By Paula Hendricks - Nutritionist on August 4, 2010
FROM THE DOCTOR – Ed J. Hendricks, M.D.
New Obesity Drug Approval
Last month, Dr. Hendricks attended the FDA Endocrinologic and Metabolic Drugs Committee meeting in Washington, DC., as a voting member in recommending approval of a new drug called Qnexa, a fixed dose combination of phentermine and topiramate for weight loss and maintenance. His summary below:
“In the next to last step in the FDA new drug approval process, the FDA convenes a panel of experts to review clinical trial data and advise the FDA whether or not to approve. In an all day session, the panel reviews data presented by the FDA and by the drug company applying for approval. At the end of the day, the panel members vote “Yes” to recommend approval or “No” to recommend no approval. On July 15, I served on the panel that considered the new drug application for Qnexa.
The clinical trial data presentations were very convincing that Qnexa is both effective and safe. I voted “Yes.” Unfortunately the vote was 6 “Yes” to 10 “No,” a split vote giving the FDA a mixed message. FDA staff will take the panel’s advice into consideration in the next few months before issuing their decision by October 28.
The majority of experts on the advisory panel, as is typical, were either government or university staff and not actively treating obesity. They gave scant attention to the effectiveness of Qnexa focusing on what I thought were largely theoretical safety issues. Phentermine has been in use since 1959 and topiramate has been used for treating epilepsy since 1996. In spite of the fact that the adverse side effects of both drugs are well known after having been used widely for 51 and 14 years respectively, the majority of the panelists were afraid that some new unsuspected side effect might appear with Qnexa. The FDA staff, perhaps having better common sense, may still approve the drug.”
THE NUTRITIONIST – Paula Hendricks, BS, Nutritionist-C
“Make your food your medicine.” Hippocrates
You get up in the morning, fill a glass with water, take your prescription medications for hypertension, diabetes, arthritis, and high cholesterol, and follow it up with a bowl of high fiber cereal, fruit, and toast – just like the doctor ordered. Your doctor has recommended a high fiber diet, and reduced your intake of fat and red meat in the hope that these, along with the medications will get your hypertension, diabetes and cholesterol under control. He hopes you will lose weight on this regimen and your arthritis will diminish as well. Fast forward three years. You are still on your meds, you have gained more weight, and you are frustrated. What is wrong with this picture?
In the absence of a diet with optimum intake of animal protein, less carbohydrate than protein, adequate fat, and proper supplementation of vitamins and minerals, your body will never respond the way you want it to. Your illnesses will not go away, your doctor will recommend more medications at ever higher doses and you will not feel as young, healthy, and full of energy as you should. As Hippocrates said, “make your food your medicine.” We advise you to eat protein every day at every meal and snack, to eat fat to help absorb the nutrients from the food, and to choose healthy, fresh, low-glycemic carbohydrates. Choose the right medicine for your body – good food.
Recipe of the Month – Vegetable Medley: For those of you fortunate enough to have fresh summer squash growing in your backyard this summer, or able to visit a farmer’s market, you will love this recipe. A friend made this for us, and I knew this would be a recipe to share with patients. The medley makes a great side dish with a lean protein serving, for a picnic, or poolside party. This meal can be enjoyed on any of the Key Diets. Pick up a copy in the office today or download at our website.
30 gram Protein Recipe – Cereal with Vanilla Milk: Miss cereal with milk for breakfast? Try a package of Cinnamon Vanilla Protein and one carton of Vanilla RTD in a bowl together.
By Paula Hendricks - Nutritionist on July 1, 2010
PRODUCTS & SPECIALS
FROM THE DOCTOR – Ed J. Hendricks, M.D.
Dr. Hendricks has been invited to attend, as a voting member, the FDA Endocrinologic and Metabolic Drugs Committee meeting this month in Washington, DC. He is very excited and as always, committed to representing his patients and their needs for continued health and wellness. Stay tuned for a summary.
FROM THE NUTRITIONIST – Paula Hendricks, BS, Nutritionist-C
“We are what we repeatedly do. Excellence, then, is not an act, but a habit.” Aristotle
If only we had to eat well once in a while and could still lose weight and be healthy. We would all excel if that were possible – but it is not. However, we do know that setting goals, applying them to your daily life, thinking positively, and never giving up works – you have to commit, repeatedly. This week is a perfect time to revisit your goals for the year and reassess them. June 30th is the end of the first half of this year and July 1st we begin the second half. Do you need to restart or recommit to your New Year’s resolutions and goals?
