The Global Obesity and Metabolic Syndrome Pandemic: What’s At the Root??

Fat Chance Cover

 

Hi everyone, Happy Labor Day weekend! Almost two months ago in one of my classes, we were assigned to read and analyze a diet/health book, write a research paper on it along with our analysis, and create a video communicating our findings. This turned out to be one of my favorite assignments in my program so far because there are countless books, blogs, and even journal articles published that go unquestioned. Both the public and physicians sometimes take the findings and advice and run with them without a second thought, dramatically adjusting their diets and lifestyles based upon what is shared. As a future practitioner who will undoubtedly have patients whose physical and mental health are negatively affected by the dogma put forth in such writing, a large part of my success in treating them will rely upon being able to effectively communicate why they feel the way they do, and why they need to shift their beliefs and try something new.

 

As part of any review, one needs to look at the background of the author (their credentials, affiliations, is there a financial angle, etc.), the science behind the central theory of the book, if the author uses peer-reviewed scientific references to back up their claims, and if there is other supporting research outside of what the author cites to further substantiate their advice. There are much more in-depth ways to evaluate journal articles, but there’s no need to delve into them on this post. The video explanation was a little difficult for me but I enjoyed it; we were only given ten minutes to effectively summarize our findings, and it was challenging to recall the complicated science and communicate it in a way so that everyone can absorb it. You can watch my video and read my written review below, and let me know what you think!!!

 

 

Dr. Robert Lustig, the author of Fat Chance, boasts an impressive résumé that has prepared him to effectively articulate and drive home the biochemical principles at the root of the global obesity pandemic. Earning his undergraduate degree from MIT and medical school training from Cornell University, along with many years spent working at St. Jude’s hospital treating children with hypothalamic disorders, Lustig is a neuroendocrinologist and an expert on metabolic disease.

 

Further, he has taught at the University of Wisconsin, University of Tennessee, and currently at the University of California San Francisco as a Professor of Pediatrics in Endocrinology. To boot, he has authored over 85 peer-reviewed articles. This distinguished amalgam of experience not only makes his work credible, but, given his teaching and writing experience, he is well-equipped to simplify complex biochemical pathways so the “layperson” can understand the dynamics of obesity and Metabolic Syndrome (MS).

 

The inception of his work in metabolic disease occurred while witnessing children become acceleratedly obese following damage to their hypothalamus as a result of diminished leptin signaling. Part of successful treatment for these children relied upon pharmaceutically-induced suppression of insulin secretion, causing them to become more active, eat less, and lose weight. Years later, this framework transcended to obese individuals without any form of hypothalamic disorder or damage, who Lustig treated successfully.1

 

Appropriately, the central theory of his book rests on debunking the world’s notion that obesity is a personal responsibility caused by eating too much and not exercising enough. To Lustig, a calorie is not a calorie. Biochemistry influences these behaviors and, without altering it, one can never improve their health. Referencing over 300 peer-reviewed scientific studies and books to support his theory (seven of which are his own work), along with clinical anecdotes of his patients woven through each chapter, Lustig is not pushing any fluff or conjecture upon the reader. Specifically, he expounds upon the “battle royale” between the Ancel Keys2 and John Yudkin3 studies, claiming Keys as the wrongful victor and how these findings incorrectly influenced our society to avoid dietary fat. Sugar, as Yudkin cited, is “pure, white, and deadly,” and the true villain in this story.

 

Lustig attributes the prevalence of metabolic disturbances today to the increased quantity and decreased quality of our food and beverage supply, specifically four main items: trans fats, branched-chain amino acids (BCAAs), alcohol, and most notably, fructose. He also emphasizes that fiber has all but been eliminated from most Americans’ diets. Cut the sugar, boost the fiber, and exercise; this is the central theory behind Fat Chance and on solving the global obesity and MS pandemic. In the next paragraphs, I will explain the biochemistry involved in arriving at this metabolic cul-de-sac and how his simplified recommendations can navigate one’s body out on to Easy Street.

 

parker

 

Our hormones control our behavior. Many women (and men!) can attest to this if they have ever experienced or witnessed uncontrollable mood swings prior to or during menses. For the health picture Lustig is describing, insulin and leptin are the two key players, and the hypothalamus is the conduit, specifically the vagus nerve.

