03.07.2014

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It means I eat fresh fruits and veggies that I grow in my garden, buy at a farmer’s market, or the produce section of the grocery store. There are a million websites out there on the topic and a lot of them say clean eating is vegan or vegetarian.
What freaks me out is that we’re hearing more and more about GMO’s and how foods we get at the stores are often genetically modified and WE DO NOT KNOW IT!
I used to use a lot of coupons when grocery shopping but now that I’m limiting my processed foods, I usually buy the most groceries in the produce, meat and dairy sections. I strive for a mostly clean diet as well and am miffed that we can’t take advantage of store coupons as often because they don’t cover the produce aisle! I like to hear what other people define as clean eating because it’s always different.
I actually have totally steered away from the term clean eating, because it still puts food into good and bad categories, which I don’t do anymore.
I think it bothers me as well because the image I have of my weekly cupcake rolling around in the gutter getting dirty before I pick it up and eat it LOL! I don’t eat 100% clean because I do love my baked goods (but only homemade!) but I like to think I do about an 80-90% good job of it It always frustrates me when people have definitions of clean eating that involve processed food…which is by definition not clean! Enter your email address to subscribe to this blog and receive notifications of new posts by email. Human chorionic gonadotropin (HCG) injections: hormone produced during pregnancy and found in the urine of pregnant women, HCG spurs rapid weight loss. Appetite suppressants: trick the body into believing that it is not hungry or that it is full by increasing serotonin or catecholamine.
Fat absorption inhibitor: prevents the breaking down and absorbing of fat eaten with your meals. Methionine – neutralizes free radicals, helps with digestion and breaking down of fat, removes heavy metals from the body and works as a catalyst for Choline and Inositol.
Vitamin B12 – regulates the formation of red blood cells, prevents anemia, and aids digestion, absorption and synthesis of foods and the metabolism of carbohydrates and fats.
Lipotropic injections’ side effects include itching, redness, tenderness and bruising at the injection site, upset stomach and lethargy.
Creative Visual Relaxation (CVR): hypnosis that helps and readjusts eating habits, approach to food, and self-body image.
At Genesis Medical Clinic, our medical weight loss program regime consists of B12, phentermine (appetite suppressant) exercise, diet and counselling. If you found this post helpful, please consider sharing, leaving a comment or subscribing to the RSS feed.
Frequently asked QuestionsHow do I get into your pain management program?We need your MRI, CT scan or any imaging you've done, a referral note and your pharmacy profile faxed to (813)549-7399. Our award-winning blog brings you insights on health, nutrition and wellness from experts you can trust. Proper nutrition plays an extremely important role in the treatment of a cat with hyperthyroidism. When secreted in excess, thyroid hormones have profound metabolic effects on the whole body, and dysfunction of multiple organ systems is common in hyperthyroid cats (1-3).
Weight loss, despite a normal to increased appetite, is the classic and most common sign seen in cats with hyperthyroidism (1-3). It’s important to realize that hyperthyroidism is a catabolic wasting state, in which a "breaking down" of the body occurs no matter how much nutritional intake occurs. When hyperthyroid cats initially lose weight, this can be first noticed as a loss of muscle mass over the cat’s lower back.
With time, severe muscle wasting, emaciation, cachexia, and death from starvation can occur if the cat’s hyperthyroidism is left untreated (1-3).
Even with treatment of hyperthyroidism, recovery of muscle mass and function may be prolonged, lasting several weeks to months. Hyperthyroid cats can also develop profound changes in carbohydrate metabolism (glucose and insulin metabolism).
In addition to loss of muscle mass from the catabolic effects of thyroid hormone excess, cats also tend to lose muscle mass as they age, independent of their thyroid status.
