Laurence Girard, Fruit Street Health CEO

Like many healthcare startups, Fruit Street Health has experienced many twists and turns in its evolution as a telemedicine company with multiple products. In an interview with MedCity News, CEO and co-founder Laurence Girard discussed the companys product offerings, business model and its focus on building a community of physician investors, as opposed to seeking funding from venture capitalists, all of which are reflective of the companys mission and journey.

After perceiving a growing need for digital health tools to manage chronic conditions, Girard founded Fruit Street Health in 2014. While serving as an ER volunteer, Girard took a course in nutrition epidemiology at the Harvard Extension School with a Harvard School of Public Health professor, which changed his initial plans of attending medical school.

I realized that we can prevent chronic conditions like heart disease, diabetes and stroke through diet and lifestyle. I also started reading about physicians like Dr. Dean Ornish who proved you could reverse heart disease through diet and lifestyle modification. It made me think I could have a bigger social impact through a combination of technology and entrepreneurship in the field of public health.

In its first phase of business development, Fruit Street created a telemedicine software platform that would eventually be licensed to physicians and dietitians. For the first three years the company was developing telemedicine software and striving to find product market fit. It ultimately succeeded with strategic developments and the formation of critical relationships. Fruit Street found success when it pivoted its business model from telehealth software to delivering the CDCs Diabetes Prevention Program.

In 2017, Girard successfully registered the company for the CDC diabetes prevention program based on advice from a Fitbit executive. Fruit Street eventually got a stamp of approval from the CDC when it achieved full recognition. In order to achieve the full recognition designation from the CDC, diabetes prevention programs must achieve outcomes such as 5% average weight loss for participants that take part for at least nine months.

Fruit Streets flagship product is delivery of the CDCs diabetes prevention program via telehealth and live group video conferencing with registered dietitians. The program is designed to help patients with pre-diabetes lose 5% to 7% of their weight to reduce their risk for developing Type 2 diabetes. The program is based on research CMS funded that was published in the New England Journal of Medicine which proved that the diabetes prevention program helped patients with prediabetes reduce their risk for Type 2 diabetes by 58%.

It involves screening patients via a Type 2 diabetes risk assessment. If the results indicate the patient is at risk for the disease, they will be entered into a weekly telehealth program aimed at managing health and preventing the chronic condition. Members not only participate in the weekly group classes, but also share photos of their meals with dietitians providing feedback. They also use a wireless scale and Fitbit to track their physical activity.

When asked about the impact of the current public health crisis on Fruit Streets business, Girard said Medicares loosening of telehealth regulations has helped attract more customers. He noted that the CDC promoted Fruit Streets software as a solution for in-person diabetes prevention programs to switch to delivery of the program online via telemedicine during the pandemic.

Weve seen a big shift from these in-person diabetes prevention programs to adopting telemedicine relatively quickly, he said.

Rachel Neifeld, a registered dietitian, is among Fruit Streets recent hires who have helped thrust the company into pole position. She leads the digital diabetes prevention program. Previously, Rachel served as an inpatient dietitian at Montefiore Medical Center and New York Presbyterian Hospital, then as an outpatient diabetes educator at Beth Israel Mt. Sinai Endocrine Center.

In late April, Fruit Street hired Chief Technology Officer Ian McFarland, who served in a similar role at Pear Therapeutics, a digital therapeutics business. In fact, it was McFarland who persuaded Girard to expand Fruit Streets offering to include a service aimed at preventing and treating the coronavirus.

Fruit Street Health launched CovidMD at the height of the public health crisis, during which the countrys struggle regarding the need to address public health and the need to restore the economy was at its peak. The risk assessment, triage, and telemedicine platform, built on the Salesforce Service Cloud and Zoom, tracks sources of domestic exposure and pre-existing chronic conditions as part of a proprietary risk scoring system. This system generates both an exposure risk score and a health risk score for each person. Then, users are provided with personalized information about next steps, based on their risk scores and the latest CDC guidelines. Theyre also given the option to connect with a healthcare provider via live video, who will be able to take actions such as write a prescription or order an at-home test for Covid-19.

Eventually, Fruit Street plans to develop a more holistic telemedicine solution that will include behavioral health with psychiatrists and psychologists via live video, virtual primary care, and dietitian-based services which Fruit Street already delivers.

Fruit Streets investment model is what sets the company apart from the myriad of telemedicine companies on the market. Rather than utilize venture capital firms for funds, the company focuses on physician angel investors, who also function as advisers.

