drric 2012 steps to sustainable weight loss (slide share edition)

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We didn’t invent the practice of medicine…. we’re just changing the way it’s provided. Enrique Saguil, MD First Health Associates 2012 Steps to Sustainable Weight Loss

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Dr Ric Saguil's lecture at Whole Foods Market Schaumburg January 2012.

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Page 1: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.

Enrique Saguil, MDFirst Health Associates

2012 Steps to Sustainable

Weight Loss

Page 2: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

• Legal release: I am in not receiving any financial reimbursement from Whole Foods Market. The names in this lecture have been substituted to protect the innocent. The recommendations in this lecture are not a substitute for health and wellness, please see your personal physician.

• To get copies of this lecture, please contact me at:

www.firsthealthassociates.com

Page 3: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

The First Health Approach

We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.

Page 4: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Your TeamRic Saguil, MD

Jason Gruss, MDTom Jordan, RD

Katrina Christie, LCPCJennifer Green, NDJoe Musolino, DC

Emery Paredes, PTCourtney Day, EPAimee Weber, EPYu Zhu, MD China

You

Page 5: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

My Doctor:

Listens to my concerns

Cares what I have to say

Doesn’t Keep Me Waiting

Gives Me Options

We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.

First Health Associates

2010 S. Arlington Heights RdLL Suites

Arlington Heights, IL

Ric Saguil, MD

Page 6: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Resolution by Webster

• Determination• A firm intention• A proposal for a meeting to vote on

Page 7: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Model of a great life?

• Eat• Poop• Sleep• Hump

Page 8: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Average Px Goals?

• Eat (nutrition)• Play (movement)• Work (stress response/grounding)• Sleep (rest)

Page 9: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

From…….

Page 10: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Average Life Changers

• Pregnancy • Loss of a job• Accident • Sudden heart attack• Stroke• Terminal diagnosis • What is your Life Changer?

Page 11: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Figuring out Death?

• Genetics (prakruti)• Current lifestyle (vikruti)• Nutritional deficiencies• Nutritional abuses• Aquired physical challenges• Behavioral challenges• Lack of grounding skills

Page 12: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

How to use western medicine

• Accept; there is a problem• Get educated• Get a physical• Control the leaks in the dam• Have intention to get off the “bandaids”• Follow up/second opinion/speak your mind• Get more educated

Page 13: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

How to use alternative medicine

• Get educated• Get referral• Be judicious in integrating• Reassess results in feeling• Reassess results in labs

Page 14: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Start right…..

Page 15: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

More than just cleaning the out the plumbing

Page 16: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Driveway to Highway

Page 17: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Pancha Karma

Page 18: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Even the ancients “jumpstarted”

Page 19: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Nutrition

Movement

Grounding

We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.

First Health Associates

2010 S. Arlington Heights RdLL Suites

Arlington Heights, IL

Ric Saguil, MD

Page 20: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Nutrition• Average American diet stinks• Mediterranean diet shines• Low caloric intake works (non sustainable)

• Mindful eating empowers and supports

Page 21: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Diet Diet Diet

• Nutrisystems works to get the weight off and keep it off

Page 22: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Celebrity Power!!

Page 23: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Look Familiar?

Page 24: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Don’t think diet, think Optimal Nutrition

• Longevity = low calorie• Longevity = Okinawa diet, Mediterranean diet

• Vegetables and Fruits• Legumes• Healthy oils/fats(O3)• Fish

Processed foodBeef and porkHigh O6Low fruits and veggiesNo fiber

Page 25: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Seek Help

• Life Coach• Nutritionist• Registered Dietician• Naturopath

Why?....