In adult cats, maintenance energy requirements decrease by about 3% per year until the age of 11 years, and then actually start to increase again (11). Although moderation of calorie intake might be suitable for some mature cats, it does not appear to match the needs of most geriatric cats. As obligate carnivores, cats are unique in their need for large amounts of dietary protein (specifically, dispensable nitrogen) that separates them from omnivores and herbivore species (16-20). In most geriatric cats, logic dictates the use of highly digestible, energy-dense foods to mitigate the decline in body weight and lean body tissue and help avoid protein:calorie malnutrition (10,14,15). Feeding a low carbohydrate diet will improve insulin sensitivity, reduce the need for exogenous insulin, and help stabilize glucose metabolism in these cats (24-26). Concurrent chronic kidney disease (CKD) is common in hyperthyroid cats, occurring in up to 30% of cases. It may seem impossible, but no studies have conclusively demonstrated that severe restriction of protein alone will prevent further deterioration of kidney function in cats (30).
To me, it makes a great deal of sense to feed hyperthyroid cats a diet with a composition close to what they would be getting in the wild. It turns out that many of the over-the-counter diets have a better composition of protein and carbohydrates than you might have thought — even better than many of the more expensive prescription diets. The composition of almost all dry food cat diets are much too high in carbohydrates and most are too low in protein content. Once we have selected a few diets with the required composition breakdown of carbohydrates, protein, and fat, we next have to look at the ingredient list (32).
When deprived of protein, carnivores will continue to break down muscle tissue to create the energy they need. In addition to looking at the composition and ingredients, we have to ensure that all of the essential nutrients are present in the diet.
For cat owners, I recommend that they choose two or more pet food companies known to have a good track record and feed those foods.
Homemade diets can certainly be as good as any commercial diet if properly formulated and contain all of the essential nutrients needed for the older cat.
The risk of homemade diets being improperly formulated, however, is very high unless the cat owner seeks out a veterinary nutritionist to help formulate a properly balanced diet (34, 35).
The use of uncooked meat, organs, and eggs in homemade cat food recipes can be a reason for particular concern, especially if essential safe-handling practices are not followed.
If commercial canned food is fed, feed balanced food with healthy ingredients from more than one good company.


This blog is written for owners of pets with endocrine disorders, as well as for veterinarians and veterinary staff. For more in-depth discussions of the science behind endocrinology, please read my blog written for veterinarians: Insights into Veterinary Endocrinology. That’s not MY definition (especially when it comes to processed faux meats and soy products!). Michael and I eat a specific brand of corn tortilla chips because they are gluten free (for him), taste great, and are basically 2 ingredients. Rice, whole grain pastas, quinoa, etc…all of those things can be part of a healthy diet.
Michael recently started trying a Whey product because he’s doing a good 100 miles a week on the bike.
I tried the store bought kind and back in the day the only one I liked was the Atkins shake.
It’s never 100% perfect and I still rely on processed foods (like canned soups and beans) for meals sometimes. I, too, try to buy local, seasonal veggies, fruits, eggs, meat, and bread as much as possible. I’ve tried to get to baking things from scratch instead of from a box (or chocolate chip cookies from a log!). When taken with a nutritionally balanced low calorie diet of 500 to 800 calories a day, HCG triggers the brain to burn stored fat. They also are used to dissolve fat in parts of the body that may appear to be less responsive to exercise such as the stomach and tight. It functions as a transporter of fatty acids into the mitochondria, the metabolic furnace of the cell.
Hyperthyroid cats develop muscle wasting as well as many metabolic complications because of their disease. In this post, I will discuss the ideal food composition and nutrients that I believe hyperthyroid cats should be fed. These cats lose weight because their hyperthyroidism accelerates their metabolic rate and body’s energy expenditure.
The progressive weight loss and muscle wasting that is so characteristic of feline disease is caused by an increased rate of fat and muscle protein breakdown (4,5). In hyperthyroidism, the cat’s body consumes its own muscle tissue to get the protein it needs to sustain its carnivorous life.
This is especially true if these cats are not provided with enough protein in their diet to rebuild and maintain their lost muscle mass. Hyperthyroidism frequently causes moderate to severe insulin resistance (6,7), which is a physiological condition where the natural hormone insulin becomes less effective at lowering blood glucose levels. This indicates that hyperthyroid cats may have long-lasting alterations of carbohydrate metabolism that cannot always be reversed by treatment. This phenomenon, referred to as sarcopenia of aging, is also common in elderly human beings (8-10).
