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Sex is a workout, and other weight loss myths – CNN.com

Sep 28th, 2016
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Americans have known for 15 years that obesity is an epidemic; the surgeon general declared it so in 2001 (PDF). Despite intense efforts to prevent and treat obesity, however, studies published June 7 in the Journal of the American Medical Association showed that 35 percent of men, 40 percent of women, and 17 percent of children and adolescents are obese. Even more worrisome, the rates continue to rise among women and adolescents. In fact, experts predict that this generation of children may be the first in 200 years to have a shorter life expectancy than their parents, likely due to obesity.

So what is our society doing wrong? Clearly, what doctors and policy makers have been doing for the last 15 years to address this epidemic is not working.

You might be surprised to hear some of these myths:

Myth 1: Small changes in your diet or exercise will lead to large, long-term weight changes.

Unfortunately, this is not true. In weight loss, two plus two may only equal three instead of four. Small changes simply do not add up since physiologically, your body tries to stay the same weight. This doesn’t mean that making small healthy choices don’t matter, because even small things you do to stay healthy matter. It just means you are not likely to meet your weight loss goals by just taking one less bite. It’s likely going to take bigger changes in your diet and exercise.

Myth 2: Setting realistic goals when you are trying to lose weight is important because otherwise you will feel frustrated and lose less weight.

Myth 3: Losing a lot of weight fast doesn’t keep weight off as well as losing a few pounds slowly.

Finally, to our favorite one:

Myth 4: Having sex one time burns about as many calories as walking a mile.

As family physicians, we were curious to know if our own patients in clinic might believe in these myths. Maybe in the few short years since the NEJM paper was published, this information has permeated through popular media, and corrected itself. Everyone must know these basic facts about obesity, right?

To figure this out, we conducted a study of over 300 people in the waiting room of our diverse academic family medicine clinic. People who participated in our survey had an average age of 37, were mostly female (76 percent), had at least some college education (76 percent), and were a mix of non-Hispanic black (38 percent) and non-Hispanic white (47 percent).

The grand majority of people we surveyed still believed these myths (Myth 1: 85 percent, Myth 2: 94 percent, Myth 3: 85 percent, Myth 4: 61 percent)! Even more interestingly, there were no differences in what people believed across gender, age, or educational levels. These myths were pervasive.

How can we expect people to lose weight if most do not know the basics of weight loss? We didn’t need to go far before we realized that these myths are still found in popular media. In some cases, physicians themselves may fall victim to these myths.

The first step is to acknowledge that patients are likely influenced by the myths that are so easily found online and among the advice given by friends and family. This means patients must be particularly savvy consumers of health information and to seek out information from reputable sources. This also means that educating and empowering overweight patients is only one part of the solution. Informing those – friends, family, and also the media – who influence overweight patients is also important if we want to change the trajectory of obesity in the U.S.

If we don’t translate the research on obesity into practice, we cannot expect this problem to improve in our lifetime. We will only have a chance if we use what we know about weight loss and drop these myths.

Tammy Chang is an assistant professor of family medicine at the University of Michigan. Angie Wang is a resident in the Department of Family Medicine at the University of Michigan.

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Why Outdated Information Is To Blame For Weight Gain

Sep 26th, 2016
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The conventional dietary wisdom for the past quarter century has been eat less, move more, referring to reducing caloric intake and increasing exercise. But at the same time, weve seen obesity explode into the number one health problem facing Americans.

Only two logical explanations exist. The first possibility is that this dietary advice is good, but we are all too lazy or weak to follow it. Since obesity was relatively uncommon in the 1950s, this would mean that an entire generation of Americans individually, but simultaneously decided to let themselves go. This hardly seems plausible. The only remaining explanation is that this dietary advice was simply incorrect. The reason you couldnt lose weight was because youve been given the wrong information and focused on the wrong issue calories.

To understand how to lose weight, first you must understand how we gain weight. For too long, weve been told that it is simply a matter of excess calories. Therefore, the solution was simply to restrict the intake of calories and you would lose weight.

Sadly, this is not true. The medical evidence has been crystal clear for decades. Restricting calories does not lead to long-term weight loss. The enormous randomized study called The Womens Health Initiative involving almost 50,000 women combined caloric restriction with increased exercise. The expected weight loss was over 30 pounds per year. What was the actual weight loss? Not even a single pound over seven years!

But I dont need an expensive study to convince you. Almost every single one of us has tried a caloric-restriction diet. The failure rate is estimated at 99 percent, and that would be consistent with all our personal experiences. Caloric restriction simply does not work in the long term.

No, the reason we gain fat is not simply because of excess calories. All systems in our body are under tight neuro-hormonal control, and body weight is no different. Insulin is the main hormone involved, although there are others including cortisol, the stress hormone.

Once we understand that obesity is a hormonal, not a caloric imbalance, then we can adjust our diet to balance our hormones. This includes adjusting what we eat, but also when we eat. Reducing dietary sugars, and refined carbohydrates helps to reduce insulin levels, as does adding fiber, vinegar and fermented foods to the diet.

Just as important, but little discussed is the issue of meal timing. The average number of times Americans eat has increased from an average of three per day in 1977 to almost six in 2005. This is not a coincidence. By continually eating, we instruct our body to store incoming food energy as fat, and we do not allow time to digest and metabolize the food weve already eaten. By eliminating snacking and increasing the nighttime fasting period, we can lose weight by encouraging our bodies to use up the food weve already eaten.

