Global Diabetes Epidemic-2014

  • The solution in India and other developing countries has to include prevention, which means promoting healthy eating and physical activity. It’s not easy: We have by no means succeeded in the United States. In India, it will require better policies that favor fruits and vegetables over refined-food products.
  • Here is where Factor4 comes in:
  • F4 induces weight loss
  • F4 combats insulin and Leptin resistance
  • F4 reduces blood sugar levels
  • F4 stabilizes diabetic symptoms and chemistries
  • F4 dramatically reduces the need for pharmaceutical drugs and therefore lowers cost.
  • F4 educates individuals about lifestyle changes related to dietary choices

Dr. George Scheele, creator of Factor4.



Credit Alex Walker

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Twelve years ago, my husband and I packed up all of our belongings and moved to Trivandrum — a steamy, tropical town at the southern tip of India in Kerala. At the time, I was a medical student interested in studying stroke. For the next six months I dressed in a sari and walked to work on jungle roads. At the hospital, I immediately began seeing a steady stream of young patients affected by strokes, many of whom were so severely disabled that they were unable to work. I initially suspected the cause was tuberculosis or dengue fever — after all, this was the developing world, where infections have long been primary culprits for disease. But I soon learned that my hunch was wrong.

One of my first patients was a woman in her mid-30s who came in with a headache, vomiting and an unsteady gait. Her scan showed a brainstem stroke. Her blood sugars were very high. The underlying cause of her stroke was most likely untreated Type 2 diabetes. Here I was, halfway around the globe, in a vastly foreign culture, but I was looking at a disease — and the lifestyle that fostered it — that was startlingly familiar.

A Disease on the Rise

The portion of the population with diabetes is higher in the United States than in India or China. But the number of people with the disease in India or China is much greater — and expected to increase.

2013: Cases of diabetes among ages 20–79

  • China 98.4 million
  • India 65.1
  • US: 24.4 million


2035: Projected cases

  • China 142.7 million
  • India 109.0 million
  • United States 29.7 million

Source: International Diabetes Federation

Today, I am an endocrinologist, and diabetes has become a full-blown epidemic in India, China, and throughout many emerging economies.

In the United States, diabetes tends to be a disease that, while certainly not benign, is eminently manageable. Just this month, federal researchers reported that health risks for the approximately 25 million Americans with diabetes had fallen sharply over the last two decades.

Elsewhere on the globe, however, diabetes plays out in a dramatically different fashion. Patients often lack access to care and can’t get insulin, blood pressure pills and other medicines that diminish the risk of complications. As more and more people develop the disease, hospitals may soon be overrun with patients experiencing all of its worst outcomes: blindness, limb amputation, kidney failure (necessitating dialysis), coma and death.

Within the last few decades, South Asia has experienced a rapid economic transition paralleled by an epidemiological shift in disease patterns. Recently, when I returned to India for a yearlong fellowship, I saw this for myself. Indians are now living more sedentary lives, working in banks, labs and call centers; all the while, their diet is changing, as they eat out more and consume foods higher in calories, sugar and saturated fats.


What’s more, evidence suggests that Indians may be especially predisposed to diabetes, so even those who are slightly overweight are more likely to be at risk. India also has a high malnutrition rate among children, and poor nutrition in early life appears to trigger metabolic changes that lead to diabetes in adulthood. The result is a perfect storm of commerce, lifestyle and genetics.

According to the International Diabetes Federation, there are now an estimated 65 million adults with diabetes in India. That number is projected to increase to 109 million by 2035. China also has a diabetes epidemic — with an estimated 98 million people affected. Indonesia has nearly 9 million, and Pakistan nearly 7 million. All told, 382 million people worldwide are living with diabetes, a vast majority in low- and middle-income countries — places where many cases go undiagnosed and untreated.

The costs associated with diabetes are enormous; they include expenses related to acute and chronic complications, the costs of therapies to prevent them, and the fact that those affected may be unable to work and support their families. Many patients are pushed into bankruptcy. In India, only 10 percent of people have medical insurance, and patients cover most expenses out of pocket.

In some low- and middle-income countries, diabetes patients living on $1 or $2 per day would need to spend as much as 50 percent of their monthly income to buy just one vial of insulin.

  • Additional materials such as syringes, needles and glucose monitoring tests push costs even higher.
  • Need for low cost improvement in diet, incluindg fermented products like yogurt.

There is much to be done to prepare for this global epidemic. The sheer size of it means that strategies focused solely on treatment will be far too costly. If nothing changes in the next two decades, India will need to provide chronic care for more than 100 million people with diabetes — close to the entire adult population of Russia.


The solution in India and other developing countries has to include prevention, which means promoting healthy eating and physical activity. It’s not easy: We have by no means succeeded in the United States. In India, it will require better policies that favor fruits and vegetables over refined-food products.

Here is where Factor4 comes in:

  • F4 induces weight loss
  • F4 combats insulin and Leptin resistance
  • F4 reduces blood sugar levels
  • F4 stabilizes diabetic symptoms and chemistries

One opportunity involves India’s Mid Day Meal Scheme, a program that provides lunches to 120 million children. The program has been tainted by corruption and deadly contamination problems, but as the Indian government addresses these issues, it also has a chance to reshape the dietary habits of many young people. Exercise is the other crucial element. Taking a jog or even walking to work in Indian cities often means choking on exhaust fumes and dodging speeding cars. Creating more sidewalks and bike paths could go a long way.

The second step is providing diabetes patients with medicines that are effective, safe and affordable. On the bright side, for at least a decade, India has manufactured affordable generic insulin. But in recent years, pharmaceutical companies, sensing the potential for profits, have begun to market their products aggressively.

In one major government hospital, I saw lines of pharmaceutical representatives with glossy pamphlets and drug samples waiting to speak with clinicians.

  • Some classes of drugs they’re pushing, such as incretin mimetics — which are injected to lower blood sugars — are very costly, and though they are approved for use in both the United States and India, we don’t know enough about their safety in the long run.
  • They don’t appear to lower blood sugar levels any better than cheaper alternatives like metformin, which comes as a pill and is considered the best first choice for many people with diabetes.
  • In America, expenditures on diabetes medications have soared as newer drugs have been rapidly adopted.
  • India desperately needs to create evidence-based guidelines that take into account cost-effectiveness so that marketing doesn’t drive treatment.


But even the best medicines will not work without a well-functioning health care system. Diabetes care is not a quick fix.

  • You can’t take a pill for 10 days and be cured.
  • It means working with a clinical team to control the disease month after month, year after year.
  • This requires a system that is geared toward chronic care, which in many countries simply doesn’t exist.
  • In India, there is now a call for universal health care. This is encouraging but is a long way from being realized.
  • In the meantime, India could leverage the lessons learned from many successful H.I.V. programs throughout the developing world that have empowered communities to deliver complex clinical services to millions of people at low cost.

In order for policy makers and health officials to bring about these changes, we must change how we think about the disease. Most of us in the West assume we know what the risks and burdens of diabetes are. And if we’re talking about a patient in Kansas City or Tokyo, we’re probably right. But when it comes to diabetes, location is everything, and much of the world is now vulnerable to the most devastating consequences of this disease. If we’re going to be any help at all, we need to make a conceptual shift. We think we know diabetes — and that’s the problem.

Kasia Lipska is an endocrinologist at the Yale School of Medicine. 

Smoothie with a Crunch

Smoothie with a Crunch
Recipe type: Veggie++
If you like a little crunch, an interesting chew and a chance to eat your veggies too, this is a winner.
  • 6 ice cubes
  • 2 - cups water
  • 4 - Factor 4
  • 1 - 1" slice peeled fresh ginger
  • ½ - cup blueberries
  • - A few flower ends of broccoli
  • - A few flower ends of cauliflower
  • 1 - handful of fresh baby spinach
  • ¼ - slice of lemon, skin and all
  • 1 - dash nutmeg
  1. Turn blender to chop, shred and smoothie


Nappy, nippy & nice Smoothie

Nappy, nippy & nice Smoothie
Recipe type: Morning Pick Me Up
Great for those chilly winter mornings
  • 3 scoops of Factor4 Weight Control
  • 1 - Tbs yogurt
  • 6 - ice cubes
  • 1 - cup water
  • 1 - big handful fresh baby spinach
  • 5 - big beautiful red radishes
  • 1 - 1" slice fresh ginger
  • ½ - cup fresh blueberries
  • 2 - hearty shakes ground red pepper
  • 2 - shakes of ground mace
  1. Mix in electric blender until smooth

Factor4: Superior to Protein Powders

Confidential Document: All rights reserved. No part of this document may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any other information storage and retrieval system, without the written permission of the publisher.

Factor4: Superior to Protein Powders
George A. Scheele, M.D.

When people compare the list of amino acids on the labels for Factor4 and Protein Powders, they appear to contain the same amino acids. Further when they compare the amount of total amino acids in grams, protein powders have more amino acids than Factor4. At first blush, then, the consumer would seem to prefer the protein powder to Factor4 given the increased quantity of amino acids. In a market brimming with numerous protein products why did Dr. Scheele formulate Factor4 as an amino acid powder rather than a protein powder.

The answers to this question lie in the 40 years of scientific investigation that Dr. Scheele conducted on amino acids and proteins at some of the most renowned institutions in the United States. The answers lie in the 1200 page book which Dr. Scheele conceived and edited, entitled The Pancreas: Biology, Pathobiology, and Disease, published by Raven Press in 1983 and in revised form in 1993. This book reviews more than 50 years of scientific research supported by the National Institutes of Health related to dietary intake, gastrointestinal digestion, and body metabolism. The answers are more fully developed in The Obesity Cure, Dr. Scheele’s recent book which will appear in bookstores in June, 2012.

The crux of the comparison lies in understanding the differences in how the body handles “free” and “protein-bound” amino acids.

This document is designed to provide the critical differences between amino acid products such as Factor4 Weight Control® and protein powders which appear in health-food stores. Once you review this document you will be astonished at the superior efficacy of Factor4 over protein powders.


Commercial protein powders may be obtained from plants (Soy, Pea, Rice) and animals (Whey, Casein, Egg white). Each of these products feature complete proteins, meaning they contain all 20 of the amino acids that are necessary to produce proteins in our body. Protein products, particularly Whey protein, have been used by body builders since WWII. Body builders and fitness experts typically take protein shakes twice a day and consume up to 100 grams of purified protein in this manner. All of the listed proteins contain a rich source of amino acids that build up muscle size and strength, especially in athletes who engage in strength training, and particularly those who “pump iron.”

