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Archive for » April 19th, 2012«

Feeding tube diet raises eyebrows

Brides often feel the pressure of looking their best on their wedding day, purchasing a dress with sometimes significantly lower wedding weight in mind. While some try to lose weight the healthy way focusing on long-term weight management, eating right and exercise, others attempt crash diets sometimes going to extreme measures to shed those extra pounds.

One such bride, Jessica Schnaider told ABC and The New York Times that she wanted to lose 10 pounds before her big day.  She went to Dr. Oliver Di Pietro in Miami Beach, Florida.  In a release to CNN, Di Pietro says he’s brought the K-E diet to the United States from Italy.  The diet involves inserting a feeding tube into a patient’s nose that runs to the stomach for a period of 10 days.

Patients do not eat any food, receiving their 800-calorie-a-day food supplements through a portable pump that they carry around.  Di Pietro says in his statement that he began to offer this “diet” to some of his obese patients. According to his statement, the “goal was to help them ‘jump start’ a longer weight loss program, and all who participated enjoyed a safe and significant weight loss of between 10-25 pounds depending on sex, initial weight and whether or not they chose to stay on the plan the entire 10 days.” Schnaider told ABC she only did the diet for 8 days, stopping only once she reached her goal of losing 10 pounds.

Di Pietro says patients are monitored with urine and blood tests during the 10-day cycle.  He says before beginning the diet, patients are screened in order to participate.

Di Pietro says in the release that he “modified the plan for the U.S. by adding medium chain triglycerides and requiring stricter monitoring by a doctor.”

His statement also says the that “the science is based on providing your body with only proteins and fats without carbohydrates or sugars, which force your body into what is called ketosis; this means your body burns up your stores of fat but not muscle because the program is only 10 days long.  Because it is delivered to the body in a unique way through the K-E Tube, it works effectively and quickly.”

Art Caplan, a bioethicist at the University of Pennsylvania, describes this diet as “stupid” and “outrageous.”  He tells CNN that this is not the way feeding tubes were intended to be used. According to Food and Drug Administration spokeswoman Morgan Liscensky, “the FDA does not have any feeding tubes that are approved for weight loss.”

Emory Bariatric Surgeon Dr. Edward Lin says there are risks associated with having a nasogastric tube or feeding tube.  He lists insertion trauma, septum damage, perforated throat, lung damage, and GI bleeding, as potential short-term risks. When it comes to leaving a tube down your esophagus for 10 days, he says, “you can cause esophagus stricture which is tight narrowing from scarring,” as well as put yourself at risk for pneumonia.

Lin says losing weight too fast can be dangerous and suggests eating right and exercising for the healthiest results. Patients who lose weight rapidly are more prone to getting gall stones, electrolyte abnormalities, such as low potassium resulting in muscle fatigue. “There are plenty of commercially available diets that serve as meal replacement diets through the mouth,” he says.  “You really don’t need a foreign device to do that.” For most people who do this type diet, they’ll end up gaining more weight in the end.

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‘Feeding-tube diet’ is the latest craze

Would you put a feeding tube in your nose for 10 days to lose weight? That’s being reported as the latest crash diet to hit the U.S., and it’s how some women are getting ready for their wedding photos.

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Article Tab: image1-'Feeding-tube diet' is the latest craze


BURN, BABY, BURN

Could you stick to an 800-a-day calorie for 10 days? How about by eating no food, and with a feeding tube hanging out of your nose?

The process, known as the K-E, or feeding-tube, diet,  is being reported as an “increasingly popular” alternative to ordinary weight-loss programs.

From Good Morning America:

“The program has dieters inserting a feeding tube into their nose that runs to the stomach. They’re fed a constant slow drip of protein and fat, mixed with water, which contains zero carbohydrates and totals 800 calories a day. Body fat is burned off through a process called ketosis, which leaves muscle intact, Dr. Oliver Di Pietro of Bay Harbor Islands, Fla., said.

“It is a hunger-free, effective way of dieting,” Di Pietro said. “Within a few hours and your hunger and appetite go away completely, so patients are actually not hungry at all for the whole 10 days. That’s what is so amazing about this diet.”

Di Pietro says patients aren’t hospitalized. They wear the tube and carry the food solution around with them in a bag.

“I get a lot of brides,” he said in a New York Times story. “Nervous eating.”

From The New York Times:

“While the tube diet is fairly unknown in this country, it has been popular for years in Italy and Spain, where it is used casually to lose weight before a big event, as well as for more significant weight loss. In England, where it has been offered for the past year as the KEN (or ketogenic enteral nutrition) diet, The Daily Mail asked if it was ‘the most extreme diet ever,’ before adding that a National Health Service doctor was offering it.”

A bride-to-be featured in the stories, Jessica Schnaider, had the tube removed early because she met her goal in 8 days, losing 10 pounds. She said though she wasn’t hungry, it was not an easy experience.

The Times story puts the price for the procedure at $1,500 for the 10 days, including a screening and equipment.

