Bodyweight management

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In this article, you will learn about The best fat-loss diet and the connection between overweight, obesity, and eczema.

As an eczema patient, it’s important to display some kind of bodyweight management. When a person develops eczema he is 8% more likely to become overweight or obese. But the opposite is also the case. A person that develops overweight or obesity is more prone to having skin problems like atopic dermatitis.

Effects of obesity on Skin

A 2017 study of American women found that skin barrier and moisturizing functions were significantly impaired by obesity, resulting in considerable dryness and roughness, compared with nonobese women.

Atopic eczema becomes a problem due to chronic inflammation in the whole body due to high caloric intake. That creates systemic inflammation combined with insulin resistance, demonstrated by altered levels of interleukin (IL)-6, leptin, adipokines, and insulin.

In another study published in the Journal of Allergy and Clinical Immunology, online March 16, 2011, the findings point to the same conclusions:

  • Small children who are obese may be more likely to develop severe eczema
  • Compared to children who weren’t obese, kids who became obese between the ages of 2 and 5 years old had more than three times the risk of developing the condition. If they were even younger when they became obese – babies or toddlers – their risk of the uncomfortable skin disease seemed to be even higher.
  • Children who are obese for a long time are more likely to get eczema. If you’re able to reverse the obesity with weight loss, children may be less likely to develop eczema, or eczema symptoms may improve.
  • Overall, the researchers found that obesity was nearly twice as common in children and adolescents with eczema. About nine of every 100 study participants with eczema were obese, compared to only five out of 100 without the skin disease.

What are overweight and obesity?

Obesity is a chronic condition that affects more than one in three adults in the United States. Another one in three adults is overweight. If you are struggling with your weight, you may find that a healthy eating plan and regular physical activity help you lose fat and keep it off over the long term. If these lifestyle changes are not enough to help you lose fat or maintain your weight loss, your doctor may prescribe medications as part of your weight-control program. This is of course not the ideal way to get healthy, but it is better than doing nothing.

BodyMassIndex

Health care providers use the Body Mass Index(BMI), which is a measure of your weight in relation to your height, to define overweight and obesity. People who have a BMI between 25 and 30 are considered overweight. Obesity is defined as having a BMI of 30 or greater. You can calculate your BMI NIH external link to learn if you are overweight or obese. Being overweight or obese may increase the risk of health problems. Your health care provider can assess your individual risk due to your weight.

A good indication of whether one is eating healthy is by looking at BMI and the body’s overall impression. A BMI in the lower part of the normal spectrum may indicate that too many unhealthy foods and sugars are not consumed. If the body appears “trimmed”, it is a good indicator that you are on the right track with the current diet.

To keep the weight in check you have to exercise and eat healthily. In my free book Eczemahealingguide you can read more about a healthy diet that is optimal for fighting both eczema and weight problems. You will also learn some mental techniques to keep doing the right thing as a part of your future life.


The best fat-loss diet

My way of managing weight is in my honest opinion the best fat-loss diet. It is free, easy to do, and only demands a little self-discipline to get a lasting weight loss. If you keep to the routines and methods described you will be able to stay fit, lean, and healthy for life.

I am a small guy but even a small guy can put too much weight on sometimes. Of course I can not relate to being overweight or obese, but I can share my methods to be in charge of my body weight.

Normally I put on some weight in the winter months. To get ready to hit the beach in the summer I start trimming down at Christmas-time by doing what I consider the best fat-loss diet and routines.

I have some rules that make it more like a routine than a struggle to lose weight. I guess it will work just as well if your start weight is somewhat higher. Then you will probably also see much quicker results at the beginning as the potential for losing weight is higher.

The routine

My rules for every day is like this:

  • Only coffee (with a little oat-milk) and carrots from I wake up and until lunch
  • At lunchtime, I have three pieces of rye bread with eg. cold cuts, salmon, mackerel, hummus, pâté.
  • At about 15 o’clock porridge made from oatmeal and müsli, no sugar
  • Dinner, just whatever the rest of the family is having
  • Before bedtime again porridge made from oatmeal and müsli, no sugar

During the day there are no sugary soft drinks or similar things. Only juice, coffee, non-alcoholic beer, or pure water.