Protein powders are excellent for building muscle and maintaining body health. However, protein powders have never been shown, in clinical studies, to work beneficially as weight loss products. This is why the FDA has never allowed any of the protein products to provide “hard” claims related to weight-loss health.

When proteins are consumed by the body they need to be digested to release their protein-bound amino acids for absorption into the body. The digestion process takes hours to days and relies on the secretion of pancreatic enzymes and the release of bile into the intestinal tract. Without stimulating pancreatic secretion and gallbladder contraction, most of the protein remains undigested and passes into the stool.

The International Nutrition Research Center has studied the utilization of protein-bound amino acids extensively. They report that the net nitrogen utilization (NNU) of protein powders average 17%. This means that 83% of the protein is passed as waste from the body. By comparison, free amino acids delivered in the diet are absorbed by the intestinal tract and utilized by the body at levels which approach 99%. Thus, free amino acids show NNU levels that are 6-times more efficient than protein-bound amino acids contained in protein products.

By further comparison, food products (meat, poultry, fish and eggwhites) appear to be utilized at levels between 35% and 50%.

What we learn from 50 years of research reported in The Pancreas is that protein by itself does not stimulate the pancreas to secrete its digestive enzymes or the gallbladder to release its bile. So these scientific studies would explain why protein powders are poorly utilized by the body. Furthermore, release of amino acids from protein takes hours to be absorbed into the body. This means that the beneficial effects of protein-bound amino acids in controlling satiety are greatly limited and in most cases, undetectable.

Furthermore, while the amino acid profile contained in commercial protein powders is optimal for building muscle, it is suboptimal for building regulatory proteins, including positive-charged metabolic enzymes and DNA regulatory proteins.


From the research of Dr. Scheele and others, summarized in The Pancreas, we learn that essential amino acids and fatty acids are powerful stimulants of enzyme secretion from the pancreas and bile release from the gallbladder. Both essential amino acids and fatty acids release the hormone cholecystokinin (CCK) from the intestinal mucosal cells and it is CCK that is the potent stimulator of pancreatic secretion and gallbladder contraction. As such CCK is the most important hormone in the body to regulate the efficiency of digestive processes. CCK is also the most important hormone to signal satiety in the appetite centers of the brain and stomach.

Dr. Scheele discovered that essential amino acids had other beneficial qualities in weight loss health, in that they:

  • Act as neurotransmitters to signal satiety to the appetite center of the brain (Arcuate Nucleus)
  • Act as neurotransmitters to signal satiety to appetite centers in the stomach.
  • Optimize the release of the hormone cholecystokinin from the intestine to provide further satiety signals to the brain and stomach.

Dr. Scheele discovered that metabolites and analogues of essential amino acids exert even greater satiety effects on the brain and stomach, so he included satiety amino acids together with the essential and positive-charged amino acids contained in the Factor4 Weight Control®. These satiety amino acids begin to act within 5 to 10 minutes of ingestion and continue to act for hours to reduce appetite.

Dr. Scheele discovered, through his invention of 2D gel electrophoresis, that protein deficiencies, which accompany the high carbohydrate content in the Modern American Diet (MAD), lead rapidly to a profound loss in positive-charged proteins throughout the body. These deleterious changes lead to an imbalance in metabolic pathways that result in the metabolic diseases associated with the metabolic syndrome, including overweight disorders and obesity.

Because humans and other vertebrates do not produce essential and positive-charged amino acids, including the positive-charged amino acids Lysine, Histidine and, in certain cases, Arginine, which is conditionally essential, this constitutive deficiency in amino acids corroborated the loss of positive-charged proteins observed in his 2D-gel nutritional studies. In accordance with these new discoveries, Dr. Scheele created a proprietary blend of essential, positive-charged, and satiety amino acids that he trademarked as Power Amino Acids®.

To complete the formulation of Factor4 Weight Control® Dr. Scheele added 10-12 grams of protein to sustain the positive benefits of Factor4 Health overtime following the absorption of the free power amino acids. In the presence of essential amino acids to stimulate pancreatic secretion and bile release from the gallbladder, the efficiency of protein digestion can be expected to increase up to 20-times. Thus 10 grams of protein in a single serving of Factor4 provides amino acid utilization levels comparable to 100 grams of pure protein.

The successful formulation of Factor4 Weight Control® depended on Dr. Scheele’s unique understanding of the role amino acids, proteins, hormones and neurotransmitters play in feedback mechanisms which regulate digestive health, metabolism, and body weight throughout the animal kingdom. The science behind Dr. Scheele’s Factor4 formulation is so unique that it received patent protection (US Patent 7,982,066) in 2011.

Through the dedicated efforts of Dr. Scheele over the past 40 years, we now have a unique product in a new class of dietary supplements with imprimis credentials to tame appetite, satisfy food cravings, increase energy and optimize fat-burning potential.

This new class of dietary supplements combines a certain group of free amino acids (power amino acids®) with protein-bound amino acids (health plus protein™) to utilize the body’s hormonal and neural feedback mechanisms to optimize metabolic health and weight control. The combination of the two ingredients provides the synergy to achieve extraordinary results.

Factor4 Weight Control® is so effective in stimulating weight loss health that 24 out of 25 subjects lost significant weight over a three month period and continued to lose weight when the study was extended to 6 and 12 months. The table below summarizes the weight loss results as average values.



3 months

6 months

12 months

Weight loss in pounds

8.4 lbs

16.2 lbs

33.4 lbs

% body weight loss





As the FDA requires a 5% reduction in body weight over 12 months to justify weight loss claims, Factor4 exceeds this threshold level by more than 3-times.


Based on Dr. Scheele’s discoveries which led to the unique formulation of Factor4 Weight Control® we may now summarize the multiple benefits of Factor4 Health. The rapid uptake of essential, positive-charged and satiety amino acids (Power Amino Acids®) which begins in 5 to 10 minutes and continues for 60 to 90 minutes (free amino acids) and 4 to 6 hours (protein-bound amino acids) provides unique results that may not be obtained with individual ingredients alone.

Thus Factor4 Weight Control® with free Power Amino Acids:

  1. Rapidly closes the food chain gap to correct deficiencies in positive-charged amino acids, proteins, and enzyme-driven metabolic pathways. By rebalancing metabolic pathways, Power Amino Acids stimulate fat metabolism.
  2. Tames (reduces) appetite to avoid addictive taste disorders and prevent food cravings, thus allowing reduction in caloric intake without hunger. Factor4 shakes provide feelings of comfort, satisfaction and well-being within minutes of ingestion and continue to control appetite for hours.
  3. Increases lean body mass (muscle tissue) which improves energy and helps burn fat.
    Increases body energy without the yo-yo metabolism of sugar, high-fructose-corn-syrup, caffeine or guarana. Increased energy stimulates the desire for exercise.
  4. Retains anabolic health at reduced caloric intake which prevents catabolic reactions including starvation and hibernation mechanisms.
  5. Improves the digestive process by stimulating Cholecystokinin (CCK) release which stimulates secretion of pancreatic digestive enzymes into the digestive track.
  6. Helps prevent formation of gallstones and associated gallbladder and liver disease by stimulating CCK-dependent gallbladder contraction.
  7. Helps promote a natural cleanse of the GI tract through gallbladder contraction which enhances ileal and colonic evacuation. Enhances regularity in bowel movements and prevents constipation through the same natural cleansing mechanisms.
  8. Improves health in all the organs and tissues of the body, including the brain.
  9. Improves dietary health in the 8 major health systems in the body which includes (i) Body Weight and Energy, (ii) Beauty Health, (iii) Mental Balance/Health, (iv) Digestive Health, (v) Metabolic Health, (vi) Immune Health, (vii) Sexual and reproductive health, and (viii) Aging Health.

Benefits 1 through 10 work synergistically to provide the following ultimate benefits:

  1. Helps to normalize body weight, improve body definition, and increase pep, energy, activity, stamina, endurance and performance.
  2. Promotes healthy lifestyles, including increased satiety, improved diet, exercise, sleep, attitude, and less dependency on sugar, caffeine and alcohol.
  3. Helps combat metabolic risk factors, including high blood pressure and increased levels of cholesterol, triglycerides and sugar in the bloodstream.
  4. Helps combat chronic degenerative diseases associated with the metabolic syndrome, including obesity, hypertension, hypercholesterolemia, type-2 diabetes, cardiovascular disease, and gallbladder, liver and kidney disease.
  5. Helps combat inflammatory diseases, including autoimmune diseases and cardiovascular disease.
  6. Helps promote anti-aging health with increased longevity and quality of life evidenced by reduced chronic degenerative disease and enhanced feelings of comfort, satisfaction, and well-being.
  7. Combats loss of productivity and accelerated aging.
  8. Helps combat alcohol dependency disorders and alcoholism.
  9. Helps combat stress-related disorders including depression, anxiety, anger, rage, aggression and post-traumatic Stress Disorders.
  10. Helps promote body repair and tissue healing.



In the comparison between commercial protein powders and Factor4 Weight Control® we may conclude the following. Out of the 20 benefits observed with Factor4 Weight Control®, commercial protein powders are estimated to compete with only 3 of these claims (3, 4, and 9). In each of these three endpoints, the response to protein will be small compared to that of Factor4 Health. Among the synergistic endpoints (claims 10 to 20) commercial protein powders may be considered to show little if any detectable results.

Based on the comparison between Factor4 and protein powders, it is clear that NovaLife has introduced a new class of dietary supplement designed to optimize weight loss health. The Factor4 Health technology utilizes a unique combination of free and bound amino acid blends to achieve health benefits that far exceed the benefits observed with individual ingredients. Factor4 Weight Control® is unique in its ability to normalize body weight as well as improve metabolic parameters and risk factors associated with the Metabolic Syndrome. As such Factor4 Weight Control® has the imprimis credentials to provide first-in-class benefits for health and wellness programs around the world.

Weight-Loss Companies Charged With Fraud – 2014

Article by Edward Wyatt as printed in the NY Times, Jan 9th 2014

WASHINGTON — “Get a gym body without going to the gym” by sprinkling a powder on your food. “Significantly slim your thighs and buttocks” using an almond-scented cream. Lose up to one pound a day with just two drops under the tongue.

