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2012 Steps to
Sustainable Weight Loss
                               Enrique Saguil, MD
                               First Health Associates



We didn’t invent the practice of medicine….
                we’re just changing the way it’s provided.
•   Legal release: I am in not receiving any financial reimbursement from Whole
    Foods Market. The names in this lecture have been substituted to protect the
    innocent. The recommendations in this lecture are not a substitute for health
    and wellness, please see your personal physician.



        • To get copies of this
    lecture, please contact me at:
    www.firsthealthassociates.com
The First Health Approach




 We didn’t invent the practice of medicine….
                 we’re just changing the way it’s provided.
Your Team
     Ric Saguil, MD
   Jason Gruss, MD
    Tom Jordan, RD
Katrina Christie, LCPC
 Jennifer Green, ND
  Joe Musolino, DC
 Emery Paredes, PT
  Courtney Day, EP
  Aimee Weber, EP
  Yu Zhu, MD China




     You
Ric Saguil, MD



We didn’t invent the practice of medicine….
                we’re just changing the way it’s provided.
Resolution by Webster


• Determination
• A firm intention
• A proposal for a meeting to vote on
Model of a great life?


                     •   Eat
                     •   Poop
                     •   Sleep
                     •   Hump
Average Px Goals?

•   Eat (nutrition)
•   Play (movement)
•   Work (stress response/grounding)
•   Sleep (rest)
From…….
Average Life Changers
•   Pregnancy
•   Loss of a job
•   Accident
•   Sudden heart attack
•   Stroke
•   Terminal diagnosis
•   What is your Life Changer?
Figuring out Death?
•   Genetics                      (prakruti)
•   Current lifestyle             (vikruti)
•   Nutritional deficiencies
•   Nutritional abuses
•   Aquired physical challenges
•   Behavioral challenges
•   Lack of grounding skills
How to use western medicine
•   Accept; there is a problem
•   Get educated
•   Get a physical
•   Control the leaks in the dam
•   Have intention to get off the “bandaids”
•   Follow up/second opinion/speak your mind
•   Get more educated
How to use alternative medicine

•   Get educated
•   Get referral
•   Be judicious in integrating
•   Reassess results in feeling
•   Reassess results in labs
Start right…..
More than just
cleaning the out the plumbing
Driveway to Highway
Pancha Karma
Even the ancients “jumpstarted”
Ric Saguil, MD



We didn’t invent the practice of medicine….
                we’re just changing the way it’s provided.
Nutrition
• Average American diet stinks
• Mediterranean diet shines
• Low caloric intake works (non sustainable)




• Mindful eating empowers and supports
Diet Diet Diet
• Nutrisystems works to get the weight off and
  keep it off
Celebrity Power!!
Look Familiar?
Don’t think diet, think
             Optimal Nutrition
• Longevity = low calorie
• Longevity = Okinawa diet, Mediterranean diet

•   Vegetables and Fruits
•   Legumes
                            Processed food
•   Healthy oils/fats(O3)
                            Beef and pork
•   Fish                    High O6
                            Low fruits and veggies
                            No fiber
Seek Help

•   Life Coach
•   Nutritionist
•   Registered Dietician
•   Naturopath



                               Why?....
Old school:
Eating “right”
Calorie counting
Simple and complex carbs

   Modern Prob:
Food tech –

Immobility –

50 years of stress -
Absorption of the carbohydrate
Willpower vs high tech foods?!?
(1/3 the reason why the US is 1/3 obese)
Whole Foods for whole foods
Hormone waves
Stress and eating
Insulin Dumping/Cortisol dumping
Control the waves with balance
Balanced diet
•   Low GI - GL
•   High fiber
•   Fruits and veggies 7-10
•   Low processed food
•   Healthy fats
•   Proper ratio of macronutrients
DrRic’s MRE   (meals ready to eat)
DrRic’s special mentions
• Nutritional deficiency is inherent
• To compress the time frame-maximize healing
                    Omega3, Vit D, MVI (+)
• Disease/age specific supplements
                    Glucosamine Sulfate,Tumeric
• Topical botanicals/plant essentials
• Environmental Working Group
                    The clean 15/the dirty dozen
Movement
“……I felt like I was wearing a cement suit.”

