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Burden of Proof

By Dr. Paul Varnas | December 22, 2009

There is a growing number of people who (rightly or wrongly) believe that vaccines may be responsible for the explosion in the number of autism cases. They argue that we did not have autism before we started vaccinating and that the number of cases of autism have increased as the number of vaccines have increased.
Parents are concerned, but the medical establishment considers questioning the wisdom of vaccines to be crazy. We have been told that studies have been done; vaccines are safe. The research denouncing the idea that mercury in vaccines could be causing a problem says things like, “Gee, we gave the kids vaccines and tested the blood, stool and urine for mercury and didn’t find any.” or, “Gee, the Danes use a lower level of mercury in their vaccines and they have as much autism as we do.” or, “Gee, we checked kids with autism and those without and the mercury levels were about the same.” No one has done a study that compares the health of an unvaccinated population to one that gets all of the required vaccines.
Whether the medical profession realizes it or not, they have a credibility problem. Many people are of the opinion that medical science in the United States is at best tainted and at worst corrupt. I don’t really believe in conspiracies or that there is a monolithic force working to suppress natural health care. I do, however, believe in good business practices and in growing your business. Journals run drug ads. If I am a drug company and I want my profits to grow, I may want to use as much leverage as possible to make people think well of my product.
If I spend millions of dollars advertising in medical journals, I would want their editorial policies to reflect favorably on my product. If I sell Ritalin, I may not look favorably on a journal that published research that showed diet to be beneficial in children with ADD. I would not look favorably on articles that questioned the wisdom of giving children vaccines, or even those favoring limiting the number of vaccines.
The people who believe that vaccines are harmful are told that the burden of proof is on them. That would be true if the movement was seeking to ban vaccines for all people. That is not the case; people just want the right to say, “No.” The government requires that you vaccinate your children—there are loopholes, but you have to know what you are doing to use them. Can you be any less free than having your government require that you MUST inject your children with a series of viruses and toxins?
There may be nothing to the concerns about vaccines, but the people who question their wisdom are not crazy. There are some legitimate concerns that the scientific community (and the medical community) have not adequately answered.
If you want to inject my child with a foreign substance, the burden of proof that it is harmless rests with you. If I do not believe that you have adequately tested the safety of the substance, I should be within my rights to refuse. Vioxx was kept on the market for two years after we knew the danger it posed to the heart. Other Cox-2 inhibitors also increase the risk of heart disease and they are still on the market. Journals tend to err on the side of the drug companies, so being a little suspicious is not crazy.

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Scientists & Bumble Bee Watchers

By Dr. Paul Varnas | October 20, 2009

In sixth grade science class we were told that it was impossible for a bumble bee to fly, according to all of the knowledge available in aerodynamics at the time. When you measured the size of the bumble bee’s wings, computed the speed of the wings and weighed the bumble bee, mathematically it was impossible for the creature to fly.

I knew an old chiropractor who was fond of saying that there were two kinds of people in the world, researchers and bumble bee watchers. There was not much research proving that he, as a chiropractor, could make asthmatics better. Yet his office was full of asthmatics that had gotten better. He would say, “I don’t pay much attention to science; I watch bumble bees.”

It turns out that after some advances in high speed photography new calculations were able to be made. Scientists were able to see that the wings of the bumble bee fill up like a parachute on the down stroke—greatly increasing the surface area of the wing. They were able to plug the new surface area into the calculations and declared that the bumble bee could indeed fly—much to the relief of bumble bees all around the planet.

Working in natural health care is an exercise in following research and looking at bumble bees. In asthma, for example, there is a fair amount of research that shows that a good diet, antioxidants, magnesium and omega-3 fatty acids can all help improve symptoms. Many of us are getting results with giving betaine HCl, improving digestion, adrenal support and chiropractic adjustments, even though there is not a lot of research to support it.

My friends who are locked into the medical model are fond of saying things like, “The research just isn’t there; you really need to be more scientific.” That statement is often enough to make many of us feel that we are somehow less than our medical brethren. We shouldn’t feel that way; much of medicine is not very scientific. I usually just respond, “I will if you will.”

