Transcript: Obesity | Jan 08, 2001

In animation, the title appears inside the shape of a house: “More
to life.”

The opening sequence shows a wooden table with a small-lit candle as
several words fly by: Nutrition, medicine, prevention, treatment,
and health. Fast clips show different sets of hands performing
activities on the table such as pulling petals from a daisy, drawing
a big red heart, tuning a violin, flipping through the pages of a
book, cooking, and pouring a glass of red wine


Then, Maureen reappears in the studio.

Maureen Taylor sits in a studio with yellow walls and a small TV set
in the background, which reads “More to life.” Maureen is in her
late thirties, with wavy brown hair in a bob. She’s wearing a grey
blazer over a grey shirt and a multi coloured multi patterned tie.

Maureen says AND WELCOME TO MORE TO LIFE. HAVE THOSE EXTRA HOLIDAY
POUNDS GIVEN YOU THE JANUARY BLUES. ACCORDING TO STATISTICS CANADA
YOU ARE NOT ALONE. 2.1 MILLION CANADIANS ARE OVERWEIGHT AND AN
ESTIMATED 39 PERCENT OF WOMEN AND
AND 23 PERCENT OF MEN ARE TRYING TO
LOSE WEIGHT.
MY GUEST TODAY IS ON A
MISSION TO HELP YOU LOSE
THOSE POUNDS, BOTH SAFELY
AND PERMANENTLY.

Dr. Lance appears in the studio. He is in his fifties and has short
grey hair and he is balding. He wears a navy blue suit and a light
blue shirt with dark blue tie.

A panel appears on screen and the orange book cover appears. Under
the title “Conquering Obesity.”

Maureen continues Dr. LANCE LEVY IS A MEDICAL
NUTRITION SPECIALIST AND THE
AUTHOR OF “CONQUERING
OBESITY: DECEPTIONS IN THE
MARKETPLACE AND THE REAL
STORY.”
IF YOU NEED TIPS ON HOW TO
UNTIP THE SCALES, GIVE US A
CALL. IN TORONTO AND YOU MIGHT AS WELL START USING THAT AREA CODE
FOLKS 416-484-2727. IF ITS LONG DISTANCE ITS TOLL FREE AT 1-888-411-
1234. AND YOU CAN ALSO TYPE UP YOUR QUESTION AND SEND IT VIA e-mail
TO moretolife@tvo.org

A caption appears on screen showing two phone numbers.

Maureen says AND Dr. LEVY,
WELCOME BACK, NICE TO SEE
YOU.

Dr. Levy NICE TO BE HERE.

Maureen shows the copy of the book to the camera.

Maureen says I SHOULD MENTION
WE HAVE THREE COPIES OF YOUR
BOOK TO GIVE AWAY TO THREE
LUCKY CALLERS WHOSE
QUESTIONS MAKE IT TO AIR SO GOOD LUCK IN THAT.
I WANT TO ASK YOU FIRST OF
ALL ABOUT A COUPLE OF SORT
OF NEWSY, BIG MEDICAL NEWS
ABOUT LOSING WEIGHT AND
PILLS AND THINGS.
A BRITISH MEDICAL JOURNAL
PUBLISHED A STUDY THAT SAID
PEOPLE COULD ATTAIN A
LONG-TERM WEIGHT LOSS WITH A
DIET DRUG.
DO YOU WANT TO TELL US ABOUT
THAT ONE, FIRST OF ALL?

The caption changes to “Dr. Lance Levy. Nutrition Specialist.”

Dr. Levy THERE'S A
COUPLE OF DIET MEDICATIONS,
THEY'RE NOT AVAILABLE IN
CANADA BUT PROBABLY
REFERRING TO SIBUTRIMIN OR MERIDIA AS ITS KNOWN IN THE STATES.

Maureen says THAT’S IT.

Dr. Levy says AND BASICALLY IT WAS
SUPPOSED TO COME AFTER WHAT
WAS KNOWN AS FEN FEN AND
MOST PEOPLE WOULD BE FAMILIAR WITH FEN FLURY

Maureen says THAT WAS TAKEN
OFF THE MARKET, WASN'T IT?

Dr. Levy RIGHT,
CAUSED CARDIAC PROBLEMS AND
SO ON.
THE PROBLEM WITH SIBUTRIMN IS THAT A. IS A DRUG THAT
IT'S SYSTEMIC, THAT GETS IN
YOUR BLOODSTREAM AND GOES TO
ALL OF YOUR BODY, INCLUDING
THE BRAIN.
THE SECOND IN STUDIES DONE IN CANADA IT
ELEVATED HEARTRATE AND BLOOD
PRESSURE A LITTLE BIT, AND
THE POWERS THAT BE, IN
LOOKING AT THIS, WERE
CONCERNED THAT SINCE OBESITY
IS A VERY LONG-TERM PROJECT
TO BE TAKING A MEDICATION
THAT DOES THAT FOR YEARS IS
PROBABLY NOT A VERY GOOD
IDEA AND SO IT'S NOT COMING
HERE.

Maureen says WHAT WAS IT?
AN APPETITE SUPPRESSANT?

Dr. Levy IT WAS. IT WAS
DESIGNED TO REDUCE A SENSE OF
HUNGER, CRAVINGS FOR FOOD
AND TO PROMOTE A SENSE OF
FULLNESS.
WHICH IT DID SOMEWHAT, BUT
THE STATS ON ITS OUTCOME
SHOWED THAT MOST PEOPLE WHO
TOOK IT OVER A SIX MONTH
PERIOD BROUGHT THEIR WEIGHT
DOWN SOMEWHERE BETWEEN 10
AND 15 PERCENT OF THEIR STARTING
BODY WEIGHT, WHICH IS GOOD,
BUT NOT PHENOMENAL.
IF YOU GO FROM 300 POUNDS TO
270 POUNDS THAT'S A BONUS
BUT IT'S NOT WHERE YOU NEED
TO GET.

Maureen says NOW DOES THAT
RESULT ANY BETTER THAN OTHER
APPETITE SUPPRESSANTS ON THE
MARKET NOW?

Dr. Levy says NO, IT ISN'T.
ALL OF THEM SEEM TO SHOW
THAT 10 TO 15 PERCENT WEIGHT LOSS
WHICH JUST SO YOUR LISTENERS
UNDERSTAND, A 10 PERCENT WEIGHT
LOSS GIVES YOU ABOUT A 50 PERCENT
REDUCTION IN ALL THE THINGS
THAT GO WITH OBESITY THAT
ARE BAD, HEART ATTACK,
STROKE DIABETES, SO IT'S A
GOOD THING BUT NOT THE WHOLE
STORY.

Maureen says THE OTHER ONE I
READ ABOUT ON THE WIRES
TODAY IS C.L.A.

Dr. Levy CONJUGATED LINOLEIC ACID.
Maureen says THAT’LL BE IT.

Dr. Levy says THAT'S BEEN AROUND FOR YEARS
AND EVERY SO OFTEN IT'S LIKE
THE PHOENIX, COMES OUT OF
THE FIRE AND IT'S
RESURRECTED AS A WAY OF
CAUSING FAT CELLS TO LOSE
THEIR STORED BODY FAT AND
CAUSE THE BODY TO
PREFERENTIALLY METABOLIZE
FAT AND IT'S A HOAX.

Maureen says IT'S A HOAX?

Dr. Levy PLAIN AND
SIMPLE. IN LAB ANIMALS IF YOU
GIVE IT IN HIGHER DOSES IT
DOES SOME OF THAT BUT IT CAN
ALSO BE LIVER TOXIC BUT
DOESN'T MAY A SERIOUS ROLE
IN WEIGHT LOSS AT ALL.

Maureen shows a People magazine cover where a woman is wearing big
pants to symbolise how much weight she has lost.

Maureen says I DON'T KNOW IF
YOU'VE SEEN THE COVER OF
“PEOPLE” MAGAZINE, THIS IS
CARNIE WILSON WHO'S DROPPED
150 POUNDS AND 20 DRESS
SIZES AND SHE HAD SOME SORT
OF STOMACH REDUCING SURGERY
PERFORMED.

Dr. Levy says RIGHT.

Maureen says WELL WHAT GOUGE OF SURGICAL
TECHNIQUES?

Dr. Levy WELL,
WHAT SHE HAD DONE WAS A
GASTRIC BYPASS, WHICH IS WHERE THEY MAKE THE STOMACH SMALLER AND
THEY CREATE AN EXIT
FROM THE STOMACH THAT EMPTIES INTO
SMALL AMOUNT OF THE SMALL BOWL WHERE DIGESTION TAKES PLACE. WHAT
THAT DOES IS FOOD INSTEAD OF GOING THROUGH THE 20 FEET OR SO OF
SMALL BOWL THAT WE ALL HAVE WHERE WE
ABSORB THE FOOD INTO OUR
BLOODSTREAM IT ONLY GOES
THROUGH ABOUT A FOOT, ONE
FOOT, SO ITS CUTTING DOWN THE
ABSORPTIVE AREA DRAMATICALLY,
SO THERE'S A LOT OF DIARRHEA,
THERE’S A LOT OF WASTAGE OF CALORIES AND
PEOPLE WITH THAT SURGERY
HAVE TO HAVE LIFE-LONG
FOLLOW UP FOR PROTEIN MALNUTRITION OSTEOPOROSIS,
LIVER DISEASE, AND ALSO IT'S A BIG
ISSUE, OF COURSE IN THE
POPULAR PRESS, WELL THE
PICTURE SAYS IT ALL.
I MEAN, SHE'S CLEARLY LOST
WEIGHT, BUT THE COST IS A
SERIOUS ONE AND THERE ARE
NOT ONLY OPERATIVE
MORTALITIES AND OPERATIVE
MORBIDITY, THAT’S PROBLEMS THAT
WILL COME IN THE FIRST THREE
TO SIX MONTHS AFTER SURGERY,
BUT THERE'S A LIFETIME OF
FOLLOW-UP THAT'S REQUIRED.
THAT MAY BE A FAIR TRADE-OFF
FOR HER.

Maureen says YEAH, BECAUSE I
WAS GOING TO SAY SHE WAS
VERY LARGE BEFORE, AND THERE
WOULD BE HEALTH RISKS
ASSOCIATED WITH BEING THAT
LARGE.

Dr. Levy says ABSOLUTELY AND I GUESS
THE POINT I WOULD MAKE IS
THAT A PERSON HAS TO DISCUSS
THIS WITH THE SURGEON.
FIRSTLY YOU HAVE TO
UNDERSTAND THE RISKS AND
BENEFITS AND THERE'S A VERY
LENGTHY LIST OF BOTH.
YOU HAVE TO HAVE FAILED IN
ALL REASONABLE EFFORTS,
USING MEDICATIONS AND PSYCHE
THERAPY AND SO ON.
FROM READING THE ARTICLE AND
I ONLY SCANNED IT, ACTUALLY
ON THE WEEKEND, SHE HAD SOME
FORM OF BING EATING DISORDER
WHERE SHE HAD CRAVINGS FOR
FOOD THAT WERE CONSTANT,
ONCE SHE STARTED SHE
COULDN'T STOP.

Maureen says STOP HERSELF,
YEAH.

Dr. Levy AND
NORMALLY THAT'S NOT TREATED
WITH THIS SORT OF SURGERY.

A SORT OF DEPRESSION ELEMENT
TO THAT?

Dr. Levy THERE CAN
BE A MOOD COMPONENT.
MAYBE THERE WASN'T IN HER
CASE.
NORMALLY WITH THE RIGHT SORT
OF THERAPY, YOU CAN STOP
THIS IN ITS TRACKS, HOWEVER
THERE ARE PEOPLE IN WHOM YOU
CAN'T.
AND I'M GOING ON THE
ASSUMPTION THAT HER
PHYSICIANS JUST DECIDED THAT
THIS WAS AS FAR AS THEY
COULD GO AND WENT AHEAD WITH
THE SURGERY.

Maureen says ALL RIGHT.

Dr. Levy BUT IT'S
TOUGH STUFF.

Maureen says IT'S TOUGH
STUFF.
A LOT OF DIETING AND LOSING
WEIGHT IS TOUGH BUT
Dr. LANCE LEVY HAS DONE A
LOT OF RESEARCH INTO THIS
AREA AND CAN TELL YOU WHAT
WORKS AND WHAT DOESN'T AND
WHAT THE UNDERLYING CAUSES
OF OBESITY ARE.
SO IF YOU HAVE A QUESTION
ABOUT HOW TO LOSE WEIGHT OR
WHY YOU'RE OVERWEIGHT, GIVE
US A CALL.
WE HAVE THREE COPIES OF HIS
BOOK TO GIVE AWAY.
GOOD LUCK. IN TORONTO (416) 484-2727. IF it’s LONG DISTANCE DIAL 1-
888-411-1234. AND YOU CAN e-mail US AT MORETOLIFE@TVO.ORG.
TANYA IS IN INGERSOL, HI
TANYA, HOW ARE YOU?

Tanya says HI, HOW ARE YOU?

