Weight loss is sought after because the consequences of excess weight and obesity are too serious to ignore. These include: congestive heart failure, coronary artery disease, dyslipidemia, hypertension, left ventricular hypertrophy, venous stasis ulcers, thrombophlebitis, insulin resistance, polycystic ovary syndrome, type 2 diabetes mellitus, abdominal hernia, gallstones, gastroesophageal reflux disease, nonalcoholic fatty liver disease, stress urinary incontinence, urinary tract infections, deep venous thrombosis, pulmonary embolism, carpal tunnel syndrome, degenerative joint disease, gout, plantar fasciitis, anxiety, depression, pseudotumor cerebri, stroke, fetal abnormalities and infant mortality, gestational diabetes, infertility, miscarriage, asthma, obesity hypoventilation syndrome, obstructive sleep apnea, and pulmonary hypertension; to name a few.
Diets span the spectrum of regulated food intake ranging from macronutrient based intake (low-fat diet, high-protein, low-carbohydrate diet,…) to region based (Mediterranean diet, Okinawa diet, South Beach diet,…) to belief based (Seventh-Day Adventist diet, Kosher diet, Hindu diet,…) to detox diets to crash diets to severe caloric restricting diets.
Diets specifically designed for weight loss tend to focus on the concept of calories. Calories are a flawed concept. Calories can be thought of as a currency for which the body has never seen. The metabolism does not contextualize food in the form of calories.
Exercise has been evaluated by itself as a treatment for obesity. The studies reveal that exercise as a sole strategy for addressing weight has only a modest effect on weight loss; approximately 3.5 lbs. regardless of the duration of the program or the intensity of the program.
The Metabolism Clinic understands the role for exercise including the right time in which it should be initiated. Exercise in itself does not correct an abnormal metabolism. Exercise in itself is not able to be an effective means for weight loss.
Weight Loss Medications
There are concerning questions regarding the role of drug therapy in weight loss. The questions involve:
- Efficacy: are these drugs are even worth prescribing; do they work?
- Safety: if their effect is minimal is the risk worth prescribing and exposing patients to unnecessary medical risks?
- Plateau: metabolic plateau or a cessation of weight loss is inevitable because these drugs promote a worsening or a more pronounced state of abnormality in the metabolism; with patients regaining the weight when the drug is discontinued
There is no weight loss drug on the market that is able to help patients achieve their ideal weight. When placed on these drugs expectations need to be set. Typical expectations recommend not expecting a rate of weight loss greater than 1 lbs per week. These recommendations also recommend not expecting a total weight loss of more than 5% over the course of 6 months.
Drug trials often combine behavioral intervention in addition to the drug therapy to exaggerate the initial weight loss response.
Drug therapy does not cure obesity. This is important to note because many patients seek these drugs with false expectations of what they can offer. More importantly the risks associated with these medications make their use questionable.
Weight Loss Injections
HCG stands for Human Chorionic Gonadotropin. This radical diet limits patients to 500 calories per day while taking HCG either via injection, oral drops, pellets, or sprays. This is not FDA approved.
>200,000 operations per year in the US.
The bariatric procedures promote malabsorption and restriction.
>35% of bariatric surgery patients regain the weight lost within 10 years of the procedure.
Procedures include Roux-en-Y Gastric Bypass, Sleeve gastrectomy, Laparoscopic Adjustable Gastric Banding, Biliopancreatic Diversion with Duodenal Switch.
Complications: gastric remnant distention, stomal stenosis, marginal ulcers, cholelithiasis, ventral incisional hernia, internal hernias, anastomotic strictures, thromboembolism, short bowel syndrome, dumping syndrome, metabolic & nutritional derangements, nephrolithiasis and renal failure, postoperative hypoglycemia, change in bowel habits, failure to lose weight and weight regain, infections, bleeding, gastroesophageal reflux, vomiting, cirrhosis
What Our Patients Say About Us
I started my journey with Dr. Timothy and Dr. Youssef 3 weeks ago. It has been the best life changing experience for me. I am a diabetic who blood sugar readings were so high and I was on insulin and meds for it. With the help of these two Doctors and the program and eating the right foods, I'm no longer on insulin or meds now. My blood sugar readings have come down and are much better. I have more energy and feel healthier. In my first 2 weeks I lost 14 pounds. I'm so excited that I'm finally on the right track to a healthier metabolism. Dr. Timothy and Dr. Youssef both are very supportive through your journey and I would recommend anyone to make an appointment. You will not regret the decision.