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\00:00:04.68 intended to take the place of 00:00:04.80\00:00:05.91 personalized professional care. 00:00:06.17\00:00:07.95 The opinions and ideas expressed are those 00:00:08.56\00:00:10.68 of the speaker. Viewers are encouraged to 00:00:10.71\00:00:13.00 draw their own conclusions 00:00:13.32\00:00:14.29 about the information presented. 00:00:14.45\00:00:15.98 Welcome, welcome to Wonderfully Made. 00:00:35.94\00:00:38.38 I'm glad that you've join us today, because 00:00:39.00\00:00:40.25 we have a interesting and intriguing subject 00:00:40.28\00:00:42.68 that many people can relate to. I'm your host 00:00:42.88\00:00:45.54 Claudio Japas, a student at Loma Linda 00:00:45.75\00:00:47.58 University in the Preventive Care Program. 00:00:47.75\00:00:50.08 Joining me is Dr. Dos Santos which is a 00:00:51.09\00:00:52.87 professor at Loma Linda in the same 00:00:53.00\00:00:54.79 program, Preventive Care. He has been 00:00:54.96\00:00:56.99 around the world in multiple places dealing 00:00:57.16\00:00:59.20 with different lifestyle clinics. So, I know 00:00:59.33\00:01:01.79 you'll be able to add a lot to today's 00:01:01.82\00:01:03.75 program. Welcome Dr. Dos Santos. 00:01:03.97\00:01:05.64 Thank you very much, it's my pleasure to 00:01:06.11\00:01:07.90 be here and talk about this topic that is, 00:01:07.96\00:01:10.74 is very important for everywhere in the 00:01:12.00\00:01:14.54 world now. Exactly. Everywhere in the 00:01:14.77\00:01:16.67 world because it's spreading more and more. 00:01:16.84\00:01:19.69 There is a prevalence with overweight and 00:01:20.30\00:01:22.38 obesity that is alarming. In fact in America, 00:01:22.68\00:01:25.94 obesity is above 30 percent and if we add 00:01:25.99\00:01:29.06 overweight it's over 60 percent, approaching 00:01:29.63\00:01:32.36 70 percent. Something that's very common 00:01:32.50\00:01:35.01 to see in and we don't want that to become 00:01:35.04\00:01:36.89 the normal. Because we know that, there is 00:01:37.00\00:01:39.06 an ideal weight just like everything in 00:01:39.23\00:01:40.88 nature, God provided a way that is balanced, 00:01:41.14\00:01:43.78 that is above out of the extremes and in a 00:01:43.99\00:01:46.37 range that is normal and healthy. Yeah, it's 00:01:46.53\00:01:49.06 becoming an epidemic and what are your 00:01:49.11\00:01:51.60 thoughts. Why is it becoming an 00:01:51.85\00:01:52.82 epidemic in America? 00:01:52.83\00:01:54.26 Well, not only in America but in the world 00:01:55.66\00:01:58.24 you know that there is this problem even in 00:01:59.68\00:02:02.52 developing countries. We have this, 00:02:02.63\00:02:04.95 this obesity or overweight problem. 00:02:05.15\00:02:07.49 Correct. And the reason for that in my 00:02:07.52\00:02:09.68 prospective is that we are very smart people. 00:02:09.83\00:02:13.33 I mean the scientists and the people that 00:02:13.55\00:02:16.04 invented things. We invented machines to 00:02:16.50\00:02:21.12 facilitate our work and then we don't need to 00:02:21.32\00:02:24.09 spend too much energy, we just press 00:02:24.68\00:02:26.42 buttons and so. I love it. Yeah. 00:02:26.71\00:02:28.70 It makes life a lot easier. Exactly. 00:02:28.84\00:02:30.10 Just to sit back and make the machine do 00:02:30.13\00:02:32.88 most of the hard work and we can just or do 00:02:32.91\00:02:35.80 more than one person can. 00:02:35.97\00:02:37.46 Yeah, and these will, will be good in one 00:02:37.49\00:02:40.97 way. Because we will perform much better 00:02:41.11\00:02:44.30 and produce more things easier and faster. 00:02:44.33\00:02:46.99 But if you talk about the human body, 00:02:47.80\00:02:49.81 I mean we're made with muscles and 00:02:50.35\00:02:52.94 tendons and we're made to move. If we save 00:02:53.17\00:02:56.81 our moving here at the cost of new 00:02:57.38\00:03:00.22 machines, we might have a problem here 00:03:00.45\00:03:02.27 and this is one part of the equation, 00:03:02.65\00:03:05.34 the second part. So, we're paying for that. 00:03:05.43\00:03:07.43 Exactly, yeah. Way of be more efficient 00:03:07.46\00:03:10.21 to more productive we pay with our, 00:03:10.30\00:03:12.01 with our lives or our own health and you had 00:03:12.13\00:03:14.65 a second point. The second point is 00:03:14.68\00:03:16.84 related to the diet so. We're smart again, 00:03:16.99\00:03:21.59 so in the past we have a problem of under 00:03:22.17\00:03:24.50 nutrition and the concern was that we would 00:03:24.71\00:03:27.91 not have enough food and the winter will be, 00:03:28.11\00:03:32.11 would be with a lack of food and some 