Vizi Lift

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August ONLY Weight Loss Extravaganza!!!

AUGUST ONLY WEIGHT LOSS EXTRAVAGANZA
For new patients only
Show your slim body in a bathing suit!

If you have insurance that we accept, first visit and lab work up are covered.
If you do not have insurance, do not fret; this flyer is for you.

Complete history, physical, evaluation and putting you on the right program
for your individual needs will be reduced from $200 to $150.
Complete blood work up and EKG which are normally $245. New price is $200
Body fat composition usually $25 will be done for free.
Reduction from $470 to $350. ($120 discount)

Medtrim protocol usually $150 will be $125.
Receive 1 extra shake, bar or any supplement free when you purchase 10/ at a time.

Far burning injections usually $85 for 3 will be available for $60.

In addition as we celebrate our 35 years of business, we will give out $35 coupons on skin care procedures. (minimum purchase of $200)

3 extra units of Dysport given to people who purchase at least 50 units of Dysport.

Weight loss plans will be reduced 3.5 % for 1 month,
7.0 % for 2 month
10 % for 3 months

All our skin care products will have a reduction of 3.5%

Enjoy our summer savings

Nutritional Supplements

Recent surveys of food intake from North America shows that the general population is not consuming enough vitamins and minerals. People affected by diabetes, obesity and bowel diseases need extra doses of both. Half of Americans have lower intake of magnesium, calcium, potassium, vitamins A, E, C and D. Young females are also deficient in iron
Our diabetics have often low magnesium levels. People with bowel diseases have low levels of vitamin D, magnesium, calcium, zinc and selenium.
People following the Paleolithic diet have a low calcium diet.
Low carbohydrate/high protein diets consume less vitamins A, C, E and K. Also less fiber is eaten.
Vegeterian/vegan diet may lack sufficient iron, calcium and zinc, vitamins A, D and B12. Vegeterians and vegans need to supplement their diets with vitamins and minerals.
Gluten free diets which recommend to eat no wheat, barley and other grains are low in fiber, iron and folate.
Obese patients lost more weight when additional vitamins are added to their diet.
Inadequate absorption of vitamins A, C. D E and minerals like magnesium, chromium and calcium occur in the obese population. The vitamins may be sequestered in the fat. People who had gastric bypass have many deficiencies.
People afflicted with MS and other immune diseases are also deficient in Vitamin D (which works as an anti-inflammatory substance).
The aging population has lower absorption of protein, calcium, zinc, omega 3 fatty acids and vitamins C, D, E and B12. Lower immunity in the elderly requires more vitamins C, E and specially zinc. Low intake of vitamins D and B12 has been associated with increased risk of dementia. The majority of people over 70 have inadequate intake of calcium and vitamin D which leads to osteoporosis and bone loss. B12 deficiency which leads to declining cognition is common in the elderly.
Some medications decrease the absorption of certain nutritional products.
Metformin and proton pump inhibitors decrease B12 absorption.
Carotenoids (lutein and zeaxanthine) are also lower in the elderly with the consequence that they have more problems with their vision.
Beta Carotene lengthens the telomeres and helps with rejuvenation.
Potassium is also lower among this population with cardiovascular disease consequences. Poverty aggravates nutrient deficiency.
Magnesium deficiency is hard to prove as an intracellular magnesium test is difficult to perform. The usual serum test is not reliable.
Alcoholics need extra vitamins and minerals. Some antibiotics (e.g. doxycline and Cipro) may prevent the absorption of certain vitamins. It is best not to take micronutrients at the same time as we take those medications.
Pregnant women, alcoholics and smokers also require extra nutrition of vitamins and minerals.
Plasma measurement of micronutrients is not accurate. Intracellular testing is more exact. to evaluate nutritional deficiencies.
A good multivitamin in addition to dietary counseling is the most practical means to achieve the best health.

Foods that cause excessive gas

The different types of sugars found in foods — including fruits and vegetables — are often difficult for the body to handle.

foods that cause gasHere are specific foods fitting this description:

  • Milk and dairy products.
  • Starchy foods like potatoes and pasta.
  • Wheat and oat bran.
  • Foods sweetened with artificial sweeteners, such as soda, gum, and hard candy.
  • Bananas, peaches, apricots, pears, and raw apples.
  • Raisins and melons.
  • Prunes and prune juice.
  • Colas, carbonated beverages and fruit drinks sweetened with fructose.
  • Beans and lentils.
  • Onions, green peppers, shallots, and scallions.
  • Cauliflower, broccoli, Brussels sprouts, and peas.
  • Corn, celery, artichokes, asparagus, and carrots

Not all of these foods may give you excessive gas, and you may find completely different foods that will give you gas. Keep in mind that excessive gas can also be caused by certain medications, health conditions, and swallowing too much air when you chew gum or eat too quickly.

