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Archived from the original PDF on 10 October This is my own personal experience on how Nutrisystem worked for me. The Journal of Clinical Investigation. In the United States, subsidization of corn, soy, wheat, and rice through the U. Retrieved 18 December Although only one flavor of Weight Watchers Smart Ones desserts is subject to the recall — Chocolate Chip Cookie Dough Sundae — it is packaged under 21 different date codes, ranging from Dec.
Weight Watchers is recalling , cases of its Smart Ones frozen desserts containing pieces of cookie dough that has been recalled because of Listeria monocytogenes contamination. Although only one flavor of Weight Watchers Smart Ones desserts is subject to the recall — Chocolate Chip Cookie Dough Sundae — it is packaged under 21 different date codes, ranging from Dec.
Retailers across the country received the product. Check the recall notice for date codes and other label information. Weight Watchers is among several companies that have recalled products in recent weeks because of cookie dough from Aspen Hills Inc.
The cookie dough company has refused to release its customer list, but in October a company spokeswoman said none of the recalled Aspen Hills cookie dough went to fund-raising customers. She said it all went to commercial food manufacturers. However, my husband and daughter were my biggest fans on this journey.
My husband continued complementing me on how good I look and how proud he is of me. He never complained that we did not go out to eat as much as we used to or that I no longer cooked meals. He pushed me to exercise and eat healthy.
It was definitely an emotional rollercoaster at times. At the same time, reading other people's testimonies and reviews of the Nutrisystem diet was encouraging and inspiring, too. My size twelves were getting too big. Though I was actually enjoying wearing them loose, I knew at this rate I would need some new clothes. Grabbing a few pairs of jeans in a size 10, and one in a size 8 just for fun, I dashed into the dressing room.
They were a little snug but I was still a comfortable ten. However, I did buy a pair of yoga pants to walk in. When I got home, I put on those jeans I had in my closet and took my first ever mirror selfie. I was half way to my goal and I now had the confidence that I would reach it. By week ten, I was still enjoying all the food and health benefits of Nutrisystem. I still had 10lbs to lose to reach my goal but I started getting discouraged. My weight loss had slowed down.
I even gained a pound. Due to financial struggles, I was afraid I would have to cut back on my Nutrisystem food orders. I was averaging a 1 to 2 lbs weight loss and that was a healthy normal. I decided to measure instead of weigh. Then there was still the money issue. There were other saving options out there as well, like a Nutrisystem promo code for existing customers. By the 3rd month, I had lost even more weight and people were starting to notice. I was getting a lot of compliments.
I bagged up the clothes and donated them to the local Good Will. The weight loss is real to me now. Let me give you some brief Nutrisystem food reviews. Every month I would log onto my Nutrisystem account. From the menu options, I would pick 28 foods of my choice for each of the four meals which included breakfast, lunch, dinner and dessert.
The choices were easy as I loved almost everything they offer. The plan I chose, which is the Core plan, only includes the shelf foods instead of the frozen varieties. I got to have delicious foods such as doughnuts, pancakes, chocolate muffins, pizza, hamburger, chicken and even cake and brownies. With all the choices, it never gets boring.
The meats in the shelf items are conveniently packed in a vacuum sealed wrap but were tender and taste like they are right out of the deli. With so many varieties, I ate something different each day of the week. It was just perfectly pre-portioned meals to keep me on a healthy track. The food contains no trans fats, and it's low in sodium. And the carbs it contains are of low glycemic index. This is why Nutrisystem food prevents fatique, reduces your appetite, keeps you fuller and energized for longer.
It's safe for diabetics, too. As you will probably read in other Nutrisystem weight loss reviews, the taste is not the only thing great about Nutrisystem foods. Each meal is individually wrapped with cooking instructions which made it easy to toss in my purse and go to work. Some of the meals are easy enough to eat while in the car.
