The following program presents
principles designed to promote
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good health and is not
intended to take the place
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of personalized
professional care.
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The opinions and ideas expressed
are those of the speaker.
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Viewers are encouraged to
draw their own conclusions
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about the information presented.
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Hello. I am Dr.
Emerson, Medical Director
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at Eden Valley Lifestyle Centre.
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I have come to finish
up our topic of obesity,
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weight control, and
we find that it is part
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of the insulin
resistance syndrome.
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As you recall
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we mentioned at the
beginning of our series
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that we are gonna
look at a group of people
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who are actually no more active
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than the average
American office worker.
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They eat 30% more
calories than we do
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and they weight
20% less than we do.
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This group of people was
analyzed in one of the largest
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epidemiological studies
in the history of the world
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and we are going to
look at what their secret was
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and how they were able to eat
more and actually weight less.
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In our series as far we
found that a low calorie diet
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do not work and it will actually
result in a weight increase.
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We found that as soon as
you go on low calorie diet
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your body response by
turning down the metabolism
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by turning down
the thermostat body
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temperature
drops, pulse rate drops,
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blood pressure drops,
oxygen consumption drops,
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CO2 production
drops, heat loss drops,
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activity level drops everything
is done to conserve calories
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your body is adopting to
the low calorie situation
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when you come off
the diet the body is now
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in a move to get ready for
the next starvation period.
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So what it does is
it increases metabolism
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little bit by keeps it below
what it was before the fast it
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increases the muscle mass
a little bit towards normal.
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But still keeps it below it
was before the previous fast,
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so that there's less mass of the
feed in next starvation period
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and it increases
the body fat higher than
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what it was
before the pervious fast
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so that there is
actually a body fat gain
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and this is so that during
the next starvation period
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you have more fat to
feed less muscle with
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and you have a lower metabolism
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so that you can get through
the next starvation period.
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They found that
countries that go through
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annual starvations
with the crops run out
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before the next crops
come in when the crops come in
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they become obese
when the crops run out
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they become very
thin low muscle mass
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and this is how they get
through starvation period.
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So we have seen that low
calorie diets in the long run
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will actually
cause you to gain weight,
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so we want to
avoid those problems
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we looked at some studies
done with the Atkins Diet,
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Weight Watchers Diet
found that they are not
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the ideal diet for weight
loss in the majority of cases.
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We also looked at exercise
if salvation weight loss
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is not
successful with starvation
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with out exercise
maybe you can just exercise
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people enough to
achieve ideal your body weight.
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What we found is that
our body works in two phases
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we can have a
sedentary form of existence
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well there is a
increase in weight
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but when we move
into the moderate exercise
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activity level the
body weight will come down
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but as we move further
into the more activity level
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there is a plato beyond
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which there is no
further weight loss.
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This was first shown in rats
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and then it was shown
in mill workers in India.
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So as we do
encourage patients to be active
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but again there is a
limit to what activity
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can do in terms
of controlling weight
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and then we looked at the
real cause of obesity in America
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it was the Insulin
Resistance Syndrome.
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Insulin Resistance
Syndrome was ramp it now
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one out of four Americas
today qualifies for having this
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and what the insulin
resistance includes is again
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high blood
pressure, high blood sugars,
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high weight, high LDL,
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low HDL, high triglycerides
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these are parts of the
insulin resistance syndrome.
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Why it is the insulin
resistance syndrome cause
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an increase in weight or again
when you in the sugar or starch
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blood sugar raises the pancreas
senses that releases insulin.
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Insulin is a little
key that goes in the cells
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opens the doors sugar leads
the blood goes in the cells
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and gets burned and that
brings your blood sugar down
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that's the way
it suppose to work.
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And when we eat the
animal products the meat,
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dairy, oils those
fats go in and plug out
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the insulin receptors
there is little key holes.
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So now when you take sugar
or starch blood sugar goes up
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insulin release
can't get in the key holes
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the doors they shut.
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Blood sugars raise
that insulin resistance.
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How does this cause obesity?
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Well, as your insulin resistance
raises over 10-12 years
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prior to the
diagnosis of diabetes.
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The body just compensates
the pancreas compensates
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by releasing more
insulin to overcome
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the insulin resistance
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and keep your blood
sugars under control.
