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	<title>BMI &#187; fats</title>
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	<description>Bariatrics &#38; Metabolism Initiative</description>
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		<title>LOW CARB DIET BETTER FOR DIABETES!</title>
		<link>http://www.bmi-india.com/low-carb-diet-better-for-diabetes/</link>
		<comments>http://www.bmi-india.com/low-carb-diet-better-for-diabetes/#comments</comments>
		<pubDate>Tue, 01 Sep 2009 00:30:21 +0000</pubDate>
		<dc:creator>ramana</dc:creator>
				<category><![CDATA[blog]]></category>
		<category><![CDATA[Diet]]></category>
		<category><![CDATA[fat loss]]></category>
		<category><![CDATA[Headline]]></category>
		<category><![CDATA[nutrition]]></category>
		<category><![CDATA[Obesity Research]]></category>
		<category><![CDATA[diabetes]]></category>
		<category><![CDATA[fats]]></category>
		<category><![CDATA[low carb]]></category>
		<category><![CDATA[Mediterranean diet]]></category>
		<category><![CDATA[obesity]]></category>

		<guid isPermaLink="false">http://www.bmi-india.com/?p=197</guid>
		<description><![CDATA[According to a study published in the Annals of Internal Medicine (September 1 edition), a Mediterranean diet low in carbs scored far better in diabetics than a low fat diet as recommended by the American Heart Association. Article source here. A summary in Medpage Today says that &#8220;Among diabetics who followed a Mediterranean-style diet, only [...]]]></description>
			<content:encoded><![CDATA[<p><span style="text-align:justify;"><br />
According to a study published in the Annals of Internal Medicine (September 1 edition), a Mediterranean diet low in carbs scored far better in diabetics than a low fat diet as recommended by the American Heart Association.</p>
<p><a href="http://www.bmi-india.com/wp-content/uploads/2009/09/Mediterranean-diet.jpg"><img class="alignnone size-full wp-image-198" title="Mediterranean-diet" src="http://www.bmi-india.com/wp-content/uploads/2009/09/Mediterranean-diet.jpg" alt="Mediterranean-diet" width="337" height="282" /></a></p>
<p>Article source <strong><a href="http://www.annals.org/cgi/content/abstract/151/5/306">here</a></strong>.</p>
<p>A summary in Medpage Today says that <em>&#8220;Among diabetics who followed a Mediterranean-style diet, only 44% required antihyperglycemic drug therapy, compared with 70% of patients who followed a standard low-fat diet (95% CI -31.1% to -20.1%, </em><em>P</em><em>&lt;0.001)&#8221;</em>.<span id="more-197"></span></p>
<blockquote><p><span style="color: #0000ff;">&#8220;Compared with a low-fat diet, a low-carbohydrate, a Mediterranean-style diet led to more favorable changes in glycemic control and coronary risk factors and delayed the need for antihyperglycemic drug therapy in overweight patients with newly diagnosed type 2 diabetes,&#8221; Dario Giugliano, MD, PhD, of the Second University of Naples, and colleagues wrote.</span></p>
<p><a href="http://www.bmi-india.com/wp-content/uploads/2009/09/meditarian.jpg"><img class="alignnone size-full wp-image-199" title="meditarian" src="http://www.bmi-india.com/wp-content/uploads/2009/09/meditarian.jpg" alt="meditarian" width="370" height="278" /></a></p></blockquote>
<p>Full Medpage Today article may be read <a href="http://www.medpagetoday.com/Endocrinology/Diabetes/15764?utm_source=twitter&amp;utm_medium=twitter&amp;utm_campaign=twitter"><strong>here</strong></a>.<br />
</span></p>

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		<title>ORLISTAT- A CANDIDATE FOR WITHDRAWAL?</title>
		<link>http://www.bmi-india.com/orlistat-a-candidate-for-withdrawal/</link>
		<comments>http://www.bmi-india.com/orlistat-a-candidate-for-withdrawal/#comments</comments>
		<pubDate>Tue, 25 Aug 2009 23:08:58 +0000</pubDate>
		<dc:creator>ramana</dc:creator>
				<category><![CDATA[blog]]></category>
		<category><![CDATA[Complications]]></category>
		<category><![CDATA[Diet]]></category>
		<category><![CDATA[fat loss]]></category>
		<category><![CDATA[Headline]]></category>
		<category><![CDATA[nutrition]]></category>
		<category><![CDATA[Obesity Research]]></category>
		<category><![CDATA[Practice]]></category>
		<category><![CDATA[bariatric surgery]]></category>
		<category><![CDATA[drugs for obesity]]></category>
		<category><![CDATA[fats]]></category>
		<category><![CDATA[obesity]]></category>