If you have reached a goal or a still working on one, commend yourself and continue forward, repeatedly, day in and day out. Daily commitment can produce excellence and the only way to instill new habits into your life until they become second nature. Don’t fret if you have strayed or stumbled; get up, dust yourself off, and get back on the right track. It’s always a good time to recommit and continue learning and growing – never give up. As always, we are here to help you achieve excellence.
Protein Recipe – Mocha Peanut Butter Shake: In a blender, mix 8 oz. of cold water, a mocha protein powder drink, and 1-2 teaspoons of “Natural-style” peanut butter. Blend. Add 6 ice cubes, blend again. Delicious.
Recipe of the Month – Grilled Chicken Salad with Grapes and Apples: This is a delicious cool summer salad that you can take to a picnic, serve up poolside, or enjoy on a warm summer night. I usually grill the chicken the night before, let cool, and refrigerate for assembly the next day. I cook the chicken either outside on a grill or indoors using a cast iron skillet. For those of you on the VLCD, omit the fruit and replace with chopped celery, cucumber, tomatoes, or sweet red onions. Pick up a copy in the office today or download at our website under Recipe of the Month.
Did You Know – Early Summer 2010 – Not All Recipes that state they are healthy and high in protein are true! - Pick up a copy of this eye-opening recipe that I received from an online health/exercise source. The recipe states it is a healthy, high protein treat. Healthy? Mostly. High protein? No. There are twice as many carbohydrates than protein per serving. Always read labels. You can also download on the website under Did You Know?
By Paula Hendricks - Nutritionist on May 4, 2010
PRODUCTS & SPECIALS
FROM THE NUTRITIONIST – Paula Hendricks, BS, Nutritionist-C
The Secret of Making Dreams Come True: As Walt Disney said, “The secret of making dreams come true can be summarized in four Cs. They are Curiosity, Confidence, Courage and Constancy, and the greatest of these is Confidence.” When you believe in something, believe in it wholeheartedly, implicitly, and unquestionably.
As you embark on the path to health and wellness, remember the importance of the four Cs:
New Protein Recipe – Chai Tea Vanilla Latte: Take two Chai tea bags and steep them in 1/4 cup very hot water for about 5 minutes. Pour one Vanilla RTD (room temperature) into a mug and heat in microwave for about 30-45 seconds, depending on your microwave. Once tea is ready, pour into the warmed vanilla and stir. Also tastes great over ice.
Recipe of the Month – Light Tomato & Basil Infusion over Chicken: Who doesn’t love a delicious Italian flavored dish? With just a few ingredients, you can make this simple dish any night of the week but it is elegant enough to serve as a special meal. I like to serve it with a side of spaghetti squash and an Arugula salad. Enjoy.
By Paula Hendricks - Nutritionist on April 9, 2010
PRODUCTS & SPECIALS
FROM THE DOCTOR – Ed J. Hendricks, M.D.
Phentermine Therapy in Obesity Treatment and its Effect on Blood Pressure
Shibboleths, ideas everyone knows are true but for which the evidence suggests the opposite concept, abound in modern society.
Medicine too has its shibboleths. One of these is that phentermine treatment produces increases in blood pressure. Almost any doctor will tell you to not take phentermine because it will make your blood pressure go up. However, our 20 years of experience has been that the opposite is true – we typically see decreases in blood pressure in our patients on phentermine.
Frustrated with the constant repetition of this conjecture, we undertook a research study to investigate whether phentermine treatment in an obesity treatment program had any impact on baseline blood pressure and heart rate in 300 consecutive patients, 269 of whom were treated with phentermine for as long as 13 years. Of the 300 patients, 32% had hypertension, 54% were pre-hypertensive and 14% had normal blood pressure.
Our findings:
We conclude that weight loss typically produces lowered blood pressures and that phentermine has no direct impact on blood pressure or heart rate. Phentermine treatment improves long-term success and therefore assists indirectly in lowering blood pressure. Dr. Hendricks intends to publish the study and present it at national medical meetings.
FROM THE NUTRITIONIST – Paula Hendricks, BS, Nutritionist-C
Recipe of the Month – Buttermilk Bleu Cheese Dressing.
This is a delicious dressing, especially when you make it one day ahead. I usually make this dressing at the beginning of the week and use it on salads or as a vegetable dip. I like to use Point Reyes Bleu Cheese found at Safeway and Raley’s or the Buttermilk Bleu Cheese from Whole Foods.
