The following program presents principles 00:00:01.98\00:00:02.95 designed to promote good health and is not 00:00:02.96\00:00:04.90 intended to take the place of 00:00:04.93\00:00:06.23 personalized professional care. 00:00:06.26\00:00:07.87 The opinions and ideas expressed are those 00:00:08.73\00:00:10.87 of the speaker. Viewers are encouraged to draw 00:00:10.90\00:00:13.39 their own conclusions about the information presented. 00:00:13.42\00:00:16.08 Hi, I'm Sheryl McWilliams and welcome to 00:00:35.99\00:00:38.21 'Wonderfully Made.' How many of you like me 00:00:38.24\00:00:40.75 have lost a few pounds only to find them again 00:00:40.78\00:00:44.04 and find that they bring friends. 00:00:44.07\00:00:45.43 We would like to welcome Dr. Timothy Howe to the 00:00:46.31\00:00:48.22 show today and we're gonna be talking about the topic 00:00:48.25\00:00:51.20 of weight control. Thank you Sheryl, it's good 00:00:51.23\00:00:54.24 to be here. Weight control was something 00:00:54.27\00:00:57.13 I never used to worry about, but I'm with you, 00:00:57.16\00:01:01.77 it's creeping on, you have to watch it every minute. 00:01:02.62\00:01:05.09 I, not a day goes literally that I don't think about 00:01:05.75\00:01:08.91 my weight, it's something that I've struggled with my 00:01:08.94\00:01:11.31 entire life. So, this is a topic that's very near 00:01:11.34\00:01:14.56 and dear to my heart. As we get started, 00:01:14.59\00:01:17.93 I would like to understand what are some of the 00:01:17.96\00:01:20.82 complications with having too much weight? 00:01:20.85\00:01:24.36 Well, as I tell my patients sometimes, 00:01:25.97\00:01:29.34 you have to be careful if you run two ton on a one 00:01:30.26\00:01:33.04 ton truck, you're gonna break the springs down, 00:01:33.07\00:01:35.83 you're gonna have problems. 00:01:35.86\00:01:37.02 It's gonna be harder on the engine to pull it up 00:01:37.94\00:01:40.04 the hill and same is true with our bodies, you 00:01:40.07\00:01:42.58 know, if you're overweight you're going to wear 00:01:42.61\00:01:45.78 your hips out faster, you're going to wear 00:01:45.81\00:01:48.69 your knees out faster; you're going to have more 00:01:48.72\00:01:50.96 arthritis. About 50 percent more problems 00:01:50.99\00:01:54.60 with the hips, if you're considerably overweight 00:01:54.63\00:01:57.05 just the wear and tear of the weight on the joints, 00:01:57.08\00:02:02.16 it's hard on the heart, it raises the blood 00:02:02.19\00:02:05.35 pressure, lots of problems, cancer risk goes up, 00:02:05.38\00:02:09.45 obesity being too much of a good 00:02:09.48\00:02:13.79 thing can really be a risk. 00:02:14.16\00:02:16.43 Interesting many of us myself included have 00:02:17.29\00:02:19.70 tried many diets and there is just something 00:02:19.73\00:02:21.91 about that word that makes me feel uncomfortable. 00:02:21.94\00:02:24.21 How do we go about losing weight and actually 00:02:24.86\00:02:27.93 keeping it off for a lifetime? 00:02:27.96\00:02:29.66 Well, I'll tell you I don't like diet, 00:02:30.37\00:02:32.44 I say diets are the rhythm method of girth 00:02:33.66\00:02:36.74 control and they don't work any better than 00:02:36.77\00:02:39.81 that of the rhythm method, and furthermore 00:02:39.84\00:02:42.53 when you as one of my friends told me he said my 00:02:43.20\00:02:46.25 wife has lost over two tons since we have been 00:02:46.28\00:02:50.45 married. The same 10 pounds over and over and over 00:02:50.48\00:02:54.28 again you know that's one of the worst things 00:02:54.31\00:02:56.36 that you can do is lose the weight and gain it, 00:02:56.39\00:02:59.37 and lose the weight and gain it. 00:02:59.40\00:03:01.34 If weight is a problem whatever you take off, 00:03:03.13\00:03:06.51 keep off that's the very, very important and that's 00:03:07.69\00:03:11.64 why dieting, where I'm gonna be good, 00:03:11.67\00:03:14.11 I'm gonna be good for until, you know, 00:03:15.30\00:03:17.97 whenever it is, I've got a wedding coming up, 00:03:18.00\00:03:21.25 oh summer is coming, I've got to fit into my 00:03:21.28\00:03:23.78 you know whatever they wear, 00:03:23.81\00:03:25.36 so our look doesn't work because when it comes 00:03:25.39\00:03:29.71 back you know and there we have at the rhythm 00:03:29.74\00:03:31.83 method of girth control. We need not a diet, 00:03:31.86\00:03:35.04 but a change in the way we live. 00:03:35.07\00:03:37.27 What kind of changes and how we live would 00:03:39.68\00:03:42.65 end up in lifetime of weight management 00:03:42.68\00:03:46.36 or maintaining a proper weight? 