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Welcome Thursday, January 5, 2012 H EALTHY C HOCOLATE W EIGHT -L OSS - - PowerPoint PPT Presentation

Welcome Thursday, January 5, 2012 H EALTHY C HOCOLATE W EIGHT -L OSS S YMPOSIUM Thursday, January 5, 2012 Executive Team Jeanette Brooks Founder & President Thursday, January 5, 2012 HIGH-ANTIOXIDANT Wellness System H OW I T W ORKS .


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SLIDE 1

Welcome

Thursday, January 5, 2012
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SLIDE 2

HEALTHY CHOCOLATE WEIGHT-LOSS SYMPOSIUM

Thursday, January 5, 2012
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SLIDE 3

Executive Team

Jeanette Brooks

Founder & President

Thursday, January 5, 2012
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SLIDE 4

HIGH-ANTIOXIDANT

Wellness System

HOW IT WORKS.

Thursday, January 5, 2012
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SLIDE 5

HIGH-ANTIOXIDANT

Wellness System

AT A GLANCE

  • No. of Participants: 50

Length of Study: 12 Weeks Average Weight Loss: 31.4 lbs Average Waistline Decrease: 5.8” Participant Retention: 100%

Thursday, January 5, 2012
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SLIDE 6

HIGH-ANTIOXIDANT

Wellness System

CONGRATULATIONS!

High-Antioxidant, Meal-Replacement Shake

  • 190 Calories & 56500 ORAC

High-Antioxidant, Meal-Replacement Cookie

  • 210 Calories & 36765 ORAC
Thursday, January 5, 2012
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SLIDE 7

HIGH-ANTIOXIDANT

Wellness System

HOW TO USE THE PRODUCT

  • Replace two meals with the Shake or Cookie
  • Eat one sensible meal
  • Eat 2–4 X-Power Squares or any other calorie-

equivalent Xoçai Healthy Chocolate products for snacks and/or a 200-250 calorie protein snack for appetite suppression or cravings

  • Women should consume 1,200 calories/day

Men should consume 1,500 calories/day

  • Exercise 20–60 mins, 3-5 times a week

HIGH-ANTIOXIDANT

Wellness System

Thursday, January 5, 2012
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SLIDE 8

HIGH-ANTIOXIDANT

Wellness System

TIPS FOR OPTIMIZED WELLNESS

Drink Plenty

  • f Water

Drink 1/2 to 1 Ounce for every pound of your desired weight.

Thursday, January 5, 2012
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SLIDE 9

HIGH-ANTIOXIDANT

Wellness System

TIPS FOR OPTIMIZED WELLNESS

Get Enough Quality Sleep

7–8 Hours

Thursday, January 5, 2012
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SLIDE 10

HIGH-ANTIOXIDANT

Wellness System

TIPS FOR OPTIMIZED WELLNESS

Increase Physical Activity

At least 20 Minutes per Day

Thursday, January 5, 2012
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SLIDE 11

HIGH-ANTIOXIDANT

Wellness System

TIPS FOR OPTIMIZED WELLNESS

Eat 2–3 Healthy Snacks Daily

Lean Protein, Vegetables and Fruits, Complex Carbs and/or beneficial fats.

Thursday, January 5, 2012
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SLIDE 12

HIGH-ANTIOXIDANT

Wellness System

TIPS FOR OPTIMIZED WELLNESS

Track Your Success

Use a daily journal to track what you eat and drink as well as your physical activity.

Thursday, January 5, 2012
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SLIDE 13

HIGH-ANTIOXIDANT

Wellness System

Accontablilty Sheet

Thursday, January 5, 2012
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SLIDE 14

HIGH-ANTIOXIDANT

Wellness System

Thursday, January 5, 2012
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SLIDE 15

HIGH-ANTIOXIDANT

Wellness System

TIPS FOR OPTIMIZED WELLNESS

Be Accountable

Partner with a spouse or friend to maximize your efforts.

Thursday, January 5, 2012
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SLIDE 16

HIGH-ANTIOXIDANT

Wellness System

Be aware of how hungry you really are. Follow this chart and only eat when you are a 4 or 5 on the hunger scale.

  • 1. Stuffed ......................................... I do not want to eat again
  • 2. Satisfied/Full .......................... I should have skipped the last few bites
  • 3. Comfortable/Neutral

......... I am not hungry or full

  • 4. Slightly Hungry ...................... I suppose I could probably eat
  • 5. Very Hungry ............................. Wow – I am hungry!
  • 6. Famished/Dizzy/Faint

....... I am so hungry that “I could eat a horse!”

Thursday, January 5, 2012
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SLIDE 17

HIGH-ANTIOXIDANT

Wellness System

WHAT IS A SENSIBLE MEAL?

It is important to eat healthy, high-antioxidant meals approximately 500-600 calories.

Thursday, January 5, 2012
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SLIDE 18

HIGH-ANTIOXIDANT

Wellness System

SHAKE IT UP!

+ =YUM!

Thursday, January 5, 2012
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SLIDE 19

HIGH-ANTIOXIDANT

Wellness System

ALTERNATE SNACK OPTIONS

Thursday, January 5, 2012
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SLIDE 20

HIGH-ANTIOXIDANT

Wellness System

FREQUENTLY ASKED QUESTIONS

I’m still hungry after following the plan. What can I do?

