New Office Announcement
We have moved!
Our new office address is 8200 SW 117 Ave. Suite 414
Miami, Fl 33183
Our phone numbers remain the same, 305-221-6161
Take Shape For Life
We now offer a medically supervised, NIH approved heart healthy diet.
The take shape for life is a meal replacement plan that forces your body to consume fat by delivering a 1:1 ratio of fat with a very low total calorie diet designed to force a mild ketosis. The ketosis makes you not feel hungry. You can take the meals everywhere and you only have to be responsible for one meal a day known as the lean and green. The lean and green is composed of one lean meat such as lobster, fish, steak, pork chop, ect., and vegetables and salad.
The Medifast plan has been around for 23 years, however, the success rate goes from 15% in unsupervised dieters to 85% for dieters with a health coach.
The average cost for the diet is only $10.00 per day, the average American spends $16.00 per day!
The take shape for life is a meal replacement plan that forces your body to consume fat by delivering a 1:1 ratio of fat with a very low total calorie diet designed to force a mild ketosis. The ketosis makes you not feel hungry. You can take the meals everywhere and you only have to be responsible for one meal a day known as the lean and green. The lean and green is composed of one lean meat such as lobster, fish, steak, pork chop, ect., and vegetables and salad.
The Medifast plan has been around for 23 years, however, the success rate goes from 15% in unsupervised dieters to 85% for dieters with a health coach.
The average cost for the diet is only $10.00 per day, the average American spends $16.00 per day!
Check us out at:
http://www.abellaheart.tsfl.com/esuite/home/abellaheart/
Please schedule an appointment to consult with us for this wonderful diet.
REFERENCE: Crowell, M.D. & Cheskin L.J, The Johns Hopkins University School of Medicine. Multicenter Evaluation of Health Benefits and Weight Loss on the Medifast Weight Management Program.
REFERENCE: Cheskin, MD, FACP, Mitchell, MS, Lewis, BA, Jhaveri, MD Yep, BS. Johns Hopkins University School of Bloomberg Public Health. Efficacy of 2 Diet Plans Designed for People with Type 2 Diabetes on Weight and Health Measures.
REFERENCE: Lawrence J. Cheskin, Lisa M. Davis, Andrea Hanlon-Mitola, Amy Mitchell, Ami Jhaveri, Mary Yep, Vanessa Mitchell. Johns Hopkins Bloomberg School of Public Health, Center for Human Nutrition, Department of International Health, Baltimore, MD 21205. Efficacy of Parent-Child Dieting Plans Incorporating Medifast Meal Replacements for Weight Loss. RCT Comparing Balanced Energy Deficit Diets With or Without Meal Replacements for Weight Loss and Maintenance Among Children Dieting Alone or With a Parent.
REFERENCE: Drs. Walker S.C. Poston, C. Keith Haddock, Jennifer E. Taylor, John Foreyt. Effectiveness of Medifast Supplements Combined with Obesity Pharmacotherapy: A Clinical Program Evaluation
REFERENCE: National Institutes of Health: Impaired Capacity to Lose Visceral Adipose Tissue During Weight Reduction in Obese Postmenopausal Women With the Trp64Arg B3- Adrenoceptor Gene Variant.
REFERENCE: Vivienne Matalon, M.D. The Bariatrician Summer 2000. An Evaluation of Weight Loss following a Carbohydrate and Fat Restricted Diet with Appetite Suppressant and Dietary Supplementation.
REFERENCE: L. M. Davis, C. D. Coleman1, W. S. Andersen, L. J. Cheskin. The Effect of Metabolism-Boosting Beverages on 24-hr Energy Expenditure. The Open Nutrition Journal 2008; 2: 37-41.
REFERENCE: Crowell, M.D. & Cheskin L.J, The Johns Hopkins University School of Medicine. Multicenter Evaluation of Health Benefits and Weight Loss on the Medifast Weight Management Program.
