{"id":73,"date":"2020-04-26T16:56:00","date_gmt":"2020-04-26T15:56:00","guid":{"rendered":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/2020\/04\/26\/junk-the-junk-food-and-reduce-your-covid-risk\/"},"modified":"2021-03-24T09:30:04","modified_gmt":"2021-03-24T09:30:04","slug":"junk-the-junk-food-and-reduce-your-covid-risk","status":"publish","type":"post","link":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/2020\/04\/26\/junk-the-junk-food-and-reduce-your-covid-risk\/","title":{"rendered":"Junk the Junk food and reduce your COVID risk."},"content":{"rendered":"<h3 style=\"color: #1f3763; font-family: arial, sans-serif; font-size: 12pt; margin: 2pt 0cm 0.0001pt;\"><span style=\"font-weight: normal;\"><span style=\"caret-color: rgb(0, 0, 0); color: black; font-family: -webkit-standard;\"><span style=\"font-family: &quot;calibri&quot; , sans-serif;\">New US&nbsp;<\/span><span style=\"color: #0000ee; font-family: &quot;calibri&quot; , sans-serif;\"><span style=\"caret-color: rgb(0, 0, 238);\"><u>surveillance<\/u><\/span><\/span><a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/69\/wr\/mm6915e3.htm?s_cid=mm6915e3_w#F2_down\" style=\"font-family: Calibri, sans-serif;\">&nbsp;shows<\/a><span style=\"font-family: &quot;calibri&quot; , sans-serif;\">&nbsp;obesity is the biggest single reversible risk factor for severe COVID19 in younger groups and indeed is a major cause of the<\/span><\/span><span style=\"color: black; font-size: 12pt;\"><span style=\"font-family: &quot;calibri&quot; , sans-serif;\">&nbsp;other big risk factors affecting older groups.<\/span><\/span><\/span><\/h3>\n<div><b style=\"caret-color: rgb(0, 0, 0); color: black; font-family: -webkit-standard;\"><span style=\"font-family: &quot;calibri&quot; , sans-serif;\"><br \/><\/span><\/b><\/div>\n<div><span style=\"color: #1f3763; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">They found obesity to be the single largest risk factor in the under 50&#8217;s admitted to hospital and only overtaken in the older groups by hypertension and heart disease, which are&nbsp;<\/span><span style=\"caret-color: rgb(31, 55, 99); color: #1f3763; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">strongly linked to obesity&nbsp;<\/span><span style=\"color: #1f3763; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">and diabetes which in many cases is caused by it.<\/span><\/div>\n<div><span style=\"color: #1f3763; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div><span style=\"color: #1f3763; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctors are&nbsp;<span style=\"caret-color: rgb(31, 55, 99);\">rightfully<\/span>&nbsp;<a href=\"https:\/\/www.foodnavigator.com\/Article\/2020\/04\/22\/Coronavirus-and-obesity-Doctors-take-aim-at-food-industry-over-poor-diets#\">up in arms<\/a>&nbsp;about the food industry and their part in the obesity pandemic and thus full ITU&#8217;s around the world.&nbsp;<\/span><br \/><span style=\"color: #1f3763; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"color: #1f3763; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">So am I!<\/span><\/div>\n<div><span style=\"color: #1f3763; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif; font-size: small;\"><br \/><\/span><\/div>\n<div><span style=\"color: #1f3763; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif; font-size: small;\">This post describes my experience of successfully&nbsp;<\/span><span style=\"color: #1f3763; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"caret-color: rgb(31, 55, 99);\">helping<\/span><\/span><span style=\"color: #1f3763; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif; font-size: small;\">&nbsp;people lose weight and with the COVI19 crisis is now more relevant than ever&#8230;&#8230;&nbsp;<\/span><br \/><span style=\"color: #1f3763; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif; font-size: small;\"><br \/><\/span><span style=\"color: #1f3763; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif; font-size: small;\">Anyone overweight or obese, and indeed anyone who buys sugar, read on.<\/span><br \/><span style=\"color: #1f3763; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif; font-size: small;\"><br \/><\/span><span style=\"color: #1f3763; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif; font-size: small;\">Allegory time&#8230;<\/span><\/div>\n<p><span style=\"color: #1f3763; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif; font-size: small;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"color: #1f3763; font-size: 12pt;\">I<\/span><span style=\"color: #1f3763; font-size: 12pt;\">magine if you will, sitting in a caf\u00e9 in any city in the wor<\/span><\/span><span style=\"color: #1f3763; font-family: &quot;calibri&quot; , sans-serif; font-size: 12pt;\">ld. While idly people-watching, you notice two thirds of the passers-by have green, glowing ears! Imagine too that green-glowing ears were known to cause illness, suffering and premature death as well as bankrupting health systems and societies. It also worsens COVID and other infections.