For a lighter future For a lighter future Your best chance to build a healthy body
Dr Mogens Poppe, FRNZCGP • MD, PhD, Hamburg • Diploma O&G • Diploma Paediatrics • Certificate Dive Medicine • Certificate Emergency Medicine • Fellow American Academy of Anti-Ageing Medicine • Declaration: Medical Director and Shareholder of HCG Doctors New Zealand
The Problem of Obesity • Ministry of Health figures from September 2011 indicate that 65% of New Zealand adults are either overweight(37%) or obese (28%). • Obesity is a major risk factor not only for diabetes, hypertension, heart disease and osteoarthritis, but also for cancer, kidney failure, dementia and gastric reflux, as well as sleep apnoea and snoring.
Other Symptoms of Obesity • Fatigue • Depression • Low self esteem • aches and pains • Constipation • Osteoarthritis: 32 fold increase in lifetime risk of needing a knee joint replacement
What is Obesity? Obesity is defined as a BMI of greater than 30 However, Dr Daniel Belluscio in Buenos Aires calls obesity: “ a clinical disorder characterized by the capacity of the hypothalamus to accumulate fat well above daily requirements and store it in conspicuous body areas”
What went wrong? • Obesogenic environment (Food Industry – low fat food and high fat consumers) • Driving our cars everywhere, sitting in front of computer or television screens for many hours most days, eating too much of the wrong food too often, drinking too many sugary drinks or too much alcohol ? • Using food as a reward or a substitution for other emotional pleasures plays a role • Imbalance of energy input versus energy output • Genetic disposition (descendants of famine survivors) and epigenetics
How did I find out about HCG? • Medical conference in Melbourne 2010 • Coinciding with discontinuation of Reductil • I researched HCG and found Dr Daniel Belluscio in Buenos Aires • I attended a 4 day course with Dr Belluscio in early 2011
Hypothalamus: Appetite and Satiety Centres
The Hypothalamus • The hypothalamus, the major gland in our brain, is an assemblage of small but vital nuclei, situated within the diencephalon. It harbours the nerve centres for hunger and satiety. • The “feeding or appetite centre” has been pinpointed to the lateral hypothalamus, while the ventro-medial hypothalamus holds the “satiety centre”. The reciprocal and distinct functional roles of these structures were determined by the effect on animal behaviour of selective surgical destruction of different parts of the hypothalamus.
Lipostatic theory • in adult life the amount of body fat that an individual carries is remarkably constant • despite variations to daily energy intake and expenditure contributing to fluctuations in weight, in the long term, the body remains balanced as complex mechanisms ensure that homeostasis is maintained. • plus our body wants energy stores for bad times – like the next famine…
Bad Food • Trans-fatty acids • Sugars • Artificial sweeteners • White bread and white rice • Salt • Other bad fats, like some saturated fats • Plus Food Additives and Food residues
Too much Food • ADDICTION TO FOOD- addiction centres are located very close to the hypothalamus • "I hardly eat anything, doctor“ • Food allergies and food intolerances • Bowel dysfunction • Intrauterine obesity • Obese children • Epigenetics: Obese grandchildren
Currently obese adults: Two Groups • 1) obese as children and then obese as adolescents and obese as adults • 2) used to be slim and healthy - most of the second group seem oblivious to the very gradual changes in body composition and the resulting very small and gradual changes in medical risk factors
Slow Change – Big Difference BMI BMI 20 31
How can we fix the Obesity Problem? • Smoking allegedly kills 5000 people in New Zealand every year • How many Kiwis suffer premature death as a result of being seriously overweight, considering that being obese increases a woman's risk of developing breast cancer by up to 40%? • It might be anybody's guess; all I can say is that it has to be a very substantial number.
Change the Food Environment • The ways food is perceived, presented, used, advertised, broadcast, priced, taxed, written about, talked about, felt about, thought about – all this has to change in order to effect a change in attitude towards food, resulting in our eating and buying behaviours to improve. • “Added Sugar Tax” – has time finally come for this tax?
