RobardUser Robard Corporation | Treating Obesity

How You Discuss Weight with Patients is Just as Important as Treatment: Free Webcast



Good news: Medical providers are finally starting to address obesity and its impact on their patients’ overall health. Bad news: Without a standard to look to for how to discuss weight with their patients and what the best treatment options may be, providers run the risk of fat shaming their patients, leading to unintended negative effects.

A review of recent research presented at the 125th Annual Convention of the American Psychological Association looked at how unconscious bias against overweight patients can impact how physicians interact with them about their weight, leading to increased stress for the patient. This stress, combined with feelings of shame, can cause patients to delay treatment and even avoid interacting with health care providers altogether. While providers always mean well, the way in which patients are approached about their weight can make all the difference when it comes to discussing medical concerns with sensitivity.

With obesity only recently being identified as a disease — with links to more than 20 chronic conditions (and growing) that are still being researched — it’s hard to know the best way to proceed with overweight patients without a standard and clear medical protocols to refer to as guidance. You’ve taken the step in acknowledging the importance of addressing obesity with your patients, but where do you go from here?

First off, it is important to acknowledge that no one is the expert at everything. If obesity treatment is not something you have focused on in the past, there can naturally be a learning curve as far as how to discuss it with your patients, and how to move forward with treatment. Working with an experienced partner in weight loss can not only save you time, but it can also help you provide the highest quality care.

We invite you to begin learning about how to speak with your patients about their weight with our complimentary webcast, How to Speak to Patients About Obesity. Learn directly from other doctors and peers in the field about what works, so that you can continue to elevate your standard of care while saving yourself and your patients both time and money.

Good news: If you’ve committed to providing the best care to your patients by choosing to treat obesity, you’re not alone. And we’re here to help.


Source: Science Daily


Blog written by Vanessa Ramalho/Robard Corporation


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You Can’t Afford to Ignore Obesity: How Obesity Treatment Saves Time, Money and Lives



Why should a busy healthcare provider take time out of their day to treat obesity when their patients are dealing with so many other health issues? This seems to be the prevailing question among many providers, despite obesity’s 2013 designation as a disease. There are so many other diseases and ailments that need to be treated, so why obesity?

The answer: Because we can’t afford not to! And that applies to time, money and the health of your patients.

It’s true that chronic diseases suck up the majority of healthcare resources; 75 percent of all health care costs are linked to chronic conditions. People with chronic conditions are the most frequent users of health care in the U.S., and they account for 81 percent of hospital admissions; 91 percent of all prescriptions filled; and 76 percent of all physician visits. Chronic disease is widespread, and it’s only getting worse. By 2025, chronic diseases will affect an estimated 164 million Americans — nearly half (49 percent) of the population

In response to the growing concern over chronic disease, many healthcare providers and hospitals are investing thousands of dollars in resources and time to implement multi-level treatment plans targeting chronic conditions. But the question many advocates are forgetting to ask is: What is one of the most common links between many chronic conditions?

The answer: OBESITY.

Obesity is associated with significantly increased risk of more than 20 chronic diseases and health conditions that cause devastating consequences and increased mortality. Consider the following statistics:

• In the often-cited Framingham Offspring Study, obesity was responsible for 78 percent of cases of hypertension in men and 64 percent in women
• The well-known Nurses’ Health Study of more than 44,000 women found high waist circumference resulted in a two-fold increase in coronary heart disease
More than 85 percent of people who have type 2 diabetes are overweight, and more than 50 percent are obese
• Overweight and obesity are associated with increased mortality from diabetes and kidney disease, resulting in over 60,000 excess deaths per year

And this is just the tip of the iceberg. Obesity, in many cases, is the direct cause of many of the chronic conditions that we are spending so much time and money treating. Many of these conditions can be prevented, delayed, or alleviated by simply treating the cause, not just the symptoms. Research shows that modest weight loss (five to 10 percent of body weight) can reduce the risk of developing chronic conditions dramatically, and this amount of weight loss is achievable through various evidence-based medical obesity treatment models.

Not only can obesity treatment save physicians time and money by decreasing healthcare costs associated with comorbid chronic conditions, it has also been shown to be a proven revenue generating model, with real financial benefits. In a climate when we’re unsure about where we will stand with insurance and Medicare, it is imperative for healthcare providers to proactively look for new and innovative models to save time and money, and ultimately, to save lives.

Are you still asking yourself, “Why treat obesity?”