00:03:32.39\00:03:36.01 countries will, they have a hard time. 00:03:36.18\00:03:38.76 So, we develop ways to produce more and 00:03:38.87\00:03:43.93 more and more and foods and more foods 00:03:44.10\00:03:46.80 and new foods and those foods are delicious 00:03:46.84\00:03:49.73 and now we have so much of those and then 00:03:50.32\00:03:53.38 we have a problem. Lack of exercise, 00:03:53.92\00:03:56.30 good machines and good foods, lack of 00:03:56.43\00:03:59.31 exercise and high density foods 00:03:59.51\00:04:01.54 Right, so we've dug ourselves in this hole 00:04:01.68\00:04:04.17 that technology and productivity has caused 00:04:04.26\00:04:07.02 us to be more sedentary and also since we 00:04:07.80\00:04:10.86 have more focus on productivity, our foods 00:04:10.91\00:04:14.52 are, time to eat has to be faster, so we are 00:04:14.71\00:04:17.09 trying to eating more processed foods that 00:04:17.12\00:04:18.80 are tend to be more higher in fat and the way 00:04:18.83\00:04:23.57 they package it is not the best way for us. 00:04:23.81\00:04:26.10 So, now we have this problem on our hands 00:04:27.09\00:04:30.03 and not only here in the America, but around 00:04:30.36\00:04:31.56 the world and an interesting observation 00:04:31.59\00:04:34.71 I have made is that. Even though this is 00:04:34.80\00:04:37.29 common problem for us in America, that 00:04:37.75\00:04:41.22 different areas have different obesity levels. 00:04:41.49\00:04:44.99 The south commonly has a higher obesity 00:04:45.57\00:04:47.76 level than Colorado, the North West, which 00:04:47.97\00:04:50.85 tends to have a lower obesity level. 00:04:50.95\00:04:52.84 Could you comment on that, why is there a 00:04:53.32\00:04:54.55 discrepancy between these two areas? 00:04:54.73\00:04:56.92 Well, this is related to lifestyle and then if 00:04:58.57\00:05:02.47 you check what is happening in the Southern 00:05:02.55\00:05:05.13 States. We see that there is a richest thing 00:05:05.50\00:05:10.73 in the restaurants, in the fast foods and fry 00:05:11.06\00:05:13.45 foods and things like that and not much 00:05:13.69\00:05:16.61 emphasis on the exercise as compared to 00:05:17.01\00:05:19.84 Colorado and Western States that they have 00:05:19.96\00:05:23.46 more options for exercise, a lot of hiking 00:05:23.73\00:05:26.93 trails and a lot of outdoor activities, 00:05:27.16\00:05:30.20 opportunities for outdoor activities. 00:05:30.37\00:05:32.28 Right, right, and nothing against the 00:05:32.43\00:05:33.99 southern states. I grew up in Texas and the 00:05:34.24\00:05:36.30 food is delicious there. But it does become a 00:05:36.43\00:05:38.66 challenge and something that we need to 00:05:38.87\00:05:40.32 work against and perhaps still keep it as 00:05:40.62\00:05:43.33 flavorful and interesting to eat but focus 00:05:43.55\00:05:46.47 more on the world, there is situation here 00:05:46.72\00:05:49.35 so maybe increase, decrease the fat content 00:05:49.58\00:05:51.94 or the exercise or something to counteract 00:05:52.41\00:05:55.07 the challenges we find ourselves in these 00:05:55.90\00:05:57.95 different areas. Now genetics, some people 00:05:58.04\00:06:01.19 may say, well genetically they might be a 00:06:01.39\00:06:03.78 predisposed for one or the other. 00:06:04.84\00:06:06.88 Can I use that as an excuse? 00:06:07.77\00:06:09.25 Well, in terms of, you just take a look on the 00:06:10.70\00:06:15.51 statistics that happened in this country. 00:06:15.69\00:06:18.53 In 1991 we have no state in United States 00:06:19.10\00:06:22.95 with obesity levels over 20 percent. 00:06:23.90\00:06:27.02 So 20 percent of people obesity. Umm ! 00:06:28.10\00:06:30.65 No states, so now in 2009 we have only one 00:06:30.68\00:06:37.03 state in America that has the level of obesity 00:06:37.38\00:06:40.00 lower than 20 percent that is Colorado. 00:06:40.64\00:06:43.34 Just that state, the other states they have 00:06:44.60\00:06:46.90 higher levels or higher incidence of obesity. 00:06:47.33\00:06:49.99 So, it's about 20, it's about 18 years from 00:06:50.59\00:06:55.30 1991 to now that we have these change and 00:06:55.42\00:06:59.98 this cannot be explained by genetics, it's too, 00:07:00.09\00:07:02.73 it's too fast. The time is too short. 00:07:02.99\00:07:05.45 in micro change to something genetic. 00:07:05.48\00:07:07.04 Exactly, it has to be longer time for us to 00:07:07.07\00:07:09.44 explain that this is a genetic influence. 00:07:09.68\00:07:12.27 Right, so we can't really use that, 00:07:12.88\00:07:14.34 its more, it's definitely more a lifestyle issue. 