Maureen says GOOD, THANKS.

Tanya says MY QUESTION IS
ARE LOW CARB DIETS
EVERYTHING THAT THEY'RE
CRACKED UP TO BE?

Dr. Levy THAT'S
PROBABLY THE MOST COMMONLY
ASKED QUESTION, TANYA.
THERE'S RESEARCH TO SHOW
THAT THERE ARE SOME PEOPLE
IN WHOM CARBOHYDRATES MAKES
A CONSIDERABLE DIFFERENCE TO
APPRECIATION OF
APPETITE AND SOME PEOPLE DO
BETTER ON A SOMEWHAT REDUCED
CARBOHYDRATE DIET.
WHERE THEY GO TOO FAR IS THE
DIETS THAT ARE HIGH IN
PROTEIN, MEAT, EGGS, FISH
AND SO ON, AND VERY LITTLE
IN THE WAY OF CARBOHYDRATE.
NO BREAD, NO POTATO, NO PASTA,
NO RICE.
THEY'RE NOT SUITABLE FOR
LONG-TERM USE, ALTHOUGH
ATKINS WILL TELL THAT YOU
THEY'RE SAFE.
AND AGAIN, THEY DON'T GET AT
THE ORIGIN OF THE PROBLEM.
YOU'RE TREATING THE SYMPTOM.
THE SYMPTOM IS “I CAN'T SEEM
TO EAT FOOD AND MAINTAIN
CONTROL.”
AND TANYA, I DON'T KNOW WHAT
YOUR EXPERIENCE WITH IT IS,
BUT PROBABLY YOU MAY BE IN
THE GROUP OF PEOPLE WHO WHEN
THEY GET HOLD OF A PLATE OF
PASTA AND HAVE EATEN IT, AN
HOUR LATER OR TWO HOURS
LATER THEY FEEL THEY'RE
CRAVING FOR MORE.
FOR MORE CARBOHYDRATE IS
THAT TRUE?

Tanya says UM, SOMETIMES.
NOT ALL THE TIME, JUST
SOMETIMES.

Dr. Levy RIGHT.
THERE ARE SOME PEOPLE WHO
VERY, VERY CLEARLY CAN POINT
TO THAT AS BEING A PROBLEM.
AND THOSE PEOPLE TEND TO DO
BETTER WITH A BREAKFAST
THAT'S HIGHER PROTEIN AND
HIGHER FAT, LIKE A GRILLED
CHEESE SANDWICH AND A GLASS
OF FRUIT JUICE AS OPPOSED TO
CEREAL AND TOAST.
SO YOU CAN PLAY WITH WHAT
WORKS FOR AN INDIVIDUAL.
BUT YOU SEE, YOU HAVE TO
INDIVIDUALIZE.
AND WHERE THESE DIETARY
APPROACHES DON'T, TANYA, IS
THEY DON'T LOOK AT AN
INDIVIDUAL AND REALLY GET AT
“WHY IS THIS PARTICULAR
PERSON HAVING THESE
DIFFICULTIES?”
SO AS A GENERAL BLANKET
STATEMENT, THEY'RE NOT
PARTICULARLY USEFUL.

Maureen says WHAT CAN YOU SAY
ABOUT CARBOHYDRATES IN
GENERAL AND ABOUT HOW MANY
WE SHOULD BE TAKING IN
ORDER TO MAINTAIN A
HEALTHY WEIGHT AND DECREASE
OUR APPETITE.

Dr. Levy RIGHT.
MOST OF THE WORLD GETS ITS
ENERGY FROM CARBOHYDRATE.
CERTAINLY SOMETHING LIKE 40,
50, SOMETIMES EVEN 60 PERCENT OF
ONE'S ENERGY INTAKE COMES
FROM CARBOHYDRATES AND
THERE'S DIFFERENT FORMS.
THEIR SIMPLE ONES LIKE SUGAR
AND HONEY AND THE COMPLEX
FORMS LIKE BEANS AND LENTILS
AND POTATOES AND
SO ON.
THERE ARE FOUR FOOD GROUPS
AS MOST PEOPLE ARE AWARE AND
WHAT YOU'RE TRYING TO DO IS
GET A BALANCE AMONGST THE
GROUPS.
HEALTH PROTECTION BRANCH HAS
FOR A LONG TIME PROMOTED A
HIGH CARBOHYDRATE DIET WITH
LOTS OF LEGUMES AND SO ON.
I'VE NEVER FOUND THAT TO
WORK AND MOST PEOPLE CAN'T
DO IT.
HAVING SAID THAT, MOST
PEOPLE ARE NOT HAVING A
PROBLEM WITH CARBOHYDRATES
OR WITH FOODS IN GENERAL,
THEY'RE HAVING A PROBLEM
WITH KNOWING WHAT TO DO WITH
FOOD.
I'D LIKE TO SORT OF MOVE OFF
OF THE IDEA THAT A FOOD
GROUP SUCH AS A CARBOHYDRATE
GROUP

Maureen says IS A PROBLEM.

Dr. Levy says IS AT THE ROOT OF THIS
TREMENDOUS INCREASE IN OVER
WEIGHT AND OBESITY WE'VE
SEEN BECAUSE IT ISN'T.

Maureen says WHAT DO YOU MEAN
BY WHAT TO DO WITH FOOD?

Dr. Levy WELL, FOR
EXAMPLE, [cough] excuse me.
PEOPLE WILL SAY
THAT THEY'RE FINE DURING THE
DAY AND THEN THEY GET INTO THE LATE
AFTERNOON AND EVENING AND
THEY'LL HAVE DINNER AND AN
HOUR LATER THEY'RE IN THE
KITCHEN AGAIN, LOOKING FOR
MORE FOOD AND THEY'RE
HUNGRY.
THEY'LL SAY, “WELL I JUST HAD A
FULL DINNER WHY, IS THIS
HAPPENING?”
MEANWHILE THE NIBBLING IS
GOING ON.
THAT'S NOT BECAUSE OF WHAT
THEY ATE AT DINNER.
VERY OFTEN IT'S BECAUSE OF
WHAT THEY DIDN'T HAVE AT
BREAKFAST, DIDN'T HAVE AT
LUNCH, DIDN'T HAVE A SNACK
IN THE AFTERNOON, DIDN'T GET
ANY EXERCISE, MAY NOT SLEEP
PROPERLY, MAY HAVE CHRONIC
PAIN, MAY HAVE -- YOU KNOW, A WHOLE
HOST OF MOOD-RELATED ISSUES.
IT WOULD BE GREAT IF YOU
COULD SIMPLY SAY IT'S YOUR
DIET THAT'S THE PROBLEM AND
MY WHOLE FOCUS HAS BEEN
TO SAY TO PEOPLE IF ALL THE
DIETS THAT WE'VE HAD -- AND
THERE'S THOUSANDS IN THE
PAST 30 YEARS -- WERE IN ANY
WAY USEFUL WE WOULDN'T HAVE
GONE FROM 30 PERCENT OF THE
POPULATION OVER WEIGHT OR
OBESE A DECADE AGO TO 51 PERCENT
NOW.

Maureen says SO IT'S NOT
DIETARY.

Maureen says IT'S NOT JUST
DIET. ALRIGHT THANKS TANYA.
NASSIM IS IN KITCHENER.
HI NASSIM?

Nassim says YES?

Maureen says GO AHEAD WHAT'S
YOUR QUESTION.

Nassim says HI, I WANTED TO
KNOW IF CHROMIUM CAN
SUPPRESS YOUR CRAVINGS FOR SUGARS AND SALTS.

Dr. Levy NO, IT
CAN'T.
UNFORTUNATELY.
CHROMIUM WAS USED YEARS AGO
BECAUSE IT AFFECTED THE
INSULIN RECEPTOR, AND WHAT
IT WOULD DO IT MADE THE
RECEPTOR SITE MORE SENSITIVE
TO INSULIN.
THAT WAS INITIALLY TESTED IN
PEOPLE WITH DIABETES TO SEE
IF IT WOULD LESSEN THEIR
INSULIN REQUIREMENTS.
IN THE WEIGHT LOSS FIELD IT
HAS NO AFFECT WHAT SO EVER.
THE PROBLEM WITH CHROMIUM IS
IT'S A HEAVY METAL.
ONCE IT'S IN YOUR BODY NEVER
LEAVES.
IT'S POSSIBLE TO TAKE IN TOO
MUCH CHROMIUM.
UNFORTUNATELY IT'S NOT
HELPFUL.

Maureen says IS THERE
ANYTHING AT ALL FOR APPETITE
SUPPRESSION THAT YOU THINK
IS HELPFUL?

Dr. Levy APPETITE
IS A FUNNY SORT OF THING.
YOU HAVE TO START FROM THE
REALIZATION THAT WE HAVE AN
APPETITE CENTRE TO MONITOR
OUR BLOODSTREAM AND TO
MONITOR BLOOD NUTRIENT
LEVELS AND TO KEEP US SAFE.
AND TO SUPPRESS IT, THE SAME
WAY YOU TAKE TYLENOL FOR A
HEADACHE, YOU HAVE TO WONDER
WHY THE HEADACHE IS THERE
AND IF IT KEEPS COMING BACK,
TO KEEP TAKING TYLENOL MONTH
AFTER MONTH WOULD BE
FOOLISH.
YOU MAY HAVE A BRAIN TUMOR
OR SOMETHING.
SIMILARLY, IF A PERSON HAS
PROBLEMS WITH APPETITE
REGULATION THROUGH OUT THE
DAY OR CERTAIN PARTS OF THE
DAY OR EVEN IN THE EVENING,
WHY IS IT HAPPENING?
AND THE REASONS ARE FIVE IN
GENERAL. [COUGH] PARDON ME.
MOOD DISORDERS WILL
CERTAINLY CAUSE A PERSON TO
HAVE DIFFICULTY MONITORING
FOOD USE AND MAKING PROPER
CHOICES.
ANXIETY, DEPRESSION,
FRUSTRATION.
PEOPLE WHO ARE CHRONICALLY
TIRED, AND THIS WOULD
INCLUDE PEOPLE WHO HAVE
PROBLEMS WITH SLEEP APNEA,
SLEEP DISTURBANCES OF
VARIOUS SORTS, GET TIRED
DURING THE DAY, DON'T
INTERPRET THE TIREDNESS
CORRECTLY BUT THEY FEEL THE
LACK OF ENERGY AND THEY EAT
THROUGHOUT THE DAY TO GET
ENOUGH OOMPH THROUGHOUT THE
DAY.
CHRONIC TIREDNESS IS A BIG
CAUSE OF OBESITY.
CHRONICS PAIN IS ANOTHER.
I'VE HAD MANY PEOPLE WHO
HAVE HAD PAIN IN THEIR
JOINTS AND ELSEWHERE LONG
ENOUGH THEY DON'T NOTICE IT
ANYMORE, THEY SAY I'M FINE.
BUT WHEN YOU ACTUALLY HAVE
THEM FILL OUT A CHART OF
PAIN AND LOOK AT THEIR
EATING THERE'S A CLEAR JUXRTAPOSITION OF THE TWO.
WHEN I'M IN PAIN AND I'M
HURTING, I'M EATING MY
CHOCOLATE OR WHATEVER IT IS
THAT'S MY COMFORT FOOD.
AN APPETITE SUPPRESSANT IS
GOING TO WORK TEMPORARILY
FOR THAT PERSON BUT IT ISN'T
THE REAL TREATMENT.
THERE ARE PEOPLE WITH
DISORDERS OF IMPULSE
REGULATION.
ADULTS WITH ATTENTION
DEFICIT DISORDER HAVE A
TERRIBLE TIME WITH FOOD
REGULATION.
PEOPLE WITH BINGE EATING
DISORDER, SIMILARLY.
PEOPLE WITH NIGHT TIME
EATING SYNDROME.
THE LIST IS ENDLESS, BUT THE
BOTTOM LINE IS TO SIMPLY SAY
MY APPETITE IS A PROBLEM AND
I WANT IT SUPPRESS IT MIGHT
WORK IN THE SHORT TERM BUT
THERE'S REAL SCIENCE NOW
BEHIND WHY PEOPLE HAVE THESE
PROBLEMS.
YOU WON'T GET IT IN
COMMERCIAL CENTRES BECAUSE
THEY'RE NOT EQUIPPED TO GIVE
IT TO YOU.

Maureen says NO.
AND WHAT PERCENTAGE OF
PEOPLE WHO ARE OVER WEIGHT
WOULD YOU SAY FALL INTO
THOSE CATEGORIES THAT YOU
JUST TALKED ABOUT?

Dr. Levy WE
JUST -- A COLLEAGUE OF MINE,
A CLINICAL PSYCHOLOGIST,
Dr. JOHN FLEMING AND I HAVE
JUST LOOKED AT PATIENTS WITH
BODY MASS INDEXES OVER 35 TO
SEE WHAT PERCENTAGE OF THEM
HAVE PROBLEMS WITH IMPULSE
REGULATION AND ATTENTION
DEFICIT, AND THE NUMBER IS
SOMETHING LIKE A THIRD,
WHICH IS EVEN NOMPL MUSTLY
HIGH.

