all sugar right away
* reduce overall caloric intake by only eating what is on YOUR plate (no grazing from your children or spouse's meal)
* take out fried foods for a day and eliminate one trip a week to the fast food drive-through, a week at a time

Step 3: Do not allow yourself to fail
No berating, no condemning and no starting over. This is a program that will have its good days and bad. Accept that there will be times when you won’t live up to your own expectations, but remember, this is a long-term, life-changing, life-benefiting program, not a quick sprint. And in life, life happens, and sometimes it gets in the way of what you had planned. Have a sense of humor and rearrange your schedule when necessary, instead of giving up, accepting failure, pigging out and eliminating exercise for a week, and then promising to begin again on Monday.

Step 4: Visualize your success
Use your mind as much as you use your body by mentally projecting into your life exactly what it is you want. This is a very important piece of the puzzle, one that most people forget to use entirely. Picture yourself in your new body, and living in your new life. See yourself enjoying healthy meals, stopping when you have had enough to eat, and exercising regularly (with a smile on your face).

See it, feel it, get it. You don’t have to be a student of meditation or committed to a method of mind conditioning to make this work. Just remember to see yourself in a positive light. In your thoughts, imagine the shifts that you are working toward and soon, you will be the consummate positive thinker that projects good things into your life and others.

Step 5: Don't wait to get started
You need not wait until your doctor tells you that you should lose weight or begin a walking program. You certainly do not want to wait for a medical scare to get your body moving, or change your diet. Do the right thing now. Take responsibility for your health, your fitness, your happiness and your life by taking that important self-assessment now.

Simply ask yourself, and answer honestly, do I eat well? Do I overeat? Am I overweight, and unhappy with the way I look and feel? Have I been promising to change my diet, stop smoking, or start an exercise program for months/years? Well, now is your time, right now - do not put it off any longer.

Make minor adjustments to experience life changes, little by little, week by week. You really do have everything you need to live a happy, healthy and fulfilling existence. Make some shifts, take note of your efforts, and reap the rewards.

Happy Trails, and Happy Holidays everyone.

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5 Easy Ways to Start a Diet

I just wrote the word "diet" in the title so you'd know what I was talking about, but honestly, that should be a swear word. How about, "5 easy ways to get food to serve you and your goals?" Or what about, "The joy of food", or "The great things food can do for your body and your goals."

So much of what we look like is impacted by what we put in our mouths. The tricky thing is that food is connected to us as emotional beings so much more then exercise. Yes, some people blow off stress by taking a run, but most of us would just rather reach for a donut, slice of pizza or scotch and soda.

I think the food puzzle needs to be unraveled simply and slowly so that our approach is simple but realistic to our lives.

1. Drink only water
With the exception of your beloved coffee in the morning. According to studies, this would eliminate 20% of our caloric intake and help all of our body functions run more smoothly.

2. Cut down your portions
I'm not even going to say what to eat and not eat. I'm just saying if you are having that sub at lunch cut it in half. We all overeat, so just eat until you are full. I'ts difficult to do, so halve the food and get it away from you. If it's sitting there you will want to eat it.

3. Don't skip breakfast
You will have a 70% chance of overeating throughout your day if you skip breakfast.

4. Keep a food journal
This will help you see exactly what you are eating and when. You will even be able to see patterns of grabbing food at stressful moments, etc. Journaling just makes you aware and in charge of your food--not the other way around.

5. If you can avoid it, don't eat after 7 p.m.
On business dinners or birthday gatherings don't worry about it. But when you can, try to finish eating earlier in the day.

See, that's not hard to do. Now as you progress in this area, I have some other rules to help you improve your relationship with food.

* Don't eat fast food (unless you have no other choice).
* Avoid microwaving your meals. Cook it yourself.
* Limit tons of sugar and wheat-based products (in anything).
* No diet, or fat-free, food. They contain a lot of ingredients that no one can pronounce.
* Fill your plate during the day with foods of all colors.
* Eat slowly and chew your food well.
* Eat when you are hungry and not because you are sad, mad, or stressed out.
* Limit your red meat intake.
* Foods that have a 10-year shelf life should not be eaten. Go for the real stuff.
* Don't snack yourself to weight gain. Eat real meals that are satisfying, not snacky foods that will kill your waistline and make you feel blah.

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Mind Over Fatter

You already know the secret *to weight loss: Eat fewer calories than you burn and you'll be zipping up those size 4 jeans in no time. So why aren't we all as svelte as Heidi Klum? Because lasting weight loss has little to do with crunching numbers. "In focusing on calories in and calories out, the field of nutrition has ignored the most critical variable: behavioral and cognitive changes," says Stephen Gullo, Ph.D., a weight-loss expert in New York City.

In other words, if you don't want to fall headfirst off the diet wagon the next time Mom rips into your new haircut, you have to retrain your brain. "To deal with unhealthy eating behaviors, we must challenge the thoughts, feelings, and cues that have been built up over a lifetime," says Cynthia M. Bulik, Ph.D., the Jordan Distinguished Professor of Eating Disorders at the University of North Carolina at Chapel Hill. Not to get too Freudian, but many doctors and weight-loss experts say that permanently altering your waistline means permanently altering your relationship with food.

That means recognizing and curbing emotional eating, of course — and exploiting your psychological makeup to make healthy eating easier. Behavioral psychologists have found that changing your negative thoughts, one by one, can eventually create a habit of positive thinking. It's the same with eating. And with the tips and exercises here, you won't have to lie on a leather couch to learn how.

Figure Out What the Heck You're Feeling.
Do your pants start pinching after a big fight with your boyfriend? It's normal: Women tend to use food for comfort. A University of Minnesota study found that we are almost twice as likely as men to binge when we're depressed, though researchers aren't sure why exactly. What they do know, according to research in the journal Physiology & Behavior, is that what women choose to fill up on is usually loaded with sugar, because eating carb-heavy foods temporarily boosts levels of serotonin — a brain chemical that regulates mood. "There are many ways people respond to difficult emotions," says Kelly D. Brownell, Ph.D., director of the Rudd Center for Food Policy and Obesity at Yale University. "Some people drink, some take drugs, and some eat."

So the next time you feel like mainlining a pint of mint chocolate chip, stop, take a step back, and ask yourself: What's my emotional state right now? And why? For example: "I'm humiliated because my boss embarrassed me during a staff meeting." Write that down, along with a list of things — unrelated to ice cream — that you can do to make yourself feel better anytime you're angry, sad, or anxious. Maybe you could quietly confront the person who told the whole world that you let one rip during a headstand in yoga class. Other good alternatives: hopping on your bike, going to see the latest Vince Vaughn flick, carving jack-o'-lanterns with the kids. Keep this list with you so you'll have it the next time the lady at the checkout counter asks you when the baby's due.

Spot Food Frenemies.
Experts have found that the same people and situations can trigger emotional eating time and time again. Ann Kearney-Cooke, Ph.D., director of the Cincinnati Psychotherapy Institute and author of Change Your Mind, Change Your Body, suggests asking yourself these four questions: Who are the three people I'm closest to? How do I eat before, after, and while I'm with them? What are my expectations of them? (For example, is my boyfriend there for me when I'm having a crappy day and need someone to talk to? Does he turn off the TV when I want to spend time together without The Simpsons?) Finally, what can I do when these people don't meet my expectations without straying from my weight-loss plan? You may find that you're infuriated when your mom calls you during a busy workday to "chat" or that you always feel guilted into meeting your best friend over margaritas. Once you recognize these things, strategize accordingly: Screen your calls so you can call your mother back when you have a free moment, or ask your friend if you can do a late dinner in lieu of happy hour.

Track Your Thoughts.
Here's a shocker: The way you feel about yourself strongly affects how successful you are at weight loss. "People who are trying to lose weight are often held back by negative core beliefs about themselves, their capabilities, their attractiveness, and their worth as human beings," says Rene D. Zweig, Ph.D., director of the American Institute for Cognitive Therapy's eating disorders and weight management program in New York City.