By keeping with this routine you do not have to think too much about what to eat and convincing yourself to eat healthy at every meal.

Of course, this diet is a little boring, but it is healthy and cheap. In fact, I find it to be the best fat-loss diet since it is so straightforward. It keeps you full and you always know what and when the next meal is there. By dividing the day into small manageable timeslots it is much easier to “stick-it-out” to the next meal.


No sugar

A major part the best fat-loss diet is to get rid of added sugar in your foods.

The exclusion of sugar is no big problem and your body adapts quite rapidly. It is just like turning the volume of your stereo down and your ears will adjust. The craving for sugary foods hangs on for the first couple of days. At the beginning of the process, you are most motivated and eager to do the right thing. That helps to get through the first “tough” days and after that, it becomes much easier. Things like raisins, fruits, and daddles are small explosions of sugary taste and you will be surprised how easy it is to relinquish added sugar.

The videos below are some of the best if you really want to learn about the mechanics behind the obesity epidemic we are in right now. They are need-to-know knowledge if you are serious about your health. I can tell you that you will be surprised by the facts that are presented.

In this video you will learn about the food industry and how sugar makes you fat – ver. 1.0

In this video you will learn about the food industry and how sugar makes you fat – ver. 2.0

Morning boost

To start the day with coffee and carrots are my prime choice. It is a power-boost of caffeine, fibers, vitamins, and antioxidants. Did you know that coffee has higher levels of antioxidants than blueberries?

Sometimes you will feel a little hungry at about 9 o’clock, but in a few hours, you will start your daily eating window. The foods I have listed all contain a high amount of protein, medium fats, and low natural sugars. On top, they have lots of fibers and healthy whole-grain carbohydrates to give energy and provide a feeling of satiety.


If you buy it – You eat it !

Another important part of the best fat-loss diet is to clean your house of any food that is not in sync with your goals and diet. This is again an important part of what I think is the best fat-loss diet.

To keep on the right path you must make a grocery list and stick to it. I have a saying: “If you buy it, You eat it”. Healthy foods need to be the only ones leaving the supermarket with you.

For the tempting times in the evening where the cravings come rushing in it is important to have a backup-plan in place. The plan is to have some healthy snacks ready in the cupboard. A bag of raisins, nuts, daddle or salty breadsticks can be the “emergency foods”. And when you crave a coke, then have some fruit juice. They may have the same calories, but now you got all the good vitamins instead of empty calories.

In the video below you will get even more knowledge about why we are in the midst of an obesity epidemic. This knowledge is good if you want to take back control of your lifestyle choices.

In this video you will learn about the food industry and how processed food makes you fat.


Weigh yourself often to stay on track

It is crucial to jump on the scale every single day to maintain progressive fat loss. It has been confirmed by science that people who lost weight and kept it off have daily weigh-ins. If you get two “high” measurements you might feel your progress has stalled. That is normally not the case. You can just not see the trends if you only step onto the scale some days. Below you see the fluctuations of my daily measurements. They are canceled out when you zoom out to Year-view.

When I do my weight managing routine the result is a slow but steady lowering of my body weight. The rate of weight loss is just above one kilogram a month, which is a healthy rate to reduce your weight.


Exercise – Keep muscle and loose fat

In any fat-loss diet you have to get your body moving.

You have to find some kind of exercise that appeals to you. I lift weights one hour two times a week and aims at getting 10.000 steps every day. My apple watch keeps track of all the exercising data and the daily weigh-in is also going into Apple-health.

By exercising you maintain your muscle mass and by performing weight- or resistance training you build bigger muscle. When your muscle mass is greater your body burns more calories even when you are not training. It is just like a car with a big engine. It will have a higher fuel consumption when idle than a car with a small engine.