- ENORMOUSLY HIGH.
SO IF YOU GO LOOKING FOR THE
PROBLEMS YOU'RE GOING TO
FIND SOMETHING THAT'S GOING
TO BE USEFUL TO YOUR
PATIENT.

Maureen says ALRUGHT THANKS VERY MUCH
FOR YOUR QUESTION.
I HAVE AN E-MAIL FROM JULIE
IN LONDON.
“HOW DO YOU FIGURE OUT HOW
MUCH BODY FAT YOU HAVE.
BASED ON THAT FIGURE, HOW DO
YOU CALCULATE HOW MANY GRAMS
OF FAT YOU CAN TAKE IN PER
DAY?”

Dr. Levy OKAY,
FIRSTLY THE GRAMS OF FAT IS
NOT BASED ON YOUR BODY FAT.
THAT'LL TAKE PART OF THE
QUESTION.
YOU CAN COMPUTE BODY FAT IN
A VARIETY OF WAYS.
THE EASIEST IS SOMETHING
KNOWN AS BIOELECTRICAL
IMPEDENCE WHERE AN ELECTRODE
IS PUT ON THE HANDS OR FEET
AND A CURRENT IS RUN THROUGH
THE BODY AND THE MATHEMATICS
IS COMPLICATED BUT IT
BASICALLY SAYS IF YOU HAVE
MORE BODY WATER, YOU HAVE
LESS BODY FAT AND THAT'S HOW
THE DEVICE MEASURES BODY
FAT.
THE REFERENCE STANDARD FOR
WOMEN, W.H.R., WORLD HEALTH
ORGANIZATION FOR WOMEN IS
ABOUT 30 PERCENT BODY FAT.
ANY HEALTH CLUB IN THE CITY
THE WOMAN GOES INTO WILL
TELL HER THAT HER BODY FAT
WILL BE SOMETHING LIKE 18,
20 PERCENT.
WHICH IS WAY LOW AGAINST THE
WRENCH REFERENCE STANDARD.
AND IN FACT THE PURSUIT OF A
VERY LOW BODY FAT HAS A HOST
OF PROBLEMS ATTACHED TO IT
INCLUDING IN WOMEN LOSS OF
MENSTRUATION, OSTEOPOROSIS
AND SO ON.
IF YOU CAN, YOU KNOW, LOOK
AT YOURSELF IN THE MIRROR
AND IF THERE'S A ROLE
THERE -- A ROLL THERE, YOU
HAVE MORE BODY FAT THAN YOU
NEED TO. BUT TO ACTUALLY MEASURE IT
AND WORK WITH THE
PERCENTAGES IS HIGHLY
INACCURATE AND THESE DEVICES
AT HEALTH CLUBS ARE
INACCURATE BECAUSE YOU HAVE
TO SET THE PERSON UP
PROPERLY 48 HOURS IN ADVANCE
BEFORE YOU DO THE
MEASUREMENT AND THEY DON'T
DO THAT.

Maureen says SO JUST LOOKING
AT YOURSELF IN THE MIRROR IS
PROBABLY JUST AS RELIABLE.
AND YOU KNOW INSTINCTIVELY
IF YOU NEED TO LOSE FAT.

Dr. Levy WELL THERE ARE
A COUPLE OF GOOD WAYS.
FOR EXAMPLE IF YOU PINCH THE
BACK OF THE ARM, THE TRICEPS
FAT FOLD WHICH SHOULD HAVE
SOMETHING BETWEEN A
CENTIMETRE AND TWO
CENTIMETRES OF THICKNESS
THERE.
THAT'S ABOUT A CENTIMETRE,
THAT'S ABOUT TWO
CENTIMETRES.
NOW MOST WOMEN WOULD BE
HORRIFIED TO THINK OF THAT,
BUT THAT'S NORMAL.
MEN IT'S ABOUT A CENTIMETRE.
AND THIS STRIVING FOR LOWER
AND LOWER BODY FAT BESIDES MAKING PEOPLE COMPLETELY MISERABLE WITH
THEMSELVES IS
MEDICALLY NOT SOUND.
THERE'S NOTHING TO SUGGEST
THAT HAVING A REALLY LOW
BODY FAT ACTUALLY IMPROVES
YOUR CHANCES.

Maureen says OKAY, MADELEINE
IS IN LANCASTER.
HI MADELEINE.

Madeleine says HELLO.

Dr. Levy HI.

Madeleine says MY QUESTION IS
WHAT IS THE SAFE AMOUNT OF
WEIGHT TO LOSE PER WEEK OR
OVERALL DURING A MONTH, AND
ALSO, FROM PAST EXPERIENCE,
WHAT DO YOU DO WITH ALL THAT
NICE, LOOSE SKIN THAT'S LEFT
OVER?
THAT DOESN'T GO AWAY?

Dr. Levy OH,
MADELEINE.
FOR WOMEN, GENERALLY A POUND
A WEEK IS THOUGHT OF AS
BEING REASONABLE.
A POUND OF FAT -- OR A POUND
OF BODY WEIGHT -- LET'S TALK
ABOUT A POUND OF BODY WEIGHT,
ISN'T JUST FAT.
IT'S THE SKIN, THE WATER,
THE BLOOD VESSELS, THE BLOOD,
THE FAT ITSELF, AND THE
MUSCLE THAT HAS TO CARRY
THAT FAT AROUND SO YOU'RE
NOT JUST LOSING FAT, YOU'RE
LOSING A WHOLE SLEW OF BODY
COMPONENTS.
YOU'RE LOSING ABOUT 3500
CALORIES' WORTH OF ENERGY.
AND THAT WORKS OUT TO A 500
CALORIE A DAY DEFICIT.
A POUND A WEEK OF REAL
WEIGHT LOSS IS ABOUT AS GOOD
AS YOU CAN DO ON A LONG-TERM
BASIS.
AND WHEN YOU TRY AND DO MORE
THAN THAT, YOU ACTUALLY STIR
UP THE COUNTER HORMONAL
PROFILES, THE BODY'S FIGHT,
IF YOU WILL, TO PREVENT YOU
FROM EXCEEDING A CERTAIN
WEIGHT LOSS.
YOU ACTUALLY SLOW YOUR
METABOLIC RATE DOWN AND
AFTER A PERIOD OF TIME,
YOU'RE STARVED, FEELING
DEPRIVED, YOU'RE HUNGRY,
YOUR HEADACHEY, AND THE WEIGHT
LOSS STARTS AND YOU GO OFF
YOUR PLAN.

Maureen says SO ON THE POUND
A WEEK, SHOULD YOU WILL YOU HAVE TO
EXPERIENCE SOME HUNGER ONCE
IN A WHILE DURING THE DAY TO
KNOW THAT YOU'RE LOSING THE
WEIGHT?

Dr. Levy HUNGER IS
ACTUALLY NORMAL.
WE ACTUALLY GET PATIENTS TO
FOLLOW WHAT WE CALL A FOUR
HOUR RULE WHICH IS STARTING
WITH BREAKFAST NOT TO GO
MORE THAN FOUR HOURS WITHOUT
A MEAL OR A SNACK AND GENERALLY
SPEAKING THE BIGGER THE
BREAKFAST, THE THINNER THE
PERSON IN THE END.
SO WE TEND TO MOVE THE
CALORIES MORE TOWARDS
BREAKFAST AND LUNCH.
ALSO TO ANSWER THE QUESTION,
AS YOU TAKE A SLOW APPROACH
TO WEIGHT LOSS, YOU'RE GOING
TO GIVE YOUR SKIN SOME TIME
TO RESUME ITS NATURAL SHAPE.
NOW IF A PERSON'S LOSING A
LARGE AMOUNT OF WEIGHT,
THERE'S GOING TO BE SOME
LOOSE SKIN, AND IF IT'S IN
AREAS WHERE IT'S CAUSING
FRICTION AND RASHES AND SO
ON, THAT'S ACTUALLY
SURGICALLY EXCISED AND
O.H.I.P. WILL COVER THAT.

Maureen says IS THAT RIGHT?

Dr. Levy IF IT'S
MEDICALLY NECESSARY.

Maureen says GO BACK TO YOUR
FOUR-HOUR RULE. WHAT WOULD YOU-
LET'S JUST TALK ABOUT THE
MORNING, OKAY?
WHAT WOULD A GOOD BREAKFAST
CONSIST OF AND WHAT WOULD
YOUR SNACK BE OF FOUR HOURS
LATER?

Dr. Levy OKAY WHAT
WE'RE TRYING TO DO IS TO NOT
BE CAVEMEN.
100,000 YEARS AGO A CAVEMAN
CAME OUT AND RAN AROUND ALL
DAY UNTIL HE FOUND FOOD AND
LIKELY BINGED AS MUCH AS HE
POSSIBLY COULD BECAUSE HE
DIDN'T KNOW WHEN HIS NEXT
MEAL WAS COMING.
WE'RE THE SAME IN THAT OUR
ENZYME SYSTEMS ARE SET UP
THAT IF WE DON'T HAVE ENOUGH
FOOD DURING THE DAY WE ARE
GOING TO LOSE CONTROL, WE'RE
GOING TO OVEREAT.
SO BREAKFAST IS IMPORTANT
COMING OFF OF THE NIGHTTIME
FAST.
YOU'RE LOOKING AT SOMETHING
LIKE 20 PERCENT OF YOUR CALORIE
REQUIREMENT EATEN AT
BREAKFAST SO IF YOU'RE AN
AVERAGE WOMAN, THAT'S ABOUT
360 TO 400 CALORIES OF
BREAKFAST.
COULD BE A CUP OF CEREAL AND
MILK, PIECE OF TOAST WITH A
LITTLE MARGARINE ON IT AND A
GLASS OF FRUIT JUICE.

Maureen says AND THAT'S A
GOOD BREAKFAST.

Dr. Levy THAT
WOULD BE A START.
EGG ON TOAST, PIECE OF FRUIT
WOULD BE ANOTHER DECENT
BREAKFAST.
GRILLED CHEESE SANDWICH AND
FRUIT IS ANOTHER THAT WOULD
BE ROUGHLY IN THAT CALORIE
RANGE.
SNACKS, WHICH HAVE TO OCCUR
WITHIN A FOUR HOUR RANGE, SO
IF BREAKFAST WAS AT 7:30,
YOU'D NEED A SNACK AT 11:30,
EVEN IF LUNCH WAS 12:30.

Maureen says YOU DO, EH?

Dr. Levy YES, YOU
DON'T STRETCH IT.
NOT IF YOU'RE OVER WEIGHT

Maureen says YOU DON’T GO.

Dr. Levy says AND TRYING TO REALLY GET A
HANDLE ON THIS?

Maureen says OKAY.

Dr. Levy says A SNACK IS ROUGHLY 10 PERCENT OF
CALORIC REQUIREMENT AND IN THIS CASE ABOUT 180 CALORIES YOU COULD
HAVE THREE OR FOUR CRACKERS
WITH A LITTLE BIT OF CHEESE, YOU COULD HAVE THE 2 PERCENT
YOGURT WITH THE FRUIT ON THE
BOTTOM, ONE OF THOSE. YOU COULD HAVE A GLASS OF MILK AND
HALF AN APPLE AND OF COURSE NOW YOU
SIT DOWN TO LUNCH, YOU'RE
NOT NEARLY AS HUNGRY AND BEST
TO START YOUR LUNCH WITH A
SALAD OR SOUP BEFORE YOU GET
INTO THE MAIN COURSE.
AND EAT SLOWLY ENOUGH THAT
YOU CAN SENSE WHERE HUNGER
IS GONE BUT FULLNESS HASN'T
YET OCCURRED.

Maureen says YOU SHOULD STOP
BEFORE YOU'RE FULL.

Dr. Levy says BEFORE YOU SENSE FULLNESS.

Maureen says THAT'S SO HARD TO DO.

Dr. Levy WELL MOST
PEOPLE WITH WEIGHT PROBLEMS
IF YOU ASK THEM HOW DO YOU
KNOW WHEN TO STOP EATING
THEY'LL EITHER TELL YOU WHEN
THE PLATE IS EMPTY OR WHEN
THEY'RE FULL AND NEITHER OF
THOSE WORKS.

Maureen says OKAY, I SEE. NANCY IS
IN UXBRIDGE.
HI NANCY.

Nancy says HI, I JUST READ A
BOOK CALLED FAT WARS THAT
WAS PUBLISHED IN CANADA LAST
YEAR AND I WANT TO ASK THE
DOCTOR IN THIS BOOK THE
AUTHOR RATES FOODS ACCORDING
TO THEIR GLYCEMIC INDEX AS
EITHER LOW, MODERATE OR
HIGH, AND A LOT OF THESE
HIGH GLYCEMIC FOODS WHICH
HE'S TELLING YOU NOT TO EAT
VERY OFTEN ARE FOODS WHICH I
WOULD CONSIDER HEALTHY FOODS
LIKE BANANAS, POTATOES,
WHOLE WHEAT BREAD AND HE'S
SAYING NOT TO EAT THEM
BECAUSE THEY'LL RAISE YOUR
BLOOD SUGAR QUICKLY AND
CAUSE A SURGE IN INSULIN AND
MAKE IT NOT POSSIBLE FOR YOU
TO BURN FAT.
AND I WANT TO KNOW IF
THERE'S ANY SUBSTANCE TO
THIS, AND IF THE DOCTOR'S
FAMILIAR WITH THIS BOOK AND
WHAT HE'S PROMOTING IN IT.

