| Diet,
supplement, and weight loss pills - Snake oil or useful
tools? |
|
So
what's real and what's a rip off?
|
| The
information in the Food & Nutrition section of
this web site is not
intended to replace the advice of a doctor, health
professional, or dietician. This information is taken
from a variety of sources, scientific, anecdotal, and
personal experience. It is a compilation of the things I
base my own diet and nutrition on and have found to be true for
my own personal
recovery. It is true and accurate to the best
of my knowledge. |
Americans spent 48 billion dollars on
weight loss products and diet books in 2004 according to Forbes Magazine.
Fad
Diets
Legitimate
scientists
and dietitians agree that successful weight loss requires a
long-term commitment to sensible eating and physical activity.
Fad diets are, at best, a temporary solution to a long term or
chronic problem, and at worse, an invitation to serious health
problems. For compulsive overeaters and people with binge eating
disorder, fad diets are part of the problem and not part of the
solution. Diets only serve to exacerbate binge eating disorder.
All diets
work by restricting calories. Nearly all diet books and popular
diet plans are built around a nutritional trick that makes it
easier to restrict dietary intake. Food is made up of four basic
components: water, fats, protein and carbohydrates. Telling
people to avoid fats or cut out carbs will automatically
eliminate a lot of food choices. For example, low-carb diets are
effective because they remove an huge number of potential foods
such as bread, pasta, rice, potatoes, and nearly everything with
sugar from a person's diet.
Results not Typical. Ever wonder why those diet adds put this
standard disclaimer in type so small you can
barely read it? Do you ask yourself why they usually hide it off in a corner where
it's easily overlooked?
Could it be they do it because the magnificent results they are claiming are
not typical?
If the results are not typical, isn't that the same as saying they are unusual
or uncommon?
Another
factor why any diet can work in the sort term is that they all
tend to make us focus directly on how much we are eating. This
limits a lot of "grazing" and overeating.
There is
no such thing as a quick fix or miracle diet. If you want to
shed that extra weight and keep it off, you have to change your lifestyle.
You have to change the way you eat and the way you exercise. If
you are eating for emotional reasons, those issues need to be
resolved or healthier coping skills learned. Any advertisement
for a diet or weight loss product that says you don't have to
change your eating habits or increase your physical activity
level to lose weight is selling false hope.
If you are
considering a weight loss plan, see if any of these statements
apply to it. If so, chances are it is either a scam or a fad
diet and is best avoided entirely.
| 1. |
Promises
quick weight loss (more than 1-2 lb per week). |
| 2. |
Lasts
only several days or weeks, i.e. "The 30 day diet" etc. |
| 3. |
Contradicts
what most trusted health professionals say about health
and nutrition. |
| 4. |
Relies
heavily on undocumented case histories, before-and-after
photos,
anecdotes,
and testimonials, rather
than scientific evidence. |
| 5. |
Quotes
experts and doctors without citing their credentials and
institutional affiliations, or cites studies done in impressive
sounding foreign
research or educational facilities that can't be easily
verified. The packaging or advertising is peppered with convenient phrases such
as "experts agree," "scientists have found," and "experts say." What experts? |
| 6. |
Makes
miraculous claims about the ease and health benefits. |
| 7. |
Depends
on special products, pills, meal replacement drinks,
powders, supplements, herbs, or treatments. |
| 8. |
Is
described as a "breakthrough" "miraculous" or
"exclusive". |
| 9. |
Does
not stress lifestyle changes, exercise, and active living. |
| 10. |
Requires
the restriction of entire
food groups limits you to a small selection of foods. |
| 11. |
Does
not suggest you consult with your doctor or a registered
dietitian. |
| 12. |
Uses
pyramid sales or offers savings if you resale the plan or
products. |
| 13. |
Demanding
any payment before you fully understand all
about the diet, procedures, risks, and requirements. |
| 14. |
Promises
you will lose weight while you sleep, that you will