Going slowly in the weight loss process minimizes the risk of losing muscle mass. And doing progressive resistance training while in a caloric deficit, you tell your body to hold on to the muscle. Because of the high nutritional content on the diet, I experience muscle growth while slowly becoming leaner. That is really what you want!

Walking – Fat loss acceleration

Walking is the easiest way of spending more calories and keep muscle mass. The activity can be done everywhere and is free. The risk of injury is also extremely low compared to eg. running, playing football, or any other high-intensity sport. Combined with the fat-loss diet that I find to be the best, you can expect to see a gradual weight loss. But remember to be patient. Sometimes it takes just as long to fix it as it took to break it :-).

If I should recommend two videos about weight loss and walking it would be these two. They are my “go-to”-videos if I need some motivation myself or people are asking about weight loss advice.


Discipline

Committing to a healthy fat-loss diet and getting the exercise done can be hard. But if you do not eat healthily and burn more calories by training you will keep gaining weight. Some application of daily discipline is needed to stay on the right track. After the initial motivation has faded you have to rely on rules, routines, and self-discipline. It might be helpful to read my article about how I use and apply discipline to stay clear of my eczema condition and keep fit. Every day!


Before we dive deep into the subject of weight loss medicine, I would like to show you PLENITY. This is by my standards a smart product, that is not a drug, but a “Weight-loss device” according to the US. authorities FDA. By eating less you will lose fat and combined with a healthy diet, you are good to go.


Prescription Medications to Treat Overweight and Obesity

Photo by Moe Magners on Pexels.com

How do weight-loss medications work?

Prescription medications to treat overweight and obesity work in different ways. For example, some medications may help you feel less hungry or full sooner. Other medications may make it harder for your body to absorb fat from the foods you eat.

Who might benefit from weight-loss medications?

Weight-loss medications are meant to help people who may have health problems related to overweight or obesity. Before prescribing a weight-loss medication, your doctor also will consider

  • the likely benefits of weight loss
  • the medication’s possible side effects
  • your current health issues and other medications
  • your family’s medical history
  • cost

Health care professionals often use BMI to help decide who might benefit from weight-loss medications. Your doctor may prescribe a medication to treat your overweight or obesity if you are an adult with

Weight-loss medications aren’t for everyone with a high BMI. Some people who are overweight or obese may lose weight with a lifestyle program that helps them change their behaviors and improve their eating and physical activity habits. A lifestyle program may also address other factors that affect weight gain, such as eating triggers and not getting enough sleep.

Can children or teenagers take weight-loss medications?

The U.S. Food and Drug Administration External link (FDA) has approved most weight-loss medications only for adults. The prescription medication orlistat NIH external link(Xenical) is FDA-approved for children ages 12 and older.

Can medications replace physical activity and healthy eating habits as a way to lose weight?

Medications don’t replace physical activity or healthy eating habits as a way to lose weight and especially fat. Studies show that weight-loss medications work best when combined with a lifestyle program. Ask your doctor or other health care professional about lifestyle treatment programs for weight management that will work for you. Weight-loss medications don’t replace physical activity and a healthy fat-loss diet.

What are the benefits of using prescription medications to lose weight?

When combined with changes in behavior, including eating and physical activity habits, prescription medications may help some people lose weight. On average, people who take prescription medications as part of a lifestyle program lose between 3 and 9 percent more of their starting body weight than people in a lifestyle program who do not take medication. Research shows that some people taking prescription weight-loss medications lose 10 percent or more of their starting weight.

Weight loss of 5 to 10 percent of your starting body weight may help improve your health by lowering blood sugarblood pressure, and triglycerides. Losing weight also can improve some other health problems related to overweight and obesity, such as joint pain or sleep apnea. Most weight loss takes place within the first 6 months of starting the medication.

What are the concerns with using prescription medications to lose weight?