Challenge these beliefs with an exercise that Dr. Zweig gives her patients — it sounds cheesy, but it works. Write "I am" 20 times along the left side of a sheet of paper, then fill in the blanks. Answers can vary from positive things ("I am good at making people laugh") to negative ones ("I am an unlovable cow"). Take out the list every night and write down something that happened that day that's inconsistent with each negative statement. For example, for "I am a failure at work," write "I met all my deadlines today." Doing this exercise every day for a week will show you that the facts just don't support your beliefs. Continuing to challenge the negative thoughts about yourself with little reality checks will do wonders for your self-esteem (and your waistline).

Keep a Food Diary.
To change your eating habits you have to know what they are. A handful of Junior Mints, the three slices of provolone you ate over the sink — all those calories add up. "At the end of the day, many people have no clue what they ate or why they ate it," says Robert F. Kushner, M.D., medical director of Northwestern Memorial Hospital's Wellness Institute.

Writing down what you eat is one of the most effective ways to control your weight, plain and simple. Record every morsel that passes your lips — from your morning coffee to the free hors d'oeuvre sample you snagged at the supermarket. Write down the time of day you ate it, plus what you were doing before and afterward. The point of all this anal behavior? You'll start noticing patterns that you can easily fix. For example, if you find yourself drawn to the vending machine at 3 P.M. every day, you may realize you just want something to kick you out of your afternoon slump. Go for a short walk instead — it can have the same pick-me-up effect as a Twinkie.

Stop Multitasking.
"Eating should be an activity in itself," Dr. Kushner says. In other words, not something you should do while you're reading, typing up a memo, or watching Entourage. It takes the brain 15 to 20 minutes to register signs of fullness, so slow down and focus. Really take the time to taste and chew your food. Try eating with your nondominant hand and putting your fork down between bites. Make the meal last at least 20 minutes, and when you feel satisfied, stop. Take these steps and we guarantee you'll eat less than if you'd scarfed your BLT between e-mails.

Use Your Inner Eye.
"We know from sports psychology that when people visualize themselves changing a behavior, it's more likely to happen," Dr. Kearney-Cooke says. So before heading to your grandma's (where there are enough pastries to feed the Dallas Cowboys), visualize Granny's sweet spread — and her insistence that you dig in. Then prepare yourself to say something like: "They look delicious, Gran, but I'm here to see you." Once you've got your plan down, you'll be better able to survive Thanksgiving dinner or your friend's bridal shower unscathed.

Don't Get too Hungry.
"Recognizing hunger and fullness cues is essential," Dr. Bulik says. If you eat when you're moderately hungry, not ravenous, you'll be less likely to inhale that box of Ding Dongs. To figure out what "moderately hungry" means, give your hunger level a numerical value between 1 (not hungry) and 10 (could eat a dirty sneaker) and eat only when you're between 5 and 7.

To avoid level-10 hunger, eat on schedule. "One of the principal predictors of failure at weight control is skipping meals and not establishing a regular pattern of eating," Dr. Gullo says. The first reason is physiological — the body functions more efficiently if you eat every 3 to 4 hours. The second is psychological — skipping breakfast can lead to thoughts like: "I didn't eat this morning, so I can have this giant piece of cake." Every night, write down in your food journal the times you're going to eat the next day (say, 7 a.m., 10 a.m, 1 p.m., 4 p.m., and 7 p.m.). Then stick to that plan like white on rice — over time it will become a habit.

Wait Out Temptation.
Studies show that when it comes to food cravings, the mind is easily distracted. Remember that the next time you think the only thing that will ease your discomfort during an awkward dinner with your husband's family is one of his mom's honey buns. "In the moment, people think their craving will last forever — or at least until they eat the food," Dr. Zweig says. "In reality, 5 minutes is long enough for many people to forget they had the craving in the first place." Set a timer, then pick up that half-knitted scarf, take a bubble bath, or do a Sudoku puzzle.

Relax.
It's no secret that stress can make you tear through the cupboards faster than Lance Armstrong on race day. "When the demands in your life are really high and your resources to deal with them are low, your eating habits can suffer," Dr. Kearney-Cooke says. Taking time to unwind is just as important as dieting to your weight-loss efforts. Set aside some time each day (even 10 minutes helps) for a little mental vacation: Make a massage appointment, read the tabloids, or just sit somewhere quiet and breathe. Go to bed an hour earlier, too. Studies show that those who don't get enough sleep eat more than those who get their 8 hours. Why? Being short on shut-eye can alter your levels of appetite-regulating hormones like ghrelin and leptin — so you mistake feeling fatigued for feeling famished.

Reward Yourself.
Dr. Gullo believes it takes — gulp — a full year for dietary changes to really sink in: "Success at weight loss is, in some ways, like overcoming a loss. When a loved one dies, you have to get through that first birthday, summer vacation, and holiday season without the person. When changing your lifestyle, you have to get through that whole cycle without your old habits."

So take it slowly, and give yourself a big pat on the back for meeting mini goals as you go. For example, promise to buy yourself that pair of pink Pumas you've been coveting if you manage to dodge your doughnut cravings for a week. "Don't fall into the trap of thinking you don't deserve a new outfit until you've lost weight," Dr. Zweig says. Get those jeans now, even if they aren't a size 4.

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Skinny Trimmings

Trying to slim down but can't bear the thought of giving up your daily dish of dulce de leche fro-yo? No problem. Too much deprivation is bad for dieters — trimming more than 500 calories a day can slow down your metabolism and trigger cravings intense enough to sabotage even the most valiant weight-loss efforts, according to Cynthia Sass, R.D., coauthor of Your Diet Is Driving Me Crazy. So the only question is: How fast do you want to lose the weight? Whether your goal is to shed a pound a week (the amount you can lose if you cut 500 calories a day) or a pound a month (if you cut 100), we've got the tricks and tips you need to kiss those extra pounds goodbye — without kissing off cake.

To Lose 1 Pound Per Week

Dodge dining-out disasters
Even your seemingly healthy grilled swordfish and vegetables can pack more calories and fat than a stick of butter. "Many restaurant meals contain up to 2 ounces of added oil [500 calories]," says Anita Jones, founder of the Healthy Dining Program, which analyzes the nutritional content of restaurant food. Pasta dishes are notorious: Oil is used throughout the cooking process and added to sauces and cooked noodles. Stick with steamed veggies and grilled, poached, or broiled lean protein (like poultry and fish), and ask the chef to prepare your dishes without oil. Or just cook meals at home instead of eating out.

Careful With That Cappuccino
Vanilla shots, caramel, sugar packets — they're not harmless just because they're in your cup of joe. A large white-chocolate mocha with whipped cream from Starbucks logs in at 630 calories (the whip alone has 100!). Get your sweet fix with two shots of sugar-free vanilla syrup in a medium cappuccino with soy or fat-free milk and kick 500 empty calories to the curb.

Dress Down
"Most entrĂ©e salads at restaurants are pre-dressed with 6 to 10 tablespoons of dressing," Jones says. "And most dressings have 70 to 100 calories per tablespoon and 7 to 10 grams of fat." That's an average of 680 calories just for the dressing (let's not even get into croutons and bacon bits). Order dressing on the side and dip into it sparingly with your fork between bites — you'll cut back to about 2 tablespoons (roughly 175 calories).

Lighten Up At Happy Hour
If it tastes sweet or has a salty rim, it's usually bad news — think cosmos, lemon drops, and appletinis. Most cocktails have 2 to 5 ounces of liquor. Add in 5 ounces of sugary syrups or mixers like cola, grenadine, and Midori and you can down more than 700 calories in just one drink. Stay away from Margaritaville (and below 100 calories) by pairing your liquor with diet or club soda. Or go for a bottle of light beer or a 5-ounce glass of chardonnay, which contain around 125 calories each. Sorry, Jimmy.

To Lose 1 Pound Every 2 Weeks
Cut Out 300 Calories A Day

HERE'S HOW

Be Tricky In The Kitchen
For leaner cuisine — and to save 115 calories — swap out that tablespoon of olive oil for canola or olive oil cooking spray. SautĂ© vegetables and fish with 1/4 cup of broth rather than 1 tablespoon of butter and trim 100 more. Replace the quarter cup of heavy cream in Alfredo and cheese sauces with the same amount of skim milk mixed with 2 tablespoons of flour — bam, another 150.