00:07:14.62\00:07:17.25 So then okay going back to the question we 00:07:17.76\00:07:19.29 have this problem upon our hands. How are 00:07:19.61\00:07:21.80 we dealing it, commonly people are using 00:07:21.92\00:07:24.56 drugs for it now a days, different 00:07:26.01\00:07:27.69 medications. Is that best way to control 00:07:27.74\00:07:30.54 obesity? I would had the little bit on the. 00:07:30.91\00:07:33.64 Go ahead. On the other part about genetics, 00:07:33.75\00:07:37.79 so when we go to countries outside of 00:07:38.40\00:07:41.26 America, we have the same genetic make 00:07:41.60\00:07:45.26 up, but we have people in the rural areas and 00:07:45.34\00:07:48.30 they have people in the cities. So, then the 00:07:48.47\00:07:52.55 lifestyle is different, but the cities have more 00:07:53.35\00:07:55.78 genetic foods and less exercise more than 00:07:56.00\00:07:58.59 machines and than the rate of obesity also 00:07:58.82\00:08:01.68 are different. So same genetic make up but 00:08:01.97\00:08:05.45 different lifestyle different disease. 00:08:05.65\00:08:07.95 And you don't even need to do much 00:08:08.57\00:08:09.54 research. You just traveled to some of these 00:08:09.71\00:08:11.40 places and you just see the difference 00:08:11.59\00:08:12.93 right away. Yeah, yeah. 00:08:12.96\00:08:14.06 So, you can, it gets almost self evident 00:08:14.52\00:08:16.81 where a different lifestyle or what you are 00:08:17.12\00:08:18.85 doing with your body and you like mention 00:08:18.97\00:08:20.35 God created our bodies to be physically 00:08:20.56\00:08:22.41 active, to be moving, to be in motion. Umm! 00:08:22.57\00:08:25.88 And to burn those calories or decrease the 00:08:26.20\00:08:27.79 calories so that we burn the same amount 00:08:28.05\00:08:29.71 that we consume. So, that it's balanced out. 00:08:30.09\00:08:32.79 Now going back to the medicines, you're the 00:08:33.42\00:08:35.93 doctor, you know that a lot of doctors are 00:08:36.20\00:08:37.86 prescribing medicines for people to lose 00:08:38.10\00:08:39.79 weight. But is that healthiest way or the 00:08:40.11\00:08:42.53 best alternative or do we leave that as a last 00:08:42.67\00:08:45.23 resort? Well, medicines are important, 00:08:45.92\00:08:49.56 in fact what happened in the medical field is 00:08:50.73\00:08:52.80 that we don't have many medicines. 00:08:53.27\00:08:54.89 We have two basic drugs that we use for 00:08:55.21\00:08:58.47 weight control, that one is Orlistat and the 00:08:58.65\00:09:01.56 other is Sibutramine. Orlistat is a drug that 00:09:01.59\00:09:04.90 decreases absorption of fat in the system, 00:09:05.27\00:09:08.86 the digestive system and Sibutramine is one 00:09:09.08\00:09:12.71 that controls the appetite. But these 00:09:12.95\00:09:15.89 drugs will bring down above 5 percent and 00:09:16.14\00:09:19.30 is not very, very exciting so I believe in 00:09:20.39\00:09:24.22 terms of, if you're talking about treatment. 00:09:24.44\00:09:27.77 It's not being very successful, the rates for 00:09:28.45\00:09:33.28 that and I believe we need more research to 00:09:33.31\00:09:37.06 find more medicines and the problem is on 00:09:37.21\00:09:40.22 the other side. There is side affects 00:09:40.35\00:09:43.38 right, I took. Yeah, yeah. 00:09:43.41\00:09:44.54 That content there is Vitamins that 00:09:45.47\00:09:47.22 are fat soluble. Exactly. 00:09:47.25\00:09:49.22 We have, we have some side affects of a 00:09:50.17\00:09:52.10 drug and Orlistat is not, is the simple one. 00:09:52.16\00:09:55.44 It's not that much side affects, because the 00:09:55.94\00:09:58.34 side affects are related to bloating and 00:09:58.45\00:10:00.80 gas and diarrhea and sometimes 00:10:01.02\00:10:05.67 bleeding when. But it's not common. Okay. 00:10:05.70\00:10:06.93 And the Sibutramine that we have to be a little bit 00:10:06.96\00:10:10.39 aware that we can increase blood pressure. 00:10:10.42\00:10:13.18 So, that's a problem, but we have to go the second 00:10:13.21\00:10:17.07 aspect of disease that what causes that 00:10:18.04\00:10:21.86 and the cause of the problem was not lack of drugs. 