Some doctors are rolling their eyes.

“Crash dieting does not work,” says Dr. John Di Saia, a plastic surgeon in San Clemente and Orange. “Rapid weight fluctuations just lead to more of the same. … This is not healthy. It is just another fad. It will fade as quickly as it appeared.”

The health risks cited by some doctors include nutritional issues, thyroid problems, coronary damage and a slower metabolism.

See this post in its original form and read more in IN YOUR FACE

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Diet Doc Announces hCG Weight Loss Programs

Diet Doc has various weight loss programs that detoxify the major organs in the body. Its system is made to support weight loss via natural methods by placing the body in a state of ketosis. It is combined with daily dosages of prescription grade hCG with B12 that accelerates the body’s natural fat-burning process.

Through the two vital functions, the body can cleanse itself via several detox organs, such as the kidney, colon, and the liver. According to Dr. Rao, Diet Doc’s Medical Director, most chronic illnesses such as obesity, depression, and diabetes are linked to the lack of nutrition and overabundance of toxic substances in the body.

The body loses its natural ability to detoxify during these stressful conditions. When toxins are introduced into the body, it loses the ability to natural equilibrium and harmony.

Diet Doc’s weight loss program provides supervised ketogenic diet that is unique for each individual. The company evaluates the patient’s health history before one starts a diet plan. Diet Doc will find the causes for weight gain and find a way to keep it off.

Diet Doc is one of the leaders when it comes to hCG weight loss programs. Its program is different from others with its new line of pre-made meals and meal replacement bars and shakes. The company is looking to expand in the industry as it talks with nutritional companies.

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Diets for the Lost and Mortified

Oh, how weak we have become. How whiny and wretched, tormented and convinced — convinced! — we simply cannot do even the most mildly difficult thing all by ourselves, lest we break, wail and beg for medication.

Behold, the latest micro-trend story that’s not really a trend because no one you know is actually foolish enough to try it, all about how some otherwise healthy but still desperately inept women are paying large amounts of money to have a doctor insert a feeding tube up their noses, down their throats and into their stomachs. For multiple days at a time. By choice.

Are these people sick? Are they dying? Are they toothless and limbless and cannot feed themselves without spilling hot soup onto the rug? Are they Lady Gaga? No, they are not.

What they’re doing, of course, is taking part in a radical new diet. You know, for morons.

Here’s how it works: For 10 fun-filled days or so, the freshly inserted feeding tube attached to your face like an unhappy worm not only looks wonderful and feels awesome, but it also slowly drips miserable liquid nutrients into your stomach so that you may stop eating regular food and crash out your system, all so that you may finally, finally lose those 10 extra pounds that just won’t go away by thinking about them, beating them with a meatball sandwich or, you know, actually working for it.

The ultimate goal? No, not better health, silly. That would be far too intelligent and thoughtful. The goal, of course, is to finally fit into that snug wedding dress, so as look presentable in the wedding photos and feel happy and skinny-ish for a day, safe in the knowledge that you will immediately gain the 10 pounds back in a week or two and never look that way again. See? Marriage is fun!

Is that too harsh? Unfair? I’m not so sure. But is it really all that big of a deal? Probably not. Just more mal-attuned humans (and believe me, men are certainly no strangers to dumbly extreme body torments, either) joining the long-standing American tradition of brutally restrictive food regimens designed to force the body into this or that antagonistic contortion for the least salubrious of reasons. Hey, it’s what we do.

What’s more, I’m well aware the Sad Drip Diet (or whatever it’s called) is far from the most extreme diet out there (like surgery, vomiting, staring at a photo of Rick Santorum long enough that you become far too ill to eat). It’s just the latest, and perhaps the dumbest. Except for all the rest.

Let me be clear. I’m all for losing those 10 pounds. Hell, make it 20 if you want. I’m all for getting fit, feeling deeply healthy and alive in all parts and flavors of your skin. But the equation is violently perverted if you’re more willing to suffer the indignity of walking around with a feeding tube shoved down your face than you are to simply re-evaluate how you approach food and exercise, or to earn a profounder understanding of beauty and health. But maybe that’s just me.

As we pause to digest this cultural gem, let us turn our attention to the screaming hellbirth of a new fast food product that very much wants everyone who consumes it, dead.

Let us observe, with equal parts horror, revulsion, and honest appreciation for the genius involved, the arrival of Pizza Hut’s new hot dog stuffed crust pizza, available (so far) only in the U.K., where this sodium-blasted colon grenade has apparently been killing people for many days already. Britain! When it comes to destroying the body as quickly and brutally as possible, they don’t screw around.

It’s a proud moment…

Read the rest of this column by clicking here

Mark Morford is the author of The Daring Spectacle: Adventures in Deviant Journalism, a mega-collection of his finest columns for the San Francisco Chronicle and SFGate. He recently requested that you please join his Tantric yoga sex cult, discussed how to be outraged in America and begged you Oh my God please do not eat this. Join him on Facebook, or email him. Not to mention…

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Driscoll Children’s Hospital has no plans to evict McDonald’s after advocacy …


Driscoll Children’s Hospital has no plans to evict McDonald’s after an advocacy group called on it and 21 others to remove the fast food restaurant.