Such claims were too good to be true, according to the Federal Trade Commission.

On Tuesday, the commission charged four companies with deceptively marketing weight-loss products, asserting they made “unfounded promises” that consumers could shed pounds simply by using their food additives, skin creams and other dietary supplements.

The four companies — Sensa Products, L’Occitane, HCG Diet Direct and LeanSpa — will collectively pay $34 million to refund consumers. They neither admitted nor denied fault in the case.

The case is part of a broader crackdown on companies that the government says “peddle fad weight-loss products.” Linda Goldstein, the chairwoman of the advertising and marketing division at the law firm Manatt, Phelps & Phillips, said the settlements made clear that the commission would accept only double-blind, placebo-controlled studies to document the medical effectiveness of diet regimes.

The F.T.C. imposed a $46.5 million judgment on Sensa Products, but it will be able to pay only about half that sum. Federal Trade Commission

The commission is also proposing new guidance for media outlets to help them catch potentially fraudulent claims. The F.T.C. said it would urge media companies not to accept advertisements that make dubious weight-loss claims.

“Resolutions to lose weight are easy to make but hard to keep,” Jessica Rich, the director of the commission’s Bureau of Consumer Protection, said in a statement. “And the chances of being successful just by sprinkling something on your food, rubbing cream on your thighs or using a supplement are slim to none. The science just isn’t there.”

The weight-loss industry has exploded in recent years. Consumers are expected to spend about $66 billion this year on diet soft drinks, health club memberships, dietary supplements and other products aimed at weight loss, according to Marketdata Enterprises.

But that growth comes with potential pitfalls. Weight-loss products accounted for 13 percent of the fraud claims submitted to the F.T.C. in 2011, the most recent data available. That is more than twice the number in any other category.

The F.T.C.’s latest initiative, called “Operation Failed Resolution,” follows a series of enforcement efforts in recent years against unfounded weight-loss schemes.

In 2004, the commission announced “Operation Big Fat Lie,” charging six companies with false marketing. Among the fraudulent products that year was Himalayan Diet Breakthrough, a diet pill containing Nepalese mineral pitch, a pastelike material that “oozes out of the cliff face cracks in the summer season” in the Himalayas. The seller, AVS Marketing, claimed that users could lose as much as 37 pounds in eight weeks while still consuming unlimited amounts of food.

In 1997, “Operation Waistline” targeted seven companies that marketed the weight-loss properties of products like “Fat Burners” diet supplements, “Svelte-Patch” skin patches, and “Slimming Soles” shoe insoles. Separately, the F.T.C. has also pursued dozens of cases against companies operating fake news sites that promote the weight-loss characteristics of acai berries.

Over the last decade, the F.T.C. has also lobbied the media industry to stop accepting ads for weight-loss products whose claims are too good to be believed. That year, the commissioned announced its Red Flag education campaign for media companies to help them spot dubious weight-loss claims.

In that time, the commission has seen “a significant reduction in the number of ads appearing” in major media outlets that screen advertising content before use, said Richard Cleland, an F.T.C. lawyer.

As part of the recent spate of cases, the commission noted that one marketer piggybacked on the reputation of well-known media outlets as cover for their claims.

For example, one television commercial for Sensa noted that Dr. Alan Hirsch, the creator of the product and a part-owner of the company, had “appeared on ‘Oprah,’ ‘Good Morning America,’ ‘Dateline,’ ‘Extra,’ the CBS ‘Early Show,’ CNN” and in hundreds of magazines and newspapers around the country.

Sensa charged $59, plus shipping and handling, for a one-month supply of the powder. The powder was supposed to be sprinkled on food to make users feel full faster, so they ate less.

But the company failed to disclose that some consumers were paid for their endorsements, the commission said. The F.T.C. also took aim at Adam Goldenberg, the chief executive of Sensa, and Dr. Hirsch, who conducted studies on the product but whose findings “were not supported by scientific evidence.”

The commission imposed a $46.5 million judgment on the company, which sold $364 million of Sensa in the United States from 2008 to 2012. But the company will remit little more than half the settlement amount “due to their inability to pay,” officials said. Sensa officials did not respond to phone calls seeking comment.

Dubious weight-loss claims are not limited to fledgling companies that advertise on late-night television.

The commission also charged L’Occitane, a retailer with more than 2,000 boutiques worldwide, with deceptive marketing on two skin creams, Almond Beautiful Shape and Almond Shaping Delight. L’Occitane trumpeted that the creams, which cost $44 to $48 for about seven ounces, could trim inches from a user’s body in four weeks, resulting in a “noticeably slimmer, trimmer you.”

The company “takes enormous care in developing our entire line of products and we want our customers to make well-informed decisions,” L’Occitane said in a statement. “As a result of the F.T.C. inquiry, L’Occitane has implemented a set of even more rigorous policies and procedures that will guide future clinical testing and ensure that our marketing and advertising comply with F.T.C. regulations and guidelines.”

L’Occitane agreed to pay $450,000 to refund customers. An F.T.C. official said that amount would provide for a refund of “substantial portions” of consumer spending on the products.

The commission also settled claims against HCG Diet Direct, which sold HCG Diet Direct Drops. The product contains a form of a hormone naturally produced by human placenta that has been “falsely promoted for decades as a weight-loss supplement,” the commission said.

LeanSpa settled charges that the company and its principal executive used fake news websites to promote acai berry and colon cleanse weight-loss products. Consumers were charged recurring monthly payments after signing up for a supposedly free trial, the commission said.

(get real results with a real product – Factor4 Weight Control®, the healthy way to loose weight and improve your health by The Good Doctor)

Obesity Increases Pregnancy Risks

According to the American Congress of Obstetricians and Gynecologists, being overweight or obese during pregnancy is linked with an increased risk of gestational diabetes, cesarean delivery and preeclampsia (high blood pressure) for the mother; as well as prematurity, stillbirth and excessive weight at birth for the fetus, according to the American Congress of Obstetricians and Gynecologists (ACOG).

The ACOG recommends that women who are already obese when they become pregnant speak with their OB-GYN to make sure they gain the appropriate amount of weight for their health and their baby during pregnancy.

The Institute of Medicine recommends normal-weight women (BMI between 18.5 and 24.9) gain 25 to 35 pounds during pregnancy, and underweight women (BMI of less than 18.5) gain 28 to 40 pounds, but overweight woman (BMI between 25 and 29.9) gain 15 to 25 pounds, and obese women (BMI of 30 and over) gain 11 to 20 pounds.

Women who are overweight or obese during pregnancy should be offered nutrition counseling, and encouraged to follow an exercise program, the ACOG says.

According to Dr. Scheele, Factor4 Weight Control® is an important aid for women who want to normalize their body weights during their reproductive years to avoid the metabolic risks associated with pregnancy and child-bearing.

5 Health Habits That Reduce the Signs of Aging




Researchers in the UK call attention to 5 ways to reduce the signs of aging:

  • Following a nutritious diet,
  • Exercising regularly,
  • Maintaining a low body weight,
  • Avoiding smoking, and
  • Limiting alcohol consumption

Researchers at Cardiff University in the U.K. studied 2,235 men and found that those who adopted all five, or even four, of these healthy behaviors experienced a 60 percent reduction in dementia and overall cognitive decline (with exercise being the strongest mitigating factor). Seventy percent fewer cases of heart disease, diabetes, and stroke were found in those men, compared to people who didn’t practice any of the behaviors.

According to Dr. Scheele, the good news is that Factor4 Weight Control® promotes all five of these lifestyle changes and ensures success in maintaining metabolic and cognitive health as you age.

Idea of Healthy Obesity Is Tested


The idea that there are obese people who are nonetheless healthy may be a myth.

Although some overweight or obese people have normal cholesterol, glucose levels and blood pressure — elements of so-called metabolic health — a new study suggests that obesity by itself increases the risk for heart disease, stroke, diabetes and death.

Researchers analyzed 12 studies that had together followed more than 61,000 adults, most for at least 10 years. About 9 percent of the subjects were obese and metabolically healthy — that is, they had normal LDL, HDL and total cholesterol, along with healthy blood pressure and blood sugar levels. The report was published online last week in Annals of Internal Medicine.

Compared with metabolically healthy people of normal weight, the obese group had a 24 percent increased risk for fatal and nonfatal cardiovascular events like heart attack and stroke, and for death by any cause.

Increasing body mass went along with decreasingly healthy waist circumference, blood pressure and insulin resistance. It was not associated with increases in triglycerides, glucose or LDL cholesterol levels, which are also risk factors for cardiovascular disease.

“The message here is pretty clear,” said the lead author, Dr. Caroline K. Kramer, a researcher at the University of Toronto. “The results are very consistent. It’s not O.K. to be obese. There is no such thing as healthy obesity.”

Factor4 is here to help with natural weight control, give it a try by clicking on the order button on the navigation, you won’t be disappointed!

Stopping Strokes

The Department of Health and Human Services states that “800,000 strokes occur each year in the United States – and if the number seems high to you, consider how many of us have risk factors that could lead to strokes. The Centers for Disease Control and Prevention, says: High blood pressure, high cholesterol and smoking are key risk factors for stroke. About half of Americans have at least one of these three risk factors.”

Other risk factors include being overweight, being physically inactive, and drinking too much alcohol.

But people can reduce their risk by quitting smoking, eating a healthy diet and maintaining a healthy weight, and being physically active. Further, cholesterol and blood pressure – as well as diabetes and heart disease — also raise stroke risk.

The good news is that Factor4 Weight Control® combats each of the risk factors described above as it normalizes body weight and promotes healthy lifestyles with increased satiety, improved diet, exercise, sleep, attitude, and less dependency on sugar, caffeine, nicotine and alcohol. According to Dr. Scheele the numerous benefits derived from Factor4 Weight Control® can be expected to lower adverse cardiovascular events like heart attacks and stroke.

Obesity Impacts Knee Replacements!

In his mid-forties, Charles Carroll, a letter carrier in Shrewsbury, Mass., started taking anti-inflammatory medicine for his achy knees. Despite his young age, osteoarthritis had begun to settle in.