      Fibromyalgia, Chronic Fatigue
    Syndrome, Depression, Parkinsons
Ds, Rheumatoid Arthritis, PCOS,……all have
components of “stiffness” to presentation.

             Chicken or Egg?
Walk to Move!

•   Even a child could do it
•   Accessible anywhere
•   Low and slow (go long!)
•   Journal success
Benefits:
Emotionally a high impact procedure
Gets you ready for the class reunion
Success in numbers
Tangible results       Risks:
                       Dangerous
                       Not natural (weight loss)
                       Short term success
                       Risks proportional to the speed
DrRic’s Healthy Choices
•   Breath- core/lung conditioning +++
•   Flexibility
•   Endurance (relative)
•   Strength +/-
•   Personal Interests +++
•   Push the cardio limits (medically cleared first)
•   Accountability to someone other than self
Seek and ye shall find
•   Running groups (CARA)(Dick Ponds)
•   Bike clubs (cycle shops)
•   Park District events (short enrollment)
•   Local college/school (quarters)
•   10 buck a month clubs (no frills)
•   Yoga studios (check for community classes)
•   Try the Tri’s
    even with disease-movement and nutrition =
                                  First Line Tx
How to measure success?
220 – age x 80%
Use the Jump Start as a Sling Shot to Success
Grounding
•   4-7-8 breathing
•   Yoga breathing (pranayama)
•   Meditation
•   Guided imagery
•   Behavioral health care/MBSR
•   Cultivating “The Relaxation Response”
Fight the Frazzled Robert Epstein
•   Avoidance
•   Source management
•   Relaxation
•   Thought management

            Stress Managing Competencies
Stress Response vs Relaxation Response?




    (SR only dominates for individual survival,
              RR is supposed to dominate for species survival)
Remember-Stress and eating
Practice Practice

•   DVD/CD
•   Local event(Yoga studios, Theosophical Society, Infinity Foundation)
•   Destination events (The Chopra Center, BHI Harvard)
•   Counseling (LCPC, Psychologist, Social Worker, Pastor, EAP)

• 30 minutes twice a day for 21 days
Andy Weil speaking of 4-7-8 breathing
..search my youtube upload above title




      5-10 minutes at the start and end of your day for 21 days
Even FedEx is doing it




    Flexibility or Grounding?
DrRic’s Get help/Give help
• Passing on positive energy is great for the
  planet
• Testimonials empower others to change
• Verbalization of planning steps entrains the
  brain to repeat with ease
• We are a species that has compassion
  hardwired…so it naturally feels great to give
                         (push that serotonin)
Ric Saguil, MD

We didn’t invent the practice of medicine….
                we’re just changing the way it’s provided.
Role of the MD
•   Review numbers
•   Determine Risk/Diagnose problems (current and future)
•   Note weaknesses and embrace strengths
•   Suggest movement activity (calendar plan)
•   Oversee team care plan (refer to PT, EP or Chiro)
•   Nutrition consult
•   Behavioral health consult
•   Special Mention: TCM and Ayurveda
             We didn’t invent the practice of medicine….
                             we’re just changing the way it’s provided.
Unexpected stroke
Silent and sudden heart attack




Pay now or pay later


                                 Kidney failure from chronic high blood pressure
Q&A

                  Next Lecture:
         Pioneer Park, Arlington Heights
Managing Holiday Fatigue….an Integrative Medicine
                    Approach
       Sat. January 21st 11:00-12:00noon
                 (847) 593-3330

     We didn’t invent the practice of medicine….
                     we’re just changing the way it’s provided.

