Rejuvalife Vitality Institute
Beverly Hills CA

Don’t Stress Over Stress

Stress, in and of itself, isn’t necessarily a bad thing. For our earliest ancestors, stress could have meant the difference between life and death in the face of a hungry saber-toothed tiger. Stress activates our body’s sympathetic nervous system, inducing the so called “fight-or-flight” response, causing our adrenal glands to release a flood of hormones, including adrenaline and cortisol. Adrenaline serves to temporarily increase heart rate, elevate blood pressure, and boost energy supplies. Cortisol increases blood glucose and delivers more of it to the brain. In small doses, this stress can be just the extra kick we need to perform well on a test, meet a difficult deadline, or perform in front of an audience. This is generally followed by a period of rest, when the body and adrenals have a chance to recover and return to equilibrium. When we stress our muscles, say through weight lifting, it forces our muscles to grow over time to be able handle greater degrees of stress in the future. A similar mechanism serves as the foundation for the way we learn new skills and information, by constantly pushing ourselves beyond our current comfortable capacity, we train ourselves to handle increasingly greater demands. Stress is critical for growth.

It’s only when stress becomes chronic and uncontrolled that it can become an issue. Stress can be especially toxic when a difficult event happens and a person feels they do not have the financial or internal resources to handle it. When chronic stress becomes a part of life, serious physical and mental health consequences can develop. This is due in part to a somewhat paradoxical problem. Prolonged exposure to adrenaline and cortisol in the bloodstream can contribute to prolonged elevated heart rate, blood pressure, and blood sugar, which can cause a number of issues. At the same time, the adrenal glands can weaken due to overworking, resulting in diminished ability to produce enough adrenaline and cortisol to meet the stress.

According to a statistic from the American Academy of Family Physicians, stress-related symptoms account for two-thirds of all office visits. Several studies link high levels of self-reported stress to significantly increased mortality rates. This is due a number of different factors. For one, there are higher risk and complication rates of diseases. High levels of stress are linked to increased risk and symptom complications for heart disease, heart attack, cancer, stroke, obesity, type II diabetes, anxiety, depression, asthma, psoriasis, eczema, sleep issues, and memory impairment, to name a few. High stress also has a strong link to lower immune function, which can contribute to increased mortality due to any number of illnesses. Certain predisposed genetic factors that make some people more susceptible to stress than others may also contribute to mortality rates.

Several key lifestyle changes and practices can help reduce stress. A growing body of research is supporting the health benefits and stress fighting properties of meditation. Meditation has been shown to lower blood pressure and improve immune function. A recent study showed that regular meditation improved physical and emotional responses to stress. Participants who meditated regularly experienced less immune system activation and emotional distress in response to stressful situations.

Regular exercise is critical for coping with stress, as well as healthy diet and nutrition. Reducing caffeine and sugar intake can reduce spikes and crashes in mood and energy, which can help with stressful situations, in addition to promoting relaxation and better sleep. While alcohol, cigarettes, and drugs may provide a feeling of temporary relief, they interfere with addressing the underlying issues that contribute to stress in the first place, and may cause other health issues that contribute to stress. Sufficient sleep, 7-8 hours per night, is necessary to have sufficient energy to deal with stressful situations. Several mental, emotional, and behavioral changes in the way you cope with stress can help to alleviate it, such as avoiding stressful people, learning to say “no”, avoiding stressful conversation topics, reframing issues as opportunities for growth, organizing time management, and focusing on the positive. Try to shift your focus to changing stressful environmental factors that are in your control, and learning to cope with or avoid factors that can’t be controlled.

If stress is taking a significant toll on your wellbeing, and efforts to address it have not been effective, Rejuvalife offers a comprehensive stress management program, designed to diagnose and correct potential hormonal imbalances of DHEA and cortisol, and to manage aspects of diet, nutrition, fitness and lifestyle that may be contributing to stress. This allows stress to be taken off the adrenal glands, so they have a chance to recover and restore normal functioning. As cortisol contributes to the retention of abdominal fat, stress management may also play an integral role in a weight loss program. Rejuvalife operates on the principle that a person’s overall “looks” and external beauty are in large part a reflection of internal health and well being. If a person has poor internal health, of which stress can be a major contributing factor, this will show on their face, and their external beauty will be diminished. Stress management is therefore an integral part of a person’s anti-aging lifestyle and aesthetic enhancement regime.