00:03:46.39\00:03:48.21 Well, let me tell you a story to begin with this 00:03:48.24\00:03:52.44 is an powerful story, it's just to illustrate a point. 00:03:52.47\00:03:55.88 There was a gentleman, he was an older gentleman 00:03:56.62\00:03:59.31 and he decided he needed a new car and so he 00:04:00.06\00:04:04.16 went down to dealership and he looked at all the 00:04:04.19\00:04:06.71 cars and he found just the one he want it. 00:04:07.92\00:04:09.28 And he said to the salesman, now it's very 00:04:10.10\00:04:11.56 important to me to know how much gas you put 00:04:11.59\00:04:14.51 in this cars tank? And the salesman said 00:04:14.54\00:04:16.81 well right here on the sticker you can read it, 00:04:16.84\00:04:19.00 it holds 12 gallons of gas. Oh he said, 00:04:19.03\00:04:22.96 that's very good, he said I like to make sure my 00:04:22.99\00:04:25.19 car has a full tank of gas. 00:04:25.22\00:04:27.72 I like to know that for sure. 00:04:27.75\00:04:29.53 And so he bought the car and he took it home, 00:04:30.66\00:04:32.37 he polished in, he kept it there in the garage 00:04:32.40\00:04:35.67 most of the time he didn't have far to drive, 00:04:35.70\00:04:37.60 but every week he want to make sure that car 00:04:37.63\00:04:39.87 get fit and so he drive his car down to the gas 00:04:39.90\00:04:43.31 station he pull up, and he say to the attendant 00:04:43.34\00:04:45.90 I would like 12 gallons of gas. 00:04:45.93\00:04:48.36 So, the attendant would come and he put the 00:04:49.46\00:04:51.80 nozzle into the tank and he pull the lever and way 00:04:51.83\00:04:55.79 they go and the first time he went down, 00:04:55.82\00:04:58.52 no matter he driven a quite a bit because 00:04:59.26\00:05:00.66 it was a new car and it took 10 gallons of gas 00:05:00.69\00:05:04.56 and he went and he talked to that gentleman 00:05:04.59\00:05:06.41 and he said I'm sorry your car only took 00:05:06.44\00:05:08.64 10 gallons of gas. No it takes 12 gallons; 00:05:08.67\00:05:12.21 I'm telling you that's what they told me when 00:05:12.24\00:05:14.14 I bought it, now I want 12 gallons in my car. 00:05:14.17\00:05:16.49 The attendant scratched his head for a minute 00:05:17.50\00:05:18.72 and he said, I know what I'll do so he went and 00:05:18.75\00:05:21.67 got a gas can and he put 2 gallons in the gas 00:05:21.70\00:05:25.77 can lifted up the trunk, put it in the trunk, 00:05:25.80\00:05:27.88 shut the lid. The guy said thank you I have my12 00:05:27.91\00:05:32.12 gallons and he drove off, next week same thing, 00:05:32.15\00:05:34.69 next week same thing, but almost every time 00:05:34.72\00:05:37.72 he couldn't get a full 12 gallons in there sometimes 00:05:37.75\00:05:41.57 it was only 10, sometimes it was 5 and guess 00:05:41.60\00:05:46.05 what that car look like after while, 00:05:46.08\00:05:47.94 it was kind a sagging down of the springs, 00:05:47.97\00:05:50.31 you know because it had gas cans flopping 00:05:50.34\00:05:52.57 all around it. Do you ever seen anybody like that? 00:05:52.60\00:05:55.62 Yes myself, it's once a time. 00:05:55.65\00:05:58.37 See that's the problem with weight. 00:05:58.40\00:06:00.29 When we eat more, put more in the tank then 00:06:00.90\00:06:04.30 we burn and the key to weight management 00:06:04.33\00:06:07.29 is balancing that burn and filling problem. 00:06:07.32\00:06:12.40 Is that simple there is no magic, 00:06:12.43\00:06:14.34 there is no magic unfortunately, 00:06:14.37\00:06:16.61 I wish I had some pill, you know, 00:06:16.64\00:06:19.41 if you just had a pill that you could take and it 00:06:19.44\00:06:21.28 solve all of your problems but that didn't gonna 00:06:21.31\00:06:23.70 happen we still need to have self-control. 00:06:23.73\00:06:28.79 And that's what it boils down to, 00:06:28.82\00:06:30.80 there is a lot of tricks and things that 00:06:31.70\00:06:33.12 we can talk about, but the most important 00:06:33.15\00:06:35.78 thing is balanced calorie intake with calorie 00:06:35.81\00:06:39.93 expenditure. You know, a car is an internal 00:06:39.96\00:06:43.33 combustion engine that's what it is, 00:06:43.36\00:06:46.21 we are too, and its very important just like 00:06:46.96\00:06:51.46 for that man with a car to fill the tank but don't 00:06:51.49\00:06:55.70 overfill it right, don't overfill it, don't put gas 00:06:55.73\00:07:00.00 in your trunk back there, you know, 00:07:00.03\00:07:02.78 you want to put gas in the tank but don't add it 00:07:03.48\00:07:05.63 on and carry it for tomorrow and 00:07:05.66\00:07:07.47 the next day and the next. 00:07:07.50\00:07:08.52 Well sometimes in my personal experience 00:07:09.85\00:07:11.44 it seems that when I start to reduce the amount 00:07:11.47\00:07:14.34 of calories that I consume I lose weight at first 00:07:14.37\00:07:17.88 but then I suddenly stop losing weight. 