Why you haven't lost weight. Let Food be Thy Medicine - A lecture by Dr. Matthew Weiner
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- เผยแพร่เมื่อ 5 พ.ย. 2013
- Dr. Matthew Weiner is an author and bariatric surgeon who specializes in the treatment of obesity. His practice is located in Tucson Arizona.
Dr. Weiner graduated from the University of Michigan medical school in Ann Arbor, Michigan. He completed his general surgery residency at New York University Hospital in New York City. He practiced in suburban Detroit for 12 years before moving to Tucson in 2019 where he, together with Dr. Guillermo Higa, founded Tucson Weight Loss Surgery.
In addition to his surgical practice, Dr. Weiner is the Director of Bariatric Surgery and the Medical Director of Telemedicine at Tucson Medical Center. He is an active member of the American Society of Metabolic and Bariatric Surgeons (ASMBS) and is a past President of the Michigan State chapter a Bariatric Surgeons.
Dr. Weiner has performed more than 2000 bariatric surgeries since joining his first practice in 2006 and frequently does complicated revision surgery. He also performs general surgery with an interest in stomach and small intestine surgery along with complex hernia repair.
In his first book, A Pound of Cure, Dr. Weiner debunks the traditional understanding of calorie balance driving weight loss and offers a non-surgical solution to those suffering from obesity through nutritional stability.
His second book, How Weight Loss Surgery Really Works: And How to Make it Work for You, is now available on Amazon in paperback and kindle. In this book, Dr. Weiner describes how the hormonal changes that alter your brain, fat stores and hunger signals are the most important component of weight loss surgery, rather than the portion control effects that have been emphasized in the past.
A third publication called The Bariatric Diet Guide And Cookbook is a cookbook for bariatric patients that will offer recipes and guidance on the most effective post-surgical diet. It’s set to be published in May 2021 and is available for pre-order at most online bookstores.
On his website, www.poundofcureweightloss.com, he offers more than 150 videos on a wide array of nutritional and bariatric topics. Lesson plans range from, “Preparing for Weight Loss Surgery” to “The Metabolic Reset Diet” including recipes and meal plans.
Dr. Weiner is licensed to practice in both Arizona and Michigan and even offers Telemedicine appointments. For more information call his office at (520) 420-1000 or check out his many resources below. For more videos and Facebook Live events, subscribe to his TH-cam channel.
Tucson Weight Loss Surgery
6422 E. Speedway Blvd, Suite 150
Tucson, AZ 85710
Office: (520) 420-1000
Fax: (520) 420-1001
Websites:
www.poundofcureweightloss.com
www.tucsonwls.com
Social Media:
/ apoundofcure
/ drmatthewweiner
Books:
www.amazon.com/gp/product/168...
www.amazon.com/gp/product/148...
www.amazon.com/Bariatric-Diet...
I have heard people say this before, but something about your delivery of this message, has made me understand why eating whole foods is the way to heal myself. I has VSG 3 years ago, lost 100lbs, and have started to regain. This presentation is excellent, because it tells people why they may or may not be seeing the results they want. It's not a message to just do this because "I said so." Also, your approach doesn't feel like an attack on my character. That means the world.
+Hope Venetta glad you enjoyed it. Education not judgment is my motto.
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After watching your videos, then finally this video, I purchased your book, A Pound of Cure. I'm not even done with page 4 and I'm fighting to hold back the tears. I've felt like a failure, glutton, etc. for 30 of my 45 years after trying so long to lose the weight and dieting up to 45 BMI. I thought it was my fault. I thought I wasn't faithful enough in my Christianity. Thought a whole bunch of things - none of them right. I had vsg last week, and while my surgeon and office staff, and hospital have been great, I never understood fully what was really going on with me until reading your book - and I'm not even done! Thank you so much for this life changing way of thinking! This will help me explain to my friends and family why I really needed the surgery.
I'm glad I could help you. Good luck!