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Over those 10 or 12 years
insulin resistance increases
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the insulin levels
in your body increase
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in response to the pancreases
releasing more insulin.
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The blood sugar
stay under control
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but at the end of 10 or 12 years
the pancreas cannot keep up
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with the
increasing insulin resistance
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and so now the
blood sugar start to raise
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and doctor
diagnosis you with diabetes.
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During that 10 or 12
years as the insulin levels
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are raising to compensate
for the insulin resistance
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that insulin not only drive
sugar into the cells to be burn
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does not only drive sugar
into the liver to be stored
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but it drives fat into
the fat cells to be stored
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and it prevents
fat from being burned.
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This result in an
increase in weight
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during those 10 or 12 years
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prior to the
diagnosis of diabetes
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when you diagnose with
diabetes doctor many times
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will say well you have diabetes
in because you're too heavy.
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Actually, what's happening
is you are too heavy because
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of the insulin resistance
which is causing diabetes
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and the increase in insulin
and the increase in weight.
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Well, if this is
true if insulin resistance
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is the core problem
with the epidemic of obesity
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we have today then we would
expect that moving to foods
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that decrease insulin
resistance sure have an effect
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of decreasing our
weight, lowering our weight.
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We have actually
found this to be the case
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many patients who were
shift to plant based diet
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will lose about
two pounds per week.
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What are the foods that
can help us decrease in review
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we find that
monounsaturated fats
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and the olives
can be very helpful.
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We encourage patients to
get the olive oil in the olive
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as it found in
nature polyunsaturated fats
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found in safflower
oil, sunflower oil,
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corn oil and soybean oil.
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Again we encourage
you to get those oils
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in the natural forms in
the soybeans and in the corn.
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The fiber in the corn
and in the plants foods
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can also help lower
insulin resistances,
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whole grains have
been found to help
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prevent the insulin in
the recurrence of diabetes
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most likely from
the Phytochemicals
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in the whole grains
they found that this effect
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was independent of
their fiber content.
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The foods that you want to avoid
that cause insulin resistance
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include the
saturated fats found mainly
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in the flesh foods
in the dairy products.
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Unfortunately even in
the white meats chicken,
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fish can cause
increase in insulin resistance,
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so the ideal
program is to eliminate
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the animal products totally.
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Trans fats are
probably the worst fats
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in terms of insulin resistance
those are found in margarines,
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those are found in shortenings.
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Many of the fats used for firing
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have partially
hydrogenated fats in them.
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And if anything is
partially hydrogenated fat
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in them those are the trans fats
and you want to avoid those.
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Also vegetable
oils and marine oils
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that are formed
from hydrogenation
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or partial hydrogenation
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are also trans fats
and no butter and beef.
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Five percent of the fats found
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in those products
are also trans fats.
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It's also been found
that high cholesterol level
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is co-related with
insulin resistance as well,
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so you want to avoid
foods with cholesterol.
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Well, the question natural
follows is are there are any
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actual studies that
show that people on a plant
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based diet really do indeed
have lower body mass index
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which is the measure of obesity?
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Yes. Now, we gonna look
at the Epic Oxford Study.
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This was a very large study,
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37875 subjects
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were tested in...this diet.
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They looked, there are
different dietary habits
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and they are classified in four
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different groups,
both men and women.
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What they found that
the omnivorous people
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who ate the meat
products, the dairy products,
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and the plant products as well,
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that they had the
highest body mass index.
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Both in the men
and in the women.
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Now, if these people
gave up the red meats,
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poultry and just
ate chicken and diary
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what they found
was that the weight
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did indeed decrease.
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If they were
just eating the fish,
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the dairy the plant products
the weight drop significantly
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and the body mass index dropped.
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So that was the step
in the right direction
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the next group not only
eliminated the meat products
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but also
eliminated all fish products
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but they continued to
eat the dairy products
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when you eliminated the fish
and you stayed with the dairy
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there is no
further drop in weight.
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This did not
improve the lower weight
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the ability to lose weight.
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Then they went to the next group
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and the next
group took the next step
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and that was they
eliminated their diary products
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as well so they had no flesh
foods and no dairy products
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and that's what we
saw another weight drop
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body mass index
drop significantly again.
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The factor is that
tied most closely with the
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high body mass
index of a higher weighs
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where a lower fiber
diet in a high protein diet.