00:07:17.91\00:07:21.00 You start plateauing, yes. You know it's an interesting 00:07:21.03\00:07:24.73 thing if you weigh 500 pounds and I've patients 00:07:24.76\00:07:27.84 who weigh 500 pounds and they are not that tall 00:07:27.87\00:07:31.12 either I mean if you were 10 feet tall maybe 00:07:31.15\00:07:35.11 500 wouldn't be far off but they weigh 500 pounds. 00:07:35.14\00:07:38.95 I think of one gentlemen, he came into my office 00:07:38.98\00:07:42.01 and he said I need to lose weight I really do, 00:07:42.04\00:07:45.24 I need to lose weight and I said well I can help you, 00:07:45.85\00:07:48.09 no problem. And I described the diet to him 00:07:48.83\00:07:52.32 and I said I want you on about he said I wanna lose 00:07:52.99\00:07:56.04 it fast, I said okay we will help you lose it fast. 00:07:56.07\00:07:58.72 I said we will give you 1200 calories a day and I 00:07:59.30\00:08:01.71 described it. He said doc I've starved on that diet. 00:08:01.74\00:08:05.40 Starve at 500 pounds might take you a few years 00:08:06.66\00:08:09.48 before you starve. You have to balance 00:08:09.51\00:08:12.02 things there, but you know you got to keep in mind 00:08:12.05\00:08:16.21 of this rhythm thing; you don't want to lose a lot, 00:08:16.24\00:08:20.57 gain it, lose it, gain it. You will be in trouble 00:08:20.60\00:08:23.80 if you do that. Absolutely, what will this 00:08:23.83\00:08:26.81 breakfast play when you are trying to lose weight? 00:08:26.84\00:08:29.00 Well, breakfast is the most important meal 00:08:29.95\00:08:32.76 of the day; your body is ready for those calories 00:08:32.79\00:08:35.71 first thing in the morning. And if you wanna lose 00:08:35.74\00:08:39.00 weight and you wanna keep it off, 00:08:39.03\00:08:41.44 eat your breakfast that's the most important meal. 00:08:41.47\00:08:45.14 I look at it this way you want to eat breakfast 00:08:46.23\00:08:48.27 like a king, lunch like a prince, and supper like 00:08:48.30\00:08:52.83 a pauper if you wanna keep your weight off. 00:08:52.86\00:08:55.45 And that's not how most of us were raised, 00:08:55.48\00:08:57.49 most of us were raised if you are gonna skip 00:08:57.52\00:08:59.68 a meal you skip that breakfast meal, that's 00:08:59.71\00:09:02.57 right. And then you have your larger meal or supper. 00:09:02.60\00:09:04.15 In fact if you talk to people who have been 00:09:04.18\00:09:06.72 around a while 80s, they will tell you that when 00:09:06.75\00:09:10.05 they were growing up they ate breakfast, 00:09:10.08\00:09:12.11 dinner and supper. Now we eat breakfast and lunch 00:09:12.14\00:09:18.23 and dinner. Our big meals in the evening, 00:09:18.26\00:09:22.09 well if you eat your calories late in a day what 00:09:22.12\00:09:25.91 you gonna do with them? You're gonna store them, 00:09:25.94\00:09:29.15 there they are gonna go right here around 00:09:29.18\00:09:30.16 your middle. Whereas if you eat them early 00:09:30.19\00:09:33.02 in the morning, you'll tend to burn them throughout 00:09:33.05\00:09:36.16 the day and you'll actually eat less than if you 00:09:36.19\00:09:39.11 eat your majority of your calories in the evening, 00:09:39.14\00:09:41.51 so that's number one with weight loss eat those 00:09:41.54\00:09:44.37 calories early in the day. Get your breakfast like 00:09:44.40\00:09:49.29 a king or like a queen. And lunch or dinner, 00:09:49.32\00:09:54.12 if you will, you want to have that like a prince 00:09:54.15\00:09:58.75 or princess and supper like a pauper or if you're really 00:09:58.78\00:10:03.93 having trouble with your weight skip that 00:10:03.96\00:10:07.66 evening meal. You don't need it, 00:10:07.69\00:10:10.25 not as long as you're overweight. 00:10:10.28\00:10:12.30 And just have two meals a day it works better 00:10:13.01\00:10:14.96 and it doesn't hurt you to be hungry. 00:10:14.99\00:10:18.59 You know, I think that's one of the first things 00:10:19.27\00:10:20.87 to keep in mind, hunger as long as you are overweight 00:10:20.90\00:10:25.12 is a sign of health. If a patient comes into my 00:10:25.15\00:10:29.40 office and he says doc I'm not hungry and I worry. 