Northeast Ohio Bariatric Medicine Newsletter

March 2012 

In This Issue
Sugar Belly
Weight Loss Journey
Counting Carbs
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Greetings!
What an early spring we have been having! 80 degree weather, plentiful sunshine--not your typical Ohio March weather. I hope that you have had the opportunity to enjoy this good weather. Put on those walking shoes and get outside. Do your thinking on your feet this year! 

Have a great month!
My sig
Beer Belly

 

Sugar Belly 
How Much Sugar is Too Much Sugar?

 

In the past few years, the amount of scientific data linking sugar consumption to obesity has been growing. Researchers have known for more than a decade that the recent rise in obesity is almost identical to the rise in sugar consumption in Americans. 

Sugar sweetened beverages seem to be even worse than solid foods with sugar. A couple of small studies found that people eating solid sugar containing foods didn't eat as much later in the day as those who ate their sugar in the form of liquid calories such as soda and Gatorade.

To add even further insult to injury, fructose (a common type of sugar) appears to contribute even more to visceral (spare tire) fat, than simple glucose. Fructose is found in sucrose (table sugar - 50%) and high fructose corn syrup (the most common sweetener in foods).

Sugar is addicting...really addicting. Plus, the food companies are masters of marketing, flavoring, coloring, and anything else that causes us to eat even more.

Is sugar really poisonous? Wiktionary defines a poison as "a substance that is harmful to a person or thing". Since 2/3 of Americans are already overweight (mostly due to excess sugar and carbs), then by this definition sugar is a poison. Just look around. I am deeply saddenned by the toll that sugar is taking on our families and our children. 

 

 

Dr Hart photlThinking About Weight Loss 

 
It's a Journey Not a Destination
by Robert A Hart, MD

Most people have short term weight loss goals. "I want to lose weight in time for my daughter's wedding". "I want to lose weight before my summer vacation". While it is only natural to have the short term goals, let's consider the harm that this type of thinking sometimes causes.

Short term goals may set you up for failure. Setting an arbitrary weight as a goal is not always good. If you don't reach the goal, you will feel guilty and feel like a failure. Then likely you will just start eating more again. On the other hand, if you reach your goal, then you have to decide what to do next. Continuously adjusting your goals may result in more frustration. 

Consider having more achievable goals. I set these goals for myself: 1) I will weigh myself every day, 2) I will keep my food diary every day, and 3) I will do some kind of exercise every single day. By focusing on the tools for weight loss rather than the weight itself, I am actually focusing on the weight loss journey, NOT the destination weight. This may sound hard to believe, but I have almost never had a patient who faithfully kept an accurate food diary and exercised who did not ultimately lose weight. Think of a common analogy. When you were in school, you may have taken courses in art, American History, Biology, or subjects that seemed to have no bearing on your career path. Why did you waste this time? Because the very act of learning new information and synthesizing new ideas helped you on your ultimate path to sucess in life. Sometimes tools that may not seem helpful to our goal may actually help us much more than we think.

Forgive Yourself. When you gain a few pounds, realize that you are simply repeating a life long pattern. As long as you live, you will have times of weight gain. Despite the gain of a few pounds, tell yourself "I'm at least going to start keeping my diet journal every day and tracking my activity and daily weights". Before you know it, you will be back on the path to weight loss. Studies have shown that negative feelings of guilt are poor motivators for long term change. Better to reward yourself for positive behaviors. For example, tell yourself "I can't seem to lose weight right now, but I'm going to treat myself to a nice reward just for faithfully keeping my diary for the next month". 

Love the Journey. So many people seem to hate the thought of eating a healthy diet. They just want to punish themselves until they make it to their goal. Try a different approach. Buy some healthy eating cookbooks. Enjoy the taste and mouth feel of really healthy whole foods. Make new vegetables. Visit some outdoor markets during the produce season. Maybe even pick some of your own food. Each day imagine how much better your body feels when you feed it lots of good vegetables. Rather than feeling deprived, cultivate a feeling of sadness for those who eat junk food. 





If you are interested in setting up an intermittent program, let us know. We can help provide the proper protein supplements to minimize lean body tissue loss and help control hunger cravings. You can reach our office at (330) 473-4525 or (800) 673-5340.
Counting Carbs
by Robert Hart, MD
 Counting Carbs

 A nice alternative to keeping a standard food diary is to just count carbs. Since carbohydrates trigger cravings and weight gain, controlling carbs may be the key to controlling your weight. This is especially true if you are diabetic or pre-diabetic.

 

There are several online web sites that list carb grams. You can also buy carb counting guides to carry with you. Set a carb goal and stay under that daily goal. If you really start reading labels, you will be shocked at just how many grams of carbs you may be eating every day.

 

For women I suggest a goal of 120 grams daily or less for weight loss and 200 grams of less for maintenance. For men, this increases to 150 grams for weight loss and 250 grams for maintenance.

 

Remember, these are NOT hard and fast rules. For example, vegans may eat quite a bit more carb grams in the form of low glycemic index carbs like beans and vegetables. These types of carbs can be safely consumed in higher quantities. Those who exercise frequently may also need a higher carb count. Also, if you eat a lot of dietary fat, counting carbs may be more difficult.

 

The only way to find a good balance is to start counting while watching your weight. 

If you have any questions, comments, or suggestions for future newsletters, please contact me. Have a great winter. Stay warm and healthy.

Sincerely,

 


Robert Hart, MD
Northeast Ohio Bariatric Medicine
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March 2012 Protein Bar Coupon