Switch Dishes
The larger the serving dish, the more you're likely to consume, according to recent research in the Journal of the American Medical Association. Downsize your ice cream bowl and serve that fettuccine on a 9-inch appetizer plate instead of a standard 11-inch dish — you can save up to 300 calories in a day, says Jenna Anding, Ph.D., associate professor of nutrition and food science at Texas A&M University. Dining out? Cut your entreĂ© in half and doggie-bag it as soon as your food arrives.

Skip The Sweet Swill
"One of the easiest ways to uncover hidden calories is to look at your beverage consumption," Sass says. American women get up to 300 more calories a day now than they did 30 years ago. At least half of those come from sweetened beverages like soda and fruit juice, according to the American Journal of Clinical Nutrition. A 20-ounce bottle of Arizona Iced Tea has 240 calories — about as much as a small meal. Ditch the sports drinks, fruit punch, and Slurpees and get your produce nutrients from whole fruit instead of juice — a 1-pint carton of Tropicana Pure Premium orange juice has 220 calories. An orange? About 35.

Pare Down Your PMS Picks
Forgo the cup of Ben & Jerry's for the same amount of low-fat ice cream. Slow-Churned Dreyer's Grand Light Chocolate Chip Cookie Dough has only 260 calories per cup. The B&J version? 540 calories. Yeah, we know that eating Ben & Jerry's is as close as any of us is likely to get to paradise on earth. So if you just can't live without the boys, mix 2 tablespoons into a cup of the skinnier stuff and you'll still save 250 calories.

To Lose 1 Pound Per Month
Cut Out 100 Calories A Day

HERE'S HOW

Buy Skinnier Bread
The calorie content in different brands can vary as wildly as Anna Nicole's "before" and "after" shots. For example, Milton's Healthy Whole Grain packs 90 calories a slice, while Sara Lee Delightful Wheat weighs in at just 45. Switch brands and you cut your sandwich calories by 90. Better yet, wrap your cold cuts in lettuce — a big leaf of romaine has only 10 calories.

Trade Up Your Toppings
Swap the half-cup of guacamole on your burrito for an equal amount of salsa and spare yourself 150 calories. Get the same savings by using salsa in place of the sour cream on your baked potato and the mayo on your wrap. Other tricks of the topping trade: Swap Gorgonzola for grated Parmesan, dip vegetables into hummus instead of ranch dressing, and sprinkle salads with lightly toasted pecans rather than oil-soaked croutons.

Turn Off The Tube
We know Laguna Beach reruns can be just as tempting as tiramisu, but too many hours in front of your plasma screen can wreak havoc on your waistline. Researchers from Georgia State University found that people took in up to 130 more calories on days when they ate in front of the TV than on days when they left the remote alone.

Spritz Up Your Vino
Mix 3 ounces of club soda with 3 ounces of wine and your drink will have about 60 calories. If you usually have two glasses of Shiraz, substituting the bubbly stuff will save you about 120 calories. An added bonus: Research shows that moderate drinking (one drink daily for women) may increase levels of leptin, a natural hormone that curbs the appetite for sweets.

Camouflage Your Candy
A study published in the International Journal of Obesity found that office workers who kept candy within reach in a clear dish ate three times as much as those who kept it farther away in an opaque container. That's a 150-calorie difference. If you've gotta have a Godiva stash, make sure it's out of sight and that you have to work (at least a little) to get to it.

Bulk Up
Eating low-cal, fiber-rich foods before a meal — think fruits, vegetables, and broth-based soups — can help reduce your total calorie intake. A study in the Journal of the American Dietetic Association found that women who ate a 100-calorie salad before their meal consumed 12 percent less — 107 fewer calories — overall (salad included) than those who skipped the leafy appetizer. Make your first course a cup of veggie soup or 2 cups of mixed salad with reduced-fat cheese and fat-free dressing. Now get chopping!

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Lose 10, 20, 30 Pounds

You walk every day. You watch what you eat. So why are you still struggling to lose weight? The answer may be all in your head: Hating your body—a common reason for wanting to lose weight in the first place—can actually sabotage your weight loss attempts.

The good news: You can learn to like your body and more than double your chances of getting slimmer.

Researchers at Stanford University School of Medicine in Palo Alto, CA, found that people who started a weight loss program feeling happiest with their body were more than twice as likely to lose weight as their counterparts who were least satisfied with their body.

But how do you get happy with your body before you lose weight? With Prevention's feel-good plan.

We rounded up advice from top body-image professionals, weight loss experts, and women just like you who found that feeling good about their body made losing weight easier. In three simple steps, you can boost your body appreciation, shed pounds with ease, and get your best shape ever!

Prevention's feel-good plan will help you get a body you love and...

# boost your confidence

# cut your disease risk

# rev up your weight loss

# beat negative thoughts

# stop scale obsession

# fine-tune your wardrobe


Step 1—Respect Your Body
"People who worry about how their body looks often avoid the very things that can help them look and feel better, such as exercising and developing better coping skills," explains Elena Ramirez, PhD, clinical research associate in the department of nutrition and food sciences at the University of Vermont in Burlington. "Once women improve the way they feel about their body, they take better care of themselves, which helps them lose weight." Here's how to befriend your body.

Look in the mirror. Instead of cringing every time you see yourself, start accepting yourself, advises Dr. Ramirez. Slowly acclimate yourself to the image in the mirror by spending a few seconds a day looking at your body clothed. Slowly wear less and less, working up to viewing yourself unclothed for a few minutes.

"In a few weeks, you'll become comfortable with your reflection and realize that you have some positive physical qualities," says Kimberly Lavoi, 30, of MA, who has lost 22 pounds since beginning these body-image exercises. "You also begin to realize that you got yourself into the shape you're in, so you can also get yourself out of it."

Face your fears. It's common to avoid situations that make you feel worse about yourself, such as shopping for clothes or going to parties, says Dr. Ramirez. Feeling better about yourself requires facing those situations. "Pick one thing you avoid, such as wearing a bathing suit, and take small steps to conquer that fear," she says. "First, just buy the suit. The next day, wear it around the house for 10 minutes. Later, wear it in front of a friend. Soon, you'll feel comfortable enough to swim laps or take part in an aqua aerobics class."

Be polite! "If you had a friend who said, 'What a big butt you have!' every time you saw her, you wouldn't remain her friend," says Thomas F. Cash, PhD, professor of psychology at Old Dominion University in Norfolk, VA, and author of The Body Image Workbook (New Harbinger, 1997). "Don't tolerate that treatment from yourself either. Every time you start putting yourself down, stop cold. Instead, encourage yourself as you would a friend. Say, 'Yeah, my shape isn't what I would like, but I'm taking steps to change it. And that's a positive thing.'"

Ditch the magic number. Some women have their whole body-image wrapped up in a number on the scale, says Joni E. Johnston, PsyD, a clinical psychologist in Del Mar, CA, and author of Appearance Obsession (Health Communications, 1994). "If they're just a couple pounds off, they feel horrible about themselves," she says. "Give yourself an acceptable weight range between 5 and 10 pounds, so you can have healthy, normal weight fluctuations and still feel good about your body."

Hold your head high. When you're busy thinking your thighs are too big, you assume everyone else is thinking that too, so you feel self-conscious, says Dr. Cash. "People never judge us as harshly as we judge ourselves. If you hold your head up, smile, and project a healthy, confident person, that's what they'll see—and that's how you'll feel."

Step 2—Accept Your Power
Poor body image often comes with a little sound track in your head that repeats this tune: "My weight loss efforts have never worked before, and they won't work now. I'm a failure," says Dr. Ramirez.

If you keep that negative sound track playing, you probably will fail.

Consider this: In one study, beginning tennis players who were told that they could improve their game by trying hard and practicing scored consistently better than those who were told that poor performance meant they lacked the innate ability. "If you believe you have bad genes, you're less likely to succeed than if you believe you have the power to control your actions, your attitude, and, consequently, your weight," says study leader Robert Singer, PhD, chairman of the exercise and sport science department at the University of Florida in Gainesville. It's all about developing what psychologists call "self-efficacy"—a big word for believing in yourself and your power to do what needs to be done. Here's how to boost yours.