&nbsp;<\/span><span style=\"color: #1f3763; font-family: &quot;calibri&quot; , sans-serif; font-size: 12pt;\">Then consider the main cause of green-glowing ears was discovered to be a specific, commercial food additive designed to enhance taste. What do you think would happen?<\/span><\/p>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\">Well, I guess you would expect uproar! The media would immediately run angry sensational headlines; the government would dive straight in with prohibition, the manufacturers of the particular food additive would be sued out of existence, imprisoned even for manslaughter.&nbsp;&nbsp;There would be self-help groups for the green-glowers; the problem would gradually disappear from ears and from the streets of the world to then be confined to the history books.<o:p><\/o:p><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\">Or would green glowing ears could become the new normal, with the health and social costs accepted as the price to pay for tasty food and mega-profits?<o:p><\/o:p><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\">You would think the former, but I would put my money on the latter. Why? Because in my surgery I witnessed this phenomena. Not of course green glowing ears, but people visibly poisoned by the food they ate. My patients waistlines were expanding, so too their suffering and my workload.<\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><\/div>\n<div style=\"margin: 0cm 0cm 0.0001pt;\"><span style=\"font-family: &quot;calibri&quot; , sans-serif;\">This is what has<\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"font-family: &quot;calibri&quot; , sans-serif;\">&nbsp;happened due to&nbsp;<\/span>copious<span style=\"font-family: &quot;calibri&quot; , sans-serif;\">&nbsp;amounts of sugar added to our diet &#8211; our greatest ever act of human mass-poisoning. The obesity caused by sugar loaded diets have beco<\/span><\/span><span style=\"font-family: &quot;calibri&quot; , sans-serif;\">me engrained in our culture, visible on every street and now in every intensive care unit in the world. Its hideous effects largely accepted as a price to pay for commerce.&nbsp;<\/span><\/div>\n<div style=\"margin: 0cm 0cm 0.0001pt;\"><span style=\"font-family: &quot;calibri&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div style=\"font-family: Calibri, sans-serif; font-size: medium;\">The &#8220;food industry, with a tiny grain of truth, argue it&#8217;s far more complicated than that. Its all about balance, they say, getting out more! Just do more physical work to shed the fat you deposit within due to their products and their profits.<\/div>\n<div style=\"font-family: Calibri, sans-serif; font-size: medium;\"><\/div>\n<div style=\"font-family: Calibri, sans-serif; font-size: medium;\">By balance, they mean go swimming, for example. Burn up 300 Kcal in the pool, and then eat one of their 300Kcal products afterwards. That is the sort of balance that is tipping the NHS, and indeed society, into eternal overdraft.<\/div>\n<div><span style=\"font-family: &quot;calibri&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div><span style=\"font-family: &quot;calibri&quot; , sans-serif;\">I tried to get a handle on this at work.&nbsp;<\/span><\/div>\n<div><span style=\"font-family: &quot;calibri&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div><span style=\"font-family: &quot;calibri&quot; , sans-serif;\">Back in the mid-90&#8217;s I measured the height and weight of 100 consecutive patients to find my observations confirmed. 38% of my patients were obese, 37% overweight, 24% normal weight and one single person thin. This was reflected in the amount of arthritis, heart disease, diabetes, and other complaints that I had to help with.<\/span><br \/><span style=\"font-family: &quot;calibri&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><o:p><\/o:p><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\">Coupled with this there was a certain nilhism amongst colleagues as to how effective dietary advice really was. We seemed to do quite well with helping people quit smoking, but with diet, most of the time it seemed to make no difference. Why?&nbsp;<\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\">Well it might be that cutting down and stopping smoking is conceptually simple. You know how many cigarettes you\u2019re smoking and how many you used to, and you know when you have succeeded. Targets and aims are black and white. Reduce, stop, celebrate and move on. With food it\u2019s not so simple, there is confusion a mountain of contradictory advice.&nbsp;&nbsp;How might this be tackled?