Most of the medical journals sell ads to drug companies, so you are not going to see a lot of research that says natural health care is good and drugs are dangerous. Take statins, for example. Statin medication is a $25 billion per year industry. Yet if you look at the research, the drugs really don’t do a lot to prevent heart attacks. In most studies, the death rate in the placebo group and the statin group is about the same. One interesting development is the dramatic increase in the number of people developing heart failure. The drugs destroy coenzyme Q 10, and we know that low coenzyme Q 10 levels are related to heart failure. We also know that one of the side-effects of statins is muscle destruction. Since the heart is a muscle, it is obvious to the bumble bee watcher that the medication is at least contributing to this problem. The researchers just haven’t gotten there yet; it may be unfair to say that the presence of statin ads in the journals keep this from happening.

There is a difference between science and research. Anecdotal information, clinical observations, statistics and other information are part of science. Science forms theories based on earlier observations. If you know that research shows a strong correlation between oxidative stress and asthma symptoms, and you know that poor digestion leads to oxidative stress, it is not much of a stretch to expect that improving digestion will get your asthma patients better. Research is a way of focusing on a single thing and determining if your observations mean anything. Science incorporates lots of sources of information, including (but not limited to) research. Truth is truth, whether the research has caught up or not. Bumble bees flew long before we could prove it was possible.

Want more information about chiropractic and natural health? Go to http://www.wholehealthweb.com

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Cutting Asthma Costs

By Dr. Paul Varnas | October 7, 2009

Go to www.wholehealthweb.com for more free health information

In the decade between 1990 and 2000 the cost of asthma care went up 54%, according to Family Practice News (October 1, 2000:5). Perhaps if more focus was placed on diet, lifestyle and supplementation these costs could be reduced. Also, a bit more attention should be paid to drug therapy and efforts should be made to reduce drug intake. Inhaler overuse is an important issue, and can lead to increased hospitalizations and death. An article appearing in Family Practice News (April 15, 1993;46) stated that deaths from asthma could be cut by 50% if physicians monitored beta agonist inhaler overuse by patients. An inhaler should last one month, but often prescriptions are given with unlimited refills and the doctor has no idea how often the patient is using the inhaler.    Other medications can contribute to asthma attacks. An article in the Annals of Allergy (June 1992;68:453-462) stated that drugs may be responsible for as many as 10% of asthma attacks. NSAIDs (nonsteroidal anti-inflammatory drugs) may be responsible for 2/3 of these drug-induced attacks. Other drugs, like muscle relaxants, beta-blockers, or antibiotics can trigger asthma attacks as well.

Diet is seldom stressed by the medical establishment, but it plays a role in asthma. Research appearing in the European Respiratory Journal (2009; 33:33-41) looked at the dietary habits of 54,672 French women and the association with asthma attacks. Of the subjects, 1,063 currently had asthma with 206 having asthma attacks at least once per week. There was a strong correlation between the frequency of asthma attacks the adherence to a “Western” diet including pizza, cured meats, sweets and other processed foods. Also the types of fats in the diet affect asthma symptoms, according to research appearing in the European Journal of Clinical Nutrition (2005; 59(12): 1335-46). It found that omega-3 fatty acids were especially helpful for preventing exercise induced bronchospasm. This was supported by a review article appearing in the Australian New Zealand Journal of Medicine (1994;24:727), which found that a diet low in omega-3 fatty acids and high in omega-6 fatty acids, and the increased use of margarine may be part of the reason that asthma is on the rise. The article notes that asthma is low in Scandinavia and in Mediterranean countries where there is less omega-6 consumption and more consumption of omega-3 and olive oil.

In Clinical and Experimental Allergy (2000;30:615-627) reviewed research about nutrients that may affect asthma. Magnesium supplementation was found to reduce bronchial reactivity; magnesium is also a mild broncodilator. Vitamin C intake has been shown to reduce exercise induced asthma. Vitamin C levels tend to be low in athmatics. Research in the journal Thorax (2009; 64(7): 610-9) also reviewed nutritional studies related to asthma and the intake of antioxidants, namely vitamins A, C and E. The authors concluded that “Relatively low dietary intakes of vitamins A and Care associated with statistically significant increased odds of asthma and wheeze.” This was echoed in the American Journal of Clinical Nutrition (1995;61(Suppl.):625S-630S). A study appearing in the journal Thorax (May 2006; 61: 388 – 393) looked at 1,030 subjects and found that dietary vitamin C and manganese intake were inversely associated with asthma symptoms.

