Dr. Poon’s Metabolic Diet

1 Dr. poon s Metabolic diet Medication may treatthe number, but weight reductiontreats the cause. Dr. Pat poon , , SMETABOLICDIETPAT poon (HIGHESTHONORS), ( , ), , ,AMERICANBOARD OFPHYSICIANNUTRITIONSPECIALIST I can only help those who help themselves. The information in this book is true and complete to the best of theauthor's knowledge at the time of publishing. All recommendations aremade without guarantee on the part of the author. The author disclaimsany liability in connection with the use of this information. The authordid not receive any funding from the drug industry in writing this book,and declared no conflict of with medical conditions and/or taking medications shouldconsult their physicians before starting any diet or exercise not alter your diet , or change the type or dosage of yourmedications without the approval of your medical 2009 by Ontario Nutrition Company Incorporation.

2 Allrights reserved. No part of this publication may be reproduced, storedin a retrieval system, or transmitted in any form or by any means,electronic, mechanical, photocopying, recording or otherwise, withoutprior written permission of the Ontario Nutrition CompanyIncorporation. thanks to Ms. Maria Wong and Ms. Lis Henry for proof readingthe Page Composition & Cover Design: Anie Kim ThanPrinted and Bound in CanadaLast digit indicates print number: 12 11 10 9 8 ISBN 978-0-9738905-4-9 CONTENTSPREFACEvii1: OBJECTIVES112: WHAT ISOBESITY?153: COMPLICATIONSASSOCIATED WITHOBESITY23 Type 2 Diabetes24 Hypertension, Dyslipidemia and Coronary Heart Disease 71 Obesity and Cancer87 Autoimmune Disease88 Acne and Other Skin Disorders89 Water Retention91 Polycystic Ovary Syndrome92 Fatty Liver and Gallstones95 Osteoarthritis96 Sleep Apnea and Respiratory Problems98 Hyperuricemia100 Fibromyalgia and Chronic Fatigue Syndrome1004: CHILDHOODOBESITY1115: METABOLICSYNDROME1196: WHY DID THELOWFAT,LOWPROTEIN,133 ANDHIGHCARBOHYDRATEDIETFAIL?

3 7: INSULIN ISYOURENEMY AND139 GLUCAGON ISYOURFRIEND8: KETOSIS1459: EATLOWFAT ANDNOTNOFAT15310: MEDICATIONSTHATCANCAUSEWEIGHTGAIN16311: GLYCEMICINDEX ANDGLYCEMICLOAD16512: READINGFOODLABELS17313: EXERCISES20714: VITAMINS ANDNUTRITIONALSUPPLEMENTS21715: PROS ANDCONS OFDIFFERENTDIETS22516: VITALSTATISTICS23917: PHASEONE- INDUCTIONPHASE24118: PHASETWO- CONTINUEDWEIGHTLOSINGPHASE27519: PHASETHREE- MAINTENANCEPHASE29920: FACTS ANDMYTHS31121: I AMA STRESSEATER 34122: INVASIVE ANDNON-INVASIVE347 BARIATRICPROCEDURES23: PHILOSOPHY SDIET35124: SUMMARY35525: ABOUT THEAUTHOR359 APPENDIX361 INDEX371 NOTES379 PREFACEIn the animal kingdom, one of the survival skills is the ability to storeexcess food in the form of fat.

4 The animal can use the stored fat as anenergy source when food becomes scarce, for example in thewintertime or in a drought. The human body has maintained thisfeature even after years of evolution as a means of adaptation forsurvival. In this day and age though, food is readily available and thereis no need for us to store way to determine if you are overweight or obese is to compareyour weight with your height. This is called Body Mass Index (BMI).The United States National Institutes of Health defines overweight as a BMI that is over 25 and obesity as a BMI that is over 30. By thesecriteria, it is estimated that more than 50% of North America'spopulation is overweight.