  • Drink more liquids
  • Add one more X Power Square or

high-protein option

  • Add one more shake
  • Include more vegetables with meals
Thursday, January 5, 2012
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SLIDE 21

HIGH-ANTIOXIDANT

Wellness System

FREQUENTLY ASKED QUESTIONS

Will I be constipated on the program?

  • There is enough fiber and antioxidants, so this

should not be an issue.

Thursday, January 5, 2012
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SLIDE 22

HIGH-ANTIOXIDANT

Wellness System

FREQUENTLY ASKED QUESTIONS

I’m experiencing some gastrointestinal upset while using this product—is this normal?

  • Because of the amount of fiber in the diet, temporary

upset is normal.

Thursday, January 5, 2012
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SLIDE 23

HIGH-ANTIOXIDANT

Wellness System

FREQUENTLY ASKED QUESTIONS

How long does each weight-loss product last?

  • At one a day, there is a 28 day supply
Thursday, January 5, 2012
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SLIDE 24

HIGH-ANTIOXIDANT

Wellness System

FREQUENTLY ASKED QUESTIONS

Can the Shake be mixed with anything else besides water?

  • Absolutely! Any low-calorie, low-fat liquids are great

substitutes for water!

Thursday, January 5, 2012
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SLIDE 25

HIGH-ANTIOXIDANT

Wellness System

INTERESTING WAYS TO MAKE THE SHAKE

1. The X Factor 8. The Xo - Time

  • 15. Xo-Good

2. The Xo and Tell 9. X Mocha Frapp

  • 16. X Mocha Frapp

3. The Xo - Case 10. The X Vanilla Mocha Frapp

  • 17. Provocado

4. The X Monkey 11. Chocolate Orange Creamsicle

  • 18. Xe Protein

5. The Xo - Joy 12. Kiwi Go Now

  • 19. Orange Creamcycle

6. X Mocha Raspberry Frapp 13. Creamy Peanut Butter & Banana

  • 20. Chocolate Frozen Mint

7. The Xo - Mint 14. Xo-Buzz

  • 21. Apple of Xocai

HIGH-ANTIOXIDANT

Wellness System

Thursday, January 5, 2012
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SLIDE 26

HIGH-ANTIOXIDANT

Wellness System

“TALK TO THE DOCTOR” CALLS

Starting January 10, 2012, Connect to the “Talk to the Doctor” Call Every Tuesday!

Send in your questions to weightloss@mxicorp.com no later than noon on the Tuesday of the call & Dr. Kennedy.

Thursday, January 5, 2012
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SLIDE 27

HIGH-ANTIOXIDANT

Wellness System

“TALK TO THE DOCTOR” CALLS

TIME

6PM PST, 7PM MT, 9PM EST

PHONE #:

978-964-0031

CODE:

75490

Thursday, January 5, 2012
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SLIDE 28

HEALTHY CHOCOLATE WEIGHT-LOSS SYMPOSIUM

Thursday, January 5, 2012
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SLIDE 29

Guest Speaker

  • Dr. Gordon Pedersen

Chief Education Advisor

Thursday, January 5, 2012
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SLIDE 30

HIGH-ANTIOXIDANT

Wellness System

Definition of Obesity

Is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and or increased health problems… Body Mass Index (BMI) is a measurement which compares weight and height and defines people as normal, overweight, obese A BMI of more than 20% over ideal weight is considered to be

  • bese

The NIH suggests obesity is when a person is over 30 pounds over their ideal weight

Thursday, January 5, 2012
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SLIDE 31

HIGH-ANTIOXIDANT

Wellness System

Overweight is a significant contributor to health problems

  • Type 2 diabetes
  • High blood pressure
  • Stroke
  • Heart attack
  • Cancer Colon, prostate,

rectum

  • Gallstones
  • Osteoarthritis
  • Sleep apnea
  • Death
Thursday, January 5, 2012
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SLIDE 32

HIGH-ANTIOXIDANT

Wellness System

Why ORAC?

Oxygen Radical Absorbance Capacity

It a way of measuring antioxidant capacities in biological samples The higher the ORAC number the greater the antioxidant capacity

Thursday, January 5, 2012
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SLIDE 33

HIGH-ANTIOXIDANT

Wellness System

Raw unprocessed cocoa has the highest ORAC Rating (USDA)

FRUITS ORAC VEGETABLES ORAC Unprocessed Cocoa Powder 80,933 Garlic 5,346 Açai Berry, freeze-dried [a] 53,600 Peanuts, all types, raw 3,166 Dutched Chocolate Powder 40,200 Asparagus 2,150 Cranberries 9,584 Nuts, cashew nuts 1,948 Blueberries 6,552 Avocados 1,933 Plums 6,259 Kale [a] 1,770 Prunes [a] 5,770 Beets 1,767 Blackberries 5,347 Spinach, raw 1,515

Thursday, January 5, 2012
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SLIDE 34

HIGH-ANTIOXIDANT

Wellness System

Why Flavonoids

Flavonoids (previously called vit P)

