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Welcome to the Living the Dream Podcast with Curveball, if you believe you can achieve.
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Welcome to the Living the Dream with Curveball Podcast, a show where I interview guests that teach, motivate and inspire and a few guests that teach, motivate and inspire.
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Today, I am joined by award-winning author and nationally syndicated health expert, dr John Puthleo.
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John's going to be talking about things like how to beat weight gain, diabetes and all about his books and everything that he's up to.
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So let's get it started, dr Puthle.
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Thank you so much for joining me today.
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Thank you for having me and I thank the audience who will be listening and viewing.
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Why don't you start off by telling everybody a little bit about yourself?
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Well, I come from India.
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I did my medical training in India.
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I went to Scotland to do an internship.
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I came to the United States in 1970, did residency and fellowship in the American Board of Pediatrics, canadian Board of Pediatrics, american Board of Allergy and Immunology.
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During my practice, I noticed my patients gaining weight, some of them developing diabetes and even, in spite of treatment, many of them having complications of diabetes, such as kidney damage, damage to their eyesight, heart attacks, dementia, alzheimer's.
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So I was curious why are they having these complications in spite of taking insulin and keeping their blood sugar normal sugar normal?
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So this is why this is what I started my journey on how to finding out what is natural regulatory mechanisms of food intake, how overweight happens and the complications such as diabetes.
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How do they happen and what to do about it to treat it as well as to prevent it.
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How do they happen and what to do about it to treat it as well as to prevent it.
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Okay, well, I know you also talk about seven ways to lose weight and not regain the weight, so can you talk about those seven ways?
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Yes, the thing is, many people lose weight using a prescribed dietary program or restricted calorie intake and they succeed.
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But then what happens?
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How do you not address how to prevent the weight from coming back?
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That is what motivated me to help people who are losing weight or who have lost weight reach their optimum weight, but then they start regaining.
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So let's go back and say why do we lose weight?
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How do we lose weight?
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If you take in less calories compared to what you're spending, then the body draws the stored energy that is stored as fat for metabolic actions to produce energy.
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That is fine.
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Metabolic actions to produce energy that is fine.
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But in order to maintain your natural body functions, the body needs over 100 different nutrients.
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So how do you provide the body all the nutrients at the right time in the right amount?
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If you don't, you start regaining the weight back because you go back to the old way of eating.
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So the first thing is to find out.
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I will take one by one and you can ask after each one.
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I will stop and then you can ask for the clarification if you need to.
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The first one is what exactly is what I call your authentic weight?
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Because if you look at the weight chart or the BMI table.
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It is based on white ethnic background in the United States.
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Go back to the history.
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How did the weight chart come about?
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It is a recording of the Metropolitan Life Insurance Company, who compiled the voluntarily reported height and weight of insurance-seeking people to determine what weight and what height was contributing to early illness, death or longevity.
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That is how the weight and height table came about.
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It was not actually measured.
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It was reported weight and height.
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Nobody verified it.
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It was reported weight and height, nobody verified it.
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Then they found out they applied that to every person in the world because we learned in our medical school in India 60 years ago the same thing.
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So that has been the standard all over the world.
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So people are classified regardless of their genetic makeup, their ethnic background, their food habits.
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The same way but that is in last year, 2024, the American Medical Association suggested that the same BMI chart and the weight table will not be applicable to individual without considering their genetic makeup, their food habits, their illnesses and all those things.
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So the first chapter is how to find your own, what I call authentic weight.
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Any questions?
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No, well said.
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Okay.
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So the what I mean by by that is ordinarily each ethnic group come from a different background, different genetic disposition, different type of cuisine and some people if you have excess food for generations you will have a larger storage capacity.
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In other words, you can be the same height, but one person can weigh 150 pounds.
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Another person can weigh 200 pounds same height.
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So which one is right?
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That depends on how much fat storage capacity you inherited.
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Inherited, because as long as the fat is outside the blood, it does not cause you any medical problems, but if it stays in the blood, then it blocks the arteries, producing heart attack, stroke, kidney problems and all that.
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So that is where you have to determine what is your own authentic weight.
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So the next question is how do you identify or determine what is your authentic weight?
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In most cases, you reach your authentic weight in the mid-20s.
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Why mid-twenties?
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Why mid-twenties?
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Because that is when you have reached your maximum height and your bone density is the maximum.
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Remember, your weight is a compound measurement of your muscle weight, your bone weight, your fat weight, your water weight, all of or organ weight.
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All of these are included in your total weight.
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So the maximum height is and the bone density.
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They are reached by mid-20s.
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So if your blood test shows normal fasting blood sugar, normal triglyceride, normal cholesterol, that weight is your authentic weight.