Diet is a simple and inexpensive way to improve asthma symptoms. Omega-3 fatty acids, magnesium, manganese and antioxidant supplementation (especially vitamin C) can be of value t these patients. Unfortunately diet and supplementation are seldom recommended in medical offices.

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Ethical Direct Marketing

By Dr. Paul Varnas | September 30, 2009

When marketing a practice, most practitioners engage is identity marketing. It is an ethical way to get your name out in the public domain and hopefully drum up some business. A typical chiropractic ad will list the doctor’s credentials, the types of conditions he or she treats and contact information for the practice.  Unfortunately, it is not a very effective way to get patients to contact you.

Direct marketing is usually much more effective. Generally the ad should target a single complaint, make an offer and urge the reader to contact the office. The problem this poses for chiropractors is that it is hard to make a direct marketing ad that is ethical. Writing a compelling headline is hard, because you cannot make guarantees. Making an offer is difficult, because you do not want to give away x-rays, consultations or any of your services; people do not want to go to bargain basement doctors.

But there is a way to ethically and effectively utilize direct marketing without harming your reputation. You can offer free reports, DVDs or CDs relating to as specific condition. Some of this material is available for free; www.wholehealthweb.com has free MP3 files to teach your patients about ADD/ADHD, Pain and Diet. You can burn a CD with your practice information and offer them in your ads.

Getting a patient to come through the door is difficult, but getting them to contact you for something free is easy. Build a list, and then send newsletters and other correspondence. You are now building a relationship with potential new patients. When they finally decide to do something about their health, guess who they will call.

Chiropractic can be the future of health care if we effectively market and we broaden the scope of conditions that we treat. Incorporate nutrition and have a credible approach to most chronic complaints. Offer wellness care. We are the sensible alternative to the overpriced and ineffective health care offered in this country.

I actually have written detailed instructions on marketing. Two FREE ebooks, “Practice 911” and a “Workshop Manual” are available for free at www.marketingwholehealth.com.

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A Few Words About Statins

By Dr. Paul Varnas | May 15, 2009

Statins work by inhibiting the enzyme methylglutaryl coenzyme A (HMG-CoA) reductase. They prevent the production of mevalonate from HMG-CoA. The body converts mevalonate to cholesterol and a variety of other products. One of the things that melvalonate produces is Coenzyme Q 10; so these drugs ultimately prevent the production of coenzyme Q 10. Patients taking these drugs commonly experience exercise intolerance, myalgia and myoglobinuria. Studies show that these drugs have the potential to cause myopathies and rhabdomyolysis with renal failure. The FDA has warned about liver failure in conjunction with these drugs. These more serious side effects occur in about 1% of the population taking the drugs.
A study published in the journal Diabetes Wellness (May 2005;11(5):4) showed that giving coenzyme Q 10 to patients who take statins reduces muscle pain. Subjects received either 400 IU of vitamin E or 100 mg. of coenzyme Q 10. Eighteen of the 21 subjects receiving the coenzyme Q 10 (90%) experienced pain relief; this compared to three patients out of 20 in the vitamin E group. Coenzyme Q 10 levels decrease after taking a statin drug. In the June, 2000 issue of Archives of Neurology a study was published that showed a reduction in coenzyme Q 10 levels after the subjects took 80 mg. of a statin drug. The mean blood level of coenzyme Q 10 in the 34 participating subjects went from 1.2 mcg/ml to .62 mcg/ml.
The heart contains high levels of coenzyme Q 10 and these levels are found to be lower in people suffering from congestive heart failure. According to an article appearing in The Lancet (1998;352(Suppl. 1):39-41) notes that the incidence of heart failure has dramatically increased in the last three or four decades. The prevalence of heart failure has increased by 70% between 1990 and 2000.
Research on pravastatin appearing in the Journal of the American Medical Association (December 18, 2002;288:1998-3007,3042-3044) shows that the drug does indeed lower cholesterol, but does not reduce the risk of death or heart disease in those with moderately high cholesterol and high blood pressure.
There are a number of studies that show that statin drugs may affect behavior, leading to aggressive behavior or depression. Research appearing in the journal Psychosmatic Medicine (1994 Nov-Dec;56:479-84) links aggressive behavior and depression to low cholesterol It has been postulated that there may be a connection between cholesterol and serotonin.
There are nearly 130 million patients taking statins, and many having serious side-effects. It is worth while to take a look at what these drugs do and to take the simple step of giving patients on these drugs coenzyme Q 10.