How can a Doctor help? • Good Advice: “ eat less and exercise more ...“ • Duromine – a variation of speed • Reductil – long gone (? cardiac SE) • Xenical – flatulence • Refer to bariatric surgeon – change the human anatomy rather than the food environment! • Show empathy and don’t use the f -word (advice given at last year’s conference here)
Dr Albert Simeons, 1900-1970 • Englishman, who went through school in Germany and graduated as a doctor from the University of Heidelberg in Germany. • the 1920s he worked at the Hospital for Tropical Disease (“ Tropeninstitut ”) in Hamburg • travelled to Africa and India, developed a treatment for malaria and obesity • well known for successfully treating obese patients from all over the world at the Salvador Mundi Hospital in Rome, Italy.
Three Types of Fat Tissue(Dr Simeons) • First: the “Structural Fat” is an essential part of our muscles, organs and other areas like for example the soles of our feet. • Second: the normal “Reserve Fat ” which is freely available to our metabolism and is in constant exchange with our active metabolic balance. • Third: the “Abnormal Fat” which acts like a “term deposit” in a bank account, it has been put away for special times (starvation or pregnancy) and is out of reach of our normal metabolism
HCG treatment • The abnormal fat as visible expression of the hypothalamic disorder is the primary target of HCG treatment. • The most experienced HCG practitioner in the world today is Dr Daniel Belluscio in Buenos Aires who has treated more than 6,000 patients with HCG over the last 30 years
My own experience • I went to Argentina, completed a course by Dr Daniel Belluscio in Buenos Aires • I started treating patients in my general practice at Ohope Beach, Bay of Plenty • I lost 15 kg since 2011 – from 96kg to 81 kg • Together with colleagues Mike Cushman and Cheryl Wiggins developed Renaissanz HCG treatment programme adapted to New Zealand conditions in the 21st century.
First results after 46 patients • Patients lost an average of 11.04 kilograms or 11.5% of their body weight. • More recently this figure went up to almost 12 kilos on average • corresponds to a very significant loss of body fat and, best of all, a reduction of 12.5 centimetres around the waist. • Most importantly, our patients overall have achieved 88% of their initially planned and targeted weight loss!
More important Results • Diabetes and pre-diabetes reversed • Hypertension “cured” • Depression improved or reversed • Joint and muscle pains relieved • Snoring and sleep apnoea relieved • Self - confidence much improved and generally much more positive outlook on life
Benefits for the doctor • Finally able to help my obese patients • Emotionally and intellectually very rewarding • Witnessing life-changing experiences • Have often been close to tears in meetings • Financially rewarding as well • Beats having to transition patients from metformin to insulin…or having to add the fifth antihypertensive medication
What is HCG? • Human Chorionic Gonadotrophin, a naturally occurring polypeptide hormone • name is derived from its discovery as an important hormone during the early stages of pregnancy • during a normal pregnancy, HCG is secreted in vast amounts, up to 1 million I.U. / 24 hours • We inject only 125 I.U. of HCG per dose
Role of HCG during the VLCD • What does HCG actually do in the context of our weight management ? • We believe it assists in forcing the hypothalamus to give up the abnormal fat reserves and enables the body to tolerate the VLCD well • only two situations when this naturally happens: • severe starvation • pregnancy.
Very Low Calorie Diet • Without HCG it would require almost superhuman willpower and tenacity to live on 500kcals per day for six or seven weeks and still feel well, while at the same time working and also managing a home environment. • Very specific diet, ideal composition to effect maximum weight loss (400grams per day) • No sugar, no fat, no alcohol
Renaissanz Programme • Doctor-led HCG Weight Management Programme • The management of obesity as a result of a hypothalamic disorder is a medical procedure under the supervision of a specially trained medical doctor. • HCG is a pharmaceutical compound that needs to be prescribed by a doctor
Real HCG • The HCG that we are using has been imported from the United States from a FDA- approved compounding pharmacy. This pharmacy in Florida currently supplies more than 600 clinics all over the United States. • Cheap “so called HCG” on the internet : • By contrast, any homeopathic or other preparation, available as drops without a doctor’s prescription, by definition do not contain any single molecule of HCG
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