I like to use the remaining buttermilk for marinating chicken. I take thin-sliced chicken breasts, put them in a container, and cover them with 1-2 cups of buttermilk (depending on how many chicken breasts you have), the juice of a half of a lemon, some fresh minced garlic, and the Made in Napa Valley Meritage Blend. I let it marinade for about 20 minutes or even overnight. This marinade makes the chicken very tender and gives it a tangy taste that works well with a salad and the buttermilk bleu cheese dressing to make a complete meal. Enjoy on any of the Key Diet plans. Download from our website or pick up a copy in the office.
By Paula Hendricks - Nutritionist on March 3, 2010
PRODUCTS & SPECIALS
FROM THE DOCTOR – Ed J. Hendricks, M.D.
What’s all the talk about the latest diet craze using HCG? Maybe a friend has told you about it or you read about it somewhere. What is it and does it help with weight loss?
HCG, Human Chorionic Gonadotropin, is a hormone produced by the placenta during pregnancy, and is not the latest, greatest weight loss product on the market today. In fact, it was first introduced for weight loss by Dr. A. Simeons back in 1954, who believed that the HCG hormone accelerated weight loss and suppressed hunger. He combined daily injections of HCG with a prescribed diet – a diet now known to be dangerously low in protein intake. This nutrient poor diet was actually a starvation diet. While it is true starvation diets produce rapid weight loss, much of what is lost is muscle – not a healthy way to lose weight.
The Simeons method was wildly popular in California in the 1970s until several clinical trials proved that HCG had nothing to do with the weight loss. Although only a few clinics in the metropolitan Sacramento area seem to be using HCG for weight loss today, in other parts of the country, HCG is becoming extremely popular again. Some of you have asked us if we will carry HCG. My answer. Absolutely not.
The HCG method is a hoax, a dangerous one. We strongly advise against using HCG, in any form, for weight loss and are especially critical of the diet used in combination with the HCG. If you want to know more detail about HCG, read the blog I posted on our website, hendricksforhealth.com, dated December 20, 2009, titled “HCG Treatment for Obesity – HCG and Weight Loss,” or pick up a copy in the office at your next visit.
FROM THE NUTRITIONIST – Paula Hendricks, BS, Nutritionist-C
Recipes and Hand-outs:
By Paula Hendricks - Nutritionist on February 10, 2010
PRODUCTS & SPECIALS
FROM THE PRACTITIONER - Cheryl Mitchell, PA-C, MPAS
Everyone knows thin people have more willpower than overweight people – right?
Have you struggled to control your weight and overeating all your life (or alternatively – since you had kids, since menopause, since an injury – pick one)? Do you wish you had the self-control and willpower to stay thin like (insert name of your example here)? Do you wonder how you can change so you’re as strong as they are?
Let’s reframe the situation. Your has-always-been-thin person above never overeats. They know when they are full and stop eating. Stresses don’t make them hungry – so they eat only when they really need food. Their “appestat” (appetite thermostat) works like it should. Does their “appestat” drive them to eat when their body doesn’t need the food or nutrients? No! So how much willpower do they need to eat only what they need and not more? NONE! They have no desire to overeat. Control comes naturally; they would have to force themselves to overeat. Your has-always-been-thin person stays thin but says nothing about their willpower or strength – they don’t need any willpower to stay thin.
Now let us look at you and your need for willpower. You struggle every day, often all day to eat only what your body needs, but your brain is not satisfied. Your stomach is full, often uncomfortably so, but your mind still says “keep eating”. Sometimes you fight the desire for food successfully, and other times you just can’t stay away from the unneeded food. The desire to eat is there when you are stressed, when happy, when cold…You fight not to eat all the time. Most of the time you resist the urge, but when the urge overwhelms you – you (and it seems like the rest of the world) call yourself weak, and that you have no willpower! Your thin person needs NO willpower to not overeat. You struggle everyday to control your eating – and win much of the time. I ask you – who is showing strength? The person who is never tested, or the person who, while tested all the time, loses occasionally? Give yourself credit for your strength.
FROM THE NUTRITIONIST – Paula Hendricks, BS, Nutritionist-C
In the distant past, perhaps sixty years ago, a series of nutritional research studies were thought to indicate that saturated fat intake could raise LDL “bad” cholesterol levels which in turn were thought to elevate risk for heart disease and stroke. Although not everyone agreed with this interpretation, the notion that eating fat causes coronary heart disease took hold and has been dogma for many years. However, a new analysis recently released in the American Journal of Clinical Nutrition, which reviewed the combined results of over 21 studies regarding cholesterol intake and heart disease, found no clear evidence that higher intakes of saturated fat led to higher risks of heart disease and stroke. Wow, that’s pretty comforting information for steak lovers, right? Don’t expect all the “experts” to promote eating red meat and high fat dairy products right away.