Kudos for the Video clip! Forgive me for chiming in, I am interested in your initial thoughts. Have you heard about - Dinanlinson Shrinking Body Approach (search on google)? It is an awesome exclusive product for discovering a weird waist slimming water to lose belly fat without the headache. Ive heard some decent things about it and my m8 at last got cool results with it.
Outstanding speech. This really opened my eyes and changed my point of view about my weight gain since marriage and having children, 31 years ago. Thank you.
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I'm so glad you are bringing this up because before my surgery, even with excessive workouts, I would literally have to starve to lose weight. When I was bullemic, I still had extra fat on my body. I have always had tons of muscle mass for a female. I look very good at 170lbs. I also am very strong and can lift things most men can only lift. I have very wide hips and thinner waist. I'm shaped like an hour glass and my shoulders are very broad and my thighs and butt are very thick and muscular. I put on weight Soooo easy and am always hungry. I'm so glad I found these videos.
Very useful. Thank you for this public service!
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I agree 100% with Dr. Weiner. Avoiding processed foods and toxins will improve your quality of life. His videos need to be seen by more people.
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I am so disappointed he Moved his practice to Arizona. I live in Michigan and I would love to have him as my doctor. My current doctor is very much a calorie counter low carb exercise kind of doctor even though I’m 55 and obese. I don’t feel that I’m heard by him. But with my insurance he’s the only doctor I can see.
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I had VSG at 102kg and am now 80kg 4 months later and now weight loss has really slowed. I am going to start at the gym next week to try to increase my metabolism. I need to lose another 20kg. It’s definitely fustrating. I also love salad and vegetable and don’t like sweets. Even pre op I ate less than my relatives but was much fatter.
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Funny. I had to sit through a Fried Chicken commercial before I could I watch how to eat right. 🤣🤣🤣
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I totally agree with everything you have said in your videos. I find your method similar to Haylie Pomroy, she is the author of the book "Fast Metabolism Diet". I am curious to know why this isn't taught in nutrition classes. I have consulted with many dietitians, and kinesiologists, and they all think it is the simple math of the calories.
+Cindy Lamy I will check out the book. Some nutritionists value this approach, but many, as you said are still all about calories.
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GOD BLESS YOU DOC 👍
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I’m buying your book 📕 I just had VSG and have pcos!!
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I have eaten healthy as a vegetarian all my life. I was not very active and had childhood hypothyroidism that went undetected until I was in my tweens.
Thank you so much I love
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God bless you sir
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Morning doc..I wanted to know if having a rouxeny.hepaticojejunostomy..has the same side effect of calorie absorbtion.as a gastric bypass?
+Debra Shea no, hepaticojejunostomy does not divert your pancreatic enzymes and does not make you're stomach smaller
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Good Evening Dr. Weiner, Are frozen fruits ok to consume on a regular basis (instead of fresh fruits)? Thank you!
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Is your book available in audio form? It would be a perfect listen while water jogging or treadmill time.
Curly Sensicle sorry, no, it’s on my list of things to do though.
Thank you for your response. All the best to you.
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5 months out from the sleeve, lost 73 pounds but hit a stall for the last month! Can't get the scale to move..help
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What do you think of keto after gastric bypass? Coupled with either intermittent fasting or occasional egg/fat fasts?
keto is fine as long as you don't eat too much animal protein. Also, keto/atkins/paleo often eliminates beans and fruit which I think is a mistake. Not a fan of fasting, don't think it's necessary or sustainable
Dr. Matthew Weiner Thank you for the reply. I appreciate it.
I have done both GB and been on Keto for about 5.5 months with amazing results. I feel they really go well together. I have not done the fasting until about 3 weeks ago (skipping breakfast) and feel great. (I have lost 125 pounds and I am almost at 8 months post GB).
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I'm not so sure I agree with this, But I'll never argue against eating unprocessed foods. I do think counting calories is a valid strategy to lose weight though. It is crazy how sometimes you find people that hate natural foods so much that they cry like children when confronted with vegetables.
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Would you recommend that lap band patients follow your advice too?
