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Monday, June 25, 2012
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Obesity affects everyone due to lost productivity, absenteeism & health care notes Robert Lustig, MD
"Why should you care [about obesity] if you're not fat?" asks Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 7).
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Obesity affects national security notes Robert Lustig, MD
"Three (3) Surgeon Generals and the Chairman of the Joint Chiefs of Staff have declared obesity a threat to national security because people who try to join the armed forces are turned away because of obesity," notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 7).
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Obesity affects economic balance notes Elissa Epel
"Even if you're not obese, you are dramatically affected by obesity in every way by our society having an epidemic of obesity, and it's affecting the economic balance… It's almost like an energy balance on an individual level that has gone to a societal level that permeates both economic and environmental medium that we all live in and are affected by on a daily basis," notes Elissa Epel from the Center for Obesity Assessment, Study and Treatment, University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 7).
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Obesity is the result of biochemical forces which cannot be controlled notes Robert Lustig, MD
"One thing I do know is that we cannot control behavior. We never have, and we never will," notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 7).
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Obesity is the result of biochemical forces which cannot be controlled notes Robert Lustig, MD
"When it comes down to it, our hardwiring, our evolutionary biology that determines our survival and our energy balance, it overrides our… will in many cases, and obesity is a perfect example of that because when people get in front of a highly-palatable food environment, the brain sends the strongest signals it has for us to quickly and impulsively to eat that highly-palatable food" notes Elissa Epel from the Center for Obesity Assessment, Study and Treatment, University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 7).
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When something like sugar which is toxic and abused, we need public policy notes Robert Lustig, MD
When something like sugar or alcohol or heroin or cocaine is toxic and is abused, we must have public policy to curb its use notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 7).
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Wednesday, June 20, 2012
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Stress causes the same signals as famine and makes us crave dense calories notes Elissa Epel
"Stress causes the same signals that famine does. Stress makes us hungry. Stress turns on the brain pathway that make us crave dense calories," notes Elissa Epel from the Center for Obesity Assessment, Study and Treatment, University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 6).
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Stress makes us crave high-fat, high-sweet, high-salt foods notes Elissa Epel
"[W]hen we are stressed, we tend to choose less healthy choices, high-fat, high-sweet food… or high-salt, and it is those 3 that rewards the brain, and to a stressed brain, they are even more rewarding," notes Elissa Epel from the Center for Obesity Assessment, Study and Treatment, University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 6).
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Reducing stress and reducing cortisol, reduced belly fat notes Elissa Epel
A study that helped people reduce stress, reduced belly fat notes Elissa Epel from the Center for Obesity Assessment, Study and Treatment, University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 6).
The program they followed is described below.
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Tuesday, June 19, 2012
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Stress is one of the most reliable predictors of early-onset obesity and early death, Elissa Epel
"One of the biggest, most reliable predictors of early-onset [obesity] and [death] is through the stress pathway," notes Elissa Epel from the Center for Obesity Assessment, Study and Treatment, University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 6).
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Epidemic of obese 6-month-olds because of what their mothers ate when they were pregnant, Dr. Lustig
We have an epidemic of obese 6-month-olds because of what their mothers ate when they were pregnant notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 5).
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Birth weights have been increasing worldwide over the past 25 years due to mother’s diet, Dr. Lustig
Birth weights have been increasing over the past 25 years, and so has the number of mothers who gain a large amount of weight during pregnancy which is the cause of the increasing birth weights notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 5).
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Birth weights have been increasing worldwide over the past 25 years due to mother’s diet, Dr. Lustig
"[In] 2009 to 2010, we saw a decline in [average] lifespan of 3 months. This is the first time in history of the world where lifespan started to go down rather than up," notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 5).
[Over the past hundred years or so, lifespan has been increasing by roughly one month for every year, or an increase of one year every 12 years.]
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Wednesday, June 13, 2012
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Sugar consumption leads to tolerance & addiction in the brain just like nicotine and heroin, Lustig
Sugar consumption causes dopamine to be released in the pleasure center of the brain, but after 3 weeks, a tolerance builds up to this which is exactly the same thing that happens with all addictive and abused drugs including heroin, cocaine, morphine, nicotine, alcohol and cannabis notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 4).
This causes you to develop a tolerance to feeling good when eating it, and then feelings of withdrawal when you stop eating it.
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Overexposure to food like McDonald’s can blunt reward systems in the brain notes Elissa Epel
"Addiction is a strong word, but it might be a really helpful word to push us to recognize the power of certain food on the brain," notes Elissa Epel from the Center for Obesity Assessment, Study and Treatment, University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 4).