I realized that I enjoyed working with the physicians that had invested and they were the ones who were more focused on having a social impact, says Girard. I wanted Fruit Street to be a grassroots effort of physicians who want to have a social impact in public health through the power of telemedicine. I wanted to focus on physician investors rather than venture capitalists because physicians know more about healthcare products than a venture capital firm. What if a physician could use my product or tell me how I should design it based on their experience working with patients?

Asif Ali was the companys first physician-investor, a cardiologist at the University of Texas in Houston.

Physicians tend to invest between $25,000 to $50,000. Girard noted that many tap an IRA/401k to invest in the business. Recently, Fruit Street launched a crowdfunding campaign on StartEngine to offer a wider range of investment points for a wider variety of physician investors, demonstrating the companys value for its physician community, as well as its dedication to improving Fruit Streets program for patients and user experience for physicians.

Physicians develop clinical protocols, but they also talk to each other. I dont start every discussion a physician can post an idea and other physicians can respond in real time. So its really kind of like a collegiate forum where we discuss everything and anything. And then well have weekly updates on Zoom, where well share progress made on the product and the business impact in the chat box or just share their comments on product design and clinical protocols. They might make helpful introductions to potential customers; they might recommend colleagues to invest. Some of them use our telemedicine software in their practice. Some of them are actually telemedicine providers.

Girard has had a long journey in the telemedicine industry. He noted that his idea started on a napkin which has now grown into three telemedicine products that are having a social impact on diabetes prevention and providing medical care online.

Looking ahead, Girard envisions building a physician community of 10,000 that will serve as a hub for expert insights on product development and solidify the companys position for future growth.

Photo Credit: Zoom Video Communications

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Cultivated by physician investors, Fruit Street Health's evolution as a telehealth business - MedCity News

JT Towers had one year to prove himself as a linebacker.

A former quarterback at Glen Rose, Towers wasn't going to let a toe injury prevent him from becoming one of the state's top defensive players at Joe T. Robinson, and then an Arkansas Razorback.

JT Towers at a glance

CLASS Freshman

POSITION Linebacker

HEIGHT/WEIGHT 6-4, 210 pounds

HOMETOWN Little Rock

HIGH SCHOOL Joe T. Robinson

AGE 18

NOTEWORTHY Three-star prospect by Rivals, 247Sports and ESPN.com. Rated as the No. 45 linebacker in the country by ESPN and the ninth overall prospect in Arkansas by 247Sports. Recorded 171 tackles, including 105 unassisted and 47 tackles for a loss, 11 sacks, 4 forced fumbles and 1 fumble recovery in 2019 for Robinson. Passed for 1,331 yards and 11 touchdowns, and rushed for 735 yards and 14 scores at quarterback for Glen Rose in 2018. Chose Arkansas over Army, Oklahoma, Memphis, Navy and Texas Tech, among others.

Towers led Robinson to a Class 4A state championship last season and signed with the University of Arkansas in February.

In Robinson's season opener against Springdale, Towers injured his right big toe. He missed three games, then returned to action, becoming a stalwart in the Senators' defense.

Towers finished with 171 tackles, including 105 unassisted and 47 for a loss, 11 sacks, 4 forced fumbles and a fumble recovery in 2019. He earned first-team honors on the Arkansas Democrat-Gazette's All-Arkansas Preps team along with teammate Chandler McIntosh, who is scheduled to walk on with the Razorbacks.

"I told myself, I wasn't going to let the injury end my senior season," Towers said. "I was going to do everything I could to play. I was glad I was able to play through the pain."

Robinson Coach Todd Eskola admired Towers' toughness in his senior season.

"The pain he was in, 99% of players would have said no way they're playing," Eskola said. "He never got to play at full speed. We managed his practice reps. He was never healthy.

"But never once did he make an excuse. The kids that don't use the c-word -- 'can't' -- are high in my book. He doesn't use the word can't."

Robinson's only loss last season was to Arkadelphia, 28-27, on Oct. 4. From there, the Senators won 10 consecutive games, and their season culminated in a state championship victory over Shiloh Christian at War Memorial Stadium in Little Rock.

Winning a state championship was special for Towers, who said the Arkadelphia loss was what allowed the Senators to focus on their main task.

"We turned a corner," Towers said. "The team came together. People had a sense of urgency. There's no better feeling than ending your high school career raising a state championship trophy at War Memorial Stadium."

While he played only one year at Robinson, Towers quickly became one of the Senators' leaders.