 

Insulin is our energy storage hormone. When we consume carbohydrate-containing meals, our blood glucose elevates, and the pancreas secretes insulin to escort the glucose into the cells for energy, store the protein into our muscles, and fats as triglycerides. The more insulin pumping, the more fat storing.4 Leptin is a protein made and released by our fat cells that communicates with the hypothalamus regarding our satiety, fat storage amount, and nutrient metabolism.5 This messaging is part of our biochemistry and, in turn, influences our behavior.

 

In a normal, healthy individual, they eat, insulin rises, and energy goes to their fat cells. Leptin senses that their fat cells are energized, reports back to the hypothalamus and says, “We’re fed and happy, we don’t need anymore, so let’s start to do work and burn this energy.”6 The hypothalamus then tells the pancreas to stop pumping insulin by reducing our appetite so we don’t take in any more food. Insulin is leptin’s antagonist;7 when insulin levels are chronically high, the hypothalamus only sees this message. Leptin cannot get the hypothalamus’ attention, so the hypothalamus misses the memo, continuing to tell our body, “I didn’t hear you’re full or fat yet. In fact, it seems like you’re starving. Don’t burn anything, don’t do anything, and store all the fat you can because you need to survive!”8

 

Lustig reiterates that chronically high insulin levels are a result of increased consumption of fructose, trans fats, and alcohol, and its effects on our mitochondria. As the interpretation of Ancel Keys’ study led to the reduction of dietary fat in our food supply, increased amounts of sweetener were incorporated in order to make things palatable. This led to greater amounts of sucrose (50% glucose, 50% fructose) and high fructose corn syrup (55% fructose, 45% glucose) dominating nearly every manufactured food in our supermarkets.

 

Glucose metabolism is insulin-dependent and is metabolized by all organs, including the brain, for energy. What is left is then sent to the liver for glycogen formation. Fructose, on the other hand, goes straight to the mitochondria of our hepatocytes. Further, our liver requires three times as much energy to metabolize fructose, depleting our ATP stores. Similarly, four times as many calories of alcohol reach the liver versus that of glucose, which heads straight the mitochondria as well.9 To compound things further, trans fats, synthetic fats created to preserve shelf life and stability of processed foods, cannot be broken down by our mitochondria.10 In addition, taste and expiration dates were favored at the expense of fiber in our processed foods. Fiber inhibits the rate of flux of nutrients from our intestines to our bloodstream; the onslaught of these stresses to the mitochondria is decreased when our food contains it. Without it, our mitochondria must work harder and faster, and as a result, become overwhelmed and inefficient.11,12 With this lethal combination, our liver enzymes are overactive, inflammation and insulin resistance develop, and our leptin signaling becomes disrupted. We get sick or fat, or both.

 

bybyetransfats_590_417

 

Eating is a pleasurable experience, no doubt. When we eat something we love, dopamine is released, and we experience pleasure.13 Both leptin and insulin, when they rise, cue the brain to stop releasing dopamine and clear it out of the synapses where it is active, respectively.14,15 However, in metabolic syndrome, where one is hyperinsulinemic and thereby blocking leptin signaling, the brain once again misses the memo to shut down all parts of this reaction. As a result, eating continually triggers the same feeling of reward – not easily thwarted – and one keeps eating and eating.

 

By avoiding sugar and increasing fiber, we avoid these consequences and allow our mitochondria to get back on track. By adding exercise to the equation, one builds muscle and new mitochondria, decreases visceral fat, improves insulin levels and sensitivity, and reignites proper communication between leptin and the hypothalamus.16,17 Exercise also increases the rate of our Krebs cycle – all of which burns energy and fats faster and more efficiently. We become healthier, skinnier, or both.

 

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Most of Lustig’s references cover the most relevant and comprehensive studies and literature that exist on the topic of MS. I found additional supporting research that backs up the science he so eloquently supplies along with his traditional remedy of diet and lifestyle change. Four studies discuss increased fructose consumption as a causative factor in metabolic syndrome,18-20 which is significantly hastened by the removal of fiber from the diet.21 Two studies emphasize the risk heavy alcohol consumption poses on development of MS,22 differing in severity by alcohol type.23 One study highlights the improvement of metabolic syndrome scores in those with T2DM and MS as a result of combined aerobic exercise and strength training.24 Again, there are countless studies that confirm Lustig’s “theory,” as it is hard science.