"There is some evidence that becoming obese does blunt that reward system, so we do know that overexposure to [foods such as] McDonald's can cause those brain changes."
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‘Food can be just like a drug to certain people’ notes Elissa Epel
"Food can be just like a drug to certain people who have a certain disposition to addiction," notes Elissa Epel from the Center for Obesity Assessment, Study and Treatment, University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 4).
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No one chooses obesity; obesity chooses them notes Robert Lustig, MD
"No one chooses obesity, obesity chooses them," notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 4).
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Developing compulsive eating and food addiction reflects changes in the brain notes Elissa Epel
"Developing compulsive eating and maybe food addiction reflects some real changes in the wiring of our brain, and that's a scary thought, that becoming obese has changed us forever," notes Elissa Epel from the Center for Obesity Assessment, Study and Treatment, University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 4).
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Tuesday, June 12, 2012
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Sugar down-regulates receptors in the reward center in the brain, Robert Lustig, MD
"This data has come out in... the last 5 years, [that] sugar specifically down regulates [reduces the number of receptors] the same [dopamine] receptors... in the reward center [of the brain] as does all of these other addictive, abusive compounds [including heroin, cocaine, morphine, nicotine, alcohol and cannabis -- every single drug of abuse -- and it occurs with sugar, too.,]" notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 4).
This causes you to develop a tolerance to feeling good when eating it, and then feelings of withdrawal when you stop eating it.
Lustig notes that this takes about 3 weeks to occur.
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Monday, June 11, 2012
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Excess insulin blocks leptin in the brain, stores more fat and leads to weight gain, Lustig, MD
High levels of insulin, caused by eating "the industrial, global diet" which includes too much sugar, causes the body to store more calories as body fat, which starves muscles cells, and makes you feel tired and hungry, and therefore you eat more to compensate for this, leading to weight gain notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 3). This is the vicious cycle that is the cause of the obesity epidemic of the last 30 years notes Lustig.
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Telling people to eat less and exercise more does not work notes Robert Lustig, MD
“The one thing that we know, categorically, that can mitigate metabolic diseases is reduction in calories,“ notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 3).
"That's why your doctor says, 'Eat less, exercise more,'... the problem is, it can't be done," says Lustig.
"It's not doable. There are reasons, biochemical reasons, why it's not doable that have to do with new hormones that have just been discovered."
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If a food contains more than 5 ingredients, there is probably not much real food in it, Elissa Epel
“If there are more than 5 ingredients, it is probably a processed food, and there is probably not much real foods in there,“ notes Elissa Epel from the Center for Obesity Assessment, Study and Treatment, University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 2).
In other words, if you are struggling with your weight or interested in your health, avoid these foods.
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It is almost impossible to buy packaged foods without getting a lot of extra sugar, Elissa Epel
“It is almost impossible to buy those packaged foods without getting a lot of extra sugars that are going to be toxic for your metabolism,“ notes Elissa Epel from the Center for Obesity Assessment, Study and Treatment, University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 2).
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‘We have created a toxic [food] environment,’ that damages mitochondria and makes you sick, Lustig
"We have created a toxic [food] environment," that is damaging our mitochondria and is making us sick, notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 2).
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Wednesday, June 06, 2012
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When you add sugar to processed food, you kill it, and it’s killing us says Robert Lustig MD
"When you add sugar to processed food, you kill it, and it's killing us" says Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in a 7-part video series called "The Skinny on Obesity" (Episode 2).
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The diseases of alcohol are the same as the diseases of sugar and obesity notes Robert Lustig MD
"If you look at the diseases of alcohol, and you look at the diseases of sugar and obesity, they are the same," notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in a 7-part video series called "The Skinny on Obesity" (Episode 2).
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Fructose is a chronic, dose-dependent, liver toxin just like alcohol notes Robert Lustig MD
"Alcohol is metabolized to fat, and so is fructose, driving more liver fat then it can export, you get more insulin resistance, which drives the pancreas to make extra insulin, driving energy deposition into fat cells [increasing body fat], driving your weight gain, and the extra insulin is driving high blood pressure, driving heart disease, driving cell division which leads to cancer, driving changes in the brain that lead to dementia. Driving every single one of these diseases," notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in a 7-part video series called "The Skinny on Obesity" (Episode 2).
"When the pancreas can't make enough insulin, and it burns out, it drives diabetes as well."
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Fructose is a chronic, dose-dependent, liver toxin just like alcohol notes Robert Lustig MD
"Fructose is a chronic, dose-dependent, liver toxin, which is just like alcohol," notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in a 7-part video series called "The Skinny on Obesity" (Episode 2).
"In fact, fructose, the sweetheart of sugar, is more like alcohol than it is anything else."