Beat the High Cost of Traditional Liposuction

Liposuction has quickly become one of the most common procedures for fat removal and body sculpting, but the typical costs can make it too expensive for most to consider as a reasonable option. According the the American Society of Aesthetic Plastic Surgeons, the national average surgeon fee for liposuction in 2010 averaged $2,884. As you can see from the following chart from liposuction.com, the costs of traditional liposuction can be astronomical, even on the lower end of the price range.

A large part of the cost associated with traditional liposuction comes from the use of general anesthesia and the use of surgery. There can be additional costs for the use of surgical suites, supplies, testing, medication, and post-procedure treatments.

By cutting out the use of surgery and general anesthesia, Rejuvalife is able to offer the most affordable prices for our Advanced Liposuction procedures, including Liposculpture, Smartlipo™ and BodyJet™.  No matter what area on your body you choose, you will pay as little as $995 per area with our special deals.  With financing options available, patients can pay as little as $95 per month for their procedure.

The price isn’t the only difference between advanced and traditional liposuction. Our advanced, minimally-invasive, non-surgical procedures use only local anesthetic, and produce incredible results that are visible nearly instantly, without the risks, discomfort, or downtime associated with traditional liposuction and general anesthesia. There are no stitches, no unsightly scars, less bruising, and less swelling. Patients walk in and walk out just before and immediately after their procedures, and can resume their normal routine as soon as the next day.

If you would like to learn more about your advanced liposuction options, please visit our website or call (310)276-4494.

The Risks of Mid-Section Fat (Besides the Muffintop)

Let’s be honest. Most of us would love to lose an extra inch or two around our midsections. How nice it would be to fit into those jeans from college without having to suck in, or show off a slim, sexy body at the beach. But there may be an even more compelling reason to get rid of that stubborn belly fat once and for all. Research is now showing that fat specifically around the midsection or waist is a major risk factor for Type II Diabetes, Heart Disease, Hypertension, Stroke, some forms of cancer, and even Dementia. We all know that obesity can dramatically increases risk factors for these diseases and more, but excess belly fat may also be a warning sign for mildly overweight people, or even people of an otherwise healthy physique and appropriate weight.

Studies have shown that excess midsection fat is strongly associated with greater resistance to insulin.  In insulin resistant people, muscle, fat and liver cells do not use the insulin effectively, so the pancreas tries to compensate by producing more insulin. If the pancreas cannot keep up with the body’s need for insulin, excess levels of glucose will build up, leading to Diabetes. Insulin resistant people also have excessively high levels of insulin in their bloodstream, which leads to inflammation. Inflammation itself has recently gained attention as a direct cause of a staggering number of diseases and health conditions.

The obvious contributor to excess stomach fat is poor lifestyle choices. A diet consisting of high fat, high sugar, processed and otherwise nutritionally lacking food, combined with a lack of exercise, and excessive drinking will all help you pack on those pounds.

Research is supporting the idea that greater life stress may be the other major contributor to excess stomach fat. In particular, chronic stress that is associated with hopelessness, helplessness, or a feeling of defeat is associated with excess production of the stress hormone cortisol. When you have chronically high cortisol levels, the body craves carbohydrates and fats, and the extra calories tend to head right for the midsection. A recent study has also show that lean women in particular may be more prone to develop stomach fat in response to stress.

Another major factor for retaining midsection fat is change in hormonal balance, due to aging or as a result of other conditions. For women, changes in estrogen levels have a particularly strong impact on retaining stomach fat. As estrogen levels change with age, fat goes to the abdominals instead of to the hips and thighs, where it was previously needed for reproductive support.

Rejuvalife is here to help support the total health and wellbeing of our patients, and assist them in acheiving their health, weight loss and aesthetic goals. We offer comprehensive fitness and nutrition programs to promote overall healthy lifestyle, as well as medically supervised weight loss programs. Rejuvalife is on the cutting edge of non-surgical advanced liposuction procedures, to remove excess body fat in the abdominals and other problem areas directly. We also offer Hormone Replacement Therapy to return your hormonal levels to their optimal concentration and fight the effects of aging.