Talk back. One quick way to stop the negative voices in your head is to simply tell them to quiet down, says Dr. Johnston. "Most people walk around putting themselves down without even realizing it. Pay attention when those self-defeating thoughts pop up. Every time your internal voice starts saying, 'I'm too fat' 'I'm too uncoordinated' 'I can't do it,' answer back: 'That's enough. I can do whatever I put my mind to.'"

Write your résumé. Confidence changes from situation to situation, says Edward McAuley, PhD, professor of kinesiology at the University of Illinois at Urbana-Champaign. "It might be high in the office, yet low at the gym. You want to transfer all the assurance you can from one situation to the other," he says. Think of it as writing your résumé. You don't always have the experience a job calls for, but you do have the skills. "Write down the skills you have to succeed at a fitness plan," he says. "List attributes such as 'I'm a hard worker' 'I manage my time well' 'I'm a fast learner'. Then use these skills to succeed at your fitness program."

Recognize success. Think of developing confidence like building a house with a strong foundation brick by brick. "Each little success is a brick," says Joyce Nash, PhD, clinical psychologist in Menlo Park and San Francisco, CA, and author of The New Maximize Your Body Potential (Bull Publishing, 1997). "Calling a gym that interests you is one brick. Going to observe an aerobics class is another. Don't disregard all these little steps: Applaud yourself for making progress."

Find new friends. A weight loss buddy can go a long way toward building self-confidence, says Dr. Singer. "The more like-minded people you have to support you, the more confident you'll feel, and the more likely you are to succeed."

Step 3—Get Moving
In order to boost your body image, build your confidence, and get a better body, you need to be active, says Dr. Nash. "It's essential for both looking and feeling your best."

When a group of middle-aged men and women started walking three times a week, they improved not only their heart health but also their self-esteem, confidence, and body image too. "It's positive momentum," says Dr. McAuley. Here are some tips to get you started.

Begin at home. Community gyms aren't for everyone, says Michaela Kiernan, PhD, research associate at Stanford University School of Medicine in Palo Alto, CA.

"Some overweight women may want to start with a home-based fitness program such as walking," she says. That way you don't have to face the stress or embarrassment of a group setting.

Start in first gear. A common mistake when starting a fitness program is setting expectations too high, says Dr. Singer. Then you become discouraged and quit when you don't reach those goals.

"Instead, picture a ladder, with your big goal at the top," Dr. Singer says. "Develop short-term goals for each rung on that ladder." If your ultimate goal, for instance, is to walk a 5-K race, make the first rung a 10-minute walk, and then work your way up. Each small success you realize builds your confidence about reaching the big one."

Focus on bonuses. Exercise's benefits go way beyond cosmetic, says Dr. Nash. "When you establish a goal to lower your blood pressure or your cholesterol, for example, you have something besides your clothing size to measure your progress—and you'll feel better about your body on another level."

Support a cause. "Getting involved in runs, walks, or bike rides for a cause that's important to you—whether it's breast cancer, AIDS, or multiple sclerosis—makes you feel good," says Ann Marie Miller, an exercise physiologist and fitness training manager at New York Sports Clubs in New York City.

"It also makes you grateful that you have a healthy body that can exercise," says Miller.

Seize those seconds. Just because you don't have 45 minutes to work out doesn't mean you should skip exercising entirely, says Dr. Johnston. "Doing something is always better than nothing. It all adds up in the long run." Even if you exercise for only 10 minutes, mark it on your calendar as a day you worked out. Being consistent will make you feel better about yourself and help ou lose weight.


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Drop 20 Pounds in 8 weeks

Hate to diet? Then you'll love this. Instead of counting calories or multiplying fat percentages (and tearing your hair out), try this amazingly simple concept: Look hard at your plate. Divide it into two sections; fill about half or more with vegetables and/or fruits and the remainder with roughly equal amounts of starch and a high-protein food. Then watch the weight come off. Even better, this way of eating may help prevent cancer, heart disease, and other common killers. Our reader testers dropped pounds, got fitter, and felt better after just 2 months of following this simple strategy. Now you can too.

DIVVYING UP YOUR PLATE

By using your plate as a weight loss tool, you no longer have to remember confusing details about portions and servings, says Netty Levine, RD, a nutritionist at Cedars-Sinai Medical Center in Los Angeles.

"I recently worked with a client for an hour, hammering out a fabulous, detailed weight loss plan," recalls Levine. "When we finished, he looked up, and I could see it in his eyes: We'd both just wasted our time. He didn't want to remember all that information on servings and portions and food groups." So Levine took out a fresh piece of paper and drew a big, round circle with a line through the middle. "This is your plate; fill the top half with fruits and vegetables, and divide the bottom half in two. In one quarter put your protein, such as meat, poultry, or fish, and in the remaining quarter put your starch, such as whole grains, potatoes, or pasta," she advised. Four months later, that client, Bill Knapp, was 28 lb lighter and loving his plate plan. "I still go to my favorite restaurants, but now I know what to order to get the right amount of food," he says. That's the beauty of this divided-plate concept: built-in portion control. "You fill the divided plate once. If you're still hungry, have another plate of vegetables, and then you're done. It's that simple," says Levine. And with a plate half filled with vegetables, there's no room for the megacalorie, gigantic burgers and pasta "hills" notorious for contributing to the obesity epidemic. "Everything today is supersized, and people are confused about how much they really should eat," says Nancy Vuckovic, PhD, investigator at Kaiser Permanente Center for Health Research in Portland, OR. "The overweight people coming into my office are not eating a cheeseburger, they're eating supersized meals with giant burgers, mounds of fries, and huge sodas," says Levine. The divided plate strategy eliminates this problem, since there's simply not room for all that meat and starch when half the plate is filled with veggies and/or fruits. It brings out-of-control portions back down to size. And you're still eating enough food to feel full and satisfied.

PREVENT DISEASE TOO!
We loved this idea so much, we decided to dig a little deeper. What we found was better than we could have hoped. Not only were there other dietitians using divided-plate plans for weight loss, but also the American Institute for Cancer Research (AICR) in Washington, DC, has been harnessing the power of plates to fight cancer! In a campaign titled "The New American Plate," the AICR has released a set of free brochures as well as a placemat you can buy showing the plate portions they recommend to stave off cancer and promote weight loss (a cancer fighter in itself). The AICR recommends portions similar to the ones described above with some slight variation. "Our rule of thumb, using a standard 9- or 10-inch dinner plate: Plant-based foods such as vegetables, fruits, whole grains, and beans should cover two-thirds or more of the plate. Meat, fish, poultry, or low-fat dairy should cover one-third or less of the plate," explains Melanie Polk, RD, director of nutrition education at AICR. These plate strategies fight disease because of all the fruits and vegetables they include, says James Shikany, DPH, assistant professor of medicine, division of preventive medicine, University of Alabama at Birmingham. "Studies of diet and disease indicate that the quarter of the population with the lowest intake of fruits and vegetables has double the rate of the most common cancers, such as colon, breast, and prostate," he says. While he's a big fan of all produce, Dr. Shikany suggests making the following your staples: cruciferous vegetables such as broccoli and cabbage; spinach, kale, and other dark leafy greens; orange-fleshed fruits and vegetables such as sweet potatoes, carrots, peaches, and citrus fruits. "Each of these groups contains its own disease-fighting compounds," he explains. All this sounded so good to us that we decided to test-drive it ourselves. We introduced three volunteers to the AICR New American Plate plan and had them follow it for 2 months. The results were outstanding. They boosted their energy and dropped pounds simply by dividing their plates.

PLATE POWER AT EVERY MEAL
No matter which plate portion variation you choose, enthusiasts insist that this method works for every meal and every food. Follow these tips whenever you eat.

Breakfast Plates
You still think in terms of fruits/veggies, starch (whole grains), and protein (milk or eggs), but they don't always fit neatly on a plate. Remember: You're still aiming for half or more of the meal to be fruits and veggies.

Here are some sample meals: Fruit-topped whole grain cereal with milkand a glass of orange juice Vegetable-stuffed three-egg-white omelette with whole grain toast and fruit or juice Two whole grain waffles smothered in chopped fruit with yogurt or milk Fruit or juice with a small bran muffin and low-fat milk

Lunch Plates
The rule remains: At least half of your meal should be vegetables and fruits. (When using a plate, opt for a traditional 8-inch luncheon plate.) Consider bread, tortillas, potatoes, or beans as your starch (beans double up for both starch and protein). Make a pledge to always finish your veggies or fruits first. If you have room, you can finish the rest of your meal.