lose weight effortlessly, that you can eat all you want,
that the pounds will just roll off, or that you will get
nearly instantaneous results. |
| 15. |
Indicates
that everyone else is on this diet, that it's used by
models and movie stars, or that the government or
"western medicine" doesn't want you to know
about it. |
| 16. |
Simplistic
conclusions drawn from complex studies. |
| 17. |
Before
& After photos. Before photos are dark or blurry, no
smiles, slouching posture. After photos have big smile,
good posture, well dressed. |
| 18. |
Money
back guarantee as a prominent component of advertisement (actually getting your
money back is a different thing). |
| 19. |
The
advertised product or service is touted as the one that
will finally work, the best. |
| 20. |
Diet
or related products said to be 100% safe and effective. |
|
21. |
Does not
stress the importance of preserving lean muscle tissue. |
|
22. |
"Clinically Tested" or "Doctor Approved." Absolutely
meaningless statements. |
| 23. |
Marketed with infomercials, exclusively on the internet, or in the pages of
supermarket tabloids. |
| 24. |
Makes claims such as "No lifestyle Change Required". |
| 25. |
Lists of “good” and “bad” foods. |
| 26. |
Dire warnings about the danger of eating a specific food. |
| 27. |
Declares that medical science has suppressed this information or product. |
Extraordinary claims demand
extraordinary evidence
Many
of the claims made by advocates of fad diets are either
fraudulent, very unlikely, preposterous, or ridiculous. They break down quickly
when exposed to the solvent of rationality and critical thinking. For
instance, we've all heard claims such as, "Lose 30 pounds
in 30 days". Sounds very enticing, but a bit of logic and
science tells us that:
| To
lose one pound, one must take in or expend in physical
activity 3500 calories less than their bodies need to
sustain itself and function. This could happen when a
person took in 500 fewer calories a day than normal for
a week. Losing 30 pounds requires a net deficit of
105,000 calories. An average person might consume 1800
calories a day on a healthy weight loss diet. This only
totals 54,000 calories per 30 day period. To lose 30
pounds in 30 days, that dieter would have to burn
another 51,000 calories. Put another way, that 1800
calorie a day dieter would have to reduce their diet by
an additional 1700 calories a day. |
Marketing claims often sound logical. There may be an obvious thread of logic to
their claims, but that doesn't mean the claims or the logic is true. Lies can
appear both scientifically sound and logical. Marketers bank on the fact that
most people won't seriously question their claims if they sound like the
truth. Once most people accept a claim as seemingly reasonable, they usually
won't investigate further. In terms of diet aids and diet products, we often
want them to work so badly, we are blinded by our own desire for results. We
want the claims to be true and the manufacturers now this. They prey on our
desperation.
The
Federal Trade Commission is warning consumers to watch out for
the following types of weight loss products and claims:
| Weight
loss skin patches, Weight loss shoe insoles,
Non-prescription fat blockers, Fat magnets, Diet teas
that cause only the loss of bodily fluids, Products
containing glucomannan, chromium picolinate,
hydroxycitrate, guar gum, lipotropics, fat emulsifiers,
or cellulose/fiber and ox bile extracts, Fiber tablets,
Bee pollen, Laxatives, Electrical muscle stimulators,
Passive motion exercise devices, Ear cuffs or molds,
Acupuncture devices, Body wrappings, belts or girdles. |
Diet
Pills and Potions
Over
the counter diet pills
In almost
every grocery or convenience store, you'll find non-prescription
appetite suppressants and diet pills. Ingredients
notwithstanding, you have to ask yourself, why, if these
actually worked, are there so many overweight and extremely obese
people? After all, they aren't too expensive and they are
certainly readily available. If they had merit and were safe and
effective, don't you think doctors would be handing them out
like candy?
Starch
Blockers
New York
City physician Fred Pescatore, MD, former medical director of
the Atkins Center for Complementary Medicine, says of
starch blockers, "[Starch-blocking] is useless. I have
never seen any starch blockers work and I have seen many in my
practice."