Dr. Levy says GLYCEMIC
INDEX WAS CREATED BY DAVID
JENKINS, A PROFESSOR AT THE
UNIVERSITY OF TORONTO IN
NUTRITIONAL SCIENCES.
WHAT IT DOES IS IT SHOW WHAT'S
BLOOD SUGAR AND INSULIN
LEVELS DO AFTER A STANDARD
DOSE OF CARBOHYDRATE.
SLICE OF BREAD, BANANA, BOWL
OF CORNFLAKE, ET CETERA.
THE MORE RAPIDLY THE
CARBOHYDRATE GETS INTO YOUR
BLOODSTREAM AND ELEVATES
YOUR BLOOD SUGAR AND LEVEL,
THE HIGHER it’s GLYCEMIC
INDEX.
SUGAR WOULD BE 100, A MARS
BAR IS ABOUT 40.
YOU MIGHT SAY THAT'S
SURPRISING, I WOULD HAVE
THOUGHT IT WOULD BE AT THE
TOP OF THE LIST.
IT'S NOT.
IF YOU TAKE CARBOHYDRATES
AND EAT THEM ON AN EMPTY
STOMACH BY THEMSELVES THE
RATE AT, WHICH THEY EFFECT
YOUR BLOOD SUGAR AND
APPETITE IS ACCORDING TO A
GLYCEMIC INDEX.
IF THE GLYCEMIC INDEX IS HIGH YOU'LL
GET A RAPID UPSWING IN BLOOD
SUGAR AND RAPID FALL OFF AND THAT
MAY ACTUALLY MAKE YOU FEEL
HUNGRY.
WHERE THE BOOK HAS A
PROBLEM, AND IT'S WHEN YOU
TRY AND SIMPLIFY ANYTHING
TOO MUCH, IT'S INACCURATE,
IS THAT IF YOU TAKE THE
GLYCEMIC INDEX FOOD A POTATO
OR SLICE OF BREAD AND YOU
EAT IT WITH A MEAL -- LET'S
SAY YOU HAVE A CHICKEN
BREAST AND A BAKED POTATO
AND VEGETABLES FOR DINNER.
THE GLYCEMIC INDEX OF THE
POTATO MIGHT BE 60 OR THERE’S
ABOUT BUT EATEN IN THE
CONTEXT OF THE CHICKEN
BREAST THE VEGETABLE, THE
MEAL AT A WHOLE HAS A
GLYCEMIC INDEX OF MAYBE 30,
AND THAT'S BECAUSE PROTEIN
AND FAT MIXED IN WITH THE
FOODS SLOWS THE ABSORB RATE
OF THE CARBOHYDRATE
MARKEDLY.
THE ONLY THING YOU CAN DRAW
FROM THIS BOOK AND GLYCEMIC INDEX IS YOU DON'T
WANT TO HAVE A HIGH GLYCEMIC
INDEX FOOD ON AN EMPTY
STOMACH BY ITSELF.
HAVING IT AS PART OF A MEAL,
NOT A PROBLEM.

Maureen says AND A HIGH
GLYCEMIC INDEX FOOD?
WHAT ARE EXAMPLES OF THOSE?

Dr. Levy EXAMPLE
WOULD BE POTATO, RICE, WHITE
BREAD, TABLE SUGAR HONEY.

Maureen says KIND OF EMPTY
CALORIE CARBO --

Dr. Levy WHEN YOU
EAT THEM ON THEIR OWN.
IF YOU TOOK THE BREAD AND
PUT BUTTER ON IT, IT DROPS
DRAMATICALLY BECAUSE THE
BUTTER SLOWS THE EXITS OF
THE FOOD FROM THE STOMACH SO
YOU DON'T GET THAT INSULIN
AND BLOOD SUGAR SURGE.

Maureen says YES BUT THE WAY YOU
WERE TALKING ABOUT THE MEAL
AS A WHOLE IT REMINDED ME OF
THE OTHER BOOK, THE FIT FOR
LIFE THING ABOUT COMBINATION
FOODS.
ARE YOU LENDING SOME
CREDENCE TO THEIR --

Dr. Levy says NO, NO, FAR FROM IT.
NO, THAT'S ANOTHER WHOLE
IDEA.

Maureen says WHACKY KIND OF
IDEA.

Dr. Levy THEY TALK
ABOUT NOT COMBINING FOODS
BECAUSE THEY INTERFERE WITH
EACH OTHER IN WAYS THAT
PROMOTE WEIGHT GAIN THAT'S
NONSENSE,-
Maureen says NONSENSE.

Dr. Levy says TOTAL NONSENSE.

Maureen says THANKS VERY MUCH,
NANCY.
MELANIE IS IN St. THOMAS.
HELLO, MELANIE.

Melanie says HELLO, PLEASED TO
MEET YOU, Dr. LEVY.

Dr. Levy HELLO.

Melanie says RIGHT NOW YOU
MIGHT HEAR MY BABY ON THE
PHONE TOO, I HAVE HER ON MY SHOULDER,
I'M JUST A NEW MOM, NURSING.

Dr. Levy says GREAT.

Melanie says AND
I'M STARTING TO LOSE CONTROL
OF MY WEIGHT.
I NEVER HAD A PROBLEM BEFORE
BUT I SEEM TO BE NOT WANTING
TO FOLLOW ANY ROUTINE RIGHT
NOW, AND I WANT TO GO ON A
DIET BUT PEOPLE SAY NO, NO,
NO, YOU'RE NURSING, YOU
CAN'T DIET.

Dr. Levy HOW LONG
AGO DID YOU HAVE YOUR BABY?

Melanie says TWO MONTHS.

Dr. Levy OKAY,
NORMAL PREGNANCY, EVERYTHING
WAS FINE.

Melanie says YES, EVERYTHING
WAS FINE.
I'M JUST WONDERING WHAT CAN
I DO WHILE I'M NURSING AND
IF I'M FEELING LIKE I AM NOW,
I NEED TO GO GET SOME
OUTSIDE HELP WHAT DO I DO?
WHERE DO I GET HELP?

Dr. Levy WELL A
COUPLE OF THINGS.
WEIGHT GAIN WITH NURSING IS
NOT A NECESSITY.
WHAT IT LEADS ME TO WONDER
IS HOW YOU'RE FEELING
PERSONALLY.
I MEAN, HOW ARE YOU FEELING
PHYSICALLY AND HOW YOU’RE FEELING IN TERMS OF
MOOD AND HOW ARE YOU FEELING
IN TERMS OF BEING TIRED?
I MEAN I'VE GOT TWO KIDS, AND THAT
FIRST FEW MONTHS WITH A NEW
CHILD IS A MAJOR
UNDERTAKING.
HOW ARE YOU FEELING WITHIN
YOURSELF?

Melanie says WELL, IT TAKES A
LITTLE BIT OUT OF YOU BUT
I'M STARTING TO REST AT
NIGHT NOW.

Dr. Levy CAN YOU
SLEEP THROUGH THE NIGHT.

Melanie says I'M OUT OF SHAPE.
I'M STARTING TO GET STRONG
ENOUGH THAT I CAN LOOK AT
GETTING INTO MY ROUTINE, A
COUPLE HOURS FOR ME.

Maureen says ARE YOU SLEEPING
THROUGH THE NIGHT OR IS THE
BABY SLEEPING THROUGH THE
NIGHT?

Melanie says YES.

Maureen says OH, OKAY.

Dr. Levy OKAY
WHAT'S YOUR MOOD BEEN LIKE
OVER THE PAST FEW WEEKS?

Melanie says UM, WELL I'M
GOING TO A PSYCHOLOGIST
STARTING IN THE MIDDLE OF
JANUARY TO FIND THAT OUT
ACTUALLY.
I THINK I'M DOING QUITE WELL,
BUT PEOPLE SAY THAT I'VE
GONE THROUGH WHAT WOULD HAVE
CAUSED THEM A LOT OF
DEPRESSION, SO I'M OUT IN
THE COMMUNITY LOOKING FOR A
LITTLE BIT OF RESOURCE.

Dr. Levy IS TODAY
A GOOD DAY FOR YOU OR A BAD
DAY?

Melanie says IT'S A GOOD DAY.

Dr. Levy IT'S A
GOOD DAY.
OKAY.
THE BEST PERSON TO TALK TO
ABOUT THIS IS YOUR FAMILY
DOCTOR, AND YOUR DOCTOR
WOULD BE IN A POSITION TO
LOOK AT THE RELATIONSHIP
BETWEEN BEING TIRED, MAYBE
HAVING SOME POST-PARTUM
DEPRESSION WHAT A DIET --
WHAT SORT OF DIET IS NEEDED
WHEN YOU'RE NURSING.
IT'S NOT SUBSTANTIALLY
DIFFERENT THAN WHAT YOU DID
PRIOR TO BEING PREGNANT.
IN FACT THE BODY FAT THAT
YOU ACCUMULATED DURING YOUR
PREGNANCY IS WHAT -- IT'S
WHAT'S THERE TO POWER THE
LACTATION PROCESS.
SO YOU DON'T HAVE TO EAT
PARTICULARLY WELL TO HAVE
SATISFACTORY MILK
PRODUCTION.
AND YOUR DOCTOR CAN ADVISE
YOU ABOUT VITAMINS AND SO
ON.
BUT IF YOUR WEIGHT IS GOING
UP AND YOU'RE FEELING
SLUGGISH AND YOU'RE FEELING
TIRED AND IT'S TOUGH TO GET
MOTIVATED TO BE PHYSICALLY
ACTIVE, BECAUSE THAT WOULD
BE A BIG HELP, I WOULD TALK
TO HIM ABOUT YOUR MOOD.

Maureen says AND SO IT'S GOOD
THAT SHE'S SEEING A
PSYCHOLOGIST LATER THIS
MONTH?

Dr. Levy A
PSYCHOLOGIST IS GREAT.
WE CAN'T FIND PSYCHIATRISTS
IN THIS PROVINCE.
THERE AREN'T ANY TO GET HOLD
OF QUICKLY AND PSYCHOLOGISTS
DO A FINE JOB.
THEY CAN'T PRESCRIBE
MEDICATION AND CAN'T
PRESCRIBE MEDICAL TESTS.
THAT'S WHERE A G.P. HAS TO
LIASE WITH A PSYCHOLOGIST IF
THERE IS THOUGHTS REGARDING
DEPRESSION OR ANYTHING ELSE
FOR THAT MATTER.
BUT SEEING SOMEBODY IS
IMPORTANT.
YOU DON'T TEND TO GET WEIGHT
GAIN DURING NURSING, YOU
TEND NOT TO GET WAIT WEIGHT
LOGS.
A LOT OF WOMEN WILL SAY
WHILE NURSING I CAN'T SEEM
TO GET MY WEIGHT DOWN, BUT
IT'S RARE TO SEE IT
SUBSTANTIALLY GOING UP UNLESS
THERE'S SOMETHING
ELSE GOING ON.

Maureen says SO SOMETHING
ELSE COULD BE GOING ON.
CAN WE TALK A LITTLE BIT
ABOUT WEIGHT GAIN DURING
PREGNANCY? IS THERE-
DO YOU THINK WOMEN TODAY
HAVE THAT UNDER CONTROL?
IS THERE ANY EVIDENCE THAT
WE GAIN TOO MUCH WEIGHT?

Dr. Levy UM, WOMEN
GENERALLY ARE VERY CAREFUL
DURING PREGNANCY.
THE AVERAGE WOMAN DOES A LOT
BETTER WITH HER DIET DURING
PREGNANCY THAN SHE EVER DID
BEFORE OR MAYBE AFTER.
THE WEIGHT GAIN IS PARTLY
GENETIC, IT'S PARTLY UNDER
THE CONTROL OF WHAT THE
FOETUS IS DOING.
IT HAS TO DO WITH YOUR OWN
BLOOD SUGAR AND INSULIN
LEVELS.
THE AVERAGE WEIGHT GAIN FOR
WOMEN IS SOMETHING IN THE
RANGE OF 25 TO 30 POUNDS.
IF A WOMAN STARTS OFF BEING
OVERWEIGHT, SHE DOESN'T NEED
TO GAIN THAT KIND OF WEIGHT
DURING PREGNANCY, AND WITH A
PROPERLY APPLIED DIETARY
PROGRAMME, SHE COULD LIMIT
HER WEIGHT GAIN TO 10 OR 15
POUNDS WITHOUT ANY HARM TO
THE BABY AT ALL.
WE SOMETIMES GET WOMEN WHO
CAN'T STOP EATING DURING
PREGNANCY.
SOMETIMES IT'S BECAUSE IT'S
THEIR WAY OF DEALING WITH
MORNING SICKNESS.
SOMETIMES THERE ARE REAL
MOOD CHANGES THAT HAVE
OCCURRED AS A CONSEQUENCE OF
THE HORMONAL PROFILE OF
PREGNANCY.
SO IT'S A CASE BY CASE
BASIS.