When I hear people talk about that pound cake they made the other night or watching those Tasty videos on Facebook, I am not fazed.
I stopped going to buffets and doughnut shops. I do not have the appetite for those places any longer. People have asked me how do I stick to the diet during holidays or when family decides to go out to eat. But I can say I now have control. I allowed myself to enjoy all the foods that were offered. However, since being on Nutrisystem, I have a pretty good idea on the right foods to stay clear of, and how big of portions I should have. I even enjoyed some bacon, a piece of cheese cake and a peep.
The day after that Easter, I was nervous about stepping on the scales. A few weeks later, I had a birthday and, well, you know how that goes. I ate cake but just a small piece. It was somewhat of a struggle, but again, I have learned to eat small portions. The biggest struggle was everyone trying to get me to eat more. People think that since you lost a few pounds, you can go back to eating the way you used too. Then there was a trip to the beach. I snacked on lots of fruit and veggies.
I felt good about myself. The weight loss slowed down. Sixteen weeks had passed. It had been a fun journey. My weight loss had slowed down to losing an average on one pound a week.
It was better than a gain. I wished to lose more. I called and talked to a Nutrisystem counselor. I was eating every three hours. It seems like a lot of food but the snacks are tiny. Small amounts of healthy foods. My weight loss stalled for a couple weeks. I was warned this could happen but I was still a little discouraged. I called a Nutrisystem counselor again. They are always so helpful. They suggested I change things up a bit.
The also advised me to eat more. I was also advised to make sure I drink enough water. My weight loss took off again and the pounds started dropping again. Who knew that more is sometimes less? The hardest thing for me to give up when I started Nutrisystem was bacon. I would eat five or six pieces without even thinking about it.
I am actually allowed two slices of bacon a day as a power fuel on the Nutrisystem plan but I chose to stay completely away from it. For me to eat bacon would be like giving an alcoholic a sip of wine. I also missed sitting down to a shared meal with my husband, but that has gotten better as he is fine with just a salad while I enjoy a healthy Nutrisystem pizza. Which is awesome by the way.
I continued enjoying the Nutrisystem foods and never got tired of them. I found ways to apply my vegetables to my meals in creative ways such as adding spinach or olives to my Nutrisystem pizza or adding spaghetti squash to my Nutrisystem meatballs.
The options are never ending. Does Nutrisystem weekends off work? Yes, it does work. With this plan, I picked 20 days of meals instead of 28 which left me to defend for myself two days a week.
To transition off of Nutrisystem, I needed to learn to apply my own foods to my diet that are equivalent to Nutrisystem meals. It took seven months for me to reach my goal. I am so excited. I am convinced that Nutrisystem is more than a cute commercial.
It really does work! It took a lot of dedication, determination and discipline to get where I am. Obesity is one of the leading preventable causes of death worldwide.
Obesity increases the risk of many physical and mental conditions. These comorbidities are most commonly shown in metabolic syndrome ,  a combination of medical disorders which includes: Complications are either directly caused by obesity or indirectly related through mechanisms sharing a common cause such as a poor diet or a sedentary lifestyle.
The strength of the link between obesity and specific conditions varies. One of the strongest is the link with type 2 diabetes. Health consequences fall into two broad categories: Increased fat also creates a proinflammatory state ,   and a prothrombotic state. Although the negative health consequences of obesity in the general population are well supported by the available evidence, health outcomes in certain subgroups seem to be improved at an increased BMI, a phenomenon known as the obesity survival paradox.
In people with heart failure, those with a BMI between This has been attributed to the fact that people often lose weight as they become progressively more ill. People with class I obesity and heart disease do not have greater rates of further heart problems than people of normal weight who also have heart disease.
In people with greater degrees of obesity, however, the risk of further cardiovascular events is increased. At an individual level, a combination of excessive food energy intake and a lack of physical activity is thought to explain most cases of obesity. A review identified ten other possible contributors to the recent increase of obesity: A review supported excess food as the primary factor.