00:10:29.43\00:10:32.61 They are in trouble; they are in trouble. 00:10:34.43\00:10:36.43 Cancer causes loss of hunger. 00:10:36.46\00:10:38.47 So, when you're hungry you can say that's good sign. 00:10:39.10\00:10:43.00 I'm healthy; hunger is a sign of health provided 00:10:43.64\00:10:46.93 you are not underweight, of course. 00:10:46.96\00:10:48.68 There are many people the world over that are hungry 00:10:50.00\00:10:52.75 and that's the sign of malnutrition but very few 00:10:52.78\00:10:57.84 in this country. Now I often think Sheryl that if 00:10:57.87\00:11:01.13 we just took the calories away that we are eating 00:11:01.76\00:11:05.20 that we shouldn't from this country and gave them 00:11:05.23\00:11:07.95 to people that should have them there probably 00:11:07.98\00:11:10.16 wouldn't be any hunger in the world at all. 00:11:10.19\00:11:12.56 Do you know that 60% of the people in United States 00:11:12.59\00:11:16.14 today are overweight, 60% and that is increased in 00:11:16.17\00:11:21.49 the last 20 years; obesity is just climbing like this, 00:11:21.52\00:11:24.69 it's just taking off like a jet taking off, 00:11:24.72\00:11:27.46 just like that. And we say well it's genetic, 00:11:28.28\00:11:30.70 genetics haven't changed in 30 years, 00:11:30.73\00:11:32.88 it's just climbing obesity rates are. 00:11:34.00\00:11:36.25 We're eating way too much you know the Bible says 00:11:36.28\00:11:38.92 'do unto others as you would have them do unto 00:11:38.95\00:11:41.81 on you.' You often think about that when 00:11:41.84\00:11:43.62 I'm talking with the overweight people or when 00:11:43.65\00:11:46.25 I'm dealing with myself. You know do unto others 00:11:46.28\00:11:50.28 there they are starving and I'm eating too much 00:11:50.31\00:11:52.72 and people say, well you can't send the food 00:11:52.75\00:11:55.11 over there, but you could send the money 00:11:55.14\00:11:57.88 you are spending on that food, food isn't free. 00:11:57.91\00:12:00.01 And if we just thought about that when 00:12:00.85\00:12:03.55 we are eating and denied our self, you know, 00:12:03.58\00:12:07.01 if we fast that evening meal and took the savings 00:12:07.04\00:12:11.10 and send it for disaster and famine relief. 00:12:11.13\00:12:14.18 What an impact our country could make today 00:12:15.24\00:12:17.85 on world wide hunger and we help 00:12:18.67\00:12:23.28 ourselves too. And that's the blessing of that. 00:12:23.31\00:12:26.18 So, when you talk about nutrition and eating 00:12:27.50\00:12:29.93 as it relates to weight control are there certain 00:12:29.96\00:12:31.80 foods that we should eat or not eat 00:12:31.83\00:12:33.98 when we are trying to lose weight? 00:12:34.01\00:12:36.05 No there are many diets that people talk about, 00:12:36.90\00:12:40.05 they talk about counting calories and this and that. 00:12:40.08\00:12:43.17 I don't think I have met many people that can count 00:12:43.87\00:12:47.40 calories for a long time successfully. 00:12:47.43\00:12:51.00 It's much better to switch the food you eat 00:12:52.17\00:12:55.21 and to go to foods that are less calorically dense, 00:12:56.15\00:12:59.27 if that have higher fiber that are more natural 00:13:01.33\00:13:04.67 and then eat until you're full. But, not snack, 00:13:05.43\00:13:09.35 not eat a big evening meal preferably if 00:13:09.38\00:13:12.96 you are overweight no evening meal. 00:13:12.99\00:13:14.53 And you will find that your weight will go, 00:13:15.44\00:13:17.03 where it needs to. One thing that we find is if 00:13:17.06\00:13:19.68 people are dieting but they are eating high 00:13:19.71\00:13:22.49 fat foods that food goes in through the lips 00:13:22.52\00:13:27.80 to the hips just like that. Whereas if we can switch 00:13:27.83\00:13:32.42 them to 'whole food whole' you know the best 00:13:32.45\00:13:35.78 food for someone that's overweight to eat 00:13:35.81\00:13:39.00 is to go down the road to the farmer's field 00:13:39.03\00:13:41.62 and pick it out of the field and then eat it 00:13:41.65\00:13:44.47 or it doesn't have to be raw they can cook it 00:13:44.50\00:13:47.20 that's fine. But, if you have fresh fruit 00:13:47.23\00:13:50.37 and you have fresh vegetables you are going 00:13:50.40\00:13:53.79 to lose weight as I often say if you want to stay 00:13:53.82\00:13:58.95 out of a box don't eat out of a box and it really 00:13:58.98\00:14:03.51 does help when you are losing weight. 