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Humans Don’t Hibernate…

To make an appt, call us or schedule an appointment online here
Book an appointment using SetMoreElevation Medical Weight Loss of Pittsburgh & Weirton
2350 Noblestown Rd. Pittsburgh, PA 15205 (412) 304-2016 
241 Three Springs Dr. Weirton, WV 26062 (304) 914-3112

As the summer is winding down, it’s common for us who live in a four season climate to subtly change our lifestyles in negative ways, sometimes regressing to the point of starting over. Whether its reducing our physical activity due to less enjoyable weather, or eating more in response to the chilly temperatures; these behaviors feel natural but contribute to the all-to-common cyclical nature of weight loss/gain. While they may feel natural, it is important to remember that we are not bears, and therefore do not require preparations for hibernation.

There are some things we can do to counter these tendencies however; such as recommitting to calorie counting, or finding new ways to exercise indoors (wherever your schedule permits). Also keep in mind that certain types of foods will have different effects on your appetite, which becomes increasingly important as the seasons are accompanied by certain stables like pies, cookies, cakes, and other assorted sweets. It’s the sugar in these foods that creates the terrible feedback loop of insulin spikes and crashes and their associated cravings. Additionally much of this food is lacking in sufficient amounts of protein to satisfy you appetite.

Now may also be the perfect time to find a gym or start a new exercise routine, finding ways to stay active and engaged with fitness will no doubt help you stave off the consequences of having less time to walk or play outdoors.

Whatever you do, I implore you to take in mind what your goals are for yourself, and if you’ve already made progress hold on to it and don’t let the change of seasons throw you off track. There is no need to wait until the New Year to recommit to getting healthy, keep focused year round; count your calories, move as much as possible, and always remember that weight loss is a marathon rather than a sprint,  just keep plodding forward and you will get there.

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After drinking all the milk, Remy hibernates
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Additional Walk-In Hours for Weight Loss

Due to increasing demand, we are extending our walk-in hours and appointment availability for both new patient weight loss consultations and medication refills.

The new hours will include Tuesdays 12p-3p in the Weirton office and Wednesdays 11a-2p in the Green Tree / Pittsburgh office effective immediately.

WEIRTON PHYSICIAN CLINIC HOURS 
Tues: 12p-3p
Fri: 11am – 1pm
Sat: 3pm – 5pm

Walk-ins are always welcome during these hours

PITTSBURGH PHYSICIAN CLINIC HOURS
Weds 11a- 2p
Fri: 3pm – 6pm
Sat: 10am – 1pm

Walk-ins are always welcome during these hours

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Just a cute baby picture

You can schedule an appointment in Pittsburgh or Weirton by clicking below.  There will be no change in non-physician hours.

Book an appointment using SetMore

or contact us HERE
Please allow up to 24 hours for response.
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School Supply Drive

To make an appt, call us or schedule an appointment online here
Book an appointment using SetMoreElevation Medical Weight Loss of Pittsburgh & Weirton
2350 Noblestown Rd. Pittsburgh, PA 15205 (412) 304-2016 
241 Three Springs Dr. Weirton, WV 26062 (304) 914-3112

Elevation Medical Weight Loss in Weirton is helping to support the annual Energy Express School Supply Drive.  Energy Express is a summer reading and feeding program that is held in over 75 locations throughout West Virginia for approximately 6 weeks to strengthen children’s reading and writing skills.  This year, the Weirton site is holding a school supply drive for the children in the community.  Bags of donated school supplies can be dropped off directly at the Weirton Elementary School or to our clinic before 1 PM Friday July 21st.

Items the kids need include:

Crayons Pencils
Markers Pens
Notebooks Deodorant
Combs Loose Leaf Paper
Toothbrushes Body Wash
Hand Sanitizer Binders
Shampoo Folders

We will drop of the donated supplies to be distributed on Saturday July 22nd from 10 AM until all supplies have been distributed at the Weirton Elementary School. We would like to thank everyone for their support and generosity.

