Obesity and Reducing the Risk of Diabetes

September 21, 2011 By: office 52 Comments

As obesity trends continue to rise, so does the risk of developing Type 2 diabetes, the seventh leading cause of death in the United States. The risk can be greatly reduced by making healthy lifestyle choices, according to a recent article in The Wall Street Journal by Jennifer Corbett Dorren.

Adults, middle-aged and up, can cut their risk of developing Type 2 diabetes by as much as 80 percent by adhering to a combination of five healthy lifestyle habits, according to a new analysis.

The new analysis comes from The National Institutes of Health, which examined the individual factors that can lower the risk of developing diabetes and other diseases – healthy diet, exercise, maintaining a healthy body weight, not smoking, and consuming alcohol moderately.

Link Between Healthy Lifestyle and Diabetes

Healthy lifestyle factors which may decrease the risk of Type 2 diabetes include healthy eating, exercise, maintaining a healthy weight, not smoking, and moderate alcohol consumption.

The analysis shows that keeping just one of these five healthy lifestyle factors can reduce the risk of developing Type 2 diabetes. More than 200,000 people who participated in the study were between ages 50 and 71 when the study began in 1995. At the study’s start, participants had no signs of heart disease, cancer or diabetes.

Study participants filled out detailed questionnaires about what kinds of foods they ate, whether they consumed alcohol, and if they were current or former smokers. Other questions asked how much the participants exercised and their weight and height so that body mass index could be calculated. Study participants were followed for about 11 years. During that time, about 10 percent of men in the study and 8 percent of women developed diabetes.

Researchers grouped participants into lifestyle categories ranging from “best” to “worst.” People in the best category had all five healthy lifestyle factors, while those in the worst had none. For diet, participants received a score of one to five based on fruit and vegetable consumption, the amount of and type of fat they ate and other factors. Those who scored in the top 40 percent were considered to have a healthy diet. Exercising three times a week for at least 20 minutes and being a nonsmoker for at least 10 years were two additional healthy lifestyle factors. Alcohol consumption of no more than one drink a day for women and two for men was considered as another factor, along with weight. People with a body mass index between 18.5 and 24.9 – a body mass considered normal – were counted as being in the lowest-risk category for weight.

According to the researcher in charge of the analysis, Dr. Jared Reis, the average study participant had two out of the five healthy lifestyle factors. Researchers found body mass index to have the strongest association to diabetes risk, when compared with the other factors. When looking at body mass index in isolation, men of normal weight were 70 percent less likely to develop diabetes than overweight or obese men, while normal weight women were 78 percent less likely to develop diabetes.

Researchers also found that men and women whose diet and exercise were both considered in the healthy range were just under 30 percent less likely to develop diabetes. When being a nonsmoker was added to diet and exercise, those people were about one-third less likely to develop the disease.

Men who consumed alcohol moderately, in addition to the previous three factors, were 39 percent less likely to develop diabetes while women had 57 percent lower odds. When body mass index was added to the other healthy lifestyle factors, men were 72 percent less likely to develop diabetes, while women had an 84 percent lower risk.

Despite all of these findings, Dr. Reis added that even overweight people can lower their odds of developing diabetes if they adopt just one other healthy lifestyle habit such as exercising three times a week for at least 20 minutes each day.

These studies reinforce the importance of a healthy lifestyle. At Shane Diet Resorts weight loss camp for adults, healthy diet and physical activity are just two of the healthy lifestyle factors that guests experience daily and will in turn, impact body mass index. Not only will a healthy weight and lifestyle lower the risk for diabetes, but for other health risks as well.

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Weight Loss Programs Produce Bigger Results than Standard Care

September 9, 2011 By: office 7 Comments

Have you participated in a weight loss program, such as Shane Diet Resorts weight loss camp for adults or Weight Watchers? If you have, you most likely saw successful results. A new study finds that dieters may be more likely to slim down if they are referred to a commercial weight loss program than if they use a primary health care provider alone, as described in a recent Health Day article.

Weight Loss Programs Produce Big Results

Research finds that weight loss programs produce bigger weight loss results than standard care alone.

Overweight adults in Germany, Australia, and the United Kingdom who were referred to Weight Watchers by a primary health care provider lost about twice as much weight over a year as dieters assigned to standard weight-loss care, according to the study funded by Weight Watchers.