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Are there any
journals or articles
00:12:07.98\00:12:10.35
that explain
obesity in these terms,
00:12:10.36\00:12:15.85
actually there
are article in medical
00:12:15.86\00:12:18.91
I passes as back
in March 1st 2000.
00:12:18.92\00:12:23.08
I had an interesting article
00:12:23.55\00:12:24.53
and that express this
concept according from it
00:12:24.54\00:12:27.52
"Less saturated and trans fat
00:12:28.24\00:12:31.61
intake decreases
insulin resistance.
00:12:31.62\00:12:34.76
These decreases the
amount of insulin needed
00:12:35.56\00:12:37.98
to be released insulin
acts to impede fat burning
00:12:37.99\00:12:42.02
that is oxidation and
promotes fat storage."
00:12:42.03\00:12:46.80
"So they are
expressing the same concept
00:12:47.47\00:12:49.75
that when you
have insulin resistance
00:12:49.76\00:12:51.32
your body has to
produce more insulin
00:12:51.33\00:12:53.44
to combat the insulin resistance
and this extra insulin drives
00:12:53.45\00:12:57.58
fat into the fat cells
prevents fat from being stored
00:12:57.59\00:13:00.88
and produces the increase
weight and the massive epidemic
00:13:00.89\00:13:06.12
of obesity
we've seen in America.
00:13:06.13\00:13:08.01
The author concludes
"Minimizing diurnal insulin
00:13:08.77\00:13:13.94
secretion in the
context of a low fat intake
00:13:13.95\00:13:17.50
may represent an
effective strategy
00:13:17.51\00:13:20.14
for achieving and
maintaining leanness."
00:13:20.15\00:13:23.47
So these concepts are current
00:13:24.71\00:13:29.91
in the medical literature today
00:13:29.92\00:13:31.24
and we have found by experience
that is very effective.
00:13:31.27\00:13:34.92
Another article came out
00:13:36.30\00:13:37.76
in obesity research
on March 1st year 2000
00:13:37.77\00:13:44.39
and they wanted to
find out well how easy is it
00:13:44.40\00:13:47.37
to stay on a vegetarian diet
versus say a low calorie diet.
00:13:47.38\00:13:52.80
But when they
surveyed lot of people on these
00:13:53.29\00:13:55.50
different diets they found
that those on a low calorie diet
00:13:55.51\00:13:58.88
were able to maintain
it for on an average of one
00:13:58.89\00:14:02.29
to three months
before they gave up
00:14:02.30\00:14:05.45
and said they can't
tolerate this anymore.
00:14:05.46\00:14:07.08
Vegetarians on the
other hand stayed on the diet
00:14:08.52\00:14:11.30
well over a year without
any difficulties in this survey
00:14:11.84\00:14:15.72
he was much better tolerated
and there are many nations
00:14:15.73\00:14:20.63
of the world today
the non vegetarian diets.
00:14:20.64\00:14:22.78
They have been on
that for a lifetime
00:14:22.79\00:14:24.14
and they are doing very well.
00:14:24.15\00:14:25.46
The reasons for
stopping a vegetarian diet
00:14:26.33\00:14:29.17
were assessed and they found
that on the low calorie diet 53%
00:14:30.34\00:14:35.36
of the people listed bottom
00:14:36.25\00:14:38.39
as a reason for
stopping the diet.
00:14:38.40\00:14:40.99
On the other hand the
vegetarian diet only 5%
00:14:41.70\00:14:44.88
listed bottom as a
reason for stopping.
00:14:44.89\00:14:47.83
Are there are any
other studies showing
00:14:49.91\00:14:51.37
a vegetarian diet or a
vegan diet to be helpful.
00:14:51.38\00:14:54.70
And now we come
to the grand prix
00:14:55.15\00:14:56.62
of epidemiological
studies called the China study
00:14:56.63\00:14:59.34
this is authored by
T. Colin Campbell, Ph.D.
00:14:59.35\00:15:03.18
He wrote the book
called the China study.
00:15:04.92\00:15:06.93
It's a New York
Times best seller book
00:15:07.17\00:15:10.82
and it is very readable
and it's one of the best books
00:15:11.54\00:15:14.11
that you can read at
this time to get an overview
00:15:14.12\00:15:16.91
of the current studies showing
00:15:16.92\00:15:21.45
the benefits of
a plant based diet.
