HEALTH STYLES The Piano Lesson Diet N e w W e i g h t L o s s D r u g s f o r 2 0 0 7
intentioned diets fail? Why isweight loss maintenance
Several new prescription medications are in the works. Although none has received
Rimonabant (Acomplia / Zimulti) has been filed by Sanofi-Aventis for the
treatment of obesity. It works by blocking the cannabinoid receptors, and
appears to be helpful for not only weight loss, but smoking cessation and both
treatment and prevention of diabetes as well. In the Rio-North America trial,3045 people were studied. At 1 year, patients lost an average of 19 pounds
each. They also improved their HDL (good) cholesterol by 16 percent, and
lowered their levels of insulin resistance. At 2 years, patients still maintained
an average of 16 pounds of weight loss. Side effects include slightly higher
incidences of depression, anxiety, irritability, and nausea. There is reasonably
high likelihood that the FDA will approve this medication in 2007.
or I won’t be motivated to continue.”
Orexigen is studying a variety of drug combinations to combat obesity: Contrave is a combination of Naltrexone SR and Buproprion SR. Naltrexone
has long been used to combat opiate and alcohol addiction, while Buproprion
(Wellbutrin) is a commonly prescribed anti-depressant and smoking cessation
aid. Preliminary 36 week data shows an average weight loss of 8 to 9%. Excalia is a combination of Zonisamide SR and Buproprion SR. Zonisamide is
a commonly used medication for seizures. At 24 weeks, patients lost an
it in this light, the “goal-oriented”
Compellis Pharmaceuticals has been issued an initial patent for a nasal
spray that aims to treat obesity by blocking the senses of smell and taste.
As obesity research continues, scientists are starting to better understand the
different pathways leading to weight gain or weight loss. The above represent
several novel ideas, although until further research is completed, should not be
used for most patients. As new treatments become approved, we will keep our
web site up to date and keep you informed with our e-Newsletter. If youhaven’t subscribed, be sure to visit www.ClinicalNutritionCenter.com and sign
In the mean time, Phentermine and Tenuate continue to be affordable, safe,
and effective options for our patients at CNC. For some patients, there are
other options, too. These include: changing from medications that causeweight gain, such as certain anti-depressants and diabetes medications, to
medications that don’t, using Buproprion SR alone to combat emotional eating
doesn’t work for a weight problem.
(off-label use), using Topomax to combat medication-induced increases in
appetite (off-label use), Xenical to block fat absorption, Metformin to treat
insulin resistance, and more. Schedule an appointment with Dr. Lazarus if
you’d like to review your options.
fold. First, what if the goal isn’treached? What if the body simply
have a beautiful piano that isn’t being
weight loss to you. A lower number
the brain gets a “failure” message.
“Why should I work so hard if I can’t
beautiful piano that isn’t being played.
engaging in activities that you weren’t
piano off Craig’s List, and signing up
These benefits are far more tangible.
Let them provide motivation for the
make it fun! Let’s face it - sitting at
7555 E. Hampden Ave., Suite 301, Denver, CO 80231
which the “right” diet is. At a recenttrip to the book store, I saw titles from
HAVE YOU SEEN OUR TESTIMONIALS?
“Eat right 4 your blood type” and “The
In late 2006, CNC began collecting testimonials from our patients. We hear andsee these incredible stories every day, but now you can see for yourself. Our testi-monials are from real people, and are completely voluntary. These are patients onthe same programs as everybody else.
diet books really contain usefulinformation for the person serious
Check them out in our waiting room, or at www.ClinicalNutritionCenter.com.Many of our patients are using this as a reward for achieving their weight lossgoals, a sign of success. If you’ve had success with CNC and would like to share
Further, just the term “diet” has lots of
your story, we are happy to offer a $20 gift certificate for anybody wishing to submita testimonial. You’ll find all the information on the web site.
intervention designed to lose weight. But then what? Back to the old
Finally, we want to thank you for all of your referrals to us in 2006. For 2007,we continue to offer a $50 gift certificate for each new patient you refer to us.Thank You!
