* |
| CLINICAL NUTRITION ______________ ______________ |
 | |  | |  | |  |
| (303) 750-9454 (303) 750-1996 (fax) PROUDLY SERVING DENVER AND SURROUNDING COMMUNITIES FOR OVER 35 YEARS |
| CENTER |
* |
* |
| SUBSCRIBE TO OUR FREE e-NEWSLETTER |
 |  |  |  |
| ©2009 | Home | HIPAA | Privacy Policy |
| MAKE A SECURE PAYMENT WITH PAYPAL |
| ETHAN LAZARUS, MD |
| HEATHER THOMAS, PA -C MICKEY BERRY, MA, LPC 7555 E. Hampden Ave, Suite 301 Denver, CO 80231 303-750-9454 |
| RESOURCES |
 |
 |
 |
 |
 |
 |
 |
| Resources: Educational Information Am I At Risk? Part 1: Assessing Your Risk Assessment of overweight involves using three key measures:
The BMI is a measure of your weight relative to your height and waist circumference measures abdominal fat. Combining these with information about your additional risk factors yields your risk for developing obesity-associated diseases. What is Your Risk? 1. Body Mass Index (BMI) BMI is a reliable indicator of total body fat, which is related to the risk of disease and death. The score is valid for both men and women but it does have some limits. The limits are:
Use this handy BMI calculator to estimate your total body fat. 2. Waist Circumference Determine your waist circumference by placing a measuring tape snugly around your waist (around the level of your belly button). It is a good indicator of your abdominal fat which is another predictor of your risk for developing risk factors for heart disease and other diseases. This risk increases with a waist measurement of over 40 inches in men and over 35 inches in women. Disease Risk Relative to Normal Weight and Waist Circumference 3. Other Risk Factors
4. Assessment For people who are considered obese (BMI greater than or equal to 30) or those who are overweight (BMI of 25 to 29.9) and have two or more risk factors, the guidelines recommend weight loss. Even a small weight loss (just 10 percent of your current weight) will help to lower your risk of developing diseases associated with obesity. Patients who are overweight, do not have a high waist measurement, and have less than 2 risk factors may need to prevent further weight gain rather than lose weight. Talk to your doctor to see if you are at an increased risk and if you should lose weight. Your doctor will evaluate your BMI, waist measurement, and others risk factors for heart disease. At CNC, we also like to measure body fat percentage as this number provides more information about an individual's unique risk than just using BMI and abdominal circumference alone. People who are overweight or obese have a greater chance of developing high blood pressure, high blood cholesterol or other lipid disorders, type 2 diabetes, heart disease, stroke, and certain cancers, and even a small weight loss (just 10 percent of your current weight) will help to lower your risk of developing those diseases. Metabolic Syndrome Are you having trouble losing weight? Do you regain every time you try and lose weight? Have you hit a plateau in your weight loss that you are having difficulty breaking through? You might well have metabolic syndrome. Download this handout by clicking above for more information about what metabolic syndrome is, and how we can treat it. If you have questions, please ask your nutritionist, or consider scheduling a consultation with Dr. Lazarus to discuss other medical treatment options. For some patients, medication can help sensitize the body to insulin, lowering insulin levels, and facilitating weight loss. Lecture Handout This is a Quick Reference Handout Dr. Lazarus likes to use for the Doctors when he gives continuing medical education talks. The handout includes a shortcut to calculate BMI, BMI definitions, metabolic syndrome table, and a quick table of medications causing the worts problems with weight gain, and alternatives to consider. Cholesterol Have you heard about the new VAP cholesterol test? This new cholesterol assay is quickly becoming the new standard in cholesterol measurement and management. Like the routine cholesterol test, the VAP test measures total cholesterol, HDL, LDL and triglycerides. But, the VAP test goes much further, measuring important hereditary risk factors, lipoproteins, and subclasses. Further, by directly measuring the cholesterol subfractions, it is considerably more accurate than the traditional cholesterol assay (which calculates rather than measuring the LDL), and it can be drawn non-fasting! We are able to offer this test at a substantial discount off retail, through special negotiation with Quest Diagnostics. We can use the additional information from the VAP test to identify risk early, so if heart disease runs in your family, we can develop the most appropriate treatment plan so you can avoid a cardiac event. For more information, contact our office at 303-750-9454, or you can visit www.thevaptest.com. Resting Metabolic Rate Have you had trouble maintaining weight loss? Many people have trouble maintaining weight loss because of a slow metabolism, or resting metabolic rate (RMR). Click above for more information on how to measure your metabolic rate, and what we can do with this information! Insulin Resistance and Pre-Diabetes; Diabetes Prevention Program This is a link to an article from the National Diabetes Information Clearinghouse with more information on insulin resistance. Activity Having trouble working exercise into your life? This handout contains a collection of ideas from Dr. Lazarus on how to fit activity in. In one study, among patients who successfully maintained their weight loss, 96% incorporated increased activity as part of their maintenance plan. If you're having trouble finding ways to work exercise in, this handout is for you. Do you have other ideas that have worked for you? Let us know, so we can include them! Hypoglycemia This is a link to an article from the National Diabetes Information Clearinghouse with information regarding hypoglycemia. Nutrifast Spreadsheet Thank you to our patient, Karen, for this submission! This is a Microsoft excel spreadsheet designed to help you track what is in each type of Nutrifast packet, and calculates your total carbohydrates for the day. Daily Log Weekly Log |
|
 |  |