Tuesday, November 13, 2012

In a Slump and Need a Kick-Start?


Sometimes life just gets in the way. Lessons we’ve learned are ignored and we slip into a slump. Our slump can take a number of forms: depression, returning to bad habits, and often, we gain weight. No matter what form your slump takes, it’s never too late to throw on the brakes and get back into the proper gear!

If you have found yourself slowly putting on weight over the last few weeks or months, we at QAMWL have some helpful pointers to break your cycle:

1.)    Weigh yourself daily. A 1-2 lb gain can often mean an increase in water weight that will go away naturally. But if you find that your weight keeps going up, make extra effort to control your intake of food. As one of our long-time successful patients says, “The best way not to put on 10 pounds is to not put on 5.”

2.)    Start tracking your calorie consumption:  There are many wonderful online calorie calculators that can help you stay engaged with your food consumption. http://www.webmd.com/diet/healthtool-food-calorie-counter, is an excellent example. Use your average daily energy expenditure as a guide for how much you can consume. If you’d like, come in for a weigh-in on our scale for that information (for existing or former patients only).

3.)    Take a morning and evening stroll. This is a beautiful time of year. Get a few extra calories off by taking a walk through your neighborhood.

4.)    If you really feel like you are sliding down a slippery slope, you can always come in for a kick-start OPTIFAST program at QAMWL. We offer fully customizable short term programs for former patients who find themselves slipping into an old rut.

 Never be afraid to get back on the wagon. The best time to catch and fix a problem is while it is still manageable. If you need a kick-start, don’t hesitate! Take action now!
Mark Provenzano, Director; Queen Anne Medical Weight Loss

Friday, November 2, 2012

Holidays: Making Challenging Times Motivating

 
The holiday season is built around food and drink; there is no secret or illusion about this. The best way to combat a season dedicated to ruining your diet is to treat it no differently than the rest of the year. You need a solid plan, an organizational strategy, and an easy to follow daily routine.
 
Let’s start with some coping strategies:
 
  • Start planning early. The best way to beat the holiday season is to get the jump on it! Make a workout plan. Get recipes together that are low in calories but high in satisfaction. Plan outings with friends and family that don't focus on food.
  • Imagine the holidays as singular days instead of a whole season. The "holiday season" really includes four recognized food-related holidays; 4 days won’t set you back but 4 months will.
  • Emphasize the non-food joys of the holidays. Many people take this time to volunteer, spend time with old friends, work on special projects, read goods books, etc. Holidays are about doing things that make you happy.
 
After establishing a foundation of positive thinking, pull out your calendar and do the following:
 
  • Pick a colored pen and circle holiday parties or dates that could be potential pitfalls for your diet. Try not to have more than one a week to best ensure success.
  • In another color, circle fun activities that don't revolve around food. Try to keep your calendar in a 1:1 ratio or better with challenging diet activities.
Build a daily routine:
 
  1. Weigh yourself daily. Track your weight and take notice of post- holiday party weigh-ins.
  2. Start each day with a healthy breakfast. If it's not an OPTIFAST product, be sure it is low calorie and nutritionally healthy.
  3. Exercise daily. The holiday season is the most important time to stay active in the Pacific Northwest. When the weather turns, it is easy to make excuses to stay inside. Not you, though! Invest in a good rain jacket and continue walks around the neighborhood, or make the trek to the gym. The weather should never be an excuse to quit on your goals!
Mark Provenzano,
Program Director

Tuesday, May 8, 2012

Removing "Can't" From Your Weight Loss Vocabulary

One of the most significant barriers to overcome in weight loss is that of the word “can’t.” “Can’t” limits our ability to trust ourselves, to meet our goals, and to redefine the person we are. The irony is that “can’t” has only the power that we allow it to have. In an effort to remove the word “can’t” from our vocabulary we must find its source and develop ways to move away from limiting our own long term success.

The big “can’t” statements:

1.)    “I can’t be a thin person, I will always be big”

2.)     “I can’t exercise. Someone my size isn’t able to”

3.)    “I can’t be on a diet forever”

How to combat these “can’t” statements:

1.)    Thin is both physical and psychological state of existence. It helps to change “thin” into a more measurable concept. If your goal is to fit into a specific pant size for example, allow “thin” to take the shape of the waste measurement for those Jeans. “Thin” is too flexible and allows for too much room to get down on ourselves. If we set tangible, measurable goals we are less likely to use “can’t”.

2.)    When we think of exercise we usually think of sweating, glistening folks in spandex doing “impressive” things at the gym. False! Exercise is NOT a matter of killing yourself or putting your body through hell!  It’s a matter of finding activities that require higher levels of energy to complete. Walking around the neighborhood at pace that causes your body to sweat is exercise.  The more active you are, the more weight you will lose so don’t set limits on what form exercise can take!