Diabetes Medication May Decrease BMI in Obese Teens

The obesity rate among children has tripled since 1960, with 32% of US children considered overweight or obese, and many of them suffering the same weight-related problems as adults: diabetes mellitus type 2, hypertension and cardiovascular disease.  In the February issue of Archives of Pediatrics & Adolescent Medicine, a report by Darrell M. Wilson, M.D., of Stanford University and the Lucile S. Packard Children’s Hospital, Stanford, Calif., along with colleagues in the Glaser Pediatric Research Network Obesity Study Group showed that teens given Metformin, a common pill given to type 2 diabetics, helped lower their BMI score. BMI is an indicator of body fat percentage—the lower your BMI the less risk you have for cardiovascular disease and other weight-related disorders.

The research group split 77 obese teenagers, ages 13 to 18, into two groups. Both groups were put on a “lifestyle intervention program” which included dietary changes and increased physical activity. One group received 2,000 mg of Metformin XR per day and the other group received a placebo. After 38 weeks, the kids receiving the Metformin XR showed a significantly lowered BMI than the teens receiving the placebo, even though all the teens were on the same diet and exercise plan. Unfortunately, once the drug was discontinued, the BMI in the teens previously taking Metformin again went up. This certainly lends credence to my long-held belief that Metformin can be an effective weight-management tool for some people.

In addition to helping with weight problems, Metformin works very similarly to Resveratrol and has significant anti-aging properties. Like Resveratrol, it helps regulate the Sirt-2 gene, helping protect DNA from damage, so it’s a very important product.

I think Metformin can be a helpful treatment for kids who are overweight. It will improve insulin resistance which will assist with weight loss, which is a great thing! Many of these overweight young kids have developed insulin resistance, so many of them do need this extra boost. Metformin can actually help some overweight teens avoid the development of type 2 diabetes, when used in conjunction with diet and exercise.

It’s not a magic pill, and you still need diet and exercise to get the best results, but this combination certainly shows promise.

Excess Body Fat = Thousands of Cancer Cases Annually

A shocking new study was published last week by researchers with the American Institute for Cancer Research,  that states more than 100,000 cases of cancer are caused annually by excess body-fat and obesity. The researchers studied seven cancers with known links to obesity along with actual case counts that were likely obesity-related.

From

The report says that 49 percent of endometrial cancers are caused by excess body fat. That number is followed by 35 percent of esophageal cancer cases; 28 percent of pancreatic cancer cases; 24 percent of kidney cancer cases; 21 percent of gallbladder cancer cases; 17 percent of breast cancer cases; and 9 percent of colorectal cancer cases.

“This is the first time that we’ve put real, quantifiable case numbers on obesity-related cancers,” said Glen Weldon, the American Institute for Cancer Research educational director. In addition, he said, it’s not just causing cancer that’s an issue.

“Obesity not only raises the risk for getting cancer,” Weldon said. “It also has a negative effect on survival and can make treatment more difficult.” (Link to full story)

The sheer magnitude of this is a bit overwhelming, and calling attention to the problem is certainly necessary. In addition to cancer, we know obesity-related health problems abound, including heart disease, diabetes, high blood pressure, strokes and various other maladies. As I’ve explained before, increased body fat can lead to increased cellular inflammation, which is linked to DNA mutation and diseased cell growth, as is seen in cancers and many other diseases.

Unfortunately, the study doesn’t propose any solution. While some would suggest simply losing the weight, or not gaining it at all, I can’t help but add “keeping your soup clean” – i.e. not just counting calories, but eating a nutritionally dense and healthy diet and adopting an active lifestyle are paramount to good health.

Thanks for reading,

Andre Berger, M.D.

Related recent posts from the archives:

• Obesity Shrinks Your Brain & Shortens Your Life
• Is Your Soup Clean? Questions & Answers about Diagnostic Testing
• This is Your Brain on Junk Food
• Food Choices Supersede Genetics

The Body-Jet is Here!

I talked recently about the newest procedure at Rejuvalife, and now that I’ve been performing the procedure for a few weeks, I’m even more excited that it’s available, and even more so that it’s here at Rejuvalife. Its safer, and more precise, with very little discomfort or downtime for the patient. It can be done in conjunction with other skin tightening treatments such as SmartLipo, though the skin is left in excellent condition post-procedure with Body-Jet alone! Also, we can use the extracted fat within minutes in a Fat Transfer treatment to restore volume to the face and/or hands, in desired.

I talk about the benefits and advantages of Body-Jet over other liposculpture methods in the video below, and there are some amazing before and after photos, too.