TREATMENT:

Digestive enzymes like Prevenzyme help digestion and therefore gas prevention.

A pill called Gas-X taken twice a day can control excessive

flatulence.

A diet diary with records of associated gas may help to determine which foods produce more gas for you.

GOOD FISH, BAD FISH

Although this information has been in and out of media headlines for years, most of us still don’t seem to eat enough fish. Americans eat about 3.5 ounces of fish per week on average. That’s about the size of a deck of cards and a far cry from the 8 ounces per week (spread over two 4-ounce servings) recommended by The Dietary Guidelines for Americans. In fact, only 20% of Americans meet this goal.

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Fish for the Best

Nearly all fish options are good for you, but some are indeed better than others when it comes to supplying EPA and DHA. Generally speaking you’ll want to choose a fatty fish, since EPA and DHA are stored in the fat of the fish. Most shellfish are not an adequate source of EPA and DHA (oysters and mussels are the exception),
but the following fish are good options:

  • Herring
  • Salmon
  • Mackerel (not King Mackerel)
  • Tuna (wild bluefin – canned)
  • Sardines
  • Trout

Sail Past These Fish

Some fish, while they do supply nutrients, should be avoided. Many of these may contain harmful levels of mercury, which is especially dangerous for pregnant women and young children. These fish include:

  • Shark
  • Swordfish
  • Tilefish
  • King Mackerel

Don’t Like Fish? Try These Alternatives

For people who don’t like fish they can take fish oil pills. Supplementing with fish oils is another good solution for vegans, vegetarians, and people who simply do not or cannot. have fish. The omega 3 oils pills in our office come from algae.

APPLE SHAPE MORE DANGEROUS THAN PEAR SHAPE, NO MATTER WHAT THE BMI IS!

Even with a normal BMI (below 25), apple shape increases the risk of dying

prematurely of any cause, especially of heart disease.

dr merey weight loss west palm beach
Waist to hip ratio trumps BMI for longevity. Fat cluster around the midsection is more dangerous than fat distributed widely.

Even normal weight people with slender arms, legs and rear ends and great waist circumference are at a greater risk of diseases like diabetes, heart disease and

cancer.

Waist to hip ratio in men should be below 1.0. Best is 0.89 .

Waist to hip ratio for women should be less than >.92. Best is 0.80 .

The closest to have this ratio is model Heidi Klum.

Waist is measured at the high point of the ileac crest (at the hip bone).

The hips are measured at the greatest circumference of the buttocks.

BMI measure is not telling the whole story in individual patients.

Losing weight is paramount but remember to lose it preferentially

7Keto/DHEA supplement works to melt fat on the abdomen.

Cutting down on carbohydates helps to remove belly bloat

Finally the Lipo-Cavitation machine helps burn fat in the abdomen.

The Radio-Frequency machine tightens the area where the fat is removed.

                Lose the fat where it matters the most!

HOLIDAY WEIGHT AND HOW TO AVOID IT

How to avoid weight gain:

Focus on maintaining your weight instead of losing weight during the Holidays.

Do not gorge on any special holiday food that is available once a year.

Do not deprive yourself of anything you want to taste. Just take a bite.

holiday-weight-loss-tipsDo not think that you can eat whatever you want because you can start
dieting in the New Year. It will be harder to lose weight.

  • Drink little alcohol as too much can cause less inhibition. Rather drink water and low calorie drinks.
  • Keep hands busy, keep a glass on one hand and a purse on the other.
  • After you have eaten, stay away from the food tables.
  • Forget the old traditional foods you used in the past. Substitute with healthier foods or activities.
  • Keep a diet diary and weigh yourself.  Do not use baggy clothes.
  • Keep exercise routine. Exercise helps with stress.
  • Bring a dish that you can eat like salad, fruit, vegetables and healthy dip.
  • Use your conversational skills and meet new people to distract you.
  • Plan ahead. Buy healthy food and plan what you will eat.
  • Do not go to a party hungry! Have a light snack before you leave
  • the house. You still need to leave some room for eating.Beware of saboteurs! Do not let people talk you into eating high calorie items or drinking more than you have planned. Allowed drinking is 1 glass/day for woman and 2 glasses/day for a man.Distract yourself with pleasurable activities. Do not stress.

Just have fun. Treat yourself with a massage , hair, mani-pedi etc…

whatever you enjoy. Perfection is not necessary. You are not graded.

Have a healthy, happy and enjoyable holiday, guilt-free!

New Products

MEDTRIM

We have combined our Medtrim AM and PM formulas for cravings and offering one new formula called Medtrim. Medtrim will remove cravings for carbohydrates, sweets, salt, fat and chocolate. The price is more reasonable $50 and 2-4 tablets need to be consumed before breakfast and before lunch. It will also curb the appetite. This formula does not contain any medication , only amino acids and vitamins. Therefore it is a natural formula. Medtrim raises the 2 neurohormones dopamine, the pleasure hormone and serotonin which is the calming hormone.