Some sample meals: Sandwich filled with two or three slices of lean meat, poultry, a few spoonfuls of reduced-fat tuna salad, or a veggie burger patty, with a salad, fruit salad, or vegetables Black bean, lentil, or other bean-based soup with a salad or side dish of vegetables or fruits Baked potato with a cup of broccoli or other vegetable and reduced-fat cheese Large salad topped with grilled chicken/lean beef/seafood (deck-of-cards-size portion) and one or two slices of whole grain bread

Burrito. One tortilla stuffed with beans and chicken with a salad or large side dish of vegetables or fruits

strong>Dinner Plates
You're in luck when you've got the good ol' meat/vegetables/starch offering, but casseroles and other mixtures take some imaginative dissection. Just remember the half fruits and veggie rule, and you're good to go.

Some sample meals:

Traditional meat and potatoes. About half of the plate: salad or cooked vegetables; one-third to one-quarter of the plate: deck-of-cards-size fish, poultry, or lean meat; final quarter: rice, roll, polenta, or other starch Lasagna, tuna noodle casserole, or other starchy mixed dish. Make it about one-third of the plate total, no more than a cup's worth, and fill the other two-thirds with salad or vegetables. Stir-fry. Make it three-quarters vegetables and one-quarter meat, poultry, or seafood. Fill the plate three-quarters with stir-fry and one-quarter with rice. Pasta. Stretch 1 or 11/2 cups of pasta with an equal amount or more of vegetables. Throw in a few pieces of shrimp, chicken, or soy "meat" for protein and flavor. Sprinkle Parmesan or low-fat cottage or ricotta cheese on top.

RESTAURANT TIPS

The key here is communication with the server. -Bring in a quick sketch of the ideal plate; let the waiter guide your choice. In fast-food restaurants and diners where the staff may not be helpful, order Ă  la carte or side dishes in the proportions you want. -Inquire about portion size; if it's huge, ask the waiter to split yours in half in the kitchen and refrigerate the doggy bag. Or split it with your dinner partner. -Rotisserie chicken joints are easy in terms of plate division, but beware the creamed spinach and roasted potatoes, which are loaded with fat. Get the mixed vegetables or corn (unless it's creamed). There's one potential pitfall to the plate concept: piling food up too high. The rule here: Go sky-high with fruits and veggies if you like; but keep the portions of starch and protein to no more than 3/4 to 1 inch high. Or leave nothing to chance, and get the Perfect Portions Diet Dish; if the lid doesn't fit, your portions are too big. This plate, a more sophisticated spin on the divided-plate concept, helped Donna Rosen, a 57-year-old Cleveland homemaker with diabetes, lose 80 lb. "That plate tells me, 'You want noodles? Fine, here's how much you can have.' Without it, I'd double or triple my portions. I lose control easily, so I need something to guide me," she confesses. The plate is designed to provide 400- to 500-calorie meals, says co-inventor Kim Gorman, RD, a research dietitian and exercise physiologist at Akron City Hospital in Ohio. She says that the plate has helped her patients lose 20 to 50 lb over a 6-month period. "Most have dieted every which way including lots of fad diets, and they were ready to throw in the towel," she says. The reason this method works when diets fail, according to Gorman and Levine, is that people finally learn how to eat in a healthy way. "It's eating instead of dieting; people learn to make a balanced meal, and they can include foods they like, just not excessive amounts of them," explains Gorman.


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Stanford in study on new weight-loss therapy

Stanford researchers are participating in a national study to test a new weight-loss therapy that blocks the nerves that tell people when they're hungry and control how the body stores fat.

The treatment is considered a less invasive alternative to bariatric surgeries, which typically involve shrinking the stomach by wrapping a tight band around it or bypassing large sections of it and going straight to the rest of the digestive tract.

In the new treatment, which has been tested overseas, a device inserted just beneath the skin emits electronic impulses that confuse signals sent on the vagal nerves from the brain to the stomach. In early studies, the impulses made people feel full and satisfied when they'd otherwise be hungry.

"It starts in the brain, and works down to the stomach. We're not cutting or sewing or rerouting the anatomy here," said Dr. John Morton, a bariatric surgeon leading the study at Stanford. "It has a lot of potential to help patients lose weight."

The treatment is called VBLOC therapy, for vagal blocking. Stanford is one of 13 sites around the country participating in the study, being funded by medical device company EnteroMedics. Researchers hope to sign up 250 to 300 volunteers, about 50 of them in the Bay Area, and study them for five years.

It is a blind study - all volunteers will have the device implanted, but it will be turned on in only two-thirds of them, and neither researchers nor patients will know whether it is on or off. After the first year, the device will be turned on in all patients.


A new obesity-fighting tool


If the therapy proves successful with no serious side effects, EnteroMedics will seek approval from the U.S. Food and Drug Administration, and doctors would have one more tool for fighting obesity.

Bariatric, or weight-loss, surgery has been available since the 1960s, but has become increasingly popular over the past decade as obesity rates skyrocket in the United States. The most common form of surgery is gastric-bypass, which can be performed using laparoscopic techniques but is still considered significant, invasive surgery. About 150,000 weight-loss surgeries are performed every year.

Patients who undergo weight-loss surgery typically lose up to half their excess weight after the surgery, studies have shown. In early overseas studies of 60 people who underwent the vagal nerve therapy, patients lost on average about 20 percent of their excess weight in the first six months.

The vagal nerves have long been considered a potential target for helping people lose weight. Researchers made the connection decades ago, when doctors treating people with ulcers tried cutting the main nerve to stop the stomach from releasing acids. The treatment didn't help cure ulcers, but patients usually lost weight.

Doctors at UCSF have studied the effects of cutting the main vagus nerve, the main root of the vagal nerves, and found some success with weight loss, said Dr. Robert Lustig, an obesity expert. In a study completed last year, 30 patients lost on average 20 percent of their excess weight, he said.

"The idea that the vagus nerve is a target for obesity therapy is very well supported. It's an attractive target," Lustig said. "I hope this works, because God knows patients need something."

The vagal nerves communicate between the brain and the digestive system. Signals carried on the nerves tell the body how to absorb calories and turn energy into fat; the stomach when to empty its contents into the small intestine; and a person when she or he feels hungry.

With the new therapy, doctors attach leads to the vagal nerves, and the leads are then connected to a pacemaker-type device called a neuro-regulator, which is inserted just beneath the skin. The pacemaker and leads emit high-frequency signals. Patients also wear a belt-like device around their waist that charges the neuro-regulator.

'You aren't hungry'

The new treatment aims to slow down calorie absorption by disrupting the signals sent by the brain down the vagal nerves and leaving the patient feeling full, both because the stomach is taking longer to empty and the brain is now saying, "You aren't hungry."

But hunger may play a minimal role in some obese people, doctors say. A staggering range of explanations exist for obesity - such as metabolic conditions, genetics, and emotional and social factors - and it's highly unlikely that any one technique will help everyone lose weight.

"The thing about obesity is it's not just a one-dimensional problem," said Dr. John Husted, who performs bariatric surgeries at California Pacific Medical Center. "You can't make generalizations. But certainly we want to find things that are the least invasive, even if they only hit one cause of obesity. The vagus nerve may have a fairly modest effect for most people, but if for some patients it has a great effect and that's all they need, perfect."

Cindy Leehy of Richmond, Va., on Monday was among the first Americans to have the device implanted in a surgery - and she hopes that she'll be among the patients to see significant weight loss. Leehy said she had considered lap-band surgery to shrink her stomach but her insurance wouldn't cover it, and gastric-bypass surgery seemed extreme.

Between the vagal nerve block and classes on diet and exercise, she's hoping to lose 80 pounds over the next two years.

"For me, the hunger is the biggest part of it," Leehy said. "I've gone through Jenny Craig, I've gone through a weight-loss doctor. I'm hoping that if I'm not hungry, I'll be able to eat less."