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Remy offered to share his supplies
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Protein Intake and Weight Loss

To make an appt, call us or schedule an appointment online here
Book an appointment using SetMoreElevation Medical Weight Loss of Pittsburgh & Weirton
2350 Noblestown Rd. Pittsburgh, PA 15205 (412) 304-2016 
241 Three Springs Dr. Weirton, WV 26062 (304) 914-3112

Often when we discuss diet with our patients, we may fail to talk much about protein. Depending on how you approach your weight loss, the amount of protein you need will relative to your body weight. Protein serves a variety of purposes depending on the situation, but for now we want to address how it protects muscle during the weight loss process and how this should inform your personal protein consumption.

When your body is running at a caloric deficit, it will at some point turn to amino acids to supply its caloric needs at points throughout the day. By supplying your body with amino acids in the form of protein rich foods, you can prevent your body from breaking down underused muscle into those amino acids. Several studies have shown that by increasing protein intake to double the recommended amount (for the average women ~120 grams of protein per day, men ~180 grams per day) total weight loss was the same as other dieters except they lost significantly more fat tissue and less muscle mass.

You don’t have to go crazy with protein to gain the muscle protecting benefits it provides, but now that you are aware of the effect you can use it to your advantage even to smaller degrees, Additionally, as we often mention in the clinic, weight training is hugely beneficial for fat loss but works in tandem with increased protein intake to further preserve muscle mass.  And remember, less muscle burned mean more fat burned.

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Text Message Reminders

To make an appt, call us or schedule an appointment online here Book an appointment using SetMoreElevation Medical Weight Loss of Pittsburgh & Weirton 
2350 Noblestown Rd. Pittsburgh, PA 15205 (412) 304-2016  
241 Three Springs Dr. Weirton, WV 26062 (304) 914-3112

Starting this week, we will send you text message reminders to follow-up for your weigh-in and medication refills.  Sometimes we all just need a bit of a reminder, and with your busy lifestyle we figured that you can do without an extra phone call.

MaiLan Swimming too busy for phone calls
Too busy swimming for phone calls
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.. About Making B-12 Appointments

To make an appt, call us or schedule an appointment online here
Book an appointment using SetMoreElevation Medical Weight Loss of Pittsburgh & Weirton
2350 Noblestown Rd. Pittsburgh, PA 15205 (412) 304-2016 
241 Three Springs Dr. Weirton, WV 26062 (304) 914-3112

emmwl-weir2017Until now we have offered through our website the opportunity to book appointments for our various B-12 injections. We have done this in an effort to better accommodate those with less flexible schedules, however we have found it to cause more confusion than good so we have decided to remove the option from our appointment scheduler.

Don’t worry, this change will not limit the times during which you can come in for B-12 injections but rather you may still come in at any time during which we have regular hours. If our open sign is on, you can come on in for shots.

So to further clarify, no appointments need to be (no can be) made for B-12 injections, appointments are available only for new fills or refills on prescription medications, and only required during non-walk in Physician hours.

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Is Testosterone Replacement Therapy Right for You?

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Starting around the age of 30, most men see a constant drop in testosterone levels resulting in reduced energy, motivation, muscle tone and size, leanness, as well as libido. Not only do many men see a decrease in usable testosterone, but years of being overweight combined with environmental factors such as diet and activity level cause many men to “aromatize” testosterone, essentially converting the male hormone, testosterone, into the female hormone estrogen.

By utilizing Testosterone Replacement Therapy (TRT) we can work with you to find the right hormone balance to optimize the beneficial, youthful effects of such a balance. TRT incorporates administration of testosterone in order to assist a man’s body when it can’t sufficiently produce its own.  In addition to the testosterone itself, estrogen blockers are used to avoid excess aromatization so that you don’t experience side effects related to high estrogen, such as fatigue, insomnia, water retention, bloating, or erection issues.

For anyone concerned about future fertility, it is a concern with exogenous testosterone usage however our program incorporates the use of HCG, which in addition to its weight loss benefits also mimics a hormone that encourages your body to continue producing its own testosterone, as well as  preserve sperm count and quality. HCG has been long used in fertility treatments due to this function, you are not expected to follow our HCG rapid weight loss diet while in the TRT program.

