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This post will detail how readers have lost well over 100 pounds on The Slow-Carb Diet®. Comprehensive step-by-step details, including Q&As and troubleshooting, can be found in The 4-Hour Body, but the above outline is often enough to lose 20 pounds in a month, drop two clothing sizes, or more.
Last we spoke, she had dropped from 247 pounds to 122 pounds, for a loss thus far of 125 pounds. People always ask me what moment led me to lose over 150 pounds in 9 months on the Slow Carb Diet (SCD).
The third moment, which happened just days before I began the SCD, was when a good friend told me that in order to effectuate positive change in your life, you need strength and guidance. I recall reading headlines in August that Amazon had just signed its first author for a new publishing arm.
Months after starting the SCD, I ran into an article in the UK’s Daily Mail explaining the science behind postponing eating, which further reinforced the science behind cheat day on the SCD.
When I don’t have time to cook at home, I either get a chicken bowl from Chipotle (no dairy or corn) or order a carne asada (grilled steak) plate at my local burrito shop, which consists of steak, pinto beans, and a salad (no cheese). I started the SCD on a Wednesday and did not have my first cheat day until the second Saturday.
I did my part, building the strength through discipline and will power to succeed on the SCD. Armed with a basic overview of the SCD and a supportive online community (like 4HBTalk), Ricardo lost 150 pounds. If you have any Slow-Carb stories (or before-and-after pics), I’d absolutely love to see them in the comments! Watch The Tim Ferriss Experiment, the new #1-rated TV show with "the world's best human guinea pig" (Newsweek), Tim Ferriss. This diet really works-though I dont strictly follow it now-I did use it to get rid of 10 pounds after having my baby.
Finally, there were very few moments during that week that I didn’t have a huge glass of green or white tea in hand. Incidentally, most of the supplements listed were to treat or prevent deficiencies or for other benefits I’m targeting.
The supplements I consider most beneficial to my weight loss are the agg, pagg, and cissus. If you need to supplement between meals, nut butters are good – peanut, sunflower, almond, etc.
The fructose will hurt the insuline sensitivity you have developed but feel free to experiment for four weeks. I really appreciate the awareness and energy that you bring to food, eating, body image, and exercise in 4HB.
Hello Tim, after writing my address on your facebook about taking a polish 4 hour body I got a weird email from USPS about some problem with package.
I have a condition called PCOS and I am insulin resistant, PCOS makes it very difficult for me to lose weight as my body does not process carbohydrates correctly. You are exercising too much, follow the rules and use Tim’s recommendations for minimizing the effects of the cheat day.
There was a recent news story about a mother of a special needs child who starved her till she was 14 years of age and only 28 lbs.
I don’t care what these parents were thinking about maybe their own lives growing up, and obesity in general, but withholding food from a growing infant with developing organs and brain function is ABUSE, clear and simple.
Some of the gross neglect stories are obviously criminal, but when a child is overweight is it ALWAYS the fault of the parents?  I personally am split on this one.
There they are clearly being selfish thinking about apparently what their child thinks of them, more then their health. Also, if we gave our children everything they wanted in life, would they turn out well in any respect? But what about those that eat normally, and not always junk, and still gain excessive amounts of weight? As far as what is said in the media, there is no mention of filthy living conditions, signs of physical abuse, etc., that sometimes the state does see and the child remains in the home. If you ask a lot of obese people, they will say that they have been heavy their whole lives, including during childhood, and may have weighed around this weight themselves. When a child is 2 years old he clearly isn’t opening up the fridge and making himself a triple decker sandwich with 3 slices of pie on the side. It’s just a very touchy topic because there is so much obvious abuse and neglect in the world, it has become so easy for us all to rush to judgement. Department of Research and Development, North Norway Rehabilitation Center, Tromso, Norway. Department of Neurohabilitation, Division of Surgery and Clinical Neuroscience, Oslo University Hospital, Oslo, Norway. Objective: To assess the effects of an intensive, multidisciplinary rehabilitation program for patients with early to mid-stage Huntington’s disease.
Interventions: A one year rehabilitation program, consisting of three admissions of three weeks each, and a five-day evaluation stay approximately 3 months after the last rehabilitation admission. Main outcome measures: standard measures for motor function, including gait and balance, cognitive function, including MMSE and UHDRS cognitive assessment, anxiety and depression, activities of daily living (ADL), health related quality of life and Body Mass Index (BMI).