"It was a really great experience," Towers said. "They accepted me as family. I enjoyed the whole ride of the season."

Eskola had high praise for Towers, who was a three-star prospect by Rivals, 247Sports and ESPN.com.

"He's a great kid," Eskola said. "He's so polite and a well-spoken young man."

Towers signed with Arkansas in February as part of Coach Sam Pittman's first recruiting class. Eskola recalled Pittman telling him that he couldn't believe Towers hadn't been recruited more by Division I schools.

"He was a D-I kid," Eskola said. "Everybody knew it. But he didn't have film [as a linebacker]."

Once Pittman was hired in December, Towers felt a better connection to him and his staff than he had with former coach Chad Morris, who was fired in November after going 4-18 in two seasons.

"As soon as he and his staff got hired, I got an offer," Towers said. "I committed three hours after I got the offer."

Towers hasn't let the coronavirus pandemic slow him down. He has a home gym, which includes a bench-press station and a squat rack. He's also been working in conditioning drills to get ready for his college career.

Playing for Arkansas was a big goal for Towers, he said.

"Fayetteville is where I always wanted to go," Towers said. "Arkansas was my dream school."

Arkansas has not played in a bowl game since 2016 under Bret Bielema. The Razorbacks also haven't won an SEC game since 2017. But Towers said he wants to help the Razorbacks rediscover their winning ways.

"It's a process," Towers said. "Some people will say we need a rebuilding year, but I think we can compete in the SEC this year. We've got some pieces on the offensive side of the ball and some good graduate transfers on the defensive side of the ball.

"We can open up some eyes in the SEC. I grew up watching the Razorbacks play. I'm excited to get out there."

Eskola said Arkansas is getting a player in Towers that will be competitive from the first practice.

"He's a winner," Eskola said. "Some kids will refuse to lose, and he's that kid. Nobody will outwork him."

Sports on 06/03/2020

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Pain turns into gain - Arkansas Online

Overweight for most of his life (Even as a kid, Ive always been the heaviest one in a room, he says) the now 42-year-old father of six has a long history of health issues, including a stomach hernia and chronic pain that at times has been debilitating.

He sought medical help about 15 years ago, when he first started feeling some aching in his hands and face. But the doctors then blamed his troubles on his weight and left it at that, and that frustrated him. He wanted to lose weight, but thats easier said than done. And once the pain started, it felt impossible.

So, for almost a decade after that, I just kind of learned to live with it, McMichael says. I just thought I was going to be big the rest of my life, and I just had to deal with it.

I really didnt take care of myself the way I should, the Detroit Lakes man admits.

A lot of men in America could say the same. Men are notoriously bad at seeing their doctors on a regular basis. According to the Washington D.C.-based nonprofit Mens Health Network, women are 100% more likely than men to visit the doctor for annual exams and preventive services.

Men's Health Month is celebrated every June in the United States.

This habitual underdoctoring, when taken into account along with workplace hazards and biological differences from women (men have fewer infection-fighting T-cells, for example), leads men to have higher death rates from disease and shorter life expectancy overall.

Statistics cited on MensHealthNetwork.org show men die at higher rates than women from nine of the top 10 causes of death, such as heart disease and cancer, and are also the victims of over 92% of all workplace deaths. Men are also at higher risk of suicide, as their depression and other mental health disorders are less likely to be diagnosed and treated.

By the age of 100, women outnumber men eight to one.

These sorts of alarming statistics led President Bill Clinton, in 1994, to establish a National Mens Health Week every June, the week before Fathers Day. That week has since expanded into a month-long annual effort to raise awareness about mens health, and share information to help minimize health risks for men.

The Presidential Proclamation states that June is a time for men, to familiarize themselves with the symptoms and warning signs of diseases and illnesses that pose a risk to them, while also committing to leading more active and healthier lifestyles.

Men who do these things often live longer and better lives as a result. Take McMichael as an example.

About five years ago, McMichael reached a crossroads. His pain had gotten so bad that he couldnt even get out of bed some days, and he was using crutches or a cane to walk. His weight was higher than ever, at more than 300 pounds.

His youngest daughter had just been born, and he had other young kids at home, too, but he didnt have the energy to play with them. He felt like he wasnt able to be the father he wanted to be, like he wasnt doing enough for his family. He decided it was time to try and turn his health around.

It was at a point where it was getting kind of old, he says. I knew if I could lose the weight and be healthy, I could be there for my kids more, and for my wife, to help her out with stuff. And just to be healthier for myself, too -- that was one of my main goals.