Therapy trial


-- Stanford is looking for up to 50 patients to participate in the five-year trial.

-- Participants must have a body mass index of 40 to 45, or of at least 35 for people suffering from an obesity-related condition such as diabetes, high blood pressure, high cholesterol or sleep apnea.

-- Participants must have completed at least six months of a supervised weight-loss program and either failed to lose weight or could not keep it off.

-- To apply for the trial, fill out a registration form at links.sfgate.com/ZDAY, or call (866) 291-9146.

Weight-loss surgery: some answers

Questions and answers about VBLOC therapy and bariatric surgery:

Q: What is the vagus nerve?

A: Starting in the brain and ending at the stomach, the vagus nerve and its branches control several functions of the digestive tract, including how calories are absorbed and when people feel hungry or full.

Q: What is VBLOC therapy?

A: VBLOC, which stands for vagal blocking, involves implanting leads that are attached to the vagus nerve and a pacemaker-type device that emits electrical impulses on the nerve. The impulses serve to block signals on the nerve, which ideally should slow down calorie absorption and make people feel less hungry. VBLOC is seen as an alternative to bariatric surgery.

Q: What is bariatric surgery?

A: Any surgery that is aimed at helping people lose weight is considered bariatric surgery. The most common kinds of surgery are gastric-bypass, where doctors close off most of the stomach and connect the rest directly to the small intestine, and laparoscopic banding, where a silicone band is wrapped around the stomach, creating a small pouch.

Q: What are the success rates of bariatric surgeries?

A: Studies have shown that patients can lose up to 50 percent of their excess weight in the first six months. On average, they are able to maintain about half of their weight loss a decade after surgery.

Q: Who should have bariatric surgery?

A: Only people who are severely or morbidly obese should consider weight-loss surgery. Doctors generally will consider the surgery only in people who have a body mass index of 35 or higher.


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Beware! Diet ideas can be confusing

THERE ARE many different dieting ideas out there in today’s market. The amount of different diets can be very discouraging to many people that are in dire need of a diet plan that works for them. It can be very disheartening to have a constant diet that may work for someone else and when a person tries the diet for themselves it does not work.

The main concept behind dieting is that we should begin to eat healthy diets, consuming correct foods for our body to function, but not excessive in order to create a surplus of calories and sugars that are turned into fat and stored in the body.

For weight loss to be effective, those following weight loss programs need to stick to diet specified and take regular exercise. There can be no diet that will work for everyone since we all are different and rules can be hard to follow. Is there a thing called fat loss for idiots? The diet for idiots was created with this in mind. Diet for idiots seeks to allow weight loss by combining the best feature of many different diets. This is the main feature of diet for idiots.

One major reason that the plan will work consistently is due to the fact that the plan takes all these different eating styles and ensures that they are rotated so that the body gets all the nutrients it needs in order to function on a daily basis, but still remains healthy. The plan is a great diet plan.

The sheer variety of different diet plans is necessary because most diets rely on the omission or over-indulgence of one particular type of food or component. For example, a low carbohydrate diet encourages that a person eliminate a large portion of his carbohydrate intake.

By contrast to the omission diets, excessive diets encourage people to over-indulge on higher amount of a certain type of food rather than a normal person would typically eat. For example, in a high protein diet, a person is encouraged to eat protein in excess quantity instead of other types of foods.

Trying different diet ideas in a continuing attempt to lose weight can end up being not only confusing and taxing, but also ultimately unsuccessful. Many different diet ideas in the market today focus on one type of food or behaviour pattern to the exclusion of all others. While these plans may work for some, ultimately they are never the correct or ideal solution for everyone. This is the rationale behind the diet for idiots. This comprehensive plan of ’weight loss for idiots’combines and alternates among many ideas, suggested by the traditional diet plans providing a complete and workable approach to ’fat loss for idiots’.

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Age, genetics and hormones are the usual causal suspects in benign prostatic hyperplasia, but now some data suggest that the condition is a consequence of our Western lifestyle. In a 2006 study of 422 men published in the Journal of Clinical Endocrinology and Metabolism, Dr. J. Kellogg Parsons, a urologist at UC San Diego, found that men who were obese had an increased risk of prostate enlargement, with severely obese men at 3.5 times higher risk.

In another paper published this year in European Urology, Parsons pooled data from 11 studies involving about 43,000 men and found that those who engaged in regular physical activity had about a 25% lowered risk of enlarged prostates.

It's emerging evidence, Parsons says, "that the same risk factors that are contributing to cardiovascular disease, obesity and diabetes likely are contributing in some way to [benign prostatic hyperplasia]."

For now, the evidence is based on studies comparing lifestyles of men who do or don't develop enlarged prostates. More convicing, but not yet done, would be studies in which groups of men are put on diet and exercise regimens and then tracked to see whether rates of enlarged prostates differ. Still, Parsons counsels his patients on lifestyle factors for prostate health. "We don't have definitive data, but there's very little downside," he says.

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It's nonsense to let your blood type shape diet

Dr. Andrew Weil , For The Calgary Herald

Q: I'm considering the Eat Right 4 Your Type diet. Do you think it is worthwhile?

A: Eat Right 4 Your Type was a book published in 1996, and it must have been a pretty big hit with readers because it's still around despite the fact that the theory behind it has no scientific credibility.


The author, Peter D'Adamo, is a naturopathic physician who claims his research shows that to lose weight successfully, you have to eat the way your prehistoric ancestors did -- based on blood type.

For example, he writes that if you have type O blood, you are a descendant of carnivorous hunters and should eat a lot of meat, but avoid grains and beans.

If your prehistoric ancestors had type A, they were vegetarian farmers and you should eat accordingly.

This is nonsense. I know of no evidence suggesting that prehistoric people ate diets related to their blood types. The studies D'Adamo cites have been published only by him and not in any scientific journals. By the way, dogs and other animals have blood types similar to those of humans. It would come as unwelcome news to some dogs that they should be vegetarians.

Once you get past the gimmicks to evaluate D'Adamo's instructions, you'll see that the "blood type" diets he recommends have this in common: all are low in calories. If you take in fewer calories than you're accustomed to eating, you'll lose weight regardless of the source of the calories and no matter what your blood type happens to be.

If you really want to lose weight, forget the gimmicks and concentrate on eating less and exercising more. It works every time.

Q: What do you think of the supplement drink Eniva Vibe?

A: Eniva Vibe is a line of liquid vitamins (and other nutrients) that is being aggressively promoted as a healthy alternative to vitamins and minerals sold in tablet form. A chief selling point is the claim that liquid vitamins are better absorbed by the body because large, hard pills may pass through the digestive tract and be excreted intact.

While it is true that liquid vitamins may get into your system better than supplements that do not fully dissolve, the fact is that liquid vitamins aren't any better for you than good-quality vitamin and mineral supplements that are formulated to be easily digested and absorbed in pill form.

The downside to liquid supplements is that they're much more expensive. And since many vitamins, particularly vitamin C, begin to break down upon exposure to air, in some cases the potency of liquid vitamins may begin to wane as soon as you open the bottle -- even sooner if they aren't well-manufactured, carefully packaged and properly stored.

Although I do see a need for good-quality liquid vitamins -- for people who can't swallow pills easily or don't like taking them, for example -- I haven't been impressed with many of the liquid products on the market today, including vitamin-infused water. Most provide unneeded calories and additives.

Eniva Vibe makes some extravagant claims -- that the supplement has anti-aging effects, promotes an escalating sense of wellness and even that results sometimes may be seen in "hours or days" (although promotional materials also caution that you may not notice any improvement in health conditions for weeks to months).

Beyond those dubious claims is the fact that Eniva Vibe is sold through multi-level marketing -- you buy it through distributors who make money not only through their own sales, but also through those of the people they recruit. I'm sorry, but multi-level marketing strategies are often nothing better than pyramid schemes that enable those at the top to profit by leaving those at the bottom empty-handed.

Seductive though the claims for Eniva Vibe may be, liquid vitamins, no matter how attractively packaged, aren't any better for you than good-quality vitamins and minerals in tablet or capsule form. And they are certainly not healthy for your wallet.