Thanks for reading, and if you have any questions, please leave a comment on the blog or give us a call – 800-REJUVMD.

Andre Berger, M.D.

Chewing Gum Can Assist Weight Loss

Chewing gum has benefits, after all!

Your mother or your teacher may have told you about the dire effects of chewing gum, “it’s bad for your teeth”, or “it’s an ugly habit”,  and it’s definitely no fun stepping on a piece someone’s dropped on the ground. Contrary to what they may have told you, however, recent research proves chewing gum can have real benefits for those on a weight management plan. According to a study conducted by a professor of nutrition at the University of Rhode Island, chewing gum can actually reduce caloric intake and increase energy expenditure. This is great news for those looking for an effective weight management tool.

Though it doesn’t count as “exercise“,  apparently the nerves involved in the act of chewing send signals to the area of the brain that determines whether you’re “full”.  Consequently you may not feel hungry, and your calorie consumption may go down as a result.

Kathleen Melanson, URI associate professor of nutrition and food sciences, compared gum chewing to non-gum chewing in healthy adult volunteers who came to her lab for two standardized tests in random order. When study subjects chewed gum for a total of one hour in the morning (three 20-minute gum-chewing sessions), they consumed 67 fewer calories at lunch and did not compensate by eating more later in the day. Male participants also reported feeling significantly less hungry after chewing gum. Melanson also found that when her subjects chewed gum before and after eating, they expended about 5 percent more energy than when they did not chew gum. In addition, her subjects reported feeling more energetic after chewing gum.

“This was a short term study, so the next step is to do a longer study and to use subjects who need to lose weight,” said Melanson. “But based on these initial results, one could hypothesize that gum chewing may be a useful adjunct to a weight management program.” (full story)

Chewing sugary gum won’t make your dentist very happy, however. 

The best alternative would be to find a sugarless gum sweetened with Xylitol, a natural sweetener that does double duty improving the health of your teeth. (Xylitol causes an increase in salivation. The saliva in your mouth is like a car wash: It washes the plaque and food off your teeth. But saliva also has antibodies, and by increasing those, you get a healthier mouth.)

Thanks for reading,

Andre Berger, M.D.

p.s. If you’re interested in what Rejuvalife has to offer for those looking for a medically managed weight loss program, view the video, below.

Related posts:

Keeping Your Soup Clean: Questions and Answers About Diagnostic Testing

Obesity Shrinks Your Brain & Shortens Your Life

Insulin Resistance Improved with Exercise

Weight Loss Improves Mood in Depressed Individuals

FDA Cracking Down on Misleading Nutrition Labels

Economy Affecting Waistlines Along with Wallets

Unhealthy food choices are more common because of the recession.

Everyone is feeling the effects of the economic recession. For many, value trumps health-conscious when it comes to food choices.  It’s sad, but true, that processed, frozen or “fast food” is less expensive than the healthier alternatives.  Whether you’re feeding yourself or an entire family, those frozen tv-dinners or the “value menu” at the burger joint can be pretty attractive, financially.

One of the consequences of this unfortunate situation, however, is that Americans are just getting fatter, and our risk for obesity related illnesses such as diabetes is rising.

From the Wall Street Journal:

“Approximately 20% of all meals prepared in our homes from 1990 to 2007 involved the use of a microwave,” says Mr. Balzer. But in 2008, microwave usage rose to 30%. NPD Group, which has been following the microwaving habits of American consumers for nearly two decades, attributes that gain to the troubled economy.

Not surprising, then, are the rising rates of obesity and diabetes. The obesity rate climbed more than one percentage point to 26.4% in September from a year earlier, according to the Gallup-Healthways Well-Being Index, a measure of U.S. health compiled by the Gallup research firm and wellness-program provider Healthways. (Full story)

In spite of the current economic situation, there are healthy choices you can make. Again from the WSJ.

Think ahead. Planning out your meals and snacks in advance forces you to think more about the types of foods you are eating.

Make a shopping list. Studies show that people who make shopping lists — and stick to them — are less likely to make impulsive purchases of things like candy, chips or a box of donuts.

Buy in bulk. Buying 32 ounces of yogurt can cost less than buying four eight-ounce containers. In some cases, the savings of buying in bulk versus the premium-preportioned packages can run upward of 50%, according to grocery-store price surveys.