Ruth Kava,
PhD, RD, director of nutrition at the American Council on
Science and Health in New York City, says any product that
inhibits the enzymes that break down starch will place excess
starch in the gastrointestinal tract, and if it's not absorbed,
it can cause problems. She suggests, "It's probably a lot
safer to just eat less starches to start with.
Herbs
and "Natural" diet aids
Herbs and natural supplements can have powerful
effects and in some cases be good medicine. But the fact is,
they are not tested and regulated like other powerful medicines
and as a result, there have been some very tragic results. To be
fair, conventional western medicine has had its fair share of
tragic results. Herbal diet aids have not had a very good
history in this respect and we should always proceed with
caution. One should do their own research and recognize that a
lot of herbs and herbal combination are sold under many various
names. Some of these names may be on lists of suspected
carcinogens or be implicated in other health problems––and
some may not. Chances are almost 100% that any such suspected
issue will not be printed on the package, nor will the person
dispensing or selling the herbs necessarily know or even tell
you if they did.
Any diet
aid comes under the heading of a temporary fix or crutch. What
happens when you quit taking it? Do these substances really have
a proper place in lifestyle change or in changing our
relationship to food? Remember, we are looking for permanent
solutions and lifetime weight maintenance.
Another
point to consider is that if these substances were so safe and
effective, why aren't the big pharmaceutical companies beating
down the door to package and market them? They want to make
money and any medication that could so easily help combat
obesity would be an earth shattering financial windfall for the
first company to bring it to market.
Below
is a partial history of diet pill and herbal ingredients that
were marketed and then found to be quite dangerous.
|
A
commonly used appetite suppressant, phenylpropanolamine
(an ingredient in Dexatrim and Acutrim), was taken off
the market when studies showed that it was associated
with an increased incidence of stroke.
June
1997, FDA was already warning consumers of the dangers
of Ephedrine Dietary Supplements, stating that,
"Hundreds of illnesses and injuries associated with
the use of these products have been reported". It
took till 2004 to get ephedra banned. The federal
government logged nearly 17,000 adverse health reactions
to ephedra including strokes, seizures, and death before
it was finally banned.
April
2004, a final rule went into effect prohibiting the sale
of dietary supplements containing ephedrine alkaloids (ephedra).
Also called Ma huang, is a naturally occurring substance
derived from plants. Its principal active ingredient is
ephedrine, which when chemically synthesized is
regulated as a drug. In recent years ephedra products
have been extensively promoted to aid weight loss,
enhance sports performance, and increase energy. Ephedra
has been linked to significant adverse health effects,
including heart attack and stroke.
November
11, 1999, FDA warned the public against consuming Triax
Metabolic Accelerator, a dietary supplement for weight
loss by Syntrax Innovations. Since this action, several
other firms have recalled similar products containing tiratricol.
Distribution of these products has been primarily
through retail sales to health food stores, fitness
centers, and gymnasiums.
November
2000, The FDA again warned consumers of products
containing tiratricol, also known as triiodothyroacetic
acid or TRIAC, a potent thyroid hormone that may cause
serious health consequences including heart attacks and
strokes.
Nov
20, 2001, The FDA warned consumers to immediately stop
use of the product Lipokinetix, marketed as a
dietary supplement for weight loss. They received
multiple reports of persons who developed liver injury
or liver failure while using it. The product contains
norephedrine (also known as phenylpropanolamine or PPA),
caffeine, yohimbine, diiodothyronine, and sodium usniate.
Lipokinetix was promoted for weight loss by 'mimicking
exercise' and supporting 'an increased metabolic rate'.
Products
containing herbal extracts of kava, also known as
kava kava or piper methysticum, have been implicated in
Europe in at least 25 cases of serious liver toxicity
including hepatitis, cirrhosis, and liver failure. March
2002, The FDA Center for Food Safety and Applied
Nutrition notified healthcare professionals and
consumers of the potential risk of severe liver injury
associated with the use of kava-containing dietary
supplements. Kava-containing products have been
associated with liver-related injuries, including
hepatitis, cirrhosis, and liver failure.
|
In May
2004, Consumer Reports magazine, came out with a list of
potentially dangerous dietary supplements. The article isn't
just about herbs used as diet aids, but it does clearly
demonstrate the potential hazards and that just because
something is "natural" and has been around for
centuries, does not insure its safety in a modern world.