For research and information about a variety of health topics, go to

http://www.wholehealthweb.com

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Practice 911–Thrive and Not Just Survive During the Recession

By Dr. Paul Varnas | April 22, 2009

There is a recession, you can’t turn on the news and not hear about it. Many practices are suffering. Business is down and incomes are shrinking. Yet some practices are doing well.

The fact is that people still get sick, even during tough economic times. In fact, stress from a poor financial situation increases the chance of pain, illness or injury. People still need your help, but they are becoming more like traditional consumers. They are looking for inexpensive answers to their problems. You need to adjust your marketing and your approach to help them.

So how do you develop a practice that thrives in a recession? There are five easy steps:

1. Utilize nutrition: Get good results by addressing the nutritional needs of your patients. The method you should use should be easy and effective. Many doctors utilize nutrition, but they do it in a hit-and-miss fashion that does not help their practices nearly as much as they could.

2. Utilize direct marketing: Your message should be precise and delivered to as many places as possible. Even during a recession, people need your services. Good marketing teaches them your value.

3. Work smarter, not harder: There are ways to increase the cash-flow in your office. If you are dependent on insurance companies, Learn marketing secrets designed to get your practice as busy as you want it to be: Marketing is a science—in many ways it is more scientific than a lot of the approaches taken in health care. When done right, the results are amazing—in any economic environment.

4. Do workshops: When the economy is bad, it is easy to get people to come to a workshop. They are looking for inexpensive answers to their health problems.

5. Make a plan: A general would not go to battle without a plan. You cannot grow your business without a plan. There is actually a good, detailed plan available at http://www.thebetterhealthnews.com, it is entitled “Practice 911”. There is even a FREE workshop book available for you there.

There is one other thing that will help to grow your practice (and other chiropractic practices). It is patient education. People need to look at health care a bit differently than they do now. There is a site available that will help you with this, http://www.wholehealthweb.com . It offers hundreds of articles about chiropractic, nutrition, the dangers of drugs and other information about natural health care. Your patients can even download the free eBook, 50 Ways to Lose Your Blubber. The more they understand about what you do, the more likely they are to rely on you and refer to you.

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Fibromyalgia? Maybe You Should Check Vitamin D Levels

By Dr. Paul Varnas | April 3, 2009

Testing for vitamin D in the serum is a very inexpensive test. If you have been labeled with fibromyagia it may be worth having someone check your vitamin D. Research appearing in the July 19, 2006 issue of Clinical Rheumatology, linked anxiety and depression experienced by fibromyalgia patients to vitamin D levels. The subjects of the study were 75 patients with fibromyalgia who filled out a Fibromyalgia Impact Questionnaire and Hospital Anxiety and Depression Score. Blood samples were taken to measure vitamin D levels. Twenty-three of the patients had normal levels of vitamin D. Ten of the patients were deficient in vitamin D and 42 had insufficient levels. Patients who were deficient in vitamin D placed higher on the Hospital Anxiety and Depression Score than those with normal or insufficient levels of vitamin D. The researchers concluded that low vitamin D levels were associated with fibromyalgia and that the anxiety and depression associated with the disease may be linked to low vitamin D levels.
According to the Mayo Clinic Proceedings (December 9, 2003), vitamin D deficiency is one possible cause of persistent and vague musculoskeltal pain. A study of 150 children and adults suffering from vague musculoskeletal pain performed at the University of Minnesota found that 93% of the subjects were vitamin D deficient. Of the subjects involved with the study, all of the African, African-American, Hispanic and Native Americans were vitamin D deficient, as well as all of the subjects under the age of 30. The worst vitamin D deficiencies were found in women of child-bearing age.
According to the Nov. 12, 2003 edition of the Pain Management issue of the Journal of the American Medical Association, the cost of treating pain unsuccessfully is $61.2 billion per year. This study shows that there may be, at least in some patients, a very simple answer for this common problem.
Vitamin D deficiency is associated with a risk for osteoporosis, diabetes, high blood pressure, cancer, and auto-immune diseases such as multiple sclerosis. Inadequate vitamin D is also harmful for developing fetuses and is the cause rickets of in children.
In separate study, conducted in Saudi Arabia, a vitamin D deficiency was found in a group of chronic back patients. All the patients were given cholecalciferol for three months, which improved the chronic pain. The subjects were given doses that are considered toxic (5,000 to 10,000 IU, which is between two and three times the toxic dose).  After receiving the cholecalciferol , all the patients had normal levels.
For more information on this and other health topics, go to www.wholehealthweb.com.