 

Slightly off topic, I found a study that showed a significant correlation between decreased marital satisfaction of women and their risk for developing MS as a result. Interestingly, the same was not reflected for men.25

 

As for my opinion, I would not categorize Fat Chance as a “diet book,” by any means; it is a sound scientific explanation of metabolic disease, and Lustig does a superior job of communicating where we have gone wrong. Ironically, where this book does lack a punch and where he loses his credibility is in the actual dietary recommendations section. He provides general practices: avoid sugar (specifically fructose), eat more fiber, eat real food, etc. He also provides a “red, yellow, and green” status system for foods that should be consumed sparingly, three to five times a week, and everyday, respectively. This yellow status column introduced my first bone to pick with Lustig.

 

Many items on the yellow list are processed, pro-inflammatory, refined foods. Kashi? Cheerios?! Canola oil? Egg beaters? Salami??? Lunch meats? He also red-lists nutritious foods like coconut oil and palm oil without any reasoning to explain their place on the list. Oddly, he also places diet drinks and noncaloric sweeteners on the “limbo list,” which I assume means that the jury is still out on these. This disappointed me, as a 2008 study26 shows that noncaloric sweeteners disrupt innate physiological responses to glucose and further compound factors leading to MS. Perhaps his strict science background relating to biochemistry limits his knowledge to the insulinogenic properties of food at the expense of other effects these types of food have on our overall health. The book can only cover so much, though. And, to his credit, his green list is ripe with grassfed meats, pastured eggs and poultry, wild fish, whole grains, fruits and vegetables, and organic dairy.

 

The other bones I have to pick with the author involve his negative views on BCAAs and his take on micronutrient supplements.

 

Lustig explained that BCAAs (the essential amino acids valine, leucine, and isoleucine), when in excess, head straight to our hepatocytes’ mitochondria to be burned for energy and lead to fat synthesis. He also cited a study that correlated those with MS having higher levels of these amino acids in their bloodstream.27 This is correlation and not causation, though. In my research, I have found that plasma levels of BCAAs fluctuate to meet demands of different metabolic pathways.28,29 In skeletal muscle, BCAAs are transaminated to ketoacids, which are then broken down and oxidized by the branched-chain ketoacid dehydrogenase enzyme (BCKD) to eventually feed into the Krebs cycle for energy production. Increased insulin levels, which are a hallmark of obesity and MS, inhibit BCKD activity.29 Metabolic acidosis, which is seen in tandem with the catabolic states characteristic of obesity and insulin resistance,30 also inhibits BCKD.28 Depression of the enzyme’s activity minimizes complete BCAA oxidation, causing them to accumulate in the blood, thus being one rationale as to why plasma levels are elevated in these states.28,29

 

Furthermore, a study31 by Macotela et. al on rats with Metabolic Syndrome fed a high fat diet for eight weeks responded to doubling of dietary leucine alone, reversing their metabolic abnormalities and upregulating their insulin sensitivity. This being said, I would remove BCAAs from the list of culprits, as their plasma elevations are a downstream effect, and can even be beneficial to the system.

 

As for micronutrient supplements, Lustig says on page 156, “Micronutrients matter – the biochemistry says so – except they don’t work when provided as supplements in clinical trials. . . And nutritional supplements can’t reverse that which has previously been destroyed.” As a clinical nutritionist in training, I beg to differ.

 

Chromium is known for its role in insulin sensitization. When insulin is secreted, it rushes to receptors on the cell like a lock-and-key to transport glucose out of the blood and into the cells. The insulin receptor, tyrosine kinase, is dependent upon chromium for activation and functionality, in order to allow for insulin to unlock the cell and import glucose. Without chromium, this sensitization is lost and insulin resistance can occur.28 Understandably, those deficient in this nutrient would have decreased insulin sensitivity. In fact, a 2011 study32 revealed that the worse one’s insulin resistance is, the greater amount of chromium they excrete in their urine, further compounding its low circulation. It was shown that this chromium dumping occurs well before development of T2DM, and supplementation with the nutrient could prevent its further progression.