5 This definition only applies to the NorthAmerican. It does not apply to the East Asian and Asian. The WorldHealth Organization (WHO) found that, in order to be healthy, the EastAsian and Asian populations need to maintain their BMI at less than BMI of 23 to is considered as overweight for the Asianpopulation. A BMI of greater than indicates a high risk for obesityrelated diseases1. Recently the Chinese medical community defined overweight in the Chinese population as a BMI that is greater obesity a disease? Due to constraints on health care funding, both thegovernment and industry sources do not regard obesity as a disease sothat they do not have to pay for the services.

6 However, you constantlyvii1:OBJECTIVES* To combat obesity related diseases* To lose fat and excess water weight* To preserve muscle and bone* To lose weight quickly and safely* To keep weight off for lifeWe started this diet program a few years ago to help our patients withmedical problems secondary to their obesity. After a ten-percentreduction in their weight, most of their medical problems became lesssevere, if not totally eliminated. This is particularly true for patientswith Metabolic syndrome, Type 2 diabetes, hypertension, indigestion,gastroesophageal reflux, high serum triglycerides, high serumcholesterol, polycystic ovarian syndrome, fluid retention, sleep apnea,arthritis, and fibromyalgia.

7 Surgical patients were frequently referred tous by their surgeons to help them lose weight pre-operatively to lowertheir peri-operative and post-operative morbidity and to decrease thechances of disease is the set of chemical reactions that occur in livingorganisms in order to maintain life. These processes allow organisms togrow and reproduce, maintain their structures, and respond to theirenvironments. Metabolism is usually divided into two categories:Catabolism and anabolism (Fig. 1). Catabolism breaks down organicmatter for purposes such as harvesting energy in cellular , on the other hand, uses energy to construct components ofcells such as proteins and nucleic :WHAT ISOBESITYR ecognized since 1985 as a chronic disease, obesity is the secondleading cause of preventable death, exceeded only by cigarette one-third of adults are estimated to be one in five children in the United States between theages of 6 and 17 are overweight.

8 This number is on the is a difference between the terms overweight and obesity . Overweight means that there is an excess of total body weight, whichincludes muscle, fat, bone, water, and blood in relation to height. Obesity , on the other hand, means that there is an excess of body fatonly. Hence, a body builder may be overweight but not obese, becausehe has a high level of lean body mass. This is why measuring thepatient s weight alone does not tell the whole story about the patient sbody composition. Measurement of the body fat percentage is to the National Institutes of Health, an increase in bodyweight of 20 percent or more above the desirable weight is the point atwhich excess weight becomes a health good way to estimate if someone is overweight or obese is bymeasuring the Body Mass Index (BMI).

9 The Body Mass Index can becalculated using the following :COMPLICATIONSASSOCIATED WITHOBESITYIn this chapter, we will discuss some of the co-morbidities that causedby obesity. There are potential signs and symptoms associated withobesity (Table 1).23 Table 1. Signs and Symptoms Commonly Found inObese in size of waistline, neck size, etcThinning of hairIncrease in facial and body hairs in womenWater retention such as swollen feet,hands, and anklesThickened skin fold at the back of the neckand armpitsSkin tags around the neck and armpitsAcneGynecomastia - enlargement of the malebreastWalking with a wide gaitProtrusion of the abdomenStretch marks on skinBuffalo hump below the back of the neckBow legged or knock knees secondary toarthritis of the kneesShortness of breathFatty deposits on upper eyelidsVaricose veinsDiscoloration at the lower limbsShortness of breathTiredness.

10 Loss of energySomnolencePoor concentration and memoryPainful joints and back, goutHeart burn, indigestion, gallstone attackSnoring SweatingDeep vein thrombosisRapid heart beatsLight-headednessDepression, loss of interestLow self-esteemImpotenceInfertilityIrregular periodRecurrent skin infection, vaginal infection, cellulitisFigure 6. Production of Triglycerides and Cholesterol form 2003, the normal values of cholesterol, LDL, and HDL have beenreplaced by target levels , depending on your risk category ofcoronary artery disease (Table 13). For example, if you belong to thehigh-risk category (Type 2 diabetic, and a patient who has pre-existingcardiovascular disease), your risk of having coronary artery disease inthe next 10 years is more than 20%.