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So as long as you keep close to it not more than 5 to 7, maximum 10% deviation as you get older, you are going to be fine okay yep, you're good, keep on going okay.
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so that is what you have to keep tab on.
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That is your authentic weight, that is what you want to keep for the rest of your life and you are going to be fine.
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But if you deviate from that, then the question is why?
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That is the second chapter.
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If you don't put in more calories than you are spending, then you are going to store it in the body as fat.
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So what we have to look at is what is making you overeat?
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That's the second chapter.
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Unless you identify your own reasons, the reason that you eat excess, you cannot collect it.
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Yes, you can lose weight by reducing the amount of calories you take in, but in order to maintain it, you have to match it.
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And in order to match it, you need to know what nutrients, how much or what food group, how much each time you sit down to eat.
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Let me ask you this question Can you tell me when you are going to feel hungry next?
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Can you?
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No, okay.
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How does the brain know when to create the sensation of hunger?
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See, your body is using nutrients 24-7, every minute.
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Yet you are not hungry all the time.
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It comes from time to time.
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How does the brain know, right?
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Absolutely.
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It's amazing how the brain can tell you when you're hungry.
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Right?
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So the best example is look at a toddler, a child, two to six years of age.
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Grandma makes so many things to feed the child.
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The child will come and eat only when he or she is hungry, not because grandma made it, but because the child is hungry.
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What do adults do If somebody offers food?
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It doesn't matter whether you are hungry or not, you will eat it, just to taste it or to please the host.
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Secondly, the child will pick and choose what he or she wants.
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Grandma made 10 things.
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The child may take three or four.
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The next time, grandma make more of the three or four the child enjoyed, but the child may not even touch it.
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You've done something else.
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So what do we do if somebody makes it?
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Oh, I have to taste it because the host took so much trouble.
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Or it is an all-you-can-eat buffet.
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I need to try everything to get my money's worth, right, absolutely Okay.
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The third thing is when the child is satisfied.
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The child could care less how much is left on the plate, whereas an adult, once you put it on the plate, you don't want to waste it.
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You would rather put it on your waist rather than put it in the wastebasket, right?
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Especially if it's something good, especially if it's something good Right.
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So one time I was counseling 10 white American adults about their weight loss and I asked them the same question what makes you clean up the plate?
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Oh, that is how our parents taught us.
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I said why?
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Because there were starving children in India and Africa and China.
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So you have to finish what you are eating, don't waste the food.
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So I said.
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Now I grew up in India, some days I didn't feel hungry.
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Now I know why.
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I said they asked why?
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Because you were all eating for me.
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So that does not make sense.
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You have to.
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You don't have to eat clean your plate just because somebody else is hungry.
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But so the best way is put smaller quantities, enjoy them and then, if you want, if you need more, you go and take some more.
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So that is what I in the second chapter.
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Any questions?
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Yeah, and, and you can kind of, you know, know, talk about this as you go along, but, uh, why you, why you're discussing this, discuss, you know, misleading food labels and how can you decode them?
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You know, like, if you're trying to eat healthy or you're trying to avoid certain things.
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Okay, that's the third chapter.
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Pay attention to your signals of hunger and satiation.
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So when somebody offers the food, the first question is am I hungry or am I eating because I'm conditioned, because I know this food is tasty because of my previous encounter with this food.
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I enjoyed it.
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So I am sure to enjoy it right now, whether I'm hungry or not.
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So the first question is am I really hungry or am I eating because I want to enjoy the taste of food, what's called the conditioned aspect?
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You know you drink alcohol because you get conditioned to it, you are habituated to it.
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You put too much salt because that is what you have enjoyed it before.
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So it is strictly for enjoyment, which is what is called the dopamine effect.
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That is there in the body to help you locate or take food that is immediately needed for function.
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So the first question is am I truly hungry?
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If you are hungry, then you start.
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How do you know whether you are truly hungry or not?
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The first thing is when you put that food in the mouth, that first bite tastes so good.
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If you are not hungry, the intensity of enjoyment will not be as much as you will have when you are hungry.
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After a few minutes have when you are hungry.
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After a few minutes, your enjoyment, the intensity of enjoyment, starts going down.
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That is the time you have to reconsider, reevaluate.
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Do I still need it?
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If you are not sure, take a sip of water and then try it again, why?
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Let me ask you this question Before when can you predict when you are going to be thirsty the next time?
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Well, I would say, you know, if you were out on a hot summer day and you were out in the yard, I mean, you might not be able to predict the actual time, but you know you're going to be thirsty.
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So I would say maybe sometimes.
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Right, but then when you are thirsty, can you predetermine how much water will it take to quench your thirst?