 

Furthermore, a 2013 study33 was performed on women with polycystic ovarian syndrome (PCOS) comparing the effects of chromium picolinate and Metformin, a pharmaceutical used to increase insulin sensitivity. After three months of treatment, chromium picolinate significantly decreased fasting blood sugar along with fasting insulin levels, thus revealing increased insulin sensitivity. Chromium was also better tolerated than the Metformin.

 

I agree that supplementation is not a magic bullet, but it could certainly boost metabolic pathways and is a clinically proven beneficial adjunct to a comprehensive treatment plan.

 

Refreshingly, Lustig dedicates 42 pages at the end of the book to public health policy, government, and political involvement in our food supply and their onus in our current mess. He discusses the health insurance industry and the need for sugar intake to be treated the same way smoking was or else we will not be successful in overcoming this health crisis. This was extremely encouraging to hear from an esteemed medical doctor, as most seem to avoid these hot button topics all together.

 

murray-budget-2

 

As a practitioner, I would not recommend this book for all of my clients; it was extremely enjoyable for me because I am familiar with anatomy, physiology, and advanced biochemistry. For the client who comes in who has no clue about anything and just wants to lose weight, this would be way over their heads. However, I would definitely recommend this for “technical” personality types. Clients who inquire about details and scientific research, ask why and how about everything, and who need to see facts and understand things in order to initiate behavior would benefit immensely from Lustig’s explanations. For anyone I recommend this book to, however, I would tell them to skip over the dietary recommendations section. Or, I would need to feel confident in their understanding of my beliefs on food quality and nutrition prior to them reading it.

 

The best part of the book, in my opinion, is Lustig’s tone. He manages to get heavy and difficult messages across to the reader, but keeps things light and provides hope and a means to change things for the better – for everyone – not just for oneself. After all, he stresses that this is not about personal responsibility anymore; it is a public health crisis. He also has a whip-sharp wit and sarcasm, which surprised me for a San Franciscan. It all made sense, though, when I researched his biography; he’s from Brooklyn. 🙂

 

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Enjoy the holiday weekend! Thanks for reading!

 

 