McMichaels wife, Melanie, a nurse, helped him find the right doctors to work with, and that made a big difference for him. He started to undergo all sorts of tests for his pain, and also began a year-long process of shaping up (both mentally and physically) for weight loss surgery -- a procedure that was risky but, he ultimately decided, worthwhile.

After testing him for lupus and other chronic pain disorders, doctors believe McMichael most likely has multiple sclerosis, a disease of the central nervous system, though a formal diagnosis has yet to be made. He says his doctors decided to hold off on treating his pain until well after his weight loss surgery, since dramatic weight loss can have a dramatic effect on pain levels for years afterward.

McMichael's weight-loss surgery was a success and, today, he is about 120 pounds lighter than he was at his peak. He has more energy again, he says, and feels like a better father and husband because of it.

Im happy I did it, he says. I notice a huge difference. I can keep up with my kids now. I can run around with them, keep up with them, be a dad to them.

Losing the weight also lessened McMichaels chronic pain levels, as his doctors predicted they would. While he still has occasional flare ups, he says the pain overall is much more manageable now than it was before the surgery.

If the pain starts to get worse again, he adds, hell be less stubborn and hard-headed about going back to the doctor to take care of it.

McMichael, who has degrees in graphic design and web development, has been a stay-at-home dad for the past few years. He went back to school last year for community health work, and is a Citizen Father with The FATHER Project.

Most factors that contribute to mens shorter, less healthy lives are preventable. And prevention starts with seeing a healthcare provider on a regular basis. (File Photo)

A higher percentage of men have no health care coverage.

Men make half as many physician visits for prevention.

Men are employed in greater numbers in the most dangerous occupations, such as mining, fire fighting, construction and fishing.

Society discourages healthy behaviors in men and boys.

Research on male-specific diseases is underfunded.

Men may have less healthy lifestyles, including risk-taking at younger ages.

Source: MensHealthNetwork.org

Encourage the men in your life to get their physicals. Most factors that contribute to mens shorter, less healthy lives are preventable. And prevention starts with seeing a healthcare provider on a regular basis. Download a helpful chart of recommended screenings at http://www.healthfinder.gov.

Then, encourage them to get physical. The benefits of physical activity on health outcomes are extensive. Suggest joining the local community center, signing up for personal training sessions, or simply taking regular walks.

Let him know you care. One reason men disregard their own health is that theyre too busy taking care of everyone else. But if they die early, theyll be hurting the very people theyve worked so hard to protect. Remind him that you and your other family members love him and need him to be alive and healthy for as long as possible.

Wear blue. Encourage everyone you know to wear something blue during Mens Health Week, celebrated June 15-21 this year.

Learn more. Mens Health Network has collected more than 300 proclamations recognizing Mens Health Month (and Week), the important part that fathers play as role models for their children, and how much better off kids are when they have an actively involved dad in their life. Visit http://www.MensHealthNetwork.org or http://www.MensHealthMonth.org.

Source: MensHealthNetwork.org

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DL dad's efforts to lose weight, get healthy have made life better - Detroit Lakes Tribune

With each passing birthday, it feels like your jeans are suddenly a bit tighter. No matter what you try to do, it seems impossible to combat age-related weight gain. Whether you are in your 50s or 80s, age-related weight gain can be a major problem. If you start gaining just a pound a year when you are 50 years old, you will end up weighing 30 pounds more by the time you turn 80.

From the ages of 29 to 39, women gain an average of 7 pounds. During the same time period, men gain an average of 15 pounds. Unfortunately, it is harder for people to lose weight in their 30s and 40s. By the time you get to call yourself a senior, you probably have a dozen pounds or more that you want to get rid of.

Part of the problem is because your muscle mass changes. Starting in your 30s, you lose muscle mass with each passing decade. Your muscle mass is then replaced by fat. Even if you work out frequently, you will still deal with this problem. Since muscle burns more calories than fat, this change causes your metabolism to slow down.

Changing hormones also leads to weight gain. Because of estrogen changes, women typically gain about 15 pounds during menopause. Meanwhile, men lose testosterone. This leads to less muscle mass and potential weight gain.

Once you reach retirement age, you finally have time to get in shape and lose weight. Your kids have moved out, so you no longer have so many family responsibilities getting in the way of your health. If you are still struggling to get in shape, CBD for weight loss may be able to help. CBD uses the cannabinoid system to help you treat some of the problems that keep you from having a healthier, thinner body.