  • Are the pigment part of the plant which are

beneficial to the circulation

  • Flavonoids help reduce allergens, swelling, viruses,

carcinogens, anti-microbial, anti-inflammatory, and may have the ability to reduce the fat cell inflammation

(Journal of Clinical Investigagtion, 107(2);135) (Journal of antimicrobial agents, 28(2);99-107)

Thursday, January 5, 2012
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SLIDE 35

HIGH-ANTIOXIDANT

Wellness System

Why Polyphenols

Polyphenols as antioxidants

There are over 4000 polyphenols

  • they can affect cell to cell signaling
  • receptor sensitivity
  • inflammatory enzyme activity
  • or gene regulation
Thursday, January 5, 2012
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SLIDE 36

HIGH-ANTIOXIDANT

Wellness System

  • This includes fat cells
  • Polyphenols are anti-fat antioxidants
  • They reduce fat cell growth,

communicate cell to cell to inhibit inflammatory cascades, normalize gene regulation and modulate receptor sensitivity

(Free Radical Biology and Medicine, 2008.08.001)

Polyphenols are anti-inflammatory at the cellular level

Thursday, January 5, 2012
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SLIDE 37

HIGH-ANTIOXIDANT

Wellness System

Polyphenols reduce inflammatory effects such as coronary artery disease, and wrinkled skin

(Flavonoids and heart disease, 312(7029), 1996) (British Journal of Pharmacology, 123(3)565, 1998)

Thursday, January 5, 2012
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SLIDE 38

HIGH-ANTIOXIDANT

Wellness System

Free Radical Theory of Aging

The theory is that organisms age because cells accumulate free radical damage over time. This oxidative damage can be reduced using antioxidants which can limit the number of free radicals and the damage caused to the cells

Thursday, January 5, 2012
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SLIDE 39

HIGH-ANTIOXIDANT

Wellness System

Fat cells can be free radicals

As they (Fat cells) accumulate free radical damage they become more resistant to weight loss

Polyphenols have an anti-inflammatory effect on the fat cells which may result in:

  • Reduced fat cell storage
  • Reduced fat cell signaling
  • Reduced inflammatory responses that retain water
  • Improved mobilization and breakdown of fat cells
Thursday, January 5, 2012
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SLIDE 40

HIGH-ANTIOXIDANT

Wellness System

Fat can be mobilized and metabolized

  • ut of the body using polyphenols

Quercetin is injected into fat cells where they shrink and leave, and dietary quercetin alleviates hepatic fat accumulation.

(Molecular Nutrition and Food Research, 2011)

Thursday, January 5, 2012
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SLIDE 41

HIGH-ANTIOXIDANT

Wellness System

Causes of Obesity

  • Genetic
  • Diet
  • Sedentary

lifestyle

  • Lack of sleep
  • Malnutrition
  • Dehydration
  • Internal toxins
  • Constipation
  • Stress
  • Inflammatory

response

Thursday, January 5, 2012
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SLIDE 42

HIGH-ANTIOXIDANT

Wellness System

Weight loss is a Program, not a product!

Thursday, January 5, 2012
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SLIDE 43

HIGH-ANTIOXIDANT

Wellness System

ESSENCE of Weight Loss

E - Eat/drink correctly S - Sleep correctly (8 hours) S - Supplement your diet (shake and bake) E - Exercise regularly N - Neutralize intestinal toxins and germs C - Communicate regularly (health status, behavior) E - Eliminate Stress

Thursday, January 5, 2012
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SLIDE 44

HIGH-ANTIOXIDANT

Wellness System

Causes of obesity

  • Diet
  • Exercise
  • Behavior modification
Thursday, January 5, 2012
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SLIDE 45

HIGH-ANTIOXIDANT

Wellness System

Eat / Drink

  • Eating the wrong kinds
  • f food
  • Eating too fast
  • Eating much
  • Eating too many toxins
  • Starving all day then

eating a large meal

  • Eating too much fat,

carbohydrates, sugars

  • Eating for emotional

reasons

  • Eating socially
  • Eating without a plan
Thursday, January 5, 2012
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SLIDE 46

HIGH-ANTIOXIDANT

Wellness System

Dehydration promotes obesity

  • When our body is 3% reduced in water it slows metabolism, and

and over-stores fat (1/2 gallon)

  • A 1% reduction in water leads to dry mouth, headache, and

confusion, memory loss

  • It takes 22 oz of water to wash out one oz of fat and if you are

dehydrated you will not burn the fat you deserve to burn

  • 37% of people believe they are hungry when they are actually

thirsty (drink a glass of water then wait 20 minutes, if still hungry it was hunger)

  • Children who are dehydrated regularly tend to be obese and not

grow as tall as they should have

Thursday, January 5, 2012
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SLIDE 47

HIGH-ANTIOXIDANT

Wellness System

Sleep deprivation can cause weight gain

Sleeping rests the body and helps balance hormones Sleep deprivation causes hormone imbalances that trigger fat storage During sleep you can burn 3 pounds of fat Study: college aged kids were sleep deprived 4 hours a night for 7 nights

  • All of them tested positive for diabetes
  • It took two 12 hour nights of sleep to reverse
Thursday, January 5, 2012
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SLIDE 48