The reason you havent been able to lose the weight is because youve followed the wrong advice eat less, move more. Sadly, nutritional authorities blame you for this failure instead of their own tired, sad, outdated information.

Dr. Jason Fung earned his medical degree at the University of Toronto, where he also completed his internal medicine residency before heading to the University of California, Los Angeles, for his fellowship in nephrology. He currently practices as a kidney specialist in Toronto. He is the chief of the department of medicine at Scarborough General Hospital. In addition to clinical medicine, he is also on the board of directors of Low Carb Diabetes Association and the scientific editor of the Journal of Insulin Resistance. He is the author of The Obesity Code and the forthcoming book The Complete Guide to Fasting. For more information go to http://www.intensivedietarymanagement.com.

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The Conundrum Of Sleep And Weight Loss: Is Too Much Sleep …

Sep 24th, 2016
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If you are trying to lose weight or dial in your health you probably know that getting “ample” or the typically recommended 7-9 hours of rest per night is partial key. Skimping on rest and sleeping less than 7 hours per night has long been associated with fat gain, muscle loss, inability to control appetite, resistance to weight loss, and an increased risk for a host of chronic diseases including metabolic syndrome, diabetes, and obesity. And, to make the issue of sleep and weight loss even a bit more tricky, we now know there’s more to it. Oversleeping, or sleeping for more than 9 hours per night, can be just as unhealthy and damaging to your sleep cycles and weight loss goals as not getting enough sleep.

In this article, you’re going to find out exactly why getting “ample” rest and not too much is so important for your overall health and weight loss goals and how you can bypass the conundrum with healthy sleep hygiene habits.

People who sleep too much often experience a disruption in the body’s natural 24 hour clock (the circadian rhythm) and because of this, various side effects take place as their bodies struggle to “sync up” with the correct time, leading to a host of health issues associated with oversleeping, including:

Blood sugar fluctuations Metabolic disorders Cognitive impairment Higher body weight Depression Increased inflammation Increased pain Impaired fertility Higher risk of obesity Higher risk of diabetes Higher risk of heart disease Higher risk of stroke Higher all-cause mortality

Most of the consequences do more than just decrease health; they also directly affect fat loss!

Poor blood sugar regulation: Glucose tolerance refers to your body’s ability to process sugars and “impaired glucose tolerance” is associated with insulin resistance (which you learned about in part 1 of this series) and is a risk factor for type 2 diabetes, metabolic syndrome, obesity, and heart disease.

A Canadian study investigated the lifestyle behaviors of 276 people for six years and found that people with long (and short) sleep cycles were more likely to develop impaired glucose tolerance and diabetes. Another and more recent review of diabetes and sleep duration found a statistically significant relationship between type 2 diabetes and lengthy sleep cycles.

Weight gain: Using the same data as the Canadian study mentioned above, researchers found an association between weight gain and excess sleep. Folks who were observed over a period of six years and who slept in excess of 9 hours per night actually gained more weight than “normal” sleepers and, were more likely to experience significant weight gain. As a matter of fact, people who consistently slept over nine hours per night were shown to be 21% more likely than normal sleepers to become over weight or obese!

Inflammation: Chronic inflammation is causally linked with an increased risk of many chronic diseases such as diabetes, heart disease and Alzheimer’s, and sleeping too little or sleeping too much contributes to the accumulation of bodily inflammation. Inflammation is measured by levels of cytokines called C-reactive proteins, or CRP. One study compared CRP levels and sleep length cycles among a large group of adults and found that over sleepers had elevated levels of cytokines. Elevated CRP was seen in Caucasians who slept less than five and more than nine hours, Hispanics who slept more than nine hours, African-Americans who slept less than five and more than eight hours, and Asians who slept more than nine hours.

Another study showed that female over sleepers had 44% higher CRP levels compared to women sleeping normal durations and yet another study showed that CRP levels increased by 8% for each additional hour of sleep beyond the recommended seven to eight hours per night, even when adjusting for factors like weight, height, gender, muscle mass, age, and sleep apnea.

So why do so many people feel the need to over sleep? Sometimes it can be due to and caused by depression, but it can also be caused by many readily prescribed drugs and medications considered to be “downers” such as Ambien or Valium. It is true, excess alcohol intake and obstructive sleep apnea, which is a condition that causes repeated and unhealthy punctuations in breathing during the night and requires extra sleep to feel rested in the morning, do cause folks to feel tired and lead to over sleeping There’s even a name for the medical condition of habitual oversleeping: hypersomnia, and it’s related to a great number of side effects, including anxiety, irritability, lack of energy, loss of appetite, loss of libido, and memory loss.

Of course, we must ask the question of whether oversleeping causes these types of unhealthy conditions, or whether certain illnesses cause oversleeping. To be quite frank, some studies indicate getting too much sleep may trigger certain problems, while other studies show oversleeping to be byproduct of co-occurring diseases or illness. This same research also reveals that the healthier a person is, the less rest they will need – while unhealthy people tend to need more sleep. The field of sleep science is still looking into the causal relationship between oversleeping and health, but until then, there are definitely several research-proven habits and steps that can promote better quality sleep and a healthy sleep duration – whether you’re an under sleeper or an over sleeper. These healthy sleep hygiene habits include:

1. Consider trying to stop taking any medication or supplement that causes excessive excitability or drowsiness, from caffeine to anti-histamines, experiment with stopping the medication or supplement or changing the timing of it.