00:14:03.54\00:14:05.30 If you get your food in the produce section 00:14:06.04\00:14:08.45 primarily and only a small amount in the other 00:14:08.48\00:14:12.73 sections your weight is just gonna drift down 00:14:12.76\00:14:15.54 to where it needs to be provided you are 00:14:15.57\00:14:18.65 eating regularly that will take care of it. 00:14:18.68\00:14:21.70 The concept of eating from the produce section, 00:14:22.72\00:14:24.85 when I implemented that into my own life 00:14:24.88\00:14:27.63 I found that I was little nervous about my grocery 00:14:27.66\00:14:30.81 bill because the price of a pineapple or 00:14:30.84\00:14:33.99 fresh fruits and fresh vegetables they are fairly 00:14:34.02\00:14:36.50 expensive but as I began to do that 00:14:36.53\00:14:38.81 I realized my grocery bill was actually going 00:14:38.84\00:14:41.81 down a little bit because I was not buying 00:14:41.84\00:14:44.57 as many boxes and bags and packages 00:14:44.60\00:14:47.80 as I had been before and my weight did eventually 00:14:47.83\00:14:51.54 go down but it took time and 00:14:51.57\00:14:52.99 that was most frustrating. 00:14:53.02\00:14:54.19 Do you know the important thing I think 00:14:55.38\00:14:56.73 with weight control is this don't get in a hurry, 00:14:56.76\00:15:00.12 don't get in a hurry and the most important 00:15:00.15\00:15:03.44 way that you will ever lose is the first five pounds. 00:15:03.47\00:15:07.70 If you lose five pounds, just five, 00:15:08.31\00:15:10.65 that's all five pounds and keep it off, 00:15:10.68\00:15:13.16 keep it off just that five, you will lower your 00:15:14.39\00:15:18.02 risk of obesity associated cancers by 50 percent. 00:15:18.05\00:15:22.46 The reason for that as you shifted the balance 00:15:23.98\00:15:26.22 completely if you lose five pounds to keep that 00:15:26.25\00:15:30.14 five pounds off, you've either got to continue 00:15:30.17\00:15:32.65 to exercise more or eat less, 00:15:32.68\00:15:35.53 if you don't you're gonna regain it. 00:15:36.42\00:15:37.69 So, just that five pound weight loss will drop 00:15:38.50\00:15:42.54 your risk of obesity associated cancers 00:15:42.57\00:15:45.16 by 50 percent, it's amazing, just small changes 00:15:45.19\00:15:48.47 make a big difference. Now it may take more 00:15:48.50\00:15:51.77 weight loss to work on those joints, 00:15:51.80\00:15:53.82 it will probably take more weight loss to work 00:15:54.50\00:15:57.01 on your blood pressure although the first five 00:15:57.04\00:15:59.03 to ten pounds really does drop the blood pressure. 00:15:59.06\00:16:01.94 It may take more weight to reverse diabetes 00:16:02.73\00:16:05.97 because right following that obesity take off 00:16:06.00\00:16:10.61 or were we just having huge epidemic of obesity 00:16:10.64\00:16:14.16 right behind it, just nip and tuck right behind 00:16:14.19\00:16:16.46 it is diabetes. And it may take a little more weight 00:16:16.49\00:16:20.11 loss than five pounds but you know I found people 00:16:20.14\00:16:23.75 come in that first five to ten pounds if they are 00:16:23.78\00:16:27.11 type II diabetic will often turn off their diabetes, 00:16:27.14\00:16:31.05 now they avoid medicine, they keep working on it, 00:16:31.08\00:16:34.79 they are golden and that's why we want, we want 00:16:35.66\00:16:37.50 to reverse that illness all of them and it's, 00:16:37.53\00:16:41.23 it's really that first five pounds that makes 00:16:41.26\00:16:43.57 the difference, but if you gain it back oh my, 00:16:43.60\00:16:49.29 it brings all its friends with it and then you 00:16:49.32\00:16:53.28 just zoom right up. I often tell people don't have 00:16:53.31\00:16:57.52 a goal weight have a ceiling weight. 00:16:57.55\00:17:00.69 You drop to a certain point and then say I'm never 00:17:00.72\00:17:04.40 gonna go over this way ever. 00:17:04.43\00:17:07.53 And that's really helpful because it's that regain 00:17:07.74\00:17:10.53 and that rebound that really 00:17:10.56\00:17:12.45 hurts you on the long haul. 00:17:12.48\00:17:13.76 So, we don't have to lose tremendous amounts 00:17:14.89\00:17:17.37 of weight we need to focus on losing some weight 00:17:17.40\00:17:20.79 and actually keeping that off for a lifetime. 00:17:20.82\00:17:23.03 Absolutely, that's the most important thing. 00:17:23.68\00:17:26.21 Lose a bit of weight and keep it off that makes 00:17:26.24\00:17:30.35 the difference because to keep it off 00:17:30.38\00:17:32.09 you have to change your lifestyle. 