HIGH-ANTIOXIDANT

Wellness System

Supplement

  • 95% of Americans do not get sufficient nutrition

from the foods they eat

  • Because their body feels malnourished it will

respond by storing fats more effectively

  • Healthy meal replacements
Thursday, January 5, 2012
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SLIDE 49

HIGH-ANTIOXIDANT

Wellness System

Bariatric Study Results

  • Out of 50 succeeded
  • The Average weight loss 31 pounds
  • 100% kept it off for a full year

Polyphenols (antioxidants) in the cocoa reduces free radicals = fat

  • Its like deflating fat cells one cookie

at a time

Thursday, January 5, 2012
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SLIDE 50

HIGH-ANTIOXIDANT

Wellness System

Sedentary lifestyle

Exercise balances hormones

  • apetite leptin, ghrelin
  • blood sugar - aldosterone
  • stress hormones - cortisol
  • thyroid - master gland of all hormones
  • anti inflammation, anti histamine
  • fat storage hormones are balanced with exercise of 20

minutes three times a week

Thursday, January 5, 2012
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SLIDE 51

HIGH-ANTIOXIDANT

Wellness System

Exercise burns fat, stimulates metabolism, increases energy, mobilizes euphoric hormones, and gives benefits for 18 hours

(Exercise Physiology, 2010)

Thursday, January 5, 2012
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SLIDE 52

HIGH-ANTIOXIDANT

Wellness System

Toxins can cause obesity

Poisons, allergens, constipation can cause obesity

Thursday, January 5, 2012
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SLIDE 53

HIGH-ANTIOXIDANT

Wellness System

Antibiotics cause obesity

  • Since the 1950’s farmers have been using

antibiotics to fatten up livestock (nutrition 1954)

  • Navy recruits that were given antibiotics

(pennicillin, tetracycline) gained 4.8 pounds over 7 weeks

Thursday, January 5, 2012
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SLIDE 54

HIGH-ANTIOXIDANT

Wellness System

In states with the heaviest use of antibiotics

  • Highest rates of obesity: West Virginia, Kentucky,

Tennessee, Louisiana, and Alabama;

  • Have the highest stroke rates
  • Highest obesity rates
  • Have the highest diabetes rates
  • And highest heart attack rates

(CDC, Nov 25, 2011 Wired Magazine)

Thursday, January 5, 2012
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SLIDE 55

HIGH-ANTIOXIDANT

Wellness System

According to CDC data:

Antibiotics can cause increased obesity by killing the beneficial gut bacteria (probiotics)

(CDC Wired 2011)

Thursday, January 5, 2012
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SLIDE 56

HIGH-ANTIOXIDANT

Wellness System

The average child receives 20 courses of antibiotics by the time they reach 18 years of age

(New York University Langone Medical Center, 2011)

By killing the healthy bacteria in the gut it tricks our body into overeating

(Nature, 2011)

Thursday, January 5, 2012
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SLIDE 57

HIGH-ANTIOXIDANT

Wellness System

When antibiotics kill the good probiotic bacteria it results in a six fold increase in the hunger hormones that stimulate appetite

(Nature, 2011)

A 20% rise in leptin after a meal

  • The appetite hormone ghrelin

skyrocketed 6 times higher…

Thursday, January 5, 2012
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SLIDE 58

HIGH-ANTIOXIDANT

Wellness System

Antibiotics stimulate the appetite and result 18 months later in a sustained 5% fat gain

(Nature, 2011)

X

Thursday, January 5, 2012
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SLIDE 59

HIGH-ANTIOXIDANT

Wellness System

Antibiotics make us fat while probiotics help us lose fat

A 2009 study found that 12 weeks of probiotics (lactobaccillus) daily reduced belly fat and body weight, and women that took acidophillus during pregnancy were less likely to develop abdominal obesity later

Thursday, January 5, 2012
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SLIDE 60

HIGH-ANTIOXIDANT

Wellness System

Communication improves accountability and promotes long term behavior modification

Programs that include a weekly accounting for weight and diameters result in more consistent long term weight loss

  • The optimal goal is losing 1.5 – 2 pounds of fat per
  • week. And keeping it off for a year
Thursday, January 5, 2012
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SLIDE 61

HIGH-ANTIOXIDANT

Wellness System

Stress causes obesity

Stress effects every cell in the body

  • The body responds to stress by swelling, storing fats for

proection and reducing vital body functions

  • Stress releases cortisol (stress hormone) which cause

the body to store more fat

  • Stress down regulates, thyroid hormones, and promotes

worry, shock and digestive imbalances

  • Oxidative stress damages the blood vessels and

triggers inflammation in fat cells

Thursday, January 5, 2012
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SLIDE 62

HIGH-ANTIOXIDANT

Wellness System

Antioxidants reduce the cause of stress induces weight gain and promote an anti-inflammation, anti- aging, and balanced metabolism

The polyphenols found in raw cocoa are the finest quality and highest quantity of all natural anti oxidants

Thursday, January 5, 2012
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SLIDE 63

HIGH-ANTIOXIDANT

Wellness System

Antioxidants from the raw cocoa help reduce the cause of obesity and fat gain at the cellular level