It has also changed significantly over time. The widespread availability of nutritional guidelines  has done little to address the problems of overeating and poor dietary choice. Most of this extra food energy came from an increase in carbohydrate consumption rather than fat consumption. As societies become increasingly reliant on energy-dense , big-portions, and fast-food meals, the association between fast-food consumption and obesity becomes more concerning.
Agricultural policy and techniques in the United States and Europe have led to lower food prices. In the United States, subsidization of corn, soy, wheat, and rice through the U.
Obese people consistently under-report their food consumption as compared to people of normal weight. A sedentary lifestyle plays a significant role in obesity. The World Health Organization indicates people worldwide are taking up less active recreational pursuits, while a study from Finland  found an increase and a study from the United States found leisure-time physical activity has not changed significantly.
In both children and adults, there is an association between television viewing time and the risk of obesity. Like many other medical conditions, obesity is the result of an interplay between genetic and environmental factors. As of , more than 41 of these sites on the human genome have been linked to the development of obesity when a favorable environment is present. The term "non-syndromic obesity" is sometimes used to exclude these conditions. The thrifty gene hypothesis postulates that, due to dietary scarcity during human evolution, people are prone to obesity.
Their ability to take advantage of rare periods of abundance by storing energy as fat would be advantageous during times of varying food availability, and individuals with greater adipose reserves would be more likely to survive famine. This tendency to store fat, however, would be maladaptive in societies with stable food supplies. Certain physical and mental illnesses and the pharmaceutical substances used to treat them can increase risk of obesity.
Medical illnesses that increase obesity risk include several rare genetic syndromes listed above as well as some congenital or acquired conditions: Certain medications may cause weight gain or changes in body composition ; these include insulin , sulfonylureas , thiazolidinediones , atypical antipsychotics , antidepressants , steroids , certain anticonvulsants phenytoin and valproate , pizotifen , and some forms of hormonal contraception.
While genetic influences are important to understanding obesity, they cannot explain the current dramatic increase seen within specific countries or globally. There are a number of theories as to the cause but most believe it is a combination of various factors. The correlation between social class and BMI varies globally. A review in found that in developed countries women of a high social class were less likely to be obese. No significant differences were seen among men of different social classes.
In the developing world, women, men, and children from high social classes had greater rates of obesity. The decrease in strength of correlation was felt to be due to the effects of globalization. A similar relationship is seen among US states: Many explanations have been put forth for associations between BMI and social class.
It is thought that in developed countries, the wealthy are able to afford more nutritious food, they are under greater social pressure to remain slim, and have more opportunities along with greater expectations for physical fitness.
In undeveloped countries the ability to afford food, high energy expenditure with physical labor, and cultural values favoring a larger body size are believed to contribute to the observed patterns.
A correlation in BMI changes over time has been found among friends, siblings, and spouses. Smoking has a significant effect on an individual's weight. Those who quit smoking gain an average of 4. In the United States the number of children a person has is related to their risk of obesity.
In the developing world urbanization is playing a role in increasing rate of obesity. Malnutrition in early life is believed to play a role in the rising rates of obesity in the developing world. Consistent with cognitive epidemiological data, numerous studies confirm that obesity is associated with cognitive deficits. The study of the effect of infectious agents on metabolism is still in its early stages. Gut flora has been shown to differ between lean and obese humans.
There is an indication that gut flora in obese and lean individuals can affect the metabolic potential. This apparent alteration of the metabolic potential is believed to confer a greater capacity to harvest energy contributing to obesity. Whether these differences are the direct cause or the result of obesity has yet to be determined unequivocally. An association between viruses and obesity has been found in humans and several different animal species. The amount that these associations may have contributed to the rising rate of obesity is yet to be determined.