00:15:21.46\00:15:22.91
This was the most
comprehensive large study
00:15:23.42\00:15:27.24
ever undertaken of the
relationship between diet
00:15:27.25\00:15:30.54
and the risk of
developing disease
00:15:30.55\00:15:33.25
that's a quote
from New York Times.
00:15:33.26\00:15:35.16
New York Times further
said about this book the finding
00:15:35.78\00:15:38.86
"Are challenging much
of American dietary dogma."
00:15:38.87\00:15:43.75
Now what is the
dogma that it's challenging
00:15:43.76\00:15:46.41
when it is
challenging is the concept
00:15:47.12\00:15:48.99
that in order to lose weight
00:15:49.00\00:15:51.08
you have to either
decrease your calorie intake
00:15:51.69\00:15:54.57
or increase your activity level.
00:15:54.58\00:15:57.47
The reason it's
challenging this is because they
00:15:58.36\00:16:00.67
found a group that was
doing neither these things
00:16:00.68\00:16:03.50
and yet had a much
lower body mass index
00:16:04.10\00:16:06.81
than we have in America.
00:16:06.82\00:16:09.06
How did they find
and what did they do?
00:16:09.73\00:16:11.34
Well, according from
the China Study again
00:16:11.35\00:16:13.79
"We ranked the
Chinese into five groups
00:16:13.80\00:16:17.72
according to their
levels of physical activity.
00:16:17.73\00:16:19.65
After figuring out the calorie
00:16:20.30\00:16:22.10
intakes least active Chinese,
00:16:22.11\00:16:24.15
the equivalent of an office
worker in the United States,
00:16:24.16\00:16:27.78
we then compared their calorie
00:16:27.79\00:16:29.90
intake to the average American.
00:16:29.91\00:16:31.55
What we found was astonishing.
00:16:32.07\00:16:35.09
"That was a quote
from T. Colin Campbell
00:16:35.10\00:16:37.68
in his, in his book.
00:16:37.69\00:16:39.45
Well, what were the
results, what they found was
00:16:40.14\00:16:43.62
that they looked at the Chinese
00:16:43.63\00:16:46.64
who were the least
active the bottom 20 percent.
00:16:46.65\00:16:49.47
They found that those Chinese
00:16:50.59\00:16:53.94
were about 20% less
00:16:56.72\00:17:01.87
in terms of the
body mass index compared
00:17:01.88\00:17:04.02
to an office worker
in the United States.
00:17:04.03\00:17:06.33
So you have a
group of people that was,
00:17:07.02\00:17:08.70
no more active than an office
worker in the United States
00:17:08.71\00:17:11.95
and yet they weight 20 percent
00:17:11.96\00:17:13.71
less than the office
worker in the United States.
00:17:13.72\00:17:16.37
So you might be tempted to think
00:17:17.01\00:17:18.58
well it must be because
they are starving them in China.
00:17:18.59\00:17:22.38
So they measured
the calorie intake
00:17:23.54\00:17:25.75
and what they found
was that the Chinese
00:17:26.13\00:17:28.66
were eating 30% more
calories than their American
00:17:28.67\00:17:33.43
counterparts were no more
active than the Americans.
00:17:33.44\00:17:36.28
And yet weight 20% less.
00:17:36.29\00:17:39.03
Now this was what he
found as astonishing.
00:17:40.26\00:17:43.32
Well, they had to find out
00:17:44.11\00:17:45.28
why and they looked at
why the Chinese could eat
00:17:45.29\00:17:48.97
more weight less
and be no more active.
00:17:48.98\00:17:51.68
What they found
was that the Chinese
00:17:52.75\00:17:54.87
their animal protein intake
00:17:54.88\00:17:58.52
was only 0.8% of their calories
00:17:58.53\00:18:03.26
where as in the
United States protein
00:18:03.27\00:18:06.59
constituted 10 to
11% of their calories.
00:18:06.60\00:18:10.95
We find that the
protein intake for vegetarians
00:18:11.31\00:18:16.57
tends to be less
in their strengthen
00:18:16.58\00:18:18.80
endurance in another talk
we find is actually increased.
00:18:18.81\00:18:21.98
They found that there
00:18:24.56\00:18:27.44
intake from the animal proteins
00:18:28.86\00:18:33.30
was much less indicating
that there were basically
00:18:33.39\00:18:35.62
vegans or very close to vegans.