00:10:21.89\00:10:25.85 The cause of problem was too much food and lack of 00:10:25.88\00:10:29.29 exercise. Even if you use a medicine to fix the problem, 00:10:29.32\00:10:33.12 that is too big you have to go back to the lifestyle, 00:10:33.15\00:10:36.28 lifestyle has to go hand in hand with whatever short 00:10:36.31\00:10:40.67 term solution that you find. Right, so it's almost 00:10:40.70\00:10:43.41 like driving on a road that has nails and you're getting 00:10:43.44\00:10:45.61 flat tires and that's a problem and we're trying to 00:10:45.64\00:10:48.10 find tires that work, so we can continue driving on that 00:10:48.13\00:10:50.60 road with nails; find a new road or new lifestyle 00:10:50.63\00:10:53.82 and different way. Without nails. Without nails exactly 00:10:53.85\00:10:57.16 and that would definitely help to solve the problem 00:10:57.19\00:11:00.46 and sometimes we find this and once again there might 00:11:00.49\00:11:03.02 be viewers that you're using the drugs and we're not 00:11:03.05\00:11:05.30 condoning them, we're just saying the alternatives are 00:11:05.33\00:11:07.80 to focus on the lifestyle, try to change some things 00:11:07.83\00:11:10.22 and it's a challenge for myself, for you and for 00:11:10.25\00:11:12.80 everyone to change lifestyle it's not easy especially 00:11:12.83\00:11:16.24 when our culture or background was a certain 00:11:16.27\00:11:18.53 way, but we wanna use and pray for wisdom. 00:11:18.56\00:11:21.35 God says if you pray for wisdom, I'll gave you wisdom 00:11:21.38\00:11:23.58 and to use our minds to make the best decisions 00:11:23.61\00:11:26.54 for our body. Now, going on the same branch of medicine 00:11:26.57\00:11:32.15 and other things that has been done are surgeries 00:11:32.18\00:11:35.96 today, where either. They're putting a band around the 00:11:35.99\00:11:39.67 stomach or cutting it and it sounds a little drastic, 00:11:39.70\00:11:43.53 I don't know if you agree that's maybe a loss, is this 00:11:43.56\00:11:47.09 a good for us or not or is it something we should use? 00:11:47.12\00:11:50.74 When the patients ask me this question and the first 00:11:52.10\00:11:55.36 answer is that if you will do something that is 00:11:55.39\00:12:02.29 temporary I think is okay, if you will do something 00:12:02.32\00:12:07.03 that is gonna be irreversible. So, you should 00:12:07.06\00:12:11.07 be careful for that. Cautious and careful. 00:12:11.10\00:12:14.04 And then that band is something that you can 00:12:14.07\00:12:16.32 reverse and that's fine for a while, but and then a 00:12:16.35\00:12:22.11 Bariatric surgery. By the way we have a graphic that 00:12:22.14\00:12:26.44 we can show for a Bariatric surgery. So, they do a 00:12:26.47\00:12:31.14 bypass of the food that instead of going to the 00:12:31.17\00:12:34.69 stomach. They go directly to the intestines and then 00:12:34.72\00:12:38.91 with that the person will not have absorption of many 00:12:38.94\00:12:44.57 of the nutrients and then the person will lose weight. 00:12:44.60\00:12:48.61 But it's, you're chopping the body right and cutting 00:12:48.64\00:12:51.29 the way and again some people may need to do this 00:12:51.32\00:12:53.63 for whatever reason. They've personal reasons, 00:12:53.66\00:12:55.78 or they think I've tried everything and maybe that 00:12:55.81\00:12:59.10 is. But it sounds a little drastic to be cutting and 00:12:59.13\00:13:02.14 just putting that and there are some serious side 00:13:02.17\00:13:04.23 effects and things they have change in their lifestyle 00:13:04.26\00:13:06.83 anyway forever right, because they cut that 00:13:06.86\00:13:09.95 stomach into much smaller part or portion. 00:13:09.98\00:13:13.06 Yeah, I just talk to a patient that did this 00:13:13.09\00:13:15.44 surgery and the problem is that she changed, 00:13:15.47\00:13:19.95 she lost 40 pounds and she was very happy. 00:13:19.98\00:13:22.57 But she still very obese and then the blood pressure 00:13:22.60\00:13:27.14 was too high and the cholesterol was too high and 00:13:27.17\00:13:30.19 I asked her what are you doing and she said well 00:13:30.22\00:13:33.55 I did a surgery. But now I eat everything, 00:13:33.58\00:13:36.91 I just eat every two hours. Wow. 00:13:36.94\00:13:39.84 And but I don't have any diet, then I mean it defeat 00:13:39.87\00:13:44.04 the purpose. You cannot fix this problem only doing 00:13:44.07\00:13:48.10 some manipulation or surgery. If you don't go 00:13:48.13\00:13:51.74 to the causes and that's my point. 