How Does CBD Work?

Your body already has a cannabinoid system that uses the chemicals your body naturally produces. CBD and tetrahydrocannabinol (THC) both work by using this natural system. In total, there are at least 113 cannabinoids that have been discovered in cannabis. THC is the most famous one because it is the component in cannabis that gets you high. Unlike THC, CBD and other cannabinoids do not have psychoactive properties.

Instead of causing a sense of euphoria, CBD helps with problems like stress, pain and anxiety. Many people take CBD for insomnia, arthritis and similar conditions. CBD targets the CB1 and CB2 receptors in the brain to alleviate different medical problems.

Because of the 2018 Farm Bill, farmers can now grow and sell hemp. Unlike other strains of cannabis, hemp does not contain high levels of THC. This means that CBD can be legally produced and sold under federal laws. Many states also have laws that legalize CBD production. Because of the legality of CBD, many researchers are now looking into the different therapeutic effects of this cannabinoid. Investment and research in this field are only beginning, so there is still a long way to go before researchers discover all of the conditions that CBD can treat and the correct dosages.

At the moment, research trials have found success in using CBD to treat schizophrenia, autism, alcoholism and skin conditions. There are more than 150 trials taking place around the world that are looking into other conditions as well. Right now, the Food and Drug Administration has actually approved a CBD-based drug known as Epidolex to treat a kind of epilepsy. From trials focused on sleep disorders to pain management, scientists have already found that CBD can help with a number of different problems.

How Does CBD Affect Weight Loss?

If you plan on taking CBD for weight gain, you may be on the right track. Like any diet plan, you also need to adopt a healthy lifestyle as well. Other than taking CBD, it is also important to eat a healthy diet and start working out.

Researchers have already found several ways that CBD can support weight loss. In a 2011 study in Neuroscience Letters, researchers found that laboratory rats had a significant drop in body weight after they were given CBD injections for 14 days. During the study, the rats received 2.5 to 5 milligrams of CBD for every kilogram of their body weight. The rats that received 5 milligrams of CBD had the most pronounced weight loss. Because of this study, researchers believe that CBD can alter how the body gains weight.

At the moment, scientists think that CBD supports weight loss because of the way it works in the human body. Your body has had an endocannabinoid system since the moment you were born. This cannabinoid system produces different responses to compounds using two receptors known as the CB1 and CB2 receptors. The CB2 receptors exist throughout your body. Meanwhile, the CB1 receptors are primarily located within your central nervous system and brain.

People who suffer from obesity have a weird distribution of CB receptors. For whatever reason, the CB1 receptors travel to other parts of the body that they are not supposed to be in. They become especially prevalent in fatty tissue. Because of this strange distribution, scientists now believe that there could be a link between obesity and the activation of CB1 receptors.

CBD influences the way your bodys natural cannabinoids work. This can lead to the shutdown or activation of different receptors, which can influence your bodys metabolic system. Because of this, some evidence seems to indicate that using CBD can help you lose weight. It may also help you combat weight gain that stems from metabolic disorders.

Related: Looking for a reliable CBD product for seniors? Check out Blue Ribbon Hemp.

The Benefits of Using CBD for Losing Weight

Scientists have discovered that CBD can help a variety of different health problems. Other than alleviating chronic pain, it is useful for treating depression and anxiety. The following benefits help CBD to successfully support a diet and exercise plan for losing weight.

CBD Supports the Browning of Your Fat Cells

In recent years, scientists have discovered that the human body contains white and brown fat. White fat is the main form that exists in the body. It is used to cushion and insulate your organs. White fat is also responsible for storing energy.

Unfortunately, white fat is also linked to a number of chronic illnesses. If you have heart disease or diabetes, you are more likely to have excessive amounts of white fat. This kind of fat is generally considered unhealthy.

Brown fat is the kind of fat your body actually burns for energy. When you are running low on energy, your body turns to brown fat before it uses white fat. People who are at a healthy weight tend to have more brown fat than overweight or obese individuals. To transform white fat into brown fat, you need to make sure to get enough sleep, exercise and expose your body to cold temperatures.

It turns out that using CBD may also help your body turn white fat into brown fat. This browning of fat cells has been shown to happen in laboratories. Scientists used CBD and test tubes to see what would happen to white fat cells. The presence of CBD helped to create the proteins and genes needed for creating brown fat.

