Weight
Management
Why is it hard to loose weight?
What is weight loss resistance?
What works for others doesn’t for me. Why?
How is your program different?
What should I eat?
Why resistance exercise?
Why is it hard to loose
weight?
Weight gain can be a lifelong problem, most Americans will gain
about one pound a year from age 21 onward. But even if weight
were never an issue, women approaching menopause can often see
an additional 10-15 pounds added onto a previously normal physique.
The issue of weight gain is multifactorial and complex. Sadly,
no two individuals are the same. Many of us can manage weight
control with an occasional diet; however, it is the weight–loss
resistant individual who has the real problem.
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What is weight loss resistance?
This has been an interest and a passion of Dr. Paoletti for more
that 30 years. She has had experience with just about all of
the different diets over the years. At present, she uses a combination
of good nutrition, regular meals, and exercise, supplements,
vitamins, and occasionally medications to help women achieve
their goal weights.
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What works for others doesn’t for me.
Why?
Every person’s weight resistance issues are different and
to solve the problem is never easy. We find that one visit never
works and instead a program of weight loss is the only proven
and successful method of achieving and sustaining healthy weight
reduction.
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How is your program different?
In our program patient’s pay for a monthly rate and there
is a two month minimum. With this program, they are provided
with an initial lengthy visit of 90 minutes and subsequent 3
visits during the month to help track the weight loss. Each month
will include 4 visits which will include an assessment of your
diet trends, supplement usage, exercise, and frequent weighing
on our professional Tanita scale which will help you track your
lean weight gain by measuring your fat mass, lean mass and total
body water. The body water is particularly important because
it must be in the normal range to render the other numbers – the
fat mass and the lean mass accurate.
The program is very exciting. It is the best way yet to reduce
your weight and to learn about the most up to date methodology
used in this process today.
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What should I eat?
This may seem counterintuitive, but the fewer meals you eat,
the more you will gain weight. You will be training your body
to conserve energy and fat with only one or two meals a day.
They have done studies and compared two groups who both eat the
same amount of daily calories but who differ in the number of
meals. They found that those who ate two or less meals had less
weight loss or more weight gain than those who ate at least three
meals a day.
Suma wrestlers who are extremely heavy train all day and eat
only one large meal at night. During the day, they are training
their bodies to conserve energy and fat as well as exercise.
Thus, the first step in weight loss strategy is to eat well-balanced,
smaller meals three or five times a day. The content of the meals
needs to designed carefully so that your carbohydrate and protein
rations are correct and that the total amounts are also correct.
This takes individual counseling and will require a substantial
amount of time. It is important to not exclude the carbohydrates
completely because your body will crave them and produce too
much cortisol, a stress hormone that will reduce muscle and help
store fat in the long run.
Part of the goal of losing weight will be to replace the fat
with some muscle. You cannot maintain a lean muscle body which
is both healthy and thin without a good muscle mass. With good
muscle mass, your metabolic rate will be higher and you will
be able to maintain you weight when you are done dieting. If
you lose weight without exercise (weight bearing exercising),
you will eventually reach a plateau and will not be able to change
your weight any further. This is because weight is based on relative
muscle mass. If you do not have enough muscle mass, you will
only loose weight by starving and this is not practical and will
not produce permanent weight loss. People who have a good muscle
mass and are overweight due to overeating, can loose weight easily
by reducing their intake, however, eventually they will loose
too much muscle as well as fat and will plateau unless they couple
their improved eating life style with good resistance exercises.
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Why resistance exercise?
I state resistance exercise because aerobic and strenuous exercise
will burn muscle as well as fat. Only resistance exercise will
increase your muscle mass. In addition to this type of exercise,
you will need to eat balanced meals with real carbohydrate in
each meal and snack. The carbohydrate portion will promote insulin,
which will promote muscle synthesis. You need just enough carbohydrate
to do this and not any more. Good real carbohydrates along with
the healthy vegetables will accomplish this.
If you are going to do the aerobic exercise, you will need to
do so alone on days separate from the resistance exercises and
strive not to keep your heart rate up too high. Resistance exercise
5- 4 times a week with aerobic 2- 3 times a week is a good ratio
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