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Energetic but frustratingly lightweight slant on transgender experience – The List

Aug 11th, 2017
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Shows tackling transgender issues are all over the Fringe this year, and Testosterone from London-based Rhum and Clay takes a distinctively energetic slant on the subject. This is writer and lead actor Kit Redstone's story of a pivotal moment in his own transition to become a man. We're in a sweaty male gym locker-room, all benches and floor-to-ceiling mirrors, and it's Redstone's first time there. Unsure of the social conventions, he finds himself in an excruciating situation where he may have to reveal more than he wants to about his past life.

Testosterone is a bold, breezy dissection of what makes men men, told through convincingly delivered if rather stereotyped set-pieces a gunfight between swaggering cowboys; a powerful, preening mafia boss; even a drag disco diva that question or confirm male attributes. But if you're looking for something that shines fresh light on transgender experience, you'd be better off looking elsewhere.

This is a slickly delivered, entertaining show that bristles with energy, but it's frustratingly lightweight too, swerving sideways into yet another pop number or dance routine as soon as difficult or personal issues are approached. It feels as though Redstone is afraid to trust his audience to be interested in more challenging material when that's precisely what would have made the show more compelling. It's a diverting hour of theatre, to be sure, but rather a thin one too.

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Mo Farah conquers all on track but will leave complex legacy off it – The Guardian

Aug 11th, 2017
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Inside the London Stadium they have nothing but love for Mo Farah. On Saturday night Farah will race on the track there for the last time, in the 5,000m final, and whether he wins gold or not, the home fans will cheer every stride he takes. Here where every roar carries an echo of 2012 watching Farah run remains a straightforward pleasure, one people will pay a lot of money to experience. It is beyond the stadium walls that everything gets more complicated. Because out there not everyone is applauding. As Farah winds down his track career, his legacy and reputation have come to look as knotty and complicated as the tangled girders of the Orbit.

In 2014 the website Letsrun.com ran a doping perception poll. It was designed to show whether their readers perceived athletes to be clean or dirty. A lot of elite athletes (and their agents) hate Letsrun. It is the place where running junkies go to talk about the sport and its message boards are filled with anonymous commentators sharing scurrilous accusations and scuttlebutt. They are a cynical lot but then a lot of athletics fans are, because they have been lied to so many times by Ben Johnson, Marion Jones, Tim Montgomery and all the other athletes who were caught doping.

Farah was one of the athletes Letsrun asked people to vote on. Of the 5,584 people who did, 56% thought he was clean and 44% thought he was dirty. Compare that with the polls for the two other great long distance runners of the modern era, Haile Gebrselassie and Kenenisa Bekele. Gebrselassies split was 73% clean to 27% dirty and Bekeles 72% to 28%. Which does not mean Farah is doping, just that a lot of Letsruns readers think he is. And that is true in Britain too. Letsrun broke the results down by country. Among the 270 British voters, 64% thought Farah was clean, 36% did not.

Farah has never failed a drugs test, a fact he has repeated again and again. The trouble is, a lot of athletes who later admitted to doping used to say that too. Marion Jones passed 160 tests in a row (though she did eventually fail one, in 2006) and used that very argument when she sued Victor Conte for defamation because he said he had seen her take human growth hormone. They settled out of court. The IAAFs anti-doping programme was so flawed for so long that every competitor has been compromised. After Lance Armstrong a lot of sports fans feel that passing tests is not a defence that passes muster.

That is not Farahs fault but it is his problem. Because, hard as this is for his many fans to hear, his career invites scrutiny. To understand why, you need to go back a decade, to 2007. That year Farah set a personal best of 13min 7sec. That ranks, now, just within the thousand fastest times ever run. There is no hard rule about when a distance runner reaches his peak but a study of 72 elite 5,000m runners published in 2011 found the mean average age for the peak performance in that group was 24 years old, which is the age Farah was when he ran that PB.

At the world championships in Osaka that year Farah finished sixth in the 5,000m. At the world championships in Berlin in 2009 he finished seventh. By then he was 26. It is hard for an athlete to make a leap forward at that age but Farah did. In 2010, when he was 27, Farah lowered his PB by 9.6sec and then in 2011, when he was 28, he cut it again by another 4.83sec. He explained the biggest reason for the improvements was that he had spent his winters training in Kenya and Ethiopia. It was also said he had become a lot more disciplined in his training and more dedicated to his career.

By then Farah had also joined Nikes Oregon Project and started working under Alberto Salazar. I believe he can just make that half-per-cent difference to get close to a medal, Farah explained. Salazar did more than that. He turned Farah from the best distance runner in Britain into the best distance runner in the world. Farah won his first world championship title at Daegu in 2011, in the 5,000m. There was a lot of talk about the biomechanical changes Salazar had made to Farahs technique, especially for his last-lap sprints, and the advanced machinery Farah was now using in training: underwater treadmills, cryogenic chambers and the like.