		<guid isPermaLink="false">http://www.bmi-india.com/?p=192</guid>
		<description><![CDATA[Many patients and physicians are averse to bariatric surgery for the management of morbid obesity and its attendant evils of diabetes, hypertension, sleep apnea, etc. Fair enough, I say, but then how do you achieve fat loss when you are unlikely to be in the 5% who will achieve it with lifestyle changes? Clearly, people [...]]]></description>
			<content:encoded><![CDATA[<p><span style="text-align:justify;"><br />
Many patients and physicians are averse to bariatric surgery for the management of morbid obesity and its attendant evils of diabetes, hypertension, sleep apnea, etc. Fair enough, I say, but then how do you achieve fat loss when you are unlikely to be in the 5% who will achieve it with lifestyle changes? Clearly, people who get morbidly obese are extremely hard pressed to get back into shape and health, even with medical supervision.</p>
<p><a href="http://www.bmi-india.com/wp-content/uploads/2009/08/alli.jpg"><img class="alignnone size-medium wp-image-194" title="alli" src="http://www.bmi-india.com/wp-content/uploads/2009/08/alli-300x245.jpg" alt="alli" width="300" height="245" /></a></p>
<p>In this scenario, they often resort to taking drugs to help with weight loss. One such drug, now popular all over the world, is <a href="http://en.wikipedia.org/wiki/Orlistat"><strong>Orlistat</strong></a>, sold over the counter in the US as Alli.<span id="more-192"></span></p>
<p>The drug works by inhibiting the digestion and absorption of ingested fat in the alimentary tract. Net result- the ingested fat is passed off in the stool. So, the patient can eat fats and not put it on&#8211; after all, it is not getting absorbed into the body. Cool, ain&#8217;t it?</p>
<p>Not really. The drug,<strong> </strong><a href="http://www.bmi-india.com/what-organs-control-our-body-fat/"><strong>as we have seen with rimonabant before</strong></a>, is not without its inherent problems. The stools become oily and loose, not to say foul-smelling. As a result of this, much time is spent in the toilet. If that is not bad enough, the oil trickles in through the anus and soils your clothes!</p>
<p>Orlistat (sold in India in the names of Reeshape or Obelit, among others) also causes malabsorption of fat-soluble vitamins and could be harmful if consumed for longer periods of time. Remember that fat is an important macronutrient for the body, even in fat people!</p>
<p>According to <a href="http://www.medpagetoday.com/ProductAlert/Prescriptions/15670?utm_source=twitter&amp;utm_medium=twitter&amp;utm_campaign=twitter"><strong>this report</strong></a><strong> </strong>(and some others), Orlistat has been found to cause severe liver toxicity, including liver failure in several patients, leading the FDA to launch a product review on the drug.</p>
<blockquote>
<p style="line-height: 15px;"><span style="color: #0000ff;"><em>FDA said it &#8220;is not advising healthcare professionals to change their prescribing practices with orlistat. Consumers currently taking Xenical should continue to take it as prescribed, and those using over-the-counter Alli should continue to use the product as directed.&#8221;</em></span></p>
<p style="line-height: 15px;"><span style="color: #0000ff;"><em>But the FDA advised orlistat users to &#8220;consult their healthcare professional if they are experiencing symptoms possibly associated with the use of orlistat and development of liver injury, particularly weakness or fatigue, fever, jaundice, or brown urine. Other symptoms may include abdominal pain, nausea, vomiting, light-colored stools, itching, or loss of appetite.&#8221;</em></span></p>
</blockquote>
<p>However, if history is any indicator, it is our prediction that this will go the way of rimonabant and Ephedra and die a natural death in some time in the future.<br />
</span></p>

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		<title>DOES A LOW CARB LIFESTYLE WORK?</title>
		<link>http://www.bmi-india.com/does-a-low-carb-lifestyle-work/</link>
		<comments>http://www.bmi-india.com/does-a-low-carb-lifestyle-work/#comments</comments>
		<pubDate>Sun, 09 Aug 2009 14:25:17 +0000</pubDate>
		<dc:creator>ramana</dc:creator>
				<category><![CDATA[blog]]></category>
		<category><![CDATA[Featured]]></category>
		<category><![CDATA[nutrition]]></category>
		<category><![CDATA[Atkins]]></category>
		<category><![CDATA[fats]]></category>
		<category><![CDATA[low carb]]></category>
		<category><![CDATA[obesity]]></category>