00:13:51.77\00:13:53.48 Right, going to root, going to what the cause 00:13:53.51\00:13:55.56 the problem to began with. Yeah. 00:13:55.59\00:13:58.83 Very good, now I'm thinking well you now I won't do the 00:13:58.86\00:14:03.09 medicine, I won't do the surgery, this is little 00:14:03.12\00:14:05.26 drastic. But there is diets there is that. 00:14:05.29\00:14:08.19 You know all these different names we hear you know 00:14:08.22\00:14:11.08 I don't have to mention all of them by name, 00:14:11.11\00:14:12.65 but we're common with them and you know or maybe one 00:14:12.68\00:14:15.36 that's my color, today I'll just eat this color fruits 00:14:15.39\00:14:17.84 and vegetables and other, you know there is all kinds 00:14:17.87\00:14:21.17 of variety of diets and some are commercialized 00:14:21.20\00:14:23.97 some are not. Are they balanced, are they good for 00:14:24.00\00:14:27.38 us or what's a good diet to lose weight or what's a good 00:14:27.41\00:14:30.60 principle to use when we use diets. I've see the diets as 00:14:30.63\00:14:35.83 a treatment for short term, when the patient has asked 00:14:35.86\00:14:40.06 me should I go on this diet, should I do that, should I 00:14:40.09\00:14:43.62 and then I tell them I don't have a problem, if you go 00:14:43.65\00:14:46.75 in that diet for one month. At least, at most for two 00:14:46.78\00:14:51.47 months, but once you think about this diet for a longer 00:14:51.50\00:14:56.04 time. So, I'm a little concerned. And why is that? 00:14:56.07\00:15:00.02 Well, most of this diets and they lack some vitamins, 00:15:00.05\00:15:02.90 some minerals and so the person might get a little 00:15:02.93\00:15:06.94 bit in a malnourishment state. Okay. 00:15:06.97\00:15:10.66 That's one point. Another point many diets when the 00:15:10.69\00:15:13.62 suppress food and this is very common for 00:15:13.65\00:15:16.63 low-carb diets. Carbohydrates are important 00:15:16.66\00:15:20.85 for the fabrication, for the production of serotonin. 00:15:20.88\00:15:24.33 Serotonin is the main drug or main substance that is 00:15:24.36\00:15:28.93 important to prevent depression. So, you're 00:15:28.96\00:15:31.59 creating in a population that is already depressed 00:15:31.62\00:15:35.06 or a person that has a problem with weight is 00:15:36.11\00:15:38.60 already a little down sometimes and then you 00:15:38.63\00:15:41.44 create another epidemic of depression adding to that. 00:15:41.47\00:15:45.46 Adding to that problem. Because of low carbohydrates, 00:15:45.49\00:15:47.87 so it's not a good idea and the third and I believe one 00:15:47.90\00:15:52.74 of the worse problems is that you create with a diet 00:15:52.77\00:15:56.15 you create a system to throw this person to eating 00:15:56.18\00:16:00.17 disorders, so the person is gonna get the obsessive to 00:16:00.20\00:16:03.88 control and to. Count calories. You count calories 00:16:03.91\00:16:08.39 and then eat and then go fasting and then use 00:16:08.42\00:16:12.73 purgatives, use all methods to get the weight down. 00:16:12.76\00:16:18.66 To get weight loss. Obsessively. Yeah. 00:16:18.69\00:16:20.54 And this affects their mind and this creates a bigger 00:16:20.57\00:16:23.49 problem. So, just to recap short term is a good way, 00:16:23.52\00:16:27.82 maybe two months is what Dr. Dos Santos said, 00:16:27.85\00:16:30.15 if it's longer then that you maybe we work more on 00:16:30.18\00:16:33.05 lifestyle and to use changes that are healthy instead of 00:16:33.08\00:16:37.37 going to some of the extremes. One more thing 00:16:37.40\00:16:40.65 would be, when you go on a diet, that is very 00:16:40.68\00:16:43.90 restrictive you should have some multiple vitamins to 00:16:43.93\00:16:47.28 to compliment. You don't need to use multiple 00:16:47.31\00:16:49.48 vitamins everyday, but you should use, when they ask, 00:16:49.51\00:16:54.26 when they know every other day just to be cautious that 00:16:54.29\00:16:58.71 some vitamins might be lower in the diet. Right and some 00:16:58.74\00:17:02.63 times people lose a lot of weight at first and they 00:17:02.66\00:17:04.72 become happy and they're not realizing they're losing 00:17:04.75\00:17:06.73 a lot of water and you maybe thinking. Well I'm losing 00:17:06.76\00:17:10.60 2 pounds a day and 1 or 2 more pounds in a couple of 00:17:10.63\00:17:14.14 days later and the diet maybe very restrictive on 00:17:14.17\00:17:17.93 certain fluids or water and water can weigh a lot 00:17:17.96\00:17:21.09 and so you're seeing the little bit progress but then 00:17:21.12\00:17:23.70 it stops and then nothing is happening. Another problem 00:17:23.73\00:17:27.34 we find ourselves often time is that we're on a diet 00:17:27.37\00:17:31.39 and we're also lifting weights or doing exercise 00:17:31.42\00:17:35.02 and we see no change or very slight change and the 00:17:35.05\00:17:38.74 problem here is that very potentially you're gaining 00:17:38.77\00:17:41.80 muscle mass and muscle mass weights more than fat mass. 00:17:41.83\00:17:45.06 So, the weight change maybe very minimal, but you're 00:17:45.09\00:17:47.66 losing the fat that you're looking to lose while 00:17:47.69\00:17:51.14 gaining some muscle mass and I see lot of clients 00:17:51.17\00:17:53.61 and patients calling that and it's like there is 00:17:53.64\00:17:56.86 nothing changing on the weight scale. I've been on 00:17:56.89\00:17:58.57 it for two weeks and only 2 pounds change. 