Obesity is the leading cause of chronic disease in the western world. While good people can disagree on whether it is a truly medical disease, all agree that it is the biggest precursor to many diseases. There is data that suggests that by just reducing the obesity rates, we can reduce the overall cost of health care. Obesity can be considered the leading cause of death and sickness.
Definition: An increase in a person’s body weight 20% above the ideal for a person based on their height, age, sex and body structure. It is specifically accumulation of fat above the ideal.

Causes
A lifestyle of unhealthy diet, inactivity, unmanaged stress, lack of sleep, some genetic factors, our environment and exposure to endocrine disrupters all contribute to our weight gain. Once our weight starts to increase, we develop changes biochemically which worsens the situation.

Prevention
Whole foods, mostly plants, well balanced so we get the right amount of macronutrients of complex carbohydrates, protein and fats, and micronutrients (vitamins, minerals, antioxidants) is the cornerstone of a healthy diet
Increase your physical activity level by participating in sports, group classes, dancing, gardening or any other physical activity.
Focus on managing your stress with community support, meditation, prayer etc.
Develop good sleep habits

Treatment
Lifestyle Medicine
Nutrition : Get rid of bad eating habits and replace them with good foods that are good for you and benefit you. The most beneficial foods are whole foods, minimally processed, full of color. Drink plenty of water at least ½ your ideal weight in ounces.
Exercise : For health maintenance 150 min/week is suggested. That is a place to start and build on. A combination of aerobic, strength and flexibility is best.
Sleep Hygiene : It is important to get refreshing sleep at least 7-8 hours. Very few people can survive long term without negative physical effects on less sleep.
Stress Management : Unmanaged stress leads to wrong type of eating. The elevated cortisol results in weight gain, water retention, insulin resistance, increased inflammation. Stress is our reaction to a situation. Learning to manage our response goes a long way to improving our overall health.
Medication Support : There are medications that help by suppressing appetite. But without making the needed changes as outlined above there is no long-term success.

Testimonials
Our patients are learning to focus on self-care, and they are feeling better and experiencing improved health outcomes.
I have learned amazing tools through HeartMath. I have seen a dramatic difference in my daily stress and have even seen some weight loss. I recommend this program to anyone wanting to have more control over their daily life and emotions.
Leala D.

In Dr. Abraham’s Annual Lifestyle Program I am learning to make better choices and I am kinder to myself. I am creating new habits and finding more balance in my life. I have lost 36 pounds so far and was able to stop taking one of my blood pressure medications and am taking less of the other medication.
Lila S.

I love the encouragement I receive through Dr. Abraham’s Lifestyle Program. It’s not just a diet but a whole outlook on wellness. I have great tools regarding nutrition, exercise and stress management. I have been able to lose 64 pounds. I love the changes I am making, and life is better.
Robert H.

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