Results: Significant improvements were observed in gait function, balance, in physical quality of life, anxiety and depression, as well as in BMI. Conclusion: A multidisciplinary intensive rehabilitation program in patients with early and mid stage HD is associated with improved balance, gait function, physical quality of life and with reduced depressive and anxiety symptoms. Huntington’s disease (HD) is a hereditary autosomal neurodegenerative disorder caused by an expanded Cytosine-Adenine-Guanine (CAG) repeat in the HD gene 1 . In recent years, the interest in investigating the effects of non-therapeutic agents for managing and improving the symptoms of HD has been growing.
In 2009, The Norwegian Directorate of Health initiated the establishment of a pilot project to investigate effects of HD patients’ participation in an intensive multidisciplinary rehabilitation program.
A total of 37 patients were enrolled in the rehabilitation program in the two rehabilitation centers in Vikersund and Tromso.
Information about the project was spread by posting information on the web sites of both inpatient rehabilitation centers, the web site of a specialized national competence center for rare diseases, and announcements through the Norwegian patient association for HD. The structure of the rehabilitation program was identical for both rehabilitation centers, with three in-patient stays of three weeks each during one year.
Family members were included in the program during the first few days of the first admission as well as during the evaluation stay. Barthel index, a 10-item rating scale, was used to evaluate the level of assistance needed by a participant to perform basic activities of daily living 27. Mini Mental State Examination (MMSE) was used to evaluate the participants’ general cognitive status.
The Hospital Anxiety and Depression Scale (HADS) is a 14 item self-report questionnaire, and was used to assess symptoms of anxiety and depression. The Short Form-12 (SF-12) a self-report questionnaire consisting of two component scores for Physical and Mental quality of life, respectively, was used to assess the participants? quality of life and participation and was assessed at the beginning of each admission 31. For gait and balance variables, the linear mixed effect model of Analysis of Variance (ANOVA) was used to show mean changes from baseline (stay 1) for stay two, stay three and the evaluation stay (stay 4). For the remaining variables, comparison between baseline and the final evaluation was done using Paired t-test or non-parametric Wilcoxon Signed Rank test depending on the distribution of the data.
The patient recruitment was based on physicians’ referrals, and only one patient who was referred did not meet the inclusion criteria. There was significant improvement in gait (measured by TUG, 10MWT and 6MWT) from baseline through stay two and three to evaluation stay as shown in table 1. The results of the present study show that participation in a structured intensive multidisciplinary rehabilitation program is associated with improved balance, gait function, physical quality of life and with reduced depressive and anxiety symptoms in patients with early to middle stage HD. From the start of the project, it was clear that this was part of patient health care quality assessment and improvement. It is important to be aware of some methodological considerations of the project.This study is not a randomized clinical trial, but a descriptive study over a period of one year, as part of the evaluation of the implementation of an intensive multidisciplinary rehabilitation program. Strengths of this program include standardized protocols and systematically executed multidisciplinary approach, which had been carefully planned in terms of use of assessments, measurement points, aiming to have the same rater at both the baseline and final evaluation admission.
Taken together the present study supports previous results from Zinzi et al (2007) that an intensive multidisciplinary rehabilitation approach can be useful in the management and treatment of symptoms of early and middle stage HD. Participation in multidisciplinary rehabilitation program seems to be beneficial for persons in early and middle stage Huntington’s disease. A structured multidisciplinary rehabilitation program improves motor function and quality of life. Interclass correlation coefficients were calculated to assess the relative test –retest reliability.
It was when I realized that overweight people on TV, told they would die because of their weight, weighed less than I did. Instead of it prominently featuring my face, my whole midsection was featured, slumping over the chair.

This, coupled with the outstanding community aspect (via blogs and personal websites), has led to my success and high compliancy rate (over 90% complaint in the past 9 months). If you’re trying to lose fat, commit to testing The Slow-Carb Diet for two weeks starting this Wednesday. Last, if you know someone who needs (or wants) to lose weight, please tell them about Slow-Carb somehow. I have read all your books so am a big fan I actually started my muse company Zen Green Tea from an idea in 4 hr body- Green Tea! I didn’t want to let even 1 minute pass between my exercises and my eating) and also at 90 minutes after eating. Try running shorter distances after fasting 10-12 hours, then incrementally increase the distance, and dont eat gels etc while training.
