Weight, Weight Don't Tell Me!

Retinal Changes in Pre-diabetes, Pre-hypertension

noreply@blogger.com (Dr. Joe) — Tue, 23 Sep 2008 15:12:00 +0000

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Diabetes Care October 2007, page 2708-2715 reported that new technologies are now picking up the retinal changes in the back of the eye that diagnose prediabetes and pre-hypertension.

We know that these two problems begin long before symptoms or signs of the disease. In the past we would consider this a victory for “strategic health” but little treatment to reverse this was suggested.

Now we confirm these advancing diseases with the wave form analysis with the CardioVascular Profiler and begin treatment with ProArgi 9 plus immediately. The ProArgi9 plus reverses all the vascular problems of both diseases actually reversing both disorders as far as the vascular component is concerned.

This is not a cure, but a reversal. Diabetes is a multi-metabolic problem and with time different treatments will be needed. At least you will not be in the bad patch the group in Seattle was in when the diagnosis of their diabetes was first made when they had their heart attack.

Bariatric Surgery - A Cure for Diabetes?

noreply@blogger.com (Dr. Joe) — Thu, 18 Sep 2008 21:18:00 +0000

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The September 18, 2008 medical newspaper Endocrine Today had on their front page, Bariatric Surgery – a cure for diabetes?

I have been involved with people needing to consider this type of surgery for their diabetes and other severe problems relating to their metabolism since 1965. The initial success in the first year has again given many people a reason to consider that new technology and understanding of the pathogenesis of diabetes might get better success that in the past.

I get to see people in their second year after surgery. Many have new metabolic problems in the area of vitamins (especially vitamin D) and most dreaded of all, the return of diabetes and weight gain.

The Chief Medical Editor of this publication, Alan Garber, MD included his perspective at the end of the article noting the durability of the antidiabetic effect remains uncertain. He noted the observation that when diabetes is diagnosed there is a progressive loss of beta cells, the cells that produce insulin. Thus in my experience as well as Alan’s, we have only delayed diabetes, not denied its presence.

Water Bottles and Diabetes 2

noreply@blogger.com (Dr. Joe) — Wed, 17 Sep 2008 15:43:00 +0000

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Plastic water bottles, food containers, baby bottles and water containers contain bisphenol A, a chemical that suppresses a hormone that protects humans from heart attacks and diabetes 2.

Hundreds of studies have shown bisphenol A’s toxicity in developing tissue and tissue function. Reproductive problems, certain cancers and asthma have been shown to cause problems in lab animals.

Bisphenol A leeches from food and beverage containers and has been found in 93% of the urine samples in test patients. In the body it mimics estrogen and prevents natural estrogens from attaching to the estrogen site. When this happens in mice they become obese and insulin resistant.

Testing of fat tissue from bisphenol A affected humans reports suppression of the protective hormone adiponectin. Adiponectin protects against heart attacks and type 2 diabetes. Similar studies in mice indicate effects on the beta cells that create insulin resistance. This may well be a reason for children and adolescents’ obesity and early diabetes.

Environmental Health Perspective August 14, 2008.
Science News 9.29.2007
Science News 9.13.2008

Soft Drinks

noreply@blogger.com (Dr. Joe) — Tue, 29 Jan 2008 01:04:00 +0000

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Acomplia for Weight Loss

noreply@blogger.com (Dr. Joe) — Sat, 12 Jan 2008 16:17:00 +0000

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Living Long on Less

noreply@blogger.com (Dr. Joe) — Sat, 24 Nov 2007 16:46:00 +0000

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Dr. Joe refers to material from Science News March 10, 2007, Vol. 171, Page 147.

Viruses Cause Obesity

noreply@blogger.com (Dr. Joe) — Thu, 04 Oct 2007 23:48:00 +0000

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Weight Loss, Knee Pain

noreply@blogger.com (Dr. Joe) — Wed, 03 Oct 2007 14:12:00 +0000

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Low HDL & Increased Triglycerides

noreply@blogger.com (Dr. Joe) — Mon, 10 Sep 2007 15:54:00 +0000

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Calcium and Vitamin D

noreply@blogger.com (Dr. Joe) — Tue, 04 Sep 2007 18:09:00 +0000

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Risk Factors in the Obese

noreply@blogger.com (Dr. Joe) — Wed, 18 Jul 2007 14:59:00 +0000

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DNA, Obesity and Diabetes 2

noreply@blogger.com (Dr. Joe) — Sun, 27 May 2007 14:40:00 +0000

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Of the Fit and the Fat

noreply@blogger.com (Dr. Joe) — Thu, 24 May 2007 13:25:00 +0000

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Visceral Fat Testing

noreply@blogger.com (Dr. Joe) — Wed, 16 May 2007 13:57:00 +0000

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Cortisone Response in Men & Women

noreply@blogger.com (Dr. Joe) — Mon, 14 May 2007 16:20:00 +0000

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Public Concern About Obesity

noreply@blogger.com (Dr. Joe) — Mon, 30 Apr 2007 14:15:00 +0000

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Rimonabant

noreply@blogger.com (Dr. Joe) — Sat, 03 Mar 2007 15:10:00 +0000

The two year results JAMA 2006 2;295(7):761-75 of treatment with 20 mg/d of rimonabant plus diet promoted modest but sustained weight loss as well as favorable changes in cardiometabolic risk factors. At year 1, compared with the placebo group, the rimonabant 20 mg group produced greater mean reductions in weight (–6.3 kg; P<.001) and waist circumference (–6.1 cm; P<.001).

