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Lifestyle Changes for

It’s time for New Year’s resolutions, and I’d like those who are resolving to exercise and lose weight to please raise your hand. Well, that’s about 80 percent. Now, how many of you did the same thing last year? Another 80 percent. Clearly, you need more than resolutions to achieve these goals. Let’s look at solutions to our obesity epidemic.

Eat, Exercise, and Check Your Hormones. First and most obvious, you need to eat higher quality food, and you need to eat less of it. You know that cookies, breads, and starches such as French fries and pasta are your enemies. You also know that lean protein, salads, and high-fiber vegetables are your friends. If you eat like this, you will lose weight.

Second, you have to exercise. Exercise plays an integral role in weight control. The best way to get and stay active is to start walking. Resistance training (weight lifting) is also crucial. Muscle burns fat, and the more you have, the faster you’re going to lose weight.

Third, you should have your hormones checked. Age-related declines in hormone levels can contribute to weight gain. Here at the clinic, we routinely measure thyroid, testosterone, estrogen, progester­one, and growth hormone levels. In many cases, correcting hormone imbalances solves a lot of problems.

Taming the Raging Appetite. Fourth and perhaps most important, you need to control appetite. Nobody wants to be fat—obesity destroys self-image and accelerates virtually all serious degenerative diseases. So why is it such a pervasive problem? The answer is appetite. As the sheer magnitude of obesity in this country testifies, taming appetite requires something other than discipline.

I’m constantly on the lookout for techniques to curb appetite, and I’ve written about many of them over the years. Glucomannan, a fiber supplement taken before meals, fills you up so you eat less. Alpha lipoic acid, a potent antioxidant, suppresses hunger when taken in large doses. EGCG (epigallocatechin gallate), a green tea polyphenol, reduces appetite and increases metabolic rate. Hoodia gordonii, from an African succulent, has been shown to dramatically cut caloric intake. And 5-HTP, an amino acid, reduces carbohydrate cravings.

How to Stay on Track. The final thing you need to achieve your weight loss goals is structure. You need a program to follow. You need a mentor to monitor your progress. You need feedback on your success—or lack thereof—so your program can be altered to better suit you.

Of course you can do this on your own, but like a football team without a coach, you’re much less likely to succeed. We recognize the importance of that support here at the clinic, which is why we’ve developed our TLC (Therapeutic Lifestyle Changes) program. It contains all of the elements necessary for success: evaluation of hormones and metabolic problems, nutritional support, a therapeutic diet with protein-rich meal replacement drinks, and an exercise program. But perhaps the most integral aspect of the program is that patients communicate with their TLC educator on a regular basis to discuss their progress, hash out solutions to stumbling blocks, and get ongoing assistance and encouragement.

They Lost Weight and You Can, Too. We’ve had excellent success with the TLC program. Ken lost 160 pounds and got off multiple drugs. Mark lost 140 pounds and said goodbye to numerous health problems. Elizabeth lost 30 pounds and was radiant on her wedding day. Sue’s weight loss was less dramatic, but she, too, was ecstatic:

“I’ve been on Weight Watchers for years, but I could never lose those last few pounds of fat. I’ve been on the TLC program for nine weeks now and not only have I lost the unwanted blubber, I’ve built up muscle, too. My fat/muscle ratio is very close to what it should be. I used to carry all my excess fat in my stomach, but now my clothes are fitting better than ever and I feel great. This is a lifestyle commitment, and I’m really good most of the time. But even when I went on vacation and was a little sloppy, I only put on a pound or two that came right back off after I got back on the program. I look and feel better than I have in years.”

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