Dr. Andrew Weil is director of the program of integrative medicine of the college of medicine, University of Arizona. He is an internationally recognized expert on medicinal plants, alternative medicine and the reform of medical education.


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Diet plans going up in smoke

Shocking: Report indicates we’re bidding farewell to healthy habits and embracing our bad old ones

I'VE just lit my fifth cigarette of the morning, stuck some sausages and rashers in the frying pan and am lying on the sofa with the remote. The hangover from last night has kicked in, but it's nothing that the fry up won't cure. Oh, and three sugars in my tea.
Sound familiar? Well it's not actually how I start my morning (most of the time anyway), but according to a five year study carried out by the Department of Health, it's how many of us do.

Judging from the results of the Slan report, we're fat, unhealthy slobs and what's more, many of us freely admit it.

Yet, despite smoking and eating fatty foods being on the increase, and exercise levels falling, 58pc of us still rate the state of our health as ‘excellent' or ‘very good'. The Slan survey is carried out every five years and it shows we've become even more optimistic in that time despite the appalling figures.

The biggest skeleton in the cupboard is smoking. Twenty nine per cent of us are now smokers – up from 27pc in 2002 and most alarmingly, the biggest increase is in the 18-19 age group, where 35pc admit to being smokers.

Was it a case of out of sight, out of mind? When smoking stopped being a regular accompaniment to our food and drink in pubs, and we no longer had to wade through plumes of smoke in the office, did we think it had gone away? Despite all the campaigns, the tax increases and the state of the health service, smoking is still as popular a hobby as ever.

Foodies are just as bad. More gourmands than gourmets, it must be said, 36pc of people now consider themselves overweight, but in fact the figures say that 39pc of us are, with 25pc clinically obese.

CAMPAIGNS

This figure is up considerably too from previous studies and shows no signs of abating, despite extensive health advertising campaigns being run in schools and hospitals. Our penchant for cream buns, the full Irish and chocolate desserts is showing. And what's more, too many of us add salt liberally to our food at the table without even tasting it first to see if it's needed.

In fact, the survey showed a whopping 86pc of us regularly have more than the three small portions of bad foods we should, every day. They're the ones at the top of the food pyramid which make us salivate.

Not enough of us are paying attention to the old cardiologist's diet: if it tastes good, spit it out.

Fewer of us are getting enough exercise either. Citing ‘no time' as the number one excuse, one in five people don't exercise at all. Not even a walk around the block, or getting off the bus a stop early. A further 24pc admit to ‘some' exercise, but not enough. It wasn't all bad news though.

Many of us have got the message about eating fresh fruit and veg. Up to 77 pc of us do so every day, compared to 68pc five years ago. More new mums have taken breast-feeding on board too, with 42pc giving their baby the best start-up from 23pc in the last survey five years ago.

But if we're deluding ourselves at all, it's the old demon drink where it's most obvious.

Slan says that 28pc of us claim to regularly drink six or more units of alcohol a week which is the only figure to show a marked decrease from 2002.

RISKY

Back then, almost half (45pc) said they commonly drank this much. And when it comes to risky drinking – over the recommended limits, just 8pc say they indulge more than they should.

Now, this sounds like great news altogether, given the ravages of drink on families and society.

But the drinks industry just last week posted an increase of 2.3pc in sales, so is it a case of telling people what they want to hear?

Our health as a nation is not good. Our health service is not good. And yet, we seem determined to place ourselves sooner rather than later in the hands of the hospital system.

Oh, and is it just me or did anyone else notice that slan means goodbye?



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Are you ready for weight loss?

So you've decided you want to lose weight. Sure, you know that accomplishing your goal means cutting calories, but have you considered what else you need to do to get to your target weight?

Once you've made up your mind to lose weight, you probably want to get started while your willpower is strong. But if you don't plan ahead, you'll likely be ill-equipped for any challenges you face along the way, making it far too easy to give up and increasing the risk you'll put the weight back on.

So before you throw out all your chocolate and stock up on carrot sticks, here are some things you may want to consider.

  • Have you discussed your plan with your doctor? Aside from helping you to determine a healthy weight, your doctor can help you to set appropriate goals, determine whether you have any health concerns that could affect your weight loss plans, and point you towards additional resources if you need some extra help.
  • Have you set a reasonable target weight? Sure you may want to look like the airbrushed models you see in the glossy magazines, but have you thought about whether that is a realistic weight for you? Your doctor can help you to determine a target weight that can help you look and feel your best. Or use our ideal weight range calculator.
  • Is your plan realistic? Weight loss is yet another example of 'slow and steady' winning the race. Rather than trying to drop a size by tomorrow, set a goal of 1 to 2 pounds (no more than 1 kg) per week. It takes a deficit of 3,500 calories to lose a pound - so to meet this goal, aim to cut 500 to 1,000 calories a day through a combination of diet and exercise.
  • Have you planned for setbacks? When was the last time you set a goal and every little detail went according to plan? While an optimistic outlook will help you reach your goal, if you don't think about how you'll handle any setbacks along the way, you're not giving yourself all the tools you need to succeed. You may feel disappointed with yourself if you give into temptation and have that extra slice of chocolate cake, but decide ahead of time how you are going to handle such roadblocks so they don't derail your weight loss plans.
  • Do you have a support system? For some people, weight loss feels best as a solitary effort, while others may find support and advice from someone who can relate helps them stick to the plan. Think about your style and seek out support if you think it will help you. Family, friends, weight loss groups and online forums can all provide the encouragement and advice you are seeking.
  • Have you thought long term? In truth, losing the weight is only the first part of your goal. Keeping it off is the second. Think about whether you are ready to make permanent changes to your eating and exercise habits, because your old ways are how you gained the weight in the first place.

Written and reviewed by the MediResource Clinical Team


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Weight Loss Products and Programs

Quick Facts...

  • Many diet products and programs offer a quick, short-term fix, but there is no "magic bullet" for weight loss.
  • When investigating weight loss products or programs, beware of high costs, pressure to buy special foods or pills, and fraudulent claims.

Diets

Approximately 50 million Americans go on a diet each year — yet only 5 percent keep the weight they lose off. Many trying to lose weight continually struggle to find an effective weight loss method. Unfortunately, there is no “magic-bullet”. The only proven way to lose weight and keep it off is by making permanent lifestyle changes. You must eat healthier, watch portion sizes and be active.

Even if you choose to use an over-the-counter weight loss product or participate in a weight loss program, the bottom line is that you still must eat fewer calories than you burn to lose weight. When selecting a weight loss product or program, gather as much information as possible. Beware of high costs, pressure to buy special foods or pills, and fraudulent claims.

Examples of Ineffective Diet Products

  • Diet patches. Removed from the market by FDA in the early 1990s because they were ineffective as a diet aid.
  • Magnet diet pills. Purportedly flush fat out of the body.
  • Certain bulk fillers (such as guar gum) may cause internal obstruction.
  • Electrical muscle stimulators. FDA may remove from market if promoted for weight loss.
  • Appetite suppressing eyeglasses. Claim colored lenses project image on retina and decrease appetite.
  • Magic weight-loss earrings. Supposedly control hunger by stimulating acupuncture points.

Weight Loss Products

Diet drink powdered formulas usually are mixed with a glass of milk and are substituted for one or more meals. Many users of these shakes report feeling constantly hungry and regain the lost weight when they give up the shakes. By relying on shakes, dieters follow artificial dieting methods and avoid learning how to work food into their lives.

Many prescription diet medicines have side effects and may not work for long-term weight loss. Over-the-counter pills containing the appetite suppressant PPA (phenylpropanolamine hydrochloride) can raise blood pressure. Over-the-counter pills containing ephedra may cause serious side effects, including dizziness, increased blood pressure or heart rate, chest pain, heart attack, stroke, seizure and even death. Currently, the Food and Drug Administration (FDA) is taking action to limit and/or ban the use of PPA and ephedra in over-the-counter medications and dietary supplements.

Herbalife Nutritional Program

  • Characteristics: Replaces 2 meals a day with Herbalife "shakes" and tablets.
  • Strengths: One meal per day of regular food advocated. Shakes generally include nonfat dry milk.
  • Weaknesses: Heavy reliance on Herbalife powders and tablets. Suggested rate of weight loss is too high (2 1/2 to 7 1/2 pounds/week).
  • Comments: Weight loss is never "fun and easy" as claimed. Reliance on a specific product does not teach healthy, lifelong eating habits.