Certain aspects of personality are associated with being obese. There are many possible pathophysiological mechanisms involved in the development and maintenance of obesity. In particular, they and other appetite-related hormones act on the hypothalamus , a region of the brain central to the regulation of food intake and energy expenditure.
There are several circuits within the hypothalamus that contribute to its role in integrating appetite, the melanocortin pathway being the most well understood. The arcuate nucleus contains two distinct groups of neurons. Both groups of arcuate nucleus neurons are regulated in part by leptin. Thus a deficiency in leptin signaling, either via leptin deficiency or leptin resistance, leads to overfeeding and may account for some genetic and acquired forms of obesity.
The World Health Organization WHO predicts that overweight and obesity may soon replace more traditional public health concerns such as undernutrition and infectious diseases as the most significant cause of poor health.
Solutions look at changing the factors that cause excess food energy consumption and inhibit physical activity. Efforts include federally reimbursed meal programs in schools, limiting direct junk food marketing to children,  and decreasing access to sugar-sweetened beverages in schools.
Many organizations have published reports pertaining to obesity. This is a comprehensive evidence-based guideline to address the management and prevention of overweight and obesity in adults and children. Comprehensive approaches are being looked at to address the rising rates of obesity. The Obesity Policy Action OPA framework divides measure into 'upstream' policies, 'midstream' policies, 'downstream' policies. The main treatment for obesity consists of dieting and physical exercise.
In the short-term low carbohydrate diets appear better than low fat diets for weight loss. Five medications have evidence for long-term use orlistat , lorcaserin , liraglutide , phentermine—topiramate , and naltrexone—bupropion. The most effective treatment for obesity is bariatric surgery. In earlier historical periods obesity was rare, and achievable only by a small elite, although already recognised as a problem for health.
But as prosperity increased in the Early Modern period , it affected increasingly larger groups of the population. In the WHO formally recognized obesity as a global epidemic. Once considered a problem only of high-income countries, obesity rates are rising worldwide and affecting both the developed and developing world.
Obesity is from the Latin obesitas , which means "stout, fat, or plump". Ancient Greek medicine recognizes obesity as a medical disorder, and records that the Ancient Egyptians saw it in the same way. It was common among high officials in Europe in the Middle Ages and the Renaissance  as well as in Ancient East Asian civilizations.
With the onset of the Industrial Revolution it was realized that the military and economic might of nations were dependent on both the body size and strength of their soldiers and workers.
During the 20th century, as populations reached their genetic potential for height, weight began increasing much more than height, resulting in obesity. Many cultures throughout history have viewed obesity as the result of a character flaw. The obesus or fat character in Ancient Greek comedy was a glutton and figure of mockery. During Christian times the food was viewed as a gateway to the sins of sloth and lust.
People of all ages can face social stigmatization, and may be targeted by bullies or shunned by their peers. The weight that is viewed as an ideal has become lower since the s.
In Britain, the weight at which people considered themselves to be overweight was significantly higher in than in Obesity is still seen as a sign of wealth and well-being in many parts of Africa. This has become particularly common since the HIV epidemic began.
Some attribute the Venus figurines to the tendency to emphasize fertility while others feel they represent "fatness" in the people of the time. This continued through much of Christian European history, with only those of low socioeconomic status being depicted as obese. These women, however, still maintained the "hourglass" shape with its relationship to fertility. After centuries of obesity being synonymous with wealth and social status, slimness began to be seen as the desirable standard. In addition to its health impacts, obesity leads to many problems including disadvantages in employment   and increased business costs.
These effects are felt by all levels of society from individuals, to corporations, to governments. Obesity prevention programs have been found to reduce the cost of treating obesity-related disease. However, the longer people live, the more medical costs they incur.
Researchers, therefore, conclude that reducing obesity may improve the public's health, but it is unlikely to reduce overall health spending. Obesity can lead to social stigmatization and disadvantages in employment. The most common injuries in this group were due to falls and lifting, thus affecting the lower extremities, wrists or hands, and backs.