REFERENCE: Cheskin, MD, FACP, Mitchell, MS, Lewis, BA, Jhaveri, MD Yep, BS. Johns Hopkins University School of Bloomberg Public Health. Efficacy of 2 Diet Plans Designed for People with Type 2 Diabetes on Weight and Health Measures.
REFERENCE: Lawrence J. Cheskin, Lisa M. Davis, Andrea Hanlon-Mitola, Amy Mitchell, Ami Jhaveri, Mary Yep, Vanessa Mitchell. Johns Hopkins Bloomberg School of Public Health, Center for Human Nutrition, Department of International Health, Baltimore, MD 21205. Efficacy of Parent-Child Dieting Plans Incorporating Medifast Meal Replacements for Weight Loss. RCT Comparing Balanced Energy Deficit Diets With or Without Meal Replacements for Weight Loss and Maintenance Among Children Dieting Alone or With a Parent.
REFERENCE: Drs. Walker S.C. Poston, C. Keith Haddock, Jennifer E. Taylor, John Foreyt. Effectiveness of Medifast Supplements Combined with Obesity Pharmacotherapy: A Clinical Program Evaluation
REFERENCE: National Institutes of Health: Impaired Capacity to Lose Visceral Adipose Tissue During Weight Reduction in Obese Postmenopausal Women With the Trp64Arg B3- Adrenoceptor Gene Variant.
REFERENCE: Vivienne Matalon, M.D. The Bariatrician Summer 2000. An Evaluation of Weight Loss following a Carbohydrate and Fat Restricted Diet with Appetite Suppressant and Dietary Supplementation.
REFERENCE: L. M. Davis, C. D. Coleman1, W. S. Andersen, L. J. Cheskin. The Effect of Metabolism-Boosting Beverages on 24-hr Energy Expenditure. The Open Nutrition Journal 2008; 2: 37-41.
Niacin or Vitamin B3
The nicotinic acid form of niacin lowers cholesterol, but other forms of niacin do not. These other forms that do not lower cholesterol include nicotinamide and inositol nicotinate (also called no-flush niacin). Niacin is also known as a B vitamin. I strongly recommend my patients specifically take Twin Labs No Flush B3, which comes in a 640mg capsule.
http://www.amazon.com/s/ref=nb_ss_hpc?url=search-alias%3Daps&field-keywords=twinlab+no+flush&x=0&y=0
Nicotinic acid reduces the production of triglycerides and VLDL (very low-density lipoprotein, which is converted to LDL in the blood). This leads to decreased LDL ("bad") cholesterol, increased HDL ("good") cholesterol, and lowered triglycerides. Nicotinic acid raises HDL cholesterol more than other lipid-lowering medicines.
Nicotinic acid is used in people who have low HDL levels and or high triglyceride levels because it raises HDL and lowers triglycerides. Niacin may not be appropriate or is used cautiously in people who have:
Gout.
Active stomach ulcer.
Oversensitivity to niacin.
Glaucoma.
Type II diabetics who do not have their blood sugar levels controlled.
Clotting disorders, such as hemophilia.
Active liver disease.
Alcoholism.
Benefits of B3
LDL can be reduced by 5% to 25%.
HDL can be increased by 15% to 35%.
Triglycerides can be reduced by 20% to 50%.
The immediate-release form is safe for long-term use.
Possible side effects:
Sudden flushing or hot flashes
Itching
Liver problems (hepatotoxicity) High blood sugar (hyperglycemia).
Gout
Stomach upset, gas, nausea, diarrhea.
The extended release form of niacin, such as Niaspan, is a newer form of niacin that does not appear to cause the liver problems associated with sustained-release niacin. Extended release niacin is a prescription medicine.
Facial flushing and itching may never occur, if it does it usually lasts 20-40 min, and gradually diminishes over time for most people. Starting with a low dose and gradually increasing the dose may reduce the flushing and itching.