2. Make it a daily point to get as much exposure to large amounts of natural light in the morning and limit exposure to artificial light and all forms of technology in the evening.

3. Try a natural light alarm clock, which can wake you with a progressive dose of natural light rather than an abrupt beeping alarm.

4.Do your best to establish a 7-day sleep schedule and stick to it. Oversleeping on the weekends can inhibit your ability to re-establish a normal sleep cycle on the weekdays.

5. Aim for a solid seven to nine hours of sleep a night and avoid lengthy naps, especially in the later afternoon or early evening, as these naps often lead to trouble falling asleep at night – resulting in restless slumber and the high probability of oversleeping. The same goes for excessive caffeine and blue light exposure close to bedtime.

These are just a few of the many healthy sleep behaviors you can put in to practice to limit under sleeping or oversleeping, so that your lack of or excess of Zzz’s don’t expand your waistline or keep you from losing fat.

For even more and advanced information on sleep, sleep cycles, and sleep hacking, check out my article on “How Sleep Cycles Work”.

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This Blogger’s Books and Other Items from…

Get-Fit Guy’s Guide to Achieving Your Ideal Body: A Workout Plan for Your Unique Shape (Quick & Dirty Tips)

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Virginia Weight and Wellness

Sep 23rd, 2016
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At Virginia Weight and Wellness, we provide concierge style medical care providing realistic, practical, sustainable, affordable care to promote long term weight reduction and improvement in metabolic health. Only by spending extensive time with you and getting to know you, can we fully evaluate the long term obstacles to help us provide long term solutions for your long term success.

We understand the many complicated factors that contribute to weight gain,we recognize the impact of weight on one’s health and well-being, and we truly appreciate how difficult it is to lose weight. We take the time to fully listen to you to understand your needs and work with you personally todevelop a plan ofaction that is customized and tailored specifically to you.

At Virginia Weight and Wellness,we use a combination ofnutrition, exercise, education, motivation, medication, accountability, and continuous, compassionate support to help you achieve your goals for successful long term weight loss and overall improved health and well-being.

We invite you to browse through our website to learn more about usand we hope that wemaybe able to serve you in the future.

Sincerely,

Dr. Jeffrey Sicat, Kelly Steiner, Erin Poston, Courtney Harden, Heather Sedwick, andthe Staff of VirginiaWeight and Wellness__________________________________________________

A Special Thanks to Our Patients forNominating & AwardingDr. Sicat to

The 2013 Best Bedside Manner Awards

“Medical expertise & compassionate care should always go hand-in-hand when it comes to treating patients. Going to the doctor can be an unnerving experience for many people. Professionals who incorporateThe Golden Rule into their practice philosophy are ones that stand out in peoples minds for the better.

The 2013 Best Bedside Manner Awards, presented by OurHealth magazine, honors medical providers who were voted by the local community for kindness, empathy, and attentiveness – attributes that go a long way in gaining a patient’s confidence.

The Voting Process: During May and June 2013, commercials announcing the 2013 Best Bedside Manner Awards and how to submit votes for medical providers across nearly 60 specialties, aired on OurHealths television media partners station, CBS 6, WTVR-TV. Print ads were also included in OurHealths May 2013 magazine. Votes were submitted by the public through an online submission form June 1st – July 15th 2013, during which time nearly 10,000 votes were cast.” — Our Health Magazine 12/13

Dr. Sicat is board certified in the both the field of medical weight loss by theAmerican Board of Obesity Medicine (ABOM) as well asEndocrinology, Diabetes, and Metabolism by the American Board of Internal Medicine Medical Specialties.

Dr. Sicat has a passion for teaching both patients and health care providers, whether one-on-one with his patients, to small groups,or to larger audiences.In addition to lecturing locally to businesses and organizations, he has been an invited speaker both regionally and nationally. Upcoming (or Recent) Regional and National Presentations where Dr. Sicat will be presenting to physicians: “American Board of Obesity Medicine Board Review Course- Physiology and Pathophysiology of Obesity” Invited presentation by the American Society of Bariatric Physicians (ASBP) / Obesity Medicine Association (OMA). San Francisco, CA. April 2016.

“Pathophysiology of Obesity – Part 1: Brain, Gut, and Adipocyte Hormones in Energy Regulation”Invited presentation by the American Society of Bariatric Physicians (ASBP) / Obesity Medicine Association (OMA). Washington, DC. October 2015.

“Pathophysiology of Obesity – Part 2: Microbiome, Sleep, Body Fat Distribution, and Diabetes”Invited presentation by the American Society of Bariatric Physicians (ASBP) / Obesity Medicine Association (OMA). Washington, DC. October 2015.

“American Board of Obesity Medicine (ABOM) Board Review Teaching”Invited presentation by the American Society of Bariatric Physicians (ASBP). Austin, Texas. October 2014.

