Weight Loss Clinic Preaches More Than Diet

weight loss clinic

A small introduction:
Byline: Kristy Kennedy Daily Herald Staff Writer
For Jean Lorello of Naperville, food was like an addiction that a simple diet couldn't conquer.
"I was always hungry and obsessed with the next meal," she said. "There definitely was an addiction going on in my life."
But since Lorello turned to God for help with a weight-loss program that involves spiritual counseling along with diet and exercise, she has never felt better.
"It's a cleansing of the mind, spirit, and body," she said, noting that she has lost about 65 pounds since starting the program five months ago. "That's why I feel so good."
David Plourde, who runs the American Clinic for Weight Management in Lisle and oversees Lorello's progress, says her experience is not uncommon.
"If someone has an addiction and doesn't know how to stop, that person need help," he said. "That's where Christ comes in."
Plourde explained that many diets don't give people the spiritual guidance they need to stick to a healthy lifestyle. That's why he encourages some patrons to turn to their faith for help.
"We apply the most up-to-date principles of nutrition," he said. "But if we just deal with the science, then we are putting a Band-Aid on a gash wound."
It's a combination of the diet, exercise and spiritual counseling that makes this program a success, Plourde said, noting that he has treated about 3,000 clients.
eir diet to a healthier way of eating and by scientifically monitoring their exercise, Plourdetailors each weight-loss program to the individual.
The goal, he said, is to reduce people's percentage of body fat.
"We also work on issues of self-acceptance," Plourde said, noting that most people shouldn't expect to get down to a weight they were at in high school.
Some of his clients use the twelve-step recovery program pioneered by AlcoholicsAnonymous. That program also is used by Overeaters Anonymous, a worldwide support group.
But while Plourde teaches the twelve steps through the Bible, OA doesn't stress religion in its application of the program.
"Members acknowledge there is a spiritual need," said Virginia Jensen, who is not a member but works as an editor of a monthly magazine for the group.
"Often they find that it's solving the spiritual and emotional problems that help them get a handle on their weight," she said.

Evaluating Weight Loss Programs

Weight Loss Clinic

Because weight control is big business, countless numbers of bogus quick weight loss plans are available. Kay Stanfill, a registered dietician at the University of Oklahoma Health Sciences Center, offers some advice on how to determine the truth about weight loss:
Does the advertisement, clinic, or person claim or imply that the government or medical establishment is suppressing this health information? 
"The question to ask is can the group or person making this claim show legitimate credentials in the field of nutrition? People should verify that their doctor or other health specialist has training in nutrition and weight-loss counseling. Otherwise, it's like letting your dentist deliver your baby."
Does the plan require that you do absolutely nothing? (Lose weight while you sleep, etc.) "Losing weight without any effort is a fantasy that we all share. But if a person is trying to be healthy, he or she will have to learn to change ingrained behaviors--namely eating and exercising habits."
Does the diet radically skew your eating habits, such as the "pineapple diet," the"cottage cheese diet," etc.? Diets which restrict a person's choices generally are doomed from the start. If adhered to for a long time, they can't provide sufficient nutrition. Also, "if a person restricts anything from his or her diet--you usually can bet that that will become his or her next |binge' food. There is nothing like deprivation to make people crave a particular food."
Does the diet seem to go against all good sense, such as saying fat or calories don't count? This definitely is a warning signal of an unreliable diet. "However, we will soon have to revamp our thinking on this point when new fat substitutes come on the market in the next couple of years.

Are Drugs Nixing Weight Loss?

Weight Loss Clinic

A 59-year-old Caucasian woman, D.P., is seen regularly in your hospital's diabetes clinic. Daily medications include glipizide ER (Glucotrol XL, Pfizer) 10 mg, pioglitazone (Ados, Takeda) 45 mg, metformin ER (Glucophage XR, Bristol-Myers-Squibb) 500 mg, citalopram 40 mg, ezetimibe/simvastatin (Vytorin 10/80, Merck/Schering-Plough), aspirin 81 mg, lisinopril 40 mg. Glycemic control appears good (A1c=7.0), but she has gained >40 lb. in four years (BMI=33).Despite a Jenny Craig diet (1,200 calorie/day) for six months, plus three weekly sessions with a personal trainer, she has lost only 2 lb. D.P. saw a blog claiming pioglitazone causes weight gain-she believes that is her problem. Her physician asks your opinion. What do you say?
Several factors could contribute to D.P.'s lack of weight loss. Pioglitazone is known to cause some weight gain, but it is reasonable to attribute a gain of only 5 lb. to 8lb. to it. While some SSRIs may cause weight gain, citalopram is not the most common to do so. It is doubtful that D.P.'s medications are solely responsible for preventing weight loss but review these two medications after other causes have been ruled out.
Monitor D.P.'s diet to determine that she truly consumes only 1,200 calories/day.Encourage her to keep a food diary and track calories consumed through beverages. Consulting with a dietitian may also help.
Assess D.P.'s sessions with her personal trainer. If the sessions last only 30minutes, increase her exercise time. Overall, she should exercise >45 minutes, five times weekly. Remind D.P. that 3,500 calories must be expended to lose 1 lb.Consider checking D


Kennedy, Kristy, Daily Herald (Arlington Heights, IL)

Adkison, Julie; Meade, Lisa T, Drug Topics

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