Tips to avoid flushing
Take regular aspirin 325mg (white non coated tablet) before dinner
Have dinner (avoid alcoholic beverages or spicy foods)
Take Niacin immediately after dinner
If you are going to be having alcoholic beverages with dinner, skip your Niacin dose that evening.
Stop Niacin if you develop hives, and call me.
Tabata Protocol
This exercise protocol will whip you into shape in 6 weeks.
Developed by Dr. Tabata to improve the aerobic conditioning of the Japanese ski team, it only require 13min and 50 sec of intense exercise.
Here is how it works: Pick a cardio exercise you enjoy doing for example running
Jog for 5 min as a warm up
run as fast as you can for 20 seconds then jog for 10 seconds repeat 6 or 7 times
jog 5 minutes to cool down
You're done!
Perfect for those of you who say you don't have time to exercise!
Developed by Dr. Tabata to improve the aerobic conditioning of the Japanese ski team, it only require 13min and 50 sec of intense exercise.
Here is how it works: Pick a cardio exercise you enjoy doing for example running
Jog for 5 min as a warm up
run as fast as you can for 20 seconds then jog for 10 seconds repeat 6 or 7 times
jog 5 minutes to cool down
You're done!
Perfect for those of you who say you don't have time to exercise!
Carotid Intimal Medial Thickness
Carotid Intimal Medial Thickness - CIMT
Heart disease is the number one killer of American men and women. According to the American Heart Association 50% of men and 67% of women who die of heart disease experienced no prior symptoms, before their heart attack or stroke. In other words, their first symptom was a heart attack or stroke.
Additionally, medical bills are the number 1 cause of bankruptcy in the US. An astounding 67% of all bankruptcies are due to medical bills. Why take chances with you health or the welfare of your family.
CIMT is a safe painless, FDA-approved test that can quickly screen for and monitor atherosclerosis the underlying cause of heart attack and stroke. CIMT provides a direct measurement of vascular disease, even in its earliest stages before it causes symptoms or block blood flow.
How Does CIMT Work?
The test is a simple, noninvasive, 15-20 minute outpatient procedure that involves no injections, no pills, and exposes you to no radiation. The test uses sophisticated ultrasound equipment and requires expert interpretation, so it's not widely available. The technology was developed in conjunction with NASA, based on the same science used to measure water on Mars.
As physicians we currently treat patients based on ATPIII criteria which are guidelines based on population trials, which have shown to be effective in those populations but not in you, the individual.
Many patients have other risk factors which are not taken into account by the current ATP III criteria and may fall through the cracks and not be treated at all.
Other patients may be treated according to the guidelines, but continue to have have progression of their cholesterol build up.
CIMT allows us to treat you the individual, as well as follow your treatment over time to monitor your progress, as well as to evaluate the need to modify your particular treatment regimen.
One special feature of the CIMT is a report you will receive that compares your CIMT results with others of your age and gender, comparing your risk for heart attack or coronary death.
Early Detection Can Lead to Early Intervention
Who Should Have an CIMT Test?
The CIMT test is most appropriate for individuals who are at risk for heart disease based on traditional cardiovascular risk factors. Such individuals are typically over 40 years of age and have one or more of the following risk factors:
Family history of heart disease/stroke
Tobacco user
Diabetics
Overweight patients
Those who are Physical inactivity
Women in Menopausal
High fat diet
Pts with High blood pressure
Pts with High LDL or "bad" cholesterol
Pts with Low HDL or "good" cholesterol
Pts with Elevated triglycerides
Pts with the Metabolic syndrome
Pts who are Steroid users
Medicare and most private insurance do not routinely pay for CIMT testing. Yet, CIMT is a safe, FDA-approved test that is recognized as a valid means for detecting subclinical vascular disease to assess risk for heart disease.
At the our offices, we offer CIMT testing and interpretation at the reasonable cost.
Request an CIMT appointment by calling or requesting it from your physician or healthcare provider.
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