CBD Could Help Improve Your Metabolism

While most people associate cannabis with getting the munchies, CBD may actually help you reduce your food intake. Recent research seems to suggest that using CBD can help you lower the amount of food you eat. It can also increase your metabolism. As a result of these two mechanisms, you could enjoy a higher level of weight loss.

In animal studies, CBD affected an animals weight by targeted CB1 and CB2 receptors within the brain and lymphoid tissue. Over the course of two weeks, rats were given daily injections of CBD. They received 2.5 to 5 milligrams per kilogram of body weight. The higher dose was connected to more weight loss, but both doses actually led to a reduction in body weight.

CBD Can Reduce Your Body Weight

In population studies, marijuana is actually connected to having a lower body weight. Researchers looked at 50,000 people and surveyed their cannabis use. Among people who used cannabis at least three days a week, there was a 14 to 17 percent incidence of obesity. Meanwhile, people who completely abstain from marijuana use for the last 12 months had a 22 to 25 percent obesity rate.

It should be noted that this study looked at marijuana use and not CBD use. Some researchers have proposed that the different cannabinoids in marijuana have a synergistic effect on appetite and metabolism. Because of this, some people use full-spectrum products so that they get other cannabinoids as well as CBD.

CBD May Alleviate Metabolic Disorders

There is also some research that shows how CBD can affect metabolic disorders. Researchers have found that metabolic disorders like high blood pressure, type 2 diabetes and high cholesterol are linked to higher obesity rates. This may be due to having too many CB receptors activated in the body. CBD helps to block the CB1 receptors, which may be why it seems to reduce an individuals risk of becoming obese.

Previous studies show that CBD can have a remarkable impact on metabolic disorders. In one study, obese rats were given CBD treatments. The treatments led to lower blood sugar levels and better liver health. In addition, these rats had a 25 percent lower rate of high cholesterol than the rats in the control group. While rats are obviously not human beings, studies like this do show promise in using CBD to treat weight gain.

Does THCV Help You Lose Weight?

Other cannabinoids like THCV may be able to help with obesity as well. THCV is a minor cannabinoid that is an antagonist for CB1 and CB2 receptors. This means you can take THCV for weight loss. While THC increases your appetite, THCV lowers your appetite because it is an antagonist.

Basically, THCV is a natural appetite suppressant. It can help to reduce glucose intolerance, which is helpful for people who have type 2 diabetes. THCV can also increase your calorie expenditure, which supports natural weight loss.

How Can You Take CBD?

Since a great deal of CBD research is still ongoing, there is no recommended dosage at the moment. The right dosage can vary based on your personal body chemistry, your health conditions and what you are using CBD for. In general, it is a good idea to start with the lowest dose possible and gradually increase your intake from that point. Many people begin by taking 25 to 30 milligrams of CBD each day. If this dosage does not seem to work, you can try increasing it.

Other than choosing the right amount, you can also select different consumption methods. Many people choose one of the following options for using CBD.

Any medication you use will always carry a risk of side effects, so keep this in mind before you try any drug. In general, CBD is considered relatively safe when compared to other medications. There is a minor risk of side effects like drowsiness, dizziness, dry mouth and low blood pressure. In very rare cases, there have been signs of liver injury.

CBD can potentially interact with other medications, so it is important to be aware of that before you use CBD. You should always talk to your doctor before starting any diet and exercise plan. In addition to discussing CBD, you can also ask your doctor about different diet and exercise plans that can support your ongoing weight loss.

Related: For CBD products backed by third party lab-test results, turn to Real Tested CBD.

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The Ultimate Guide to CBD And Seniors for Weight Loss - Riverfront Times

Weight Loss Tips: Check out some healthy food combinations that can speed up your weight loss efforts.

Are you watching your weight? Then you should know that healthy eating and daily physical workout can help you to lose those love handles. However, there are certain boosters such as intermittent fasting, HIIT training, calorie deficit and fat-burning foods that can come to your aid. For the unversed, when we eat more and don't burn the excess calories, the same gets converted into fats. So, with the help of healthy foods and workout, one can help to burn those fats.

Today we are talking about certain food combinations that can speed up your weight loss efforts. Bringing certain foods together can actually lead to weight loss and its win-win for foodies who find it hard to follow IF and similar diets or patterns. These food combos are made from very healthy foods that fill you up and help you burn fat. Make sure you don't abuse them by eating more. Read on to know more.