Thursday, January 5, 2012
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SLIDE 64

HIGH-ANTIOXIDANT

Wellness System

Reasons why weight loss programs fail

  • Poor product
  • Not a program
  • Communicate with a

health coach (accountability)

  • Not portable
  • Taste bad
  • No chewing
  • Too much restriction of

calories and rebound (Hcg)

  • Sugar…
Thursday, January 5, 2012
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SLIDE 65

HIGH-ANTIOXIDANT

Wellness System

Sugar Causes Obesity

  • Increased appetite
  • Increased cravings for foods
  • Increases mood swings
  • Increases the storage of fats
  • Increases hormone

production responsible for

  • vereating
  • Damages blood vessels,

digestion and joints

  • Damages the pancreas

(diabetes)

  • Damages the cells

communication system

  • Increases acids and

promotes yeast, bacteria, and histamine release (swelling)

Thursday, January 5, 2012
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SLIDE 66

HIGH-ANTIOXIDANT

Wellness System

Did you know sugar

  • Alters alpha, delta and theta brain waves
  • Can cause hyperactivity, anxiety,
  • An cause kidney damage
  • Can damage the structure of dna
  • Can cause cancer, arthritis, fluid retention
  • Can damage eye sight
  • Can cause depression, and hormone imbalances
Thursday, January 5, 2012
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SLIDE 67

HIGH-ANTIOXIDANT

Wellness System

The ESSENCE of Weight Loss

  • Eat low fat, low carbs and drink 12 glasses of water a day
  • Sleep 8 hours nightly
  • Supplement with Shake and Bake
  • Exercise 25 minutes daily if possible
  • Neutralize toxins by eating xobiotics
  • Communicate with health coach weekly
  • Eliminate stress
Thursday, January 5, 2012
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SLIDE 68

HIGH-ANTIOXIDANT

Wellness System

Weight Loss Program

Breakfast

  • Shake

Lunch

  • Cookie

Dinner

  • Healthy meal low fat, low

carbohydrates, no sugars Snacks

  • XoBiotic, Omega Squares

Calories

  • 1,200 for Women & 1,500 for Men

Be accountable with a buddy/group. Attend weekly “Ask The Doctor” Calls.

Thursday, January 5, 2012
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SLIDE 69

HIGH-ANTIOXIDANT

Wellness System

We’ve done all the science so all you have to do is:

  • A Breakfast Shake
  • A Lunch Cookie
  • A healthy dinner
  • And healthy chocolate

snacks between meals

Thursday, January 5, 2012
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SLIDE 70

HIGH-ANTIOXIDANT

Wellness System

Why the shake and bake works

  • Protein - build muscle, which

stimulates metabolism

  • Chewing reduces appetite
  • Nutrition keeps metabolism going
  • Low sugar reduces food cravings
  • Ingredients
Thursday, January 5, 2012
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SLIDE 71

HIGH-ANTIOXIDANT

Wellness System

Fat Facts

  • 68% of people need a weight loss

program now

  • 26% of Americans are on a weight loss

program now

  • 75% of americans make a new years

resolution to improve their weight

  • Two thirds of people who start a weight

loss program quit in 3 weeks

Thursday, January 5, 2012
slide-72
SLIDE 72

HIGH-ANTIOXIDANT

Wellness System

Ways to initiate a discussion about shake and bake

Sit down near someone and open the cookie…as your

  • pening it say
  • “Man, this is the best tasting weight loss cookie

I have ever eaten…I used to quit my weight loss programs because it was so difficult but this makes it easy. Healthy chocolate…I would have never believed it until I started losing fat. Scientific proof that chocolate can be healthy and promote weight loss, would you like a taste?”

Thursday, January 5, 2012
slide-73
SLIDE 73

HIGH-ANTIOXIDANT

Wellness System

Weight loss is anti-aging

  • Helps normalize hormones

(stress, blood pressure, fat stores metabolism)

  • Helps improve digestion
  • Helps improve joint function
  • Helps reduce toxins
  • Increases antioxidants that have

anti-aging benefits

Thursday, January 5, 2012
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SLIDE 74

HEALTHY CHOCOLATE WEIGHT-LOSS SYMPOSIUM

Thursday, January 5, 2012
slide-75
SLIDE 75

Guest Speaker

  • Dr. Mike Kennedy, M.D

Board Certified in Family Medicine and Bariatrics

Thursday, January 5, 2012
slide-76
SLIDE 76 Thursday, January 5, 2012
slide-77
SLIDE 77

2 1 1

  • V
O L U M E

2 6 , N

O

. 2

THE BARIATRICIAN

A M E R I C A N J O U R N A L O F B A R I A T R I C M E D I C I N E

CLINICAL FEATURES

M e d i c a l l y S u p e r v i s e d V e r y L
  • w
C a l
  • r
i e D i e t ( V L C D ) W e i g h t L
  • s
s P r
  • g
r a m P a g e 8 R e s i d e n t i a l W e i g h t C
  • n
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  • l
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  • ,
W h a t , W h y ? P a g e 1 8 P
  • s
t e r S e s s i
  • n
A b s t r a c t s 6 1 s t A n n u a l O b e s i t y a n d A s s
  • c
i a t e d C
  • n
d i t i
  • n
s S y m p
  • s
i u m P a g e 2 3 T h y r
  • i
d T e s t i n g f
  • r
t h e B a r i a t r i c i a n P a g e 3 2