Experts are concerned that, in some cases, the side effects of prescription medications to treat overweight and obesity may outweigh the benefits. For this reason, you should never take a weight-loss medication only to improve the way you look. In the past, some weight-loss medications were linked to serious health problems. For example, the FDA recalled fenfluramine and dexfenfluramine (part of the “fen-phen” combination) in 1997 because of concerns related to heart valve problems.

Possible side effects vary by medication and how it acts on your body. Most side effects are mild and most often improve if you continue to take the medication. Rarely, serious side effects can occur.

Again this proves that doing your weight loss in a healthy way and natural way is the best option. Sticking to the fat-loss diet described above will the best choice you can make for yourself.

How long will I need to take weight-loss medication?

How long you will need to take weight-loss medication depends on whether the drug helps you lose and maintain weight and whether you have any side effects. If you have lost enough weight to improve your health and are not having serious side effects, your doctor may advise that you stay on the medication indefinitely. If you do not lose at least 5 percent of your starting weight after 12 weeks on the full dose of your medication, your doctor will probably advise you to stop taking it. He or she may change your treatment plan or consider using a different weight-loss medication. Your doctor also may have you try different lifestyle, physical activity, or eating programs; change your other medications that cause weight gain; or refer you to a bariatric surgeon to see if weight-loss surgery might be an option for you.

Because obesity is a chronic condition, you may need to continue changes to your eating and physical activity habits and other behaviors for years. Or even a lifetime to improve your health and maintain a healthy weight.

Will I regain some weight after I stop taking weight-loss medication?

You will probably regain some weight after you stop taking weight-loss medication. Developing and maintaining healthy eating habits and increasing physical activity may help you regain less weight or keep it off. Federal physical activity guidelines (PDF, 14.2 MB) recommends at least 150 minutes a week of moderate-intensity aerobic activity and at least 2 days a week of muscle-strengthening activities. You may need to do more than 300 minutes of moderate-intensity activity a week to reach or maintain your weight-loss goal.

What medications are available to treat overweight and obesity?

The FDA has approved five drugs—orlistat (Xenical, Alli), lorcaserin (Belviq), phentermine-topiramate (Qsymia), naltrexone-bupropion (Contrave), and liraglutide (Saxenda)—for long-term use. You can keep taking these drugs as long as you are benefiting from treatment and not having unpleasant side-effects.

Some weight-loss medications that curb appetite are approved by the FDA only for short-term use, or up to 12 weeks. Although some doctors prescribe them for longer periods of time, not many research studies have looked at how safe and effective they are for long-term use.

Pregnant women should never take weight-loss medications. Women who are planning to get pregnant also should avoid these medications, as some of them may harm a fetus.


Semaglutide – by Novo Nordisk

Approximately 650 million adults are estimated to live with obesity worldwide. So for that reason, the market for anti-obesity medicine is enormous. The medical firms that bring products to market that can reduce obesity will have a real “money tree”.

This drug is one of the most promising medicines for obesity. Novo Nordisk has taken one step forward in its ambition to move its Type 2 diabetes drug semaglutide into the giant and largely untapped obesity market. Semaglutide is an analogue of the human glucagon-like peptide-1 (GLP-1) hormone. It induces weight loss by reducing hunger, increasing feeling of fullness and thereby helping people eat less and reduce their calorie intake.

Novo Nordisk has in January 2021 unveiled plans to invest $80 million in expanding facilities at its production site in Denmark.
 
The facility currently manufactures products for oral diabetes treatments and will be expanded to ensure capacity for future production of these products. The project is expected to be completed in 2022.
 
For Novo Nordisk it is an important step in building and ensuring future capacity for the production of Rybelsus (oral semaglutide). Their factory in Denmark is currently the primary site of production of oral semaglutide, and they say it is critical to invest timely in capacity expansion to meet future demands.

FDA Approves New Drug Treatment for Chronic Weight Management, First Since 2014

This press statement is good news for Novo Nordisk.

The money tree has been planted!