It's hard for many lap band patients to eat fruits and vegetables, so when I work with lap band patients, I typically loosen the band enough to ensure that they can eat 1-2 lbs of vegetables a day
+Dr. Matthew Weiner I can eat fruit and veg no problem but would struggle to get that volume in. My weight loss has stalled, however, despite losing 70lbs already, but I really haven't found a consistent way to lose since being banded in Spet 14. I am going to try this way of eating instead of focusing on animal based proteins and see if it makes a difference. I also calorie count and limit it to 1200 per day. I think I might stop focusing on that too and just focus on eating the way you advocate till I'm satisfied and see if the change of diet is the key to kickstarting my loss again. I still have around another 50-70 to lose and would like to do it this year. Thanks for your reply, I appreciate it.
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Dr I also watched your video on veggies first then protein. So how much protein should we be getting in a day. Typical stats say 80 grms but what's your opinion? Would 80 even be feasible when eating so much veggies and fruits? Thanks
I think 50g for women and 60g for men is all you need
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Hi. I had vsg over 2 years ago and have lost 168 pounds in all. I am a normal BMI and weight but still borderline of overweight, my bmi is 24. I still want to lose only about 10 more pounds. I have been in maintenance for a year and a half. I'm following this way of eating and haven't gained or lost anything. I pretty much ate healthy anyway, I'm just including more veggies. Anyway do you think my body had reached the point where it wont lose anymore regardless, like its happy place? I know this way of eating works well with obese patients, but if your bmi is normal, will it work to lose more weight or at some point does weight loss stop?
The truth is you are very unlikely to lose more weight, you've had an amazing response and should focus your energies on weight maintenance, not additional weight loss.
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Why does my weight go up and down thru the day... How do you really calculate your weight gain?
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Starvation does work though. You see a lot of people who dramatically lose weight from starvation, and that's what bariatric surgery is in essence also. The problem is you have to stay on a low calorie diet for the rest of your life to prevent a rebound.
As the stomach naturally stretches out the goal is go back to eating all you want, of veggies, like spinach, squash, broccoli, cauliflower... with nuts or nut flour, beans and whole grains, drinking plenty of water, very little meat, avoid processed food.
@@lolliedotcom I agree with the veggie idea. Meat is not bad for you though. High-carb foods are really much more fattening.
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Dr Weiner I am 5 weeks post op in Australia have a sleeve. Here in Australia they say that we should have 5 veg 2 fruit a day but with a sleeve its not really possible. How much should we eat I have at present only 1 teaspoon of mixed vege and fruit maybe a slice of peach or a small mandarine is that enough?
Make sure you have your labs drawn - this is the best way to gauge whether or not you're eating enough. Around a year or so after surgery, you'll be able to get to the 5 veg/2 fruit per day rule.
good
Dr what veggies are best consume? I am hungry more frequently now so I eat a lot of Romaine and grape tomatoes. Thinking what else I can add to the mix.
I need to move my set point. Feel like my body is comfy and I have 17-18 more lbs to go
+Jane Mardukhayev whatever veggies u like the most, they are all great!
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can't you reach the peak of starvation mode than stay constant or lose little weight than start deit with exercise again to reach starvation and lose lots of fat? you said 5% to 10% than its over but you can lose 10% than reset your set point than start again with "starvation"?
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I had the sleeve in August 2016 and I'm not losing, I stay hungry all day. should I be hungry all the time.Everyone tells me they have to remind there selves to eat , but not me. Do you think something is wrong.My insurance will not cover my after care. Please, any answer you can give would help.
virginia brooks I had the sleeve done in April of 2016 I feel like I am starving all day ! I feel I eat more now than I did before this surgery! So frustrating cause I went through all this pain for nothing I feel! I was watching another one of his video on head hunger well I don't crave those sugary foods I crave vegetables,and good food I'm just eating allllll day !
could be a food quality issue. are you able to eat nonstarchy vegetables? do you ever get dumping syndrome? with the sleeve i think the risk of dumping is lower, with the intact pyloris. try juicing vegetables that aren't high in sugar. if you have the vitamins,, minerals, and phytonutrients your body needs it can help blunt the hunger. if i eat crap (i'm pre-surgery) i could eat all day and still be hungry. if i eat nutrient dense food it takes the edge off significantly.