You may be a good candidate for testosterone replacement therapy if you have these symptoms:

  • Difficulty losing weight
  • Erectile dysfunction (ED)
  • Reduced sex drive & spontaneous morning erections
  • Increased joint/muscle pain
  • Testes decreasing in size
  • Low sperm count or infertility
  • Night sweats
  • Fatigue
  • Memory issues
  • Mental fogginess
  • Difficulty concentrating
  • Decrease muscle mass and strength
  • Increase body fat & waist size

Our balanced TRT program minimizes side effects while giving you the most benefit from restored testosterone levels you’ve once had.  For more information see our post here.  You can also make an appointment below

To make an appt, call us or schedule an appointment online here
Book an appointment using SetMoreElevation Medical Weight Loss of Pittsburgh & Weirton
2350 Noblestown Rd. Pittsburgh, PA 15205 (412) 304-2016 
241 Three Springs Dr. Weirton, WV 26062 (304) 914-3112
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Warm Soup for Sweater Weather: Pork Sour & Spicy (Sinigang) w/ Hearts of Romaine

It’s starting to get chilly out, which means it’s time to warm up your kitchen and your stomach with a savory soup.  This is a well-known Filipino dish that has a pleasant taste of savory and tartness.

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If you are adventurous enough to try it out, you can get the ingredients at the international aisle of the supermarket, or at pretty much Asian grocery store.  Amazon provides another resource for obtaining gourmet grocery items. This dish is very flexible in terms of ingredients.  As long as you use a Tamarind soup base and romaine lettuce, you can substitute the other vegetables and switch to a different cut of meat if you desire.  Typically this dish goes well with fattier cuts of meat, and there is also version where you can use salmon. If you like Miso soup served at local Japanese steakhouses, then you will like this dish.

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Sweater Baby Wants Soup

Prep time: 10 minutes, Cook time – 35-45 minutes
Recipe serves 12 (266 calories with 9 g of carbs per serving)

Ingredient

Calories

Carbs

 Pork rib tips, 2 lb 2489 calories
Redskin Potatoes, 1 lb 327 calories 72 g
Hearts of Romaine Lettuce, 3, remove from stem 90 calories 17 g
Snow/Sugar Snap Peas, 8 oz 85 calories 17 g
Onion, chopped, 1 medium 44 calories 10 g
Portobello mushrooms, 8 oz 59 calories 11 g
Knorr Tamarind Soup Mix, 1 packet 80 calories 16 g
Fish sauce, 2 tbsp 20 calories 2 g
**Chili pepper, 2 (optional)
TOTAL 3203 calories 109 g

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INSTRUCTIONS:

  1. Slice the rib tips into 1″-1.5″ pieces between the bones.  Turn on medium high heat and add in the chopped onion and 2 lb of rib tip pieces for browning, usually ~7-10 minutes. You do need to add oil since the rib tips are a fattier cut of meat.DSC_3647.jpg
  2. Adjust to medium heat.  Add in 12 cups of water and the potatoes, since potatoes take a while to cook.  Bring the soup to boil.  Add in the packet of the Tamarind Soup Mix and stir to mix.  Add in the snow peas, mushrooms & Hearts of Romaine.  Stir.20161010_161520
  3. Add 2 tbsp of Fish Sauce, or salt to taste.  If you are adventurous, add in chopped chili peppers for a little kick.
  4. Recipe makes 12 servings.  Usually a serving is around 8 oz of soup by volume.  Serve in a large bowl.DSC_3651.jpg

Let us know if you get a chance to make this delicious soup and how it turns out!

 

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How to Eat Healthier Without Cooking :D

We have had a couple of questions regarding just how to eat healthier to lose weight when:

  • You don’t like to cook
  • You travel a lot
  • You have a hectic schedule
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“No time to cook… I gots places to go!”

So we will dedicate this week’s posts to the road warriors out there, or for those who simply do not enjoy cooking.  This is the no effort meal plan– simply grab ingredients from the grocery store or order low calorie options when dining out.

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So, in the hunt to cook as little as possible, we went to our local grocery store (Sam’s) to look for options.  We picked up a fun looking salad mix and a couple pounds of salmon and tilapia with veggies in a bag from the fresh meat & seafood section.  Instructions said to microwave 5 minutes for every pound, then serve.