Over the next decade, the pain became so bad that at times he had difficulty walking. Eventually he began skipping lunch because standing up afterward was too painful.

“My knees would snap like dry wood when I got up in the morning,” said Mr. Carroll, describing the sound of bone grating on bone.

So last year, at the age of 54, Mr. Carroll underwent his first knee replacement. He will receive his second replacement in December.

It is becoming a familiar story. While the number of annual knee replacements has doubled in the last decade, the number in people under age 65 has nearly tripled. Experts have puzzled over this surgical trend. Some attributed it to aging baby boomers trying too hard to maintain active, weekend-warrior lifestyles. Other researchers blamed it on aggressive marketing of the procedures.

Now figures from a new national database of knee replacement patients strongly suggest that obesity is the most likely reason for these surgeries in younger patients. For Mr. Carroll, who was six feet three inches and 284 pounds before his procedure, obesity was likely a factor in his knee problems.

Experts generally agree that obesity increases the risk of osteoarthritis, the leading cause of knee replacement surgery. Yet most of the data in support of this association has come from Medicare, which largely covers older patients.

“Unfortunately, it’s not surprising that people getting knee replacement are overweight,” said Dr. Patricia D. Franklin, principal investigator of the new database and director of clinical outcomes research at the University of Massachusetts Medical School. “But we were surprised that the younger population wasn’t healthier and that they didn’t have the profile of healthy active adults.”

The new database, called Function and Outcomes Research for Comparative Effectiveness in Total Joint Replacement (FORCE-TJR), collects data on total joint replacement surgeries from more than 125 orthopedic surgeons in 22 states.

A recent analysis of the data found that younger patients were more likely to be obese than older patients. In the first 9,000 patients whose outcomes were tracked in FORCE-TJR, 55 percent of patients under age 65 were obese compared with 43 percent of those 65 and older. About 11 percent of younger patients were in the morbidly obese category, with a body mass index, or B.M.I., greater than 40, compared with 5 percent in the older group.

“The average B.M.I. in those patients under 65 is 33, which makes them obese, and that means that half of them are even heavier than that,” said Dr. Franklin, who presented the findings at the annual meeting of the American College of Rheumatology in San Diego in October.

Experts had wondered whether younger patients were opting for surgery prematurely to preserve an active lifestyle. “Many people assume that younger patients have less pain and better function than older patients, that they’re doing it earlier in their disease process,” said Dr. David Ayers, a co-author of the study and chair of orthopedic surgery at the University of Massachusetts Medical School.

The data also showed that younger patients had the same levels of disability from their knee pain before the surgery as did older patients. Younger patients were equally likely to have other serious medical conditions such as diabetes and pulmonary disease as their older counterparts, and were more likely to smoke.

“It’s not a fit weekend warrior who has had a sports injury,” said Dr. Ayers. “These younger patients have significant pain and very severe functional limitations at the time of their total knee replacement surgery. They’re heavier and they’re sicker.”

The number of total knee replacements more than doubled in the past decade, from 313,618 in 2001 to 644,243 in 2011, according to national data. In patients between the ages of 45 and 64, the number jumped to about 274,000 from 102,000 in that decade. Younger people now make up 43 percent of all knee replacement patients, about an 11 percent increase in the last 10 years.

Prior research has found a strong association between obesity and osteoarthritis. Excess weight puts stress on joints, causing them to break down, and some research suggests that inflammation associated with obesity adds to the damage. Weight loss reduces knee pain in patients with osteoarthritis.

“I do believe patients are getting more osteoarthritis because of the obesity, and getting more severe arthritis at a younger age, and needing the surgery sooner,” said Dr. M. Elaine Husni, director of the arthritis and musculoskeletal center at the Cleveland Clinic. Dr. Husni was not involved with the study.

“Obesity has a tremendous impact on total joint replacement, and it’s something that every orthopedist is facing now,” said Dr. Michael Parks, an orthopedic surgeon at the Hospital for Special Surgery in New York.

Often patients with obesity have medical problems that raise the risk of complications during surgery, such as diabetes, pulmonary artery disease and poor circulation. Knee replacements are often more complicated in heavier individuals, requiring special larger implants and tools. Some studies have also reported lower implant survival time in obese patients.

The new analysis found that at six months post-surgery, those who were severely obese had similar if not greater improvement in pain and function after knee replacement therapy as those who were not. But because the implants last about 20 years, many younger patients may need surgery again in the future.

Obesity “is a modifiable risk factor for knee surgery,” said Dr. Husni. “We can change this.”

Factor4 is here to help deal with Obesity and many other Metabolic Syndrome Issues!

Poverty Retards Brain Development

HHS Healthbeat (11-12-13)

Researchers say poverty can interfere with a child’s brain growth. Brain scans on 145 8 to 12-year-olds showed that poor children tended to have smaller hippocampuses, important in learning and memory – possibly from stresses of poverty on the developing brain. The same study showed that nurturing parents could partially compensate for this deficiency.

According to Dr. Scheele, this study shows that poor dietary and environmental conditions have adverse effects on brain development, particularly in the Hippocampus, which promotes learning and memory. This finding suggests that Factor4 Health might benefit brain development in poor communities and further suggests that adding Factor4 Dietary Health to the Food Stamp Program would greatly help to offset health disparities in economic-challenged communities across America.

The study was conducted by child psychiatrist Joan Luby of Washington University School of Medicine and published in the journal JAMA Pediatrics was supported by the National Institutes of Health.

The #1 WORST Food that CAUSES Faster Aging (beware!)

Do you eat these foods that HARM your blood sugar and age your joints and skin faster? Some are even deceptively marketed to you as “healthy” by giant food corporations. Avoid or minimize these and look 5-10 years YOUNGER than your real age.

by Mike Geary – Certified Nutrition Specialist
& Catherine Ebeling – RN, BSN

Due to biochemical reactions in your body that occur with every type of food you eat on a daily basis, some foods age you FASTER than your real age, while other foods help to FIGHT aging.

Eat the wrong foods regularly, and you can look and feel 10 or more years OLDER than your real age (not fun!) … but eat the right foods, and over time, you can start to look 5-10 years YOUNGER than your real age.

Three of the processes that go on inside your body that have a MAJOR impact on your rate of aging are called “glycation”, “inflammation”, and “oxidation”. When we talk about aging, we’re not just talking about wrinkles on your skin or how thick your hair is… we’re also talking about factors that you can’t see, such as how well your organs function, and whether your joints are degrading.

Yes, I’m sure you’ll agree this is much more important than just how you look superficially (although we’ll show you how to improve BOTH!)

With the title of this article, you might have guessed that obvious answers like sugar or trans fat would be what we talk about in this article. Yes, those are bad, but I want to discuss another food that ages your body faster than normal… and it’s one that you might not expect!

So let’s dig right in and I’ll show you how your rate of aging can be directly related to the foods you might eat every day, and how to protect yourself…

The #1 WORST food that ages you faster:

Wheat based foods (yes, even “whole wheat”)

Before I tell you why wheat can actually speed up the aging process in your body, let’s clarify some simple biochemistry in your body…

This deals with “glycation” in your body, and substances called Advanced Glycation End Products (AGEs). These nasty little compounds called AGEs speed up the aging process in your body including damage over time to your organs, your joints, and of course, wrinkled skin.

So with that said, what is one of the biggest factors that increase production of AGEs inside your body? This may surprise you, but high blood sugar levels over time dramatically increase age-accelerating AGEs in your body. This is why type 2 diabetics many times appear that they have not aged well and look older than their real age. But this age-increasing effect is not just limited to diabetics.

So, let’s get back to how “whole wheat” relates to this…

Here is a little-known fact that’s often covered up by the massive marketing campaigns by giant food companies that want you to believe that “whole wheat” is healthy for you… but the fact is that wheat contains a very unusual type of carbohydrate (not found in other foods) called Amylopectin-A, which has been found in some tests to spike your blood sugar higher than even pure table sugar.

In fact, amylopectin-A (from wheat) raises your blood sugar more than almost any other carbohydrate source on earth based on blood sugar response testing.

This means that wheat-based foods such as breads, bagels, cereals, muffins, and other baked goods often cause much higher blood sugar levels than most other carbohydrate sources. As you know now, the higher your average blood sugar levels are over time, the more AGEs are formed inside your body, which makes you age FASTER.

You’ve probably heard about the potential health-damaging effects of gluten (also found in wheat) in the news recently, but this blood sugar aspect we just covered is not talked about that often, and is yet another reason to reduce or eliminate wheat-based foods in your diet. Your body will thank you by aging slower and looking YOUNGER! And losing bodyfat is typically a fun side effect of eliminating or reducing wheat in your diet!

Another problem with wheat-based foods and aging…

As it turns out, baked wheat products contain carcinogenic chemicals called acrylamides that form in the browned portion of breads, cereals, muffins, etc. These carcinogenic acrylamides have been linked in studies to possible increased risk of cancer and accelerated aging. Note that acrylamides are also found in high levels in other browned carbohydrate sources such as french fries or any other browned starchy foods.

Don’t worry though… There’s a trick that you can use to protect yourself from these carcinogenic acrylamides, and it has to do with eating the RIGHT foods that COUNTERACT damage from these nasty chemicals. I’ll show you how to find the EXACT foods that protect your body on the next page!

Other foods to watch out for that can increase aging in your body include corn-based foods that also disrupt blood sugar highly (corn cereals, corn chips, corn syrup), soybean oil and other “vegetable” oils that contain excessively refined and processed fats that cause inflammation in your body, and also excess sugars from candies, cakes, and sweetened drinks.

But the good news is…Factor4 fights all these issues as well as Anti-Aging!

Check us out at

Kool “On The Go” Drink

Factor4 & Kool Aid
Nutrition Information
  • Serving size: 10-16 oz
  • Calories: 70
  • Fat: <1g
  • Carbohydrates: 1.2 g
  • Protein: 11.5g
Recipe type: Refreshing
Kool "On The Go" Drink
  • 1 envelope of unsweetened Kool Aid (flavor of your choice)
  • 2 quarts of water for Kool Aid
  • 10-16 oz Kool Aid
  • 2-4 scoops of Factor4 Weight Control
  • ice as desired
  1. Fill a pitcher with 2 quarts of water
  2. Stir in 1 envelope of unsweetened Kool Aid
  3. (Yes – the Kool Aid our moms made up when we were kids – it is still
  4. available in
  5. Orange, Cherry, Grape, Fruit Punch, Lemonade and Pink Lemonade)
  6. Do not add any sugar or sweetener
  7. Refrigerate until cold
  8. Shake it up and enjoy on that drive to work or taking your kids to school
  9. Orange Kool Aid + Factor4 protein powder tastes just like an Orange Julius.
  10. The other flavors are great too. This is a great “grab and drive the kids
  11. to school” drink or that after dinner treat when you just want something
  12. that tastes good and does not add a single calorie or gram of carbohydrates
  13. to those in the Factor4 protein powder.