Pharmacologic Management of Diabetes to Achieve Weight Loss and Medication Reduction Invited presentation by the American Board of Bariatric Medicine and the American Society of Bariatric Physicians (ASBP). Philadelphia, Pennsylvania.March 2014. Practical Approaches to Weight Loss with your Clinic Patients Invited presentation to Medicine Grand Rounds, McGuire Veterans Administration Medical Center (McGuire VAMC). Richmond, Virginia.January 2014.

Thyroid Disorders and Obesity: The Link Between Thyroid Function and Weight Gain Invited presentation by the American Board of Bariatric Medicine and the American Society of Bariatric Physicians (ASBP). Phoenix, Arizona.October 2013.

Endocrinology Overview for the American Board of Obesity Medicine Examination Invited presentation by the American Board of Bariatric Medicine and the American Society of Bariatric Physicians (ASBP). Phoenix, Arizona.October 2013. Endocrinology Overview for the American Board of Obesity Medicine Examination Invited presentation by the American Board of Bariatric Medicine and the American Society of Bariatric Physicians (ASBP). San Diego, California. April 2013. The Affect of Non-Diet and Non-Exercise in Weight Loss Invited presentation by the Bon Secours Medical Group / VCU Medical Center physician CME program. Richmond, Virginia. March 2013 What to do When Diet and Exercise Don’t Work! Invited presentation by the Virginia Chapter of the American College of Physicians (ACP). Richmond, Virginia. March 2013. Obesity Medical Treatment Course Invited presentations by the Obesity Medicine Association, a division of the American Society of Bariatric Physicians (ASBP), co-presenting a one day seminar on training physicians about weight loss medicine. Richmond, Virginia. March 2013.

Thyroid Disease and Obesity – The Chicken or the Egg? Invited presentation at Endocrinology Grand Rounds at Virginia Commonwealth University to VCU Medical Center Endocrinology Faculty, Fellows, and Staff. Richmond, Virginia. November 2012.

Endocrinology Overview for the American Board of Obesity Medicine Examination Invited presentation by the American Board of Bariatric Medicine and the American Society of Bariatric Physicians (ASBP). Orlando, Florida. October 2012.

Practical PCOS for the Medical Bariatrician: What to Know about PCO Invited presentation by the American Board of Bariatric Medicine and the American Society of Bariatric Physicians (ASBP). Denver, Colorado. April 2012.

Endocrinology Overview for the American Board of Obesity Medicine Examination Invited presentation by the American Board of Bariatric Medicine and the American Society of Bariatric Physicians (ASBP). Denver, Colorado.April 2012. Practical Strategies for Weight Loss in your Primary Care Office! Invited presentation by the Virginia Chapter of the American College of Physicians (ACP). Charlottesville, Virginia. March 2012.

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Zacharias Ganey Health Institute

Sep 23rd, 2016
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When I came to ZG, I was overweight with high blood sugar & cholesterol. Dr. Madge and her team helped me turn all of that around. I’ve lost 45lbs, lowered my cholesterol and blood sugar and now I have more energy than ever before. All I have to say is “There’s no place like ZG.” – Lora M. I just graduated from my ZG Class and have to admit: I am loving this! Not only have I lost 40lbs, but I’m feeling better than ever! My friends at work are starting to notice, but I tell them…It’s not a diet, it’s a healthy lifestyle change program which I know I can follow the rest of my life…a better life. – Ryland P. Nothing in the past has worked. I knew how I wanted to look and feel but couldn’t get motivated to do it. My family and I decided to start ZG…and I lost 35lbs in 11 weeks. The trainers are amazing, passionate, encouraging and are willing to help however they can. I have not felt this good in a long time…it’s awesome! The information, motivation and excitement I have gained by joining ZG is priceless. – Kali E.

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Wearable activity trackers may not boost weight loss | Fox News

Sep 21st, 2016
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For young adults on a long-term healthy diet and exercise program, tracking activity with a wearable device may not lead to additional weight loss, according to a new study.

Over 24 months, people who used wearable activity trackers lost 2.4 kilograms (5.29 pounds) less than a group on a similar program but using a website to track their progress.

“We should not simply tell everyone to go and buy an activity monitor and that it will help them to lose weight,” said lead author John M. Jakicic of the University of Pittsburgh department of health and physical activity.

“Moreover, we should not send the message that these wearable technologies do not help with weight loss – there were some in our study for whom it made a difference,” Jakicic told Reuters Health by email. “There is so much more that we need to learn about how these devices lead to behavior change.”

The researchers recruited 471 adults in Pittsburgh who were 18 to 35 years old and overweight to moderately obese. The whole group initially met for weekly sessions to monitor weight change and talk about diet and exercise strategies to lose weight. Over the following year and a half, groups met monthly and each participant also had monthly phone calls and weekly texts with counselors to prompt engagement in weight loss behaviors.

All participants had prescribed calorie intake goals and self-reported their intake either in diaries or on web-based platforms. They were also prescribed 100 to 300 minutes per week of moderate to vigorous exercise.

After six months, half of participants began monitoring their diet and physical activity using a website and the other half were provided with a BodyMedia Fit Core, a wearable activity tracker worn on the upper arm. The Fit Core tracks steps, hours slept and calories burned and costs about $100.

After two years, people in the wearable device group had lost an average of 3.5 kg (7.72 lb)compared to 5.9 kg (13 lb)in the group using web-based tracking only.