Maureen says I SEE.
ALL RIGHT.
LET'S GO TO CAROL NEXT.
HI CAROL.

Carol says HI.

Dr. Levy HI.

Carol says I WAS WONDERING
IF YOU COULD TELL ME WHAT
OUR BEST SOURCES OF
ESSENTIAL FATTY ACIDS ARE
AND HOW MUCH WE NEED DAILY
AND HOW THEY PLAY A ROLE IN
WEIGHT LOSS.

Dr. Levy ESSENTIAL
FATTY ACIDS ARE LONG CHAIN
FATS THAT YOU HAVE TO GET BY
EATING.
THEY'RE NOT MADE IN THE
BODY.
TO GET ESSENTIAL FATTY ACID
DEFICIENCY IS VIRTUALLY
UNHEARD OF OTHER THAN IN
PATIENTS WITH SEVERE BOWL
DISEASE OF VARIOUS SORTS OR
PEOPLE LIVING ON AN
EXTREMELY RESTRICTED DIET.
IT'S VERY, VERY UNCOMMON.
AND ANY COMBINATION OF DIET
WHICH INVOLVES THE FOUR FOOD
GROUPS IS GOING TO PROVIDE
MORE THAN SUFFICIENT
ESSENTIAL FATTY ACIDS.
THEY DON'T PLAY ANY ROLE IN
WEIGHT LOSS PER SE.
THEY DO PLAY A ROLE IN A
HOST OF METABOLIC AND
HORMONAL FUNCTIONS THAT THE
BODY NEEDS.
YOU CAN'T EASILY MANIPULATE
THEM BECAUSE THEY'RE -- EACH
OF THESE -- HOW AM I GOING
TO DESCRIBE THIS?
EACH OF THESE IS THE PARENT
COMPOUND OF A CASCADE OF 20
OTHER COMPOUNDS, ALL OF
WHICH HAVE DIFFERENT
ACTIONS.
SO IT'S NOT AS SIMPLE AS
JUST SAYING “I'M GOING TO
TAKE A COSOPENTONOIC ACID OR
WHATEVER,” THE NAMES GET
LONGER AND LONGER, AND I'M
GOING TO AFFECT MY METABOLIC
RATE OR MY DEPOSITION OF FAT
CELLS. DOESN’T WORK THAT WAY.

Maureen says SO YOU DON’T THINK WE NEED TO BE TAKING
SUPPLEMENTS IF THERE ARE SUCH A THING IN HEALTH FOOD STORES?

Dr. Levy THERE
ARE.

Maureen says ARE THERE?

Dr. Levy says YOU CAN CERTAINLY GET FAT
ACID SUPPLEMENTS AND
THERE'S A SMALL LITERATURE
ON CERTAIN NEUROLOGICAL
DISEASES THAT MIGHT SUGGEST
A BENEFIT.
BUT AS A GENERAL RULE, AND
WEIGHT LOSS, NOTHING TO DO
WITH IT.

Maureen says WEIGHT LOSS NOTHING TO DO WITH IT.
OKAY.
THANK YOU VERY MUCH FOR THE
QUESTION.
CAROL, WE'RE TALKING ABOUT
LOSING WEIGHT.
OBESITY WHY, WE'RE
OVERWEIGHT IN THIS COUNTRY
AND IN NORTH AMERICA, AND
MY GUEST THIS AFTERNOON IS
Dr. LANCE LEVY, HE’S THE AUTHOR
OF “CONQUERING OBESITY.”
WE'VE GOT THREE COPIES OF
THE BOOK TO GIVE AWAY TO
THREE OF OUR CALLERS WHOSE
QUESTIONS GET TO AIR.
HERE'S HOW YOU CONTACT US IN TORONTO (416)484-2727. LONG DISTANCE
TOLL FREE NUMBER 1-888-411 1234 OR e-mail YOUR QUESTION TO
moretolife@tvo.org. AND JUST BEFORE
I GO TO THE E-MAIL, I WANT
TO ASK YOU, OMEGA-3 FAT
SOMETHING --

Dr. Levy ACIDS?

Maureen says YEA ARE THEY
SOMETHING WE SHOULD TAKE
IN SUPPLEMENT FORM? --

Dr. Levy OMEGA-3 AND OMEGA 6 ACIDS
AND SIX ACIDS, WHAT THAT WAS
ALL ABOUT WAS FISH OIL AND
ITS AFFECT ON CORONARY
ARTERY DISEASE.
THERE WERE STUDIES A LONG
TIME AGO THAT SHOWED ESKIMOS
DIDN'T GET HEART ATTACKS AND
EVERYBODY THOUGHT WELL, THEY
EAT SEAL BLUBBER AND FISH AND
DEEP COLD WATER OCEAN-GOING
FISH.
THE PROBLEM IS THEY GET A
LOT MORE STROKES.
IT'S ALMOST LIKE YOU CAN'T
WIN.
THERE WAS SOME THOUGHT
THAT -- AND THERE'S SOME
PROOF THAT PEOPLE THAT HAVE
THREE OR MORE SERVINGS A
WEEK OF FISH THAT COME FROM
COLD, DEEP WATTERS, LIKE
ATLANTIC SALMON, DO HAVE A
REDUCED RISK OF HEART
ATTACK.
IT MAY REDUCE BLOOD PRESSURE
SLIGHTLY.
SO THERE'S SOME TRUTH TO IT
AS IT COMES FROM A DIET.
IT'S RISKY BUSINESS TAKING
IT AS PILLS BECAUSE THE
AMOUNT THAT YOU NEED TO
CAUSE THE BENEFIT WITHOUT
THE NEGATIVE SIDE EFFECTS
LIKE BLEEDING HAS NOT BEEN
ESTABLISHED.

Maureen says OKAY.

Dr. Levy says DIABETICS SHOULD NOT BE
USING THOSE AT ALL BECAUSE
IT EFFECTS THE INSULIN
RECEPTORS CONSIDERABLY.
SO IT'S NOT FOR AMATEURS TO
PLAY WITH.

Maureen says YEAH, ALL RIGHT.
I HAVE AN E-MAIL HERE FROM
OLIVIA IN BENSFORT, BRIDGE.
HOW DO YOU GET OVER USING
FOOD FOR COMFORT AND HAVING
A FEAR OF NOT GETTING
ENOUGH?

Dr. Levy OH, BOOKS
AND BOOKS AND BOOKS ON THAT
I GUESS.
FOOD WAS THERE WHEN WE WERE
BORN.
I MEAN, FROM THE MOMENT THE
UMBILICAL CORD IS CUT, WE
NEED TO BE FED, AND WE HAD A
WAY OF LETTING PEOPLE KNOW,
LIKE WE'D CRY AND WE'D GET
FED.
AND THE ASSOCIATION BETWEEN
DISCOMFORT, WET DIAPER,
HUNGER, THIRST, WHATEVER,
AND THE COMING OF FOOD WAS
MADE RIGHT FROM BIRTH.
SO IT'S NOT POSSIBLE TO SAY
THAT FOOD ISN'T COMFORT.
YOU'RE NEVER GOING TO CHANGE
THAT EQUATION.
WHAT YOU HAVE TO LOOK AT IS
HOW MUCH COMFORT DO YOU
NEED?
IF YOU'RE NEEDING A LOT OF
COMFORTING, IT'S PROBABLY
BECAUSE THERE ARE AREAS OF
YOUR LIFE THAT AREN'T
FEELING VERY GOOD AND YOU'D
TO WANT ADDRESS YOURSELF TO
YOUR JOB OR YOUR MARRIAGE
AND OR WHATEVER THE PROBLEM
AREA WOULD BE.
IT'S ALSO POSSIBLE THAT
PEOPLE CAN EFFECT NOT JUST
HOW MUCH COMFORT THEY NEED,
BUT ONE'S NEUROLOGICAL
PROCESSES, THE DEPRESSION, THE
ANXIETY AND SO ON, SOMETIMES
IS NOT OF YOUR MAKING.
SOME PEOPLE DEVELOP
DEPRESSIVE ILLNESS, 35 PERCENT OF
THE POPULATION WILL AT SOME
POINT IN THEIR LIFE, NOT
BECAUSE THEY'VE DONE
ANYTHING WRONG, AND FOOD IS
JUST ONE OF THE THINGS THAT
CHANGES BRAIN CHEMISTRY
ENOUGH TO GIVE YOU A LIFT.
SO THE QUESTION ISN'T HOW DO
YOU CHANGE YOUR RELATIONSHIP
TO FOOD.
THE ISSUE IS IF YOU FEEL
LIKE YOU NEED COMFORT AND
YOU'RE USING FOOD, AND IT'S
GETTING YOU INTO TROUBLE,
YOU NEED TO TALK TO SOMEBODY
AND SAY WHY IS THIS
HAPPENING?
BECAUSE YOU'RE NOT GOING
TO -- YOU'RE NOT GOING TO
TAKE THE FOOD AWAY AND KEEP
IT AWAY AND FIX YOUR PROBLEM.

Maureen says DOES EVERYBODY
THOUGH WHO'S USING FOOD FOR
COMFORT OR MAY SUFFER FROM A
MOOD DISORDER OR WHATEVER,
MILD FORM OF DEPRESSION, DO
THEY ALL NEED TO BE ON A
DRUG TO TREAT THAT?

Dr. Levy NO.
NO, NO NOT AT ALL.
THERE'S DIFFERENT WAYS OF
APPROACH.
IF A PERSON IS CHRONICALLY
DEPRESSED OR IS WORRIED OR
ANXIOUS, THERE ARE LOTS OF
COGNITIVE THERAPIES THAT A
PSYCHIATRIST OR A FAMILY
DOCTOR WHO'S GOT AN INTEREST
IN THAT, OR PSYCHOLOGIST CAN
WORK WITH YOU TO SAY -- YOU
KNOW, EVERY TIME YOU LOOK AT
A SITUATION, DO YOU REALIZE
THAT YOU WORRY ABOUT 30
POSSIBLE OUTCOMES?
IF SOMEONE DOESN'T SAY HI TO
YOU IN THE HALL AT THE
OFFICE AND YOU IMMEDIATELY
START THINKING, “THEY HATE
ME.
WHAT HAVE I DONE WRONG?
I MUST HAVE SCREWED UP.”

Maureen says FIRE ME.

Dr. Levy says YEAH, THEY'RE GOING TO
FIRE ME.
AND THAT'S A COGNITIVE
DISTORTION AND WE'VE GOT TO
STOP THAT AND THERE ARE
TECHNIQUES TO DO THAT AND
YOU CAN REDUCE ANXIETY FRUSTRATION
AND DEPRESSION
50 PERCENT OR SO IF YOU WORK WITH
SOMEBODY WHO KNOWS HOW TO
USE THOSE TECHNIQUES.
MEDICATION IS IMPORTANT
WHERE THE PERSON'S FEELING
BADLY ENOUGH THEY CAN'T
ASSIMILATE THOSE TECHNIQUES
AND USE THEM BECAUSE THEY
FEEL TOO BAD.
AND THAT'S A JUDGMENT CALL
THE PHYSICIAN MAKES.

Maureen says HAS TO MAKE.
OKAY, PATRICIA IS IN
TORONTO.
HI PATRICIA?

Patricia says HI.
I WOULD LIKE TO KNOW IF THE
DOCTOR LEVY COULD LET ME KNOW
ABOUT CABBAGE SOUP.

Maureen says CABBAGE SOUP.

Patricia says OR LEEK SOUP.

Maureen says THOSE ARE DIETS
WHERE THAT'S ALL YOU EAT ALL
DAY, RIGHT?

Dr. Levy MY POLISH
GRANDMOTHER USED TO MAKE
THEM ALL THE TIME.
THERE HAVE BEEN A HOST OF
THESE VEGETABLE SOUPS THAT
CAME OUT UNDER A VARIETY OF
ASSUMED NAMES.
THERE WAS THE MIAMI HEART
INSTITUTE DIET, THE TORONTO
GENERAL HOSPITAL SOUP DIET.
NEITHER OF THESE INSTITUTES
IN ANYWAY ENDORSED OR LENT
THEIR NAME TO THESE SOUPS.
IT'S BASICALLY A LOT OF
VEGETABLES AND WATER AND
FLAVORING AND YOU'RE
SUPPOSED TO HAVE A NUMBER OF
SERVINGS THROUGHOUT THE DAY.
NOT ONLY IS IT A MULTIPLY
DEFICIENT DIET, BUT LIKE ALL
DIETS, IT DOESN'T GO TO THE
ISSUE OF WHY ARE YOU HAVING
THE PROBLEM IN THE FIRST
PLACE?
SO MY ADVICE IS IF IT TASTES
GOOD, THE SOUP IS GOING TO
BE FUN FOR YOU BUT IT'S
CERTAINLY NOT A WEIGHT
LOSS TECHNIQUE.