In this study, 772 overweight and obese adults were randomly assigned to a year of diet care overseen by a primary care professional or to 12 months’ free membership to a local Weight Watchers group. Of the dieters involved in the study, 54 percent of the standard-care dieters completed the 12-months, compared to 61 percent of the Weight Watchers group.

Those who stuck with their standard diet lost an average of about 7 pounds, while those who attended Weight Watchers shed nearly 15 pounds on average. The Weight Watchers participants were also more than three times as likely to have dropped 5 percent or more of their body weight compared to the standard dieters.

This research suggests that the structure of the commercial program, including group support, weekly weighing, instruction about diet and physical activity, and motivation, can be a clinically useful tool for battling overweight and obesity on a large scale. Further research is needed to see if the gains can be maintained over time.

The researchers also said the findings suggested that overweight people were more likely to lose weight if they were referred to a commercial weight-loss program by a physician or another primary care provider, rather than if they enrolled on their own.

If you’re looking to lose weight and keep it off, consider a weight loss program for adults such as Shane Diet Resorts. Weight loss programs are excellent because they instill good lifestyle habits in the participants through the simple formula of healthy eating in combination with regular exercise. Have you had success with a weight loss program? We would love to hear about your experience!

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Stop Looking at the Scale, Part 1: Why Weight Changes more than the Weather

August 3, 2011 By: afeldman 1 Comment

With an increased focus on weight management due to the rise of obesity, frequent exercisers have picked up the habit of constant weighing. While the measurement that comes from a scale can be one way to see if exercise is working, there are better things to do then checking weight every 5 minutes. When constantly stepping on the scale, frustration follows since the number does not keep up with expectations. Ideally, weight would only go down on a weight loss program but it is actually normal for weight to fluctuate in both directions on a consistent basis. In this two part article, I would like to go over the reasons for weight fluctuation and also, some alternative ways to measure your progress.

Time of day fluctuation = weight fluctuation

When taking weight, some people check their weight at various times of the day. Throughout the day, bodyweight will fluctuate based off of the reasons I have listed below. An individual could see a 3-7 pound difference from a morning weigh in to an evening weigh in, so keep that in mind next time you see a “night time weight” and start panicking.

Meal fluctuation = weight fluctuation

One of the reasons for the “time of day fluctuation” is a meal schedule. As you eat, obviously you will gain weight from the food immediately. It is digesting in your stomach and being processed, so until your body has gotten rid of waste and water contents of food, the scale will show a noticeably higher amount. Meal fluctuations also include differences in day to day food choices. If your meals are not the exact same thing every day, then your weight will be different from one day to the next. Foods like beans will take much longer to digest then something like a banana. This does not mean that you need to eat the same thing every day; it just means that you shouldn’t expect the scale to be a reliable measurement every single day.

Activity fluctuation = weight fluctuation

During the day, the human body is constantly sweating. Sometimes it is noticeable such as in exercise or hard labor and other times it evaporates so quickly we don’t even know. All sweat that leaves the body is water leaving our system. During a half hour of exercise in the summer sun, one could see an incredible loss of water weight from sweating. Weight losses from sweating do not relate to fat loss and they are also unhealthy if not corrected after working out. If you lose 3 pounds of water during an exercise session, this fluid needs to be replaced as soon as possible for your body to function at its normal levels.

Water fluctuation = weight fluctuation

If I weigh myself at this moment and somebody wants me to show them how quickly I can gain weight, I will start chugging down water. The same thing applies to a normal scale weigh in. If you weight yourself after drinking a large amount of water, that will obviously increase the number you see on the scale. Also, there are times when we drink water and our body will hold on to it much longer than normal; this is called water retention. Water retention is caused by things like extreme diet changes, alcohol, dehydration and stress.

Sodium fluctuation = weight fluctuation

Sodium fluctuation and water fluctuation counteract with each other. Extreme changes in the diet usually mean extreme changes in how much salt one is consuming. While sodium is vital to the body, an excess amount of it can cause water retention. When starting a diet or taking a day off from one, the bouncing from a low sodium level to a high one or vice versa may throw off your weight because of water retention.

Clothing fluctuation = weight fluctuation

This one is pretty simple but we sometimes forget this. Clothes can add on weight. If you weigh yourself fully clothed one day compared to just a t-shirt the next, there will be a difference in weight.