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You cannot.
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Cannot, and each time when you are thirsty, the quantity that takes to quench your thirst will be different.
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Right.
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Yes, okay.
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Now if I blindfold you and give you something to drink?
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Now if I blindfold you and give you something to drink you will know immediately whether it is water, wine, beer, coffee, tea, right yes.
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How do you know that?
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Well, I would say, if you've drank these things before, you would know what they are, but maybe, if you have not, you might not know what it is.
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But when you identify them, how do you identify them?
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By your taste buds?
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Exactly that's what I'm looking for.
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What I'm suggesting is you know, by the time you finish drinking, your thirst is quenched.
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But the world is that water, that water is still in your stomach, right?
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It has not been absorbed into the body yet.
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Is that correct?
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That's correct.
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So how does the brain know you had enough?
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Because the quantity is different.
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If it is based on fullness of the stomach, you should drink the same quantity of water before your thirst is quenched.
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Because of the variation in the volume, it has to be something other than the volume capacity of the stomach.
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How does the brain know you have enough water?
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You consumed enough to quench your thirst at that time.
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Any idea.
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I don't know, but I will say that God is amazing and he made an amazing thing when he created the body.
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Well, yes, that is true, but how does it function?
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That is what we need to know.
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The mechanism is there, but how do we apply the mechanism?
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What I am suggesting is those taste buds that identify between different types of drinks that you take.
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That is what God gave us to identification.
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But God also added something else.
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That is those taste buds.
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They can meter how much is going down.
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You see, the brain already knows what your water deficit is, the quantity.
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When the metering tells the brain this much has gone down, the brain says, okay, that's it.
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Does that make sense?
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Yes, that makes sense.
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Okay.
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That is why we are satisfied different volumes of water at different times, even before that water is absorbed into the body.
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What I'm suggesting in this book is that we have a similar mechanism for solid foods also In order to identify the type of solid nutrients.
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Remember, body needs over 100 different nutrients.
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You cannot get all of them from one food group or from one meal.
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That is why we get hungry at different times of the day.
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How many times you eat, it doesn't matter, as long as you eat in response to hunger.
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But the type of food you eat should be based on what the body needs.
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And how does the body know that?
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That is when you chew the food it releases nutrients that the taste buds and mouth receptors can identify and report to the brain.
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Identify and report to the brain.
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Now, each time, is there any food in nature that adult humans can get nutrients from without chewing?
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I would say drinking.
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Yeah well, drinking will not give you all the nutrients you need, so you have to chew.
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Why did nature pack every nutrient human body needs in containers that require chewing?
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Because chewing causes release of nutrients at a rate where the receptors can pick up and report to the brain how much is going down, not only what nutrient is going down.
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What is happening is, in the modern age, the foods that we eat require practically no chewing.
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How much can you chew rice?
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How much can you chew pasta, bread, cake, cupcake?
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So what happens when you stop chewing?
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You swallow, so eating foods that require less and less.
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And nowadays some people blend the food, puree the food.
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How much do you chew?
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You don't.
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So you just keep going down as if you're vacuuming it into the stomach.
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That is why you end up overeating, because you are not paying attention to the signals of hunger and satiation.
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That is the third.
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Any questions?
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That is the third, any questions?
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Nope, no questions, okay, okay.
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The next is you have to identify what is your old way of eating that led you to gain weight and have complications that led you to gain weight and have complications.
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So the simple thing is if you go to do grocery shopping when you are hungry, you are likely to buy more things because everything looks appealing, and if the shop provides free samples, you are going to eat it at that time because you want.
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You're hungry.
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So you have to go back and look at what made you buy more food, prepare more food, eat more food.
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Eat more food.
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It may be family settings, it may be the environment, it may be the habit of celebrations.
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Oh, if it is an anniversary, yes, you have to do it.
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If it is a birthday, you have to participate.
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So if it is a religious ceremony, you have to do this.
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So, if it is a religious ceremony, you have to do this.
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So there are customs, there are behavior patterns based on society, your ethnicity, your background, your celebrations.
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You don't need a reason just to get together, have a good time.
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And what do you do?
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Food is the central theme, do?
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Food is the central theme, and that is what is happening.
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That causes excess intake and weight gain.
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So you have to analyze each one when you go shopping.
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Don't go shopping on an empty stomach or when you're hungry.
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Make a list of exactly what you need.
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Don't buy on impulse or by visual, because the vendors, the people who want to sell.
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They make it so attractive in the box or in the display case and you're tempted to buy it, whether you need it or not.
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You are tempted to buy it whether you need it or not, and then they do something else that you don't know, that is, they make the taste of the food so enjoyable by adding more salt, more sugar, more fat.