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DrRic 2012 Steps to Sustainable Weight Loss (slide share edition)

  • 1. 2012 Steps to Sustainable Weight Loss Enrique Saguil, MD First Health Associates We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  • 2. Legal release: I am in not receiving any financial reimbursement from Whole Foods Market. The names in this lecture have been substituted to protect the innocent. The recommendations in this lecture are not a substitute for health and wellness, please see your personal physician. • To get copies of this lecture, please contact me at: www.firsthealthassociates.com
  • 3. The First Health Approach We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  • 4. Your Team Ric Saguil, MD Jason Gruss, MD Tom Jordan, RD Katrina Christie, LCPC Jennifer Green, ND Joe Musolino, DC Emery Paredes, PT Courtney Day, EP Aimee Weber, EP Yu Zhu, MD China You
  • 5. Ric Saguil, MD We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  • 6. Resolution by Webster • Determination • A firm intention • A proposal for a meeting to vote on
  • 7. Model of a great life? • Eat • Poop • Sleep • Hump
  • 8. Average Px Goals? • Eat (nutrition) • Play (movement) • Work (stress response/grounding) • Sleep (rest)
  • 10. Average Life Changers • Pregnancy • Loss of a job • Accident • Sudden heart attack • Stroke • Terminal diagnosis • What is your Life Changer?
  • 11. Figuring out Death? • Genetics (prakruti) • Current lifestyle (vikruti) • Nutritional deficiencies • Nutritional abuses • Aquired physical challenges • Behavioral challenges • Lack of grounding skills
  • 12. How to use western medicine • Accept; there is a problem • Get educated • Get a physical • Control the leaks in the dam • Have intention to get off the “bandaids” • Follow up/second opinion/speak your mind • Get more educated
  • 13. How to use alternative medicine • Get educated • Get referral • Be judicious in integrating • Reassess results in feeling • Reassess results in labs
  • 15. More than just cleaning the out the plumbing
  • 18. Even the ancients “jumpstarted”
  • 19. Ric Saguil, MD We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  • 20. Nutrition • Average American diet stinks • Mediterranean diet shines • Low caloric intake works (non sustainable) • Mindful eating empowers and supports
  • 21. Diet Diet Diet • Nutrisystems works to get the weight off and keep it off
  • 24. Don’t think diet, think Optimal Nutrition • Longevity = low calorie • Longevity = Okinawa diet, Mediterranean diet • Vegetables and Fruits • Legumes Processed food • Healthy oils/fats(O3) Beef and pork • Fish High O6 Low fruits and veggies No fiber
  • 25. Seek Help • Life Coach • Nutritionist • Registered Dietician • Naturopath Why?....
  • 26. Old school: Eating “right” Calorie counting Simple and complex carbs Modern Prob: Food tech – Immobility – 50 years of stress -
  • 27. Absorption of the carbohydrate
  • 28. Willpower vs high tech foods?!? (1/3 the reason why the US is 1/3 obese)
  • 29. Whole Foods for whole foods
  • 33. Control the waves with balance
  • 34. Balanced diet • Low GI - GL • High fiber • Fruits and veggies 7-10 • Low processed food • Healthy fats • Proper ratio of macronutrients
  • 35. DrRic’s MRE (meals ready to eat)
  • 36. DrRic’s special mentions • Nutritional deficiency is inherent • To compress the time frame-maximize healing Omega3, Vit D, MVI (+) • Disease/age specific supplements Glucosamine Sulfate,Tumeric • Topical botanicals/plant essentials • Environmental Working Group The clean 15/the dirty dozen
  • 37. Movement “……I felt like I was wearing a cement suit.” Fibromyalgia, Chronic Fatigue Syndrome, Depression, Parkinsons Ds, Rheumatoid Arthritis, PCOS,……all have components of “stiffness” to presentation. Chicken or Egg?
  • 38. Walk to Move! • Even a child could do it • Accessible anywhere • Low and slow (go long!) • Journal success
  • 39. Benefits: Emotionally a high impact procedure Gets you ready for the class reunion Success in numbers Tangible results Risks: Dangerous Not natural (weight loss) Short term success Risks proportional to the speed
  • 40. DrRic’s Healthy Choices • Breath- core/lung conditioning +++ • Flexibility • Endurance (relative) • Strength +/- • Personal Interests +++ • Push the cardio limits (medically cleared first) • Accountability to someone other than self
  • 41. Seek and ye shall find • Running groups (CARA)(Dick Ponds) • Bike clubs (cycle shops) • Park District events (short enrollment) • Local college/school (quarters) • 10 buck a month clubs (no frills) • Yoga studios (check for community classes) • Try the Tri’s even with disease-movement and nutrition = First Line Tx
  • 42. How to measure success? 220 – age x 80%
  • 43. Use the Jump Start as a Sling Shot to Success
  • 44. Grounding • 4-7-8 breathing • Yoga breathing (pranayama) • Meditation • Guided imagery • Behavioral health care/MBSR • Cultivating “The Relaxation Response”
  • 45. Fight the Frazzled Robert Epstein • Avoidance • Source management • Relaxation • Thought management Stress Managing Competencies
  • 46. Stress Response vs Relaxation Response? (SR only dominates for individual survival, RR is supposed to dominate for species survival)
  • 48. Practice Practice • DVD/CD • Local event(Yoga studios, Theosophical Society, Infinity Foundation) • Destination events (The Chopra Center, BHI Harvard) • Counseling (LCPC, Psychologist, Social Worker, Pastor, EAP) • 30 minutes twice a day for 21 days
  • 49. Andy Weil speaking of 4-7-8 breathing ..search my youtube upload above title 5-10 minutes at the start and end of your day for 21 days
  • 50. Even FedEx is doing it Flexibility or Grounding?
  • 51. DrRic’s Get help/Give help • Passing on positive energy is great for the planet • Testimonials empower others to change • Verbalization of planning steps entrains the brain to repeat with ease • We are a species that has compassion hardwired…so it naturally feels great to give (push that serotonin)
  • 52. Ric Saguil, MD We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  • 53. Role of the MD • Review numbers • Determine Risk/Diagnose problems (current and future) • Note weaknesses and embrace strengths • Suggest movement activity (calendar plan) • Oversee team care plan (refer to PT, EP or Chiro) • Nutrition consult • Behavioral health consult • Special Mention: TCM and Ayurveda We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  • 54. Unexpected stroke Silent and sudden heart attack Pay now or pay later Kidney failure from chronic high blood pressure
  • 55. Q&A Next Lecture: Pioneer Park, Arlington Heights Managing Holiday Fatigue….an Integrative Medicine Approach Sat. January 21st 11:00-12:00noon (847) 593-3330 We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.

