[email protected] pm dm weight loss a non pharmaceutical houstonian experience: junk food...
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A Non Pharmaceutical A Non Pharmaceutical Houstonian Experience:Houstonian Experience:
Junk Food Starvation Junk Food Starvation SyndromeSyndrome
Description Cost Description Cost TreatmentTreatment
Claude F. Mondiere MDClaude F. Mondiere MD
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Is it the future we want ?Is it the future we want ?
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Houston: the “B” cityHouston: the “B” city
•Bigger is BetterBigger is Better
•BarbecueBarbecue
•BaseballBaseball
•BibleBible
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Houston: the “No” cityHouston: the “No” cityNo seasonNo seasonNo urban structure to walkNo urban structure to walkNo gastronomyNo gastronomyNo window to the world:No window to the world:
Houstonian lifestyle is imposed Houstonian lifestyle is imposed upon foreigners who are being upon foreigners who are being introduced to Houston lifeintroduced to Houston life
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Material and methodsMaterial and methodsThe signs:The signs:
OverweightOverweightFatigue, painFatigue, painGrey skin, poor hairGrey skin, poor hairPoor sleepPoor sleepConstipationConstipationAcid Reflux diseaseAcid Reflux diseaseNo or limited activity No or limited activity
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Material and methodsMaterial and methodsThe patients:The patients:
Middle class persons, some having no Middle class persons, some having no healthcare. Men and women workinghealthcare. Men and women working
Patients
Ages BMI Weights period of survey
20<
20-40
40-60
60>
26<
26-30
30>
150<
150-200
200-250
250-300
300>
3months3m-
1year1-2years
Female
3 12 22 6 2 11 26 3 28 6 2 1 43
Male 1 6 18 3 3 6 19 0 4 17 4 3 23 5
Purpose of the appointment
Overweight Non Overweight
WO other
PB Diabetes
Vasc. Dislipidem
y
blood pressure
Esthetic
FamilyATCMisc
FamilyATC
Misc Cardio
Female
22 12 8 12 3 1 1 2 5 1
Male 6 4 22 20 1 1 2 2 3 2
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Material and methodsMaterial and methods
Questions :Questions :
1) Purpose of the appointment1) Purpose of the appointment
2) Personal and family history2) Personal and family history
3) Nutrition and physical habits3) Nutrition and physical habits
4) Existing treatments and 4) Existing treatments and medications medications
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Material and methodsMaterial and methodsDecision:Decision:
Choice of nutrition planChoice of nutrition plan1)1) With or without fastingWith or without fasting2)2) With or without weekly coachingWith or without weekly coaching
Choice of physical activitiesChoice of physical activities1)1) WorkoutWorkout2)2) Floor exerciseFloor exercise3)3) NothingNothing
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Material and methodsMaterial and methods
OrganizationOrganization
Shopping healthy: Shopping healthy: EMPTY HOME OF JUNK FOODEMPTY HOME OF JUNK FOODFreezer, Frig and Pantry full of healthy Freezer, Frig and Pantry full of healthy
stuffstuffLearning the biochemistry of cookingLearning the biochemistry of cookingLearning what nutrition does in terms ofLearning what nutrition does in terms of
thoughts and actionsthoughts and actions
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Material and methodsMaterial and methodsACTION: Changing a lifestyleACTION: Changing a lifestyle
A) New routine: preparing a plan to eat rightA) New routine: preparing a plan to eat rightThis may take from 2 weeks to a few monthsThis may take from 2 weeks to a few months
B) New product choices: B) New product choices: Health and Pleasure compliantHealth and Pleasure compliant
C) New size C) New size Making the numbers, calculating the portion Making the numbers, calculating the portion
until the targeted weight is reacheduntil the targeted weight is reached
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The nutrition plan to be The nutrition plan to be healthyhealthy
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An example for BMI > 30An example for BMI > 30First Breakfast 9-11 AM Lunch 4-5 PM Dinner 9-11PM
MondayLemon juice+water+mapple sirop
Go lean+nuts+ fruits+ Non Fat Plain yogourt
!/2 apple + 3 almonds (example)
