The Truth About Weight Loss

When people come to my office to lose weight I must first explain to them that I am not a ‘quick fix’ doctor and that my patients are in it not to just lose weight but to create a healthier body. True health is about lifestyle changes. While my weight loss patients make adjustments in their lifestyle to follow the guidance I give them they go through 3 phases. The first phase is the transition to restore the metabolism. Once that is established then the body can start losing weight (step 2) and then the final step is to maintain optimal health.
The transition is a journey of healing. You can only be in your transition if you are improving your nutrition and lifestyle habits.
During the transition one’s hormones will change in response to the nutrition and lifestyle changes that are being made and this allows the body to heal. However, balanced hormones will not happen immediately—there are sequential steps of healing that everyone must take.
When a patient starts their transition process by improving their habits, their body will begin to rebalance its hormones. Their body will also rebuild at the cellular level with nutrients that were not available during previous poor habits. The more damaged the current metabolism, the longer it will take for this process to be completed.
When one has healed their metabolism, they are primed to lose fat weight, if needed. Once they have lost all their excess fat, they are through steps 1 and 2.

The Three Transition Stages
For most people, the transition (step 1) to a healthy metabolism consists of three main stages. Here is what you may expect as you journey through your transition to health. You begin at your initial starting point and then enter 1) a healing phase. Then you enter a 2) fat burning phase, if you need to burn fat before you finally reach a 3) healed state. Depending on your current metabolism, your body may skip the healing and/or fat-burning phases.
Let's look at each stage in more detail:
Healing phase
Fat-burning phase
Healed state
The Initial Starting Point
The initial starting point is your current metabolism type and age when you start improving your habits and begin entering your transition. Listed to the right are the four metabolism types an individual can have.
Insulin-sensitive with healthy adrenal glands
Insulin-sensitive with burned-out adrenal glands
Insulin-resistant with healthy adrenal glands
Insulin-resistant with burned-out adrenal glands



These metabolism types are not genetic but acquired. Everyone begins life insulin-sensitive with healthy adrenal glands. It is only after years of poor nutrition and lifestyle habits that you may become insulin-resistant or have burned-out adrenal glands—or have both conditions.
Your age and how long you have had your current metabolism affect the duration of your transition. The older you are and the longer your metabolism has been damaged, the longer it will take for you to complete your transition.

Insulin-sensitive
It is normal to be insulin-sensitive. You are insulin-sensitive if your body responds to all the actions of insulin, including the ability to make and store fats.
The following is what happens when you eat carbohydrates if you are insulin sensitive:
Sugar is taken up by your liver.
Excess sugar in your liver is turned into triglycerides and cholesterol.
Triglycerides and cholesterol are taken up by various cells of your body.
Sugar is also taken up by your cells.
When all the sugar and fats are in your cells, blood-sugar levels start to drop and insulin levels go back down.
You eat again and the whole process starts all over
Insulin-resistant
Eventually, from sustained high levels of insulin, you become completely insulin-resistant. All your cells are completely overfilled with fats and sugar, and they barely respond to the action of insulin. At this point you usually have high triglyceride blood levels. (High triglyceride levels are not indicators of insulin resistance only. Smoking, stress, birth control pills and drinking alcohol can raise triglyceride levels in your bloodstream also, but that does not necessarily mean that you are insulin-resistant. Do not diagnose yourself as insulin-resistant from your triglyceride blood test alone.)
When you are insulin-resistant, you have high fasting insulin levels, you usually carry your excess fat weight around your midsection and you have one or more of the following symptoms or diseases.
Abnormal cholesterol profiles: High triglyceride levels with low high-density lipoprotein (HDL) levels and high apolipoprotein B levels.
Hypertension: Sustained high blood pressure.
Type II diabetes: Sustained high levels of sugar in the bloodstream.
Coronary atheroscelrosis: Plaques in the heart arteries which may cause a heart attack when they rupture.
Cerebral atheroscelrosis: Plaques in the brain which may cause a stroke when they rupture.
Cancers: Abnormal cell growth. Breast, prostate and colon cancers are the most common cancers associated with high insulin levels.
Stein Leventhal Syndrome (SLS): SLS is a female clinical condition of infertility (anovulatory menstrual cycles), acne and/or facial hair.
There are three paths that lead to insulin resistance:
Years of high insulin levels due to poor nutrition and lifestyle habits.
Years of high adrenaline and/or cortisol levels due to poor nutrition and lifestyle habits.
Years of high insulin, adrenaline and cortisol levels due to poor nutrition and lifestyle habits.
If you recognize that you are on any of these paths, now is the time to change your habits!

Your Goal
Your goal is to stay or become insulin-sensitive and to have healthy adrenal glands or to heal them. Therefore, the goal metabolism to have is insulin sensitive with healthy adrenal glands and then and only then will the weight loss start happening! Know that there is hope and weight loss just has to be approached holistically with the ultimate goal is changing how your body responds to insulin. This way you lose weight AND keep it off!

America's #1 Addiction

The concept of a sweet tooth takes on a different meaning when we realize it's not just a matter of liking something sweet after dinner, but sugar in our coffee and an afternoon treat as well. Without the constant sugar boost we feel deprived. Sugar can be a drug of choice, and constantly grazing on even so-called healthy hidden-sugar foods can train a body to demand it constantly. Here's the hopeful news: sugar addiction is not your fault.