ALSO READ |Weight Loss: 4 Japanese tricks that will help you to shed extra pounds

1. Honey and lemon

Honey and lemon combo is a great weight loss tool as together they become a powerful metabolism booster. They have a small number of calories and help to flush out toxins and toxin buildup can thwart your weight loss. The presence of minerals, vitamins and other nutrients makes us full for a good period of time. Ideally, you should have this concoction on empty stomach. You can also add the cinnamon powder as well.

2. Oatmeal and Peanut Butter

Oats are a superfood that anyways you should include in the diet. They are one of the best sources of important vitamins, minerals, fiber, and antioxidants. The soluble fiber called beta-glucan helps to lose weight by promoting healthy gut bacteria and increases feelings of fullness. On the other hand, Peanut Butter is packed with a plant-based protein. In addition, it is also low in carbs and a good source of healthy fats. And these factors are linked to weight loss. So, grab peanut butter oatmeal for your breakfasts.

3. Carrot and Tahini

Carrot is one of the healthiest foods on the planet. They rank low on the glycemic index scale and one of the best sources of vitamin A, several B-vitamins, vitamin K, and potassium. Carrots increase satiety and decrease your overall calorie intake. Tahini aka sesame butter is also one of the nutritious foods. The fiber in tahini reduces calorie intake, which promotes weight loss. Also, the anti-inflammatory properties and promote a healthy gut and the same indirectly helps to weight loss.

4. Spinach and Banana

Spinach Banana smoothies are super healthy but did you know it can promote weight loss?Speaking of Bananas, they hardly have fats and low in cal as well. The fiber keeps the hunger hormone, ghrelin, from being released. On the other hand, Spinach is loaded with protein and we know that the same helps to not only boost metabolism but also aid in muscle growth and development.

5.Chicken and Cayenne pepper

As you know, protein is very effective in reducing weight and chicken is full of it. As per studies, one can control and manage weight loss if they eat chicken breast often. They are also very low-cal. Cayenne peppers, on the other hand, have a compound called capsaicin and it helps with appetite control and increases the rate at which the body burns calories.

ALSO READ | Follow these weight loss tips that are backed by research & shed extra kilos

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Weight Loss Tips: Try THESE food combinations and shed extra kilos - PINKVILLA

Breakfast foods are good sources of important nutrients such as calcium, iron as well as protein and fibre.

It is protein and fibrous meals that will help you burn belly fat. Fibre helps you keep full but tends to be in foods that are low in calories and when you eat high fibre foods, you have less room in your diet for foods that are not as nutrient dense, like refined carbohydrates.

When you burn more calories than you consume, you lose weight. When you eat breakfast, you activate a process called thermogenesis which stimulates your metabolism.

Eating a big meal at breakfast will keep you fuller for longer which will mean you will be less inclined to snack throughout the day, reducing your overall daily intake.

READ MORE:Mediterranean diet: Expert reveals how to lose weight without cutting out favourite foods

Bananas

Incorporating this high fibre fruit into your breakfast meals is a great alternative to sugary breakfast cereals because a banana will still satisfy your sweet tooth first thing in the morning.

One medium sized banana has just over 100 calories but contains 12 percent of your daily fibre needs. Fibre helps slow the emptying of the stomach to curb cravings and keep you feeling fuller for longer.

Bananas are also a good source of resistant starch, a type of starch that your stomach and small intestine dont digest. Research suggests that resistant starch may help reduce food intake and reduce belly fat.

Berries

Fruits including berries like strawberries, raspberries and blueberries have very few calories but are packed with fibre. Eating these with your breakfast will help you stay full until lunch time.

Berries are packed with antioxidants which help regulate blood sugar levels and keep sugar from being sent to your fat cells.

Research shows people who eat more antioxidants, especially in the morning have better success with weight management.

You can add berries to a smoothie or you can top porridge with berries to make a super healthy breakfast meal.

Avocado

The high fat content present in avocados causes many to avoid the food. However theyre packed with healthy fats, which every breakfast needs.

They contain both fibre and oleic acid, which help alleviate the feelings of hunger and you can incorporate avocado into your breakfast very easily.

You can have avocado on toast or you could even blitz it up in a smoothie which creates a creamy taste.

Avocados are also burned at a higher rate than any other type of fat and they can cause your body to continue to burn more calories even after eating.

More:
Weight loss: Five breakfast ideas to help you burn belly fat - what are they? - Express

By: Lifestyle Desk | New Delhi | Published: June 3, 2020 11:40:18 am Hara Hachi bu diet can increase life expectancy. (representative image, source: getty image)

The people of Okinawa Island traditionally practice a kind of diet whereby they eat till they are 80 per cent full. The Okinawans are known to have been following this rule for a long time, known as Hara Hachi bu.