<o:p><\/o:p><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\">Off I went to the <a href=\"https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/772434\/NDNS_UK_Y1-9_report.pdf\">National Diet and Nutrition Survey<\/a> to find out in a bit more detail what we are eating. An image caught my mind. It has been on my &#8220;lifestyle and MS&#8221; slide presentations ever since and is of even more importance today. Here it is:<o:p><\/o:p><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><\/div>\n<div style=\"clear: both; text-align: center;\"><a href=\"https:\/\/1.bp.blogspot.com\/-p0XLqT28EdM\/XqUssG_yOwI\/AAAAAAAAAIE\/pKmuwqLQ6Vo8FtHH-at---fMc2EM6qsEACLcBGAsYHQ\/s1600\/sugar1.png\" style=\"margin-left: 1em; margin-right: 1em;\"><img loading=\"lazy\" decoding=\"async\" border=\"0\" data-original-height=\"785\" data-original-width=\"1256\" height=\"250\" src=\"https:\/\/1.bp.blogspot.com\/-p0XLqT28EdM\/XqUssG_yOwI\/AAAAAAAAAIE\/pKmuwqLQ6Vo8FtHH-at---fMc2EM6qsEACLcBGAsYHQ\/s400\/sugar1.png\" width=\"400\" \/><\/a><\/div>\n<div style=\"clear: both; text-align: center;\"><\/div>\n<div style=\"clear: both; text-align: center;\"><\/div>\n<div style=\"clear: both; text-align: center;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Putting this another way:<\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><b>The average UK adult will eat&nbsp;their&nbsp;own body weight in sugar every four years.<\/b><\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><b><br \/><\/b><\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><b>The average UK&nbsp;teenager&nbsp;will eat&nbsp;their&nbsp;own body weight in sugar every two years.<\/b><\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><b><br \/><\/b><\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><b>The average UK child will eat their own body weight in sugar every year.<\/b><\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">This sort of sugar intakes cannot be compatible with health.<\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">The amounts of calories this represents had immediate implications for my day to day work and the day to day life of my patients.<\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">As it this wasn&#8217;t&nbsp;shocking enough, the&nbsp;graph&nbsp;didn&#8217;t&nbsp;tell the whole story. These are averages.<\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">My average patient had average health, the outliers did not. For every patient taking half the average, there&nbsp;would be one&nbsp;taking&nbsp;double. As ever, those <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2743027\/\">deprived and&nbsp;living&nbsp;in poverty<\/a> eat and&nbsp;suffered&nbsp;the&nbsp;consequences&nbsp;the most. The poor, are in effect, paying with their health for the profits of others. this might seem radical, but it is the simple terrible reality of our times.<\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">I started to ask my patients how much sugar they were consuming. Not easy and not wholly accurate, but it went&nbsp;something&nbsp;like this:<\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctor: &nbsp; How much sugar do you add to your diet?<\/span><\/div>\n<div style=\"clear: both; text-align: left;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Patient: &nbsp;Not much.<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctor: &nbsp; Do you have any in your hot drinks?<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Patient: &nbsp;Yes.<\/span><\/div>\n<div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctor: &nbsp; How many.<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Patient: &nbsp;Not many.<\/span><\/div>\n<\/div>\n<div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctor: &nbsp; How many<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Patient: &nbsp;Two.<\/span><\/div>\n<\/div>\n<div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctor: &nbsp;How many hot drinks do you have a day<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Patient: &nbsp;(After a think) About 8.<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctor: &nbsp;Thats sixteen spoons of sugar a day.<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Patient: &nbsp;Yes, I suppose so.<\/span><\/div>\n<\/div>\n<div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctor: &nbsp; That&#8217;s 320Kcal a day, about 12% of your energy intake.<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Patient: &nbsp;Is it?<\/span><\/div>\n<\/div>\n<div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctor: &nbsp; Put another way, those calories are stored as 12Kg of fat, every year!<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Patient: &nbsp;Really!<\/span><\/div>\n<\/div>\n<div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctor: &nbsp; I think I might have just found out how to cure your diabetes!<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Patient: &nbsp;Wow!<\/span><\/div>\n<\/div>\n<div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctor: &nbsp; Can you stop adding sugar to your tea.<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Patient: &nbsp;Definitely!<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctor: &nbsp; Excellent, I&#8217;ll see you in three months.&nbsp;<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Three months later&#8230;.<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctor: &nbsp;Hello there. Did you manage to give up sugar?<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Patient: &nbsp;I did.<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctor: &nbsp;I&#8217;m delighted! Pop on the weighing scales please.<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Patient: &nbsp;Why do doctors always say &#8220;Pop&#8221;?<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctor: &nbsp; I have no idea.