Maureen says I REMEMBER THIS
BANANAS AND MILK ALL THE
TIME -- I THINK THOSE DIETS,
THERE ALL ABOUT YOU'RE
GOING TO GET SO BORED ON
THIS YOU'RE GOING TO EAT
LESS OF IT IF YOU CAN
RESTRICT YOURSELF.

Dr. Levy A LOT OF
THEM DO BUT THE REBOUND
PHENOMENON IS VERY REAL AND
YOU LOSE 12 POUNDS AND GAIN
BACK 16 POUNDS AND YOU'RE NO
FURTHER AHEAD.

Maureen says NO, THANKS VERY MUCH
FOR THE QUESTION.
FROM LINDA, I'M WRITING
BECAUSE I WANT TO ASK IF YOU
HAVE ANY IDEAS FOR PEOPLE
WHO LIVE ON FIXED INCOMES.
I FIND ALL THE PROGRAMMES
SUGGEST BUYING OR DOING
SPECIAL THINGS.
I'VE FOUND WHAT WORKS FOR ME
NOW, I CAN NO LONGER AFFORD.
THERE'S NO LONGER ACCESS TO
NUTRITIONAL PROGRAMMES AND
COUNSELING LOCALLY.
EXERCISE PROGRAMMES WHICH
WOULD BE BENEFICIAL ARE ALSO
NOT AVAILABLE DUE TO FUNDS.
WALKING IS OUT OF THE
QUESTION DUE TO HEALTH.
MY HOME IS TOO SMALL FOR ANY
EXERCISE MACHINES.

Dr. Levy THAT'S A
LONG LIST OF PROBLEMS.
NONE OF WHICH HAVE AN EASY
ANSWER.
I'LL TAKE THE EXERCISE PART
FIRST BECAUSE IT'S PROBABLY
THE EASIEST TO DEAL WITH.
ANYTHING THAT YOU DO THAT
MOVES YOUR BODY FROM POINT A
TO POINT B COUNTS.
WHETHER IT'S WALKING,
WHETHER IT'S GOING UP AND
DOWN STAIRS, WHETHER IT'S
DOING EXERCISES SEATED IN A
CHAIR.
YOU CAN STRENGTHEN AND
STRETCH VARIOUS MUSCLE
GROUPS.
IT'S TRUE, YOU NEED TO BE
SHOWN HOW TO DO THAT AND
THAT'S SOMETHING THAT YOUR
PHYSICIAN SHOULD BE ABLE TO
ARRANGE THROUGH THE LOCAL
PHYSIOTHERAPY DEPARTMENT.
SO IT'S NEVER IMPOSSIBLE TO
GET SOMEONE TO BE MORE
MOBILE THAN THEY CURRENTLY
ARE.
WITH REGARD TO FOOD AND
INCOME, CERTAINLY THE -- ONE
OF THE PROBLEMS IS THAT
PEOPLE TEND TO USE PREPARED
FOODS AS OPPOSED TO DOING IT
THEMSELVES.
THERE ARE REASONS FOR THAT,
AND SOMETIMES YOU HAVE TO
USE A PREPARED FOOD BECAUSE
IT'S TOO DIFFICULT FOR TO
YOU COOK FOR YOURSELF AND SO
ON.
FORTUNATELY PEOPLE TEND TO
REQUIRE RELATIVELY CONSISTENT
LEVELS OF FOOD AND THE
STAPLES THAT WE USE, BREAD,
RICE, POTATO, CERTAIN
VEGETABLES, ARE GENERALLY
AVAILABLE FROZEN.
MANY OF THE VEGETABLES THAT
ARE VERY PRICEY FRESH ARE
AVAILABLE FROZEN OR CANNED.
THERE'S ABSOLUTELY NOTHING
WRONGED WITH CANNED
VEGETABLES WHATSOEVER.
THERE'S NOTHING WRONG WITH
FROZEN VEGETABLES OR FRUITS
FOR THAT MATTER.
AND PEOPLE LOOK AT THE COST
OF LETTUCE AT THE
SUPERMARKET AND THEY GO “OH,
GOD, I CAN'T HAVE A SALAD.”
NO, BUT YOU CAN HAVE CORN
AND PEAS AND CARROTS THAT
ARE FROZEN AND ARE GOING TO
COST YOU A FRACTION PER
SERVING OF WHAT THE SALAD
WOULD HAVE.
AND YOU'RE GOING TO GET ALL
THE NUTRIENTS.
YOU DON'T NEED A SIX OUNCE
CHICKEN BREAST TO GET THE
PROTEIN YOU NEED, THREE
OUNCE ALSO DOES.
SO IT'S CERTAINLY POSSIBLE
BUT YOUR CALLER CERTAINLY
HAS A POINT.
WITHOUT SOME SPECIFIC
INSTRUCTION WHERE THERE'S A
VERY LIMITED BUDGET, IT'S
ALMOST IMPOSSIBLE.
AND AGAIN, A HOSPITAL
DIETITIAN NORMALLY WOULD
SEE THIS AS THEIR MANDATE.

Maureen says RIGHT.

Dr. Levy says THEY WON'T DO DIET
COUNSELING ANYMORE BECAUSE
THEY'RE NOT FUNDED TO DO
THAT BUT THIS IS MORE THAN
THAT.
THIS IS A REAL “HOW DO I
FEED MYSELF UNDER THESE
CIRCUMSTANCES PROBLEM.”

Maureen says YES.

Dr. Levy THAT
SHOULD BE DONE.

Maureen says SO TALK TO YOUR
DOCTOR DEFINITELY ABOUT
THIS.

Dr. LANCE LEVY says
ABSOLUTELY, YES.

Maureen says DO YOU THINK,
THOUGH, WE NEED AS A SOCIETY
TO TAKE OBESITY MORE
SERIOUSLY AS A HEALTH
PROBLEM AND TREAT IT AS A
DISEASE ALMOST?

Dr. Levy WELL, TWO
THINGS.
FIRSTLY, THE WORLD HEALTH
ORGANIZATION LAST YEAR HAS
COME OUT AND SAID IT IS A
DISEASE.
IT'S NOT A “CONDITION.”
IT'S A REAL ENTITY IN THAT
WE KNOW WHERE IT COMES FROM,
WE KNOW WHY IT'S GOING IN A
PARTICULAR DIRECTION AND WE
KNOW WHAT THE RISKS
ASSOCIATED ARE.
SO IT IS CONSIDERED AN ILLNESS A
DISEASE.
WHY SHOULD WE TAKE IT
SERIOUSLY?
THE OLD POCKET BOOK IS
CERTAINLY A GOOD PLACE TO
START.
THE HEALTHCARE COSTS OF
WEIGHT-RELATED PROBLEMS, LIKE
ARTHRITIS, DIABETES, HIGH
BLOOD PRESSURE, STROKE AND SO
ON WERE RECKONED A COUPLE OF
YEARS AGO BY BLAIR
CUNNINGHAM IN
HIS GROUP IN BRITISH COLUMBIA TO
COST CANADIANS ABOUT 3
BILLION DOLLARS A YEAR.
NOW THAT'S JUST THE
IMMEDIATE ILLNESSES
THEMSELVES, NOT THE LOST
INCOME DUE TO TIME AWAY FROM
WORK, EARLY DEATH, DECREASED
PRODUCTIVITY.
WHICH IS PROBABLY MAGNIFIES
IT DOUBLE OR
TRIPLE.
SO WE'RE LOOKING AT ENORMOUS
COST AND THAT'S A STUDY
THAT’S LOOKED AT ALREADY.
KIDS HAVE GONE FROM ROUGHLY
12 PERCENT OVERWEIGHT TO 24 PERCENT NOW.
ADULTS FROM 30 TO 50 PERCENT.
WE'RE LOOKING AT AN ENORMOUS
BILL BEGINNING ABOUT 10 YEARS FROM
NOW.
SO THAT'S ONE REASON TO LOOK AT
IT.

Maureen says YEA.

Dr. Levy says IT'S GOING TO COST US --
SOAK UP -- IT'S GOING TO BE
THE SINGLE-BIGGEST CAUSE OF
INADEQUATE HEALTHCARE
DOLLARS.
THE CONSEQUENCES OF OBESITY
AND UNFORTUNATELY THE
COMMERCIAL DIET CENTRES ARE
SO FAR BEHIND THE TIMES IN
WHY IS A PERSON OVERWEIGHT
AND WHAT SHOULD WE DO ABOUT
IT THAT IN FACT MY PERSONAL
OPINION IS THEY'RE MAKING A
SITUATION WORSE BY
CONTINUING TO HOLD OUT TO
PEOPLE A QUICK CURE, WHEN
THEY SHOULD BE TALKING TO
THEIR DOCTOR.

Maureen says AND WHAT SHOULD
THE MEDICAL PROFESSION BE
DOING ABOUT THIS?
I MEAN, FAMILY DOCTORS ARE
THE ONE WHOSE SEE US ON A
REGULAR BASIS.
THEY KNOW WE'RE OVERWEIGHT.

Dr. Levy I AGREE
AND MANY FAMILY DOCTORS,
FROM AN ECONOMIC CONSTRAINT
POINT OF VIEW, BECAUSE IT
TAKES TIME TO TALK TO
SOMEBODY AND REALLY GO INTO
THESE THINGS IN DETAIL,
THERE'S A TOTAL DISINCENTIVE
UNDER THE OHIP PROGRAMME TO
DO ANY OF THAT.
HAVING SAID THAT, FAMILY
DOCTORS ARE COMING TO
REALIZE THAT MOOD DISORDER,
CHRONIC TIREDNESS, CHRONIC
PAIRNGS CHRONIC
GASTRO-INTESTINAL PROBLEMS
ARE ALL WITHIN THEIR PER
VIEW.
THEY CAN UNDERSTAND WHY
YOU'RE
CHRONICALLY TIRED AND DO THE RIGHT
TESTS.
IF WE JUST DID THAT AND
FIXED THOSE UNDERLYING
MEDICAL CAUSES OF OBESITY
40 PERCENT OF THE OBESITY WOULD
DISAPPEAR AND THAT'S WAY
BETTER THAN WHAT YOU'RE
GOING TO GET FROM FOLLOWING
A COMMERCIAL DIET.

Maureen says OKAY.
FRANK IS IN WOODBRIDGE.
HELLO, FRANK.

Frank says HI, HOW ARE YOU.
HI, MY QUESTION IS WE'RE
OVERLOOKING THE CLIMATE WE
LIVE IN TO SAY WE HAVE
DIABETES IN OUR COUNTRY,
OVER WEIGHT DIABETES AND
EVERYTHING RELATED, COULD
BE A CONSEQUENCE OF THE
FOODS AND HOW IT'S EVOLVED
OVER THE LAST HUNDRED OR 150
YEARS, BECAUSE THE FIRST
PEOPLE THAT CAME HERE HAD NO
FRESH FRUITS TO EAT FOR SIX,
SEVEN MONTHS OF THE YEAR.

Dr. Levy NO, McDonald’s
FRIES, EITHER.

Frank says WELL, YOU KNOW
WHAT?
NO.
I'M JUST LOOKING AT THE WAY
MY ANCESTOR, FROM WHERE THEY
CAME, FROM THEY HAD FRESH
FRUIT ALL THE TIME AND THE
INCIDENTS OF DIABETES AND
OBESITY AND BASICALLY NIL IN
THE MEDITERRANEAN AND
SOUTHERN ITALY. YOU KNOW
I LOOK AT MY GREAT
GRANDMOTHER WHO I KNEW, AND
MY GRANDMOTHER WHEN SHE CAME
HERE AND THEY LIVED HERE FOR
40 YEARS AND THEY DEVELOPED
DIABETES, AND I HAVE -- I
THINK IT HAS SOMETHING TO DO
WITH THE CLIMATE.
BECAUSE FOR SIX MONTHS OF
THE YEAR, YOU KNOW, WE HAVE
TO EAT MORE.
I KNOW PEOPLE WHO GO ON
DIETS, YOU KNOW, FOR FOUR,
FIVE MONTHS, COME OCTOBER,
THEY CAN'T STAY ON A DIET
ANYMORE BECAUSE THE WEATHER
CHANGES.

Maureen says I DON’T KNOW.

Frank says I DON'T KNOW IF IT'S JUST
THE CHRISTMAS SEASON.
IF IT IS, IT'S BECAUSE THE
CLIMATE CHANGES AND YOU NEED
MORE FAT IN YOUR DIET.

Maureen says NOW SEE, I DON'T
FIND I EAT MORE IN THE
WINTER.
I KNOW I DO LESS.

Dr. Levy I THINK
FRANK'S OBSERVATION THAT
PEOPLE EAT MORE IN THE FALL
AND WINTER IS CORRECT.

Maureen says IS THAT RIGHT?