Study Shows: Sleep Less, Weigh More – Not With Factor4

HHS Healthbeat (9-25-13)

Sleep Less, Weigh More

You can’t eat while you’re asleep, but that’s not the only benefit from getting enough sleep if you’re trying to control your weight. 225 people ages 22 to 50 spent 18 days in a sleep lab without exercise where researchers could measure what they ate and how long they slept. When people stayed up into the early morning, they went for more calories: When they were up from 10 p.m. to 4 a.m., they consumed more than 550 calories on average. In addition, the calories consumed during these late hours were higher in fat. The average gain for the sleep-restricted people was a couple of pounds.

The study was conducted by Andrea Spaeth of the University of Pennsylvania’s Perelman School of Medicine and published in the journal Sleep was supported by the National Institutes of Health.

Studies have shown that taking a Factor4 shake before bed time will not only help you sleep better but help curb those late night cravings and temptations – That’s a WIN – WIN in my book so what are you waiting for?

Maintain, Don’t Gain

HHS Healthbeat (9-20-13)

Losing weight is hard. Keeping yourself from gaining weight may not be easy, but at least it’s not as hard as losing it. Researchers at Duke University have been looking at what they call the “maintain, don’t gain” approach. They checked data on 97 black women in an intervention group in which each woman was in a program that included personalized goals for diet and physical activity to maintain their weight. He compared them with another 97 who got the basic weight loss counseling.

“Sixty-two percent of women in the maintain group completed their intervention with weights at or below their starting weight, compared to only 45 percent of women in our usual care group.”

Gary Bennett and researchers at Duke University published  in JAMA Internal Medicine.

At NovaLife, our studies of customers using Factor4 Weight Control® for maintenance after using it to loose their weight are generally healthier and have more energy. The benefits of taking Factor4 as part of your regular diet to maintain metabolic balance and assist you in maintaining a healthy lifestyle are considerable. Factor4 is not just a weight loss product but a healthy supplement to anyone’s diet that restores health and vitality striped away from years of the Modern American Diet. Contact the Doctor for more information on how Factor4 can help you.

What are your kids drinking?

HHS Healthbeat (9-18-13)

Little Kids & Sweet Drinks

·         Commercial drinks for little kids are packed with sugar, which may lead to weight problems later on.

·         In a national survey on 9,600 children who were followed at ages 9 months and 2, 4 and 5 years children who consumed sugary drinks regularly were more likely to be overweight and obese at age 5.

·         Body weight increased over time with the amount of sugar, and was quite noticeable at age 4 and 5.

·         The study recommends that kids be given water and milk rather than sugar-sweetened drinks.

We recommend water as it also helps with brain function and many schools now ask children to bring a water bottle to school. Factor4 helps immensely with hydration in all ages and should be considered as part of your diet to curb cravings and balance your metabolic pathways.

Two New Weight Loss Drugs Compared to Factor4


Product Name & COMPANY

Percent Body Weight-Loss Performance (12 mo)


Beneficial Effects, Metabolic Potential and Side Effects

Factor4 Weight Control®




Up to 33%

in morbid obesity

Power Amino Acids® (essential, positive-charged, and satiety amino acids) with backup protein, vitamins, minerals and micronutrients

(all natural active ingredients)

Four Benefits:

  1. Tames appetite
  2. Builds muscle
  3. Burns fat
  4. Boosts energy
  • With essential nutrition (amino acids and protein), this product is anabolic, increasing muscle tone and improving metabolic health, including sleep
  • No harmful side-effects



3.1 to 3.6%


(5-hydroxytryptophan reuptake inhibitor

  • Psychotropic drug, which decreases appetite
  • The Fen component in Fen-Phen, which was withdrawn from the market for damaging heart valves
  • Without essential nutrition (amino acids and protein) this product is catabolic, possibly leading to muscle wasting and poor metabolic health



10 to 11%

  • Metabolic enhancer: The Phen component of Fen-Phen, which was withdrawn from the market for damaging heart valves
  • Stimulant not recommended for long-term use. It increases heart rate and elevates blood pressure.
  • Potential for dependency like Speed
  • Pulmonary hypertension a rare side effect.
  • Without essential nutrition (amino acids and protein) this product is catabolic, possibly leading to muscle wasting and poor metabolic health
  • In addition to satiety, this ingredient is known to cause fatigue, confusion, and nausea.
  • A generic epilepsy & migraine drug that can also cause tingling in the fingers and toes and diminish memory and concentration (called by some the “stupid pill” because the patient goes around in a fog).
  • Topomax during pregnancy led to a 2-fold to 5-fold greater risk of babies with cleft lips or palates.
  • Besides the drug regimen, the patient must exercise and take a low calorie diet with supplements.
  • Without essential nutrition (amino acids and protein) this product is catabolic, possibly leading to muscle wasting and poor metabolic health

Over the past year the FDA has approved two weight loss drugs for commercialization. One is called Belviq® by Arena Pharmaceuticals. The other is Qsymia® by Vivus Pharmaceuticals. Both of these products, under different names, together with a third product called Contrave® by Orexigen Pharmaceuticals, were rejected by the FDA in 2011 for relatively poor efficacy and potential harmful side-effects. So what made the FDA change it mind about the two products that were recently approved? The Advisory Committee for Weight Loss products at the FDA switched sides and became concerned that there were not enough tools for doctors to treat overweight disorders and obesity. They came to believe that the potential benefits of turning the tide in obesity out-weigh the potential side-effects of these drugs.

The agency appears to be increasingly concerned about assessing the tangible benefits of weight loss in terms of improving health and quality of life, according to Janet Woodcock, the current head of the FDA. Some of the recent advisors believe there is a strong need for new obesity drugs to help bridge a treatment gap between diet and exercise, on the one hand, and bariatric surgery on the other.

Not everybody agrees with the FDA. Critics say that the recently approved drugs do little to change the underlying behavior leading to obesity. Because weight loss drugs will be used for long periods of time by millions of people, the FDA should be cautious and the drugs must be completely safe. According to Sidney M. Wolf, Director of Health Research at Public Citizen, “Everyone wants a quick fix, but these drugs can be dangerous.”

Factor4 Weight Control® was formulated to use nature’s gift, all-natural Power Amino Acids®, to harness the body’s own feedback mechanisms to tame appetite, re-balance metabolism, and normalize body weight. While Factor4 stimulates fat metabolism by reducing food intake, the formula ensures that essential nutrition is maintained through the intake of amino acids and backup protein. Factor4 is therefore anabolic, designed to increase muscle tone and metabolic health. According to Dr. Scheele, other weight-loss drugs are considered catabolic, with the potential to lead to muscle weakness and poor metabolic health as food intake is reduced.

Which one of the three products listed in the above table would you take?




Trading Carbs for Protein


At Last, a breakthrough in nutritional science that identifies the cause and solution to OBESITY, the #1 cause of metabolic disease…Dr. George Scheele’s new book on Amazon.



From Alex Schauss

12 week study out of Australia

Low fat diet, isocaloric diets trade protein for carbohydrate

Protein varied, 17% versus 35%

9% reduction in body weight in both groups

4% reduction in body fat in both groups (trend for greater fat loss at higher protein but no  statistical significance.

Health & Human Services Healthbeat

Comfort Food After a Night on the Town


Burgers, doughnuts, pizza. Stay up real late working or studying, and your body seems to crave them. Carrots and apples, not so much. Why is that?

Researchers have measured people’s food choices and imaged their brain activity after a night’s sleep and after a night with no sleep. They found people preferred junk food after the sleepless night, and their sleep-deprived brains showed less capacity to make “good-for-you” choices and more “I wanna” choices.

“There’s a shift in the behavioral choices that people are making, and that seems to be co-occurring with those changes in brain activity.”

So if you get enough sleep, you may choose better and eat more healthfully.

Take the Next Step: Choose My Plate

Using Factor4 as part of your regular diet regime will help you sleep better and maintain a health balance in your diet, The Good Doctor says

Dr. Scheele’s Thoughts on Inflammatory Diets Cause Heart Disease


Dr. Esselstein has finally gotten to Dr. Lundell!

  • Toxins include processed foods:
  • Packed with sugar
  • Soaked in omega 6s in polyunsaturated vegetable oils (soybean, corn, and sunflower oils manufactured by Cargill)
    • Omega-6s prolong shelf life but they produce cytokines that cause chronic arterial inflammation
    • Omega3 to Omega 6 fatty acids should be in an optimal ratio of 3:1 to control the inflammatory process.
    • In the Modern American Diet the ratio of omega-6s to omega-3s is 15:1 to 30:1
    • One tablespoon of corn oil contains 7,280 mg of omega-6; soybean contains 6,940 mg. Instead, use olive oil or butter from grass-fed beef.
    • Animal fats contain less than 20% omega-6 and are much less likely to cause inflammation than the supposedly healthy oils labeled polyunsaturated
    • Snacks containing excess refined sugar and omega-6 unsaturated fatty acids cause inflammatory conditions in arterial walls. Arterial inflammation has led to an epidemic of hypertension, cardiovascular disease, diabetes and obesity.
    • The Factor4 Diet is consistent with the claims that Dr. Lundell makes.
    • In addition, Factor4 has many other beneficial effects that Dr. Lundell does not know about.

Dr. Lundell

We physicians with all our training, knowledge and authority often acquire a rather large ego that tends to make it difficult to admit we are wrong. So, here it is. I freely admit to being wrong. As a heart surgeon with 25 years experience, having performed over 5,000 open-heart surgeries, today is my day to right the wrong with medical and scientific fact.

I trained for many years with other prominent physicians labelled “opinion makers.” Bombarded with scientific literature, continually attending education seminars, we opinion makers insisted heart disease resulted from the simple fact of elevated blood cholesterol.