Both groups had improved their body composition, fitness, physical activity and diet, according to the report in JAMA.

This doesn’t mean that activity trackers “don’t work,” said Gary Miller of Wake Forest University Health and Exercise Department in Winston-Salem, North Carolina, who wasn’t involved in the study.

“The comparison group is really not the average person out there,” Miller told Reuters Health. “There are so many factors that affect weight loss, it’s difficult to say that these devices aren’t worthwhile or aren’t necessary for people just based on weight loss.”

Weight loss also isn’t the only endpoint that might change with a wearable device, he said.

“If (a wearable device) is what’s going to get you to exercise then I think it’s worthwhile, but if it’s going to be a fashion statement or something to talk about it’s not worthwhile,” he said.

“We know that monitoring activity behavior, and diet, is very important to weight management success, so making it easier to do that and in real-time should in theory improve success,” Jakicic said.

To manage your weight, you need to eat a sensible number of calories and aim to get 30 to 60 minutes per day of moderate-to-vigorous physical activity – similar to brisk walking in addition to as much other activity as you can get in your daily life, he said.

“If these wearable technologies help you to do that then that is perfect,” Jakicic said. “However, you need to use the technology in a way that can really help you.”

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MUSC Health Weight Management Center | Charleston SC

Sep 17th, 2016
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Are you one of the millions of Americans who struggle with their weight? If so, the MUSC Health Weight Management Center can help. In fact, weve been helping people in the Charleston area to manage their weight since 1974.

Extra weight is not a character flaw. It’s a complex problem that can impair your health and quality of life. Our specialists at the MUSC Health Weight Management Center understand the complexity of weight loss. A team of psychologists, physicians, dietitians, and exercise physiologists work together, using their diverse knowledge to help you reduce excess weight. MUSC is an academic medical center so patients benefit from the most current and safe weight management programs, medicines and advances through research.

We offer a full range of programs to serve the different needs of different people. However, all of our work with patients includes a strong emphasis on helping them to make the long-term lifestyle changes that are so important for success in the long run. We think of these changes as the ABCDS of lifestyle change:

Activity Changes Exercise is crucial to the long-term success of a weight loss program. The center helps you plan and maintain an exercise program.

Behavioral Changes The center helps you examine problematic eating behaviors and finds ways to change them.

Cognitive (Thinking) Changes The center helps you change the thought patterns that lead you to overeat or sabotage your own progress.

Dietary Changes Successful long-term weight loss should be based on a healthy diet. A registered dietitian helps you form an eating plan you can live with.

Support Systems The process of losing weight and growing accustomed to new ways of dealing with food can be difficult. The center provides you with the support you need through group and individual sessions.

We have a program to fit your weight management needs… whether you’ve got a little or a lot to lose! Learn about us and our programs by going through a self-guided virtual tour or read more about our programs and services by clicking a link below.

Take 5 minutes to complete our Program Matching Calculatorand itwill match you with the program/s that we believe would best suit your needs and preferences. This is a BRAND NEW tool that we have developed, which leverages the years of experience that our clinicians have in helping patients decide on the best programs for them.

And remember, you don’t need to live in the Charleston area to take advantage of our programs… we can help all South Carolinians reach their weight goals through our distance programs: Focus Carolina and Professional Home Weight Monitoring.

First Step is a 15-week lifestyle change program that offers weight loss assistance through individual weekly meetings with our Registered Dietitians, Exercise Physiologists, and Behavioral Specialists. It is appropriate for people of all weight ranges.

The Focus program is a 15-week lifestyle change program; we also include 3 additional follow-up visits at the end of the initial program, to further assist you withmanaging your weight on your own.This programis designed to induce larger initial weight losses than traditional lifestyle change programs (e.g., First Step).

Focus-23 and Focus-27 are simply extended versions of our Focus-15 program, which allow you to extend how long you follow the more structured, meal replacement-based phases of the program.

Our most popular Focus programs are now offered online in real-time so that anyone, anywhere in South Carolina or North Carolina can participate.

This 30-week program, designed for people who need to lose more than 50 pounds, combines medically supervised supplemented fasting with instructions in lifestyle change techniques to help you make the lifestyle changes necessary to maintain a healthier weight.

We monitor your weight, dietary intake, and activity, and all you have to do is step on your bathroom scale. We offer this service to anyone, whether you’re in one of our other programs or not.

We offer specific workplace programs with several employers in the area. We also offer individual weight management programs and research programs.

We also work with the following local employers to provide specialized programs for their employees:

Below is a listing of the MUSC Health Weight Management Center faculty and staff.

Registered Dietitians: Tonya F. Turner, MPH, RD, LD Laura Nance, MA, RD, CDE

Exercise Physiologists: David O. Sword, PT, DPT, CCS Ginny Leavitt, MEd

Research Staff: Suzanne Kuker, MA, CCRC Mary Harley, BS

See some of the results that our patients have had. These stories are not intended to portray all results as individual outcomes vary and depend in part on degree of program adherence. That being said, our patients generally do very well!

Note:Confidentiality is of the utmost importance to us at the MUSC Health Weight Management Center. Each patient listed on our website has granted us express permission to share their program results and pictures with our web page visitors.