MANGO-PLEX

We are offering a new formula for weight and fat loss. It combines 3 ingredients: green tea extract which helps increase thermogenesis or enhance the metabolism, mango extract that is a superior natural appetite suppressant and finally raspberry ketone which is a fat burner. This combination has proven to be successful for our patients. Merey Slimming

New diet drugs

FDA HAS APPROVED 3 NEW DIET DRUGS.

The first weight loss drug is called Qsymia. Qsymia is a controlled-release preparation of phentermine and topiramate in one capsule. It is an expensive combination of 2 medications that have been used for many years.

Phentermine is a great appetite suppressant that increases dopamine in people’s brains. Topamax(R) helps with cravings. However this substance has many side effects especially drowsiness in some patients. Another name for Topamax(R) is dopamax.  It is cheaper to give Phentermine during the day and the Topamax(R) in small dosage at night when it does not matter if one is sleepy. It also gives one a better control to have 2 drugs separately than together. The amount of phentermine in Qsymia is smaller than what is available now. The weight loss results with this combination drug are quite modest. I will not use this drug right away and I will wait till it has been tried and true. I will continue using Phentermine though.

The other weight loss medication is called Belviq. It is lorcaserin hydrochloride. This medication works by increasing serotonin in the brain.  It is given as a 10 mg pill  twice a day. It seems like a good idea but the results with lorcaserin is quite minimal. Diabeticcs lost 5% of their weight in a year. There are also many side effects like problems with thinking, sleepiness, confusion and even hallucinations.   We can increase serotonin in the brain using natural products. Therefore I will not use this medication till it has proven itself. Also the price is high compared to the effect. Our new Medtrim formula that combines the old AM and PM formula does the same thing  which is increasing dopamine and tryptophan at a fraction of the price. Morever there are no side effects with our Medtrim.
The third medication is called Belviq or Contrave. It is a medication that may be helpful for cravings. It contains 2 ingredients: an antidepressant called bupropion that does not make one gain weight and a medication used against addictions called Naltrexone. I personally use in my practice bupropion. I do not know whether the second medication is worth the extra cost. Also using the medications separately may be more economical. This medication may be the most novel and useful. Let us wait and see whether it gets approved and gets tried for a while before I will use it.

 

Childhood Obesity

As children are getting fatter and as the fat children of today become the fat Americans of tomorrow, we have to concentrate in stopping this epidemic at the root: our children!

Remember that obese children now suffer from cardiac diseases, hypertension, stroke and even MI. They are quite often insulin resistant and even diabetic and are more susceptible to asthma, lowered immunity and lack of self esteem.

These are a few of my recommendations:

1. Many obese children have low thyroid hormones that prevent growth and sexuality. Have thyroid hormones checked.

Obese children and adults have low vitamin D levels in their blood which also contribute to obesity. Need values over 50ng/ml.

2. Do not feed your kids pesticides as children receive 4  times more exposure to carcinogenic pesticides than adults. The average American is exposed to 10 to 13 pesticides every day.

The dirty dozen are the 12 foods containing the most pesticides and should be consumed in very limited quantities.They are:

Peaches, apples, bell peppers, celery, nectarine, strawberries,cherries, kale, imported grapes, carrots and pears.

The foods containing the least amount of pesticides are: onions, avocados, sweet corn, pineapples, mangoes, asparagus, kiwis, cabbage, papayas, watermelon, broccoli, tomatoes and sweet potatoes.

3. Help your children to de-stress as cortisol levels increase as obesity increases and there is more fat storage especially in the middle area.

4. Do not give infants soy milk which increases the odds for them to get obese later on life.

5. Do not feed them plastics and do not heat food in plastic containers which leach substances that cause weight gain. Do not put the plastic containers in the dishwasher for the same reason. Avoid buying fatty foods loke meat packaged in plastic wrapping as the plastic will be leached into the meat.

6. Cut down on canned goods. Rather buy tuna in pouches. The only cans to purchase are from Eden Organic.

7. Cut down on red meat as it increases the incidence of obesity and cardiovascular disease. It also increases aging and mortality. If red meat needs to be eaten, use moderation and choose grass fed cattle.

8. Make them stay away from sugars and sugared drinks. 1 sugared drink a day increases the risk of CAD by 20%. Read labels and do not buy anything with trans fats or high fructose corn syrup. Fruit is not your child’s friend either as it it converted to fat. Fruit juices are even worse than fruit. Give your child water or skim milk.

White rice was shown to increase the risk of diabetes.

9. Make your child eat breakfast. Skipping breakfast increases the risk of obesity by 450 times. Eggs are a great breakfast food.

10.Give your child and yourself green tea, EPA/DHA, vitamin D , 5HTP and GABA to control impulsive eating.