Rejuvalife Vitality Institute
Beverly Hills CA

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