Diet and Nutrition

How to use Diet and Nutrition to be Healthy

Weight Management Programs

Every year millions and millions of Americans turn to some type of diet regimen in an attempt to shed unwanted pounds and inches. I’m sorry to report that the overwhelming majority, about 75% percent of these millions of people do not succeed in losing the undesired weight and keeping it off. They ride the weight loss weight gain rollercoaster year after year only to find that despite numerous attempts at dieting they progressively gain weight. I recognized this phenomenon involving close friends and family members early in my personal life, and in my patients throughout my professional career. I found myself repeatedly telling patients that they need to lose weight, and constantly being asked for quick fix diets, or being asked to give an opinion about the latest popular fad diet plan. Popular diets may help in the battle of the bulge in the near term, but the overwhelming majority of patients find themselves right back on the weight loss- weight gain rollercoaster. It has been our experience that diets alone only provide short term weight loss that is not sustainable. The problems are not simple and require a comprehensive medical and dietary history followed in most cases by labratory analysis. The labratory analysis can determine if food sensitivities or systemic dysfunction(s) like hormone imbalances are contributing to difficulties with weight management  Based on the exam results a program of nutritional consultations with long term periodic re-assessments is developed to meet your specific needs.

Nutritional Consultations:

Basic nutritional advice is an integral part of our day to day practice. However, nutritional consultations are a separate in depth confidential consulting procedure that is tailored to the specific needs of the patient, and takes into consideration the patient’s goals. Although we do provide weight management programs, [future internal link to weight management] nutritional consultations are more than just diets and weight management. The more accurate description is that our nutritional consulting program involves:    Dieting History.

  •     Nutritional History and Assessment.
  •     Activities of Daily Living [ADL] analysis.
  •     Lifestyle Assessment.
  •     Body Composition Analysis.
  •     Laboratory Analysis and or review of recent lab data.
  •     Special Nutritional Needs Assessment [See ALCAT testing for more information]

The initial program consultations and planning usually requires a minimum of 4 visits. The initial visit is a separate private consultation which is necessary to address the specific complexities of your nutritional needs. A brief observational period that includes keeping a detailed “diet diary” precedes the follow up consultation where the information you provide is reviewed. The 3rd consultation is the program recommendations with a follow up consultation in 2-5 weeks. Periodic in office reviews are performed after the 4th consultation to monitor the progress of the patient and perform brief re-evaluations and assessments as necessary. Self evaluation and assessment forms are provided at 6months and 1year post initial consultation, and are mailed or return faxed and maintained in the patient’s permanent record.

In general, no matter what you are eating you need a good multi-vitamin multi-mineral that is starch, sugar, and preservative free. The supplement should be produced under no less than excellent quality control conditions. It should be manufactured by a reputable company that is reachable . The manufacturer must stand behind their product and provide their products such that the final cost to the patient is reasonable.

The therapeutic benefit of supplementation is dependent not only on what vitamins you take, but what supplements your body is able to absorb and utilize. Often when a patient reports that a particular nutritional supplement is not “working”, it may not be that the supplement isn’t good, it may be that it is not being absorbed by the body and therefore the particular therapeutic benefit is not apparent. The amount of supplement taken in a single dosage is also important. Some supplements can be dangerous if excessive amounts are ingested, and others are just wasted and end up in the toilet if more than the body can handle is consumed.

Instances where additional nutritional supplementation may be necessary include:

  •     SMOKING


Medications That May Create Nutritional Deficiencies.

The prescription and over-the-counter medications that can cause nutritional deficiencies are too numerous to mention here. However, monitoring of the potential side effects of the use of NSAID’s, an monitoring of cholesterol levels and the potential side effects of cholesterol lowering medications [“statins”] is such an integral part of diet, nutrition, and life style evaluation, that it bears mention here.

Cholesterol lowering “Statin” drugs are known to affect the liver. In cases were there is concern for liver function and or liver damage there are nutritional supplements that have demonstrated effectiveness in fighting elevation of cholesterol without the potential for damaging the liver. In addition to the potential side effects associated with the Statin drugs, there is also controversy about what safe or normal cholesterol levels are, and how they were arrived at. There have been allegations that conflicts of interest have resulted in lowered “safe and normal” levels which have resulted in increased sales of cholesterol lowering drugs.

Nonsteroidal Anti-Inflammatory Drugs [“NSAID’s] can have significant gastrointestinal and organic side effects. Many sufferers of Neuro-musculoskeletal disorders use NSAID’s for symptomatic relief. Screening for potential side effects as well as the possibility of subsequent nutritional deficiencies and systemic effects, is an important part of effective treatment and rehabilitation

For further information about our dietary recommendations and comprehensive nutritional consultation programs contact our office at 516.599.3999.


How to use Diet and Nutrition to be Healthy.

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