The hospital said in a prepared statement that it has a contract with McDonald’s and business ethics require it remain true to the terms of the contract. The hospital would not disclose the terms.

Corporate Accountability International sent a letter to 22 hospitals urging them to end their contracts with McDonald’s in an effort to foster a healthier environment and curb the childhood obesity epidemic.

“In your role as a local health leader, you have allowed McDonald’s — a corporation that has disregarded public health in the name of profits — to operate within an environment devoted to helping our children get well,” the letter stated.

The group, which is leading a larger campaign against the restaurant’s marketing to children, argued that hospitals with McDonald’s send mixed messages to patients by giving the perception that the food is healthy. There are 14,000 McDonald’s nationwide, including 26 in hospitals.

“Kids are being treated for diet related conditions like diabetes and on another floor, there’s the world’s most recognized junk food brand on the planet,” said Sriram Madhusoodanan, national campaign organizer at Corporate Accountability International.

Madhusoodanan said the organization is willing to work with Driscoll Children’s Hospital and others to figure out how best to end or shorten their contracts with McDonald’s.

Parkland Memorial Hospital in Dallas decided not to renew its contract with the fast food chain in December 2009, hospital spokeswoman Candace White said. It was replaced with a UFood Grill, which advertises healthy comfort food such as veggie burgers and steamed broccoli.

Driscoll Children’s Hospital officials in a prepared statement said the hospital has been committed to the health and well-being of children for 60 years. That commitment is reflected in the hospital programs that promote healthy eating and lifestyles, the statement said.

The hospital operates an adolescent weight management program where nutritionists, physical therapists, psychologists and endocrinologists help patients with weight loss and healthy eating. The program also offers bariatric surgery as an option. The hospital in 2009 became the first children’s hospital in Texas to perform bariatric lap band surgery.

Christus Spohn Health System and Corpus Christi Medical Center hospitals do not house fast food restaurants.

McDonald’s said in a prepared statement that it is proud of its menu and its steps to offer more choices.

“McDonald’s promotes the idea that it’s not about where you eat; rather, it’s about what and how much a person chooses to consume during every eating occasion,” the company said.

Joan Endyke: Senior kicks diabetes in Diet Boot Camp

You are never too old to learn something new and make changes. Seniors who believe this and adjust their eating routines can significantly improve their health.

His doctor said his fasting blood sugar was too high and he needed to lose weight or start diabetes medication. Being “stubborn,” as he wryly describes himself, Paul McDonough, a 73-year-old retired Boston police officer from Hingham, Mass., chose not to take medicine.

He’d seen other people start on diabetic pills, then use insulin, and “next thing you know, they lose a leg.” He had other plans for his retirement, like walking and enjoying nature and spending time with friends in Florida and his grandchildren.

He had exercised all his life, but now he knew he had to tackle his diet. His friend Bob Keyes encouraged him to join Diet Boot Camp, an eight-week program offered by the Hingham Recreation Department. Think of it as basic training for healthy eating.

In late February, the 6-foot-tall McDonough weighed 231 pounds and had a fasting blood sugar in the diabetic range at 144 mg/dL. He received a wake-up call in the first Diet Boot Camp class when he assessed the calories his body required and learned how going over that amount not only increases weight but also blood sugar and cholesterol.

Week after week, as he got lesson after lesson on the ins and outs of healthy eating, McDonough adjusted his diet and steadily lost weight. Eight weeks later, he lost 21 pounds and dropped his blood sugar 40 points, putting him outside of the diabetic range. His tremendous effort in changing his diet has put him in control of his health.

How did he do it? He faithfully kept a food journal to improve the quality of his diet and to avoid a daily calorie intake of more than 1,700 calories.

He pared down his portions. Over the years, as a police officer, he had acquired a “grab and go” attitude toward food. Regardless of his hunger level, if food was available, he ate it, and a lot of it.

He planned healthy meals and snacks and ate sensibly. He changed from cranberry juice and ginger ale to club soda. He ate more fruit and stayed away from cookies, scones and ice cream.

He changed the way he cooked (his passion) and began making more meals with generous portions of vegetables and fish instead of meatloaf, kielbasa and potatoes.

He kept his sense of humor –– “looking forward to wearing a Speedo in Florida” –– and a positive attitude.

“I am thankful for what I have. I want to take care of myself and be healthy,” he said.

McDonough, at 73, was “the biggest loser” in Diet Boot Camp, outdoing some people half his age.

Joan Endyke is a registered dietitian with a master’s degree in food and nutrition. Send your questions to her at www.wickedgoodhealth.com. This column is not intended to diagnose or treat disease. Check with your doctor before changing your diet.

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