00:17:58.60\00:18:00.92 But if you measure body fat mass and 00:18:00.95\00:18:03.25 notice there is a significant decrease. 00:18:03.28\00:18:05.63 And the thing is like that, I will use one word that 00:18:05.69\00:18:11.02 I commonly use is homework. So, there is one very good 00:18:11.05\00:18:18.44 specialist in America called Steve Blair. 00:18:18.47\00:18:21.62 Steve Blair is one of the most famous exercise 00:18:21.65\00:18:27.01 physiologists in the country and he is a little shabby 00:18:27.04\00:18:30.95 and then when you, when people ask him about that 00:18:30.98\00:18:34.44 he said well I don't know what's going on with me, 00:18:34.47\00:18:36.80 but I exercise every single day and sometimes more than 00:18:36.83\00:18:40.17 once a day and I'm doing that for years and then 00:18:40.20\00:18:44.03 my body is my body. I have to accept that, but I'm sure 00:18:44.06\00:18:47.87 that this guy has a very low risk of disease 00:18:47.90\00:18:50.45 because he's doing the homework. 00:18:50.48\00:18:52.30 So sometimes we count on the pounds, but we don't count 00:18:52.33\00:18:56.40 on the days of exercise or we don't count on the foods 00:18:56.43\00:19:01.14 and vegetables that we're, how much we're eating 00:19:01.17\00:19:03.61 Right. per day. 00:19:03.64\00:19:04.61 And that's more important than the scale. 00:19:04.62\00:19:07.80 So, don't forgot the homework, 00:19:07.83\00:19:09.23 the homework is very important to do daily, 00:19:09.26\00:19:11.49 the exercise, the good diet, the fruits and vegetables, 00:19:11.52\00:19:15.65 nuts, whole grains are helping to keep body fat 00:19:15.68\00:19:19.07 down and yeah you're true in what you say that 00:19:19.10\00:19:22.20 a lot of people are maybe come from a bigger bone, 00:19:22.23\00:19:25.61 as we called bigger bone family and they're bigger 00:19:25.64\00:19:29.01 people or we don't check sometimes 00:19:29.04\00:19:31.08 what is our normal weight or we get caught 00:19:31.11\00:19:33.51 from looking at magazines, at the magazine stand 00:19:33.54\00:19:36.06 and everybody looks real thin and slender or built 00:19:36.09\00:19:38.80 with lot of muscles and our perception 00:19:38.83\00:19:41.01 in our mind is that, that's normal 00:19:41.04\00:19:42.87 and we've been tweet or changed to think that, 00:19:42.90\00:19:46.96 that's normal and that's not even normal. 00:19:46.99\00:19:48.62 So, we need to find out what our normal weight 00:19:48.65\00:19:51.53 is and forget what the magazines and the TV 00:19:51.56\00:19:54.01 or different shows or showing us that. 00:19:54.04\00:19:55.82 You should look like this or this is what's normal 00:19:55.85\00:19:58.11 and not to create a disorder from that. 00:19:58.14\00:20:00.87 Because diets can also create different eating 00:20:02.15\00:20:04.39 disorders is that true. Yes and again our focus 00:20:04.42\00:20:07.94 should not being normal weight, 00:20:07.97\00:20:09.73 because who knows what is normal weight. 00:20:09.76\00:20:12.34 A couple of maybe 20 or 30 years ago the 00:20:14.04\00:20:16.64 normal weight was a little bit plump for women 00:20:16.67\00:20:20.38 and even for nobody care, nobody cared 00:20:20.41\00:20:22.79 much about that. Today we've this slender figure 00:20:22.82\00:20:26.31 at least for women and but if you go to 00:20:26.34\00:20:29.46 different cultures. If you go to the African Americans, 00:20:29.49\00:20:31.77 I mean the perception of normal weight is different. 00:20:31.80\00:20:34.87 It's not this slender and thin, it's a 00:20:34.90\00:20:37.38 little plumped also. So that's why they don't 00:20:37.41\00:20:40.28 have some, some problem, they don't have that 00:20:40.31\00:20:43.19 perception that we have. They have problem also 00:20:43.22\00:20:46.14 with overweight, but they don't have this much 00:20:46.17\00:20:50.58 of this eating disorders as we have, 00:20:50.61\00:20:53.05 because they have a different perception. 00:20:53.08\00:20:55.17 Oh! What's, what should normal. 