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Weight Control Programs – Rapid Weight Loss Centers in …

Sep 17th, 2016
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Weightloss and Body Shaping

What is your goal?

What is your activity level?

Our Rapid Weight Loss Program will allow you to safely lose 10-30 lbs. per month while being closely followed in a medical environment. It will improve your overall health while reducing your risk of Diabetes, High Blood Pressure, Joint Disease and Heart Disease. In many cases, your Diabetes, High Blood Pressure and Joint Disease will disappear. You will live longer and healthier. It may certainly be the best thing you have ever done.

If you or someone you know is 35 lbs. or more overweight and want to get serious about losing 10-30 lbs. per month, call our office at (843) 536-1096 (Florence) or (843) 491-4050 (Myrtle Beach) to schedule a weight loss consultation and FREE Body Fat Analysis. At that point we can discuss our Rapid Weight Loss Program further. You certainly won’t regret it!

Here are just some of the features of this user friendly online system:

At last, you can say good-bye to those unwanted pounds and get the body you were meant to have with our physician supervised weight loss plans. Customized to our specific needs our Weight & Diet Control Programs featuring on online EZDietPlanner & Fitness Tracker, incorporates smart eating, exercise, and lifestyle changes for achieving and maintaining long term weight loss. No starving or working out 24/7! So, whether your goal is to redefine your physique or to just loose a couple of pounds, ask us which plan is right for a slimmer, sexier you.

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Testosterone Replacement Therapy For Young Men – Thumotic

Sep 12th, 2016
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If you havent yet started thinking about Testosterone Replacement Therapy, you will soon. In the near future, I predict an explosion of young North American men developing an interest in the use of anabolic steroids, and I plan to be among them.

But wait: Wont steroids kill you / turn you into an angry rape machine / shave years off your life / make your balls shrink / [insert whatever other horror stories youve heard] ?

To these questions, the answers range from No to Only if you use them like an idiot. The truth is that testosterone supplementation will have nothing but positive effects on a large number of men. For most others, artificial testosterone offers massive benefits with only minor risks. Even heavy and irresponsible use of anabolic steroids is probably safer than you think.

What are the benefits of higher testosterone levels? The list reads like a letter to Santa from every man, everywhere: More energy, more focus, more strength, more power, more dominance, better sex, more drive, less anxiety, better mood, more muscle, less fat. In short, you will shit diamonds and carve your name into them with the tip of your dick. Via Danger and Play, heres Andrew Sullivan talking about his experience with testosterone injections:

Within hours, and at most a day, I feel a deep surge of energy. It is less edgy than a double espresso, but just as powerful. My attention span shortens. In the two or three days after my shot, I find it harder to concentrate on writing and feel the need to exercise more. My wit is quicker, my mind faster, but my judgment is more impulsive. It is not unlike the kind of rush I get before talking in front of a large audience, or going on a first date, or getting on an airplane, but it suffuses me in a less abrupt and more consistent way. In a word, I feel braced. For what? It scarcely seems to matter.

And heres Victor Prides response to the question: How will you feel if you supplement with testosterone?

In a word: great. In two words: fucking great.

You can expect better recovery from intense exercise and less soreness. You can expect enhanced muscle growth. You can expect erections like when you were a teenager. You can expect to feel like a fucking man. As simple as that.

So thats what you have to gain from TRT: Basically everything you could ever conceivably want. The entire self-improvement blogosphere fitness, seduction, getting motivated could very easily be junked and replaced with a static page that reads: Get on TRT, bitch!

But what about the side effects!?!!?

Falling down and cracking your head is a potential side effect of showering. Nothing is perfectly safe. TRT is certainly not 100% safe always, everywhere, for every man, at every dose. I am not a doctor, I am not a licensed professional anything, and I dont even have any clean socks right now, so do not make any decisions purely on the basis of anything you read here. But in my amateur and anonymous opinion, TRT should be on the radar of every man with the means to procure it.

The rest of this post will break down the risk-reward profile of artificial testosterone supplementation for three separate classes of user: The Fixers, The Hackers, and The Abusers.

The Fixers

If you have low testosterone levels, you should book an appointment with your doctor to discuss Testosterone Replacement Therapy immediately. How do you know if youre deficient? From Victor Pride:

How do you know if you might have low testosterone?

If you are alive today you almost certainly have low levels.

If you experience muscle loss or inability to gain muscle.

If you experience fat gain.

If you are fatigued or have sleep problems.

If you have gynecomastia (aka bitch tits).

If you experience hot flashes.

If you have night sweats.

If you have low sex drive and weak erections.

If you are irritable.

If you are depressed.

If you experience hair loss.

If you have memory problems.

If you have low testosterone, its not because youre some freak or oddity. Something is causing testosterone levels in western men to plummet:

The average levels of the male hormone dropped by 1 percent a year, Dr. Thomas Travison and colleagues from the New England Research Institutes in Watertown, Massachusetts, found. This means that, for example, a 65-year-old man in 2002 would have testosterone levels 15 percent lower than those of a 65-year-old in 1987. This also means that a greater proportion of men in 2002 would have had below-normal testosterone levels than in 1987.

The entire population is shifting somewhat downward we think, Travison told Reuters Health. Were counting on other studies to confirm this.

