Sunday, September 7, 2008

weight loss and looking younger

Good sunday morning..hope the weather did not disturb your weekend plans too much and certainly hope you didnt do the "hunker down" mentality of playing lots on the kitchen yesterday...

Over the past several weeks, i have seen some patients who enter our program who seem somewhat embarrassed that their main reason for being here is the desire to look younger, improve their confidence and self esteem, and otherwise feel more attractive.

The "politically correct" answer as to why someone should lose weight usually is the health answer: "I want to be healthier". To say "Iwant to look more attractive" sounds vain or otherwise superficial.

I strongly believe that people deserve to feel AND look their best and if in their minds, being thinner makes them happier with their own appeaarance, then this is a very good reason..as good as any...to lose the weight. So, if you ever feel ashamed of having a priority for your weight loss efforts be aesthetics, please do NOT feel this way.

Laughing..as an aside, on a whim last nite I took the gray out of my hair with one of those pharmacy bought hair coloring things...I do not look any younger but i sure do look like I had a close encounter with a shoe polish bottle!!!! If you see me wearing a baseball hat at the office, you will know why now....

Saturday, September 6, 2008

Stress Eating

Most people can relate to the concept of eating under stress. Whereas some people will reduce their food intake under stressful situations most reach for high-caloric food sources.

I am not certain how many of you have taken our stress eater's quiz. It can be found at: www.stresseaterquiz.com and www.stresseaterdiet.com.

Poor weather conditions such as today or snow days in the winter are hazardous for our weigth loss efforts because out of boredom we find ourselves wandering to the kitchen. try to be cognizant of this and spend time in the treadmill room as opposed to playi ng in the kitchen. Use "downtime" today to plan your week's meals.

Word of the day: hurricane

Friday, September 5, 2008

adjusting diet to activity

As I watched the football game last nite, I was reminded of several ex-NFL players that have done our program. When they were active players, they were working out constantly, but when they retired, their eating patterns never changed but yet their activity dropped trmendously. I think I read that the gold medal winner Michael Phelps eats over 10000 calories per day. If he continued to do that after he stops swimming, I think he will be calling us for an appointment.

Even if you are not a professional athlete, sometimes we get small ankle or foot injuries that prevent us from exercising. We must adjust our food intake to offset that lack of exercise . If not, we weill start gaining weight.

It is incredibly easy to eat lots of calories and hard to brun them off. Always try to look at this as a mathematical equation: calories coming in/calories burning off. Try to work aggressively on both ends of the equation.

Have a great weekend! (and see Skins fans, I didnt tease anyone about the game last night, did i?)

Thursday, September 4, 2008

Football season and weight

Okay: word of the day: (actually 2 words) GO GIANTS!

Now that is over with, you can see that your good doctor will not be reading medical journals tonight, but rather will be tuned into the first NFL game of the season, pitting the New York Giants vs. The Washington Redskins.

Okay, this is not a sports column, what is the connection to weight?

The answer is the eating and drinking behaviors of football fans during the season. Let's start out with those of you that attend games. Chances are very strong that you will find yourself in the parking lot 3 hours before kickoiff with a group of your friends and/or relatives having a feast of grilled meats, chips, beers, breads and sundry other high-caloric food items. The beer-drinking then extends into the ballpark with perhaps some ice cream or one of those really big pretzels. Concerning the people who watch at home, we again usually group with other people and provide all of the foods and snacks that accompany a football game. Once again, plentiful carbs and alcohol.

Separating the enjoyment of watching an intense football game from the high-caloric stress-eating foods associated with these gatherings is a very difficult thing. However, if you are in a weight -losing mode, this can basically ruin an entire week of otherwise smart eating behaviors.

I would suggest eating a well-balanced meal BEFORE the game and plan, and if you tailgate, to bring along some better food choices than nachos and beer. This gets back to my constant theme of PLANNING your meals and snacks and trying to avoid situations where all control is lost.

Oh...the Posner Prediction: Giants 24, Skins 7 (and if you are upset at me for this, and want to take it out on my car, I own that little mercedes sportscar in the parking lot with the license plate : SPDIET) Hmmmmm.....I better fess up on that one..that is Linda's car and she is an Eagles fan.