00:20:55.20\00:20:56.66 Yeah, exactly, exactly. So, we should look 00:20:56.69\00:20:58.08 at the range, another thing I wanted to say 00:20:58.11\00:21:00.63 sometimes we look at the range and we weigh 00:21:00.66\00:21:02.36 the right amount and I know that there has been 00:21:02.39\00:21:06.44 patients or clients. Especially if they're more 00:21:06.47\00:21:08.45 on the petite side or smaller they come and they 00:21:08.48\00:21:10.77 weigh themselves and they weigh right about 00:21:10.80\00:21:12.84 where they should, and if you measured body 00:21:12.87\00:21:14.82 fat content. The body fat content is very high, 00:21:14.85\00:21:17.60 the muscle mass is very small, very lean and they 00:21:17.63\00:21:21.84 weigh right. But inside their body there is a lot of fat 00:21:21.87\00:21:24.73 or maybe around on the heart there might be lot of fat 00:21:24.76\00:21:27.29 in their organs and very unhealthy. 00:21:27.32\00:21:28.95 So, some people may look "healthy" or weigh 00:21:28.98\00:21:33.82 on a healthy weight but the body fat content is high. 00:21:33.85\00:21:37.13 Low muscle mass, high body fat, it means no matter 00:21:37.16\00:21:42.72 what weight you have. It means that lack of homework. 00:21:42.75\00:21:45.45 Lack of homework and I like that you emphasize that, 00:21:46.41\00:21:49.03 because that's homework is not always fun. 00:21:49.06\00:21:51.27 But if we stick to it, we get good grades right 00:21:51.30\00:21:54.18 on our body. Yeah. Yeah, so we got to be 00:21:54.21\00:21:56.62 consistent with that. Do you have any other experiences 00:21:56.65\00:22:00.78 that you like to share from working around the world 00:22:00.81\00:22:02.93 with weight clinics or people that are wanting 00:22:02.96\00:22:04.92 to lose weight? Yeah, I just worked in Brazil. 00:22:04.95\00:22:08.55 I've a picture of my clinic Sao Roque Adventist Clinic. 00:22:08.58\00:22:13.61 Some people asked me why you came to America 00:22:13.64\00:22:16.92 if you live in a paradise like that. But anyways, 00:22:16.95\00:22:20.43 this clinic has a problem for weight control 00:22:20.46\00:22:24.19 and I remember a couple of patients that I have, 00:22:24.22\00:22:27.44 one lady lost 50 pounds in 6 months 00:22:27.47\00:22:33.75 and then she was very happy that she lost this much. 00:22:33.78\00:22:40.70 So, much and. But in a couple of months 00:22:40.73\00:22:43.01 she gained everything again. Oh my. 00:22:43.04\00:22:44.52 And so it didn't help, so again a short term of diet 00:22:44.55\00:22:50.02 I mean you lose a lot of water and then you think 00:22:50.05\00:22:54.02 you're doing good. But you have the diet 00:22:54.05\00:22:56.37 mentality. So another one that I had, 00:22:56.40\00:22:59.42 that I remember and she lost 20 pounds only in 00:22:59.45\00:23:03.08 3 months. But when we interviewed her, 00:23:03.11\00:23:06.25 she said well, what I did was no secret, 00:23:06.28\00:23:09.83 I just, I just did my homework. 00:23:09.86\00:23:12.67 Okay. I follow what the professionals are telling 00:23:12.70\00:23:17.23 me to do. I start the exercise everyday and then 00:23:17.26\00:23:20.40 I kept rich foods just for celebrations 00:23:20.43\00:23:23.96 and I've less celebrations and then I like that 00:23:23.99\00:23:29.95 because I, we always invited her to talk to the patients 00:23:29.98\00:23:34.12 saying we've to bring someone successful here 00:23:34.15\00:23:37.07 that got the concept. That we've to do a change 00:23:37.10\00:23:40.65 in the lifestyle, not change something just because 00:23:40.68\00:23:43.82 I need to lose weight for the summer or for a wedding 00:23:43.85\00:23:48.65 or whatever, you know. Just for one moment. 00:23:48.68\00:23:51.08 Just for one moment, we've to do that. 00:23:51.11\00:23:53.09 Do with the long term. We long term with the idea 00:23:53.12\00:23:56.14 that we'll improve our health and our performance, 00:23:56.17\00:23:59.14 the mental and physical performance for life. 00:23:59.17\00:24:01.49 Amen and I think if we keep in mind that 00:24:01.52\00:24:03.90 we're the body, the temple of God. 00:24:03.93\00:24:06.83 Where the Holy Spirit dwells at, this is something 00:24:06.86\00:24:09.56 we don't wanna just do for ourselves. 00:24:09.59\00:24:11.06 But for the honor and glory of God, we wanna take care 00:24:11.09\00:24:13.46 of our bodies in the best way we can and we need 00:24:13.49\00:24:17.13 to help from him to do that and it's not always easy. 00:24:17.16\00:24:20.13 But I wanna encourage everybody watching 00:24:20.16\00:24:22.08 don't give up. God is there to help. 00:24:22.11\00:24:24.69 Jesus Christ wants to push you along and help you 00:24:24.72\00:24:27.21 to have optimal bodies for his honor and glory. 00:24:27.24\00:24:29.53 Sometimes we do the weight loss for selfish 00:24:29.56\00:24:32.43 reasons, we wanna look better or we wanna, 00:24:32.46\00:24:34.53 but you know be praised for how much we lost 00:24:34.56\00:24:37.65 and that maybe the wrong motive, you know. 00:24:37.68\00:24:40.14 We should make sure that God is our number 00:24:40.17\00:24:42.47 one motive while we take care of our bodies. 