They help give you more confidence in dealing with others and assist you in developing necessary skills for social interaction. If any email you get, even one from a friend: speaks in vague language like that one, or just gives a link or an attachment, assume it is spam. Did you stop exercising when starting diet then slowly add routines and track the results, more exercise will not accelerate the weight loss but in fact may have the opposite effect. It really depends on the circumstances. There ARE medical conditions and slow metabolisms that can cause certain individuals to gain excessive amounts of weight, including in early childhood.
Effects of a One Year Intensive Multidisciplinary Rehabilitation Program for Patients with Huntington’s Disease: a Prospective Intervention Study. The disease is characterized by motor disturbances, psychiatric symptoms and cognitive decline 2,3.
The present paper reports the quantitative results after one-year participation in the program. Participants were referred by their general practitioners or by specialists in neurology or psychiatry. The program consisted of up to 8 hours of various activities five days a week, from Monday to Friday, and one of the sites (Tromso) also offered four hours of supervised activities during the weekend. Most adjustments were made by a neurologist in order to reduce choreatic movements or other motor and clinical symptoms such as depressive symptoms and sleep disturbances.
If necessary, additional follow-up for participants and family members was provided between the various rehabilitation admissions. The program was established with-in the current reimbursement scheme for rehabilitation in Norway, with a daily reimbursement of approximately 3 000 NOK (equals 500 USD) per patient. 21,22 b) 10-Meter Walk Test (10MWT): the participant is asked to walk 10 meters as fast as possible.
Four items were rated 0-3 or 0-1, and rest of the six items were rated 0-3 for a total maximum score of 20 with higher scores indicating better performance.
The maximum score is 30 points, with higher score indicating better general cognitive status.
Participants with a BMI lower than 21 were monitored by a dietitian during the full three-week stay.
Participants reported significant improvement in the physical component score on the quality of life measurement when comparing baseline to evaluation (table 2). Additionally, only one cognitive measure (SDMT) showed significant decline, and no decline was observed for the remaining cognitive measures. This implied that after each stay, a comprehensive medical report was sent to the referring physician and other relevant allied health care personnel.
However, this is still only the second study looking into the effects of a multidisciplinary approach as treatment for HD. We hope that results from our study can contribute and inform care development for patients with HD.
We would like to thank all health care personnel in the Rehabilitation centers in Tromso and Vikersund.
A novel gene containing a trinucleotide repeat that is expanded and unstable on Huntington’s disease chromosome. I’ve seen the tremendous difference it can make in the lives of entire families, not just individuals. Shot and edited by the Emmy-award winning team behind Anthony Bourdain's No Reservations and Parts Unknown. Does it have to be on the “crazy” day or can you eat cheese with meals or snacks? Just a quick question, is it necessary to maintain the SCD for the rest of your life, or can you sprinkle in some fruits and whole grains during the week once you’ve achieved your weight goal?
It’s not even noted if he had any health issues that may have caused him to grow heavier despite his diet. There are amazing foster homes out there, but a child is losing his family and a mother is losing her child. There was also emphasis to implement of coordinated health care and social services for the patients. Only one cognitive measure (SDMT) showed significant decline, while no decline was observed for the remaining cognitive measures. A clinical diagnosis of HD is typically made when an individual has overt motor symptoms and a family history of Huntington’s disease.
These studies showed beneficial effects and have also investigated sensitive standard physiotherapy outcome measures 10–15.
Results of the qualitative evaluation of the experiences of the participants, their family members and healthcare providers will be reported elsewhere. Based on referrals and the patients’ own preference, they were enrolled in the rehabilitation programs in the two sites. Furthermore, the program aimed at establishing good co-operation between the rehabilitation centers and the health care professionals in the participant’s local community, with the aim of securing adequate follow-up after participants completed the in-patient rehabilitation study. The cost of a three-week program for each patient will hence be approximately 63 000 NOK (equals 10 500 USD).
A 10-meters walking area has two meters extensions before and after starting and finishing line so that allows participant to start and finish walking smoothly.
This test was assessed at the beginning of each admission, a total number of four assessments points. Even items from the Depression sub-scale and uneven items from the Anxiety subscale is also possible to rate 29,30.
All assessments were conducted by experienced staff, as far as possible, by the same staff member.