<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctor: &nbsp;Clamber onto the weighing scales please<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctor: &nbsp;You have lost 2.5 Kg!<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Patient: &nbsp;Brilliant.<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctor: &nbsp; Yes, fantastic, keep it up and see me again in three months.<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Patient: &nbsp;Will do, is there&nbsp;anything&nbsp;else I can do?<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Doctor: &nbsp; Sorry I have run out of time&#8230;..<\/span><\/div>\n<div style=\"clear: both;\"><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Please note, it wasn&#8217;t always this easy.<\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div style=\"clear: both;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">The record sugar intake in my patients was an astonishing 600 spoons of sugar a week, with some very evident health consequences. Copious amounts of Lucozade the culprit in this case. This isn&#8217;t a matter of blame, I felt considerable compassion for people with this problem. I have to admit it became an obsession of mine. It still is.<\/span><\/div>\n<\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">After a&nbsp;couple&nbsp;of experiences like this, I started to record what happened after giving the&nbsp;following&nbsp;simple advice:<\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">1. Stop adding sugar to hot drinks.<\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">2. Stop drinking any soft drinks.<\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">3. Identify sugar rich food products and get them out of your diet.<\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">4. Save confectionary, biscuits, buns for special occasions, if at all.<\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">5. Then cut down on spuds, rice, pasta.<\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">250 patients and four years later this is what the spreadsheet revealed.<\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div style=\"direction: ltr; line-height: 14.399999618530273px; margin-bottom: 0pt; margin-left: 0.25in; margin-top: 10pt; text-indent: -0.25in; unicode-bidi: embed; word-break: normal;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">185 (74%) lost weight.<\/span><\/div>\n<div style=\"direction: ltr; line-height: 14.399999618530273px; margin-bottom: 0pt; margin-left: 0.25in; margin-top: 10pt; text-indent: -0.25in; unicode-bidi: embed; word-break: normal;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">(Those who didn&#8217;t admitted to not having followed the advice)<\/span><\/div>\n<div style=\"direction: ltr; line-height: 14.399999618530273px; margin-bottom: 0pt; margin-left: 0.25in; margin-top: 10pt; text-indent: -0.25in; unicode-bidi: embed; word-break: normal;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Average weight loss was 7% of body weight maintained over 4 years<\/span><\/div>\n<div style=\"direction: ltr; line-height: 14.399999618530273px; margin-bottom: 0pt; margin-left: 0.25in; margin-top: 10pt; text-indent: -0.25in; unicode-bidi: embed; word-break: normal;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">46 (18%) lost more than 10% of their body weight<\/span><\/div>\n<div style=\"direction: ltr; line-height: 14.399999618530273px; margin-bottom: 0pt; margin-left: 0.25in; margin-top: 10pt; text-indent: -0.25in; unicode-bidi: embed; word-break: normal;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">40 (16%) were no longer classified as obese<\/span><\/div>\n<div style=\"direction: ltr; line-height: 14.399999618530273px; margin-bottom: 0pt; margin-left: 0.25in; margin-top: 10pt; text-indent: -0.25in; unicode-bidi: embed; word-break: normal;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">3 out of 13 patients with diabetes were &#8220;undiagnosed&#8221;.<\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"text-indent: -0.25in;\"><br \/><\/span><\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"text-indent: -0.25in;\">There were marked improvements in diabetes, hypertension, well being, and a wonderful sense of being in control of their own health.<\/span><\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Patients generally felt much better. So did I!<\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">I will post more on this later, including the detailed written advice I used to give patients about sugar, energy, weight loss, diet and food.<\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Suffice it to say that when I was diagnosed with MS, I took my own advice. You can&#8217;t give it up&nbsp;completely; it is present in small quantities in some quite healthy foods, but getting the bulk of it out of your diet will get help you get rid of countless&nbsp;dangerous calories and kilos.