Whats causing this? Obesity is a big culprit. Environmental factors like womens birth control and plastics also share some blame. Crappy diets, pesticides, less time outside, less saturated fats. The list goes on. And theres also my own pet theory: A subconscious, spiritual loss of life force among beaten down western men, resulting from the constant barrage of anti-male, anti-white, anti-strength sentiment that were all surrounded by on a daily basis. Whatever the cause, the result and the solution are the same. If you have low testosterone, you have a medical problem. Forget about safety. Low testosterone will kill you:

Studies published in the Journal of the American College of Cardiology, the journal Diabetes Care, the journal Heart and other major medical journals show that low testosterone levels not only lead to obesity, loss of muscle, weak bones and depression, but also increase the odds of heart disease, diabetes, Alzheimers and other major health problems.

In addition, low testosterone levels are correlated with decreased confidence, drive, ability to concentrate, and cognitive abilities.

If you are deficient, do what needs to be done to get yourself back up to normal, immediately. TRT for you is all benefit, no cost.

What constitutes a deficiency? Technically, anything above 348 ng/dl is in the normal range. But as The Art Of Manliness puts it:

Heres the problem.

That reference range consists of awidevariety of men who tested with LabCorp: 80-year-old men and 20-year-old men; obese men and super fit men; men with pituitary gland problems and men with glands that work like champs.

Sure, my 383 ng/dl was considered normal, but normal compared to whom? An 80-year-old man with Type 2 diabetes?

The fact that reference ranges dont break patients down by age or health status explains why a 30-year-old man can go to his doctor with the symptoms of low T, only to be told that his T levels are fine because theyre within the normal range. If youre 30 (or even 50), but have the same testosterone level as an 8o-year-old, diabetic man, your doc may say youre okay, but youre still not going to feel good. Plain and simple.

The average man between the age of 25-34 has 617 ng/dl. The average man under 25 has 697 ng/dl. So if you happen to have some silly cunt of a doctor who tells you that 340 is a perfectly fine level for a twenty-three year old man, do yourself a favour and find a new doctor.

Im going to try to raise my testosterone levels naturally first.

Heres a better idea. Cycle on TRT for a while, and get a taste of what a properly functioning young male body feels like. Then start chasing that feeling with weights, Vitamin D, fish oil, Brazil nuts and whatever else youve got in your arsenal.

I repeat, if your testosterone levels are below the high end of the normal range, there is basically no downside to responsible and medically supervised experimentation with testosterone replacement therapy. Follow the of advice of Victor Pride:

Go to the Doctor. Go to 5 Doctors if you have to. Fix the problem. You do not have to rot with age. You do not have to grow fatter by the year. You do not have to grow weaker by the year. You do not have to be shackled by the testosterone reducing environment. That is a choice you make. You can take your destiny into your very own hands.

Growing old naturally is the worst choice you could make. At 25 years old, or 27 years old, or 30 years old, or 35 years old it is time to get tested, checked and fixed. 35+ years old gentlemen should not walk to the Doctor, they should run. If you have low hormone levels, and most readers certainly do, the only side effects of TRT are positive.

The Doctor will check your levels and prescribe what is needed to you. The testosterone given to TRT patients is either a gel that you rub into your skin or an intramuscular injection. And if you are going without it, friend, you are suffering. Get to the Doctor and at the very least get checked. You will probably be surprised at how low your levels are.

Steroid Abuse

Irresponsible use of anabolic steroids is dangerous. Steroid abuse can cause high cholesterol, hypertension, liver damage, baldness, testicular atrophy, and lots of other fun stuff. Most distressing of all, steroids can result in an enlarged clitoris, which the medical community refers to as Scalzis Disease.

And yet, how many deaths have you heard attributed to steroid abuse? Given the medias general distaste for the biochemical origins of all that is male and masculine, you would expect any such case to be page one. Consider also how many men in their early twenties are complete fucking idiots, who will do literally anything to be the best in their chosen vocation of bodybuilding, athletics, or just being the biggest dude in the club.

But if jacked guys are not dropping like tachychardic flies in the parking lots of bodybuilding gyms and locker rooms on a daily basis, it must be because legitimate steroid abuse is not the most dangerous thing in the world. Yes, its terrible for your body. Maybe even as bad as eating a grain-filled USDA-approved diet, or getting blackout drunk three nights a week throughout college. But its not an instant death sentence.

The standard advice from the testosterone-tolerant community regarding mega doses of steroids is: Dont be an idiot. Use steroids responsibly. Its not worth risking your life to get that much bigger and stronger.

Personally, Im not interested in taking the amounts of steroids that carry real and severe health risks. That path is not for me.

But fuck it man. Its your body. Yes, huge doses might kill you. Lots of things might kill you. Many of them are worth it. Wingsuits, for example. If dying is the scariest thing in the world to you, curl up in bed and drink green tea all day. Do you want to risk your health for a shot at having the most impressive physique, the heaviest lifts, a chance at the show? I wont stand in your way.

But I will say this to the kids: Do your best to stay as safe as you can, at the level of intensity you choose to compete. Im not the guy to help you figure out how to do that, but Ill pass you some links at the end of this post that will give you a good starting point for your research.