So what do we think about this new analysis and how does it affect what we teach our patients? Well, it is not new information to us at all, as evidenced by 20 years of clinical observation within our own practice. We have known for a long time that sugar and other processed carbohydrates were the “bad guys” in the American Diet rather than fat. Consumption of sugar, high carbohydrate processed foods, non-nutritive foods and trans-fat are the real culprits.
We believe that to single out specific nutrients such as saturated fat and ignore the entire diet is a mistake. In the 80s, we were told not to eat fat, in the 90’s we were told not to eat protein, and today, we have told all who would listen not to eat “bad carbs.” Of course, if you look at the Food Pyramid recommended by the FDA today, you’ll see they recommend that you get the majority of your food from carbohydrates, including “bad carbs,” the processed ones. It is confusing at best.
We believe consuming a balanced combination of foods containing all the macronutrients (proteins, carbohydrates, and fats) – animal protein, vegetables, fruits, nuts, and good fats – will reduce your risk of heart disease, stroke and chronic illnesses, promote longevity, and reduce your risk of illness as you age. However, the balanced combination of food we recommend deviates significantly from the “balanced diet” recommended by the FDA. We believe the FDA food pyramid is an out of balance, protein-deficient, essential fatty acid-deficient, high carbohydrate eating style which if consumed long enough, will inevitably induce diabetes, obesity and a host of other chronic illnesses. Just remember when you eat, protein is “good,” fat is “good,” and carbs can be either “good” or “bad.” To stay healthy, we all should learn to recognize and eat the good carbohydrates (vegetables and fruits) and avoid the bad carbohydrates (sugars), processed.
Recipes and Hand-outs:
By Paula Hendricks - Nutritionist on January 6, 2010
PRODUCTS & SPECIALS
FROM THE DOCTOR
Happy New Year! Thank you again for celebrating with us 20 years of helping people get healthy by making positive changes in their lives through nutrition, physical fitness, and the right mindset. As we enter our 21st year, we will continue to offer the best medical care, share the latest medical research in nutrition and caring for the overweight individual, and continue to guide you with your goals for health and wellness. I look forward to seeing you in the office soon.
FROM THE NUTRITIONIST
It’s time! Get your mind right, refocused and ready to start the New Year on the right path. If you’re ready to jump right in, schedule an appointment today, set some goals, and get started. If you’re not ready to get fully started or commit, that is OK too. You are always welcome to come in for a no charge weigh-in and purchase some products to slowly ease back on track. We are here when you are ready. In the meantime, download a copy of the recipe of the month and the latest information about “Think 30!’ Not age, but grams of protein.
By Paula Hendricks - Nutritionist on December 4, 2009
PRODUCTS & SPECIALS
FROM THE DOCTOR You Want to Take my Blood Pressure Again?
Why so many? Beginning in November, the medical assistants have been taking 2-3 blood pressure readings per patient visit. Many of you are asking, “Why did we start doing this?” Well, there are several reasons. First, many patients are nervous when they first arrive at the office, and many have been rushing to make their appointment on time, or are anxious about their weigh-in. In these situations, the first blood pressure reading may be higher than normal. A second reading a few minutes later is often lower. Second, averaging two (or more) blood pressure readings is now the recommended standard of practice for measuring blood pressure in a physician’s office. Our own research has confirmed that a single blood pressure reading is sometimes inaccurate and misleading.
What do the blood pressure numbers mean and what should they be? The higher (systolic) number represents the pressure while the heart contracts to pump blood throughout the body. The lower number (diastolic) represents the pressure when the heart relaxes between beats. Review the chart below to determine your blood pressure category.
| BLOOD PRESSURE CATEGORY |
SYSTOLIC mmHg |
DIASTOLIC mmHg |
| Normal |
<120 |
<80 |
| Prehypertension |
120-139 |
80-89 |
| Hypertension, Stage 1 |
140-159 |
90-99 |
| Hypertension, Stage 2 |
≥160 |
≥100 |
Currently, the experts recommend lifestyle changes and/or weight loss as the only treatment for prehypertension. Patients with Stage 1 or Stage 2 hypertension are typically advised to make lifestyle changes, lose weight, and take anti-hypertensive medications. Untreated elevations in blood pressure are associated with higher mortality. It is now well-known that reducing blood pressure to normal levels extends life-span. This is the major reason a more accurate blood pressure measurement is important for your health.