The only accepted therapy was (i) prescribing medications to lower cholesterol and a (ii) diet that severely restricted fat intake. The latter of course we insisted would lower cholesterol and heart disease. Deviations from these recommendations were considered heresy and could quite possibly result in malpractice.

It Is Not Working!

These recommendations are no longer scientifically or morally defensible. The discovery a few years ago that inflammation in the artery wall is the real cause of heart disease is slowly leading to a paradigm shift in how heart disease and other chronic ailments will be treated.

The long-established dietary recommendations have created epidemics of obesity and diabetes, the consequences of which dwarf any historical plague in terms of mortality, human suffering and dire economic consequences.

Despite the fact that 25% of the population takes expensive statin medications and despite the fact we have reduced the fat content of our diets, more Americans will die this year of heart disease than ever before.

Statistics from the American Heart Association show that:

  • 75 million Americans currently suffer from heart disease,
  • 20 million have diabetes and
  • 57 million have pre-diabetes.

These disorders are affecting younger and younger people in greater numbers every year.

Simply stated, without inflammation being present in the body, there is no way that cholesterol would accumulate in the wall of the blood vessel and cause heart disease and strokes. Without inflammation, cholesterol would move freely throughout the body as nature intended. It is inflammation that causes cholesterol to become trapped.

Inflammation is not complicated — it is quite simply your body’s natural defense to a foreign invader such as a bacteria, toxin or virus. The cycle of inflammation is perfect in how it protects your body from these bacterial and viral invaders. However, if we chronically expose the body to injury by toxins or foods the human body was never designed to process, a condition occurs called chronic inflammation. Chronic inflammation is just as harmful as acute inflammation is beneficial.

What thoughtful person would willfully expose himself repeatedly to foods or other substances that are known to cause injury to the body? Well, smokers perhaps, but at least they made that choice willfully.

The rest of us have simply followed the recommended mainstream diet that is low in fat and high in polyunsaturated fats and carbohydrates, not knowing we were causing repeated injury to our blood vessels. This repeated injury creates chronic inflammation leading to heart disease, stroke, diabetes and obesity.

Let me repeat that: The injury and inflammation in our blood vessels is caused by the low fat diet recommended for years by mainstream medicine.

What are the biggest culprits of chronic inflammation? Quite simply, they are the overload of (i) simple, highly processed carbohydrates (sugar, flour and all the products made from them) and (ii) the excess consumption of omega-6 vegetable oils like soybean, corn and sunflower that are found in many processed foods.

Take a moment to visualize rubbing a stiff brush repeatedly over soft skin until it becomes quite red and nearly bleeding. you kept this up several times a day, every day for five years. If you could tolerate this painful brushing, you would have a bleeding, swollen infected area that became worse with each repeated injury. This is a good way to visualize the inflammatory process that could be going on in your body right now.

Regardless of where the inflammatory process occurs, externally or internally, it is the same. I have peered inside thousands upon thousands of arteries. A diseased artery looks as if someone took a brush and scrubbed repeatedly against its wall. Several times a day, every day, the foods we eat create small injuries compounding into more injuries, causing the body to respond continuously and appropriately with inflammation.

While we savor the tantalizing taste of a sweet roll, our bodies respond alarmingly as if a foreign invader arrived declaring war. Foods loaded with sugars and simple carbohydrates, or processed with omega-6 oils for long shelf life have been the mainstay of the American diet for six decades. These foods have been slowly poisoning everyone.

How does eating a simple sweet roll create a cascade of inflammation to make you sick?

Imagine spilling syrup on your keyboard and you have a visual of what occurs inside the cell. When we consume simple carbohydrates such as sugar, blood sugar rises rapidly. In response, your pancreas secretes insulin whose primary purpose is to drive sugar into each cell where it is stored for energy. If the cell is full and does not need glucose, it is rejected to avoid extra sugar gumming up the works.

When your full cells reject the extra glucose, blood sugar rises producing more insulin and the glucose converts to stored fat.

What does all this have to do with inflammation? Blood sugar is controlled in a very narrow range. Extra sugar molecules attach to a variety of proteins that in turn injure the blood vessel wall. This repeated injury to the blood vessel wall sets off inflammation. When you spike your blood sugar level several times a day, every day, it is exactly like taking sandpaper to the inside of your delicate blood vessels.

While you may not be able to see it, rest assured it is there. I saw it in over 5,000 surgical patients spanning 25 years who all shared one common denominator — inflammation in their arteries.

Let’s get back to:

  • The sweet roll. That innocent looking goody not only contains sugars, it is baked in one of many omega-6 oils such as soybean.
  • Chips and fries are soaked in soybean oil;
  • Processed foods are manufactured with omega-6 oils for longer shelf life.

While omega-6’s are essential -they are part of every cell membrane controlling what goes in and out of the cell — they must be in the correct balance with omega-3’s.

If the balance shifts by consuming excessive omega-6, the cell membrane produces chemicals called cytokines that directly cause inflammation.

Today’s mainstream American diet has produced an extreme imbalance of these two fats. The ratio of imbalance ranges from 15:1 to as high as 30:1 in favor of omega-6. That’s a tremendous amount of cytokines causing inflammation. In today’s food environment, a 3:1 ratio would be optimal and healthy.

To make matters worse, the excess weight you are carrying from eating these foods creates overloaded fat cells that pour out large quantities of pro-inflammatory chemicals that add to the injury caused by having high blood sugar.

The process that began with a sweet roll turns into a vicious cycle over time that creates heart disease, high blood pressure, diabetes and finally, Alzheimer’s disease, as the inflammatory process continues unabated.

There is no escaping the fact that the more we consume prepared and processed foods, the more we trip the inflammation switch little by little each day. The human body cannot process, nor was it designed to consume, foods packed with sugars and soaked in omega-6 oils.

There is but one answer to quieting inflammation, and that is returning to foods closer to their natural state.

  • To build muscle, eat more protein.
  • Choose carbohydrates that are very complex such as colorful fruits and vegetables.
  • Cut down on or eliminate inflammation- causing omega-6 fats like corn and soybean oil and the processed foods that are made from them.

One tablespoon of corn oil contains 7,280 mg of omega-6; soybean contains 6,940 mg. Instead, use olive oil or butter from grass-fed beef.

Animal fats contain less than 20% omega-6 and are much less likely to cause inflammation than the supposedly healthy oils labelled polyunsaturated. Forget the “science” that has been drummed into your head for decades. The science that saturated fat alone causes heart disease is non-existent. The science that saturated fat raises blood cholesterol is also very weak.

Since we now know that cholesterol is not the cause of heart disease, the concern about saturated fat is even more absurd today.

The cholesterol theory led to the no-fat, low-fat recommendations that in turn created the very foods now causing an epidemic of inflammation. Mainstream medicine made a terrible mistake when it advised people to avoid saturated fat in favor of foods high in omega-6 fats.

We now have an epidemic of arterial inflammation leading to heart disease and other silent killers.

What you can do is choose whole foods your grandmother served and not those your mom turned to as grocery store aisles filled with manufactured foods. By eliminating inflammatory foods and adding essential nutrients from fresh unprocessed food, you will reverse years of damage in your arteries and throughout your body from consuming the typical American diet.

Taking Factor4 Weight Control on a regular basis will do wonders for your body to fight this epidemic – Order Some Today – Click Here

Overweight women who do not eat breakfast have a harder time managing carbs!

Dr. Scheele says: This is interesting. Overweight women who do not eat breakfast have a harder time managing carbs (sugar and carbs) at lunch showing longer time for elevated blood sugar to return to normal, which indicates insulin resistance. The way I interpret this finding is that after an overnight fast, it is especially important to eat breakfast, meaning protein to avoid the disappearance of positive charged proteins that may strengthen the subsequent carb challenge.

HHS HealthBeat (August 2, 2013)

Breakfast benefits


Take the Next Step
Eat healthy
(U.S. Department of Health
and Human Services)

From the U.S. Department of Health and Human Services, I’m Nicholas Garlow with HHS HealthBeat.

A study finds eating breakfast may have benefits for women.  The study examined the insulin and sugar levels of nine overweight and obese women after eating or not eating breakfast.

After eating a meal, the body releases insulin to manage sugar levels.  Choosing not to eat breakfast may cause the body to need more insulin to manage sugar levels, a condition known as insulin resistance.

Based on this study and others, it takes three hours following lunch for glucose and insulin levels to return to normal.

Elizabeth Thomas is a researcher at the University Of Colorado School Of Medicine.

“Breakfast skippers are more likely to be overweight or obese and have a higher risk for type 2 diabetes.”

The study presented at the Endocrine Society’s annual meeting was supported by the National Institutes of Health.

Learn more at

HHS HealthBeat is production of the U.S. Department of Health and Human Services. I’m Nicholas Garlow.

Last revised: August 2, 2013

Factor4 vs Diet Pills

This Article published recently in the NY times reviews the latest Diet Pills but leaves out all the information on Side Effects! Factor4 has no side effects, is not a Pharmaceutical and works naturally to restore your metabolic system resulting in healthy weight loss and over 50 healthy benefits! Which would you choose?

Few Signs of a Taste for Diet Pills

Published: July 1, 2013

Americans spend tens of billions of dollars each year to lose weight — gym memberships, Weight Watchers and other programs, operations, nutritional supplements and whatever the latest diet fad might be.

But the first new prescription weight-loss drug to reach the market in 13 years is having a hard time winning even a tiny slice of that huge market, despite an apparent need.

Sales of the drug, Qsymia (pronounced Kyoo-sim-EE-ah), have been minuscule since it went on sale last September. Sales totaled only $4.1 million in the first quarter of this year, even as Vivus, the manufacturer, spent $45 million on marketing, sales and administrative expenses.

Vivus’s stock price has plunged to $12.41 from $29 on the day after Qsymia was approved last July. And the company’s largest shareholder, saying the drug’s introduction was horribly botched, is battling to oust the entire board and top management at Vivus’s annual shareholder meeting on July 15.

More than a corporate drama, however, the slow start of Qsymia raises questions about what role prescription drugs really can play in combating the nation’s epidemic of obesity.