Location fluctuation = weight fluctuation

There are a couple of factors that go into this. One is the use of a different scale. Some scales are not calibrated leaving them to give you wrong measurements. The floor that a scale rests on may also be uneven. When I was doing weekly weigh ins last year for fitness competitions, I experimented around with the scale. I moved it around to different locations in the house to see if the numbers changed. I saw fluctuations of 5 pounds!

The bottom line is that there are many factors that go into how much you weigh besides how much fat you carry. These become especially apparent when weight is taken at a variety of times and situations. To use weight as a measurement, your body should be in a consistent state for each weighing.

How to properly weigh your self

1.Weigh yourself at the same time each weighing.

2. Weigh yourself right after waking up and using the restroom.

3. Weigh yourself no more often than once a week.

4.To make a weigh in reliable try to keep your eating the afternoon/evening before consistent from week to week.

5.Always rehydrate yourself right after a workout to avoid confusion that comes from lost water weight/water retention and more importantly, because your body needs water!

6. Clean up the diet of excess salt.

Let me run a scenario by everyone. On Monday, Cindy weighs herself at 170 pounds. During that day, she exercises for an hour without rehydrating and she sticks to easily digested foods. Tuesday morning, Cindy weighs herself at 165 pounds, 5 pounds in one day! After weighing herself, Cindy has a busy day at work in which she is seated all day, she eats high salt foods and decides to weigh herself again on Wednesday morning. Now Cindy’s weight is reading 172. This can’t be right; she has gained 7 pounds in one day. The truth is that Cindy’s weight difference has nothing to do with her body fat level changing. We now know the proper way for her to step on a scale but what else can she do to check her progress? The solution to this problem will be shown in part 2 of my series.

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Weight Loss Quick Fixes…Or Are They?

July 2, 2011 By: afeldman 2 Comments

The advancement of technology and enhancement of electronic resources can be a double edged sword when looking at health and wellness information.  While it is easy to find the answers to various questions about exercise and nutrition, there are also an abundance of sources that are giving out information.  Some of these sources are credible and some are not.  There are many products being marketed on both the Internet and in stores.  It is important to avoid making unhealthy decisions just because someone has given a product their false stamp of approval.  Some common examples of “Quick Fix” weight loss solutions follow.  Use these examples to educate yourself on some of the self proclaimed health and fitness products on the market.

Ephedra – Ephedra is a natural grown herb that is used for many different purposes.  An ingredient in Ephedra is ephedrine, which has been associated with both short term weight loss and long term health detriments.  Even though ephedrine products were effectively banned in 2004 throughout the United States, it is still in use by various athletes and people trying to lose weight.  A series of studies conducted throughout the 1990′s and into the 2000′s demonstrated great risk from supplementing with ephedrine.  Side effects include high blood pressure, heart attack, stroke, heat stroke, seizures and sometimes even death.  The benefit of using ephedrine is that it may increase performance levels and calorie expenditure by speeding up the body’s regulatory system.  The benefits that come from using it are greatly outweighed by the consequences.  If you know someone that may be using ephedrine, advise them to stop.

Appetite Suppressants- There are various appetite suppressants on the market.  One drug, known as Sibutramine, has been shown to decrease feelings of hunger by adjusting hormone levels in certain areas of the brain.  Side effects have been reported such as insomnia, blood pressure increases and constipation.  There are also other appetite drugs on the market but this area of weight loss remedy is one that is still fairly new.  Much research is being conducted with suppression drugs, especially in long term use.  There has been much evidence of these drugs influencing blood pressure and possible heart disease risk.  An issue that an appetite suppressant won’t help is binge eating disorder.  Something to also keep in mind is that when using appetite suppressants, it may be possible for the body to build up a tolerance to them after long term use causing the drug to be ineffective.

Fat Blockers – The term “fat blocker” usually refers to products such as Alli or Xenica with the principal ingredient being Orlistat.  These have been developed to block both the digestion and absorption of fat.  Calories from fat are then passed through bowels instead.  While patients taking it have successfully lost weight in short term periods, there are also long term health detriments involved.  Some of the side effects include increased flatulence, incontinence and regular abdominal pain.  If dietary modifications are not made there has also been an increased risk of vitamin deficiencies shown.  Many people that have lost weight on the drug have done so because they removed fat from their diet.  Fat removal was done to get rid of the stomach issues that take place when fat calories are consumed.  The bottom line is that whether you are taking a fat blocker or not, you will still have to modify your diet, so why mess with it?