There was less discussion of Salazars medical and supplementation programmes. The details of those started to come out only in 2015, when ProPublica and BBC Panorama published a joint investigation in which two whistleblowers accused Salazar of experimenting with doping aids and of giving athletes prescription medicines they did not need. Salazar and the Oregon Project are still under investigation by the Unites States Anti-Doping Agency. An interim report, leaked earlier this year, gave an insight into how Salazar seemed to have been pushing the boundaries of what may be considered ethically permissible.

Then in 2016 another coach, Jama Aden, was arrested in Spain. Police found the banned performance-enhancing drug EPO in the room of one of his athletes. Farah had worked with Aden when he first started training in Kenya and had also visited his training camp in Spain. Aden was described as an unofficial facilitator whose only job was to hold a stopwatch while Farah ran laps.

Hes not a close friend of mine, Farah said but in his autobiography, published in 2014, he had said he and Aden had known each other for years and there are several photos of the two of them together. The apparent inconsistencies were unsettling.

As the athletics analyst Ross Tucker argues: Ive seen people saying Farah cant escape the association but that his legacy would have been much stronger and healthier were it not for Salazar. However, I dont see how that argument even exists. This is a man who midway through his career was working with one of Great Britains best coaches, and whose ceiling appeared to be finals of major global championships and European success. Whatever has been achieved to earn the legacy [and by medals, it is the greatest track career ever] is the result of Salazar and the training camps and so forth. Tucker, a high-performance sports science consultant, is hosting the Inside Lane podcast for Runners World during these championships.

Aside from Farahs associations with Salazar and Aden, there are other disturbing details. In 2015 it emerged Farah had missed two drugs tests, one in 2010 and another in 2011, which happened, he explained, because he had not heard the testers ringing his doorbell. Earlier this year Farahs biological passport details were leaked to the press. They showed in 2015 Farahs results had been flagged as likely doping but that, in April 2016, they had been checked and flagged as normal with the last sample. Farahs spokesperson said any suggestion of misconduct is entirely false and seriously misleading. Mo Farah has been subject to many blood tests during his career and has never failed a single one.

It all adds up to a long list of hard questions. Farah says he is sick of answering them. Which is one reason why he made the curious decision to hire Freuds to help manage his PR. Farah has released a limited range of his blood test results for public scrutiny, he has reiterated he is committed to clean sport and, of course, he has passed every test he has ever taken. Aside from formally separating himself from Salazar, he must wonder what more he can do. Because in the past three years Farah has come under more scrutiny than any other athlete on the circuit and, at the end of it, he is still subject to suspicion. Loud as the sound will be when he runs on Saturday, listen harder, outside the stadium, and it may start to sound just a little thin.

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Is Skipping Breakfast the Answer to Your Brain Fog? – Observer

Aug 11th, 2017
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On average, your body takes about 4 to 5 hours to digest a meal. Skipping breakfast allows the body more time to cleanse itself. Unsplash/Brooke Lark

Intermittent fasting (IF)not eating for up to 16 hours at a time (usually breaking the fast around lunch)is trending in the wellness world today, with some experts believing IF can help you shed unwanted pounds as well as improve cognitive function. Weight loss makes sense, but could fasting really have an impact on your brain? Its possible. Lets take a deep dive intounderstanding what happens in your body, and how your systems work together, when your body consumes food.

When examining how IF can impact brain health, its important to understand what happens with that critical organ during the digestive process. Because your brain is the main communication center for your body, a key element to note in this relationship is how your brain works to produce hormones.

Your endocrine system is responsible for hormonal production and balance, which helps your body to grow and develop. However, the initial communication for hormonal regulation is triggered by your brain. Your hypothalamus, more easily referred to as the control center, scans your hormone levels multiple times per day. The hypothalamus is in constant communication with your pituitary gland to stimulate hormone production from either the adrenal, thyroid or parathyroid glands.

Your thyroid is responsible for many crucial functions in your body as well; it regulates body temperature, heart rate, growth, and metabolism, to name just a few. Your metabolism (or your bodys ability to break down food and convert it into energy) is crucial for survival. Your thyroid produces two types of hormone to regulate system function: T3 and T4 (one active, one inactive). They help to directly regulate your metabolism. These are constantly in flux due to the signals your brain is communicating. Your thyroid works in a feedback loop with your brain to keep your metabolism running smoothly.

However, consuming excessive amounts of food, particularly of the sugary and starchy variety (which will elevate your blood sugar rapidly) or processed foods (which your body has a hard time recognizing as immediate fuel), can all impact that feedback loop, thus causing your brain and your thyroid to become sluggish. This leads to a slowing of your metabolism; what that means, is weight gain.

Keeping all of that in mind, its important to explore ways that we can keep our brain fresh, healthy and not over-burdened with unnecessary duties so that we can think clearly, respond quickly, and live a healthy, happy life. This is how intermittent fasting can produce incredible, brain-boosting benefits to your cognitive health.

