Northeast Ohio Bariatric Medicine Newsletter
October 2010
In This Issue
Staying in the Zone
Does Exercise Help
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Greetings!
Retraining your brain is key to successful long term weight loss. Those who don't make changes to basic thinking and behavior patterns will never be successful at long term weight loss.

Learning the basic principles of long term change isn't that difficult. It just takes persistence.

I hope you find our newsletter helpful.

  
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 Using Your Frontal Cortex 
    by Robert Hart, MD
 



The whole process of human feeding behavior is very complex and only partially understood. While you don't need to know everything, there are a few basic priniples that are important to understand how we think about and react to food.
 
 
Impules arrive deep in the brain from the gut and from special sensors that detect nutrients in the blood stream. These impulses either increase or decrease hunger, sometimes hunger just for specific nutrients like fat or protein. When you say "this food sounds really good right now", you may be responding to your deeper impulses.

We also receive impulses from our senses to complement these impulses from our gut and bloodstream. When we engage in spontaneous, mindless eating, we are usually responding to these primitive impulses without much additional thought.

The frontal lobe is where we do our intentional thinking. When we delay gratification, eat mindfully, think about our diet diary, and perform similar "high level" tasks, we are using our frontal lobes. Using our frontal lobes is necessary for successful weight loss. If we just "eat from our gut" we almost inevitably eat the wrong things and too many calories.

The first step to using your frontal cortex is to eat mindfully. Keep your food diary regularly. Choose your foods carefully. Eat only what you have planned to eat. Enjoy each bite slowly. If you just start using your frontal cortex more, you will be well on your way to successful weight loss and weight maintenance.
Does Exercise Really Help


Often patients ask me if exercise really makes a difference. Maybe you have heard that exercise really does make a lot of difference. I would like to clear up a few common misconceptions about exercise and weight loss.

First, while exercise is very good for the body, it is NOT a major contributor to weight loss. Studies have shown that non-exercisers lose almost as much weight on a weight loss program as exercisers. There is perhaps a slight advantage in terms of better loss of fat compared to lean tissue in those who exercise.

On the other hand, exercise seems to be VERY IMPORTANT for maintenance of weight lost. Research suggests that those who exercise at least 60 minutes daily can usually maintain weight that has been lost, while those who exercise less are at much higher risk to regain the weight. Regular exercise doesn't just burn calories. Regular exercise also helps "reprogram" the brain and helps suppress cravings and improve self-control.

So what is the bottom line? I suggest at least 30 minutes of exercise every day to improve loss of fat. Once you have lost your weight, work toward a goal of 60 minutes daily to help maintain those pounds you have worked so hard to lose. 
 
Recipe of the Month
Pumpkin Pie 
 This recipe will appear slightly different than this photo

Low Carb Pumpkin Pie
 
 
This is from About.com. This is NOT a low fat recipe, but is intended for those on low carb diets. This recipe has excellent reviews and is a nice alternative to the sugar-laden desserts that come to our tables at Thanksgiving.
 
People love this pie. People have told me it was the best they've even had, and they didn't know it was low-carb or sugar-free (or gluten-free). You must make it with the pecan crust for full impact. That said, it's great on its own as a baked pudding, even for breakfast.
Prep Time: 10 minutes
Cook Time: 50 minutes
Total Time: 60 minutes
Ingredients:
  • 1 15 oz can pumpkin
  • 2 eggs
  • 2/3 cup unsweetened soy milk (or milk or cream - milk has more carbs, so adjust)
  • 1/3 cup cream
  • 1 C sugar equivalent from artificial sweetener
  • 1 teaspoon dark molasses (optional)
  • 2 teaspoon cinnamon
  • 1 scant teaspoon t nutmeg
  • 1/4 teaspoon ground ginger
  • Pinch cloves
  • 1/4 t salt
  • 
Preparation:
As an artificial sweetener, I prefer a form of liquid sucralose, as powdered types have more carbs and sometimes an off-taste.

1) Preheat oven to 425 F. (important)

2) Dump all the ingredients into a food processor or blender and whirl to blend.

3) Pour into the crust.

4) Put the pie in the oven and immediately turn the oven down to 375 F. In 15 minutes, turn the oven down to 300 F. (This cooks the crust, so it isn't soggy, but then allows the custard to bake more slowly.) Bake until almost set in the middle, about 30 to 40 minutes more. If it starts to crack a bit around the edges, it's probably done.

5) Cool and serve with whipped cream (the real stuff, made with vanilla and sweetener).

Nutritional Analysis: 8 servings, without crust: 3.5 grams effective carbohydrate plus 2 grams fiber, 3 grams protein, 5.5 grams fat, 80 calories.

With pecan crust, each serving is 4 grams effective carbohydrate with 3.4 grams fiber
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
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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: December 31, 2010