If you’re a teen looking for help with weight loss, or if you’re a parent looking to help your child, we’d start with our HEROES (Healthy Eating with Resources, Options, and Everyday Strategies) Weight Management Clinic. This clinic is dedicated to treating weight gain and weight-related health risks in children. HEROES is the only medically managed program of its kind in the Omaha area.
The FDA just approved a first-of-its-kind pacemaker-like weight loss device called the Maestro Rechargeable System, which helps suppress appetite by sending electronic pulses to the nerve of the body that communicates hunger to the brain. Though less invasive than bariatric surgery, the device does require an hour-long outpatient surgery to implant the device in the patient's abdomen. Since it's not yet widely available, and weight loss results aren't nearly as impressive as bariatric surgery, it may not replace your need for bariatric surgery; still, it could be a good option for severely obese patients who need help getting to a weight where they can safely undergo bariatric surgery, or for those who need help with post-surgery weight control, so it's worth discussing with your doctor.
A study published in the Journal of Research in Medical Sciences demonstrated that consistent green tea consumption increases metabolism and leads to weight loss. The study divided 63 participants into three groups. The first was a placebo, the second group consumed 2 cups of green tea every day and the third group consumed 4 cups of green tea every day. After 2 months, researchers found that the group that consumed 4 cups of green tea a day showed a significant decrease in body weight, body mass index and waist circumference (1).
Exenatide (Byetta) is a long-acting analogue of the hormone GLP-1, which the intestines secrete in response to the presence of food. Among other effects, GLP-1 delays gastric emptying and promotes a feeling of satiety. Some obese people are deficient in GLP-1, and dieting reduces GLP-1 further.[43] Byetta is currently available as a treatment for Diabetes mellitus type 2. Some, but not all, patients find that they lose substantial weight when taking Byetta. Drawbacks of Byetta include that it must be injected subcutaneously twice daily, and that it causes severe nausea in some patients, especially when therapy is initiated. Byetta is recommended only for patients with Type 2 Diabetes.[44]

In order to transition and remain in this state, aiming for about 30–50 net grams is typically the recommended amount of total carbs to start with. This is considered a more moderate or flexible approach but can be less overwhelming to begin with. Once you’re more accustomed to “eating keto,” you can choose to lower carbs even more if you’d like (perhaps only from time to time), down to about 20 grams of net carbs daily. This is considered the standard, “strict” amount that many keto dieters aim to adhere to for best results, but remember that everyone is a bit different.


The concentration of EGCG—the superpotent nutrient found in green tea—may be as much as 137 times greater in powdered matcha tea. EGCG can simultaneously boost lipolysis (the breakdown of fat) and block adipogenesis (the formation of new fat cells). One American Journal of Clinical Nutrition study found that men who drank green tea containing 136 milligrams of EGCG—what you’d find in a single 4-gram serving of matcha—lost twice as much weight than a placebo group and four times as much belly fat over the course of three months

About 85 percent of patients who undergo Roux-en-Y Gastric Bypass (RNYGB) surgery will experience extreme bouts of diarrhea known as dumping syndrome at some point post-surgery, according to The American Society for Metabolic and Bariatric Surgery (ASMBS). It's usually the result of poor food choices (including refined sugars, fried foods, and some fats or dairy), and can have mild-to-severe symptoms that also include sweating, flushing, lightheadedness, desire to lie down, nausea, cramping, and active audible bowels sounds. Sound like a nightmare? Unfortunately, that's not all: Loose stools, constipation, and embarrassing gas (or as experts refer to it, malodorus flatus) are other common bowel-related complaints after surgery.
In the first week, many people report headaches, mental fogginess, dizziness, and aggravation. Most of the time, this is the result of your electrolytes being flushed out, as ketosis has a diuretic effect. Make sure you drink plenty of water and keep your sodium intake up.6One of the fathers of keto, Dr. Phinney, shows that electrolyte levels (especially sodium) can become unbalanced with low carb intake.
On a ketogenic diet, your entire body switches its fuel supply to run mostly on fat, burning fat 24-7. When insulin levels become very low, fat burning can increase dramatically. It becomes easier to access your fat stores to burn them off. This is great if you’re trying to lose weight, but there are also other less obvious benefits, such as less hunger and a steady supply of energy. This may help keep you alert and focused.
How Beachbody On Demand works: You’ll get access to hundreds of fitness videos for strength-training, cardio, yoga, dance, mixed martial arts and more. Watch them on your phone, tablet, computer or smart watch, or stream through Chromecast or Apple TV, where you can view your heart rate zones and calorie burn in real time. Videos are also available for download to access offline. Includes popular workouts like P90X, Core de Force, Body Beast, 21 Day Fix, PiYo, plus exclusives like Shaun T’s CIZE: The Next Level dance workout, and Fixate, Autumn Calabrese’s cooking show. Most workouts are about 30 minutes or less.
Every tea has its own special weight-loss powers, but if your boat is sinking and you can only grab one package of tea before swimming to the deserted island, make it green tea. Green tea is the bandit that picks the lock on your fat cells and drains them away, even when we’re not making the smartest dietary choices. Chinese researchers found that green tea significantly lowers triglyceride concentrations (potentially dangerous fat found in the blood) and belly fat in subjects who eat fatty diets. Follow these steps to make the perfect cup of green tea!
Because some cancer cells are inefficient in processing ketone bodies for energy, the ketogenic diet has also been suggested as a treatment for cancer.[59][60] A 2018 review looked at the evidence from preclinical and clinical studies of ketogenic diets in cancer therapy. The clinical studies in humans are typically very small, with some providing weak evidence for anti-tumour effect, particularly for glioblastoma, but in other cancers and studies, no anti-tumour effect was seen. Taken together, results from preclinical studies, albeit sometimes contradictory, tend to support an anti-tumor effect rather than a pro-tumor effect of the KD for most solid cancers.[61]
If you’re struggling to lose weight or keep it off in the long run, a weight loss app could help you. Studies suggest that dieters who weigh themselves daily are more likely to lose weight than those who don’t keep track of their weight at all. Weight loss apps help you track your progress, and sometimes have extra features like games, exclusive content and social support. Many weight loss apps use tracking tools to monitor your calorie intake and exercise habits, so it can also be easier to see where you still have room to improve.