00:17:32.12\00:17:34.66 And, and it truly is a lifestyle change, 00:17:35.69\00:17:37.76 certainly it has been in my own life. 00:17:37.79\00:17:39.64 What role does physical activity play 00:17:39.67\00:17:42.94 with regards to weight control? 00:17:42.97\00:17:44.66 Well you remember my story about the man 00:17:44.69\00:17:47.05 and his new car, if he would have just driven 00:17:47.08\00:17:49.57 that car around the block a few more times 00:17:49.60\00:17:51.84 then he could have filled his tank or at least filled 00:17:51.87\00:17:54.13 that little more nearly full and the same is true 00:17:54.16\00:17:57.21 with us, if we exercise regularly we can eat more 00:17:57.24\00:18:01.76 and I am telling you I like to eat. 00:18:02.66\00:18:04.54 It's one of my favorite things to do but I have 00:18:04.57\00:18:07.22 found the weeks that I don't get exercise if I 00:18:07.25\00:18:10.28 eat until I am full I am starting to carry weight 00:18:11.74\00:18:15.35 around with me that I don't want to, 00:18:15.38\00:18:17.32 and you know it's that weight around the 00:18:17.35\00:18:19.95 middle and that's where we tend to put it 00:18:19.98\00:18:21.38 on that really gets us in trouble. 00:18:21.41\00:18:23.26 It's the weight around the middle, 00:18:23.29\00:18:25.60 it's what gives us diabetes, 00:18:26.74\00:18:27.82 the weight around the middle it's what gives us 00:18:28.48\00:18:30.04 blood pressure problems, the weight around the 00:18:30.07\00:18:32.11 middle is what gives us heart disease and 00:18:32.14\00:18:35.60 cancer risk. You know, it's that what I call 00:18:35.63\00:18:40.88 is bureau disease, you've ever heard of bureau 00:18:40.91\00:18:43.92 disease? That's where your chest drops into your 00:18:43.95\00:18:46.38 drawers. Well, I tell you that's the worst 00:18:46.41\00:18:49.95 kind of obesity to have is bureau disease. 00:18:49.98\00:18:52.64 And it seems that many of us that's the kind 00:18:53.43\00:18:55.64 of weight we are carrying around is 00:18:55.67\00:18:56.77 right around them. That's where it settles on me, 00:18:56.80\00:18:59.22 I have to watch it or else I'll have that 00:18:59.25\00:19:02.30 bureau disease. So, when we are trying 00:19:02.33\00:19:05.31 to lose weight we need to pay attention 00:19:05.34\00:19:07.16 to our food and you talked about whole foods 00:19:07.19\00:19:09.71 whole and eating from the farmers from the 00:19:09.74\00:19:12.45 farmers market or from the produce section 00:19:12.48\00:19:14.92 of the grocery store, that's great but I tend 00:19:14.95\00:19:18.33 to put lots of toppings on my farmer's market food. 00:19:18.36\00:19:22.60 Well now you have to be careful with 00:19:23.70\00:19:25.79 those toppings. You can choose toppings 00:19:25.82\00:19:27.90 that are good for you. In fact you can put 00:19:27.93\00:19:30.58 some nuts on there and sprinkle a few nuts 00:19:30.61\00:19:33.33 on your veggie that tastes good. Those 00:19:33.36\00:19:35.37 nuts are very high in fat, but it's a good fat. 00:19:35.97\00:19:39.33 They are also high in fiber, they are high in vitamins, 00:19:40.24\00:19:43.19 minerals, they are very good for toppings. 00:19:43.22\00:19:46.15 The ones you want to watch are those cheeses 00:19:46.97\00:19:49.93 and the other types of fatty foods that will 00:19:49.96\00:19:55.20 cause problems, they will add on the pounds. 00:19:55.23\00:19:58.93 You better off just eat simple food simply 00:19:58.96\00:20:03.09 prepared. Now I tell you at first it may not taste 00:20:03.12\00:20:07.88 too good, you may have to re-educate your 00:20:07.91\00:20:11.17 taste but you know that's possible. 00:20:11.20\00:20:12.74 Before I went to medical school, 00:20:12.77\00:20:14.47 my mother was a dietician and she said to me 00:20:14.50\00:20:17.47 you know you are going to medical school and 00:20:17.50\00:20:19.50 you ought to try a low salt diet. I said sure, 00:20:19.53\00:20:22.02 I'll try a low salt diet. She put me on a 00:20:22.05\00:20:24.61 low salt diet and I want to tell you my food 00:20:24.64\00:20:27.37 tasted like cardboard I thought I was gonna die, 00:20:27.40\00:20:30.63 she said stay with it, stay with it and I did 00:20:30.66\00:20:33.07 and you know it wasn't very long until the food 00:20:34.14\00:20:36.45 tasted fine. Oh, it took me two to three weeks 00:20:36.48\00:20:40.22 but then you know I went out to one of these 00:20:40.88\00:20:42.59 church potlucks and I tasted the food 00:20:42.62\00:20:45.66 and it was terrible salty, it's what you're used to, 00:20:45.69\00:20:49.73 and over two to three weeks, 00:20:50.55\00:20:52.85 