Notas do Editor

  1. Design notes: list of providersWe want this to look much more inviting—these chairs are way too cold.Had thoughts about putting the actual providers in the chairs. Could be an actual live picture with a sample patient in the red chair or could be a group of providers sitting around the table.
  2. Based on a survey of our patients, we found a consistent theme of what frustrates them about conventional medicine practices and why they felt First Health was different. Since identifying these 4 key areas, we have made a consistent effort to offer our absolute best to:Listen attentively to Patients concernsMake the patient the driving force as the center of careMinimize wait timesExplain all the options for treatment, and give the patient choices (medications, alternative medicine, nutritional medicine/supplementation, psychological medicine)
  3. Based on a survey of our patients, we found a consistent theme of what frustrates them about conventional medicine practices and why they felt First Health was different. Since identifying these 4 key areas, we have made a consistent effort to offer our absolute best to:Listen attentively to Patients concernsMake the patient the driving force as the center of careMinimize wait timesExplain all the options for treatment, and give the patient choices (medications, alternative medicine, nutritional medicine/supplementation, psychological medicine)
  4. Based on a survey of our patients, we found a consistent theme of what frustrates them about conventional medicine practices and why they felt First Health was different. Since identifying these 4 key areas, we have made a consistent effort to offer our absolute best to:Listen attentively to Patients concernsMake the patient the driving force as the center of careMinimize wait timesExplain all the options for treatment, and give the patient choices (medications, alternative medicine, nutritional medicine/supplementation, psychological medicine)