• High-protein ketogenic diet — This method is a variant of the SKD. In a high-protein diet, you increase the ratio of protein consumption to 10 percent and reduce your healthy fat consumption by 10 percent. In a study involving obese men that tried this method, researchers noted that it helped reduce their hunger and lowered their food intake significantly, resulting in weight loss.11


In reviewing studies that followed patients for five to 25 years after weight-loss surgery, Dr. Twells and colleagues found major long-lasting benefits to the patients’ health and quality of life. Matched with comparable patients who did not have surgery, those who did fared much better physically, emotionally and socially. They rated themselves as healthier and were less likely to report problems with mobility, pain, daily activities, social interactions and feelings of depression and anxiety, among other factors that can compromise well-being.

Doctors don't use this method as often as they once did, as there are newer, better techniques now. It worked like this: A surgeon cut a hole in the upper part of the stomach and put surgical staples in the stomach toward the top of it, making a small pouch. After that, the surgeon put a plastic band through the hole, wrapping it around the bottom end of the pouch to prevent stretching.  Food moved from the pouch through a small opening to the rest of the stomach.


Russel Wilder first used the ketogenic diet to treat epilepsy in 1921. He also coined the term "ketogenic diet." For almost a decade, the ketogenic diet enjoyed a place in the medical world as a therapeutic diet for pediatric epilepsy and was widely used until its popularity ceased with the introduction of antiepileptic agents. The resurgence of the ketogenic diet as a rapid weight loss formula is a relatively new concept the has shown to be quite effective, at least in the short run.
Mental health problems, such as depression and anxiety, are a concern before and after surgery. Most people feel better about themselves after weight loss surgery, but some may continue to struggle. It is important for people who have had weight loss surgery to follow up with their mental health professional and get help if they feel overwhelmed or sad, or have other emotional concerns.

I’m following the ketogenic diet and I find it very easy, pleasant and varied. I can even say that my diet today is more varied than the previous one. I do not intend to leave this diet and I cannot really see why. My initial focus was not to lose weight, I’ve always been lean, but to feel better, well disposed. And I got it! I am very pleased, I have read a lot about it (including scientific literature) and I have influenced other people who need to lose weight or improve some aspects of their health. But from the beginning I went on my own way, without the help of a nutritionist because I did not want to suffer the influence of others’ ideas.
Another weight-loss tea bursting with ECGC? Green tea. The combo of caffeine and ECGC found in the tea has been found to help you lose weight and keep it off, per a meta-analysis on 11 studies in the International Journal of Obesity. It does have less caffeine than black tea, making it easier to sip any time of day without having an effect on your sleep later that night. (Check out these other astounding benefits of green tea.)
In part, keto diet weight loss is a real thing because high-fat, low-carb diets can both help diminish hunger and boost weight loss through their hormonal effects. As described above, when we eat very little foods that supply us with carbohydrates, we release less insulin. With lower insulin levels, the body doesn’t store extra energy in the form of fat for later use, and instead is able to reach into existing fat stores for energy.

Please fax your completed form to 402-955-4078. Our staff will contact families to invite them to an informational meeting about our program. The meeting will offer time for questions and an opportunity to schedule an initial HEROES Clinic appointment if desired. If our staff is unable to contact the family, we will keep the referral on file for one year.


Dr. Campos, it is so discouraging to see that you disparage the ketogenic diet based on your assumption that it is very heavy in poor quality processed meats. No diet that relies on processed foods can be viewed as “healthy”. Become better informed by getting up to speed with what Jeff Volek, RD, PhD, calls a “well-formulated ketogenic diet.” Also, learn more about the potential of the diet to slow cancer progression (my specialty). You owe it to your patients who are depending on you for advice. Present them with facts, not opinions.
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 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.
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