Tiffany Griffin 8/19/24 Tiffany Griffin 8/19/24

What you need to know about medically assisted weight loss now

Obesity plagues on average 7 in 10 American adults according to the Centers for Disease Control and Prevention (CDC). Weight loss is difficult for many people and studies show that only 1 in 5 adults in the United States successfully lose weight on traditional exercise and diet programs. Unless you have been living under a rock, you have seen all over the news and online many celebrities and regular people miraculously losing weight faster than ever before. What has been revealed is that many of these people are utilizing medical assistance to achieve their weight loss goals.

What is medically assisted weight loss?

Medically assisted weight loss involves the use of medical interventions, under the supervision of healthcare professionals, to help individuals lose weight. This approach is often recommended for those who have struggled with weight loss through diet and exercise alone, or for individuals with obesity and obesity-related health conditions. Under the supervision of a medical team that may include a dietician, nurse practitioner, physician or therapist, these patients recieve a multidisciplinary approach to weight loss that includes meal planning, behavioral therapy, medication, physical activity and in some cases surgery.

Prescription Medication

The Food and Drug Administration (FDA) is responsible for protecting the public by ensuring safety, security and efficacy of human drugs. Some medications have been approved by the FDA to treat obesity and are available for medically assisted weight loss. Some of these medications include:

Trizepatide (Zepound, Monjaro)
Semaglutide (Ozempic, Wergovy, Rybelsus)
Pentermine (Pro-Fast, Lomaira, Adipex-P)
Liraglutide (Victoza, Saxenda)
Orlistat (Xenical. Alli- available over the counter without a prescription)
Bupropion/Naltrexone (Contrave)
Setmelanotide (Imcivree)

Healthcare provider or team weight loss assistance

Weight loss under the supervision of a healthcare provider drastically increases the chances of losing weight successfully. These professionals offer expertise while providing support and accountability through out your weight loss process. A nurse practitioner, physician assistant or doctor can prescribe medication, provide assistance with meal planning, offer health education and provide referrals to other professionals such as surgeons if surgery is recommended. Excess weight gain may also be linked to habits, emotions and choices. Multiple failed weight loss attempts can also contribute to mental health conditions such as anxiety and depression. A mental health professional can provide counseling and behavioral therapy to help you overcome emotional barriers and teach alternative coping mechanisms through behavior modification strategies.

Surgery and Devices

There are a range of procedures for medically assisted weight loss that include sleeve gastrectomy, gastric bypass and adjustable gastric banding. Medical devices such as laparoscopic adjustable gastric banding (LAGB) and medication-like devices like Plenity may be used to assist with weight loss. These options must be inserted surgically or are not absorbed by the body. These procedures have risks that include malnutrition and surgical complications. If you are interested in these options, talk to your primary care provider for possible referrals.

What to expect with a medically assisted weight loss program

Just as you are not identical to anyone else, you should expect a unique program that is tailored to your medical history, goals and preferences. All patients are not candidates for weight loss medications due to safety contraindications. If you meet the qualifications for medication, sustainable weight loss will include changes in physical activity and diet as well.

To begin any program, you should expect an initial assessment by a provider to evaluate your weight, vital signs and medical and family history. They should ask questions about your exercise routine, eating habits, current medications and medical history to ensure any options you chose are safe and appropriate. You should be offered a program that includes dietary and physical activity adjustments and ongoing monitoring and follow-up.

Get started with medically assisted weight loss with Tiffany Adult Wellness and Weight loss

With Tiffany Adult Wellness and Weight loss you can find a licensed provider to help you meet your weight loss goals. Schedule your initial appointment for help and support through Tiffany Adult Wellness and Weight loss today.

Tiffany Griffin APRN, NP-C 8/18/24 Tiffany Griffin APRN, NP-C 8/18/24

Good vs Bad: Understanding what types of fat is good for your weight loss and overall health

In the realm of nutrition, understanding the impact of fats and cholesterol on your health is critical. Saturated fats and cholesterol often come under scrutiny for their potential negative effects on health, but there are some types of fat in a healthy diet that provide balance and actually work to improve health.

Cholesterol is a waxy substance produced by the liver and also found in certain foods. It plays a vital role in the body's cell structure and hormone production. There are two main types of cholesterol: LDL (often termed "bad" cholesterol) and HDL (considered "good" cholesterol). High levels of LDL cholesterol can contribute to plaque buildup in arteries, while HDL cholesterol helps remove LDL cholesterol from the bloodstream, reducing the risk of heart disease.