So how does IF help? When food is consumed, excess fuel that isnt immediately used by your body is stored by the hormone insulin in the form of glucose, which is typically released when there is excess sugar in your bloodstream. Sensitivity to insulin can decrease over time if you continue to overeatespecially excessive amounts of sugar. Excess glucose that is unable to be stored by your cells winds up getting stored as fat in your muscle and tissues.

The IF technique can be done in a variety of ways, butas mentioned earlierthe theory is that you go for prolonged periods of time between meals (hence, the term fasting). Periods of fasting can last anywhere from 12 hours (typically the average time between dinner at night and breakfast the next morning), 16 hour fasts (between dinner and lunch the next day is common), or going a full 24 hours in between meals. The latter method is recommended by some doctors who believeintermittent fasting is a beneficial seasonal exercise, detoxifying the body from the previous season and getting it ready for the new equinox.

It should be emphasized that when you are going through a period of abstaining from food, it is strongly encouraged by wellness professionals to drink plenty of water and get plenty of rest, so that your body can do the work it needs to do to detoxify, repair and recover.

On average, your body takes about 4 to 5 hours to digest a meal. Your body will use that digested food as immediate energy, burning it as the first line of energy defense. However, its during the hours that follow that your body will begin to dip into its stored glycogen. This is also call your fuel reserve, and its typically fat stored in your muscles and tissues.

Thus, a short-term effect of intermittent fasting is that stored fuel gets depleted and so a rapid loss of fat is a common result. People will often see instant results with fasting, like initial weight loss, a feeling of lightness, and relief of bloating, constipation, and other digestive issues. But in addition, there are also incredible cognitive benefits to undergoing periods of IF. Because your body is not introducing new food during a period of fasting, it goes through a period of recovery. During this time it will work to eliminate inflammation and repair the areas where it occurred. Inflammation has been proven to be the precursor of many debilitating diseasesincluding heart disease, cancer, diabetes, and autoimmune diseases. Most recently, it has been correlated with the occurrence of Alzheimers.

Fasting for more than six hours allows your body to go into the cleansing phase, cleaning up damaged cells, recycling waste products produced by damaged cells, and repairing and strengthening the remaining ones to improve your state of health. These types of genetic repairs are stimulated by the release of human growth hormone (HGH). HGH works to strengthen and improve the function of your bodys muscles, organs and internal systems.Research also suggest that HGH helps thebrain with neural processing and synaptic functioning, stimulating your brains memory and efficiency of thought processing.Studies from the Intermountain Medical Center Heart Institutehave shown that men who fasted for 24 hours had a 2,000 percent increase in circulating HGH, and women had a 1,300 percent increase.

Fasting, of course, may not be for everyone (especially those with serious health conditions) but if youre fit, healthy, and interested in the process, it is absolutely worth experimenting with on your own or with the support of a practitioner. This technique could be the key to resolving both your mental struggles, and your weight loss woes.

Jamie Forward is a Holistic Health Coach based in the Jersey City/ NYC area. She works with clients to help educate them on functional nutrition, and behavioral/psychological hacks for a healthy, happy life. Jamie holds an educational background in Psychology, and is a graduate of the Institute for Integrative Nutrition. She is continuing her studies in Womens Hormonal Health, and is also a classically trained dancer and dance fitness instructor in the Greater NYC area.

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Are gastric balloons safe? After several deaths, the FDA isn’t sure – Metro US

Aug 11th, 2017
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Gastric balloons are quickly becoming the go-to option for people who want to lose weight but dont want surgery. However, its not an easy fix and some patients have experienced dangerous and even deadly results.

On Thursday, the U.S. Food and Drug Administration (FDA) issued an alert about the devices after five people died less than a month after the balloons were placed in their stomachs. Four of the deaths were attributed to two manufacturers: the Orbera Intragastric Balloon System, manufactured by Apollo Endo Surgery, and one report involves the ReShape Integrated Dual Balloon System, manufactured by ReShape Medical Inc.

The Agency has also received two additional reports of deaths in the same time period related to potential complications associated with balloon treatment (one gastric perforation with the Orbera Intragastric Balloon System and one esophageal perforation with the ReShape Integrated Dual Balloon System), the FDA wrote in a press release.

Gastric balloons are billed as an option for people 30 to 100 pounds overweight who dont want to undergo more invasive surgical options, like a vertical sleeve gastrectomy, gastric bypass or the Lap-Band. Basically, the balloon is there to decrease the amount of food the stomach can hold and help patients feel fuller sooner, leading them to eat less and lose weight.

Placement of a gastric balloon is an outpatient procedure with no sedation patients simply swallow a pill and doctors then use a micro-catheter to inflate the balloon with gas or saline until its about the size of an orange. The balloons are removed after about six months and keeping up with any weight loss is up to the patient, though some doctors provide additional nutrition assistance afterward.

I have literally been on a diet since I was 13 years old, gastric balloon patient Virginia Trice told People in 2015 of why she opted to get a balloon placed. Ive tried every fad diet out there but Ive never been able to keep weight off until now.

She lost 70 pounds and kept it off because the balloon trained her to eat less. Thats not common, according to one gastric balloon manufacturer.