As with
the scores of other dietary supplements promising everything
from slowing aging to preventing cancer, most herbs and
"natural" diet aids are not regulated by the Food and
Drug Administration and their claims do not have to be
substantiated.
Herbs and
other diet supplements may have drug-like effects that could
present risks for people on certain medicines or with certain
medical conditions. This is true, even if the product is
marketed as "natural." For example, St. John's Wort
can have potentially dangerous interactions with a number of
prescription drugs, including anticoagulants, oral
contraceptives, antidepressants, anti-seizure medicines, drugs
for HIV, and drugs to prevent transplant rejection. It is always
wise to check with your physician before starting to use any of
these substances, especially if you are taking any prescription
medications.
Nutritional
Supplements
A healthy well rounded
diet of nutrient dense natural foods that will help you shed excess weight at
the rate of 1 to 2 pounds a week should meet all your requirements for vitamins,
mineral, and other nutrients without supplementation if you are otherwise
healthy. It does not hurt to take a daily vitamin mineral tablet as a sort of
nutritional safety net.
Any diet
that requires you to purchase expensive supplements is either
deficient to an unhealthy degree or simply profiteering.
Advertisements for special combinations of supplements made
specifically to help you lose weight are a scam. They will help
your pocketbook lose more weight than they ever will help you
lose body weight.
Even well
respected vitamin/mineral manufacturers are now touting their
wares as being somehow able to help you lose weight by
suggesting that they help in some special way to
"assist" the body in processing carbs. This is simply
a marketing ploy and no more. Our bodies process carbohydrates
exactly the same way, with or without those supplements.
Meal
replacement drinks and shakes
Most of
the common meal replacement in a can drinks are nutritionally
about like drinking a Carnation Instant Breakfast drink. They
really don't have much to offer someone looking to change their
relationship to food who wants to build a new healthier
lifestyle. There is no logical or sound reason not to eat real food instead
of drinking one of these drinks. An apple and a hard boiled egg
or a lite salad would be just about as quick, would add fiber to
the diet, and be natural nutrient dense whole foods that help reduce the risks
for disease and promote well-being.
Part of
the problem or illness of compulsive overeating is a desire for
instant gratification. Chugging a can of sweet chocolate
flavored liquid for lunch is about as instant as it gets. It
does not satisfy our need to chew and probably won't stick to
the ribs nearly as long as real food. You can easily get the
same amount of calories from whole foods and probably more
nutrition including fiber, complex carbohydrates, and complete
proteins.
The
fact is, pills, potions, meal replacement drinks, and fad diets
are all a Band-Aid approach to weight loss at best. No pill or
diet product will stop you from eating for emotional reasons,
eating to many sweets, binging, eating fast food, and leading a
physically sedentary life. Successful
weight loss depends on overcoming
Binge
Eating Disorder, a personal commitment to changing your
lifestyle, and increasing your levels of physical exercise.
There are no magic bullets.
Best Bet for Permanent Weight
Control and Good Health
- Increase the amount of
natural whole foods such as fruits, vegetables, whole grains, baked fish (not
fried), and beans that you eat.
- Decrease the amount of saturated and trans-fats
in your diet.
- Severely restrict or e
liminate
calorie-dense nutritionally deficient foods such as cookies, sugary desserts,
chips, fries, fast-food, and candies.
- Do not skip meals or go
hungry.
- Get more active.
Research shows that people who engage in regular physical activity are more
likely to keep their weight off than people who only change their diet.
Research on people who
have successfully lost a lot of weight and kept it off long term, show that the
vast majority succeeded by consuming a low-fat diet high in fiber coupled with
regular exercise.