This contributes to a tendency of senior cats to lose muscle mass if their energy needs are not met. After the age of 14 years, one-fifth of geriatric cats have reduced ability to digest protein (11-13).
In contrast, it seems more logical to use highly digestible, energy-dense food for geriatric cats in order to prevent or slow their decline in body weight and lean body tissue (11,14,15).
This absolute requirement for dietary protein intake in cats is critically important when formulating a diet for hyperthyroid cats, in which protein catabolism and muscle wasting is universally present. Restoring and preserving any remaining muscle tissue in cats treated for hyperthyroidism depends upon the cat consuming a diet with sufficient amounts of high-quality protein.
Protein reduction for this geriatric life stage, at a time when lean tissue is being lost, is contraindicated. This is what most endocrinologists (myself included) also recommend in cats with diabetes mellitus (24-26). This may prevent the development of overt diabetes and control long-term obesity in these cats after successful control of the hyperthyroidism.
To that end, I'm looking for a diet that is composed of approximately 50% protein and <10% carbohydrates (21-23). This website uses metabolizable energy (ME) values to evaluate food composition— in other words, it gives you the percent calories that comes from the protein, fat, and carbohydrate fractions of the diet, and allows us to compare various diets without worrying about their different water levels (31).
Very few of my hyperthyroid cat patients require a prescription diet to fulfill their nutritional needs.
That is why I believe it's best to limit the amount of dry food that is fed to cats, or even better, not feed dry food at all.
By feeding only high-quality protein diets, we will help restore the cat’s muscle mass and improve strength and agility. Some of the cat foods marketed as "holistic or natural" may not actual be totally balanced or contain all of the essential amino acids that a cat needs. I also choose foods that carry an AAFCO feeding claim to be complete and balanced for an adult or senior cat.
The advantage of these diets is that you know exactly what ingredients they contain (34, 35).
Unless one is highly dedicated and becomes knowledgeable to ensure that the homemade diet is both safe and balanced, it's generally best to stick with the commercial, canned diets, selecting them based on the criteria listed above. Review and comparison of neuromuscular and central nervous system manifestations of hyperthyroidism in cats and humans.
Whole body and forearm substrate metabolism in hyperthyroidism: evidence of increased basal muscle protein breakdown.
Idiosyncratic nutrient requirements of cats appear to be diet-induced evolutionary adaptations. Effects of nutrition choices and lifestyle changes on the well-being of cats, a carnivore that has moved indoors. Weights, body composition and caloric value of post-juvenile molting European tree sparrows. Whole body cholesterol, fat, and fatty acid concentrations of mice (Mus domesticus) used as a food source. Efficacy and safety of Lantharenol on phosphorus metabolism in cats with chronic kidney disease. Clinical evaluation of dietary modification for treatment of spontaneous chronic kidney disease in cats. As a reformed vegetarian, I do eat meat and lots of seafood and I try my best not to get the stuff that is corn-fed.


I’d rather eat real sugar than the chemically altered stuff like nutrisweet and splenda. He wasn’t getting enough calories, even though he was eating a massive amount of food during the day. I take Vitamin D because I live in the Northwest and I’m deficient (as are most people in Oregon and Washington according to my doctor). I agree protein shakes aren’t filling and you have to evaluate everything you choose to put in your body!
Side effects could include gallstone formation, irregular heartbeat and imbalance of electrolytes. Therefore, they have special dietary needs and require sufficient amounts of all essential nutrients in their daily diets. In other words, they are burning up their food calories faster than they can consume their daily meals.
This insulin resistance is associated with a decreased glucose clearance, which is indicative of a prediabetic state. In accord with that, some of these hyperthyroid cats (not diabetic at time of diagnosis) will go on to develop overt diabetes mellitus in the months to years after treatment of hyperthyroidism.