00:18:35.63\00:18:39.70
Their fat intake was also much
less Chinese reading only 14.5%
00:18:40.22\00:18:45.17
of their calories
from fats in United States
00:18:45.18\00:18:47.26
that it was ranging 34 to
38% of their calories from fats.
00:18:47.27\00:18:51.91
So what they were
doing was that Chinese
00:18:52.77\00:18:53.99
were basically on
a plant based diet
00:18:54.00\00:18:55.61
and this prevented
the insulin resistance
00:18:55.62\00:18:58.52
allowed lower insulin levels
and allowed a lower weight.
00:18:59.43\00:19:03.15
And this is why they
were able to accomplish
00:19:03.38\00:19:05.50
what they did without
having to cut their calories
00:19:05.51\00:19:09.22
or increase
their activity levels.
00:19:09.23\00:19:10.81
Well, there was a
fellow who I read article
00:19:11.92\00:19:17.40
that most motor vehicles happen,
00:19:17.41\00:19:19.93
most motor vehicle
accidents happen in a radius
00:19:19.94\00:19:22.92
of 30 miles of home so he moved.
00:19:22.93\00:19:26.66
Now of course we know I
wouldn't solve his problem.
00:19:27.88\00:19:29.73
Of course is do we have to
move to China to lose weight?
00:19:29.74\00:19:32.98
No, we don't. We can actually
eat like the Chinese do.
00:19:33.68\00:19:36.91
Here in America by
making proper choices and gain
00:19:37.42\00:19:41.33
the benefits that they gain.
00:19:41.34\00:19:43.25
We can actually eat 30%
more and weight 20% less.
00:19:43.62\00:19:48.65
One of the
physicians at hospital
00:19:50.19\00:19:52.25
I work at he would look at some
of the vegetarian physicians
00:19:52.26\00:19:57.15
and they almost
frustrated because he would say
00:19:57.16\00:20:00.83
you know that come out
with their plates poll high
00:20:00.84\00:20:03.59
if all this
plant foods looks like
00:20:03.60\00:20:05.68
a huge amount and
get their all slim.
00:20:05.69\00:20:07.98
And I explain this to him
00:20:08.94\00:20:11.15
and try to explain
well how that's possible.
00:20:11.16\00:20:13.72
So in review
00:20:14.68\00:20:16.84
we find that you can lose weight
00:20:16.85\00:20:21.89
by just shifting
to a plant based diet
00:20:21.93\00:20:24.46
you don't have to do a
calorie restriction exercise
00:20:24.47\00:20:27.35
is important but it's
not the ultimate solution.
00:20:27.36\00:20:31.81
This was illustrated
in a story about Tony
00:20:31.97\00:20:35.59
we talked about in diabetes talk
00:20:35.60\00:20:38.39
and she was a
lady who came to us
00:20:38.40\00:20:40.81
who weight 325
pounds she was 5 ft 3.
00:20:40.82\00:20:44.95
She rolled into the
office in a wheelchair.
00:20:45.78\00:20:48.11
She rolled in because she
was heavier than she could lift.
00:20:49.44\00:20:52.54
Unfortunately, she had diabetes.
00:20:52.96\00:20:54.38
She was blind from diabetes.
00:20:54.39\00:20:55.79
She had hypertension she
had high cholesterol levels
00:20:56.23\00:20:59.63
and these are
all serious problems
00:21:00.56\00:21:04.02
that she needed to correcting.
00:21:04.03\00:21:05.00
She was on medications
for her high cholesterol
00:21:05.01\00:21:07.52
she is on
medications for her diabetes,
00:21:07.53\00:21:10.02
44 units of insulin.
00:21:10.03\00:21:11.30
She is on medications
for her blood pressure
00:21:11.89\00:21:14.59
two different medications
as well as water pills
00:21:14.60\00:21:17.08
to help get rid of the excess
fluid in her lower extremities.
00:21:17.09\00:21:20.93
I went through
what we have explained
00:21:22.54\00:21:24.44
in diabetes in hypertension
in obesity the benefits
00:21:25.44\00:21:30.01
that could be
achieved on a plant based diet.