While there are some problems unique to Qsymia, it is also facing barriers that are likely to confront other weight-loss drugs as well, including Belviq, a drug from Arena Pharmaceuticals and Eisai, that went on sale last month. Another drug, Contrave from Orexigen Therapeutics, is in advanced clinical trials.

These obstacles include lack of insurance reimbursement, modest weight loss, safety concerns, the troubled history of diet drugs, and a feeling on the part of many doctors and obese people themselves that excess weight is a lifestyle issue best addressed by more willpower, rather than a disease that requires medical treatment.

“You’ve got this turning of the battleship to change how the medical community views obesity,” said Dr. Barbara Troupin, vice president for scientific communications and risk management at Vivus.

The attitude is turning at least a little. Last month, the American Medical Association, the nation’s largest group of doctors, declared obesity a disease. In April, the American Association of Clinical Endocrinologists included weight-loss drugs in its diabetes treatment guidelines.

Given that one-third of American adults are obese and another third merely overweight, an effective and safe diet pill would seem like the path to instant riches. Jack Lief, the chief executive of Arena Pharmaceuticals, said in 2009 that sales of obesity drugs could eclipse those of statins, the cholesterol-lowering pills like Pfizer’s Lipitor, which had peak annual sales of about $13 billion before falling to generic competition.

Yet no prescription drug for obesity has ever reached annual sales of even $1 billion, the lower boundary of what the pharmaceutical industry considers a blockbuster.

While it is estimated that more than two million people take weight-loss drugs, the vast majority using the old generic appetite-suppressor phentermine, that is still only a tiny fraction of the 70 million or more obese adults.

And patients typically give up on the drugs quickly. An analysis of prescription data by the Food and Drug Administration found that only one quarter of people kept using a drug for at least three months, and only 10 percent for at least 180 days.

One reason is that many people don’t lose much weight. The clinical trials showed that those taking the recommended dose of Qysmia lost an average of 7.8 percent of their weight after a year. At that rate, a 250-pound person would end up at about 230 pounds.

Some people can do better than average, however. Marty McNamara, who started taking Qsymia in November, said he had dropped from 424 to 332 pounds as his appetite has virtually disappeared. Mr. McNamara, a 6-foot 5-inch highway maintenance worker from Ridgecrest, Calif., said he now eats only fruit for lunch.

“It’s amazing, because I like food,” he said, but quickly corrected himself. “I used to like food.”

Diet pills have been plagued by safety issues that have marred the image of the class. Two drugs used as part of the popular fen-phen combination were taken off the market in 1997 for damaging heart valves. In 2010, Abbott’s Meridia was withdrawn after a study suggested it might raise the risk of heart attacks and strokes.

Neither Qsymia nor Belviq has won approval in Europe, in part because of safety concerns. And Consumer Reports advises people to skip what it calls “quick-fix weight-loss drugs” because “their benefits are usually minimal and their adverse effects can be troublesome.” It urges people to lose weight the tried-and-true way, by dieting and exercising.

The main safety concern with Qsymia is that it might cause birth defects. For that reason, the F.D.A. required that the drug be distributed through only a handful of mail-order pharmacies, a cumbersome process for doctors and patients. Recently, however, the agency agreed that qualified retail pharmacies could also dispense the drug. Vivus said on Monday that Qsymia was now available through 8,000 retail drugstores, removing a major barrier to sales.

“I feel we have been held in check driving around the pit lane, without being able to go out and put this formula racecar to the test,” said Peter Y. Tam, the president of Vivus, which is based in Mountain View, Calif.

But there are still other roadblocks. Medicare Part D does not cover weight-loss drugs, although a bill was just introduced to change that. Only about one-third of Americans with private insurance have coverage for the drug, but often with co-payments of $50 a month or more. People without coverage will pay at least $150 a month.

“Most people don’t find that amount of money is worth it for that amount of weight loss,” said Dr. Ethan Lazarus, a weight-loss specialist in Denver. Dr. Lazarus said that only about five of his 600 active patients were on Qsymia.

Qsymia is a combination of two generic drugs, phentermine and topiramate. Dr. Lazarus said he sometimes prescribed the two generic drugs, which can cost as little as $40 a month.

The drug companies and other backers of the drug make the case that since obesity contributes to numerous other ailments like diabetes and heart disease, use of the pills to lower weight might actually produce a net savings for insurers, patients and Medicare.

Because of the cost and cumbersome distribution system, when Qsymia first went on sale, as many as 30 percent of the prescriptions were abandoned before being filled.

To counter that, Vivus is now offering the first two weeks of Qsymia free and is limiting out of pocket costs to $75 for the next month. It hopes that by the end of the first six weeks, people will have started to lose enough weight to stay on the drug.

Terri Baker of Houston is approaching that point now. Ms. Baker said she had not lost any weight yet, but said the drug made soda taste flat to her, allowing her to break her soft-drink habit. She plans to give the drug some more time, even though it will now cost her $150 a month.

“I really want to try this,” said Ms. Baker, who is 52 and weighs 200 pounds. “Nothing else has worked.”

Another problem for Qsymia is lack of resources. Vivus has only 150 sales representatives, far too few to reach primary-care physicians. Its disgruntled biggest shareholder, the First Manhattan Company, says one of Vivus’s biggest mistakes was not to enlist a big pharmaceutical company to help it sell the drug.

Vivus executives say they planned to target mainly endocrinologists first, but are now talking with larger pharmaceutical companies. They also say the company plans to start direct-to-consumer advertising in the fall.

Meantime, the company saysthat its strategy is falling into place, with retail pharmacies coming on line and organizations like the Veterans Health Administration and pharmacy benefits manager Express Scripts agreeing to pay for the drug.

Qsymia had been prescribed by 15,000 doctors to 40,000 patients as of the end of March, the company says, but prescriptions have risen since then.

Replacing the board with First Manhattan’s slate, it argues, would only “throw Vivus into turmoil at a critical juncture.”

First Manhattan, which owns 9.9 percent of Vivus, disagrees, saying in one letter to shareholders: “The light at the end of the current ‘stay the course’ tunnel is an oncoming train.”

A Label Calls Attention to Obesity

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A Label Calls Attention to Obesity


Most people know that obesity can result in serious health problems, yet many of us continue to focus on its cosmetic consequences rather than its risks to health.

This distorted view may change now that the American Medical Association has finally labeled obesity a disease, not just a risk factor for other disorders. Last month, the organization recognized that obesity is a verifiable illness that warrants far more attention than physicians, patients and insurers currently give it.

The designation may change how aggressively doctors treat obesity, foster the development of new therapies, and lead to better coverage byinsurers. After all, the price of not treating obesity is now in the stratosphere. Obesity-related health conditions cost the nation more than $150 billion and result in an estimated 300,000 premature deaths each year.

If the population’s weight gain is not soon capped (or better yet, reversed), experts predict that half of adults in America will be obese by 2040. The A.M.A. has said in effect that it is medicine’s responsibility to provide the knowledge and tools needed to curb this runaway epidemic.

On June 19, James Gandolfini, the hefty award-winning actor who portrayed Tony Soprano in “The Sopranos,” died at 51, apparently of a heart attack, while on vacation in Italy. Even if genetics played a role, Mr. Gandolfini’s weight contributed significantly to his risk of sudden cardiac death.

Not a week earlier, a 46-year-old member of my family who weighed over 300 pounds died suddenly of what might have been a heart attack while dozing in front of the television. He had long suffered from sleep apnea (a risk factor for sudden death), high blood pressure and severe gout, all results of his extreme weight.

Fran Saunders, a 62-year-old Brooklynite, is determined to avoid a similar fate. At 4 feet 11 inches tall and 157 pounds, she was clinically obese. She was sent for blood tests when she complained of a vision problem that could have been related to her weight. All her lab readings — total cholesterol, triglycerides, blood sugar — were seriously abnormal. Her doctor said she was a heart attack waiting to happen. But “the bad news was a blessing in disguise,” she told me.

Though she had long been a regular at the gym, she knew it was time to get her diet on a healthier track to lower her cholesterol, her risk of developing diabetes and her chances of dying prematurely.

She now monitors what she eats and how much she exercises with a free cellphone app, My Fitness Pal. Gradual weight loss started almost overnight at a pound or two a week. Although her goal weight is 110 to 115 pounds, her blood test results improved significantly after she lost just seven pounds.

“My doctor told me that every pound I lose lowers my risk,” said Ms. Saunders. “I know it’s possible for some people to be fit and fat, but that wasn’t the case for me, and it was time to stop kidding myself.”

The list of problems obesity can cause should be a call to action for the one-third of American adults who are obese. Heart Disease and Stroke Obesity can raise levels of artery-damaging triglycerides and LDL cholesterol, and lower levels of protective HDL cholesterol. This raises the risk of atherosclerosis tenfold by fostering a buildup of plaque in arteries that feed the heart and brain. The chest pains of angina occur when the heart cannot get enough oxygen-rich blood through plaque-clogged arteries. A piece of plaque can break off at any time and block a narrowed artery, causing a heart attack or stroke.

Obesity also strains the heart and can lead to heart failure — a heart unable to pump the blood necessary to supply the body with adequate oxygen and nutrients.

High Blood Pressure Excess body fat increases the volume of blood the heart must pump to supply all tissues with nutrients and oxygen. This increases the pressure on artery walls, which contributes to heart disease, stroke and kidney failure.

Type 2 Diabetes Obesity impairs the body’s ability to use insulin to maintain normal blood sugar levels. Diabetes, in turn, is a leading cause of heart disease, stroke, kidney disease and blindness. Once a late-in-life disease, Type 2 diabetes now is often seen in overweight children. Even being moderately overweight can lead to insulin resistance, in which the body becomes insensitive to the hormone. The condition can be reversed by weight loss.

Joint Disease The more weight a person carries, the greater the stress on joints and the risk of developing painful, incapacitating osteoarthritis in the knees, hips and lower back. Obesity is a major reason for the sharp rise in costly joint replacements. Excess weight can also cause premature failure of an artificial joint.

Breathing Problems In addition to causing shortness of breath during physical exertion, obesity is the leading cause of obstructive sleep apnea — breathing stops periodically during sleep, followed by an abrupt intake of air and loud snoring. Apnea disrupts sleep and results in daytime drowsiness that can cause accidents.