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Glucose and fructose are very different, only the liver can metabolize fructose, Robert Lustig, MD
"Glucose and fructose are very different, " notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in a 7-part video series called "The Skinny on Obesity" (Episode 2).
He notes that every organism on the planet can absorb and metabolize glucose, but only the liver can metabolize fructose, which, when we consume too much fructose, overloads the liver and causes numerous chronic diseases.
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Fructose, which is very sweet, is the thing in sugar we crave notes Robert Lustig, MD
"Sugar is made up of molecules, glucose, which is not very sweet and not very interesting, and fructose, which is very sweet and very interesting. Fructose is the thing that we crave," notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in a 7-part video series called "The Skinny on Obesity" (Episode 2).
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When you put fat and carbohydrate together, they don’t work notes Robert Lustig, MD
"When we started putting fat and carbohydrate on the same plate in the 1700's, we became gourmets," notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in a 7-part video series called "The Skinny on Obesity" (Episode 2).
"In the 20th century, when we started putting fat and carbohydrate in the same food, we became 'gourmands'."
"It's when you put fat and carbohydrate together, but they don't work."
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Global calorie intake increased 8% from 1985 to 2010, diabetes increased 7.3-fold, Robert Lustig MD
The average global calories consumed per day has increased by 8% from 1985 to 2010, up from 2655 calories per day in 1985 to 2866 calories per day in 2010, and increase of 211 calories per day, notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in a 7-part video series called "The Skinny on Obesity" (Episode 2).
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Thursday, May 17, 2012
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If obesity is due to gluttons and sloths, how do you explain obese 6-month-olds? Robert Lustig, MD
The obesity epidemic of the last 30 years is not simply due to gluttony and sloth says Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in a 7-part video series called "The Skinny on Obesity" (Episode 1). The example he gives to prove that it is more than this is when he asks how do you explain obese 6-month-olds? They don't diet and exercise.
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We have to look at societal and environmental forces that are shaping obesity, Elissa Epel
"We have felt like it's the individual's responsibility to keep their energy balanced, to eat the right amount and stay the right weight, that when something goes wrong like the majority of the population becoming overweight, we have to question that model," says Elissa Epel from the Center for Obesity Assessment, Study and Treatment, University of California, San Francisco in the 7-part video series called "The Skinny on Obesity" (Episode 1).
"We have to look at the forces outside ourselves, these huge societal and environmental forces that are shaping obesity."
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A calorie is not a calorie says Robert Lustig, MD (fructose is the problem)
"A calorie is not a calorie," says Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in a 7-part video series called “The Skinny on Obesity” (Episode 1).
Lustig believes that excess calories from fructose are causing the problems.
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The numerous factors causing obesity: food, HCFS, estrogens, antibiotics, intrauterine environment
There are numerous factors influencing obesity notes Elissa Epel from the Center for Obesity Assessment, Study and Treatment, University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 1).
"Is it the excess of food?
"Is it the high fructose corn syrup?
"Is it the antibiotics were taking?
"Is it the estrogens?
"Is it different hormones and hormone mimickers?
"Is it the intrauterine environment?
"All of these factors play a role.
"It is not just one thing.
"If it's one big thing, it's our food environment," Epel notes.
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There are over 24,000 new food items that enter the marketplace every year notes Barbara Laraia
There are over 24,000 new food items that enter the marketplace every year notes Barbara Laraia from the Center for Obesity Assessment, Study and Treatment, University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 1).
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Sleep patterns, stress, how we feed our animals, and nutrients in our soil affect obesity
Regarding the obesity epidemic of the last 30 years, “There is the issue of sleep patterning, stress, how we feed our animals, the nutrients in our soil. There are are a of different issues at play,“ notes Barbara Laraia from the Center for Obesity Assessment, Study and Treatment, University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 1).
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In 1977 the US set a goal of reducing fat consumption from 40% to 30% of calories
In 1977, the US made a goal of reducing dietary fat from 40% of calories to 30% of calories, and we achieved that goal notes Robert Lustig, MD, pediatric endocrinoligist from the University of California, San Francisco in a 7-part video series called "The Skinny on Obesity" (Episode 1). However, the problem is that the total number of calories, and specifically carbohydrates, and especially sugar, has gone through the roof (and that's the problem.)
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Nearly all packaged foods contain extra sugar which is toxic to your metabolism says Elissa Epel
“It is almost impossible to buy packaged foods without getting a lot of extra sugars that are going to be toxic for your metabolism,“ notes Elissa Epel from the Center for Obesity Assessment, Study and Treatment, University of California, San Francisco in the 7-part video series called “The Skinny on Obesity” (Episode 1).
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