F e a t u r e d A r t i c l e :

Weight Loss Study Using a High Antioxidant Cocoa Meal Replacement and Lifestyle Intervention

P a g e 1 3 A m e r i c a n S

  • c

i e t y

  • f

B a r i a t r i c P h y s i c i a n s

T M To advance and support the physician’s role in treating overweight patients. Thursday, January 5, 2012
slide-78
SLIDE 78 THE BARIATRICIAN - 2011, VOL. 26, NO. 2 • 11

Weight Loss Study Using a High Antioxidant Cocoa Meal Replacement and Lifestyle Intervention

By Machiel N. Kennedy, MD and Steven E. Warren, MD, DPA, CIME, FABFP, FABHPM, FAPWCA

A

BSTRACT Context: Data supporting weight loss using a high antioxidant meal replacement and lifestyle intervention are sparse. Objective: To evaluate the effectiveness of a high anti-
  • xidant meal replacement made from raw unprocessed
cocoa and lifestyle intervention over a 12 week super- vised weight loss program. Design, Setting and Participants: This was a lifestyle intervention trial. A high antioxidant meal replacement was designed using raw unprocessed cocoa with 8 grams
  • f 
ber, 21 grams of whey isolate protein, 3 grams of fat from chia oil, and 0.5 grams of sugar. The calories per meal replacement were 190 kcal, but the net calories were about 150 kcal. The participants ranged in age from 26 to 73 years. They were required to participate in a weekly support call with one of the physicians and consume two meal replacements a day and, for the third meal, eat a sen- sible high protein low carbohydrate meal of their choice totaling 1,200 kcal per day for women and 1,500 kcal per day for men. All of the 50 participants who started com- pleted the study. Each was encouraged to exercise by at least walking. All participants had their meal replace- ments furnished and monetary rewards were given to the winners of the group. The  fty participants were divided into groups of  ve and the members of each group moni- tored each other in addition to the monitoring from the physicians and other staff on a weekly phone call. Main Outcome Measures: Changes in weight, Body Mass Index (BMI), and waist circumference were evalu- ated. Results: Over a 12 week period the average weight loss was 31.3 pounds with an average reduction in waist cir- cumference of 5.8 inches. The percentage weight loss ranged from 6.6% to 24.6% of starting weight. There were no drop outs during the lifestyle intervention study. Conclusion: Successful weight loss was achieved by using a high antioxidant meal replacement made from raw unprocessed cocoa along with a monitored program requiring accountability and lifestyle intervention chang-
  • es. In addition, furnishing product and rewarding partici-
pants for their behavior was successful in creating statis- tically signi cant weight loss in a group of overweight or
  • bese subjects.
INTRODUCTION The prevalence of obesity has risen markedly since 1976, now exceeding 30% among US adults. Obesity has well-known associations with morbidity and disability, resulting in unhealthy life-years and increased health care
  • costs. Currently in the US 68% of the population is either
  • verweight or obese.1
The latest  gures from the Centers for Disease Control (CDC) demonstrate that obesity continues to be a signi
  • cant public health problem in the US. Note the list of
health problems associated with weight. •‣ Coronary heart disease •‣ Type 2 diabetes •‣ Cancers (endometrial, breast and colon) •‣ Hypertension (high blood pressure) •‣ Dyslipidemia (high total cholesterol or high levels of triglycerides) •‣ Stroke •‣ Liver and gallbladder disease •‣ Sleep apnea and respiratory problems •‣ Osteoarthritis •‣ Gynecological problems (abnormal menses, infertility, poly-cystic ovaries) A very interesting quote from a 2010 article from MD Anderson Cancer Center talking about in ammation and cancer is:2 "This indicates that lifestyle plays a major role in the de- velopment of cancer. The important lifestyle factors that affect the incidence and mortality of cancer include to- Thursday, January 5, 2012
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SLIDE 79 bacco, alcohol, diet, obesity, infectious agents, environ- mental pollutants, and radiation. All of these risk factors are linked to each other through in ammation." Since it is felt that obesity is related to oxidative stress and in ammation, a weight control trial using a high an- tioxidant meal replacement might be bene cial. METHODS Fifty people were chosen from over 250 applicants. Their age range was from 26 years to 73 years old. People
  • n insulin therapy were excluded and those with a major
medical condition the physicians felt were inappropriate for the study were eliminated, also. The participants were either overweight or obese mea- sured by BMI criteria set by the World Health Organiza- tion with >25 de ning overweight and >30 de ning obe- sity.3 Exclusionary criteria were insulin dependent diabetes
  • r any medical issue requiring medication that the physi-
cians overseeing the study felt would not be appropriate. The participants were to consume a high anti-oxidant meal replacement shake made from raw unprocessed co- coa by MXI Corporation. The shake had an ORACfn score of 56,500 with 1,128 mg of  avonoids (certi ed by Brunswick Laboratories). One serving protected over  ve primary radicals, which was four times the USDA fruits/ vegetables average.6 The shake was 190 kcal with 21 grams of whey iso- late protein, 8 grams of  ber, 3 grams of fat from chia, and 0.5 grams of sugar. Each participant consumed two shakes a day for 12 weeks. In addition the participants consumed a 600 kcal meal. The total calories for women were 1,200 kcal per day and for the men was 1,500 kcal per day. Snacks consisted of chocolate squares or nug-
  • gets. If needed, participants could have a 200 kcal high
protein snack.4 The participants were encouraged to exercise by walk-
  • ing. They were to work their way up to 10,000 steps per
day, and they could participate in more vigorous exercise if they desired and it was approved by their primary care physician. Each participant was encouraged to get at least 7.5 hours
  • f sleep per night.
Each participant was encouraged to drink 1 ounce of water per pound body weight. The 50 participants were divided into support groups of  ve people and these groups participated in a physician call for 30 minutes once a week for the 12 weeks. In addition, each participant completed a food and ex- ercise journal and returned them by fax once a week. Included in the journal were their calorie consumption, amount of water consumed, a hunger chart, exercise com- pleted, and amount of shakes taken.5 The meal replacement shakes and a  nancial reward were given to the top “”losers”„ of the group. RESULTS The average weight loss per participant was 31.3