Quackery Pills – There is no specific ingredient in these pills but they are all over the place.  They used to always be featured in late night infomercials, but luckily, society has wised up to the commercials.  Now you may see “Weight Loss Pills” gracing the pages of magazines and mostly dominating the internet in the form of pop up windows and ad banners.  These pills basically have no active ingredient for effective weight loss and they are falsely advertised to suggest otherwise.  Common phrases you’ll see in advertisements for quackery pills include the following: “Lose 30 lbs in 30 days without exercise!”, “Finally get rid of the fat in your stomach!”, and “You’ll be toned in a matter of a week!”.  As I always say, if it sounds too good to be true, then it probably is.

Fat Burners - These are pills that utilize ingredients containing some of the following items: Caffeine, yohimbe extract, green tea extract, black tea extract, taurine or vitamin B.  Most fat burners combine natural ingredients such as the ones I listed with numerous processed ingredients.  While things like caffeine and taurine are okay in moderation, it is better to get them from other sources.  Drinking something like a glass of green tea or a cup of coffee in the morning is better than subscribing to fat burners.  Even when caffeine from natural sources is used, it must be used in moderation because it speeds up the body and it is also addictive.  When it’s all said and done the best way to burn fat is to move around more.

Anything that uses the phrase “negative calories” - According to various diet companies, a negative calorie food is one that causes more calories to be burned in the digestive process than those that come from the food itself.  It is true that all foods cost energy to go through the digestive process.  After all, the organs like your stomach and small intestine use energy just like everything else.  The truth is, though, no food will give you a net loss of calories.  At its highest, the energy cost of food digestion may reach levels close to 30 percent of the calories in.  So even if a diet company is telling you that asparagus will make you lose weight, that is a myth.  It can help you lose weight by taking the place of a higher calorie food, but you will not magically shed pounds just by consuming it.

There are more and more weight loss advances coming to light every day.  With every piece of new information discovered, false information also makes its way into the limelight.  Unfortunately, new pills also pop up every day. Some get banned from the market and some slip under the radar of federal regulation.  Just because something is on the shelves or legal does not make it safe.  Before popping any kind of pill into your mouth, make sure you do your research and that you are familiar with all of the ingredients.  The nice thing about the Internet is that you can find anything.  So, if you are really curious about a product, type in each of the ingredients on a search engine and learn about what they do.  Educating yourself is the best way to avoid getting scammed by a false weight loss supplement. Instead of a “quick fix,” eat healthy and exercise regularly. This is the philosophy followed by Shane Diet Resorts weight loss camp for adults!

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Lap-Band Surgery: Is it as Good as Everyone Thinks?

June 18, 2011 By: afeldman 8 Comments

Laparoscopic adjustable gastric banding surgery, or lap-band for short, was FDA approved in February to be used  by a wider range of patients. Before, patients had to have a BMI of 40 to have this procedure done and now, it can be as low as 30. BMI is a formula that calculates an individuals weight to height ratio and is expressed as Weight (kilograms)/ Height (cm)2. For someone that is 5 ’6 to have a bmi of 30, their weight would be 186 pounds.

When a patient gets the lap-band surgery, there is an inflatable silicone band placed around the upper stomach. The concept is that this band lessens the stomach stretching that normally takes place when food is eaten. With this stretching of the stomach minimized the feeling of being full takes place more quickly after eating smaller meals. The FDA only approved this surgery in 2000 so it is still relatively new.

While most studies have been favorable of weight loss with the lap-band, there is a new study that has been released showing some potential detriments. The study, which was conducted by a hospital group in Belgium, followed up with patients who had the surgery done between 1994 and 1997. Tests were done in 2009 that assessed surgical complications, post-surgery weight loss, overall satisfaction, quality of life and side effects. While surveys showed a 60% satisfaction rate, there are some other numbers that are troubling. It was said that about 40% of subjects experienced major complications from the surgery and an additional 22% experienced minor complications. That means that 2 out of every 3 subjects had surgical complications. At some point after the lap banding, almost half of the subjects had to have the band removed and 17% of the subjects ditched their lap-band to get gastric bypass. This data does not show us a positive outlook for weight loss surgery.