The Hackers

Now we reach the really interesting case: A man, lets say hes twenty-eight. He looks and feels great, and his testosterone levels are very near the top of the normal range without any sort of artificial supplementation. He lifts heavy, eats clean, and his body is performing as well as it did when he was twenty-one. He supplements with Vitamin D, Zinc, Magnesium, fish oil, and ACV. His mind is clear. His body is strong.

And yet he wonders what else might be available, in this mortal coil?

I think I have a pretty good idea of what the benefits to TRT would be. As happy as I am with my present condition, I would look and feel much better.

And the negative side effects? Of a very limited and mild TRT regimen? They would be virtually non-existent. I would be on an aggressive cycle right now, if it wasnt for one concern: Im a firm believer in the idea that there is no such thing as a biological free lunch. Your body is a finely-tuned machine, optimized over millions of years of evolution. If additional testosterone is an unmitigated good, your body would just produce it. There must be some biological cost to high testosterone, if our bodies limit production despite the obvious survival and reproductive benefits.

And in fact, it does appear that high testosterone levels reduce total life expectancy, slightly.

a group of scientists and historians from South Korea delved into historical and demographic records concerning a unique group of eunuchs from Koreas Chosun Dynasty (1392-1910)

Thus, it appears that castration and removal of the male hormones helped these eunuchs live longer lives than their intact brethren, even though both groups had similar social and political power, as well as similar home lives

This is a compelling line of evidence linking to testosterone and other male hormones a lower life expectancy among men. Scientists do not completely understand why testosterone could have such an effect. There is evidence that testosterone interferes with the immune response, and it most certainly affects behavior.

But: Would you rather live until 75 with the mind and body of Arnold Schwarzenegger and Sylvester Stallone? Or make it to 80 as an androgynous tube of cookie dough from your mid-thirties onward?

Theres no right answer. I think its entirely reasonable for a man to visit a retirement home and conclude, fuck everything after sixty. Such a man could feel free to cruise and blast his way through middle age and beyond.

In my case though, Im a man who want to have a late family, and Im interested in seeing where this whole transhumanism thing goes. I would love to stand a good chance of seeing 80, 85, 90, and 100. Thus, my current plan is to tread lightly, and wait until my natural levels start to dip, before I start tinkering with my bodys sex hormones.

However, Im an open-minded fella. I invite you to move me from my position. Comments are open, and Ill be keeping an eye on this thread over at the Roosh V Forum. And to any readers still not convinced that hormone therapy is worth a look, Ill leave you with this photo of the 67-year old Sylvester Stallone.

Whatever he, Mark Sisson, Mel Gibson, and Arnold Schwarzenegger are doing I want to be doing. Fuck growing old gracefully. I am going to do whatever it takes to strike an optimal balance between prolonging my life and enhancing the quality thereof.

Links and Resources

As I said, I have never tried any hormone therapy. However, if youre feeling geared up, ready to jump headfirst into the deep end, and just want to click on something RIGHT NOW, I trust Victor Prides recommendation that the 100% legal Superdrol derivative, Super-DMZ is the real deal. [Update: Sadly its been pulled from Amazon. I refuse to replace that link with some random bullshit, so if you want to put some hair on your chest, read Fight Club and pop some Vitamin D.]

If you would prefer to do some research first (a character flaw, this womanly cowardice, from which your first dose of the good stuff will assuredly free you) Ive compiled a few resources below:

William Lewellyns Anabolics

Danger and Play, The He Hormone

Washington Blog, Boost Your Testosterone

Victor Pride, Why Your Testosterone Levels Are Lower Than You Think

You So Would, The Testosterone Saga

Good-Looking Loser, Get Juiced category

Art Of Manliness, Normal Testosterone Levels (part of a great series)

An interview of sorts with an IFBB pro on the real deal behind the scenes

A thread at the Roosh V Forum in which knowledge is dropped, fearful crossfit weenies are excoriated, and curious rookies such as myself are suffered their ignorance.

Read Next: The Definitive Guide To Nutrition For Men

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Testosterone Replacement Therapy For Young Men – Thumotic

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‘Harry Potter’ actor Timothy Spall unrecognizable after …

Sep 9th, 2016
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Wormtail is that you? British actor Timothy Spall stepped out at the Venice Film Festival on Wednesday looking entirely unrecognizable.

The”Harry Potter”star, who famously portrayed Peter Pettigrew in the films, looked trim and slim after his dramatic weight loss. Spall wore a navy suit with a pink and red printed tie on the red carpet.

MORE: Harry Potter’s Viktor Krum Looks Totally Different and It Will Blow Your Mind

His hair remained rumpled, but his slimmed-down face was entirely transformed.

Spall was attending the premiere of his upcoming film,”The Journey,” in which he plays Irish politician Ian Paisley.

The seasoned actor has been working hard to improve his health and eating habits for the last two years. The photo above features him at the Cannes Film Festival in 2014, and the only similarity is Spall’s tie.

MORE: J.K. Rowling To Release Three New ‘Harry Potter’ Books

“I was a glutton. I loved food. I still do. But I didn’t have a thing in my mind that told me when to stop eating,” the actor said in 2014.

Spall isn’t the first “Potter” star to transform after the series’ final film. Other standouts include Matthew Lewis (Neveille Longbottom), Stanislav Yanevski (Viktor Krum), and Afshan Azad (Padma Patil).

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‘Harry Potter’ actor Timothy Spall unrecognizable after …

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