It is important for you to understand that the balloon is a tool to aid weight loss and must be used in conjunction with diet, exercise, and a behavior modification program, the Orbera company wrote on its website. The amount of weight you lose and maintain will depend on how closely you follow your diet and adopt long-term lifestyle changes.

The company said patients who participated in a clinical trial lost over three times the amount of weight of people who only dieted and exercised, with an average loss of 21.8 pounds.

The FDA is careful to say that they cant yet directly attribute the patient deaths to their gastric balloons.

At this time, we do not know the root cause or incidence rate of patient death, nor have we been able to definitively attribute the deaths to the devices or the insertion procedures for these devices (e.g., gastric and esophageal perforation, or intestinal obstruction), the agency wrote.

The FDA continues to work with Apollo Endo-Surgery and ReShape Medical Inc. to better understand the issue of unanticipated death, and to monitor the potential complications of acute pancreatitis and spontaneous over-inflation, they continued.

However, Dr. Shawn Garber, director of the New York Bariatric Group, told People that side effects are minimal for most patients.

The first few days people have pretty severe nausea and vomiting, and maybe a little bit of abdominal pain from spasms of the stomach, he told the magazine. But after three days, most patients are feeling fine.

Though gastric balloons are FDA-approved, they havent been studied for long-term effects, so its probably best to skip it if the agencys advisory scares you.

Additionally, as part of the ongoing, FDA-mandated post-approval studies for these devices, we will obtain more information to help assess the continued safety and effectiveness of these approved medical devices, the FDA added.

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I Had A Baby After Having Weight Loss Surgery – Prevention.com

Aug 11th, 2017
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Then, six months later, I found out I was pregnant.

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I hadn't intended to get pregnant. I already had two children at the timemy oldest was almost 5, and my youngest was almost 3and I was on the mini pill. It's true that the mini pill, statistically speaking, is only so effective, but most other contraceptives weren't an option. (I'd previously had trouble with IUDs staying put, and Depo-Provera can cause weight gain. I also get weird migraines, so I can't take regular birth control pills.) The mini pill had worked for me the past, so I thought it would again. Obviously, it didn't.

MORE: 10 Non-Hormonal Birth Control Methods

While many women have successful pregnancies after bariatric surgery, doctors usually advise waiting at least 18 months after surgery before you conceive. In the beginning, your body is in rapid weight-loss mode, and that was certainly the case for me. By the time I took a positive pregnancy test, I'd lost 100 pounds. (Check out 12 habits of women who have lost 100 pounds and kept it off.)

Here I grow againAfter the initial shock wore off, I started to get pretty scared. Would I lose the baby due to malnutrition or issues with caloric intake? After bariatric surgery, your daily calorie intake is highly restricted: I was only eating 500-600 calories a day. While some people imagine that it's hard to eat so little, after weight loss surgery it's actually difficult to eat that much. My appetite had plummeted, plus it's hard from a mental standpoint since you know that you're supposed to be losing weight.

After I got pregnant, eating was even more challenging. During the first trimester everything made me want to throw up, plus I was also dealing with something gastric bypass patients call the "foamies." It's like the acid that sometimes comes before you throw up, but it just continues to kind of foam in the back of your throat, sometimes for 30-40 minutes, with no throwing up.

MORE: The 10 Most Painful Conditions

My OB had me immediately start seeing a nutritionist once a month who was familiar with bariatric surgery and pregnancy, just to make sure that I was getting enough to sustain a healthy pregnancy. Since I could only eat a very small quantity of food at a time, she had me add some foods to my diet that were very dense in calories, like heavy cream, coconut oil, and butter. (Here are5 healthy fats you should eat more of.) By the time I was 18 weeks I had lost about another 12 pounds, but once I got the hang of eating what I needed for the baby, my weight stabilized.

While most women are advised to gain about 25 pounds during pregnancy, my doctor said I should try to avoid gaining or losing at this time. I managed to do thattoward the end of my pregnancy I regained the 12 pounds that I lost early on, but nothing more. But my body did change shape, which was emotionally challenging: As I watched it happen, I remember thinking, "Well, this isn't the direction I wanted my stomach to go."

But there were also positives. During my last pregnancy I was close to 300 pounds, so I never had that cute pregnant look. This time around, I had that perfect little baby bump. I even decided to get maternity photos taken, which is something I never considered with my first two. Back then, I didn't feel "pregnant pretty;" I think everyone just assumed I was extra fat.

Prenatal care(ful)From a medical standpoint, most of my prenatal care ended up being pretty standard. I did meet with a perinatologist in the beginning, just to have baseline information on the pregnancy in case something came up later. It never did, so I kept having regular OB visits.

One notable change was that my blood sugar had to be monitored in a different way. During my other pregnancies I had the typical oral glucose tolerance test, which involves drinking 50 grams of sugar in five minutes. But after bariatric surgery, an influx of sugar (or fat) into your digestive system causes dumping syndromea condition that causes your bowels to get rid of everything in them very quickly. You get sweaty, your heart races, you feel dizzy, and your stomach crampsits horrible and painful. You just want to lie down and die.