Dr. Levy YEAH, AND
IT'S ALSO ACCOMPANIED BY
DECREASED ACTIVITY.
HIS GRANDPARENTS AND THEIR
GRANDPARENTS BEFORE THEM --
I MEAN, WINTER OR NO WINTER,
THEY WERE OUT FIXING THE
BARN OR GETTING THE HORSES
LOOKED AFTER OR CUTTING DOWN
WOOD.
THEY WEREN'T SITTING BY THE
TELEVISION SET ORDERING
PIZZA PIZZA.
SO IT IS DIFFERENT.
THE OTHER THING THAT'S VERY
DIFFERENT IS WITH A DECREASE
IN PHYSICAL ACTIVITY,
BECAUSE WE LIVE INDOORS SO
MUCH AND HAVE ALL SORTS OF
LABOUR-SAVING DEVICES, SOME
OF THE WAY OF DISPELLING
SEASONAL AFFECTIVE DISORDER
WHICH IS THE DEPRESSION THAT
OCCURS IN OCTOBER THROUGH
MARCH, WHERE A PERSON FEELS
MORE SLUGGISH, MORE HUNGRY,
LESS INCLINED TO MOVE, WANTS
TO LIE ON THE COUCH MORE,
THAT'S NOT BEING OFFSET.
AND WHEN YOU HAD TO GET UP
AND GO CUT THE WOOD AND DO
SOMETHING, YOU BROKE SOME OF
THAT MOOD PROBLEM.
AND WE'RE NOT DOING THAT
NOW.
SITTING IN FRONT OF THE
TELEVISION SET ISN'T GOING
TO FIX IT.

Maureen says I DON'T KNOW
ABOUT CLIMATE, BUT THERE ARE
LOTS OF STUDIES THAT SHOW
WHEN PEOPLE MOVE FROM SAY
JAPAN OR ASIA INTO NORTH
AMERICA, THEY TAKE ON OUR
NORTH AMERICAN HEALTH
PROBLEMS THAT ARE ALMOST
UNKNOWN IN --

Dr. Levy says YES, IF THEY TAKE
ON OUR DIET. IF YOU MOVE THEM INTO A TRUE
NORTH AMERICAN DIET, THEY
HAVE MORE SEVERE PROBLEMS
THAN AN ACCLIMATED PERSON
WOULD HAVE.
SO YOU'RE ABSOLUTELY RIGHT.

Maureen says SO EVEN THOUGH
FRANK'S GRANDMOTHER AND
GREAT GRANDMOTHER WERE
COOKING THE WAY THEY THOUGHT
THEY WERE COOKING IN THE OLD COUNTRY,
CHANCES ARE THEY THOUGHT
THEY WERE ADOPTING MORE OF
THE NORTH AMERICAN DIET AT
THE SAME TIME.

Dr. Levy WELL BY
THE SECOND GENERATION AND
CERTAINLY THE THIRD THAT'S
TRUE AND JUST FOR FRANK'S
KNOWLEDGE, THERE'S BEEN
RECENTLY A STUDY PUBLISHED
THAT THE INCIDENTS OF
OBESITY IN THE MEDITERRANEAN
LITERAL HAS GONE WAY UP IN
THE PAST DECADE.

Maureen says REALLY?

Dr. Levy AND THAT
WOMEN IN GREECE APPARENTLY
AND SOUTHERN ITALY ARE
EXPERIENCING MAJOR PROBLEMS
WITH WEIGHT, AND IT'S
BECAUSE THEY'VE GONE AWAY
FROM THE TRADITIONAL DIET
WHICH HAD LOTS OF OLIVE OIL
BUT IT HAD LOTS OF PHYSICAL
EXERCISE IN THERE AS WELL.

Maureen says YEAH.
OKAY, THANKS VERY MUCH,
FRANK.
ANNE IS IN KINGSTON.
HELLO, ANNE?

Anne says HI.

Maureen says HI.

Anne I CAN EMPATHIZE
WITH YOUR EARLIER CALLER
ABOUT BEING HOME WITH HER
CHILD.
I'VE GOT FOUR AND I'M
CURRENTLY HOME WITH TWINS
AND YOU SEEM TO SPEND SO
MUCH TIME SITTING WITH
BABIES, SITTING TO FEED THEM,
SITTING TO PUT THEM TO SLEEP,
AND I'VE ALWAYS HAD A
PROBLEM WITH WEIGHT MY WHOLE
LIFE, AND I JUST FIND
GOING -- YOU KNOW, YOU START
TO NIBBLE.
ALMOST FOR SOMETHING TO DO.

Dr. Levy YEAH.

Anne says BUT MY QUESTION
IS WHEN YOU START ON A DIET,
YOU KNOW, YOU DECIDE OKAY,
THIS IS IT, WE'RE GOING TO
CUT BACK KIND OF THING,
SUDDENLY YOU HAVE A CRAVING.
OH, YOU NEED TO EAT
SOMETHING.
I DON'T EAT BROWNIES IN A
MONTH BUT SUDDENLY YOU EAT A
WHOLE PLATE OF THEM OR YOU
HAVE THAT KIND OF FOOD
AROUND, HOW DO YOU DEAL WITH THAT
KIND OF THING?

Dr. Levy UM...
IT'S A COMPLICATED QUESTION.
ALL OF THESE QUESTIONS, ALL
OF YOUR CALLERS BY THE WAY
ARE ASKING GOOD QUESTIONS.

Maureen says THEY ARE, YEAH.

Dr. Levy ONE OF
THE THINGS THAT YOU'RE
PROBABLY SUFFERING WITH IS
YOU'RE UNDER STIMULATED.
I MEAN, NOT TO SAY THAT HEY,
YOU KNOW, JUGGLING FOUR
CHILDREN ISN'T BUSY WORK,
BECAUSE IT IS.
I'M A PEDIATRICIAN BY
TRAINING AND I'VE JUGGLED
WHOLE NURSERIES OF BABIES.
BUT THE SORT OF STIMULATION
THAT GIVES YOU A BALANCE IN
YOUR LIFE MAY BE MISSING.
I DON'T KNOW WHETHER YOU AND
YOUR HUSBAND GET OUT WITH
FRIENDS, IF YOU MANAGE TO
GET OUT OR NOT, BECAUSE YOU
MAY BE FEELING VERY TRAPPED.
FOOD OFTEN GETS USED WHERE A
PERSON'S STIMULUS LEVEL HAS
FALLEN BELOW A CRITICAL
LEVEL.
WHEN WE FEEL UNDER
STIMULATED, SOME PEOPLE JUST
SAY I FEEL BORED” BUT
WHEN YOU PIN THEM RIGHT DOWN
WHAT DO YOU MEAN WHEN YOU
SAY YOU'RE BORED?
“I'M SAD, I'M FRUSTRATED, I
MISS MY FRIENDS, I USED TO
GO TO THE GYM, I DON'T DO
ANYTHING FOR ME ANYMORE, I'M
BORED.”
WELL HAS NOT BORED, THAT'S A
LOT OF THINGS, ALL OF WHICH
SHOULD BE TAKEN CARE OF AND
ONE OF THE THINGS THAT YOU
CAN DO WITH KIDS IS KIDS
TEND TO TRAVEL WELL AND
UNLESS THEY'RE UNDER A MONTH
OF AGE THERE'S NO REASON WHY
YOU CAN'T BUNDLE THEM UP AND
GO FOR A WALK AND PUT THEM
IN THE PRAM AND GO OUT WITH
THEM.
SURE IT TAKES EFFORT TO LOAD
THEM UP AND GET THEIR
BOOTIES ON AND SO ON, BUT
YOU'LL FEEL MUCH BETTER IF
YOU DO THAT.
SAME THING IS WITH KIDS --
ESPECIALLY WHEN YOU'VE GOT
YOUNG KIDS, YOU'VE GOT TO
PLAN SOMETIME WHERE EITHER
YOU HAND OFF TO YOUR HUSBAND
OR GRANDPARENT OR BABYSITTER
AND YOU HAVE TO DO SOMETHING
FOR YOURSELF.
LIFE DOESN'T STOP BECAUSE
YOU HAVE SUDDENLY BECOME A
PARENT.
AND IN FACT I DON'T THINK
IT'S HEALTHY FOR YOUR KIDS
FOR YOU TO LIVE THAT WAY OR
TO EVEN SET THAT EXAMPLE.
SO I THINK YOU'RE BORED,
FRANKLY.

Maureen says AND I THINK
YOU'RE SAYING THAT SOME
OTHER ADULT CONVERSATION
DURING THE DAY, EVEN IF IT'S
A WALK WITH ANOTHER WOMAN IN
THE NEIGHBOURHOOD WHO'S IN
THE SAME -- JUST THAT KIND
OF CONVERSATION, I MEAN IT
WON'T MAKE HER DROP TEN
POUNDS A WEEK, BUT IT'S
STIMULATING THE MIND.

Dr. LEVY says
ABSOLUTELY, A CLASSIC
EXAMPLE IS A PATIENT WILL
COME BACK AND REPORT ON A
HOLIDAY THEY TOOK AND I WENT
HERE AND THERE AND DID THIS
AND DID THAT AND I SAID “AND
WHAT DID YOU EAT?”
“OH, I DIDN'T WORRY ABOUT
EATING.”
AND FOOD WAS TOTALLY
SECONDARY ISSUE.
NO PROBLEMS WITH FOOD
CONTROL, BECAUSE THEY WERE BUSY,
THEY WERE STIMULATED, THEY WERE ENGAGED, THEY
WEREN'T SEATED IN THEIR
PREVIOUS EXISTENCE.
NOW WE CAN'T ALL BE AWAY ON
HOLIDAY, THERE'S GOT TO BE A
MIDDLE GROUND THERE.

Maureen says BUT WE GET THE
IDEA THERE.

Dr. Levy SURE.

Maureen says GOD LUCK.
THANKS ANNE.
WE'VE HAD SOME QUESTIONS
ABOUT PROENZA-99.
I WAS TOLD BY FRIENDS I NEED
TO DO SOMETHING TO INCREASE
MY METABOLISM.
HAVING TWO CHILDREN UNDER 20
MONTHS I’M VERY TIRED AND I FIND IT VERY
DIFFICULT TO FIND THE ENERGY
TO STAY ACTIVE.
I'M NOT SURE WHY I'VE NOT BEEN
ABLE TO DROP THESE POUNDS
BECAUSE I'M ON THE GO FROM
MORNING TO NIGHT WITH KIDS
AND HOUSEWORK.
IT'S BEEN SUGGESTED I TAKE
PROENZA-99.
I EAT BETTER NOW BECAUSE OF
MY CONCERN FOR THE KIDS'
HEALTH THAN I EVER HAVE IN
MY LIFE BUT IT DOESN'T SEEM
TO MAKE A DIFFERENCE.
DO YOU HAVE ANY SUGGESTIONS?
I HAVE STARTED TAKING THE
KIDS TO THE GYM WITH ME BUT
WHEN I GET HOME I'M SO
EXHAUSTED THAT I NEED TO
HAVE A NAP WITH THEM.

Dr. Levy I DON'T
KNOW ABOUT COMMENTING ON A
SPECIFIC PRODUCT.
I KNOW THE PRODUCT THAT'S
BEEN MENTIONED, I DON'T WANT
TO GET INTO THE SPECIFICS.
THE PROBLEM WITH MANY OF
THESE HERBAL PRODUCTS IS
THEY EITHER CONTAIN CAFFEINE
OR HE HAVE EPHEDRINE OR MAO
WONG OR LAXATIVES OR HERBAL
PRODUCTS THAT ARE FIBRE
SUPPLEMENTS.
NONE OF THEM HAVE ANY EFFICACY IN THE
LONG-TERM.
SOME OF THEM WORK BY MAKING
YOU MILDLY QUEASY SO YOUR
APPETITE IS LESS.
THE ONES THAT HAVE THE
STIMULANTS CAFFEINE OR EPHEDRINE
IN THEM ACTUALLY
CHANGING BRAIN CHEMISTRY BUT
ALSO RAISE BLOOD PRESSURE
AND HEARTRATE AND CAN
DISTURB SLEEP AND MOOD.
NOT A GOOD THING AT ALL.
SO GENERICALLY NONE OF
THOSE PRODUCTS HAVE ANY USE
AT ALL.
IF YOU’RE FEELING TIRED AND GETTING
BACK TO THE GYM AND GOING --
BACK TO THE GYM AND GOING
OUT WITH THE KIDS AND NONE
OF THESE THINGS ARE WORKING
YOU PROBABLY NEED A
CHECK-UP.
MILD ANEMIA, MOOD ISSUES
CERTAINLY GET MISSED
AND IT'S SOMETHING YOU
SHOULD TALK TO YOUR DOCTOR
ABOUT.
I HOPE THAT THAT'S HELPFUL.

Maureen says METABOLISM IS
ONE OF THOSE THINGS? PRESUMABLY AS
WE AGE OUR METABOLISM LOWERS.

Dr. Levy YES, SADLY.