The term age-related sarcopenia is derived from Greek (meaning "poverty of flesh") and is characterized by a degenerative loss of skeletal muscle mass and strength, as well as increased muscle fatigability.
Lean body mass of aging cats drops dramatically after 12 years of age, and by age 15, cats may have a mean lean tissue mass that is a third less than cats aged 7 years or less (11, 12). Reduced protein digestibility in geriatric cats seems to occur in parallel with reduction of lean tissue and it might predispose them to negative nitrogen balance.
Reducing protein intake in geriatric cats, at a time when lean tissue has been lost, is contraindicated.
To me, it makes a great deal of sense to feed hyperthyroid cats, a diet with a composition close to what they would be getting in the wild. In addition, this recommendation for higher amounts of dietary protein does not change once euthyroidism has been restored.
Geriatric cats seem to have nutritional requirements closer to kittens than to mature adult cats. However, at least in early to mid-stage renal disease, lowering of the serum phosphate concentration is much more important in management than dietary protein restriction, and this can be easily accomplished with phosphate binders without lowering the protein content of the diet (28,29).
Some vegetable and grains are fine, but they may supply a less bioavailable form of protein for cats and should not be the primary source of dietary protein.
The best way to determine if diet is totally nutritious is to examine the diet's nutritional profile, which shows the levels or concentrations of all essential nutrients (amino acids, fat, mineral, and vitamin) in the pet food (33).
I would be very careful in choosing a smaller company as the primary supplier for your cat's food. Given the potential health risks, the FDA does not advocate feeding raw meat, poultry, or seafood to pets (36). If possible, I'd recommend trying to keep the percent carbohydrates (dry matter basis) to less than 10-15%. Because half the time when I click on a website talking about the topic, I roll my eyes at their definition of clean eating. For example: if I want a snack I eat nuts, veggies with avocado, fresh seasonal fruit, things like that.
There was definitely a time in my life when I did eat a lot of substitutes because they were low calorie options. Then I went through a phase where I made my own shakes with some protein, fresh fruit and yogurt.
It’s important information to have if you’re trying to eat clean but who has the advanced knowledge to figure that out in the middle of a grocery store?
But more often than not, I am taking homemade, leftovers and salads made from my garden for lunches at work. This means I spend a lot of time in the produce section and meat section and basically no time in the boxed food aisles of the store. However, the American Society of Bariatric Physicians does not recommend HCG as a weight loss aid as scientific studies have demonstrated that HCG injections do not cause weight loss but the strict diet that accompanies it does.
This includes adequate amounts of high-quality proteins, fat, minerals, vitamins, and water. Occasionally, an untreated hyperthyroid cat will even go on to develop full-blown diabetes mellitus. Body fat also tends to progressively decrease in cats after the age of 12 years; this combination of reduced lean mass and body fat contributes to weight loss experienced by many elderly cats.
Geriatric cats seem to have nutritional requirements closer to kittens than to mature adult cat.
That would be a diet composed of approximately 50-60% protein, 5-10% carbohydrates, and 30-50% fat (21-23). That means that we will have to feed more protein and fat, which is what cats are meant to eat. Sounds like you need to have another talk with your veterinarian to determine what's the best course of treatment. I definitely eat some processed foods–I love plain Greek yogurt and cottage cheese as a healthy snack. I eat salmon at least once a week, shrimp once a week, and if I’m craving sushi I eat a ton of tuna and salmon rolls. Many of these diabetic cats are difficult to regulate with insulin therapy but treatment of their concurrent hyperthyroid state generally improves diabetic control.
Diet soda may have zero calories but the chemicals and weird sugar in it always make me feel gross. It’s really easy and not very much work at all, and I just need to plan better and make it part of my weekly meal prep time.
How badly do I want it if it is?” Like if I can make it myself and use more natural ingredients, I try to do that. I am feeding my cats a reconstituted raw diet with bone and ground pumpkin seed that is enriched with probiotics and krill oil. I am also getting really confused as to the best route to take for hyperthyroidism, particularly as kidney disease has also been identified.



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Comments to Weight management clinic ottawa civic

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