00:21:30.02\00:21:33.14
She followed these programs
she followed the methods
00:21:33.89\00:21:37.99
and even in a wheelchair
00:21:38.00\00:21:39.77
without any
exercise to speak of,
00:21:39.78\00:21:44.97
she just made the
shift from her regular diet
00:21:45.10\00:21:48.26
to plant based diet
no calorie restriction
00:21:48.27\00:21:49.26
and she lost on a
average of a pound a week
00:21:50.53\00:21:54.94
within two month she was off
of her blood pressure medicines
00:21:54.95\00:21:58.79
within a year she was
off a cholesterol medicines
00:22:00.48\00:22:03.13
with no significant
raise in her cholesterol.
00:22:03.14\00:22:05.05
And we are able to
switch her from insulin
00:22:05.66\00:22:08.10
to oral medication for
diabetes at the end of a year,
00:22:08.11\00:22:11.63
at the end of two
years she gone from,
00:22:12.46\00:22:14.74
she had lost
about a pound a week
00:22:16.89\00:22:18.77
and she was now had
lost over hundred pounds
00:22:19.84\00:22:24.36
she saw her
surgeon orthopedic surgeon
00:22:24.37\00:22:28.39
and he was able
to replace her knee
00:22:28.40\00:22:30.50
and allow her to
start walking again
00:22:30.51\00:22:33.94
and as long as she
stayed on that program
00:22:33.95\00:22:37.08
she was able to
maintain her weight,
00:22:37.09\00:22:41.34
maintain her blood
pressure and her cholesterol
00:22:41.35\00:22:43.79
that she got off the program,
00:22:43.80\00:22:45.38
she started to see
her weight increasing,
00:22:45.39\00:22:47.17
blood pressure increasing,
cholesterol increasing
00:22:47.18\00:22:49.91
and it was, then reminded again
00:22:49.92\00:22:53.06
that you needed to
get back on new program.
00:22:53.71\00:22:56.53
So we have seen
this in not just her
00:22:56.54\00:22:59.82
she is a more specific example
00:22:59.83\00:23:01.75
that we've seen
it in the majority
00:23:01.76\00:23:04.39
of our patients
who have problems
00:23:04.40\00:23:06.17
with weight who make the
shift to plant based programs.
00:23:06.18\00:23:10.27
There are other approaches
00:23:12.51\00:23:14.83
which I don't recommend
question of Bariatric surgery
00:23:14.84\00:23:20.30
person experienced
with Bariatric surgeries
00:23:21.42\00:23:24.91
with patients that we
worked with many of them have
00:23:24.92\00:23:30.86
serious complications
following a surgery.
00:23:30.87\00:23:33.10
Surgery basically will
take part of the intestine
00:23:33.47\00:23:39.30
and bypass that intestine
00:23:39.91\00:23:42.72
so that the food
goes from the stomach
00:23:42.73\00:23:44.05
to a distal
part of the intestine
00:23:44.06\00:23:46.76
so that it is not
able to be absorbed
00:23:47.48\00:23:50.02
and your
essentially putting a person
00:23:50.48\00:23:52.01
in a chronic starvation cycle
00:23:52.02\00:23:55.88
and this does cause
weight loss initially
00:23:55.89\00:24:00.15
but it also cause
nutrient deficiencies
00:24:00.16\00:24:02.50
as well and may
contribute to the complications
00:24:02.51\00:24:07.47
of bariatric
surgery following surgery
00:24:07.48\00:24:10.85
of course you don't
have a nutrient intake
00:24:10.86\00:24:12.65
and it's harder to heal as well.
00:24:12.66\00:24:15.73
They found that the
weight loss is in general
00:24:16.96\00:24:21.09
about one to two pounds a
week with bariatric surgery,
00:24:21.10\00:24:24.63
but again this is what we
find with a plant based diet
00:24:25.12\00:24:28.55
as well and that's
achievable without the surgery
00:24:30.39\00:24:34.03
so I would encourage
those that if you considering
00:24:34.42\00:24:37.06
bariatric surgery to at least
do you have plant based diet
00:24:37.07\00:24:40.60
a try first its has much
don't have even significant
00:24:40.61\00:24:45.47
complications and you can avoid
00:24:45.97\00:24:49.15
the possible
complications from surgery.
00:24:49.16\00:24:51.81
I will encourage you to
go over the pros and cons
00:24:53.71\00:24:56.87
with your doctor with
possible complications
00:24:56.88\00:24:59.63
as well in their outcomes
following bariatric surgery.