Today (04. june 2021), the U.S. Food and Drug Administration approved Wegovy (semaglutide) injection (2.4 mg once weekly) for chronic weight management in adults with obesity or overweight with at least one weight-related condition (such as high blood pressure, type 2 diabetes, or high cholesterol), for use in addition to a reduced-calorie diet and increased physical activity. This under-the-skin injection is the first approved drug for chronic weight management in adults with general obesity or overweight since 2014. The drug is indicated for chronic weight management in patients with a body mass index (BMI) of 27 kg/m2 or greater who have at least one weight-related ailment or in patients with a BMI of 30 kg/m2 or greater. 

“Today’s approval offers adults with obesity or overweight a beneficial new treatment option to incorporate into a weight management program,” said John Sharretts, M.D., deputy director of the Division of Diabetes, Lipid Disorders, and Obesity in the FDA’s Center for Drug Evaluation and Research. “FDA remains committed to facilitating the development and approval of additional safe and effective therapies for adults with obesity or overweight.” 

Approximately 70% of American adults have obesity or overweight. Having obesity or overweight is a serious health issue associated with some leading causes of death, including heart disease, stroke and diabetes, and is linked to an increased risk of certain types of cancer. Losing 5% to 10% of body weight through diet and exercise has been associated with a reduced risk of cardiovascular disease in adult patients with obesity or overweight.

Wegovy works by mimicking a hormone called glucagon-like peptide-1 (GLP-1) that targets areas of the brain that regulate appetite and food intake. The medication dose must be increased gradually over 16 to 20 weeks to 2.4 mg once weekly to reduce gastrointestinal side effects.

The study

Wegovy’s safety and efficacy were studied in four 68-week trials. Three were randomized, double-blind, placebo-controlled trials (including 16 weeks of dose increases) and one was a double-blind, placebo-controlled, randomized withdrawal trial in which patients receiving Wegovy either continued with the treatment or switched to a placebo. More than 2,600 patients received Wegovy for up to 68 weeks in these four studies and more than 1,500 patients received placebo.

The largest placebo-controlled trial enrolled adults without diabetes. The average age at the start of the trial was 46 years and 74% of patients were female. The average body weight was 231 pounds (105 kg) and average BMI was 38 kg/m2. Individuals who received Wegovy lost an average of 12.4% of their initial body weight compared to individuals who received placebo. Another trial enrolled adults with type 2 diabetes. The average age was 55 years and 51% were female. The average body weight was 220 pounds (100 kg) and average BMI was 36 kg/m2. In this trial, individuals who received Wegovy lost 6.2% of their initial body weight compared to those who received placebo. 

Side-effects

The most common side effects of Wegovy include nausea, diarrhea, vomiting, constipation, abdominal (stomach) pain, headache, fatigue, dyspepsia (indigestion), dizziness, abdominal distension, eructation (belching), hypoglycemia (low blood sugar) in patients with type 2 diabetes, flatulence (gas buildup), gastroenteritis (an intestinal infection) and gastroesophageal reflux disease (a type of digestive disorder).  

The prescribing information for Wegovy contains a boxed warning to inform healthcare professionals and patients about the potential risk of thyroid C-cell tumors. Wegovy should not be used in patients with a personal or family history of medullary thyroid carcinoma or in patients with a rare condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).  

Wegovy should not be used in patients with a history of severe allergic reactions to semaglutide or any of the other components of Wegovy. Patients should stop Wegovy immediately and seek medical help if a severe allergic reaction is suspected. Wegovy also contains warnings for inflammation of the pancreas (pancreatitis), gallbladder problems (including gallstones), low blood sugar, acute kidney injury, diabetic retinopathy (damage to the eye’s retina), increased heart rate and suicidal behavior or thinking. Patients should discuss with their healthcare professional if they have symptoms of pancreatitis or gallstones. If Wegovy is used with insulin or a substance that causes insulin secretion, patients should speak to their health care provider about potentially lowering the dose of insulin or the insulin-inducing drug to reduce the risk of low blood sugar. Healthcare providers should monitor patients with kidney disease, diabetic retinopathy and depression or suicidal behaviors or thoughts.