3.)    Dieting is a lifelong process no matter if you are eating horribly or perfectly. Diet means “the sustenance you put in your body”, thus you WILL diet no matter what! The word “diet” should not be your enemy. It should instead be a word to describe the control you have over your own eating habits. Say this to yourself “my diet will reflect the life that I want to live. If I want to be healthy, I will eat to reflect health.” 
Mark Provenzano, QAMWL Program Director

Wednesday, April 18, 2012

The Importance of Organization in Weight Loss

Compulsive over- eating is often the result of poor planning, where quick and easy meals take the place of healthy thoughtful options. Very few quick, on-the-go options are healthy and nutritionally satisfying; thus, when we are busy we tend to gain weight.  
Here are some helpful hints to stay on track during Maintenence:
Plan during down times to ease the eating stress during busy times!

·         Stash OPTIFAST bars and Ready-to-drink shakes in the car, at work, and in your day bag or briefcase.

·         When cooking at home: Make leftovers and pack food in single portion containers to avoid over eating. This makes for an easy morning of grab-and-go sack lunches before work.

·         Plan your meals for the week and keep a calendar of what‘s for dinner on each day. This will curb the indecision at dinner time that often leads to poor food choices.

·         Always go green! Try to keep 2/3 of your meal plant based, the darker the better.

·         Don’t shop while you are hungry! Impulse buying is not likely to be based in the vegetable aisle. Bring a list and stick to it!

·         Use a food log! Pick a format that works for you (digital, iPhone, notebook, etc.) and track your habits. Find out what times of the day cause the most temptation. Then use that information to plan better around your problem times.

·         Make sure to eat breakfast: It’s not called the most important meal of the day for nothing.

When should I eat and how much can I eat?

The heaviest meal of the day should be breakfast, then lunch, and dinner lightest. This model is exactly opposite from the diet of the average American. Your metabolism will run faster throughout the day if you eat in the first 30 minutes you are awake, thus burning more calories throughout the remainder of the day. Lunch is a refueling point to get through the afternoon. Dinner is simply to curb hunger; it should not be a “catch-all” meal for the lack of food consumed during the day. Always plan your meals around how you need your energy. If you work 9-5 you should consume the lion’s share of your calories early. If you are a bartender and work late you would consume calories later in the day. Being conscious of your eating habits is half the battle.

Mark Provenzano
Program Director
QA Medical Weight Loss

Friday, April 6, 2012

Mark Provenzano is New Program Director at Queen Anne Medical Weight Loss: Read Mark's Story

As Brian Grev has moved on to pursue work in another field, we thank him for his personable contributions over his years at Queen Anne Medical Associates, PLLC.

We now welcome Mark Provenzano, who brings his own weight loss experiences - and his experience as a professional chef. Read Mark's story, below.


    "My name is Mark Provenzano and I am the new Program Director of Queen Anne Medical Weight Loss. Today is my first post on our site though it will certainly not be my last. This is my story:

Weight Loss is a loaded issue and can be one of the hardest challenges in our lives. My struggle with weight loss began at 18 years old but should have started closer to 10. I grew up in an Italian household with a family whose primary focus was food and drink. There was always an abundance of delicious treats, savory pasta, cheeses from around the world all in quantities you’d expect to find at a boutique grocery store. This environment was quite literally toxic for a child with a normal metabolism who didn’t have ambitions of being an Olympic athlete.

When I was 17 I weighed in at 308 pounds standing at 6’6 with a BMI of 36. I was young, obese, and frankly beyond uncomfortable in my own skin. High school is hard enough with an average body, being a fat giant didn’t help. At first I was able to ignore the problem by doing well in school, being the “nice” guy, and having pretty positive interactions with the popular kids. In retrospect, I was simply trending water waiting for the epiphany moment where I’d realize I wanted more from my life.


I started losing weight when I was a senior in high school. I had a physically demanding job and had an active girlfriend who was very supportive. Though I was losing weight, the results were not dramatic enough and I knew that with college just around the corner I wanted to get my act together.

My freshman year of college I lost almost 40 pounds. My sophomore year another 35. By the end of my junior year I had lost 122 pounds. I went from a 42 inch waist to a 32. My shirt size from XXL to Medium. My heart rate from 98 beats a minutes to close to 35. This was all accomplished by a consistent (very intense) workout schedule and a total revamping of my diet including: the removal of butter, most carbs, sugar, and cheese from my diet. I became a new person, almost as if I stepped into a sci-fi weight loss chamber a fat kid and came out a powerful, fit man.

I purposefully stated the above information simply to emphasize one very important thing about weight loss: after you reach your true goal, you’ll never be the same again. You won’t look back and say “gee I really miss the old me”. I can truly say that I am a much better person today because I lost my weight. My increase in confidence has allowed me to apply for jobs I would never have dreamed of before. I am able to approach social situations without anxiety and meet potential partners who in the past may have looked right through me. I do not mean to imply that people who are obese cannot be social or find life mates that satisfy them fully, I am only suggesting that it seems unfair to me that people are limited socially because of weight. Removing the literal weight off your shoulders will enhance everything in your life.

If the old me were to walk into my office today I wouldn’t recognize him but I am now so much more prepared to help people like 18 year old me lose the weight they want. I am passionate about helping people make transformations like my own. If you’re interested in transforming your life please don’t hesitate to meet with me or pick my brain for helpful information."

Reach Mark Provenzano at 206-281-7163x15.