Browse some of the favorite articles from Denver’s Clinical Nutrition Center Medical Weight Loss Blog

With years of great content, now is your time to quickly find some of Denver’s best medical weight loss tips and news. Renew your commitment to weight loss with these timely tips.

With summer right around the corner, who doesn’t want to shed a few of the winter pounds?  What would you think of the following 3 tips:

1)  Replace 2 meals a day with CNC protein shakes or bars

2)  Make sure you are accountable to your dietitian

3)  Find more minutes to be active

A medical study published in Obesity highlights one of the most important but often forgotten ways.  The study is publishing early data from the Look AHEAD study.  This is an 11.5 year study on diabetics being done in this country, with 5,145 enrollees.  It is giving us a really great look in to how valuable weight management is in the treatment of type 2 diabetes.  An individual with diabetes has a much more difficult time losing weight.  So, if they can do it, you can do it!

The study set a goal of helping the diabetics lose weight to see if it improved the control of their diabetes.  There are 2 groups – the standard care group, and the intensive lifestyle intervention (ILI) group.  This group has weekly sessions for behavior modification, exercise instruction, meal replacements, etc.  Because there are so many people enrolled, the study is generating data we have not been able to generate before.  This particular study shows data from just the first year.

Check out the following graphs:

Fixed Calorie Meal Replacements (MR) eaten in first year

Weight loss improves with more office visits

Weight loss increases with more activity

What can we learn from all this?

I think there are a few important take-home points that we can use right now to get on track with weight loss!  First, the average dieter underestimates the amount of calories consumed by 40-60%.  While you may do better than this, on average, it is very hard to estimate our caloric intake.  Replacing 1 or 2 meals a day with a high quality fixed calorie meal replacement is a terrific easy way to get the calories down to a level where weight loss becomes possible.  Think about it – if we replace 2 meals a day with CNC’s protein supplements (100 calories) or protein bars (around 150 calories), imagine the calorie savings compared to prepared or restaurant meals.  The first graph shows pretty clearly how important meal replacement is not only for weight loss but for long term weight control.  It is these data that prompted me to establish our online store so that our patients could have easy access to meal replacements for weight loss and long-term weight control.  Many of our most successful patients report that their long-term success really involves around a daily routing that includes our foods.

Second, clearly accountability is important.  Note in the second graph the improvement in weight loss was directly proportional to attending office visits.  It seems that every other week (for the year) was associated with the most weight loss.  So, be sure to do your food journal and check in with your registered dietitian!

Third, note the improvement in weight loss with increasing minutes of activity.  This is regardless of the activity!  Minutes matter most.  So, try and find creative ways to get moving this spring!

Pick your weapon and get the pounds off.  Pick 2 or 3 weapons and take off even more.  Using all 3, it is not unusual to take off 10 pounds or more per month!  But, if I was going to try the quickest, easiest, least expensive, I’d start with meal replacements.

Have a great Spring, and start getting ready for summer now!

Be the first to comment

Do you have time to be thin?

Every day at CNC, I see new patients with lofty aspirations – to lose 50 pounds, 100 pounds or even more. They come to me hoping that with a proper medical weight management program, these goals will be attainable. And, they are right! We are often successful at achieving 50 pounds, 100 pounds or more of weight loss.

Unfortunately, weight regain remains a significant challenge. But why is it that so many people have such dramatic success only to be frustrated? To answer this question, we need to look at the etiology of obesity. Obesity is a chronic disease influenced by a wide range of factors ranging from diet, activity, environment, genetics, biology and lifestyle. When we focus solely on reducing calories, unfortunately this just isn’t enough. We need to address more of the issues.

“Change is hard because we overestimate the value of what we have and underestimate the value of what we may gain by giving that up.”
-James Belasco & Ralph Stay

Successful weight control means we are changing our lifestyle and our environment.  How else can real change be accomplished?  We need to address the situation that got us in trouble in the first place.  Otherwise weight gain is inevitable.