it only took Daniel two weeks you know, 00:20:52.88\00:20:55.13 but over two to three weeks you can re-educate your 00:20:55.73\00:20:58.03 taste, so that Broccoli actually has a flavor 00:20:58.06\00:21:00.75 of its own and in spite of the fact it doesn't have 00:21:00.78\00:21:02.93 the Hollandaise Sauce poured over or the cheese 00:21:02.96\00:21:05.33 sauce or whatever. It can happen and that's 00:21:05.36\00:21:08.97 what you need if you are going to lose weight 00:21:09.00\00:21:11.16 is go to that produce section and stay right 00:21:11.19\00:21:15.06 there buying those fruits and buying those 00:21:15.09\00:21:17.38 vegetables buying those grains whole grains stay 00:21:17.41\00:21:20.83 away from the refined grains because they don't 00:21:20.86\00:21:23.07 fill you up as well, they push your blood sugar up, 00:21:23.10\00:21:26.19 they push your weight up and push your cart 00:21:26.22\00:21:29.82 around the store a few extra times for the energy, 00:21:29.85\00:21:32.36 grow a garden, you know gardening is a wonderful 00:21:32.98\00:21:35.76 exercise it's one of the best. If you grow 00:21:35.79\00:21:39.07 a garden you're out there and that food taste better 00:21:39.10\00:21:43.23 if you grow it yourself, make sure you does. And 00:21:43.26\00:21:45.87 it will help you control your weight as well. 00:21:46.66\00:21:48.62 Grow a garden, can some of that fruit or freeze it, 00:21:49.50\00:21:52.25 that's very good for you and it help 00:21:53.07\00:21:54.88 with your weight, absolutely. 00:21:54.91\00:21:56.51 One of the things that helped me in my process 00:21:57.41\00:21:59.81 of trying to lose weight is I transitioned away 00:21:59.84\00:22:02.72 from drinking juice and milk and began drinking water. 00:22:02.75\00:22:06.35 Is that something that others should do? 00:22:07.18\00:22:09.10 You know the worst thing that you can do 00:22:10.11\00:22:11.76 for your body regardless to your weight the 00:22:12.99\00:22:15.28 worst thing that you can do is have juice or 00:22:15.31\00:22:18.37 soda or milk or calories between meals. 00:22:18.40\00:22:21.78 It's calories you don't need almost always 00:22:23.47\00:22:26.32 and I am telling you it will increase your rate 00:22:26.97\00:22:29.10 for all those diseases that are associated 00:22:29.13\00:22:31.45 with obesity, it's hard on your pancreas 00:22:31.48\00:22:34.59 to have foods between meals. You know it's just 00:22:34.62\00:22:38.12 not a good idea. There is a same amount of 00:22:38.15\00:22:40.81 calories in a glass of juice as there is in a can 00:22:40.84\00:22:44.37 of soda and people say well it's natural. 00:22:44.40\00:22:46.76 Well just because something is natural doesn't 00:22:47.70\00:22:49.74 mean it's good for you, okay. 00:22:49.77\00:22:51.73 Tobacco is natural, it's a natural herb but 00:22:52.93\00:22:56.46 I'm not gonna tell you to have it and juice 00:22:56.49\00:22:58.67 I would say if you are going to have juice have it 00:22:59.31\00:23:01.61 with your meal and have a small amount 00:23:01.64\00:23:04.97 four ounces don't have it between meals it's 00:23:05.00\00:23:09.42 calorically rich, calories go into your system 00:23:09.45\00:23:13.02 faster, it's harder on your system. 00:23:13.05\00:23:16.59 Here is another very important thing and this 00:23:16.62\00:23:18.82 is the juices that are sweetened. 00:23:18.85\00:23:22.21 You read the labels on those sweetened juices. 00:23:23.07\00:23:25.82 There are almost always sweetened with corn syrup. 00:23:26.54\00:23:28.95 Corn syrup or high fructose corn syrup 00:23:29.82\00:23:32.34 is interesting because the high fructose 00:23:32.37\00:23:35.39 doesn't turn off your appetite, and if you look 00:23:35.42\00:23:40.23 at the intake of sugars in this country today. 00:23:40.26\00:23:43.14 Our intake of sugars are much higher in 00:23:43.17\00:23:45.61 fact it's a little lower than it was in the 1950, 00:23:45.64\00:23:48.48 but our intake of sweeteners is much, 00:23:48.83\00:23:51.38 much higher and it's all high fructose corn syrup 00:23:51.41\00:23:55.24 which doesn't satisfy the appetite but sure 00:23:55.99\00:23:58.35 we will pack on the pounds, you want to be 00:23:58.38\00:24:01.18 careful particularly of those things 00:24:01.21\00:24:03.24 if you are trying to lose weight. 