Fish + veggiescup of soya milk unsweetened
Soups+ fish Tea
TuesdayLemon juice+water+mapple sirop
Go lean+nuts+ fruits+ Non Fat Plain yogourt
!/2 apple + 3 almonds (example)
Fish + saladcup of soya milk unsweetened
Soups+ fish Skim milk
WednesdayLemon juice+water+mapple sirop
Go lean+nuts+ fruits+ Non Fat Plain yogourt
!/2 apple + 3 almonds (example)
Fish + veggiescup of soya milk unsweetened
Soups+ fish Tea
ThursdayLemon juice+water+mapple sirop
Go lean+nuts+ fruits+ Non Fat Plain yogourt
!/2 apple + 3 almonds (example)
Fish + saladcup of soya milk unsweetened
Soups+ fish Skim milk
FridayLemon juice+water+mapple sirop
Go lean+nuts+ fruits+ Non Fat Plain yogourt
!/2 apple + 3 almonds (example)
Fish + veggiescup of soya milk unsweetened
Soups+ fish Tea
SaturdayLemon juice+water+mapple sirop
Go lean+nuts+ fruits+ Non Fat Plain yogourt
!/2 apple + 3 almonds (example)
Fish + saladcup of soya milk unsweetened
Soups+ fish Skim milk
Sunday
W e e k ly N u tr i t i o n P la n
NO STARCH No Hydrogenated oil No modified nutriments
Teas: Puer'h 3 cups a day, Oolong 3 cups a day
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Results: Personal benefitsResults: Personal benefitsWeight loss :Weight loss :
Each individual has his own chartEach individual has his own chartWell being:Well being:
Self confidenceSelf confidenceReduction of headaches Reduction of headaches Improvement of sleepImprovement of sleepBetter digestionBetter digestionDecrease of aggressivenessDecrease of aggressiveness
Side effect:Side effect:Some mood swings at the beginning due to Some mood swings at the beginning due to
hypoglycemiahypoglycemia
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A coupleA coupleL. and L. before the planL. and L. before the plan L. and L. after 6 months on the L. and L. after 6 months on the
planplan
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A new lifestyleA new lifestyleBoth are eating Both are eating right since right since November 2004November 2004
They look 10 years They look 10 years younger and have younger and have resumed a very resumed a very active and playful active and playful lifestylelifestyle
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A Healthy 58 Years Old A Healthy 58 Years Old AmericanAmerican
0
50
100
150
200
250
300
350
400
450
Nov Jan Mar May Jul Sep Nov Jan Mar May
monthsP
ou
nd
s, c
m,
inch
es
Weight in Lb
Waist inches
Waist cm
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Results: Public Health Results: Public Health EconomyEconomy
SHORT TERMSHORT TERM
Decrease treatmentsDecrease treatmentsCholesterol Cholesterol High blood pressureHigh blood pressureHeart and vascular surgeryHeart and vascular surgeryDiabetes and complicationDiabetes and complicationAntidepressant Antidepressant
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Results: Public Health Results: Public Health EconomyEconomy
LONG TERM
Better productivity at workBetter productivity at work
Decrease cost for healthcareDecrease cost for healthcare
Healing every day without costly treatments:Healing every day without costly treatments:Normal blood cholesterol (increased brain Normal blood cholesterol (increased brain
activity) activity) Normal blood pressure ( reduced depression)Normal blood pressure ( reduced depression)Normal blood glucose (reduced mood Normal blood glucose (reduced mood
swings)swings)Less depression and related diseasesLess depression and related diseases
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DiscussionDiscussion
Importance of education in eating Importance of education in eating habitshabits
Balance of psychology and Balance of psychology and biochemistry biochemistry change a patient change a patient who is starving with junk food to who is starving with junk food to a human being pleased to feel a human being pleased to feel well and to overcome the aging well and to overcome the aging processprocess
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ConclusionConclusionWhat budget have we to consider:What budget have we to consider:
Education Education Who have to be convinced: Who have to be convinced:
The grocery stores and the The grocery stores and the distribution distribution
The Government agenciesThe Government agenciesThe health care providersThe health care providersThe hospitals to provide better The hospitals to provide better
food during treatmentsfood during treatments