Wednesday, September 3, 2008

winter clothes

As the days start getting shorter and the temperature starts dropping, the summer wear of shorts, bathing suits, etc. will be replaced by heavier clothes, coats and other outerwear that will tend to "hide" our bodies to some extent. At our weight loss centers, we often see many patients enter our program in April and May, because as it gets warmer, the heavier clothes start coming off and people are concerned that their weight issue may be more noticable to others. One of the major motivations to lose weight is the desire to "look better".

With the holiday season not too far off, it would be great to get into the April-May "mindset" now, meaning that although it is not bathing suit season anymore, the improved health and energy aspects of weight loss should be a great motivator to continue your efforts. Americans gain an average of 7 pounds during the holiday season, and now is a GREAT time to motivate again to really watch the calorie intake and maximize your exercise efforts.

Consider in the privacy of your own home, occasionally trying on that swimsuit or summer dress, and seeing how well it is fitting. Even though we are moving away from that season, perhaps this will trigger the same motivational sensation that many experience in April/May as the time to shed the heavier clothes approaches.

Tuesday, September 2, 2008

School is back in session..be careful!

First, I hope to see those of you come into the office with your collection of August words of the day....if you have them, you get a cool surprise....

First September word of the day: School

Okay, so what about school? For those of you who are parents and your children are going back to school today, I wanted to remind you of the challenges involved concerning your focus on losing weight. Preparing them for going to school, then going to a full day of work, then off to a soccer practice or other after school activity, then home. Not much time to think about what is for dinner or even lunch for that matter. The tendency is to start doing "quick" things for meals, and what is quicker than a drive-thru fast food restaurant?

This becomes a very challenging time and requires you to use Sunday perhaps for 30 minutes as a "planning" day. Look at your week in advance and start plotting/planning out how you will handle the challenges of the upcoming week. Perhaps only a few days are challenging, but you ust think about this in advance because when we make decisions on the fly, they are usually not the best ones for keeping our weight under control. Also, as it remains darker later and turns darker ealrier, those of us who enjoy outdoor exercise may start finding less and less time to do it outside. Develop alternative indoor exercise plans to offset the less outdoor time.

The challenges exist but with the correct planning, you can indeed overcome these challenges and make your weight loss efforts successful!

Completely off subject but here goes: Do any of you Skins fans really think you have a chance at the Giants this Thursday nite??? Okay, I KNOW this will get some comments!!!

Monday, September 1, 2008

Weight Control on vacation

Good holiday morning! First, I want to thank Linda for posting some really good stuff on this blog while I was vacationing. Excellent insights!

Okay, some personal stuff about how I approach vacations as that relates to the scales. I went to a resort in Conneticut called Foxwoods. It is an Indian reservation and there is a new MGM Grand hotel that just opened several months ago. Wonderful new rooms..wonderful new spa and workout facility...wonderful new casino and WONDERFUL restaurants. One of the restaurants is a famous deli from Brooklyn, N.Y. called Juniors. They are especially known for their New York cheesecakes.

Okay: here was my approach: 1-every morning I went to the gym and ran treadmill, did some weights, pushups. 2-ate a pretty small breakfast of some type of protein 3-tried to walk lots during the day 3-lunch ...okay, was pretty negligent...corned beef sandwiches, potatoe pancakes, 4-dinner...no alcohol, lots of protein, some vegetables and carbs. allowed myself 2 pieces of cheesecake in 3 days.

Results: 1.5 pounds of weight gain in the three days.

Response: I will follow a modified Phase 1 dietary plan for this week and check the scale next Sunday.

This strategy works for me, meaning that on vacation, I will liberalize my food intake because to be honest, I understand completely that for almost everyone, part of the "fun" of the vacation are the foods associated with the place you go to,. To deny yourself everything will in fact take away from the global sense of fun you have. Pick and choose the things that you really want and perhaps eliminate some of the high=caloric sources that do not mean that much to you. Also, be sure to check that scale when you return and have some sort of forulated plan as to what you will do to bring the weight back down. We get into trouble if we do not check the weight or have no plan.

Have a great day!!!