-
About Dave - Welcome
- F.A.Q. - Frequently Asked
Questions
-
Milestones
1
- Reflections on various stages of my recovery journey.
4/18/03 - 7/25/03
-
Milestones 2
- Reflections on various stages of my recovery journey.
8/02/03 - 3/21/04
-
Milestones 3
- Reflections on various stages of my recovery journey.
5/2/04 - 11/01/04
-
Milestones 4
- Reflections on various stages of my recovery journey.
11/2/04 -
3/27/05
-
Milestones 5
- Reflections on various stages of my recovery journey.
3/28/05 - 8/9/06
-
Milestones 6
- Reflections on various stages of my recovery journey.
8/10/06 -
12/10/07
- Milestones 7
- Reflections on various stages of my recovery journey.
1/14/08 -
Present
-
Chart 1 - Weight, Blood Pressure, Progress Chart.
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Chart 2 - Weight, Blood Pressure, Progress Chart.
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Chart 3 - Weight, Blood Pressure, Progress Chart.
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Chart 4 - Weight, Blood Pressure, Progress Chart.
current
-
Cholesterol Chart
-
Doughnut Epiphany
- A powerful personal experience on the way to a binge
-
Changes - Before and After.
4/18/03 at 450 lbs.
to 8/14/04 at 291 lbs., and from 8/14/04 to 5/29/05
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Pictures
- Dave's Food Plan
Food Plan - What works for me
-
Dave's Book List - Books I consider legitimate and personally very useful
- A Healthy Diet? - Eating to improve health and lower
risk factors for disease
- Exercise - Increasing activity levels—an
essential component of recovery.
- Fruits & Vegetables
- Why they are important to well-being and maintaining a
healthy weight
Grains
- Why Whole Grains are important to well-being and maintaining a
healthy weight
- Meat,
Fish, & Fowl - Beans Nuts and Tofu too
- Fats
& Oils - The good, the bad, and the ugly
- Omega-3, Flaxseed
& Fish Oil A healthier balance of essential
fatty acids
- Fad
diets, expensive supplements, and weight loss pills
- Snake oil or useful tools?
- Low
Carb? - Should we be counting carbs? Why all the
hype?
- Salt, Sodium, and Canned Green Beans
- Reducing sodium can
help control hypertension
- Typical Day - What
Dave eats on a typical day
- Food Products - Food
products that Dave has found to be healthy and tasty.
- Abstinence - Dave's thoughts on abstinence in
Overeaters Anonymous
- All or Nothing Thinking - A roadblock to
recovery
- Binge Eating Disorder (BED) - Description and diagnostic criterion
- Body
Mass Index - What it is and handy calculator
- Bariatric Surgery - Considering a
surgical solution to clinically severe obesity
- Food and Spirituality - Mindfully aware
eating
- Getting Started - Going from, I'll start
tomorrow to, I started today
- Intuitive Eating - Listening to the body's
hunger and satiety signals
- Killing the TV set - Is your TV set trying to sabotage you?
- Lifestyle not Diet - More on recovery. Dave
answers a friends questions
- OA Update - 2004 update on Dave's thinking about
recovery in OA as it applies to BED
- Passion & Hobbies - Finding things to get passionate about besides food
- Perfectionism - and perfectionistic thinking.
A common roadblock to recovery
- The Scale - Problems with weighing too often and
other ways to mark progress
- Yo-Yo Dieting - This vicious cycle is part of
the problem
- Letters Section -
Articles and Letters I've written over time about recovery and life.
- Key Concepts of
Recovery - 12 key concepts that helped Dave recover from Binge Eating
Disorder
- UnTwisted Thinking - Changing
the automatic thoughts we tell ourselves
- Overeaters Anonymous - This section is no longer
supported. It's still here for those who may find it useful
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This web site is for informational purposes only and is not meant to serve as medical advice or to replace consultation with a professional dietician, nutritionist, physician, or mental health professional.
None of the information presented within this web site is meant to diagnose, prescribe, or to
administer to any physical or emotional ailments
or conditions. |
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