The rimonabant 20 mg group also produced greater changes in levels of triglycerides (% change, –5.3; P<.001) and increases in HDL cholesterol (% change, 12.6; P<.001), as compared with placebo. Subsequently, the weight loss achieved during year 1 was maintained during year 2 in the patients continuing to receive rimonabant 20 mg.

A limitation of the study, pointed out by the authors was the limited data in minority groups, with the population predominantly white female.

Body Shape Predicts Disease

noreply@blogger.com (Dr. Joe) — Mon, 26 Feb 2007 19:19:00 +0000

We have heard of the perils of body shape causing disease, Apple vs. Pear and the like, but now we have real science behind it. Accuracy of Anthropometric indicators of Obesity to Predict Cardiovascular Risk, J of Clinical Endocrinology and Metabolism 92:589-594, 2007.

This is a European study that uses all the same testing as we have in the office. The focus previously was detecting tendency for disease with blood testing. Now we have the simplicity of the body shape able to do what is needed to start therapy.

Our Regional Tissue Analysis and the Lateral vertebral analysis are sufficiently able to define diagnosis for 6 major disorders. The Cardiovascular Profiler defines the diagnosis for 6 different disorders. Sure we back it up with additional testing but this enables us to be far leaner on blood letting.

It’s your time.

Weight Loss Prevents Diabetes Type 2

noreply@blogger.com (Dr. Joe) — Thu, 01 Feb 2007 15:37:00 +0000

The Diabetes Prevention Program has convincingly shown that weight loss programs will prevent diabetes type 2. Diabetes Care Vol 29, #9. 9.2006, pg 2102-2107.

For every 2.2 lbs of weight loss there was a 16% decrease in the chance of getting diabetes. Decrease in fat consumed and increase in physical activity accounted for the weight loss. Increased physical activity helped sustain the weight loss.

About 25% of the participants did not reach the weight loss goal at one year but did achieve the goal of a 44% drop in the incidence of diabetes.

Preparation for Bariatric surgery

noreply@blogger.com (Dr. Joe) — Sun, 05 Nov 2006 15:17:00 +0000

Click here to listen to Dr. Joe's message about Preparation for Bariatric surgery. (1:22 minutes)

Rimonabant for Weight Loss

noreply@blogger.com (Dr. Joe) — Mon, 23 Oct 2006 15:58:00 +0000

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European Evaluation of "Fad" Diets

noreply@blogger.com (Dr. Joe) — Mon, 16 Oct 2006 15:40:00 +0000

The journal of the Austrian Family Physician had a nice review on the science behind weight loss diets. From a European standpoint, our obsession with these diets seems to be rather curious.

The comment was made that trials have only appeared over the past 3 to 4 years evaluating our major fad diets. All diets seem to work for about 12 months but seem to cease working at the end of the 12 months. No side effects were noted and no safety issues were raised.

The adherence to the diets is difficult. Weight loss is always moderate. It seems that neither the standard recommended restriction of calories nor the popular new weight loss diets are effective.

Dairy, D and Calcium

noreply@blogger.com (Dr. Joe) — Sun, 01 Oct 2006 01:29:00 +0000

Dr. Joe has addressed this topic in a video email. Click here to view the message.

Metabolic Syndrome and Obesity

noreply@blogger.com (Dr. Joe) — Tue, 26 Sep 2006 20:50:00 +0000

Here is more information on the metabolic syndrome. It never seems to stop. It really is an important syndrome however for weight gain and all the other subsequent complications of excess weight. Journal of Cardiovascular Nurs, 2006 Jul-Aug; 21(4):285-90

The metabolic syndrome has become one of the leading clinical issues discussed by physicians and the media, leading to increased public awareness to this potentially catastrophic multiplex risk factor for cardiovascular disease. With increasing prevalence in the United States, the metabolic syndrome has been equated to cigarette smoking as a contributing factor to premature cardiovascular heart disease and one of the underlying causes of type 2 diabetes.

The identification and modification of the root causes, overweight/obesity, physical inactivity, and the closely associated condition, insulin resistance, needs to be one of the initial strategies that are addressed by the clinician.

The realization of this situation has opened up major therapeutic potential for both weight loss and avoiding complications of extra weight.

Metabolic Syndrome

noreply@blogger.com (Dr. Joe) — Tue, 05 Sep 2006 14:37:00 +0000

The debate continues on what constitutes the metabolic syndrome in what it means to those who have it. Circulation 2005 12;112(24):3713-21. The U.S. National Education Program, the World Health Organization, International Diabetes Foundation and others continue the debate. The issue boils down to what it means to the individual who has it. Biochem. Soc. Trans.. (200533, (1041-1044).

There now seems to be three basic outcomes or diseases that may be at risk, Diabetes mellitus, Alzheimer's disease or cardiovascular disease.

There probably will be several mechanisms in the acceleration of all these problems. It will be sometime before these are delineated. The severity of the outcomes makes it high priority research. The attack on this syndrome is an attack on all three of these outcomes. Although it will be decades before it's proven, it’s likely that you can go a long way to reduce your chances of these disorders. And you can lose a lot of weight along the way.