Month Year
Northeast Ohio Bariatric Medicine Newsletter
April 2010
In This Issue
Managing Stress
Artificial Sweeteners
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Greetings!
We hope that these monthly newsletters provide useful information to help you acheive your goals.
 
As you have probably learned by now, losing weight is more than just a single diet or the latest gimmick. The key to sucessful lifelong health and weight control depends upon building an entire set of different tools (skills and habits) that you apply to help you maintain your weight. While the journey may seem difficult at times, the long term rewards aresubstantial.
Keys to Managing Stress 
 
Managing stress is one of the most important keys to long term successful weight loss and weight maintenance. We all have stress...sometimes a lot of stress. So what can we do to prevent this stress from causing weight gain.
 
1) Get organized. Being organized is one of the first key steps to preventing new stress. Organized people have many less surprises in their life. Set your priorities. Keep your life simple...don't always say yes to everybody. Keep your diet diary faithfully and plan to eat.
 
2) Exercise. Our brains are made to handle stress, but they are much better at handling stress when they have the right level of good brain chemicals. Exercises enhances levels of BDNF, which is a chemical that stimulates brain growth and activity. It also improves serotonin levels, a "feel good" chemical important to proper brain function.
 
3) Take "5". Taking a few small breaks during the day to collect our thoughts and evaluate our immediate tasks can be a great stress reducer. Remember to take a few minutes every evening to review your food diary and plan for tomorrow's eating.
 
4) Connect. Having a good social network is important to managing stress. I can't count the number of depressed patients who say "I don't have anybody to talk to". Join a book club. Go to church. Join a local TOPS group. Build your social network.
 

 
SweetenerArtificial Sweeteners -- Are They Really Safe? 
 

The first artificial sweetener was discovered by a researcher in 1879. That sweetener was saccharin, now commonly sold as Sweet-N-Low brand sweetener. Since then several other artificial sweeteners have come on the market: acesulfame (Sunnett), aspartame (Nutrasweet and Equal), sucralose (Splenda), and stevia. There are also a few less commonly known ones such as cyclamate which have come and gone due to safety concerns.
 
Artificial sweeteners vary in intensity of sweetness but most are around 80-3,000 times as sweet as sucrose (table sugar). Most have no calories, but some have a minute amount of calories. Despite lots of concerns about safety, most of these products have never been clearly shown to have any dangerous effect on human health when used in normal amounts.
 
Artificial sweeteners are useful for those who wish to enjoy the taste of sweetness but without the added calories. Used in reasonable amounts, they can be an acceptable part of a weight loss and weight maintenance program.
 
However, there is need for caution. Interestingly, artificial sweeteners have never been shown to promote weight loss. This seems odd since they have no calories. One theory to explain this is based upon some special receptors in our gut that sense the presence of carbohydrates, just like the taste buds on our tongue. It's just that we can't taste what's happening in the gut. Artificial sweeteners bind to these receptors and "tell" the body that sugar is present. The body releases more insulin and may actually stimulate a cycle of craving which may cause us to eat more food than we would otherwise eat. So while these sweeteners themselves have few calories, the resulting stimulation of food intake offsets any of the gain we might otherwise have.
 
So what's my bottom line? Use artificial sweeteners in small quantities and not more often than necessary. And don't count on them to really help you lose weight.
If you have any questions, comments, or suggestions for future newsletters, please contact me. Have a great March...I hope it goes out like a lamb!
 
Sincerely,
 

Robert Hart, MD
Northeast Ohio Bariatric Medicine
Save 25%
Most of our patients come to us upon the advice of other successful patients. Have you referred someone to us in the recent past? As a way of showing our appreciation for your referrals, we would be happy to extend a 25% discount off your next office visit. This applies to the visit fee and does not include any supplements. Also, this does not apply to visits billed to insurance.
 
Just mention this promotion to our office manager along with the name of the patient your referred at the time of your next visit.
 
Offer Expires: June 30, 2010