Page 26: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Old school: Eating “right” Calorie counting Simple and complex carbs

Food tech – Immobility –

50 years of stress -

Modern Prob:

Page 27: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Absorption of the carbohydrate

Page 28: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Willpower vs high tech foods?!?(1/3 the reason why the US is 1/3 obese)

Page 29: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Whole Foods for whole foods

Page 30: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Hormone waves

Page 31: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Stress and eating

Page 32: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Insulin Dumping/Cortisol dumping

Page 33: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Control the waves with balance

Page 34: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Balanced diet

• Low GI - GL• High fiber• Fruits and veggies 7-10• Low processed food• Healthy fats• Proper ratio of macronutrients

Page 35: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

DrRic’s MRE (meals ready to eat)

Page 36: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

DrRic’s special mentions

• Nutritional deficiency is inherent • To compress the time frame-maximize healing Omega3, Vit D, MVI (+)• Disease/age specific supplements Glucosamine Sulfate,Tumeric• Topical botanicals/plant essentials • Environmental Working Group The clean 15/the dirty dozen

Page 37: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Movement“……I felt like I was wearing a cement suit.”

Fibromyalgia, Chronic Fatigue Syndrome, Depression, Parkinsons Ds, Rheumatoid

Arthritis, PCOS,……all have components of “stiffness” to presentation.

Chicken or Egg?

Page 38: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Walk to Move!

• Even a child could do it• Accessible anywhere• Low and slow (go long!)• Journal success

Page 39: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Benefits:Emotionally a high impact procedureGets you ready for the class reunionSuccess in numbersTangible results Risks:

DangerousNot natural (weight loss)Short term successRisks proportional to the speed

Page 40: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

DrRic’s Healthy Choices

• Breath- core/lung conditioning +++• Flexibility• Endurance (relative)• Strength +/-• Personal Interests +++• Push the cardio limits (medically cleared first)• Accountability to someone other than self

Page 41: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Seek and ye shall find

• Running groups (CARA)(Dick Ponds)• Bike clubs (cycle shops)• Park District events (short enrollment)• Local college/school (quarters)• 10 buck a month clubs (no frills)• Yoga studios (check for community classes)• Try the Tri’s even with disease-movement and nutrition =

First Line Tx

Page 42: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

How to measure success?220 – age x 80%

Long Term

Page 43: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Use the Jump Start as a Sling Shot to Success

Page 44: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Grounding• 4-7-8 breathing• Yoga breathing (pranayama)• Meditation• Guided imagery• Behavioral health care/MBSR• Cultivating “The Relaxation Response”

Page 45: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Fight the Frazzled Robert Epstein

• Avoidance• Source management• Relaxation• Thought management

Stress Managing Competencies

Page 46: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Stress Response vs Relaxation Response?

(SR only dominates for individual survival, RR is supposed to dominate for species survival)

Page 47: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Remember-Stress and eating

Page 48: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Practice Practice

• DVD/CD• Local event(Yoga studios, Theosophical Society, Infinity Foundation)

• Destination events (The Chopra Center, BHI Harvard)

• Counseling (LCPC, Psychologist, Social Worker, Pastor, EAP)

• 30 minutes twice a day for 21 days

Page 49: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Andy Weil speaking of 4-7-8 breathing..search my youtube upload above title

5-10 minutes at the start and end of your day for 21 days

Page 50: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Even FedEx is doing it

Flexibility or Grounding?

Page 51: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

DrRic’s Get help/Give help

• Passing on positive energy is great for the planet

• Testimonials empower others to change• Verbalization of planning steps entrains the

brain to repeat with ease• We are a species that has compassion

hardwired…so it naturally feels great to give (push that serotonin)

Page 52: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Movement

Nutrition

Grounding

We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.

First Health Associates

2010 S. Arlington Heights RdLL Suites

Arlington Heights, IL

Ric Saguil, MD

Page 53: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Role of the MD

• Review numbers• Determine Risk/Diagnose problems (current and future)

• Note weaknesses and embrace strengths• Suggest movement activity (calendar plan)

• Oversee team care plan (refer to PT, EP or Chiro)

• Nutrition consult• Behavioral health consult• Special Mention: TCM and Ayurveda

We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.

Page 54: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Pay now or pay later

Silent and sudden heart attack

Unexpected stroke

Kidney failure from chronic high blood pressure

Page 55: DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

Q & A

We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.

Next Lecture:Pioneer Park, Arlington Heights

Managing Holiday Fatigue….an Integrative Medicine Approach

Sat. January 21st 11:00-12:00noon(847) 593-3330

QUESTIONS?

COMMENTS?CONCERNS?