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No cooking required – Salmon with Kale & Brussel Sprouts Crunch Salad

Ingredient Calories Protein Carb
6 oz salmon 241 calories 34 g
Kale & Brussel Sprouts chopped salad mix, 1 cup 45 calories 3 g 7 g
1 lemon wedge as salad dressing 5 calories 1 g
½ tsp splenda to mix with salad
2 oz broccoli 19 calories 1 g 3 g
TOTAL 310 calories 38 g protein 11 g carb

Instructions: Microwave as directed on the back of the package.

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No cooking required – Tilapia with Kale & Brussels Sprouts Crunch Salad
Ingredient Calories Protein Carb
Tilapia, 2 pieces or 8 oz 220 calories 45 g
Kale & brussels sprouts chopped salad mix, 1 cup 45 calories 3 g 7 g
Lemon, 1 wedge squeezed as salad dressing 5 calories 1 g
Splenda, ½ tsp to mix with salad
Asparagus, 2 oz (about 4 spears) 11 calories 1 g 3 g
TOTAL 281 calories 49 g protein 11 g carb

Instructions: Microwave.

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Not too bad, right?

For the kale & brussels sprouts chopped salad, squeeze a wedge of lime and add 1/2 tsp of Splenda or use your favorite low-calorie, low-carb dressing.

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Serve the crunch salad with either salmon or tilapia.  Salt and pepper to taste.

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Now you can enjoy a meal with minimal prepping or cooking.  Stay tune for more posts later next week to learn more about our ‘no cooking methods’.

 

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5 Potential Causes for Your Diet Related Cramps and What You Can Do About Them

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When you are starting a new diet and exercise program you may find yourself having leg cramps during the first few days or weeks of your new routine.  To understand why you experience this and what you can do to prevent recurrence, we have to examine the cause of muscle spasms.  

Most oftenly, leg cramps are caused by some combination of the following 5 reasons:

  1. Dehydration
  2. Electrolyte deficiency
    1. Low potassium, magnesium deficiency, calcium deficiency, and/or low sodium
  3. Vitamin deficiency
    1. Low thiamine (B1), pantothenic acid (B5), and pyridoxine (B6)
  4. Lack of muscle flexibility
  5. Overexertion

Let’s address each problem individually:

Dehydration

Drinking plenty of water (by plenty, we mean a gallon or more of water a day) is an important factor in keeping you feeling your best.  Water is critical at the microcellular level in the Krebs Cycle to generate adenosine triphosphate (ATP), which your body uses to do pretty much everything.  Ensuring that you meet your daily water intake goals will improve your energy level, as well as provide your muscles with the resources they need to function properly.  Without adequate water intake, our muscles begin to accumulate waste byproducts, commonly referred to as “toxins”, that may cause spasms or cramping.  

Electrolyte deficiency

Ingesting plenty of dark green, leafy vegetables will go a long way in keeping you out of trouble and cramp-free. Even if you are limited to low-carb foods, you can still find good sources of potassium, magnesium, calcium, and sodium.  Frequently, the two main electrolytes of concern that are responsible for leg cramps are potassium and magnesium.

The National Institute of Health (NIH) recommend a dietary amount of at least 320 mg of magnesium for women and 420 mg of magnesium for men, and 4.7 grams (or 4700 mg) of potassium for both men and women. You could be experiencing muscle cramps due to a deficiency in these minerals and if so adjusting your diet could be all that you need.

The chart below illustrate how much certain food contain in potassium and magnesium.  If you were to eat 8 oz chicken breast with 1 head of romaine lettuce and 1 cup of beets green for lunch (497 calories, 2581 mg potassium, and 192 mg magnesium), then eat 6 oz of 90% lean beef with 1 cup of spinach, 1 cup of broccoli, 1 cup of zucchini for dinner (437 calories, 3214 mg potassium, and 237 mg magnesium, you will then consume in a total of: 934 calories, 5795 mg potassium, and 429 mg magnesium, which will exceed your requirements for the two electrolytes.   