This is your body on sugar:

To avoid that, my OB skipped the glucose tolerance test and instead gave me an A1C blood test, which doesn't involve drinking any sugar. Then she rechecked it at 26 weeks and also had me do a fasting glucose test.

Birth day and beyondI have very fast deliveriesmy first two kids came very quickly, and my third was exactly the same. My delivery was very normal. No complications at all. A lot of people are concerned that you can't nurse after you've had gastric bypass because you wont be able to consume enough calories to produce milk, but that's the furthest thing from the truth. If you've been able to eat enough calories to sustain a healthy pregnancy, continue to eat that way and you should be able to nurse. My son is actually still nursing at 19 months old. (This is what a perfect day of healthy eating looks like.)

A lot of pregnant women, even those who haven't had bariatric surgery, use the "Well, I'm pregnant, I can eat whatever I want" excuse. But bad eating habits are really hard to break after pregnancy. For me it was no different, and I had to retrain myself and start being extra cautious about what I eat again.

It isn't always easy, but I'm adjusting to life as a mom of three and I'm glad that I put in the work to protect my health. I'm now about 150 pounds lighter than I was pre-surgery, and I feel great.

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I Had A Baby After Having Weight Loss Surgery - Prevention.com

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Weight loss: Simple diet tip claims you should cut THIS food you eat daily from your plan – Express.co.uk

Aug 11th, 2017
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A weight loss study, published on July 17, from the Canadian Medical Association Journal found that one ingredient many Britons eat every day could be making them fat.

The report found artificial sweeteners may be associated with long-term weight gain and increased risk of obesity.

And not only will they scupper your weight loss aspirations, they can also increase your risk of diabetes, high blood pressure and heart disease, according to the new study.

Cutting foods high in these artificial sweeteners such as aspartame, neotame, saccharin and sucralose is one simply way to keep off the pounds.

Britons should be careful of the foods they consume in terms of sweeteners, as its not just the obvious fizzy drinks and sweets that have them.

Researchers from George Washington University found three-quarters of packaged foods have artificial sweeteners inside.

They include ketchup, whole-wheat bread, greek yoghurt, cereal and sugar-free chewing gum.

So make sure you thoroughly read packets to stay away from the artificial sweeteners.

The NHS said: Artificial sweeteners are low-calorie or calorie-free chemical substances that are used instead of sugar to sweeten foods and drinks.

They are found in thousands of products, from drinks, desserts and ready meals, to cakes, chewing gum and toothpaste.

However, the new research indicates that artificial sweeteners may have negative effects on metabolism, gut bacteria and appetite.

Author Dr. Ryan Zarychanski said: "We found that data from clinical trials do not clearly support the intended benefits of artificial sweeteners for weight management."

Dr. Meghan Azad added: "Given the widespread and increasing use of artificial sweeteners, and the current epidemic of obesity and related diseases, more research is needed to determine the long-term risks and benefits of these products.

Now scientists have claimed that maintaining a low calorie diet is crucial to staying young after studying how the human body clock changes with age.

The research team believes that avoiding high calorie foods makes the metabolism perform like that of a younger person.

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Weight loss: Simple diet tip claims you should cut THIS food you eat daily from your plan - Express.co.uk

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Clinics in South Carolina | Weight Loss South Carolina …

Aug 11th, 2017
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Stay healthy and youthful

Dr A. Randall Moss MD,PA,FAARFM

Dr. A. Randall Moss is nationally renowned Physician, Scientist, and an Author. Hes unique vision and advanced clinical skills provide expert care for patients throughout the Carolinas. Our main goal is, to get you looking your best and feeling healthy. We implement state of the art therapies, along with highly experienced and trained physician to help you stay healthy and youthful.

Carolina Slender Center and Anti-Aging Clinic offers individualized medical care consistent of evidence-based medicine, along with conventional and natural therapies. Our large range of services such as, Natural Hormone Restoration, Nutritional Restoration, Detoxification, Chelation, Weight Loss, Aesthetics, organic anti aging skin care and cosmetic surgery in South Carolina are designed to help our patients maintain healthy, and disease free life.

Patient Quality CareDr. Moss and our medical team first and foremost focus on individualized and quality patient care. Medical history is completely confidential by applying strict HIPPA regulations. Dr. Moss has served thousands of patients throughout the state for many decades and his integrity and medical skills have earned him the highest respect throughout the communities he serves. You can be confident that that you will receive the best possible services and care.

Contact us to learn more about how we can help you to achieve your goals

Afiliation and memberships:

Fill out this short form and we will get back to you as soon as possible with a reply. Thank you.

Dr. Alfred Randall Moss is both a physician and pharmacist, who developed this patient friendly weight loss and weight management program.