This form of diet plan is derived from the Confucian teaching that instructs people to eat until you are eight parts (out of ten) full. As per the diet, Okinawans are known to consume about 1800 to 1900 calories per day, which is known to improve life expectancy. Okinawa is known to have the worlds highest proportion of centenarians.

Read| Life expectancy in India down by 2.6 yrs due to air pollution: Study

The diet is designed to restrict calorie intake. It keeps the average body mass index (BMI) low, due to the delay in the stomach stretch receptors that signal satiety. Research suggests their BMI is about 18-22 as compared to the typical BMI of 26-27 for adults over 60 in the United States.

An article in the Hindustan Times explains that when the stomach is not entirely full, it has extra space. This, in turn, allows the stomach to digest to food quicker.

Interestingly, this principle of eating is also known to be advocated by Ayurvedic medicine, dating back to the 4th century BCE, which suggests one should fill one-third of the stomach with liquid, another third with food and leave the rest empty.

According to Medium, this diet not only extends life expectancy but also delays the appearance of aging. By avoiding over-eating, this diet helps avoid obesity, acid reflux and gastrointestinal problems. It also promotes weight loss through balanced eating. Here are some foods you can eat to keep obesity at bay.

Clinical psychologist and author Susan Albers mentions in a Cleveland Clinic article that when one begins to feel slightly full, they should stop eating. The idea is to feel satisfied and not hungry anymore, rather than full. So while you eat, it is important to slow down and allow the body to register how much you have eaten.

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Hara Hachi bu: Have you heard of this Japanese diet rule for weight loss? - The Indian Express

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A lifetime of specializing in issues of weight has given psychologist Sarah Adler, PhD, a unique perspective on doctor-patient conversations about weight.

Working with patients at a bariatric clinic made her realize that, in fact, "when you're in a setting where the presenting problem is around weight, it's actually much easier."

The real difficulty comes in, she said, when "primary care doctors are tasked with screening for a whole bunch of issues, but they're not really trained on how to talk to patients about the psychiatric issues of weight."

So what's her advice to primary care physicians who want to have more compassionate and effective conversations about weight?

"I think the first thing that I've learned is that patients don't want their doctors to assume that whatever they're showing up in the doctor's office for has necessarily something to do with their weight," Adler said. "For example, if you're presenting to your primary care doc because you have a sore throat or a virus, and you also happen to have a BMI that's considered to be in an unhealthy range, you might not actually be open to having a discussion about your weight."

Starting by asking if the patient would like to discuss their weight is key, according to Adler. "And if the answer is no, then the answer is no. We have to let the patient lead in terms of their treatment goals and their care goals, and respect them," she said.

Adler also suggests doctors check both their assumptions and biases at the door.

"Weight issues transcend the spectrum, and low weight can be just as big of a problem as high weight," she said. "I've heard many, many examples in the eating disorder world of primary care doctors validating patients with anorexia nervosa or bulimia nervosa, who are on the low end of the weight spectrum, for their healthiness. So making assumptions based on weight is really dangerous, and we have to be really mindful of that."

Physicians also have to remain culturally sensitive when talking about weight, Adler said.

"I think that in order to provide culturally informed care, it's fairly important to not assume a one-size-fits all model here," she said. "There are different cultures and populations who feel very differently about weight."

Education for physicians is also critical, Adler said.

"I think it sets primary care docs up, again, in a little bit of a tricky position because they're the screeners. They're the ones who are seeing the patient and identifying the potential correlation with high medical risk, and yet we don't equip them," she said. "It's an incredibly complex topic that we, even those of us in the obesity world, don't really have a great handle on. There are biological, psychological and social factors that are at play when we're talking about weight."

In Adler's experience, patients find it especially "invalidating when a primary care doctor talks to them about their weight in a way that doesn't reflect the complexity and the nuance of the issue. It makes them want to shut down."

Adler also raises the question: Should weight loss always be the end goal?

"We're predicated on the idea that weight loss is the thing we're trying to do," she said. "I think that there are a lot of ways that we can talk about how to be healthy without even having a conversation about weight."

This first part of this series featured a primary care physician who shared tips for discussing sensitive topics like weight with patients.

Image by Andrew Rybalko / Shutterstock

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Talking weight with your doctor: What doctors can do, part 2 - Scope - Scope