  • pounds. In addition, there was an average decrease in
waist circumference of 5.8 inches. None of the partici- pants experienced any ill health from the program. The most common complaint was gastrointestinal upset and/
  • r diarrhea.
COMMENTS The combination of a high ORACfn meal replacement made from raw unprocessed cocoa along with a lifestyle intervention program and  nancial rewards seems to be a highly effective way of achieving weight loss and weight control in overweight or obese individuals. Since both  nancial compensation and the lifestyle intervention were provided to all participants, the individual effects
  • n weight loss of receiving monetary compensations vs.
the meal replacements cannot be determined. While measurements of in ammatory markers associ- ated with obesity and other diseases were not measured, it is hypothesized that they would have improved during the course of the study. Previous testing using cell-based “”ef cacy”„ assays that were modi ed for testing natural products, had shown that one serving of the meal replacement produced posi- tive changes in in ammatory markers.6 These tests use live cells to see whether or not products actually work to protect human cells. For the recent testing, anti-in am- mation and anti-aging tests which use highly respected NF-kB and SIRT1 markers as performance standards were selected, since both are believed to be involved in weight loss, glucose management, and a host of other wellness factors.2, 7, 8 Both tests demonstrated positive
  • results. A single serving of the meal replacement stimu-
lates SIRT1 by approximately 15% and inhibits NF-kB by 34%. Furthermore, there are likely to be cumulative bene ts that may result with regular daily consumption of the meal replacement. ACKNOWLEDGMENTS The authors wish to thank MXI Corporation for supply- ing the meal replacement shakes and  nancial rewards to the most successful participants. Thursday, January 5, 2012
slide-80
SLIDE 80 About the Authors Machiel Kennedy, MD graduated from Indiana Uni- versity Medical School and is board certi ed in Family Medicine and Bariatric Medicine. He has over 30 years experience in clinical practice and weight loss manage-
  • ment. He has authored four books. The latest book was
co-authored with Dr. Steve Warren and is titled Radically Free, The Anti-infl ammatory and Antioxidant Approach to Weight Management. Dr. Kennedy was as consultant to MXI Corp for this study. Steven Warren, MD, DPA is a geriatric physician who is board certi ed in family medicine, hospice and palliative medicine, and wound care. He is actively practicing in several long term care facilities. He has been doing re- search and lecturing on the health bene ts of dark choco- late for the past six years. He owns a weight loss clinic and is motivated to help people lose weight in order to help them avoid chronic health illnesses. References
  • 1. Flegal KM, Carrol MD, Ogden CL, Curtin LR. Prevalence
and trends in obesity among US adults, 1999-2008. JAMA 2010; 303(3):235-241.
  • 2. Sahdeo S, et al. Targeting Infl
ammatory Pathways by Flavonoids for Prevention and Treatment of Cancer. Planta Med 2010; 76: 1044-1063. M.D. Anderson Cancer Center, Houston, Texas
  • 3. National Institute of Health, World Health Organization statistics
  • n obesity.
  • 4. Blackburn, GL. Making Scientifi
c Sense of Different Dietary Ap- proaches, Part-1: Evaluating the Diets. Part 2: Meeting Dietary Needs, Achieving Weight Loss. Medscape Diabetes & Endocrinol-
  • gy 6(1), 2004
  • 5. Hwang, K.O, et. al. Social support in an Internet Weight loss com-
  • munity. International Journal of Medical Informatics 79 (2010) 5-13.
Journal homepage: www.intl.elsevierhealth.com/journals/ijmi
  • 6. Bell Advisory Services, David Bell, Brunswick Laboratories.
New Bedford, MA
  • 7. Fraga, C.G. Dark Chocolate May Improve Insulin Sensitivity/
Resistance and Blood Pressure. Am J ClinNutr. 2005; 81:541-542
  • 8. Matsui, N.,, et. al. Ingested cocoa can prevent high-fat diet-in-
duced obesity by regulating the expression of genes for fatty acid
  • metabolism. Nutrition 21 (2005) 594-601
College Nutrition. 1999; 18(6):620-627.
  • 13. Anderson JW, Konz EC. Obesity and disease management: Ef-
fects of weight loss on comorbid conditions. Obesity Research; 9(4): 326S-334S.
  • 14. Anderson JW, Brinkman-Kaplan VL, Lee H, Wood CL. Relation-
ship of weight loss to cardiovascular risk factors in morbidly obese
  • individuals. J Am Coll Nutr. 1994;14:256–61.
  • 15. Anderson JW, Brinkman-Kaplan VL, Hamilton CC, et al. Food-
containing hypocaloric diets are as effective as liquid supplement di- ets for obese individuals with NIDDM. DiabetesCare. 1994;17:602– 4.
  • 16. Alberti KGMM, Zimmet P, Shaw J. Metabolic syndrome – a new
world-wide defi
  • nition. A consensus statement from the international
diabetes federation. Diabetic Med. 2006;23:469-480
  • 17. Saris WHM. Very-low-calorie diets and sustained weight loss.
Obesity Research. 2001;9(4): 295S-301S.
  • 18. Van Gaal LF. Dietary treatment of obesity. In : Bray GA,
Bouchard C, James WPT eds. Handbook of obesity. New York, NY: Marcel Dekker; 1978, 875-90.
  • 19. Prentice AM, Goldberg GR, Jebb SA, Black AE, Murgatroyd
PR, Diaz EOV. Physiological responses to slimming. Proc Nutr Soc. 1991; 50:441-458.
  • 20. Saris WHM. The role of exercise in the dietary treatment of obe-
  • sity. Int J Obes Relat Metab Disord. 1993:17S:17-21.
  • 21. Kirschner MA, Schneider G, Ertel NH, Gorman J. An eight year
experience with a very-low-calorie-formula diet for control of major
  • besity. Int J Obes Relat Metab Disord. 1988:12:69-80.
  • 22. Weinsier RL, Ullman DO. Gallstone formation and weight loss.
Obes Res. 1993:1:51-56.
  • 23. United States Public Health Service. Very Low Calorie Diets.
Bethesda, MD: NIH Publications; 1993, 94-3677, pp. 1-4.
  • 24. Baker S, Jerums G, Proietto J. Effects and clinical potential of
very-low-calorie diets (VLCDs) in type 2 diabtes. Diabetes Research and Clinical Practice. 2009. 85; 235-242.
  • 25. National Task Force on the Prevention and Treatment of Obesity.
Very-low-calorie-diets. JAMA. 1993; 270:967-74.
  • 26. Saris WHM, Koenders MC, Pannemans DLE, van Baak MA.
Outcome of a multicenter outpatient weight-management program, including very-low-calorie-diet and exercise. Am Clin Nutr. 1992; 56:294S-65.
  • 27. SPSS Inc. Predictive Analytics SoftWare Statistics (PASW) ver-
sion 18.0. 2009. ...continued from page 13 Thursday, January 5, 2012
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SLIDE 81