The Midlands of SC Ph: 803.732.8622

The Upstate of SC Ph: (864) 489 1446

Other Locations

COLUMBIA 803.732.86226963 St Andrews Road Irmo/Columbia SC

GAFFNEY 864.489.1446101 Suit B Professional Park Gaffney, SC 29340

SPARTANBURG 864.489.1446945 East Main St. Spartanburg, SC 29302

NEWBERRY OFFICE 803 321 90051321 Hunt Street Newberry SC

E-mail Contacttrish@cscantiagingclinic.com

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Five People Die After Using Weight Loss Balloons for Obesity – TIME

Aug 11th, 2017
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Federal officials are warning health providers about weight loss balloon devices after five people died unexpectedly shortly after being treated with them.

The U.S. Food and Drug Administration (FDA) released a report that since 2016, five people died after using liquid-filled balloon weight loss system intended to treat obesity. In the procedures, patients are mildly sedated as a deflated balloon made of silicone is inserted through the throat and into the stomach, after which it's filled with saline to take up space in the stomach. The balloon is designed to remain in place for several months. Four of the deaths occurred after patients used the Orbera Intragastric Balloon System, manufactured by Apollo Endo Surgery, and one took place after a patient used the ReShape Integrated Dual Balloon System, which is made by ReShape Medical Inc.

MORE: I Swallowed a Balloon For Weight Loss and Lost 40 Lbs.

In each case, the person who received the weight loss balloon died within a month or less of having the balloon placed. In three cases, the person died one to three days afterward.

"At this time, we do not know the root cause or incidence rate of patient death, nor have we been able to definitively attribute the deaths to the devices or the insertion procedures for these devices," the FDA writes, adding that it is looking into two other deaths.

The alert from the FDA does not mean that the agency has definitively proven that the balloons caused the deaths, but that they are looking into it. The agency recommends that doctors closely monitor patients who are using these devices.

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6 Myths About Carbs That Are Preventing You From Losing Weight – NBCNews.com

Aug 11th, 2017
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Let our news meet your inbox.

The minute a beach vacation, a high school reunion or a friends wedding pops up on the calendar, we immediately wage war on carbohydrates.

No bagels

No pasta.

Definitely no potatoes.

But is banishing carbs really the best plan of attack to slim down, tone up and feel your best? Not to mention, where do carbs come into play when it comes to our overall health? And why have they become the scapegoat for our muffin top?

People love to say things like I am on a low-carb diet or I'm not eating carbs right now. Typically, they're referring to pasta and bread, but what many don't know is that dairy, fruit and vegetables have naturally occurring carbohydrates! says Courtney Ferreira, RD, owner of Real Food Court nutrition consulting. If you are eating broccoli, you are eating carbs.

So before you ban every carbohydrate from the menu know the facts.

Carbohydrates are a actually a macronutrient (along with protein and fat) and they play a very vital role to your overall health, productivity and yes, your weight-loss success.

Its really important for people to understand that the bodys preferred source of fuel for most everyday activity is carbohydrate. And your brain and red blood cells rely on carbohydrate almost exclusively for fuel, says Susan Bowerman, MS, RD, CSSD, director of Worldwide Nutrition Education and Training at Herbalife Nutrition. So following a very low-carbohydrate diet can really shortchange your physical and mental performance; you cut down (or out) so many healthy foods and that limits your intake of many important vitamins, minerals, phytonutrients and fiber that are critically important to good health.

The Dietary Guidelines for Americans recommend that 45 to 65 percent of the calories we eat come from carbs. Since it makes up such a large chunk of our diet, it's worth it to school yourself on the myths that are misinforming how you consume this important nutrient.

Fact: Yes but it would also mean nixing fruits, vegetables and whole grains

Yes, that plate of steamed veggies you ate for lunch contained carbs.

Carbohydrates vary widely in terms of their nutrient density, so everything from a green bean, which is a good source of fiber, protein [and other vitamins and minerals] to a slice of white bread, which does not offer much other than carbohydrates, is considered a carbohydrate, says Pegah Jalali, MS, RD, CDN, an NYC-based pediatric dietitian.

Instead of saying, I can't eat that, ask, what is a source of carbs that will provide me with more nutrition?

Instead of saying, I can't eat that, ask, what is a source of carbs that will provide me with more nutrition?

She recommends that people move away from the obsession with banning all carbs and focus on the types of food theyre eating. If you are eating mostly fruits and vegetables, then it is fine if your diet is high in carbohydrates, says Jalali. On the flip side, if your diet is high in carbohydrates, but you are eating mostly processed foods like packaged breads, cookies and chips then that is a completely different diet.

Ferreira advises her clients to think about the different foods that contain carbohydrates on a spectrum. On one side are the foods you can eat in unlimited quantities nutrient-dense, fiber-rich and whole-food carb sources like green veggies and fruit. Towards the middle are nutrient-dense, but also carbohydrate-dense, foods such as white potatoes, that should be balanced out with those at the eat as much as you can end, she says. On the other end of the spectrum are foods like breads and pasta. "While these still have a place in the diet, they require balancing out in order to create a diet that provides nutrients we need," says Ferreira "I really urge people to start looking at carbs in this new way. Instead of saying, I can't eat that, [ask] what is a source of carbs that will provide me with more nutrition?