		<guid isPermaLink="false">http://www.bmi-india.com/?p=98</guid>
		<description><![CDATA[The Atkins Diet is one of several types of low carb/slow carb/no carb diet that have strong advocates and critics. Often the discussions in internet fora are heated and sink to name-calling and abuse, including colorful descriptions of what someone&#8217;s head would be good for. According to the low carb advocates, if you consume less [...]]]></description>
			<content:encoded><![CDATA[<p>The Atkins Diet is one of several types of low carb/slow carb/no carb diet that have strong advocates and critics. Often the discussions in internet fora are heated and sink to name-calling and abuse, including colorful descriptions of what someone&#8217;s head would be good for.</p>
<p>According to the low carb advocates, if you consume less than 50 grams of carbohydrates a day, the insulin response is very low, and this confers a metabolic advantage to the person keen of fat loss. What advantage? In the absence of high insulin levels/spikes, the body burns fat and uses it as the preferred energy source. Insulin, you might know, normally causes storage of ingested calories (carbs/fats) in belly fat depots. It is no coincidence that in the metabolic syndrome, a condition associated with diabetes and a pot belly, the insulin levels of the patient are very high. In fact, the metabolic syndrome is synonymous with insulin resistance- a condition where higher than normal levels of insulin are required to control blood glucose levels.</p>
<p>So, to come back to the point, low carb advocates claim that when you cut out the grains and sugars, you don&#8217;t need to bother about calories. You will lose fat anyways.</p>
<p>High carb advocates include formidable groups and associations, including the nutritional bodies that recommend policy to governments. They are the kingpins of the current nutritional recommendations of the food pyramid where around 60% of your food is supposed to come from carbs. The high carb advocates state that the low carb lifestyle causes cancers, kidney damage and make you weak. Most of such allegations are, however, baseless.</p>
<p>Low carb lifestyles are safe and do work. However, the adherence to any particular lifestyle needs motivation. People who fantasize about having a thick layer of jam layered on white bread are not likely to stick to a low carb lifestyle for long!</p>
<p>Whichever way one looks at it, if the goal is fat loss, the easiest way to do it is to cut out carbohydrates, which takes away a large source of calories. What is more, a diet high on protein and fat is at once more fulfilling and satiating. It helps to curb cravings and create a sharp mind, rather than one befuddled by the glucose fall after a post-meal insulin surge.</p>
<p>A low carb lifestyle also helps if you have the metabolic syndrome or diabetes. There are many patients of ours who are doing well merely by sticking to a low carb diet. </p>
<p>The most important aspect of this diet (for the patient) is understanding it, accepting it as a choice for health and satisfaction, rather than a lifestyle of deprivation.</p>
<p>So, to come to the point, does a low carb diet work for fat loss? It definitely does, but whether it does so by restricting calories alone (on account of it being more satiating an filling) or by having a metabolic advantage is still not unquestionably clear. </p>
<p>The current evidence definitely shows that a caloric deficit is needed for fat loss, and also shows that low carb diets achieve it, but not necessarily better than any other diet.</p>

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		<title>WHITE POISON</title>
		<link>http://www.bmi-india.com/white-poison/</link>
		<comments>http://www.bmi-india.com/white-poison/#comments</comments>
		<pubDate>Wed, 05 Aug 2009 16:32:05 +0000</pubDate>
		<dc:creator>ramana</dc:creator>
				<category><![CDATA[blog]]></category>
		<category><![CDATA[Featured]]></category>
		<category><![CDATA[nutrition]]></category>
		<category><![CDATA[video]]></category>
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		<guid isPermaLink="false">http://www.bmi-india.com/?p=76</guid>
		<description><![CDATA[Okay, as doctors we are used to saying things you don&#8217;t want to here. So let me tell you something that will hurt many of you in a most sensitive place. And that is: Sugar is white poison. Delicious. Makes life seem worth living. Addictive. So many more things. But  the bottomline is that sugar [...]]]></description>
			<content:encoded><![CDATA[<p>Okay, as doctors we are used to saying things you don&#8217;t want to here. So let me tell you something that will hurt many of you in a most sensitive place. And that is:</p>
<p><em><strong>Sugar is white poison</strong></em>. Delicious. Makes life seem worth living. Addictive. So many more things. But  the bottomline is that <em>sugar is poison</em>.</p>
<p>Here is a fabulous talk on the subject and on the subject of <em>saturated fats, heart disease and cholesterol</em>. Trust me, this is like nothing you would have imagined about the entire subject!</p>
<p>Take your time, but don&#8217;t miss a word of this fascinating story on sugar.</p>
<p><a href="http://www.youtube.com/watch?v=dBnniua6-oM">Dr. Lustig: Sugar&#8211; The Bitter Truth</a><object classid="clsid:d27cdb6e-ae6d-11cf-96b8-444553540000" width="425" height="350" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0"><param name="src" value="http://www.youtube.com/v/dBnniua6-oM" /><embed type="application/x-shockwave-flash" width="425" height="350" src="http://www.youtube.com/v/dBnniua6-oM"></embed></object></p>

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