What change should you expect with weight loss? If your blood pressure is above normal, you should begin to see a decrease in blood pressure with just a few pounds of weight loss. This is true even if you are already on medications to control hypertension. If your blood pressure is normal, less than 120/80 to begin with, you may see only a slight decrease in blood pressure. Of course if your blood pressure goes down with weight loss, it will go right back up if you regain the weight lost. An exercise program will also help to lower your blood pressure. Blood pressures for everyone tend to rise gradually as the years go by so if weight loss lowers your blood pressure, it may go back up with the passage of time even though you maintain your weight loss. If your blood pressure remains above normal, even with weight loss and exercise, we may recommend starting a blood pressure medication.
What about blood pressure medications? If you are on blood pressure medications, you may be able to reduce the dose or discontinue your medications entirely with weight loss. If you begin to experience lightheadedness or dizziness, it may mean your medication dosage should be adjusted. As with any medical concern, always discuss with your practitioner.
FROM THE NUTRITIONIST
By Paula Hendricks - Nutritionist on November 5, 2009
PRODUCTS & SPECIALS
FROM THE DOCTOR
We’re pleased to report that Dr. Hendricks will soon be participating in a cutting edge clinical research project in partnership with staff at the Pennington Biomedical Research Center at Louisiana State University (LSU). The project will investigate circadian blood pressure rhythm (rhythmic biological cycles recurring at 24 hour intervals) in patients newly started on phentermine. Prior research has confirmed that blood pressure varies during the day and night with lowest pressures during early hours of sleep. Normally blood pressure increases in anticipation of arousal, then falls after awakening only to rise again at intervals during the day.
The LSU researchers have shown that some overweight individuals have abnormalities in this rhythm. We will be looking for evidence to support the hypotheses: circadian blood pressure rhythm abnormalities in overweight patients improve with weight loss.
In a prior, still ongoing study, we found no evidence that phentermine directly induces blood pressure changes and that blood pressure falls with weight loss. In the new study, we’ll also be looking for evidence to show that phentermine therapy doesn’t change an individual’s normal circadian blood pressure rhythm and that abnormal rhythms in obese patients improve when weight loss is enhanced with phentermine therapy.
Participating patients will wear an Ambulatory Blood Pressure Monitor which will record blood pressure every 30 minutes during the day and every hour during sleep for one week before starting their weight loss program, for one week early in the program after phentermine is started, and finally for one week after 12 weeks of weight loss. We anticipate a study report will eventually be published in a peer-reviewed medical journal.
This research is another in a series of investigations, dubbed by Dr. Hendricks as “The Phentermine Rehab Project,” intended to publish evidence of the safety of long-term therapy, and to refute long-standing phentermine safety concerns of the FDA and uninformed physicians, hopefully thereby countering governmental restrictions on the uses of weight loss medications.
According to Dr. Hendricks “Phentermine is the safest and most cost effective anti-obesity drug on the market today. It’s a shame its’ use has been marginalized because physicians fear governmental criticism and reprisals for prescribing it.”
FROM THE NUTRITIONIST
– Ingredients: one packet Tex Mex Chili Protein Packet, 10 protein grams of diced Canadian bacon, and 2 T. reduced fat shredded cheddar cheese. Instructions: follow Tex Mex packet directions. Add the bacon and cheese. Mix. Add some chopped fresh cilantro and a dollop of light sour cream.
- Ingredients: one packet Tex Mex Chili Protein Packet & ½ cup cottage cheese. Prepare Tex Mex Chili per directions on the box. Add cottage cheese. Mix and heat. Sprinkle with a little shredded cheese on top.
CALCIUM INTAKE AND BONE HEALTH: by Paula Hendricks, BS, Nutritionist-C
We have updated our calcium recommendations. Please review the following for the latest up-to-date information. I know, it’s a little technical – that is why the new recommendations are delineated first followed by a detailed explanation.
New Recommendations:
As we age, we all want to keep our bones strong, prevent osteoporosis, and reduce the risk of fractures. And if you want healthy bones, all you need is calcium, right? That is what most people believe but it’s not true – calcium supplements alone will help slow down or stop bone loss, which is great, but if your goal is to make them stronger and healthier by increasing bone mineral density, you need more than calcium alone. Eating as we recommend, doing weight bearing exercises, and supplementing with calcium, magnesium, and vitamin D all work synergistically to improve bone health.