Fact: There are simple and complex carbohydrates

The main reason [carbs get a bad rap] is that when people think carbs they think starch, like white rice, pasta, potatoes or white bread, says Bowerman. While many refined carbs dont offer up much nutritionally, there are lots of good carbs healthy foods that provide carbohydrates your body absolutely needs every day to function properly.

In actuality there are three types of carbohydrates: fiber, sugar and starch. Where things get confusing is when we look at specific foods, which can contain different types of carbohydrates. They can either be labeled simple or complex based on their chemical makeup. Complex carbs contain a complex chain of sugars as well as some fiber, protein and/or healthy fats, vitamins and minerals, says Rebecca Lewis, registered dietitian at HelloFresh. The presence of fiber, protein and fats is important because it slows digestion, prevents a spike in our blood-sugar levels, and helps us to feel full and satisfied for longer (i.e. curbs cravings).

Thats why carbohydrate-containing foods like starchy vegetables, legumes and whole grains are included in many healthy diet plans.

Follow the 10:1 rule: Choose foods where for every 10 grams of carbs, there is 1 gram of fiber.

Follow the 10:1 rule: Choose foods where for every 10 grams of carbs, there is 1 gram of fiber.

The simple carbs, often found in processed foods and drinks, are easier for the body to break down, meaning they dont keep you full as long and can lead to erratic blood sugar levels.

Thats not to say that simple carbs are always bad for us.

Simple carbohydrates are found in fruits, veggies and dairy all of which are healthy choices as they also contain good stuff like vitamins, minerals, and fiber, says Lewis. However, simple carbs are also found in less healthy foods like refined grains, processed snacks, sweets, soda and juice, which lack extra nutrients. These foods are very quickly digested, which can cause swings in our blood sugar levels and often leave us hungry for more.

The trick is to look for foods that have a more robust nutritional profile. That apple may have simple carbs, but it also contains a hefty dose of fiber to slow down the digestion of the sugars.

Fact: Its not the carbs making you fat, its the sugar and calories

Anything is fattening if you eat too much of it, and not all carbohydrate-containing foods have the same calorie density, says Bowerman. This myth persists because many people who eat a lot of refined carbs and sugar do lose weight when they cut back on these foods. But it isnt because theyve cut out all of the carbs, its because they have cut out a lot of the calorie-dense foods.

Research actually shows that while low-carb eaters tend to lose more weight at first, after one year, that weight loss levels out and is no different than those who eat a low-fat (moderate carb) diet.

That being said, when it comes to carbohydrate-containing foods and weight gain, sugar and excess calories tend to be the culprit.

Really the secret behind carbohydrates is to identify and limit the amount of added sugar in your carbohydrate sources; highlight whole foods like fruits, vegetables, beans and whole grains; and pay attention to portion sizing carbohydrates along with your protein and fat sources, says Amanda Markie, MS, RDN, LD, Outpatient Dietitian at UM Baltimore Washington Medical Center. Sugar can be found naturally in foods like fruits and milk products, as well as being more concentrated into your processed foods like sodas, candy or baked goods, explains Markie.

Research shows that while low-carb eaters tend to lose more weight at first, after one year, that weight loss levels out and is no different than those who eat a moderate carb diet.

Research shows that while low-carb eaters tend to lose more weight at first, after one year, that weight loss levels out and is no different than those who eat a moderate carb diet.

So you want to ensure that youre choosing sources of carbohydrates that have this naturally-occurring sugar.

Also look for higher dietary fiber with a lower amount of added sugar, which you can identify if it is one of the first ingredients on the ingredients list, says Markie. Limit those foods that have sugar within the first two to three ingredients."

And just because youre choosing the higher-fiber, low-sugar options doesnt mean you can eat them in unlimited qualities: portions matter.

Four cups of quinoa will make anyone gain weight. The quantity is the key strategy, said Monica Auslander, MS, RDN, the founder of Essence Nutrition. For example, I'll eat steel cut oatmeal, but only 1/3 cup a day. I'll eat beans, but only 1/2 cup at a time. I'm a petite person and not an athlete, so I can't afford to have three slices of Ezekiel bread for breakfast, a sweet potato at lunch, and three cups of quinoa at dinner.

Fact: The right carbs stabilize blood-sugar levels for sustained energy

A 2014 study published in the Nutrition Journal found that participants who ate a high-carbohydrate, high-fiber, vegan diet (they got 80 percent of their calories from carbs) actually saw a drop in average blood sugar, plus lost weight and had significant improvements in blood pressure.

Plus, that glucose that our bodies gleans from digestible carb is needed for the functioning of multiple organs, including the brain. So that sugar in the blood stream isnt just okay its necessary. The problem is when they are released all at once in high doses.