“Being addicted to sugar and flour is not an emotional eating disorder,” says Dr. Mark Hyman, author of The Blood Sugar Solution 10-Day Detox Diet. “It’s a biological disorder, driven by hormones and neurotransmitters that fuel sugar and carb cravings — leading to uncontrolled overeating. It’s the reason nearly 70 percent of Americans and 40 percent of kids are overweight.”

Studies confirm a food addict’s brain operates similarly to a drug addict when they think about eating sugary, fatty foods. As these and other studies emerge and prominent experts speak out, sugar addiction has become a legitimate, concerning focus as sugar consumption, particularly as high-fructose corn syrup (HFCS), escalates.

“Animal studies have shown that refined sugar is more addictive than cocaine, heroin or morphine,” says Dr. Pamela Peeke, author of The Hunger Fix. “An animal will choose an Oreo over morphine. Why? This cookie has the perfect combination of sugar and fat to hijack the brain's reward center.”

It’s not just the immediate gratification that creates damage. Sugar addiction also sets the stage for future hunger, cravings, and food intolerances. Unfortunately once you are hooked on sugar hormonal havoc ensues. High blood sugar elevates insulin, which blocks your satiety hormone leptin. High levels of cortisol, your stress hormone, increase your urge for comfort foods. High cortisol during sleep increases ghrelin, your hunger hormone, so you’re more likely to ask for a stale donut the next morning with your caffeine fix.

The good news is with the right strategies, you can crush your sugar addiction in just weeks. In my office I help patients identify the so-called healthy foods that could also feed that addiction. Bottled drinks, vinaigrette dressings, and glazed meats are among the many “sneaky sugars” that add up. Going cold turkey isn’t the answer in my office. Instead, I want you to gradually taper off sugar so you never feel deprived or struggle with withdrawal. It helps if things from your diet are replaced with healthy alternatives so you don't feel so deprived.  Sweet crutches we use to help get off sugar is honey, maple syrup, coconut sugar, stevia or fruit. 

Some people are ready to cut it out completely from their diet and sometimes they even go through sugar/carb withdrawal for 3-4 days with feeling tired and headaches as the body resets.  To go cold turkey we do a Sugar Cleanse.  If you think a 10 day Sugar Cleanse is right for you try it!

You’ll really shift from sugar burner to fat burner when the weight falls off and you reset your body and taste buds. You can break permanently your sugar addiction in just weeks, without feeling deprived, hungry, or struggling with miserable withdrawal. Simply transition to low-sugar impact foods and before you know it, you’ll be a 24/7 fat-burning machine!

When Losing Weight, Where Does the Fat Go?

When losing weight I have patients write down everything they eat and drink, holding them accountable for their food choices and to see specifically how many carbohydrates they are consuming. For more on carbohydrate consumption and weight gain read "The Schwarzbein Principle". I also think it's a good idea for patients to be able to understand what is happening in their bodies as they lose weight on the cellular level. A word of caution, I use scientific words in the following!

When you consume calories beyond what your body needs, you will end up storing that extra energy in the form of triglycerides within fat droplets of individual fat cells. Carbohydrates are easiest to make into fat. Assuming that blood sugar levels are adequate, the carbohydrates will then be stored as glycogen. Muscles and the liver use glycogen for energy. But muscle does not have the necessary enzymes to synthesize all carbohydrates into glycogen; therefore the liver converts the majority of carbohydrates into liver glycogen. Since the liver is responsible for supplying energy to the entire body, once its stores are full, it is responsible for signaling the body to convert the extra carbohydrates to fatty acids to make triglycerides and store it in the fat cells. This is how carbohydrates are easily converted to fat.



When attempting to lose weight, you increase energy output and lower energy input such that the body dips into its energy storage within fat cells to keep itself going. When breaking down fat, the triglyceride is taken out of storage from the fat cell and broken down and used as energy by the body. As a fat cell liberates more and more triglycerides during times of negative caloric balance, it becomes smaller and smaller, but never disappears.

The whole process can be summarized in the following chemical equation:
Triglyceride (C55H104O6) + 78O2→ 55CO2 + 52H2O + energy

So yes, when broken down, fat is used to create energy. I also wanted to show you that 1 triglyceride molecule (with the help of oxygen) is converted to a bunch of carbon dioxide (CO2) and water (H2O). So if we do the math as they did in this scientific experiment, when somebody loses 10 kg of fat (triglyceride), 8.4 kg is exhaled as CO2 while the remaining 1.6 kg is lost as water in urine, feces, sweat, tears and other bodily fluids.

So, when fat is lost, it is mostly exhaled as carbon dioxide (84%), with the remainder (16%) being excreted as water.

Interestingly, this also means that the lungs are the primary excretory organ for fat. Breathing from the diaphragm is important and breathing exercises have helped patients in my office decrease their emotional and physical stress and also boost their immune system. We can see now it is also important when one is trying to lose weight. There are many articles on breathing exercises to lose weight and only now do I see the validity. Try one and if you see results please let me know so I can pass it on to others!