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Allergies and Science

By Dr. Paul Varnas | March 27, 2009

It is a good idea to reconcile scientific research with natural health approaches. It is sometimes a difficult task. All of the medical journals sell ads to drug companies and it should be obvious that economics help to determine what appears in the journals. But occasional natural health gems appear; they are usually small studies that can still be branded as “inconclusive”. The overall attitude of the journals seems to be, “My, isn’t this amusing. We will have to look into it someday.” But as long as drugs like Ritalin make $3 billion per year and are advertised in the journal, you will not see the journal take a stand and suggest that kids with ADD need B vitamins, omega-3 oils, exercise and to stop eating junk food. They will, however, print the occasional amusing little study. One such study, appearing in the journal, Annals of Allergy, May 1994 evaluated 26 children with ADHD. The children were put on an allergy elimination diet. Along with eliminating artificial colors and preservatives, some foods were eliminated. These included common allergens like wheat, dairy products, egg, corn, yeast, soy, citrus, chocolate and peanuts. Of the 26 subjects, 19 responded well to the diet. It is a small study, but it should offer hope to people with ADD.
Studies supporting the use of natural health care for allergies exist. Scientists in Finland have found that the type of fats consumed in the diet may be connected to the tendency toward allergy, according to research published in the journal Allergy (2001;56:425-428). The British Medical Journal (January 19, 2002; 324:144) has research that shows the herb, butterbur may be useful for allergic symptoms. There is even a journal article about homeopathy and allergies. In a small study, published in the August 19, 2000 issue of the British Medical Journal, 24 patients were given a homeopathic remedy daily and 27 patients received a placebo. Although it was a small group, the study was double-blind, placebo-controlled and randomized.
The information found in medical journals is interesting, but it does not give the practitioner information that is good enough to effectively treat airborne allergies. The doctor who is a real scientist, and who wants to make his or her patients better will make note of the journal research, but also look at what patients respond to and take into account seemingly unrelated research. For instance, we know that eating sugar and producing insulin exacerbates inflammation. The symptoms of hay fever are largely due to inflammatory chemicals produced by the body, so it stands to reason that refined sugar is something that should be avoided by patients with hay fever. The same thing goes for trans fats. Yet this advice is seldom given in traditional medical offices; they are waiting for the perfect study to prove this (perhaps prompting Nasonex to pull its ads).
A real scientist will take the journal articles into account, but also take clinical and anecdotal information into account. He or she will look at known chemistry and physiology. Although the journals scorn anecdotal information, some of the most clinically useful stuff comes to us anecdotally. And why not use anecdotal information if you are dealing with a very low risk therapy like nutrition that potentially can produce good results—especially if a doctor who you respect is using it and getting results (anecdotally)?
Hormones produced by the adrenal glands fight inflammation. Indeed, adrenal support is a mainstay for natural health practitioners to treat allergies. You don’t see a lot of articles in medical journals about nutrient support for adrenals. There is some information about herbs and vitamin C in the journals. Bioflavonoids, like quercitin are often very useful for hay fever patients. Many herbs are also useful. But it is hard to put together an effective therapy using just the journal articles.
So when treating a patient with hay fever products for adrenal support, and herbal products designed to reduce histamine, are very effective especially when given with a diet that is free of refined sugar, hydrogenated oil and chemical additives. Other useful products are bioflavonoids and fish oil. A few thousand IU of vitamin A per day for a couple of weeks works wonders if the patient’s eyes itch. You can really fly without a net and use chiropractic adjustments or acupuncture. We are still waiting for the definitive double-blind placebo-controlled study to prove that this works, but in the mean time patients who are getting better don’t seem to mind about the status of the research.
If you want help educating your patients about natural health care, send them to http://www.wholehealthweb.com they can even download the free ebook, “50 Ways to Lose Your Blubber”

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Grow Your Practice with Writing

By Dr. Paul Varnas | March 24, 2009

Why do Dr. Gupta’s books sell so well? Simply put, he is perceived as an expert. People have seen him on Oprah—so he must know what he is talking about. I imagine that people would wait months to be able to see him as a physician. How can you have the same dynamic working for you? Simple, begin to write.