What are Saturated Fats?

Saturated fats are solid at room temperature and are commonly found in animal products such as butter, cheese, and fatty cuts of meat. They are also present in some plant oils like palm oil and coconut oil. Consuming too much saturated fat has been linked to increased LDL (low-density lipoprotein) cholesterol levels, which can raise the risk of heart disease.

Diet Alternatives to Reduce Saturated Fats and LDL Cholesterol

Unsaturated fats help lower LDL cholesterol levels in the body. Fatty fish like salmon, mackerel, and trout are rich in omega-3 fatty acids that can lower triglycerides and boost HDL cholesterol. Olive oil, avocados, nuts, and seeds also boost HDL cholesterol. Foods high in soluble fiber, such as oats, beans, fruits, and vegetables, can help lower LDL cholesterol levels as well.

Lifestyle Changes that Promoting HDL Cholesterol with Lifestyle Changes

Weight loss, especially around the waistline, can increase HDL cholesterol. There are fitness trends that promote a strength training only model for long term weight loss, however, there is still a lot of value to be gained from cardiovascular exercise. Engage in aerobic exercise like brisk walking, swimming, or cycling to boost HDL cholesterol levels.

Are you ready to transform your health and embrace a vibrant lifestyle? Reach out to Tiffany Adult Wellness and Weight Loss today. Our expert nutritional coaching and personalized meal planning will empower you to kickstart a healthy diet tailored to your unique needs. Don’t wait any longer to take the first step toward a happier, healthier you. Contact us now to learn more and start your journey to wellness!

Dr. Leslie Bauerle, DNP, FNP-BC 2/9/24 Dr. Leslie Bauerle, DNP, FNP-BC 2/9/24

Don't sugarcoat it... Achieving Sweet Success with Diabetes

What is diabetes?

Diabetes is a health condition that affects how our bodies react to the amount of glucose, or sugar in our blood stream. When we eat a meal our body breaks most of the food down to sugar. The sugar then goes into our blood stream. Our pancreas is an organ that responds by releasing insulin. The insulin then gets rid of the sugar in our blood stream by helping us use the sugar as energy. Usually, people with diabetes have a problem with the pancreas doing its job by releasing the insulin needed, or with their body using the insulin the way it needs to.

How do you know if your diabetes is well managed?

The A1C test is the most accurate blood test used to diagnosed diabetes and to help you know if your diabetes treatment is working. Your treatment plan may include taking medication, changing your diet, exercising, and eating the right foods.

What’s the goal?

The goal A1C for most people affected by diabetes is 6.5. Why? An A1C level above a 5.7 (PRE-diabetes) causes damage to the small vessels allowing us to see well, heal well, and have a healthy heart, brain, and kidney. At an A1C of 6.5 (full diabetes) or above that damage is occurring at a faster pace allowing you to have less healthy years ahead of you.

EATING TO WIN EVERYDAY

The food we eat have a huge impact on controlling our blood sugar. Planning a meal or healthy snacking with diabetes is not easy… so check out some of these healthy options and remember balance is key.

Non-starchy vegetables

- Asparagus

- Broccoli, Brussels Sprouts

- Carrots

- Celery

- Cucumber

- Eggplant

- Leafy greens

- Mushrooms

- Green beans, snow peas,

- Peppers

- Cabbage, Salad greens

- Squash

Dairy products

- Milk

- Yogurt

- Milk substitutes (i.e. soy milk)

Protein Foods

Lean

- Chicken, turkey, and eggs
- Fish like salmon, tuna, tilapia
- Lean beef cuts, lean pork cuts,
- Cheese and cottage cheese

Plant Base

- Beans, lentils, hummus,
- Nuts and nut butters
- Edamame
- Tofu and tempeh
- Plant-based meat substitutes

Carbohydrate Foods

- Whole grains such as brown rice, oats/oatmeal, polenta, quinoa, and whole products (bread, pasta, tortillas)

- Starchy vegetables - squash, butternut squash, green peas, parsnips, pumpkin, and sweet potato/yam
- Beans and legumes such as black, kidney, pinto, and garbanzo beans
- Fruits and dried fruit
- Dairy products like milk, yogurt, and milk substitutes (i.e. soy milk)

AND DON’T FORGET YOUR WATER OR LOW-CALORIE DRINK

Don’t Sit… Get Fit

Getting physically active can help decrease the amount of sugar in our bodies by making our body more sensitive to insulin. Performing exercises like jogging, biking, Zumba and Tae Bo can help improve your A1C. Here are some other great ways to get moving…

The Benefits of Walking

Walking is one of the easiest activities to start with, and most people with diabetes can do it.