00:24:42.50\00:24:44.46 By the way, I use for that, for my patients 00:24:46.06\00:24:48.77 I use the 12 steps. That we use for alcohol 00:24:48.80\00:24:52.44 and I have here the report and I will just read 00:24:52.47\00:24:56.49 what I had just, what I adopted to obesity. 00:24:56.52\00:25:01.48 The first step of the 12 steps for overweight anonymous. 00:25:02.36\00:25:07.42 Okay. Is we admitted that we're powerless 00:25:07.45\00:25:10.17 over obesity and that our lives had become 00:25:10.20\00:25:12.92 unmanageable, then the second, 00:25:12.95\00:25:15.48 we came to believe that power greater than 00:25:15.51\00:25:18.04 ourselves could restore us to sanity. 00:25:18.07\00:25:20.70 So, I believe for us to change behaviors we need to, 00:25:20.73\00:25:25.76 we need to go to the supernatural, 00:25:25.79\00:25:29.25 we need to go to God and ask him to help us, 00:25:29.28\00:25:32.97 to give us the power to change and that's 00:25:33.00\00:25:35.69 what happened to alcoholic, anonymous, to smokers, 00:25:35.72\00:25:38.99 to any addiction and we might have something 00:25:39.02\00:25:43.63 similar to addiction between the people or for those 00:25:43.66\00:25:48.63 people that are having a hard time with foods. 00:25:48.66\00:25:51.59 They really enjoy the foods and there is concept 00:25:52.45\00:25:55.47 now that maybe some of this sugary foods 00:25:55.50\00:25:58.79 that are addictive and then they're relationship 00:25:58.82\00:26:02.05 might be the same. Right, right and it all starts 00:26:02.08\00:26:05.32 with their mind, the way we make decisions, 00:26:05.35\00:26:07.09 the way we decide what we want to consume 00:26:07.12\00:26:10.22 or to do with what we eat or with our lives. 00:26:10.25\00:26:12.84 Why are we're living, why do we exist and to make God 00:26:12.87\00:26:16.44 the center of it. If he gives us a purpose for life, 00:26:16.47\00:26:18.72 the purpose to enjoy life then our mind becomes 00:26:18.75\00:26:23.18 changed and our precept of why we wanna do things 00:26:23.21\00:26:27.52 becomes different. One little thing I wanted to add is, 00:26:27.55\00:26:32.40 sometimes it's the little things that make the big 00:26:32.43\00:26:34.95 difference. Maybe it's one extra soda or two extra 00:26:34.98\00:26:38.60 sodas on the day or a candy bar, just one in the 00:26:38.63\00:26:41.15 afternoon. But it's only 200 more calories, 00:26:41.18\00:26:43.50 but 200 calories everyday times 7 becomes 00:26:43.53\00:26:46.76 1400 calorie then times 50 plus weeks, 00:26:46.79\00:26:49.96 52 weeks a year becomes a lot of extra calories 00:26:49.99\00:26:53.09 that we need to be careful could end up being 20, 00:26:53.12\00:26:56.37 30 pounds a year that we're adding, 00:26:56.40\00:26:58.19 just with the little things. So the little things make 00:26:58.22\00:27:00.66 a big different. And if you check how much exercise 00:27:00.69\00:27:03.61 you have to do burn this 200 or 400 calories, 00:27:03.64\00:27:07.17 you see that is not that easy. It's not that small 00:27:07.20\00:27:10.45 number of calories. Right, right so the little 00:27:10.48\00:27:14.13 things make a difference. We realized that we need 00:27:14.16\00:27:16.26 God to help us in all our decision making 00:27:16.29\00:27:19.25 and in health we're wonderfully made and 00:27:19.28\00:27:22.34 that starts with the mind, with how we think, 00:27:22.37\00:27:25.40 how we act and to make him the center of it all. 00:27:25.43\00:27:28.24 Dr. Dos Santos. I thank you for joining us today 00:27:28.27\00:27:30.99 and for helping us to realize that, you know that 00:27:31.02\00:27:33.95 we've problem in America and in the around the world 00:27:33.98\00:27:36.29 with weight and different ways we can deal with it. 00:27:36.32\00:27:38.61 Thank you so much for joining us. 00:27:38.64\00:27:40.14 You're welcome, I'm happy to be here 00:27:40.17\00:27:42.02 and to be able to help. Thank you so much 00:27:42.05\00:27:44.84 and we wanna make sure you join us next time 00:27:44.87\00:27:48.28 for Wonderfully Made where we continue to focus 00:27:48.31\00:27:50.20 on how wonderful the body is. The different ways 00:27:50.23\00:27:53.39 that God has made it to function and I'm reminding 00:27:53.42\00:27:56.41 of a verse in First Corinthians 10:31 that whether 00:27:56.44\00:27:59.46 we eat or drink or whatever we do, to do it all 00:27:59.49\00:28:02.06 for the honor and glory of God. Thank you so much 00:28:02.09\00:28:05.35 for joining us, we hope to see 00:28:05.38\00:28:06.86 you soon in a future episode. 00:28:06.89\00:28:08.25