can try to control your weight byreading a book, but the results are
o f w e i g h t r e g a i n e d c o m p a r e d t o
3 ) A t t e n d a n c e a t m e e t i n g s ,
w h i c h i n v e s t i g a t o r s e x p e c t e d t o
b e h i g h e r i n t h e I n t e r n e t g r o u p
c o n v e n i e n c e , w a s i n f a c t assistance of a trained professional. s u p e r i o r i n t h e f a c e - t o - f a c e g r o u p . Screen Time vs. Face Time for
C N C h a s a l w a y s o f f e r e d f a c e -
Weight Loss
r e c o m m e n d a t i o n f o r w e i g h t l o s s
v i c t o r y b e f o r e t h e i r e n e m y
a n d w e i g h t l o s s m a i n t e n a n c e . I f
t r u l y i s v a n q u i s h e d . I n t h e
y o u h a v e s t r u g g l e d w i t h w e i g h t
s e a r c h f o r m o r e e f f e c t i v e
l o s s m a i n t e n a n c e i n t h e p a s t ,
i n t e r v e n t i o n s t o s u c c e s s f u l l y
u s e 2 0 0 7 t o g e t b a c k o n t r a c k !
m a i n t a i n w e i g h t l o s s o v e r t h e
T h i s i s a l i f e - l o n g g o a l . M o s ti m p o r t a n t : d o n ’ t g i v e u p !
you’ll actually look forward to working
l o n g t e r m , R e n a W i n g , P h D , o f
on it. The accountability for most
B r o w n U n i v e r s i t y M e d i c a l
* W i n g R R e t a l . , A s e l f - r e g u l a t i o n p r o g r a m f o r
S c h o o l d e s i g n e d a s t u d y c a l l e d
m a i n t e n a n c e o f w e i g h t l o s s , N E n g l J M e d ,
t h e St u d y t o P r e v e n t R e g a i n
( S T O P R e g a i n ) t o d e t e r m i n e
w h a t w a s m o s t e f f e c t i v e .
I n v e s t i g a t o r s d i v i d e d 3 1 4
p e o p l e i n t o 3 g r o u p s : f a c e - t o -
f a c e c o n t a c t , c o n t a c t o v e r t h e
Staff News
i n t e r n e t , o r a q u a r t e r l y
Congratulations to Stephanie Muckey
n e w s l e t t e r a b o u t h e a l t h y e a t i n g . T h e r e s u l t s s h o w e d f a c e - t o - f a c et i m e t h e m o s t v a l u a b l e t o o l t op r e v e n t w e i g h t r e g a i n .CNC Welcomes Heather Thomas. A
P a r t i c i p a n t s w e r e f o l l o w e d f o r 1 8
f o l l o w i n g c o n c l u s i o n s b a s e d o n
CNC Welcomes Susan Ellis. A
1 ) O n l y t h e f a c e - t o - f a c e f o r m a t r e d u c e d t h e a m o u n t o f w e i g h t r e g a i n e d .
maintenance are life-long projects.
2 ) T h e i n t e r n e t p r o g r a m d i d n o t s i g n i f i c a n t l y Clinical Nutrition Center
and other benefits you experience asyour weight improves. These are
www.ClinicalNutritionCenter.com W New Medications for NEWS FLASH: Ethan Lazar Address Service Requested. CLINICAL NUTRITION CENTER
Jordan S. Josephson, MD triamtene (Dyazide) and hydro- Manhattan Eye, Ear and Throat Hospital chlorothiazide (HydroDIURIL)—tohelp the kidneys excrete excessfluids. This can help prevent fur-ther attacks of Ménière’s disease. ENVIRONMENTAL TOXINS mental toxins, but certain peoplemay have a sensitivity that causesOften-overlooked triggers can make you suffer needlessly. (ca
LEICA M MONOCHROM Compact digital rangefi nder system camera with a dedicated black-and-white image sensor. Leica M bayonet with additional sensor for six-bit coding. Active area approx. 23.9 × 35.8 mm, 5212 × 3468 pixels (18 megapixels). Infrared blocking fi lter for wavelengths longer than 700 nm, no low-pass fi lter. Selectable, DNG™: 5212 × 3468 (18 megapixels), JP