References

  1. Lustig RH, Greenway F, Velasquez-Mieyer P, et al. A multicenter, randomized, double-blind, placebo-controlled, dose-finding trial of a long-acting formulation of octreotide in promoting weight loss in obese adults with insulin hypersecretion. International Journal of Obesity. 2005;30(2):331-341.
  2. Keys A, Aravanis C. Seven Countries: A Multivariate Analysis of Death and Coronary Heart Disease. Cambridge, Mass: Harvard University Press; 1980.
  3. Yudkin J. Pure, White and Deadly: How Sugar Is Killing Us and What We Can Do to Stop It. London: Davis-Poynter; 1972.
  4. Lustig RH. Pediatric Endocrine Disorders of Energy Balance. Reviews in Endocrine and Metabolic Disorders. 2005;6(4):245-260.
  5. Flier JS. What’s in a Name? In Search of Leptin’s Physiologic Role. Journal of Clinical Endocrinology & Metabolism. 1998;83(5):1407-1413.
  6. Leibel RL. The Role of Leptin in the Control of Body Weight. Nutrition Reviews. 2002;60(10):15-19.
  7. Lustig RH. Childhood obesity: behavioral aberration or biochemical drive? Reinterpreting the First Law of Thermodynamics. Nature Clinical Practice Endocrinology & Metabolism. 2006;2(8):447-458.
  8. Leibel RL. Changes in Energy Expenditure Resulting from Altered Body Weight. New England Journal of Medicine. 1995;333(6):399-399.
  9. Lustig RH. Fructose: Metabolic, Hedonic, and Societal Parallels with Ethanol. Journal of the American Dietetic Association. 2010;110(9):1307-1321.
  10. Tetri LH, Basaranoglu M, Brunt EM, Yerian LM, Neuschwander-Tetri BA. Severe NAFLD with hepatic necroinflammatory changes in mice fed trans fats and a high-fructose corn syrup equivalent. AJP: Gastrointestinal and Liver Physiology. 2008;295(5).
  11. Post RE, Mainous AG, King DE, Simpson KN. Dietary Fiber for the Treatment of Type 2 Diabetes Mellitus: A Meta-Analysis. The Journal of the American Board of Family Medicine. 2012;25(1):16-23.
  12. Levine R. Monosaccharides in Health and Disease. Annual Review of Nutrition. 1986;6(1):211-224.
  13. Carr K., Tsimberg Y, Berman Y, Yamamoto N. Evidence of increased dopamine receptor signaling in food-restricted rats. Neuroscience. 2003;119(4):1157-1167.
  14. Farooqi IS, Bullmore E, Keogh J, Gillard J, O’Rahilly S, Fletcher PC. Leptin Regulates Striatal Regions and Human Eating Behavior. Science. 2007;317(5843):1355-1355.
  15. Carvelli L, Morón JA, Kahlig KM, et al. PI 3-kinase regulation of dopamine uptake. Journal of Neurochemistry. 2002;81(4):859-869.
  16. Little JP, Safdar A, Benton CR, Wright DC. Skeletal muscle and beyond: the role of exercise as a mediator of systemic mitochondrial biogenesis. Applied Physiology, Nutrition, and Metabolism. 2011;36(5):598-607.
  17. Bajpeyi S, Tanner CJ, Slentz CA, et al. Effect of exercise intensity and volume on persistence of insulin sensitivity during training cessation. Journal of Applied Physiology. 2009;106(4):1079-1085.
  18. Das UN. Sucrose, fructose, glucose, and their link to metabolic syndrome and cancer. Nutrition. 2015;31(1):249-257.
  19. Kelishadi R, Mansourian M, Heidari-Beni M. Association of fructose consumption and components of metabolic syndrome in human studies: A systematic review and meta-analysis. Nutrition. 2014;30(5):503-510.
  20. Shapiro A, Mu W, Roncal C, Cheng K-Y, Johnson RJ, Scarpace PJ. Fructose-induced leptin resistance exacerbates weight gain in response to subsequent high-fat feeding. AJP: Regulatory, Integrative and Comparative Physiology. 2008;295(5).
  21. Amin F, Gilani AH. Fiber-free white flour with fructose offers a better model of metabolic syndrome. Lipids in Health and Disease. 2013;12(1).
  22. Sun K, Ren M, Liu D, Wang C, Yang C, Yan L. Alcohol consumption and risk of metabolic syndrome: A meta-analysis of prospective studies. Clinical Nutrition. 2014;33(4):596-602.
  23. Chen C-C, Lin W-Y, Li C-I, et al. The association of alcohol consumption with metabolic syndrome and its individual components: the Taichung community health study. Nutrition Research. 2012;32(1):24-29.
  24. Earnest CP, Johannsen NM, Swift DL, et al. Aerobic and Strength Training in Concomitant Metabolic Syndrome and Type 2 Diabetes. Medicine & Science in Sports & Exercise. 2014;46(7):1293-1301.
  25. Whisman MA, Uebelacker LA. A longitudinal investigation of marital adjustment as a risk factor for metabolic syndrome. Health Psychology. 2012;31(1):80-86.
  26. Swithers SE, Davidson TL. A role for sweet taste: Calorie predictive relations in energy regulation by rats. Behavioral Neuroscience. 2008;122(1):161-173
  27. Newgard CB, An J, Bain JR, et al. A Branched-Chain Amino Acid-Related Metabolic Signature that Differentiates Obese and Lean Humans and Contributes to Insulin Resistance. Cell Metabolism. 2009;9(4):311-326.
  28. Lord RS, Bralley A. Laboratory Evaluations for Integrative and Functional Medicine. Revised 2nd Edition. Duluth, GA: Genova Diagnostics; 2012.
  29. Adams SH. Emerging Perspectives on Essential Amino Acid Metabolism in Obesity and the Insulin-Resistant State. Advances in Nutrition. 2011;2(6):445-456.
  30. Korte MS, Koolhaas JM, Wingfield JC, McEwen BS. The Darwinian concept of stress: benefits of allostasis and costs of allostatic load and the trade-offs in health and disease. Neuroscience & Biobehavioral Reviews. 2005;29(1):3-38.
  31. Macotela Y, Emanuelli B, Bång AM, et al. Dietary Leucine – An Environmental Modifier of Insulin Resistance Acting on Multiple Levels of Metabolism. PLoS ONE. 2011;6(6):1-13.
  32. Bahijri SM, Alissa EM. Increased insulin resistance is associated with increased urinary excretion of chromium in non-diabetic, normotensive Saudi adults. Journal of Clinical Biochemistry and Nutrition. 2011;49(3):164-168.
  33. Amooee S, Parsanezhad ME, Shirazi MR, Alborzi S, Samsami A. Metformin versus chromium picolinate in clomiphene citrate-resistant patients with PCOS: A double-blind randomized clinical trial. Iran J Reprod Med. 2013;11(8):611-618.

