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James Donovan MDMiller Creek Medical ClinicSt Luke’s Hospital Duluth MN
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James Donovan MDMiller Creek Medical ClinicSt Luke’s Hospital Duluth MN
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James Donovan MDMiller Creek Medical ClinicSt Luke’s Hospital Duluth MN
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James Donovan MDMiller Creek Medical ClinicSt Luke’s Hospital Duluth MN
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James Donovan MDMiller Creek Medical ClinicSt Luke’s Hospital Duluth MN2
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F Q tiFour Questions
*Wh h d ?*What have you done?
*What did work for you?
*What did not work for you?What did not work for you?
*What barriers are there (family, work, diseases, medications)?
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Give the Patient Realistic ExpectationsGive the Patient Realistic Expectations
Every additional 10% weight loss reduces Every additional 10% weight loss reduces risk 10%
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To Lose Weight
** Good weight loss 1-3 pounds a week
*M b 500 l i l d*Must eat about 500 calories less a day
*I NEAT ti it*Increase NEAT activity
*Eat adequate protein (1 1 5 gm/kg LBM)Eat adequate protein (1-1.5 gm/kg LBM)
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T K W i ht OffTo Keep Weight Off
Must ExerciseNational Weight Control Registry
60 minutes a day
6000 t6000 steps
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Talking Weight Loss to Those Who Don’t to Those Who Don’t Know They Want to Know They Want to
Lose WeightLose Weight
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The Best time to plant a The Best time to plant a tree is 20 years ago. y gThe second best time is nownow.
Chinese proverb
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Pl S dPlant a Seed
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Put It Into PerspectiveWith Heart DiseaseWith Heart Disease
BMI of 40 = 2 packs a day
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F th Littl ThiFocus on the Little Things
1 pound is worth:4 pounds to the low back7 pounds to the hipsp p11 pounds to the knees
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J t Ch O ThiJust Change One Thing
One drink a day is 10 pounds a yeara year
One pop a day is 10 pounds a One pop a day is 10 pounds a year
Skip the fries - there is no value in that “value meal”value in that value meal
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Q i k St tQuick Stats20 pounds between 18-40 doubles breast cancer riskp
10% weight loss can reduce sleep apnea symptoms 60%
10% weight loss can cut heart disease risk 50% (statins only 38%)10% weight loss can cut heart disease risk 50% (statins only 38%)
10% weight loss can reduce diabetes risk 50%
10% weight loss can reduce stroke risk 50%
One M&M is enough fuel to go 100 yards
It takes 100 calories to walk a mile (17 M&Ms)
A Big Mac has 560 calories
Applebees’ Oriental Grilled Chicken Salad has 1250 calories
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W B ThiWe Became This
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James Donovan MDMiller Creek Medical ClinicSt Luke’s Hospital Duluth MN2