I realize that this is just one study. However with gastric banding recently getting the green light to be used on more patients, I think we will see more studies like this one popping up that show negative statistics. Even though it is true that many studies have good things to say about weight loss surgery, the problem is that many of the people conducting these studies are surgical groups or they are funded by surgical groups. Why would a surgical professional want to conduct a study that will go against the product they are trying to sell? When looking at studies, it is important to find unbiased sources. A study can sometimes be manipulated to express the beliefs that the experimenter has about what they are studying.

Another important thing to consider when looking at weight loss surgery is the fact that most people who get it probably don’t need it. The recent approval by the FDA states that a person with a BMI of 30 can undergo this surgery. From my experience, clients with a bmi of 30 are still fully functional which means that an exercise program supplemented by healthy eating and lifestyle should be the focus, not surgery. My fear is that next, they will lower that number even more which is sad because I do not think that weight loss surgery is necessary except for in extreme circumstances. These circumstances have to do with medical issues that prevent weight loss even with hard work.

The weight loss trend of late seems to be a flocking to these surgeries. False advertising leads to the belief that surgery is a fast and painless fix but that is not true. Even with a surgery, eating and nutrition habits have to change so why not see what happens by changing them without surgery? At Shane Diet Resorts weight loss camp for adults, we can give you a jump on a healthy lifestyle and at the same time, enjoying a fitness retreat.  We pride ourselves on working with individuals, such as yourself, to overcome your weight boundaries. We must remember that a little effort and discipline can go a long way. If people get lap-band surgery without correcting unhealthy eating and activity habits, the lap band can stretch out and stop doing what it is supposed to. When that happens, welcome to post surgery weight-loss relapse.

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Weight Loss and Reality Shows: Is it Realistic?

April 15, 2011 By: afeldman 6 Comments

With the rising popularity of weight loss and growing knowledge of the public about the inherent risks of obesity, I feel that it is important to be aware of stereotypes presented by television shows.  It started with The Biggest Loser seven years ago and now there are a number of weight loss shows on TV.  While I think that there are many positives that come from these shows, there are also some aspects that are not completely true, from my perspective as a trainer.  In this article, I would like to mention the important things to remember when you try to compare your progress to that of the individual working out on your television screen.

1. Participants are engaged 24 hours a day, 7 days a week.

The Biggest Loser

The contestants on The Biggest Loser experience incredible weight loss, but it isn't the most realistic way to accomplish a healthy lifestyle.

It is like being in preschool again.  Everything they do against the diet or exercise program is immediately called to their attention by a trainer, nutritionist or another cast mate.  Unfortunately, most of us are not in a situation where someone is watching our eating and activities at all hours of the day.  We also have jobs, school, families and other obligations.  When participants jump into The Biggest Loser or Heavy, they are in a situation where their personal lives are left behind, giving fitness and nutrition top billing.  When a person has that much energy and time to put into exercise, then the rapid weight loss you see on TV occurs.  Whether that is healthy or not is another story.

2. Through the art of camera work and editing these shows are portraying an emotion.

At the beginning of a weight loss show, the producers use a convincing song selection, camera angles and editing to depict the emotional hardships of the contestants.  At the end, you will hear more uplifting music and different camera angles are used to emphasize progress and positive feelings.  My point is that anything that goes against the general vibe that show producers are trying to depict is edited out in the production process.  After a show is filmed, there are weeks to months spent in editing where all of this is done.  Imagine watching all 168 hours of the workout week without music and camera changes.  You would see the reality of the show, but it would also be pretty boring.  The next time you are watching Heavy, when they cut from one scene to the next or from one week to the next, think about what they didn’t show you.  This could be contestants complaining of aches and pains, complaining about the trainers, cheating on their programs closer to the end and even questioning the validity of the show itself.  You never know the extent to what is being edited out.

3. These shows get funding from sponsors to market exercise clothing, equipment and sometimes even supplements.

Just like any other show, companies pay a lot of money to be featured.  You may see specific brands being worn on the contestants or the trainers promoting a specific piece of equipment in their fitness tip segment.  When a television show recommends that you go out and buy a supplement, it may not be a good idea to jump right in and start taking something.  I also would not recommend changing everything that you do at the gym just because you saw one person doing it on a segment of the show.