I had my gastric sleeve done on July 10th 2017 I kid you not I have never been so hungry craving any and everything my Cravings are so strong until I had to eat chicken Subway anything I could but I did spit out the food that I ate I not once had the throw up or anything of that nature and I fluctuate 5 lb I noticed some days I go up 3 lb and then I go down 3 lb and it just in between that number so wondering what should I do
What a drastic change in my Cravings in my weight loss I now eat vegetables I make fruit smoothies and I have lost like 6 pounds in one week so I'm super excited about that but what scares me is that I think I'm able to eat more than I should be able to before it starts to hurt so I've learned by chewing and spitting out to chew my food up properly but I don't chew and spit out anymore I am able to eat but I eat healthy every once in a while I may eat chicken I've gotten used to the fish but everything seemed to be going well thank you for all your awesome advice
My first 2 surgeries did not help me to lose weight. Lap Band only lost 20 pounds and then I had it opened up completely and gained 40 pounds. I then had the sleeve and lost only 40 pounds and last year I had the duodenal switch and have lost 45 pounds; first time under 200 pounds in 23 years. I just hit a plateau and I found these TH-cam sessions. As I do you have a malabsorption problem and you should try the vegetable first diet that Dr. Weiner is discussing. It starts your metabolism back to working and you will start back to losing weight again. You should also find a doctor who can complete your duodenal switch surgery. The sleeve is part of the surgery I and my daughter had but do to your malabsorption problem the sleeve alone without the switch will not work. Maybe you should give it a try and see if your insurance will pay for you completing the SIPS Duodenal Switch surgery. Mine did.
That pic of Einstein looks like Al Pacino.
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Dr. Help me understand the sleeve, its either me or my Dr we are not understanding. I had my surgery on 10/8/14 starting. Weight 200lb in one month im at 187 lb.
I had no restriction whats so ever. I work in corrections and I can easily eat 16oz of chicken, boild eggs, and 2 liters of water. I stoped loosing weight. I see my Dr in two months if I dont see more results I will demand him to to redo my surgery. I allready told him I was not happy with my results. I dont even hurt or have any pain nor disconfort when I eat and I eat fast. What is really going on?
Juanita, very hard for me to comment on this without a lot more information - situations like this can't be managed online, only in person. I will tell you that it's not just a simple matter of "redoing your surgery."
Thank you Dr. I just dont understand why I dont have No RESTRICTIONS. just about everyone that I had spoken to that had the sleeve. They. Get full with just 3 bites from there meal, but me I have no problem eating my whole plate :(
@@juanitarea4665 hey. Got an update with what was the issue?
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how do i know if i have a leak?
This is a question for your surgeon. If you have any questions, contact them immediately.
I had a leak..3 months after surgery.. Everytime i ate it caused my stomach to hurt...even drinking. Went to hosoital thought i had stomach flu had a gastric leak..spent 7 months in hospital, had 3 blood infections, cdiff, septic, ate with piic line for 3 months, drain...got a occluder put into the hole because stint didnt work... I have been healed for 5 months...
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What happens when you chew and spit out?
+Yolanda Williams I don't recommend this strategy
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"Compounds that are largely undiscovered..."
Ah, a doctor that relies on magical thinking. Great.
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Disagree. The concept may be oversimplified, but how can you say who is genetically programmed to be this when the rates of obesity have recently risen? The body's thermostat can be reset just as you said. You don't have to be genetically lean to apply this concept. The problem becomes when people decrease their calories TOO much and reset their thermostats, or otherwise have life events which cause a decrease in metabolism.
Tiffinne Perkins and
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can't you reach the peak of starvation mode than stay constant or lose little weight than start deit with exercise again to reach starvation and lose lots of fat? you said 5% to 10% than its over but you can lose 10% than reset your set point than start again with "starvation"?
Lots of questions here - the important point is to move your set point, not fight against it
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