Make it yourself. You can find a multitude of 10-minute recipes online that use healthy and affordable ingredients. And you can be both time- and budget-conscious by making a few larger meals early in the week and freezing smaller portions for later use.

Pack a lunch. Take leftovers for lunch and bring your own snacks to work. This will save you money and keep you from binging on vending-machine fare when hunger strikes.

Cut down on sugary drinks. Water is cheaper — and better for you. If you still crave some flavor, squeeze the juice of a lime or lemon into the water.

There is always an “easier way” when it comes to selecting nutritious food. The “grab-and-go” meal at the drive through, the bag of potato chips to “tide you over”,  these are reasonable choices if immediate value is the main concern.

However beneficial these savings are in the short-term, though, there are long-term physical and economic implications. As a nation we’re becoming less and less healthy, and the long-term financial impact will be felt individually and as a society long past the end of this recession. Something to think about…

Thanks for reading,

Andre Berger, M.D.

Related posts:

Keeping Your Soup Clean: Questions and Answers About Diagnostic Testing

Obesity Shrinks Your Brain & Shortens Your Life

Insulin Resistance Improved with Exercise

Weight Loss Improves Mood in Depressed Individuals

FDA Cracking Down on Misleading Nutrition Labels

Move Over BMI, Here Comes BCA

The Body Mass Index can't distinguish lean body mass from fat weight, therefore very muscular people have BMI scores of the morbidly obese. (image: How Things Work 2005)

Invented in the mid 19th century, the Body Mass Index, or BMI, is currently the most widely-used diagnostic tool for gauging whether a person is at a healthy weight, under or overweight, and is reached through a calculation of height and weight measurements.

A person’s BMI is a very simple indicator of a person’s “fatness” or “thinness” that when used as designed, allows doctors to more objectively discuss weight issues with their patients.  Using this calculation, doctors use an individual’s particular BMI to determine whether or not they need medical care for being over or underweight: a BMI of 18.5 to 25 usually indicates optimal weight, a BMI lower than 18.5 suggests the person is underweight, while a number above 25 may indicate the person is overweight; a BMI below 17.5 may indicate the person has anorexia nervosa or a related disorder; a number above 30 suggests the person is obese (over 40, morbidly obese).

There is some controversy over the accuracy of this measurement, as it can’t distinguish body fat from lean body mass,  therefore a very muscular person will weigh more, and therefore have a higher BMI, even though he/she may really be quite lean,  and many feel it is most appropriately used in the study of populations, not individuals, for that reason.

There is another method of measurement that, according to recent studies, is a more reliable indicator. Body Composition Analysis (BCA) measures four parameters of health.

The BCA for Weight Management helps us measure four parameters of health:
1. Body Hydration Status by measuring the cellular fluid.
2. Cell Health Status by measuring the lean body mass and fat mass.
3, Nutritional Status through the BIA meter.  (Bioelectrical Impedance Analyzer)
4. Longevity Status by calculating various indices.

From Medical News Today:

Recent studies using similar analysis suggest that up to 30% of obese people do not in fact require medical treatment. Widespread adoption of BCA could significantly improve the targeting of limited healthcare resources in the context of one of modern society’s global killers. Thanks to advances in imaging technology, variables – such as the body’s fat proportion, location and distribution and the size of fat cells and fat droplets within these cells – can now be factored into the health risk assessment.

Coupled with a better understanding of the interrelation between genes, environment, hormone levels and metabolism, BCA gives clinicians a clearer picture of the specific health risks to an individual.

In light of the growing evidence in favour of functional BCA, the authors conclude that “the definitions of both ‘overweight’ and ‘malnutrition’ should be reconsidered” by clinicians and researchers. Evidently, size does still matter but it’s what you do with it that really counts.

One way to ensure that you are at “optimal weight” regardless of how it’s measured is to…yep, stay active, eat a healthy diet, and keep your soup clean!

Thanks for reading,

Andre Berger, M.D.

p.s. Full disclosure – we have been using the BCA for Weight Management at Rejuvalife for quite some time. Give us a call if you’re interested in being measured!

Associated posts:

Keeping Your Soup Clean: Questions and Answers About Diagnostic Testing

Obesity Shrinks Your Brain & Shortens Your Life

Insulin Resistance Improved with Exercise

Weight Loss Improves Mood in Depressed Individuals

FDA Cracking Down on Misleading Nutrition Labels