4. The trainers are pushed to make their clients lose weight in the quickest amount of time possible.

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You don't need to put yourself through extreme boot camp to become fitter and experience healthy weight loss.

How exciting would The Biggest Loser be if everyone stayed in a 1-5 pound a week weight loss range?  It probably wouldn’t have the same ratings.  You may have even read about many of the participants gaining weight back after being on the show.  While the trainers are definitely doing something right, it is good to remember that everything is bigger in television; this includes the exercise programs thrown at participants, even if they do not promote long term weight loss as well as a steadier program.

5. Everybody is different.

The Biggest Loser is built around a competition.  Everyone is competing to lose the most weight in the shortest time.  Outside of the TV world, there is a problem with that.  Factors from our genetics, upbringings and previous experience influence how our bodies respond to different exercises, different foods and even the addition of a new habit.  Everyone is different.  Otherwise, bikers in the Tour de France would all finish at the same exact time.  The bottom line is that you need to compare yourself to your own exercise and weight loss measurements, not to someone else’s that are out of reach.  Most individuals who unrealistically compare themselves to TV contestants are also nowhere near as heavy.  Proportionally speaking, that means there is not as much weight to lose.  That alone should lower weekly weight loss expectations.

6. There are good and bad trainers everywhere.

Even though a lot of the trainers I have seen in these shows seem pretty knowledgeable, there are a few that have worried me as fitness professional.  An example that I have seen includes giving a 400 pound client with severe hypertension a plyometric training program.  Plyometrics are exercises involving repetitive quick movements that usually involve high impact forces on the body.  They are mostly utilized by athletes and are pointed out as being high risk by any accredited health and wellness organization when it comes to working with heavier clients.  My point here is that you should keep an open mind with what is said and shown.  Nothing is the magic pill for weight loss and this includes television programs.

The Final Message: What you can take away from these shows.

I know it seems as though I’ve been giving weight loss reality shows, like The Biggest Loser and I Used to Be Fat, a bad reputation, but there are many positives to take away from these shows.  The people losing weight are people just like you and me who are going through a journey of adapting a healthy lifestyle.  They may not be doing it in the same way, but they are definitely a source of inspiration.  Although some trainers on these shows may not be the gold standard of fitness, they have some good ideas in their arsenal.  As long as you keep an open mind when watching these shows and avoid unrealistic thinking, you can benefit greatly by scheduling your weekly Biggest Loser night.

Even better, think about joining us at Shane Diet Resorts, where you can learn about how to lose weight and get fit safely and for the long term.

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Weight Loss Drug Rejected

April 1, 2011 By: office 2 Comments

Not that we’re really shocked, but yet another diet drug has been rejected by the Food and Drug Administration.  This time, the drug was Contrave and U.S. health officials have requested a clinical trial to resolve heart safety concerns, according to a recent article from Reuters. This pill looked like it was going to be the first new diet pill in a decade.

Weight Loss Pill

Another weight loss pill has been rejected by the Food and Drug Administration.

Orexigen’s Contrave was one of three obesity drugs under review after an FDA advisory panel had voted to recommend Contrave’s approval back in December.  However, there is a potential heart risk when used long-term by overweight and obese subjects, which concerned the FDA.

The drug manufacturer, Orexigen, has been told that they must conduct a study “of sufficient size and duration” to address the cardiovascular risks.

In company studies, at least 35 percent of patients lost 5 percent or more of their body weight.  The research also showed a slight rise in blood pressure and pulse rates with Contrave versus a placebo.  This is what led to the FDA’s decision to reject the pill for the time being and require a more long-term study of the weight loss drug’s side effects.

This is the third weight loss drug to be rejected by the FDA over the past six months, which should be a strong indication of their risky side effects.  There are obviously safer ways to lose weight.  The best and most simple way to lose weight remains consistent: healthy diet in combination with regular exercise.  It doesn’t need to be complicated!  Pills for weight loss are a very drastic way to combat obesity and side effects are always a possibility, when compared with making simple changes to your lifestyle.

Camp Shane weight loss camp for children and teens and Shane Diet Resorts weight loss program for adults follows the simple formula of healthy diet and exercise for the best weight loss results.  By losing weight gradually, good habits are formed that will continue for life.

What are your thoughts on this newest diet pill rejection?  Do you feel that a weight loss drug is a healthy option to lose weight?

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