- Walk instead of driving to nearby destinations.

- If driving, park a bit farther away from your destination.

- Get off the bus or train at a farther stop and walk the rest of the way.

- If you have a dog, walk it daily, or offer to walk a neighbor or friend’s dog.

- When traveling, take walking tours to see the sights.

- Start or join a walking group in your neighborhood or at work.

Getting 150 minutes weekly

- At least 150 minutes of activity is needed per week to reap significant results

- A slow stroll won’t cut it, you’ll need to work out at a moderate intensity.

- Set mini goals (i.e. 50 minutes 3 times a week, 30 minutes 5 times a week, or 25 minutes 6 times a week)

- Think smaller: 10-minute jump rope session before work, a 10-minute walk at lunch-time and 10 minutes on an exercise bike after dinner.

- Come up with an alternative workout option for days the weather isn’t great

- Enlist a fitness buddy for accountability and FUN!!!

Break A Sitting Streak

- Set an alarm on your phone for every 30 minutes to remind you to regularly get out of your seat.

- Play your favorite up-tempo song and boogie (tip: The Twist is a killer total-body workout)

- Take off your shoes and stand with the arch of your right foot on a tennis ball. Move your foot forward and backward. Continue for 30 seconds, then repeat with your left foot.

- Play with your pup - Fetch is an easy way to squeeze in daily activities for you and your pooch.

- Vacuum, empty the dishwasher, organize a drawer—cleaning counts as moving!

Partner with your health care provider to discuss the best diabetes treatment plan for you.

Are you ready to transform your life and achieve your weight loss goals? Look no further than our medical weight loss clinic at Tiffany Adult Wellness and weight loss! Our team of experienced professionals is here to support you every step of the way on your journey to a healthier you. With personalized plans tailored to your specific needs and goals, we provide a comprehensive approach to weight loss that includes medical supervision, nutritional guidance, and ongoing support. Don't wait any longer to take control of your health - get started today with Tiffany Adult Wellness and weight loss and let us help you achieve lasting results. Request an appointment today!

The information in this post is for informational or educational purposes only and does not substitute professional medical advice or consultations with healthcare professionals. Always consult with healthcare professionals to create a personalized plan that aligns with both your health needs and weight goals.

Tiffany Griffin 8/27/21 Tiffany Griffin 8/27/21

Is your Brunch Routine Ruining your Life?

Or at least your fitness goals.

We all love #selfcaresundays and brunch with friends over the weekends can be a long-awaited social oasis. But is something about our brunch time derailing the hard work we have done all week in the gym and making us unhealthy?

It could be if you are drinking too much alcohol with your meal.

A staple for most at brunch is the breakfast cocktails. Bloody Mary’s, mimosas, morning mules, and Bellini’s, often bottomless, can be un-doing your workout and mindful dietary practices.

The water factor

Consuming enough water is essential to a healthy diet and fitness program and excessive consumption of alcohol can cause dehydration and in extreme cases impair kidney function. Within 20 minutes of consuming alcohol, you may notice you have to go to the restroom. This happens because alcohol is a diuretic, meaning it causes water loss by signaling the kidneys to release electrolytes and fluids. A decrease in circulating water can increase your appetite, causing you to overeat and slow your metabolism. In addition, dehydrated muscles break down protein and can cause your strength training to be less effective.

The Family Factor

Our body’s ability to metabolize alcohol is influenced by our genetics. Unfortunately, if you have a family history of obesity and alcoholism, your body is likely to be less able to break down the chemicals in alcohol and is more likely to experience a negative effect from alcohol consumption.

The Obesity Factor

The effects of alcohol consumption vary from person to person but if you are already overweight, the effects of drinking alcohol can be more drastic for you when compared to someone who is not overweight. Alcohol like most other foods and beverages contain calories however there is research that indicates that people who have a diet that is high in fat and have a high body fat composition are more likely to experience weight loss from alcohol calories when compared to a person who does not have these factors present.

“Everything in moderation, including moderation.”

— Oscar Wilde

The Bottom Line

We all value our traditions and getting together with friends. If you are going to have drinks that include alcohol, remember to be mindful of your consumption so you don’t get off track with your long-term goals to be healthy and happy.