 

In Bloom

Japanese cherry blossoms (DI02402)

 

This past Tuesday, the grass here officially began to grow. Not only because it was the fourth day of spring (yay!), but also because grass ceiling had its very first client. I was lucky enough to spend the afternoon educating a lovely group of student athletes along with a few coaches from Matawan High School in New Jersey on the criticality of nutrition – not only in their athletic careers, but in the overall quality and health of their bodies as well – which are budding at a faster rate than the cherry blossoms south of the Mason-Dixon line right now.

 

This period of physical instability in their lives makes for a fantastic window for a nutritionist-to-be to impart not only some of my academic knowledge, but anecdotes from my own personal health experience as well. More importantly, I was given a platform to effectively communicate what the highschoolers would not find in textbooks or hear in the popular, and oftentimes, misinformed media. I shared the truth, which hopefully opened their eyes a little bit and removed some potential ceilings from their very bright futures.

 

Part of this truth included the negative, catabolic effects stress has on our muscular tissue – which is integral to an athlete’s success (not to mention a teenager’s self-confidence). The metabolic consequences stress wreaks on our muscular health is a topic I definitely plan to delve into on a future blog post.

 

One subject we also touched upon was the importance of proper hydration. During any physical exercise, we are actively depleting both glucose and electrolytes from our body; our muscles are burning glucose as their quickest source of fuel, and electrolytes are draining from your pores via sweat and being scavenged by our muscles during contractions of both skeletal and heart muscle. Given the math behind this reaction, we need to replace both glucose and electrolytes to bring us back to homeostasis.

 

Instead of loading up on Gatorade and Powerade or any other chemical-laden sports drink (although, having these during strenuous activity is actually healthier than having just pure water), I provided the students with a do-it-yourself home recipe for a glucose-electrolyte beverage as a toxin-free alternative. Honestly, it’s delicious and I highly recommend giving it a whirl:

 

electrolyte drinkcc: everydayroots.com

 

Ingredients: lemons, limes, oranges, sea salt, honey (preferably raw), water, and natural cane sugar.

 

Lemon/Lime

 

–              ¼ cup of freshly squeezed lime juice

–              ¼ cup freshly squeezed lemon juice

–              1 ½ to 2 cups fresh water (depending on how strong you want the flavor)

–              1/8 teaspoon sea salt

–              2 tablespoons honey or natural cane sugar, to taste (not too much!)

 

 

Orange/Citrus

 

–              ¼ cup freshly squeezed lemon juice

–              ½ cup freshly squeezed orange juice

–              1 ½ to 2 cups fresh water

–              1/8 teaspoon sea salt

–              2 tablespoons honey or natural cane sugar, to taste

 

 

While the grass starts to flourish both here and in your backyards, I hope you are all enjoying the first glimpses and scents of spring.

 

For those of you who follow this blog, I apologize for my lack of presence on the site lately. Life and school have been dense with to-do’s, but the good thing about that is it provides me with a reservoir of topics that will eventually deluge themselves onto your screens. Some of these include: the misconceptions of vitamin D, a genetic mutation that could be causing your fatigue and inflammation, and an overview of what the many different types of health practitioners do in the event you are unsure which way to turn during a tough-to-diagnose-and-treat medical issue.