One thing that we must all remember is that carbohydrates are essential to fuel your brain, boost our energy and maintain our metabolism. The key is to eat the right kinds of food that contain carbohydrates, says Meghan Daw, RD, LDN, from Fresh Thyme Farmers Market. These foods contain carbohydrates that are more complex, meaning they contain fiber and other nutrients that take time to digest and allow a slow release of sugar into the body. This slow release does increase blood sugar levels over time but not all at once, preventing some unwanted blood sugar level spikes and symptoms that come along with those spikes.

Fact: Not always ... you also need to use common sense.

The Glycemic Index is a system that rank foods based on how much a certain portion increases blood sugar when compared to pure glucose.

"One major setback [to the use of the Glycemic Index when choosing what carbohydrates are best] is that this index measures the bodys response when the carbohydrate is eaten without other foods, but how often are we eating a carbohydrate at a meal on its own?" says Markie.

You may have a baked potato for dinner, but there's a good chance it's accompanied by a piece of salmon and some veggies. "Having these foods together can change the speed of digestion and your bodys response," says Markie.

The Glycemic Index can be a guide in determining which foods are the better choices, she adds. Those lower on the scale may be higher in fiber, which slows digestion. But you need to use common sense to make the final judgement.

"There are other cases in which the Glycemic Index does not direct the consumer toward the most healthful choice," says Markie. "For example, a soda has a Glycemic Index of 63, while raisins have a Glycemic Index of 64, however that does not mean raisins and soda have the same nutritional value."

It's a tool you can use, but it should be one tool out of many, as it doesn't take into account the other nutritional values of the food, she adds.

Fact: The source of those carbs matter

At the end of the day, all carbs are not created equal. So blindly counting net carbs isnt the best way to establish a healthy diet. But food labels in their current state can be tricky to decode.

Reading labels will provide you with the quantity of carbohydrate that is in the food, but it doesnt necessarily tell you about the quality, says Bowerman. For example, I have patients who dont drink milk because of the carbohydrate content, but the carbohydrate in milk is not added, its simply the natural sugar (lactose). But its hard to tell from a label which carbs are natural and which are added, and unless you read the ingredients list as well, you wont know the source of the carbohydrate.

For most packaged items, a high fiber count can be a good sign that a food is a healthy choice. Lewis recommends following the 10:1 rule: Choose foods where for every 10 grams of carbs, there is 1 gram of fiber.

However, Bowerman caveats that manufacturers can also add fiber to products afterwards, so you should check the ingredients list for a whole food source to ensure the fiber is naturally occurring.

Luckily, deciphering the label is about to get a bit easier. The new food label to be implemented in July 2018 will specifically call out how much of the total sugar in a food is added, making it easier to distinguish between the unhealthy sugars youll find in many processed foods and the natural-occurring sugar in whole foods like fruit and milk.

Until then, you cant go wrong by choosing whole-food sources of carbohydrates that only have one ingredient themselves!

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Blood sugars may be key to optimizing weight loss approaches – Medical Xpress

Aug 11th, 2017
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What if a simple blood test could help you determine the best strategy for weight loss, before you even started? Additional analysis of a study conducted by researchers at the Jean Mayer USDA Human Nutrition Research Center on Aging (HNRCA) at Tufts suggests that a person's fasting glucose levels, also called blood sugar levels, may be useful in figuring out the best type of diet for weight loss. The study focused on a weight-loss program based on the "iDiet," which emphasizes a high-fiber, low-glycemic diet and includes behavioral support.

Tufts researchers, in collaboration with scientists from Gelesis, a biotechnology company, found that at the end of the six-month program, overweight and obese people with high fasting blood sugar levels lost more weight (an average of 9.4 percent of body weight) than those with low fasting blood sugar levels (4.1 percent body weight).

Senior author Sai Krupa Das, a scientist in the Energy Metabolism Laboratory at the HNRCA, explained that high fasting blood sugar levels are a sign of poor glucose control, making people susceptible to blood glucose spikes when they eat, leading to hunger and overeating. A low-glycemic diet is designed to minimize those spikes. "Fasting blood sugar is easily measured, and our findings suggest that it could serve as a useful measure in advising some patients on the type of diet that is most beneficial for their weight loss," Das said.

Most guidelines for weight control recommend that people with obesity lose 5-10 percent of their body weight to improve health. After six months, a greater proportion of subjects with high fasting blood sugar lost this recommended amount of weight, compared to those with low fasting blood sugar.

Almost 80 percent of subjects with high fasting blood sugar levels lost 5 percent of their body weight, compared to only 50 percent of subjects with low fasting blood sugar levels. In addition, 36 percent in the high group, vs. 8 percent in the low group, lost 10 percent of their body weight.

"The difference in response among those with high fasting blood sugar and lower fasting blood sugar is important. It might be time to consider glycemic status when advising patients on the best strategy for weight loss," said study author Susan B. Roberts, senior scientist and director of the Energy Metabolism Laboratory at the HNRCA.

The analysis was published as a poster (with first author Lorien Urban, F09) at the American Diabetes Association's 77th Scientific Sessions, so the data and conclusions should be considered preliminary until they have been published in a peer-reviewed journal.

Explore further: Fasting plasma glucose and insulin are determinants of dietary weight loss success

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