00:24:03.27\00:24:04.55 I noticed when I was trying to lose weight 00:24:04.58\00:24:08.38 that in my physical activity program 00:24:08.41\00:24:10.99 I walked that's what I did mostly but 00:24:11.91\00:24:13.54 I seem to lose weight faster once I added 00:24:13.57\00:24:16.78 to that some weight lifting, why is that? 00:24:16.81\00:24:19.29 You know it's interesting if you build muscle, 00:24:20.08\00:24:22.62 muscle burns more fat then fat does, 00:24:23.25\00:24:26.25 quite a bit more. It burns about 10 times 00:24:27.18\00:24:30.54 as much just a muscle cell sitting still burns 00:24:30.57\00:24:33.59 more calories than a fat cells stood in still. 00:24:33.62\00:24:36.67 So what you want to do is build muscle because 00:24:37.24\00:24:39.72 if you build muscle you can lose weight while 00:24:39.75\00:24:42.18 you are sleep I like that, it raises your basal 00:24:42.21\00:24:45.99 metabolic rate to have more muscle on your frame. 00:24:46.02\00:24:49.21 So lifting weights is good, walking faster is good, 00:24:49.83\00:24:53.23 anything that you can do to build your muscle 00:24:53.26\00:24:55.92 mass helps you lose weight, if you just diet 00:24:56.53\00:25:00.09 and don't exercise it is highly unlikely that you 00:25:00.84\00:25:04.39 will be able to stay in that weight loss. 00:25:04.42\00:25:06.43 You know they did an interesting experiment, 00:25:07.02\00:25:08.76 they had people take these diets 00:25:08.79\00:25:11.64 where you just drink your calories and they follow 00:25:11.67\00:25:16.38 them for two years, they could ask them one 00:25:16.41\00:25:18.55 question at the end of two years after the program 00:25:18.58\00:25:22.62 and determine with a 100 percent accuracy 00:25:22.65\00:25:25.23 who had regained their weight. 00:25:26.13\00:25:27.25 You know what that one question was? 00:25:27.28\00:25:28.66 How many hours do you watch TV? 00:25:28.69\00:25:30.52 The reason for that is when you are watching 00:25:32.16\00:25:34.56 TV you burn less calories then when you are sleeping. 00:25:34.59\00:25:37.63 Wow. Because they shift the images 00:25:38.46\00:25:41.86 so fast that it puts the brain to sleep and 00:25:41.89\00:25:46.10 your brain burns a lot of calories. 00:25:46.13\00:25:48.07 You know, there is another thing that's very 00:25:49.45\00:25:51.24 important and that is all hunger is not physical. 00:25:51.27\00:25:56.90 Now I want to tell you I know this, 00:25:58.00\00:25:59.52 when I go home from work after a hard 00:26:00.76\00:26:02.84 day and I am feeling you know you've had 00:26:02.87\00:26:06.88 those kind of days. Often, I'll go into the house 00:26:06.91\00:26:10.46 and the first thing I do is I go and I open the 00:26:11.23\00:26:15.10 refrigerator and my wife will see me 00:26:16.13\00:26:18.55 there in front of the refrigerator you know 00:26:18.58\00:26:20.56 what the first question she ask is have you had 00:26:20.59\00:26:23.41 a hard day? She knows that my hunger 00:26:23.44\00:26:26.25 is not physical, it's something else. 00:26:27.79\00:26:31.10 So many of us are over eating because we 00:26:32.22\00:26:35.80 have a hunger that needs to be fed but 00:26:35.83\00:26:40.65 it's not a physical hunger, it's a spiritual or an 00:26:40.68\00:26:44.82 emotional hunger, and if you feed an emotional 00:26:44.85\00:26:48.85 or a spiritual hunger with food you'll never be full. 00:26:49.55\00:26:54.47 You know Saint Augustine said, our hearts 00:26:55.70\00:26:57.96 were made for thee o God and they find no 00:26:57.99\00:27:00.98 rest until they find their rest in thee. 00:27:01.01\00:27:04.08 So very, very important so many of us like me, 00:27:05.55\00:27:09.39 our hungry but not for food, we're hungry for Jesus, 00:27:10.86\00:27:16.18 and only in Him can we find our hungers fulfilled 00:27:17.29\00:27:20.15 and lose the weight, we need to be healthy. 00:27:20.18\00:27:25.00 So, aside from physical activity and nutrition 00:27:26.74\00:27:30.27 and water and all of these other things making 00:27:30.30\00:27:33.52 sure that we are in tune with our emotional 00:27:33.55\00:27:36.68 and our spiritual health will be helpful 00:27:36.71\00:27:40.69 for long-term weight control? 00:27:41.32\00:27:42.60 Absolutely, that's so very, very important and many 00:27:42.63\00:27:46.24 of my obese patients, I don't talk to them 00:27:46.27\00:27:49.59 about their food; I talk to them about their 00:27:49.62\00:27:53.52 need for their Lord and Savior. 00:27:53.55\00:27:56.20 Thank you for joining us today on 00:27:57.98\00:27:59.76 'Wonderfully Made' this topic is certainly 00:27:59.79\00:28:01.96 interesting to me and I appreciate you 00:28:01.99\00:28:03.84 sharing it with us Dr. Howe thank you. 00:28:03.87\00:28:05.55