Meat/Fish Potassium Content Magnesium Content
8 oz chicken breast (230 calories) 359 mg 66 mg
6 oz 90% lean beef (344 calories) 618 mg 40 mg
6 oz salmon (354 calories) 618 mg 46 mg
8 oz tilapia (292 calories) 863 mg 78 mg
8 oz center cut pork chops (260 calories) 960 mg 46 mg
8 oz cooked chicken liver (263 calories) 526 mg 23 mg
Fruits & Vegetables Potassium Content Magnesium Content
Romaine lettuce, 1 head (108 calories) 1546 mg 88 mg
Beets green, cooked, 1 cup (30 calories) 1309 mg 38 mg
Spinach, cooked, 1 cup (44 calories) 839 mg 157 mg
Avocado, 1 cup (234 calories) 708 mg 42 mg
Edamame (soy beans), 1 cup (189 calories) 676 mg 99 mg
Zucchini, cooked, 1 cup (18 calories) 325 mg 21 mg
Cauliflower, 1 cup (27 calories) 320 mg 16 mg
Kale, cooked, 1 cup (69 calories) 296 mg 23 mg
Tomato, 1 medium ( 22 calories) 292 mg 14 mg
Broccoli, 1 cup (31 calories) 288 mg 19 mg
Strawberries, 1 cup (47 calories) 220 mg 19 mg

If you feel that you are unable to ingest the required amount of vegetables and have leg cramps that won’t go away, you may benefit from short-term supplementation with a daily magnesium and potassium tablets.   

Vitamin Deficiency

Deficiencies in Vitamins B1, B5, and/or B6 may be causing you cramps.  The mechanism behind this is not currently well understood, however evidence suggests that supplementing these vitamins may help treat and avoid cramps.

Thiamin (Vitamin B1) is necessary for the proper functioning of the muscles, nervous system and heart. Thiamin deficiency has been known to cause insomnia, fatigue, depression, constipation, irritability, heart problems and stomach problems.  Thiamin is abundant in organ meats, soybeans, egg yolks, poultry, broccoli, and asparagus.  The recommended intake is 1.5 mg of Vitamin B1 daily. 

Pantothenic acid (Vitamin B5) is responsible for the production of coenzyme A that is associated with the metabolism of fats and carbohydrates as energy sources.  Pantothenic acid is found in organ meats, egg yolk, and broccoli, fish, shellfish, chicken, milk, yogurt, mushrooms, and avocado. Deficiencies are rare, but pantothenic acid deficiency may result in fatigue, insomnia, depression, irritability, vomiting, abdominal and leg muscle cramps.  The recommended intake is 3-7 mg of Vitamin B5 daily.

Pyridoxine (Vitamin B6) assists in the degradation and production of amino acids and in the process that converts amino acids into fats or carbohydrates. Vitamin B6 is involved in fat/carbohydrate metabolism, the removal of fluids during premenstruation, and healthy skin. It can reduce symptoms of hand numbness, leg cramps, muscle spasms. Deficiencies have been known to cause anemia, dermatitis, hair loss, anxiety, leg cramps, water retention, anemia. The recommended intake is 1.3 to 1.7 mg of Vitamin B6 daily.

Lack of muscle flexibility

Exercise consisting of particularly intense physical activity can cause your muscles to fatigue, become sore, and spasm.  Take every effort to stretch the muscle to cool down shortly after you exercise, and make an effort to incorporate stretching into your routine wherever limitations appear. Post exercise stretching of the muscles helps the fibers relax, reset, and promotes good circulation for recovery after exercise.  

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Overexertion

Your body needs adequate rest after a difficult workout.  Any time you put yourself through high stress episodes such as exercise, you will need time to recover so you can improve your performance for next time and give your body time to catch up with all the good you’ve done.  If the muscles are overworked and tired, you may get painful spasms that can in turn hinder your ability to stick with your gym routine.

Unfortunately as with any drastic lifestyle change, there will be unwanted side effects accompanying your new diet and exercise routines. However with a little planning and preparation you should be able to prevent muscle cramps from negatively impacting your progress. So eat right, rest well, exercise smart, and stay hydrated and keep up the good work.