<\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><b>How about exercise:<\/b><\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Exercise it good for the body, if careful, and the mind. However, it a hard ask to use it to lose weight without reducing calories in the diet, as the following information shows:<\/span><\/div>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div><\/p>\n<ul style=\"margin-bottom: 0cm; margin-top: 0cm;\" type=\"disc\">\n<li><b><span style=\"font-family: &quot;arial&quot; , sans-serif;\">A teaspoon (5g) of sugar contains 20 Kcalories<o:p><\/o:p><\/span><\/b><\/li>\n<li><b><span style=\"font-family: &quot;arial&quot; , sans-serif;\">This (incredibly) contains enough energy to walk about 300 yards (3mph)<o:p><\/o:p><\/span><\/b><\/li>\n<li><b><span style=\"font-family: &quot;arial&quot; , sans-serif;\">The average sugar consumption in the UK is about 120 spoons of sugar a week.<o:p><\/o:p><\/span><\/b><\/li>\n<li><b><span style=\"font-family: &quot;arial&quot; , sans-serif;\">About 15 % of the calories we eat in the UK comes from pure sugar<o:p><\/o:p><\/span><\/b><\/li>\n<\/ul>\n<p><span style=\"font-family: &quot;arial&quot; , sans-serif;\"><b><br \/><\/b><\/span><\/p>\n<ul style=\"margin-bottom: 0cm; margin-top: 0cm;\" type=\"disc\">\n<li><b><span style=\"font-family: &quot;arial&quot; , sans-serif;\">The energy from this added sugar is enough to walk about 20 miles a week<\/span><\/b><\/li>\n<\/ul>\n<\/div>\n<div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><span style=\"font-size: 12pt;\">In other words, it&#8217;s a great idea to exercise, but losing weight by exercising alone is a very hard, almost impossible thing to do.<\/span><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><span style=\"font-size: 12pt;\"><br \/><\/span><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><b>What about a healthy diet?<\/b><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\">This was not a part of my advice to patients. I only had ten minute appointments, so advice was confined, with exceptions, to the massive benefits of just not eating a terrible diet. There is more to be considered when it comes to a really healthy diet, and a multitude of opinions, but the first step to losing weight is not to eat a terrible sugary one.<\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><b>What about fasting?<\/b><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\">Fasting too is a really helpful way to lose weight and to stay or become healthy. There are a number of different ways of doing it. Speaking for myself, I don&#8217;t eat after about 6 in the evening and delay breakfast till 11 in the morning. I then take doggie out for a walk, as I get the feeling <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31628477\/\">exercising in the fasting state <\/a>might well bring added benefits. With no sugar in my diet and and daily fasting, I actually find it hard to keep my weight up. A handy dilemma to have in this day and age. More on this later&#8230;.<\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><b>The very last word&#8230;<\/b><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><b><br \/><\/b><\/div>\n<div style=\"margin: 0cm 0cm 0.0001pt;\"><span style=\"font-family: &quot;arial&quot; , sans-serif;\">The easy and most rapid way to improve your diet and lose weight is to give up as much added sugar as you can. Be below average! In doing that you will be doing your bit to reduce the&nbsp;national&nbsp;average.<\/span><\/div>\n<div style=\"margin: 0cm 0cm 0.0001pt;\"><span style=\"font-family: &quot;arial&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div style=\"margin: 0cm 0cm 0.0001pt;\"><span style=\"font-family: &quot;arial&quot; , sans-serif;\">Dare I say it? This would save lives and save the NHS!<\/span><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><span style=\"font-family: &quot;arial&quot; , sans-serif;\"><br \/><\/span><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><\/div>\n<div style=\"font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;\"><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>New US&nbsp;surveillance&nbsp;shows&nbsp;obesity is the biggest single reversible risk factor for severe COVID19 in younger groups&hellip; <a href=\"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/2020\/04\/26\/junk-the-junk-food-and-reduce-your-covid-risk\/\" class=\"more-link btn btn-link\">Read More&hellip; <span class=\"screen-reader-text\">Continue reading Junk the Junk food and reduce your COVID risk.<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"spay_email":"","footnotes":""},"categories":[5],"tags":[],"class_list":["post-73","post","type-post","status-publish","format-standard","hentry","category-healthy-eating"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/posts\/73","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/comments?post=73"}],"version-history":[{"count":1,"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/posts\/73\/revisions"}],"predecessor-version":[{"id":662,"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/posts\/73\/revisions\/662"}],"wp:attachment":[{"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/media?parent=73"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/categories?post=73"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/tags?post=73"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}