00:25:00.13\00:25:04.49
I did have one
patient in practice
00:25:05.59\00:25:08.20
who came to us of course
she had bariatric surgery
00:25:08.21\00:25:11.37
and now she just having
to eat constantly to maintain
00:25:11.38\00:25:14.25
her weight above 90 set
severe nutritional deficiencies
00:25:14.26\00:25:20.02
and it is very difficult for
her to maintain her weight now.
00:25:20.03\00:25:22.87
Others where
the results were so,
00:25:23.33\00:25:26.66
so and out of
about five patients
00:25:26.67\00:25:29.34
we seen we had one
that had good result.
00:25:29.35\00:25:31.68
Okay. The National Institute
of Health does recommend that
00:25:32.31\00:25:35.62
if anyone
considering bariatric surgery
00:25:35.63\00:25:38.11
that they be
well informed the pros
00:25:38.12\00:25:40.05
and cons possible complications.
00:25:40.06\00:25:42.72
They need a body
mass index of over 40
00:25:42.73\00:25:44.91
they need to be
acceptable surgical risk
00:25:47.04\00:25:49.83
and I think they need to fail
00:25:50.39\00:25:51.88
non-surgical
approach prior to this
00:25:51.89\00:25:55.26
and I would again
stress plant based diet
00:25:55.27\00:25:58.43
as an attempt before considering
the surgical approach
00:25:58.44\00:26:04.38
also you remember that once
00:26:04.92\00:26:08.25
bariatric surgery is
done my Pastor Ruben done
00:26:08.26\00:26:10.45
The patient is
required to be on long term
00:26:11.83\00:26:14.63
vitamin supplements for life
00:26:15.25\00:26:17.10
because they are not
able to absorb nutrients
00:26:17.11\00:26:20.83
the way they could
be prior to the surgery.
00:26:20.84\00:26:24.24
So in review we found
that low calorie diets
00:26:25.40\00:26:28.81
don't work they cause
weight gain in the long run.
00:26:28.82\00:26:32.66
They tolerated poorly
00:26:33.23\00:26:34.89
and are not
successful on the long term.
00:26:38.28\00:26:40.83
Starvation studies in
the past again showed that
00:26:41.40\00:26:45.29
and people come out of
starvation they respond
00:26:45.30\00:26:48.02
with a weight gain
00:26:48.03\00:26:49.63
and a decrease in metabolism
00:26:49.64\00:26:50.63
higher body fat less muscle mass
00:26:54.61\00:26:57.44
and these are things
generally we want to avoid.
00:26:58.00\00:26:59.64
Atkins diet long term
again is poorly tolerated
00:27:00.69\00:27:05.95
and again it works on
the low calorie approach,
00:27:05.96\00:27:11.04
weight watchers has
a similar approach step
00:27:12.47\00:27:14.92
in the right
direction it's lower in fat,
00:27:14.93\00:27:16.70
but then again low
calorie diets will leaves free
00:27:16.71\00:27:20.52
in a long term
react with a weight gain,
00:27:20.53\00:27:23.21
so I will encourage you
again move to plant base diet
00:27:23.63\00:27:26.09
this can lower
your insulin resistance,
00:27:26.10\00:27:27.75
get on a
moderate exercise program
00:27:28.31\00:27:30.43
walking has been
statistically shown
00:27:30.44\00:27:32.34
to be the best
00:27:32.35\00:27:33.32
this decreases
body fat not muscle
00:27:33.33\00:27:38.79
and you can lose
weight you can control
00:27:38.80\00:27:41.93
your blood sugars
with the plant based diet
00:27:41.94\00:27:44.09
you can maintain your
health this has been verified
00:27:44.10\00:27:47.84
in the Chinese study and
in the Oxford Epi studies.
00:27:47.85\00:27:51.36
You can choose a plan
outline in God's word.
00:27:52.96\00:27:56.12
Well that the plant
based diet is originally
00:27:56.57\00:27:58.31
introduced in
the Garden of Eden.
00:27:58.32\00:28:00.25
It was good for them
and it can be good for you.
00:28:00.61\00:28:02.97
I wish you God's blessing
and His help. Thank you.
00:28:03.45\00:28:06.40