 

In the meantime, stay tuned. And, if you or anyone you know of may be interested in an AMAZINGLY INFORMATIVE presentation on nutrition and functional medicine for student athletes, tell them to holler at your girl here. Have presentation queued, will travel 😉

 

On a personal note, interacting with the student athletes at Matawan High School was a pivotal moment for me. It marked an official first step in a new direction in my career and future. It also fortified my love of what I’m studying and planning to do with the rest of my life. In other words, I felt as though I was in bloom.

 

happiness_gandhi

 

 

Have a wonderful weekend, everyone!

 

A Teacher, a Manager, and a Doctor Walk Into a Bar . . .

mouse calls

 

If you think over the course of your life, what are some of the qualities your favorite teachers had in common? As you grew up and progressed into the working world, did those same traits translate to your favorite managers and mentors?

 

Perhaps some were relentlessly demanding and knew how to get you into good form. Others may have been abstract thinkers who encouraged you to dream big and reach for the sky. Maybe one perceived your “shortcomings” as more of an edge, showing you how to cultivate and use them to your advantage. Another may have seen something in you that you never knew you had, helping you recognize an untapped strength and bolster your confidence. Maybe one was just a great listener, checked up on you during a bad day, or gave you a hug and some words of encouragement when you really needed it.

 

Whatever these characteristics were, undoubtedly their influences in your life shaped you into the person you are today. They provided you with an experience and knowledge base that propelled you into your days with a sense of power, control, and decision-making ability you previously didn’t have. As a result, it helped you feel as though you can take on whatever was brought to your plate – in a word, empowerment.

 

Now, how many of you would say that when in the midst of a puzzling health crisis, or being diagnosed with a serious condition, your doctor has ever made you feel empowered? Not quite as easy to say, right?

 

Conversely, when patients are told they will be living with a chronic disease, an overwhelming sense of powerlessness is experienced. Having to face stifling lifestyle changes, treatments, and the idea of living in discomfort instead of relief, patients feel as though they lose complete control. Instead of an individual acting in the world, they are resigned to feeling acted upon.

 

Personally, I feel this is a growing issue in our society and healthcare system, and remedying this could very well be the best medicine a practitioner can provide to and instill in their patients, for both a healthier clientele and prosperous career.

 

In fact, one of the clauses in the modern Hippocratic Oath states, “I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon’s knife or chemist’s drug.”

 

It sometimes feels as though this notion has been lost in today’s traditional healthcare system.

 

However, when lucky enough to experience a practitioner, whether it be a psychologist, medical doctor, massage therapist, or even a physical trainer, who provides you with knowledge, a toolbox, and some positive reinforcement, many individuals feel they can perpetually help themselves and navigate a seemingly impossible circumstance. Instead of being told what they can no longer control, they are given hope by understanding what they can control and do to get better and improve their quality of life.

 

Health education is key. If people learned how their body works and how simple it is to make changes in their diet and lifestyle, there is no reason why a large majority of us couldn’t live healthfully into our later years and ameliorate current disease states. Even at the most basic level, nutritional education and empowerment helps to reverse Type II Diabetes, improve one’s behavioral and cognitive issues, and smooth out hormonal issues that contribute to infertility, acne, and weight gain.

 

A research study evaluating the significance of patient empowerment selected elderly individuals to participate in a holistic interactive process in which nurses and these ill patients established a caring relationship. This involved active listening and presence, positive and non-judgmental responsiveness, and mutual knowledge not only of the patients’ medical conditions, but also of their lives as a whole. In one patient, it was revealed that “developing conscious awareness of her own patterns and strengths empowered her to better mobilize personal resources for everyday living; that is, for being healthy.”1

 

empowerment

 

Personally, I have experienced both ends of the spectrum. In my first post, I discussed the wild twists, turns, and challenges of having a health problem that does not fit into an easy diagnosis code. I have been to brilliant doctors at some of the best hospitals that would just read off of lab work without even looking me in the eye, never asking what may have been going on in my life prior to experiencing symptoms. Or, some would repeatedly write scripts for anti-depressants because “they seem to work for everything these days.”