HEALTHY CHOCOLATE WEIGHT-LOSS SYMPOSIUM

Thursday, January 5, 2012
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SLIDE 82

Dean Miceli

OVER

LOST! LOST! LOST!

101LBS

Thursday, January 5, 2012
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SLIDE 83

Beth Johnson

OVER

LOST! LOST! LOST!

59LBS

Thursday, January 5, 2012
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SLIDE 84

Debra Menchel

OVER

LOST! LOST! LOST!

45LBS

Thursday, January 5, 2012
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SLIDE 85

Jarill Ristine

OVER LBS

LOST! LOST! LOST!

116

Thursday, January 5, 2012
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SLIDE 86
  • Dr. Janet Shefts

OVER

LOST! LOST! LOST!

42LBS

Thursday, January 5, 2012
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SLIDE 87

Gale Wong

OVER

LOST! LOST! LOST!

100LBS

Thursday, January 5, 2012
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SLIDE 88

Jake Carter

OVER

LOST! LOST! LOST!

60LBS

Thursday, January 5, 2012
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SLIDE 89

Jennifer Lucas

OVER

LOST! LOST! LOST!

80LBS

Thursday, January 5, 2012
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SLIDE 90

LaRue Johnson

OVER

LOST! LOST! LOST!

65LBS

Thursday, January 5, 2012
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SLIDE 91

Linda Frolich

OVER

LOST! LOST! LOST!

62LBS

Thursday, January 5, 2012
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SLIDE 92

Executive Team

Jeanette Brooks

Founder & President

Thursday, January 5, 2012
slide-93
SLIDE 93

HIGH-ANTIOXIDANT

Wellness System

SHAKE & BAKE PROMOTION

Buy 2 Get 1 Variety Pack FREE!

Free Product on 1st Auto-Ship

Thursday, January 5, 2012
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SLIDE 94

HEALTHY CHOCOLATE WEIGHT-LOSS SYMPOSIUM

Thursday, January 5, 2012
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SLIDE 95

Thank You

Thursday, January 5, 2012