Maureen says THAT'S A BUMMER.
WHY AREN'T THEY WORKING ON
SOMETHING AROUND THAT
INSTEAD OF ALL THIS APPETITE
SUPPRESSANT STUFF.
I JUST WANT THE FOOD TO WORK
QUICKER.

Dr. Levy says METABOLISM IS THE WORD GIVEN
TO ALL THE PROCESSES THAT GO
ON IN THE BODY TO KEEP YOU
ALIVE AND FUNCTIONING.
YOUR BLOOD HAS TO FLOW,
OXYGEN HAS TO BE USED, WASTE
PRODUCTS HAVE TO BE GOTTEN
RID OF AND SON, AND WHEN YOU
TRY AND ARTIFICIALLY SPEED
THAT PROCESS UP, IF I GIVE
YOU A SHOT OF ADRENALIN, YOU
KNOW, YOU'D BE ALL SET TO
RUN THE 100 YARD DASH IN NO
TIME FLAT.
THE PROBLEM IS THAT YOU'RE
PUTTING A LOT OF STRESS ON
THE CELLS IN TERMS OF FREE
RADICAL GENERATION, DAMAGE
TO DNA, DAMAGE TO
MITOCHONDRIA, DAMAGE TO CELL
WALLS.
METABOLISM IS ANOTHER WORD
FOR AGE.
AND WHEN YOU RAISE METABOLIC
RATE, YOU AGE MORE QUICKLY.

Maureen says OH, SO WE'D AGE
MORE QUICKLY.

Dr. Levy YES SO,
IF YOU WERE IN EFFECT TO
ARTIFICIALLY RAISE SOMEONE'S
METABOLISM, SAY GIVE THEM THYROID
HORMONE, WHICH USED TO
BE A TREATMENT FOR WEIGHT
LOSS, BESIDES THE FACT IT'S
DAMAGING TO THE HEART AND
CAN CAUSE OTHER DIFFICULTIES
THAT INCREASED METABOLISM
DOES YOU NO GOOD.
YOU CAN'T SUSTAIN IT AND IT IS AGING--

Maureen says WHEN YOU HEAR
ABOUT PEOPLE WHO SAY “I CAN
EAT EVERYTHING.
I'VE GOT A HIGH RATE OF
METABOLISM.”
IS THAT TRUE?

Dr. Levy NO, WHAT
THEY PROBABLY ARE REFERRING
TO IS THERE ARE PEOPLE WHO HAVE A HIGH
RATE OF PHYSICAL MOVEMENT
AND WE ALL KNOW THE PERSON
WHO SITS THERE AND THEIR
FOOT'S TAPPING AND THEY'RE
TWISTING IN THEIR SEAT AND
GESTURING WITH THEIR HANDS
THAT BURNS CALORIES.
IT CAN BURN SEVERAL HUNDRED
CALORIES A DAY.
AND IF YOU COMBINE THAT
WITH -- MAYBE THEY DO HAVE
LITTLE BIT MORE LEAN BODY
MASS, MUSCLE MASS AND MAYBE
THEY BURN CALORIES SLIGHTLY
MORE QUICKLY, THAT'S WHAT
THEY'RE TALKING ABOUT.
THERE'S NO MAGIC --
FIDGETING IS GOOD.

Maureen says SO FIDGETING IS GOOD. OKAY.
MARY IS IN CAMBRIDGE.
HI MARY.

Mary says Hey.

Maureen says GO AHEAD.

Mary says I JUST HAVE A
QUICK QUESTION ABOUT
VITAMINS.
I WANTED TO KNOW IF THERE'S
ANY CORRELATION BETWEEN
WEIGHT GAIN AND VITAMIN
DEFICIENCY AND WHAT KIND OF
VITAMINS SHOULD WOMEN BE
TAKING NOWADAYS?

Dr. Levy THERE
ISN'T ANY CORRELATION
BETWEEN VITAMINS AND WEIGHT
AT ALL, ALTHOUGH MANY PEOPLE
WOULD HAVE RECOMMENDED
VARIOUS VITAMIN SUPPLEMENTS
AS AN ADJUNCT TO WEIGHT
LOSS.
IF SOMEONE GOES ON A REALLY
BAD DIET, AND OBVIOUSLY YOU
SHOULDN'T DO THAT, THE DIET
MAY BE DEFICIENT IN ZINC IN
IRON, IN CALCIUM, I MEAN
THERE'S A WHOLE HOST OF
THINGS THAT MIGHT BE MISSING
AND A MULTI VITAMIN WOULD
MAKE SOME SENSE, AND
CERTAINLY VITAMIN
SUPPLEMENTS GENERALLY, I
TEND TO AGREE WITH, IN
MODEST AMOUNTS.
BUT TO BELIEVE THAT IT'S
GOING TO DO SOMETHING FOR
YOUR METABOLISM OR WEIGHT OR
APPETITE IS ABSOLUTELY
UNTRUE AND IT'S JUST
SOMETHING THAT GETS SOLD.
THERE'S A PHYSICIAN WHO
GIVES VITAMIN B-12 INJECTIONS
WITH THE MYSTIQUE THAT THIS
IS GOING TO IMPROVE THE
ELIMINATION OF FAT AND THE
BURNING OF FAT AND THAT'S
ABSOLUTELY TOTALLY WITHOUT
FOUNDATION.
BUT... PEOPLE WANT IT.

Maureen says IN FACT HE'S
MAKING MONEY.
DO YOU THINK THE AVERAGE
WOMAN NEEDS TO TAKE LIKE A
B-12 OR A B-6 OR WHATEVER?

Dr. Levy YOU COULD
MAKE A CASE FOR SUPPLEMENTAL
VITAMINS, GIVEN THE WAY WE
LIVE OUR LIVES IN THIS
SOCIETY.
THAT'S NOT TO SAY THAT'S
RIGHT, BUT WE SHOULD BE
EATING HEALTHIER.
BY BEING PRAGMATIC I DO
RECOMMEND VITAMINS TO MY
PATIENT BECAUSE OVER A 30
DAY SPAN THEY'RE NOT GOING
TO GET ALL THE OF ZINC OR
CALCIUM OR WHATEVER THEY NEED
AND YOU HAVE TO BE SELECTIVE
IN WHAT YOU RECOMMEND OKAY.
I WANT TO GET TO THIS
QUESTION ABOUT MEDICATION
FROM LIZ.
HOW DO YOU KNOW IF
MEDICATION IS MAKING YOU
GAIN WEIGHT?
I'M ON COPAXONE FOR MULTIPLE
SCLEROSIS, NEURONTIN AND
CELEBREX.
DUE TO MY EXERCISE -- MY
DISEASE MY EXERCISE IS VERY
LIMITED IS IT THE FACT THAT
SHE'S NOT ACTIVE OR COULD ANY OF THOSE DRUGS
BE
CAUSING HER TO GAIN THE
WEIGHT?

Dr. Levy THAT'S A
VERY TOUGH CALL.
REALLY WHAT IT HINGES ON IS
PROVIDED A MEDICATION IS
STARTED ON ITS OWN, YOU'RE
NOT PUT ON SIX THINGS AT
ONCE, YOU DO HAVE SOME WAY OF
JUDGING OVER THE NEXT THREE
OR FOUR WEEKS WHETHER GABAPENTIN OR NEUROTIN
IS CAUSING SEDATION,
FOR EXAMPLE.
SOME OF THE DRUGS DO CAUSE
WEIGHT GAIN BECAUSE THEY
MAKE YOU A LITTLE BIT SLEEPY,
YOU MOVE A LITTLE BIT LESS,
YOU BURN SOMEWHAT FEWER
CALORIES AND THE WEIGHT
ACCUMULATES.
THERE'S SOME THAT ACTUALLY
INTERFERE WITH METABOLISM IN
A SMALL WAY THAT MAY KNOCK
3 OR 4 PERCENT OF CALORIE BURN OFF
PER DAY SO, THAT YOU'RE NOT
EXPENDING THOSE CALORIES.
THEY'RE NOT DRUGS THAT ARE
COMMONLY IN USE, SO IT'S NOT
SOMETHING THAT EVERYBODY
SHOULD BE LOOKING AT THEIR
MEDICINE CHEST AND WONDERING
ABOUT.
WHERE IT REALLY MATTERS IS
WHETHER YOU START A
MEDICATION AND YOU GO GOD,
I'M HUNGRY, THIS REALLY
MAKES ME HUNGRY!
BECAUSE THERE ARE CERTAIN
MEDICATIONS THAT WITHIN A
FEW DAYS OR A WEEK OF
STARTING IT YOU CAN
EXPERIENCE AN INCREASE IN
APPETITE AND CRAVING FOR
CERTAIN FOODS.
THAT'S NOT GOING TO CHANGE
AND IT'S NOT PARTICULARLY
GOOD FOR YOU.
IT'S SOMETHING YOU WANT TO
DISCUSS WITH YOUR DOCTOR.

Maureen says SO I THINK WHAT
YOU'RE SAYING IS YOU CAN'T
BE ON A MEDICATION AND EAT
THE SAME AMOUNT OF FOOD AND
GAIN WEIGHT ANYWAY EXCEPT IN
THESE VERY RARE
CIRCUMSTANCES.

Dr. Levy says EXACTLY.
YOU COULD BE ON A MEDICATION
THAT INCREASES YOUR APPETITE
CAUSING YOU TO EAT MORE AND
THEN YOU'LL GAIN WEIGHT.

Dr. Levy EXACTLY,
OR OCCASIONALLY IT SLOWS
YOUR METABOLISM AND YOU'RE
EATING THE SAME AS YOU USED
TO EAT, -

Dr. Levy says OKAY. SO CONSEQUENTLY YOU
GAIN WEIGHT.

Maureen says BUT THAT'S
RARER --

Dr. Levy THESE ARE
RARE, YES.

Maureen says RARER THEN THE OTHER THING. DON’T HAVE A LOT OF
TIME, LET'S TRY TO GET NYEV
IN TORONTO.
HI.

Nyev says HI.
I JUST WANTED TO SAY THAT I
AM BEING TREATED FOR MOOD
DISORDERS BY A DOCTOR AND
TWO YEARS AGO I STARTED A
A WALKING PROGRAMME.
I COULD BARELY WALK THREE
MILES A WEEK BUT I'VE
INCREASED THAT UP TO 20
MILES PER WEEK OVER THE TWO
YEARS.

Dr. Levy GREAT!

Nyev says THE BIGGEST
CHANGE OF ALL HAPPENED AFTER
I WATCHED Dr. LEVY ON YOUR
PROGRAMME, I THINK IT WAS IN
THE SPRING.

Maureen says YES, HE WAS HERE
THEN.

Nyev says AND I KNOW IT
DOESN'T SOUND GLAMOROUS, HIS
ADVICE, I HAVE TO TELL YOU,
IT'S SPOT-ON.
BECAUSE ONE THING I PROMISED
MYSELF I'D TRY FOR A MONTH
WAS EATING EVERY FOUR HOURS,
NEVER SKIPPING MEALS, AND IF
I WAS HUNGRY BETWEEN LUNCH
AND DINNER I WOULD
DEFINITELY HAVE A SNACK,
EVEN IF DINNER WAS AN HOUR
LATER, I WOULD HAVE AN APPLE
OR A LOW-FAT YOGURT, AND IT
HAS REALLY MADE A HUGE
DIFFERENCE.

Maureen says MADE ALL THE
DIFFERENCE.

Nyev says I DID NOT EXPECT
TO LOSE WEIGHT.
I DID NOT GO INTO IT WITH
THAT EXPECTATION.

Maureen says WE'RE GOING TO
HAVE TO LET THAT TESTIMONIAL
END THE PROGRAMME BUT I
THINK THAT'S A GOOD PLACE TO
DO IT.
THANK YOU SO MUCH FOR
TELLING US ABOUT THAT AND
THANK YOU FOR BEING HERE.

Dr. Levy NICE TO
BE HERE.

Maureen says COME BACK AGAIN.

Dr. Levy MY
PLEASURE.

Maureen says THERE IS A LOT OF GOOD Dr. LANCE LEVY
IS THE DIRECTOR OF THE
NUTRITIONAL AND EATING
DISORDERS CLINIC IN TORONTO.
HE'S ALSO THE AUTHOR OF
“UNDERSTANDING OBESITY:
DECEPTION IN THE MARKETPLACE
AND THE REAL STORY.”
FOR MORE NUTRITION TIPS ON
THE INTERNET, Dr. LEVY
RECOMMENDS: www.webmd.com.

A panel appears on the screen under the title “Nutrition Advice” It
reads www.webmd.com

Maureen continues THAT’S ALL THE TIME WE HAVE FOR THIS ADDITION OF
MORE TO LIFE THANKS FOR WATCHING AND TRY TO TUNE IN AGAIN MONDAY
THROUGH FRIDAY AT 1 O’CLOCK.

A panel appears on the screen. It reads “The advice given in the
preceding program is of a general nature only. Viewers should
consult their own medical professional for medical advice specific
to their circumstances.”

Watch: Obesity