Types of Calcium: Most calcium supplements are either calcium carbonate or calcium citrate. Since intestinal absorption of calcium carbonate is dependent on gastric acidity, we recommend taking calcium carbonate after a meal when gastric acidity is high. Calcium citrate isn’t as dependent on stomach acids for absorption and those patients taking medications to reduce acid in the stomach, such as Prilosec or Zantac, should consider taking a calcium citrate supplement. Post-gastric bypass patients should also take calcium citrate.
Calcium Intake: The Recommended Daily Allowance (RDA) for adults is 1000 mg, and after the age of 30 (the end of the bone-growth age), 1200 mg. daily. The maintenance diet we recommend can provide up to 300 mg of daily calcium, without any dairy products. Adding one ounce of low-fat hard cheese can provide 400 mg of calcium, and consuming a variety of protein supplement products sold in our office can add up to 600-800 mg daily.
By adding a 600 mg. calcium supplement in the evening, you should be close to the Recommended Daily Allowance of calcium for the day. If you have any bone health issues, consult with your physician for personal dosage levels appropriate for you.
Calculating Calcium Amounts in Food: To determine how much calcium you are consuming in various products, look for the percentage of calcium on the nutrition label. For calcium, the percentage is based on the recommended % Daily Value intake of 1000 mg. For example, the Cappuccino protein powder nutrition label states that the contents contain 10% of the % Daily Value of calcium, about 100 mg. One Vanilla Ready-To-Drink protein supplement contains 35% of your % Daily Value of calcium, about 350 mg. If you just consumed these two protein supplements every day, you would be adding approximately 450 mg. of calcium to your daily diet.
Vitamin D and Magnesium Intake: Calcium is more readily absorbed in the body if there is an adequate vitamin D blood level. Based on information from the Vitamin D Council, we now recommend that adults take 5,000 I.U. of vitamin D in addition to what is in your multivitamin and what is in your calcium. Children should be on 1,000 I.U. of vitamin D per 25 pounds body weight. These daily doses for adults will improve bone health and provide a multitude of other benefits. In addition to vitamin D, magnesium supplementation of 250 mg daily also aids in the absorption of calcium and incidentally, the combination of calcium and magnesium is a good evening tranquilizer. Who doesn’t need a good night’s rest?
By Paula Hendricks - Nutritionist on October 3, 2009
PRODUCTS & SPECIALS
FROM THE PRACTITIONER - Cheryl Mitchell, Physician Assistant-C, MPAS
As you progress with your weight loss program, sooner or later a question arises; “What should I do with my larger size clothes?” There is only one good answer – you must get rid of them. It doesn’t matter where they go, just as long as you can’t get them back. Give them to your favorite charity, a consignment store, or even consign them to the garbage can. It only matters that you can’t ever get them back to wear.
Why is this so important? It is really very simple. Human nature likes to put off dealing with problems. If you start to lose focus on your diet – and we all do at some point – and gain a little weight, it is very easy to put off refocusing as long as you can comfortably fit into some clothes. You tell yourself, “I’ll worry about it tomorrow.” Unfortunately, as long as your clothes aren’t ‘strangling’ you, tomorrow never comes.
There comes a point when you must do something. If you have a larger size in your closet, the easiest thing to do is to put on the larger size “just for today” and deal with the weight gain issue ‘tomorrow.’ As I said earlier, tomorrow never comes. But, if you have gotten rid of the larger clothes, then your choices are different. You can continue to ignore the weight gain by buying a larger size (ouch!) or you can refocus on your diet today. Tight clothes are a constant reminder to stay focused.
In the eight years I’ve been working with Dr. Hendricks, tight clothes is a primary reason why clients return after a ‘disease holiday.’ Those clients that get rid of the larger sizes generally come back with a much smaller weight gain than those who keep their larger clothes ‘just in case.’ Do you really want to give yourself permission to gain again?
FROM THE NUTRITIONIST – Paula Hendricks, BS, Nutritionist-C
Contact our non–surgical weight loss clinic, which serves Sacramento, Roseville, and surrounding areas, to schedule an appointment.
2310 Professional Dr., St. 200
Roseville, California 95661
Phone:916.773.1191
Fax: 916.773.0498
click for map & directions
2621 Capitol Ave.
Sacramento, California 95816
Phone: 916.551.1999
Fax: 916.551.1998
click for map & directions