Mega-Thin/100 Formula

  • Characteristics: Drink Mega-Thin formula. Eat according to specified diet. Formula contains "antifat weapon."
  • Weaknesses: Diet de-emphasized. Behavior modification lacking. Emphasis on speed of weight loss.
  • Comments: Formula probably contains an appetite suppressant.

Ultra Slim Fast

  • Characteristics: Weight loss program recommends two shakes/day (powder and milk), a snack and a complete dinner of 500 to 650 calories.
  • Strengths: Plan encourages regular exercise.
  • Weaknesses: Promotes use of Ultra Slim Fast Frozen Entrees and snack bars. Does not teach good eating habits.
  • Comments: Difficult to maintain weight loss once shakes are discontinued.

NestlĂ©’s Sweet Success

  • Characteristics: Weight loss program recommends three shakes/ day (powder and skim milk), and a complete dinner of 500 to 650 calories.
  • Strengths: Low-fat, nutrient rich foods are encouraged for dinner.
  • Weaknesses: Does not promote healthy eating habits.
  • Comments: Difficult to maintain weight loss once shakes are discontinued.

Diet Pills Containing PPA

  • Characteristics: Take capsule once or twice a day. Follow diet plan that comes with capsules. Pills suppress appetite, but weight loss occurs from following diet plan. Most brands have a diet plan enclosed. Many of these are good diets.
  • Weaknesses: Pills produce side effects that have not been adequately studied.
  • Comments: Weight loss comes from following the diet, not from taking the pills.

Diet Pills Containing Ephedra (also called Ma Huang)

  • Characteristics: Claims to promote weight loss. Take tablets daily. Recommended number of tablets varies depending on the product manufacturer.
  • Weaknesses: Pills can produce potentially life-threatening side effects. Side effects have not been adequately studied.
  • Comments: Ephedra is a central nervous system stimulant that suppresses appetite. Often combined with caffeine, which can increase risk for adverse side effects. Not proven safe or effective for weight loss.

Glucomannan Supplements

  • Characteristics: Follow 1,000-calorie per day diet and take two capsules before each meal. Claim that capsules reduce appetite and decrease food absorption.
  • Weaknesses: Claim weight loss of 1/2 to 1 lb/day. Sensational, nutritionally inaccurate presentation.
  • Comments: Glucomannans are naturally occurring food thickeners. Not yet proven safe or effective. Weight loss probably comes from following the diet.

Chitosan Supplements

  • Characteristics: Pills contain a dietary fiber derived from the shells of shellfish. Claim that taking the pills will reduce fat absorption, lower cholesterol and promote weight loss. Typical recommendations are to take 2 - 6 grams of chitosan per day, divided into doses of 1 gram with each meal.
  • Weaknesses: May cause gas, bloating and diarrhea. At high intakes, may interfere with absorption of fat-soluble vitamins.
  • Comments: Studies have shown weight loss occurs only when chitosan supplements are combined with a low-fat, reduced calorie diet.

Chromium Supplements

  • Characteristics: Claims that pills will lower blood sugar, reduce body fat, control hunger, reduce cholesterol and triglyceride levels, and increase muscle mass. Supplements are usually available as chromium salts which helps increase the absorption of chromium.
  • Weaknesses: One form of chromium, called chromium picolinate, may cause adverse side effects, including anemia, memory loss and DNA damage.
  • Comments: Roughly 50 percent of scientific studies have shown chromium has a beneficial effect, while the remaining studies have shown no effect.

St. John's Wort Supplements

  • Characteristics: Claims that supplementing with St. John's wort will suppress appetite and promote weight loss.
  • Weaknesses: Side effects may include gastrointestinal discomfort, tiredness, insomnia and mild allergic reactions.
  • Comments: According to the Food and Drug Administration, St. John's wort has not been proven safe or effective for weight loss. Not recommended for children, or for pregnant or breast feeding women.

Green Tea Extract Supplements

  • Characteristics: Pills contain polyphenols, which are extracted from green tea and are thought to be strong antioxidants. May help lower cholesterol and triglycerides, and enhance weight loss.
  • Weaknesses: Extracts that also contain caffeine may lead to restlessness and/or insomnia.
  • Comments: More studies are still needed to determine if green tea extracts are beneficial for weight loss. Choose extracts that have a "standardized polyphenol content". People taking aspirin or blood thinning medications should consult their doctor before taking green tea extracts, because green tea extracts may interfere with blood clotting.

Spirulina Supplements (Algae Tablets)

  • Characteristics: 1) Take tablets as an appetite suppressant before meals, or 2) replace evening meals with 6-10 spirulina tablets, or 3) in a modified fast, take only spirulina and drink juice for several days.
  • Strengths: Spirulina does contain essential nutrients and can be an acceptable food when used as part of a varied diet.
  • Weaknesses: Taken in large amounts on top of an adequate diet, spirulina could lead to toxic levels of certain nutrients. Does not teach sound eating habits.
  • Comments: Tablets are expensive.

Commercial Weight Loss Programs

Commercial weight loss programs such as Weight Watchers, Jenny Craig, Nutri-System and Diet Center usually offer a 1,000 to 1,500 calorie diet and individual or group counseling. Few participants succeed in keeping weight off long-term. The Federal Trade Commission (FTC) brought action against some companies and is challenging their weight loss and maintenance claims.

Before investing in a commercial diet program, ask the company the following questions.

  • How much, on average, do clients regain long-term?
  • What is their maintenance and follow-up program?
  • What rate of weight loss does the program aim for?
  • Does the program emphasize balanced food choices and exercise?
  • Are you required to buy specially formulated foods or supplements?
  • What are the costs for membership, weekly fees, brand food, supplements and counseling?
  • What are the credentials of those running the program?
  • What are the health risks?

Check your local telephone directory for the programs available in your community. Prices may vary by location.

Diet Center

  • Characteristics: Daily weigh-in and individual counseling.
  • Strengths: Encourages exercise. Strong support in psychological aspects of weight loss.
  • Weaknesses: Heavy reliance on supplements.
  • Comments:No contract required.

Jenny Craig Weight Loss Clinic

  • Characteristics: Weekly classes and individual counseling sessions. Both Jenny Craig preportioned foods and grocery store foods are used. Provides lifestyle management, motivation and nutritional information.
  • Strengths: Emphasizes behavior education and practical eating skills. Expected weight loss 1 to 2 lbs/week. Exercise encouraged.
  • Comments: Based on sound weight-loss principles, focuses on weight management, no wild claims or promises.

Overeaters Anonymous

  • Characteristics: Group meetings. Twelve-step program deals with physical, spiritual and emotional aspects of overeating. No "diets," weigh-ins or lectures on food and weight. Primary purpose is to stop compulsive eating.
  • Strengths: Encouraged to consult qualified professionals if interested in learning about nutrition or seeking professional advice. Provide good support structure.
  • Weaknesses: Binge eating problems do not apply to everyone.
  • Comments: No fees, voluntary contributions. Only membership requirement is a desire to stop compulsive eating.

TOPS (Take Off Pounds Sensibly)

  • Characteristics: Diet based on a standard diet of regular foods. Group meetings for education and support. Groups organized locally, variation possible.
  • Strengths: Nutritionally sound diet. Emphasizes slow, steady weight loss. Encourages camaraderie for support.
  • Comments: Dues assessed per year. Less commercial than Weight Watchers. Nonprofit and noncommercial.

Weight Watchers Winning Points Program

  • Characteristics: Group meetings for education and support. Individual counseling available. Emphasis on meal planning. Calories not counted daily. Lifestyle fit and convenience is paramount. Weight Watchers food available, not required. Winning Points plan gives points to food. Each person receives a daily point allotment based on current weight. Plan to stay within daily allotment.
  • Strengths: Nutritionally balanced. Emphasizes slow, steady weight loss. Teaches how to maintain ideal weight. Personal daily exercise plan. No good or bad foods.
  • Comments: Lifetime membership by maintaining weight within 2 lbs. of goal weight for six weeks.

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