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.

Saturday, November 26, 2011

Holidays are Upon Us!

It's been a while since I've written a blog entry, but the holidays are here and we need some strategies.

We think the Holidays begin the moment those bags of Halloween candy appear in local stores. And they continue through Valentine's Day - and maybe even Easter! It's not one or two meals that gets us into trouble; it's the continual eating throughout the "season!"

Here are some tips that might help you when you approach the Holidays:

  1. Think about what a specific holiday means to you. Is it the people you'll be seeing?
  2. What are the non-food parts of holidays you really like, i.e. specific musical events?
  3. If it's simply too difficult for you to attend a special meal during your Active Weight Loss Program, why not go for a while - or maybe after folks have eaten?
  4. Be sure to exercise in some way on each holiday - even if it's a short walk.
  5. Take care of yourself in any non-food way you can.
  6. Drink plenty of water. Try a new herbal tea.
  7. Get enough sleep.
With busy holidays, we may find ourselves more stressed, irritable: too much on our schedules and too little self-care.

Think about buying yourself a gift this year to celebrate your weight loss victories.

Do the very best you can with your Program. Forgive yourself if you have a slip, and get right back on Program. Remember, we are aiming for a lifetime of better health!

We're all in this together.
Linda Gromko, MD

Monday, September 19, 2011

Queen Anne Medical Weight Loss Ventures out on Lake Union Again

What's not to like about kayaking?

We've found kayaking to be a great form of urban exercise - particularly in Seattle, where our whole city centers around Lake Union. It's easy to get out, even for an hour or so. It's a wonderful form of exercise, and the scenery is gorgeous.

We set off on another kayaking event on September 11, 2011 - a somber day for the country. But why not stay active, and focus on life's gifts?

Here are some photographs of our most recent urban excursion:
  
Parallel Strokes in No Time at All!

Perfect Water!

Beautiful Smiles


Taking a Little Break

Photos by T. Tibbs

Kayaking under the Aurora Bridge
We're hoping to join NW Outdoor Center on their holiday carolling event in December!

Stay tuned, and remember:
We're all in this together!

Linda Gromko, MD

Sunday, July 17, 2011

Thanks to Northwest Outdoor Center for a Great Event!

Queen Anne Medical Weight Loss ventured out on Lake Union in kayaks this morning. We had a group of nine, including Laurel - our guide from Northwest Outdoor Center. We took two double kayaks, and the rest singles. Our group had varying degrees of experience - but we all did great! Even the weather cooperated; it was a overcast and a little drizzly, but very comfortable.

We paddled around the periphery of the lake, gliding by houseboats - including the one from the film "Sleepless in Seattle."


Seaplanes took off and landed around us. But rather than moving toward the shore, one of our members took a picture with her cellphone! We're expanding our horizons as we're becoming more healthy...and brave.

Everyone had a good time. We're even hoping to sign up for NW Outdoor Center's Holiday Caroling event in December - paddling and caroling around the floating homes.

It was a great event - and another excellent example of how we can incorporate more physical activity into our lives!

Remember, we're all in this together.
Linda Gromko, MD

Monday, June 13, 2011

Congratulations to Johanna on Winning the National "New You" Award!

Seattle's Johanna Moody-Gatlin was one of three national winners in the Second Annual OPTIFAST "New You" Contest. announced May 31, 2011. Having lost nearly 100 pounds as a participant in the Queen Anne Medical Weight Loss program, Johanna's prize includes a luxury weekend trip to New York City, a make-over, and a shopping spree.

Johanna has served as a program advocate, sharing her experiences with participants at the Northwest Women's Show held in Seattle in March, 2011.

For full story, please visit http://www.optifast.com/, and click on the "New You Contest."

Johanna, you've made us all proud!

We're all in this together.
Linda Gromko, MD