The FDA granted the approval to Novo Nordisk. Semaglutide 1 mg injection (Ozempic) was first approved as a treatment for type 2 diabetes in 2017.


KenDBerryMD is looking into this new weight-loss drug Wegovy

What other medications for fat loss may be available in the future?

Researchers are currently studying several new medications and combinations of medications in animals and people. Researchers are working to identify safer and more effective medications to help people who are overweight or obese lose weight and maintain a healthy weight for a long time.

Future drugs may use new strategies

  • combine drugs that affect appetite and those that affect addiction (or craving)
  • stimulate gut hormones that reduce appetite
  • shrink the blood vessels that feed fat cells in the body, thereby preventing them from growing
  • target genes that affect body weight
  • change bacteria in the gut to control weight

For many people, a dairy-free diet helps them clear their eczema or at least makes it easier to reduce the severity of flareups.

Dairy-free diet helps eczema

posted in: Diet, Fremhævet | 0

For many people, a dairy-free diet helps them clear their eczema or at least reduce the severity of flareups. Since dairy products are a major trigger for eczema it is an important element in my diet to avoid foods that contain milk proteins.

Dairy products are things like cows milk, cream, cheese, yogurt, but also other foods can have ingredients that contain milk proteins. Fortunately, international regulations advice to have these allergens in the ingredient list on food products and the word milk must be included.

It was after a long period of bad eczema that I first started looking for other people’s experiences with diet change, as a way to treat atopic eczema.

I came across a post on the internet, where a guy describes how dietary changes have made his eczema disappear. Especially the exclusion of dairy and cow’s milk had made a great impact.

Motivated by the prospect of an eczema-free life, I instantly stopped drinking milk and also refrained from eating products that contained milk as an ingredient.

After a short while my eczema almost disappeared and to test if milk the cause, we did some quite unscientific tests at home with me as a guinea pig. The test was to refrain from all kinds of dairy products and then drink a small amount of milk after a couple of eczema-free days. The result was clear every time. After a minute or so of having milk eczema came again and always first as a tingling sensation in the skin which after a day became a visible eczema flare-up.

As an alternative to milk, I use oat milk from the supermarket. It is really good in coffee and muesli is now something I can eat again. In addition, oat milk has the advantage of very long shelf life and it stays fresh in the open state as long as it is in the refrigerator.

There are a growing number of brands so you have to test out which one you like the best.

A dairy-free diet seems to do the trick

Online you will find a lot of similar stories of eczema healing by excluding cows’ milk and dairy from your dairy. A good example of such a story is the one from Susan Marque in her post I Almost Died from Eczema: How a Nondairy Diet Saved Me.

It can be a combination of eczema and food allergies that make the road to healing more difficult. In this article from Healthline.com – How to Create an Eczema-Friendly Diet, this aspect is explained in an easy-to-understand way.

It reinforces my own experience in adjusting my diet to a dairy-free one and tells me that there is more to this subject than the established healthcare system and the dairy industry like to tell us.

Prostate cancer

If you are a man then your risk of having prostate cancer is increased by drinking milk. The higher the amount of fats in the milk, the more fatal the prostate cancer will be. High-fat content translates into aggressive cancer, whereas skimmed milk increases the chances of low-impact cancer. But both increase the overall risk of attracting this cancer that is widely spread in countries with a western diet high in sugars, processed foods, and dairy products.

You can read all about how a dairy-free diet has helped me to become eczema-free in my book Ezcema Healing Guide. But also just as important as why I just had to write a book, so that other eczema-sufferers can be inspired by my long journey to eczema-healing.


Goodbye to sore throat

When I drank cow’s milk and ate dairy products I had a sore throat every winter. It was a recurring phenomenon and if you have had a sore throat once, you know how painful it can be. Therefore, I was very relieved as after the first milk-free winter I had not had a sore throat.

It has been like that since my diet change abstaining from dairy and cows milk.