What led to your weight gain?  Not enough activity?  Not enough time for yourself?  Eating out too much?  Too much alcohol?  Too much soda?  Too much TV?  Working too much?  Caring for children?  Caring for an ailing loved one?  Too tired?  No motivation?  Loneliness?  Boredom?

If we don’t start addressing the real causes of your weight problem, how can we prevent weight regain?

So, if we want to achieve real change, we need to make the necessary time.  But how?  Here are a few ideas:

1)  Watch less TV. However, if we are paying for cable, we will feel obliged to watch.  So, cancel the cable subscription.  You’ll be amazed at all the free time you suddenly have.

2)  Be active for an hour EVERY DAY.  This needs to be written in your schedule!  Then, you can’t put meetings or other activities during your active time.  Vary the activity – walk the dog before work, take the steps at work, park in the back of the lot.  Sign up for Yoga class once a week.  Sign up for Spin class on Saturday mornings.

3)  Take time to cook for yourself.  Don’t know how?  Start by getting good at protein and vegetables.  Ask your dietitian for recipe ideas.  Simple weekday cooking is a great tool for long-term weight control.  Consider taking a healthy cooking class.

4)  Find something you enjoy MORE than food.  Many of us are so busy that the only reward we get is our food.  Take that away and there is no enjoyment left in our lives.  We need something to enjoy MORE than food.  Ask yourself what you might like more than a sweet treat.  Try some of the following:  schedule an appointment at the spa for a massage, manicure, pedicure, or facial.  Go to the mall and buy a new “thin” outfit.  Learn a musical instrument.  Take an art class.  Take a healthy cooking class.  Join a ballroom dancing lesson.  Take the kids bowling.  Take a class on an interesting topic at the rec center by your house or the community college.  Attend a concert series or the opera.  Get a new pair of hiking shoes and visit the beautiful Colorado state parks.

Real change takes time.  Are you taking the time to achieve real changes in your lifestyle and environment?  Life is too short to spend all of our time at the office or caring for somebody else.

You deserve to take care of yourself.  You deserve some time to yourself.

-Ethan Lazarus, MD

Be the first to comment

Spring Weight Control Tips: 5 Easy Steps to accomplish your weight management goals

March 11, 2011

The difference between gaining and losing weight can be as little as 50-100 calories per day.  Any of the following tips can convert you from slowly gaining weight to slowly losing weight.  These strategies can add up to 10 or more pounds of weight loss per year! 1)  Drink 16 ounces of water before breakfast, [...]

Read the full article →

What is the cost of not keeping your weight under control?

January 13, 2011

Did you know that currently it is abnormal for American adults to be normal weight? In fact, 2 in 3 American adults (1 in 3 children) are overweight or obese. As a result it is now estimated that by the year 2050, 1 in 3 Americans will have developed Type 2 Diabetes. In addition to [...]

Read the full article →

Health Benefits of Modest Weight Loss

January 13, 2011

All too often, people feel helpless when it comes to losing weight. Often we have already lost it so many times only to experience weight regain. Many people set goal weights lower than what is realistic biologically only to “fail” and regain. What is realistic? Most lifestyle-based weight management programs can help individuals lose up [...]

Read the full article →

Does Rapid Weight Loss result in Rapid Weight Gain?

May 27, 2010

A recent study by the University of Florida published in the International Journal of Behavioral Medicine  looked at the longtime question, which is better, slow and steady weight loss vs. rapid weight loss.  A popular notion is that rapid weight loss can result in equally rapid weight gain. This study would dispute this long-held belief.  [...]

Read the full article →

Does water intake affect weight loss?

May 5, 2010

It has long been debated whether or not there is scientific validity that we should each drink at least 64 oz of water per day.  In a very interesting study published in Obesity, February 2010, weight loss subjects were each given a low-calorie diet.  One group was asked to drink an additional 16 ounces of [...]

Read the full article →

“Jump Start” Your Weight Loss A great way to start the New Year, or is it?

December 31, 2009

It’s not a diet, It’s a lifestyle.

Read the full article →