 

On the other hand, I would have a casual conversation with a doctor that wasn’t even treating me, who would inform me of the importance of good sleep, or the avoidance of toxins in food, or provide a book recommendation on the link between stress and autoimmune issues – all of which would drive me to research and feel that I could absolutely help myself get better, easily.

 

The information is out there, folks. You just need to find the right person to open your eyes.

 

This is certainly what I plan to do after I graduate. I’m starting out now by trying to reach audiences that wouldn’t necessarily have access to the kind of information that will educate and empower them to take charge of their health – and as a result, their career and life. Knowledge is power. In this case, it’s empowerment.

To find out more, please contact me or read about my corporate wellness offerings here.

 

Have a great weekend!!

 

Research used:

  1. McWilliam, C.L.; Stewart, M.; Brown, J.B.; McNair, S.; Desai, K.; Patterson, L.; Del Maestro, N.; Pittman, B.J. Creating Empowering Meaning: an interactive process of promoting health with chronically ill older Canadians. Health Promotion International, 1997, 12, 111-123.
  2. Aujoulat, I.; d’Hoore, W.; Deccache, A. Patient Empowerment in theory and practice: Polysemy or cacophony? Patient Education and Counseling, 2007, 66, 13-20.

T Minus 3 Hours – Evolution of Medicine Summit Launch

EoM_BlogBanner_600x150_Attend

 

 

Happy Monday, ceiling fans!

 

The event I wrote about in this previous post has finally arrived!

Be sure to tune in online at 6:30 pm EST for the launch, or anytime this week. If you’re going to be attending at ABC Home, I’ll see you there!

For any latecomers, you can still register anytime this week via this link –> here.

In case you miss it, I’ll be writing a post about my experience at the Summit sometime over the next few weeks.

Have a great night!

 

UPDATE: Purchase EvoMed package (videos, recordings, transcripts) for your own permanent possession here!

 

Hot Event! Evolution of Medicine Summit

 

New Yorkers, listen up!

Or any health-minded individuals with an internet connection, for that matter.

 

If you are interested in the progression of Medicine and how the field is beginning to naturally gravitate towards a functional and holistic approach to diagnosis and treatment, there’s an event taking place next month you need to check out:

It’s called the Evolution of Medicine Summit and it is taking place from September 8th through the 15th. It is the world’s largest medical conference, completely free online, featuring 40 trusted world leaders in health.

The event uniquely features separate tracks for Doctors/Practitioners versus Regular consumers, so there are varied levels of content based upon one’s own knowledge and interest. There’s something for everyone.

While everything is launching and being filmed at ABC Home in Flatiron, everything is available 24/7 online to check out from September 8th through the 15th — at no cost.

 

Even better, after the event is over and done, these thought leaders’ presentations and talks will be available for download (video, audio, or transcripts) for your personal possession. This is great for:

a)    Continual Education for Practitioners wanting to keep abreast of the latest treatments

b)    Students looking to learn more outside of the classroom, or

c)    Individuals who have an affinity for the latest and most advanced approaches in health

Plus, the recordings will make for a more interesting subway listen than our beloved peddler renditions of “Under the Boardwalk” (Those 4-5-6 riders know who I’m talking about).

 

It’s all here for you.

 

If you’re interested in hearing more, you can message me via my contact form.

Or, if you already want to register to have free online access to the event, just click here — It will redirect you to a registration page. No strings. You’re welcome!

 

Noteworthy Speakers

Dr. Mark Hyman

Dr. Deepak Chopra

Dr. David Perlmutter

Dr. Frank Lipman

Dr. David Katz

Dr. Steve Cowan

 

Topics for Consumers

Men’s, Women’s, and Children’s Health

Nutrition

Causes of Disease

Reversing Chronic & Autoimmune Disease

Mind-Body Medicine

Digital Health

 

Topics for Health Professionals

Reversing Chronic Disease

Understanding the Causes of Chronic Disease

Digital Health

Business Model Innovation (Group Visits, Telemedicine, etc.)

Community Health

 

Spread the word. I’ll be there. Happy Monday everybody. Have a great day!

 

UPDATE: Purchase EvoMed package (videos, recordings, transcripts) for your own permanent possession here!