Cancer People who are obese are at increased risk of developing cancers of the colon, breast, endometrium, esophagus, pancreas, kidney, thyroid and gallbladder. One possible reason: increased amounts of growth factor in obese people may promote tumor development. Metabolic Syndrome One-third of overweight and obese people have a constellation of six factors that seriously raise the risk of cardiovascular disease: abdominal obesity, high blood pressure, high cholesterol, insulin resistance, excessive clotting factors and inflammatory compounds in the bloodstream. Abdominal fat is especially hazardous because it is metabolically active, unlike relatively inert fat on the hips and thighs.

The list of obesity’s hazards goes on: infertility in women, pregnancy problems, gallstones and gout, not to mention emotional disorders, social ostracism and employment discrimination.

The first step toward avoiding all of these is a simple calculation to determine whether you are at risk. The most frequently used measure is body mass index, calculated by dividing weight in kilograms by height in centimeters squared. The National Heart, Lung and Blood Institute, among others, offers a free calculator online. In general, a B.M.I. of 30 or more indicates obesity, but B.M.I. can be misleading if heavy bones and big muscles account for a large portion of someone’s weight.

A simpler measure is a waistline as large as or larger than a person’s hips. Overweight typically starts at a waist of 40 inches for men and 35 inches for women.

The easiest assessment of all? Stand naked in front of a mirror and honestly assess the contribution that fat is making to your body’s composition. It’s not hard to see.

A.M.A. Recognizes Obesity as a Disease

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A.M.A. Recognizes Obesity as a Disease

Mamta Popat/Arizona Daily Star, via Associated Press

Sugary diets and weight problems remain a central health issue.

Published: June 18, 2013

The American Medical Association has officially recognized obesity as a disease, a move that could induce physicians to pay more attention to the condition and spur more insurers to pay for treatments.

Ted Grudzinski/AMA

Dr. Patrice Harris said the diabetes definition would help in the fight against heart disease.

In making the decision, delegates at the association’s annual meeting in Chicago overrode a recommendation against doing so by a committee that had studied the matter.

“Recognizing obesity as a disease will help change the way the medical community tackles this complex issue that affects approximately one in three Americans,” Dr. Patrice Harris, a member of the association’s board, said in a statement. She suggested the new definition would help in the fight against Type 2 diabetes and heart disease, which are linked to obesity.

To some extent, the question of whether obesity is a disease or not is a semantic one, since there is not even a universally agreed upon definition of what constitutes a disease. And the A.M.A.’s decision has no legal authority.

Still, some doctors and obesity advocates said that having the nation’s largest physician group make the declaration would focus more attention on obesity. And it could help improve reimbursement for obesity drugs, surgery and counseling.

“I think you will probably see from this physicians taking obesity more seriously, counseling their patients about it,” said Morgan Downey, an advocate for obese people and publisher of the online Downey Obesity Report. “Companies marketing the products will be able to take this to physicians and point to it and say, ‘Look, the mother ship has now recognized obesity as a disease.’ ”

Two new obesity drugs — Qsymia from Vivus, and Belviq from Arena Pharmaceuticals and Eisai — have entered the market in the last year.

Qsymia has not sold well for a variety of reasons, including poor reimbursement and distribution restrictions imposed because of concerns that the drug can cause birth defects. Those restrictions are now being relaxed. Belviq went on sale only about a week ago, so it is too early to tell how it is doing.

Whether obesity should be called a disease has long been debated. The Obesity Society officially issued its support for classifying obesity as a disease in 2008, with Mr. Downey as one of the authors of the paper.

The Internal Revenue Service has said that obesity treatments can qualify for tax deductions. In 2004, Medicare removed language from its coverage manual saying obesity was not a disease.

Still, Medicare Part D, the prescription drug benefit, includes weight loss drugs among those it will not pay for, along with drugs for hair growth and erectile dysfunction.

The vote of the A.M.A. House of Delegates went against the conclusions of the association’s Council on Science and Public Health, which had studied the issue over the last year. The council said that obesity should not be considered a disease mainly because the measure usually used to define obesity, the body mass index, is simplistic and flawed.

Some people with a B.M.I. above the level that usually defines obesity are perfectly healthy while others below it can have dangerous levels of body fat and metabolic problems associated with obesity.

“Given the existing limitations of B.M.I. to diagnose obesity in clinical practice, it is unclear that recognizing obesity as a disease, as opposed to a ‘condition’ or ‘disorder,’ will result in improved health outcomes,” the council wrote.

The council summarized the arguments for and against calling obesity a disease.

One reason in favor, it said, was that it would reduce the stigma of obesity that stems from the widespread perception that it is simply the result of eating too much or exercising too little. Some doctors say that people do not have full control over their weight.

Supporters of the disease classification also say it fits some medical criteria of a disease, such as impairing body function.

Those arguing against it say that there are no specific symptoms associated with it and that it is more a risk factor for other conditions than a disease in its own right.

They also say that “medicalizing” obesity by declaring it a disease would define one-third of Americans as being ill and could lead to more reliance on costly drugs and surgery rather than lifestyle changes. Some people might be overtreated because their B.M.I. was above a line designating them as having a disease, even though they were healthy.

The delegates rejected the conclusion of the council and voted instead in favor of a resolution pushed by the American Association of Clinical Endocrinologists, the American College of Cardiology and some other organizations.

This resolution argued that obesity was a “multimetabolic and hormonal disease state” that leads to unfavorable outcomes like Type 2 diabetes and cardiovascular disease.

“The suggestion that obesity is not a disease but rather a consequence of a chosen lifestyle exemplified by overeating and/or inactivity is equivalent to suggesting that lung cancer is not a disease because it was brought about by individual choice to smoke cigarettes,” the resolution said.

Fish oil and polyps – Omega 3’s

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A study indicates that women who eat at least three servings a week of fish with omega-3 fatty acids have a lower risk of polyps that could develop into colon cancer. Vanderbilt University researcher Harvey Murff saw this in data on people who reported what they ate and who had colonoscopies – exams to check for polyps.

Murff says the findings could be another reason to eat fish with omega-3s, such as salmon and tuna:

“There’s already some good data that suggests that omega-3 fatty acids that come from fish help reduce somebody’s risk of having heart disease. And I think this study would suggest that you might also have a reduction in your risk of developing certain cancers.”

The report in the American Journal of Clinical Nutrition was supported by the National Institutes of Health.



HHS Healthbeat cites a study indicating that women who eat at least 3 servings a week of fish with omega-3 fatty acids have a lower risk of heart disease, cancer, and colonic polyps.

Learn more at

Dr. George Scheele, The Good Doctor

How’s your A1C ??

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An A1C test can help to diagnose diabetes. That’s because an A1C test measures the sugar glucose attached to a specific blood protein, hemoglobin, which stays in the blood about three months. By comparison, the standard blood test for glucose is at a single point in time.

At the Clinical Center of the National Institutes of Health, Dr. David Sacks also says the usual blood tests for glucose require at least an eight hour fast. He notes the A1C does not.

“Because hemoglobin AIC is not affected by short-term glucose in the blood, you can measure it at any time of the day and whenever the patient arrives, regardless of the time of their previous meal.”

The NIH has a new fact sheet to help people understand the AIC test.



HHS Healthbeat explains that “An A1C test can help to diagnose diabetes. That’s because an A1C test measures the sugar glucose attached to a specific blood protein, hemoglobin, which stays in the blood about three months”, helping to diagnose diabetes. Your Hemoglobin A1c should be below 6 if you are in good health.

Learn more at

Dr. George Scheele, The Good Doctor

Active games, less-active kids


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An active video game doesn’t necessarily make a kid more active. A new study of 78 children, ages 9 to 12, shows that kids were no more or less active when playing an active video game.

Dr. Tom Baranowski is a professor of pediatrics at the Baylor College of Medicine and Texas Children’s Hospital.

“If Mama brings a video game home, can she expect that her child will get more physical activity, and the answer is, as far as we can tell, no.”

Experts say children should get 60 minutes of activity a day for good health.

“Parents who want to have their kids to be more physically active should enroll their children in school-based sports teams, other kinds of physical activities.” (10 seconds)

The study in the journal Pediatrics was supported by the National Institutes of Health.

Raw milk

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Raw milk has its following, but experts say the followers are putting themselves at risk – and their children and families, too. Raw milk is nonpasteurized, which means it has not been treated against germs that can be found in cows – even if the cow looks healthy. Some people think raw milk is better, but researcher Adam Langer of the Centers for Disease Control and Prevention knows what happens to people who drink it.

“Raw milk and other nonpasteurized dairy products can carry harmful bacteria and other germs that can make you very sick or kill you.”

He says some raw milk drinkers have wound up needing weeks of kidney dialysis, and even ventilators to help them breathe.

The study is in the CDC journal Emerging Infectious Diseases.



HHS Healthbeat says “raw milk and other nonpasteurized dairy products can carry harmful bacteria and other germs that can make you very sick or even kill you.”

Increase your protein and amino acids with Factor4 Health.
Learn more at

Dr. George Scheele, The Good Doctor

Future mommies, cut the fat


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Pregnant women…watch your diet. What you eat can affect both you and your newborn. Gestational diabetes is a common pregnancy complication that can affect both you and your baby. Data from 13,000 women participating in the Nurses’ Health Study II show high fat intake can put you at risk.

Dr. Katherine Bowers is a research fellow at the National Institutes of Health.

“Women who had high intakes of animal fat, so the source of their fat came from animal products, more frequently developed gestational diabetes during their pregnancies.” (10 seconds)

Women with higher dietary cholesterol also had an increased risk. A healthy diet can help you reduce your risk.

The study was in the American Journal of Clinical Nutrition.



HHS Healthbeat says that women with high intakes of animal fat and cholesterol more frequently develop gestational diabetes during their pregnancies.

Dr. George Scheele, The Good Doctor
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BMI Body Mass Index – Factor4 Weight Control

HHS Healthbeat (2-10-12)

The BMI app


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Body Mass Index, or BMI, is a reliable indicator of body fatness based on your height and weight, and places you in one of three categories; normal, overweight or obese.  Which are you?

A new smartphone app from the National Institutes of Health can let your phone tell you.



HHS Healthbeat says Body Mass Index, or BMI, is a reliable indicator of body fatness based on your height and weight, and places you in one of three categories; normal, overweight or obese.  Which are you?

Dr. George Scheele, The Good Doctor