Sources: Partnership to Fight Chronic Disease, Hospitals & Health Networks, Stop Obesity Alliance

Blog written by Vanessa Ramalho/Robard Corporation


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How Hormone Havoc Prevents Weight Loss



Have you ever thought there must be more to losing weight than just dieting and exercise? Well, it turns it you are right! Gaining and losing weight can be due to many things, for example:  Sleep deprivation, nutritional imbalances, genetics, environmental toxins, gut flora imbalances, food addictions, allergies, and inflammation.1 Frequently ignored is the impact of hormones on weight and metabolism. Hormones determine what your body does with food; therefore, balanced hormones are crucial to controlling weight

In men and women, hormone production declines with age which can trigger a sluggish metabolism and weight gain. Body shape changes (almost always an indicator of hormonal imbalance) with fat appearing around your middle, belly, breast, and arms.
2 Hormones affecting weight in both men and women are cortisol, insulin, thyroid, estrogen, progesterone, and testosterone. When any of these are imbalanced, hormonal disorders ensue causing weight gain and or difficulty losing weight.

Cortisol
Stress — real or imagined — throws the body into panic mode and cortisol is released into the bloodstream. Cortisol raises blood sugar and breaks down fat for energy. This response is lifesaving when faced with life threatening situations. When the immediate stress ends, cortisol rises, leading to craving for fatty, salty, sugary foods to replenish the source of energy that was just depleted. Then cortisol falls to normal levels. Prolonged stress leads to continuously high levels of cortisol which causes continual excess calorie intake. Since these calories aren’t needed immediately, they get deposited as abdominal fat.
3 Chronically elevated cortisol keeps blood sugar elevated which can lead to insulin resistance.

Insulin
Sugar (glucose) stimulates the release of insulin which carries glucose into cells to be used as fuel. When cells have received enough glucose, excess gets stored as fat, especially in the belly and buttocks. Insulin resistance is when the body produces insulin but cells are less sensitive to it. As a result, the pancreas will pump out increasingly more insulin, but the insulin is unable to push glucose into cells. This excess circulating insulin causes sugar cravings, increased appetite, and weight gain.

Thyroid
This hormone regulates the metabolism of every cell in the body. When the thyroid gland is not making enough of this hormone, it’s called hypothyroidism. Hypothyroidism causes a slowing of most bodily functions. Sometimes, people have symptoms of low thyroid including fatigue, hair loss, sluggishness, weight gain and or difficulty losing weight. However, their lab tests are normal.
4 This is a source of great stress for individuals who know something is wrong but the cause is not obvious. Thyroid hormone needs to be suspected and tested properly. 

Testosterone, Estrogen, and Progesterone
As men and women age, testosterone levels decrease, leading to a loss of muscle and bone, accumulation of belly fat, and decreased metabolism. The effect is more severe in men because their testosterone levels are much greater to begin with. Ovaries produce less estrogen and progesterone in women starting as early as age 35.  When estrogen is not in correct balance with other hormones (primarily progesterone), weight gain can occur. Signs of estrogen excess are weight gain around the abdomen, hips, and thigh, water retention and abdominal bloating. Estrone, the main estrogen in menopause, shifts fat from hips to abdomen. Progesterone helps the body utilize and eliminate fat and increases metabolism. Excess progesterone production relative to estrogen leads to an increased appetite and fat storage. 
5,6

To prevent weight gain from hormonal imbalance:
1. Limit carbohydrate intake
2. Reduce stress 
3. Have hormones levels checked and balanced 
4. Take a probiotic
5. Exercise 45 min., 5 days/week

To learn more about medical weight loss and how it might be able to help your patients control the effect of hormones on weight and metabolism, click here.

References
1. Smith, P., “Why you can't lose weight: why it's so hard to shed pounds and what you can do about it.” Garden City Park, NY: Square One Publishers, 2011
2. Smith, P., “What You Must Know about Women’s Hormones,” Garden City Park, NY: Square One Publishers, 2010
3. Epel, E, et al., “Can stress reshape your body? Consistently grater stress-induced cortisol secretion among women with abdominal fat” Psychosomatic Med 2000; (62):623-632
4. Brownstein, D., “Overcoming Thyroid Disorders.” West Bloomfield, MI: Medical Alternatives Press, 2002
5. Kalkoff, R, et al., “Metabolic Effects of Progesterone “Journal Obstetrics Gynecology, 1982: 142-146
6. Vliet, E., “Women, Weight and Hormones.” New York: M. Evans & Company, 2001

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