Thanks to the power of the internet, you can develop celebrity status of your own. Now you may not end up on Oprah, but your readers will recognize you and respect you as an authority.

When you write articles on respected websites, you begin to develop a following. People are hungry for the information that you have to offer. Granted, this is a national audience, and if you are trying to build a practice in Michigan, not everyone who reads your stuff is a qualified patient.

However, a certain percentage of your readers will be from Michigan. Many of those from other parts of the country will know people in Michigan. Most importantly, you can direct people in you home town to read your internet articles with your own marketing efforts. Soon you will be a recognized expert. Maybe Barak Obama won’t pick you as his Surgeon General, but your practice will thrive and your patients will have increased respect for you.

There is a new resource available for you to reach an audience of people interested in health care. There is a website,

www.wholehealthweb.com that is a resource for the general public to come and learn about natural health care. The site will give you the opportunity to post articles. The administrators of the site will post the articles of member doctors, and not only put your byline on it, but also a link to your website.

Another resource at the site is an online community. You can create a blog, creating a dialog with the visitors to the site.

This is a wonderful opportunity for you to position yourself as a health expert.

www.wholehealthweb.com also presents you with marketing opportunities. There is a place for you to post classified ads—and market your services. If you are an author, this is an excellent venue to get people to learn about your books. You can publish excerpts, as well as publish classified ads offering your books for sale. For more information, take a look at the site and then contact us by email, the address is: mail@wholehealthamerica.com

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What You Know About Hormones Can Help You to Lose Weight

By Dr. Paul Varnas | March 18, 2009

For more weight loss information go to  www.wholehealthweb.com and download the free ebook, Fifty Ways to Lose Your Blubber

Many people believe that fat cells simply hold fat and do not have any real function. That is not the case; fat cells produce a hormone-like substance that acts on the central nervous system. They signal the brain about your energy balance—in other words, they let the brain know if you are well-fed. Leptin is a hormone produced by adipose cells, and because it has the potential of reversing obesity, at least in mice, it has been intensely studied.

Not surprisingly, leptin has been shown to have many other properties and actions beyond inducing satiety. Scientists at the Howard Hughes Medical Institute and The Rockefeller University in collaboration with investigators at Yale University have found that leptin affects both the architecture and function of neural circuits in the brain. The body’s response to leptin is very complex.

Leptin appears to decrease insulin secretion from the pancreatic beta cell. Leptin has roles in weight maintenance, increasing insulin sensitivity, decreasing triglycerides and increasing energy expenditure. Leptin acts on the hypothalamus to decrease food intake.

Leptin levels are involved in obesity. They increase as body fat increases. The brain has receptors to monitor the body’s leptin levels. Leptin is responsible for your brain’s response to food deprivation.

On a practical level, leptin has a very important role in weight gain and weight loss. If you have a lot of adipose (fat) tissue, your leptin levels tend to be high. You can actually become insensitive to leptin, much the same way that a type II diabetic becomes insensitive to insulin. Rapid weight loss rapidly lowers leptin levels, which may be the reason that many people regain weight after dieting.

Another hormone that is important in weight loss is insulin. Everyone knows that insulin moves sugar from the blood into the cells. What is equally important is that insulin stores all calories, including fat. You can’t break down fat when the body is under the influence of insulin.

Another hormone, glucagon, is produced between meals. It has the opposite effect of insulin. Just as insulin stores calories immediately following a meal, glucagon burns calories between meals. When you are losing weight, you want to encourage glucagon and discourage insulin.

Cortisol, a hormone produced under stress, also contributes to weight gain. Stress is the most commonly reported trigger of binge eating, and high cortisol levels are positively related to both central body fat and food intake after laboratory stress. There is a link between cortisol an insulin resistance.

When forming a strategy for weight loss, take these hormones into consideration. It will make your task much easier.

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