We found that the changes in two gait measures (TUG and 10MWT) exceeded the minimal detectable change values and therefore the changes are clinically meaningful. These results suggest beneficial effects of an intensive rehabilitation approach on symptom development of early to middle stage HD, and are in keeping with the findings reported by Zinzi et al (2007). The report clearly described the patients’ multidisciplinary needs, with a final medical report sent after completing the entire 1-year program. All patients had received a clinical diagnosis of HD, based on symptoms and known CAG repeat expansion, but we were unable to record the number of CAG repeats for the patients. Furthermore, in addition to functional outcomes, the present study seems to have contributed to increased establishment of long term and coordinated health care delivery for the participant. In the future, it would be interesting to investigate whether this type of intervention will result less need for supportive care in long-term since this was not in a scope our study. Furthermore, we thank the Norwegian Huntington?s Disease association and the Norwegian National Center for Rare Diseases for their support and input in the planning of this study.
Whether it’s life-or-death or just looking better in jeans, if you know someone who can benefit, please pass it on.
Best of luck with your writing- whatever you are struggling with just persevere and you will get there..
Example on 6 mile run the other day, after 3 miles I was done, I had to walk back to the gym. Clearly, we have seen very obvious abuse cases in the media, where no questions need be raised. The mom WAS getting him help as far as I had heard, and that shows obvious love for her child. Average age of diagnosis is 40-45 years, but often symptoms have already been present for several years at the time of diagnosis 2. Additionally, two important multidisciplinary rehabilitation studies have been conducted 16–18. Additionally, the present project aimed at performing a more in depth quantitative evaluation by using a greater variety of assessments, including measures of quality of life, ADL function, motor and cognitive function throughout three times 3-week intensive multidisciplinary rehabilitation program.
The project was submitted to the ethics committee who considered that a formal approval was not necessary (ref. Additionally, there were patient education sessions and group discussions for participants. The UHDRS motor and cognitive assessments were performed by the same trained professionals (JCF and MvW).

Furthermore, adding additional outcome measures (quality of life, UHDRS-cognitive battery and gait assessments), has strengthened previous results in showing that physical quality of life is improved and that specific cognitive domains (psychomotor speed, executive function) overall show no significant decline.
This may have contributed to a better understanding of the needs of the patients by their local health care personnel. Furthermore, it is important to note that patients in our study received slight adjustments to medication when necessary during the course of the program.
In Norway the positive effects of the study have resulted in the establishment of permanent rehabilitation services for HD patients.
It would be interested to know if it is possible to gain similar positive results with a shorter intervention program for instance 2 x 3 weeks intervention versus 3 x 3 weeks intervention during 12 months included cost-benefit analysis. Finally, we would like to express our gratitude to all HD patients and their family and caregivers, for participating in this intensive program.
Please do not put your URL in the comment text and please use your PERSONAL name or initials and not your business name, as the latter comes off like spam. I do drink some diet soda and sugar free red bull, to keep the engines running, but I do also drink a good amount of water as well. I think they could have monitored the situation, maybe put stipulations on things, like you must follow through with A,B, & C, and kept him in the home, unless there were other factors. Disease duration is commonly between 15-20 years, but symptom development and severity vary greatly between individuals. Zinzi et al (2007) reported that early to mid-stage HD patients who participated in a two-year intensive multidisciplinary rehabilitation program, containing six in-patient stays of three weeks in a rehabilitation center, were able to maintain or improve their cognitive and motor function 16.
Another goal was to obtain better retention numbers by closely following up the participants during the course of the program.
Physical therapy focused on improvement of balance and gait, occupational therapy sessions included training of Activities of Daily Living (ADL) and cognitive function, fine motor exercises and assessment of the need for assistive devices.
A multidisciplinary team set rehabilitation short and long-term goals together with the participant.
22,23 c) Six Minute Walk Test (6MWT): the distance the participant walks within 6 minutes is measured in meters, 23,24 d) Berg Balance Scale (BBS), which consists of 14 subtests covering various activities such as static posture, transition, challenging positions, associated with balance control. All outcome measures used in the present study are widely used in the field of neurological and geriatric rehabilitation. Our study accomplished considerably better retention with 31 out of 37 patients (83,8%) completing the full one year program, compared to Zinzi et al (2007) where only 25 of 40 patients (62,5%) completing the third rehabilitation period (first year of the study). Whether and how long the observed beneficial effects can be sustained needs to be assessed with longer follow-up. Economical evaluation of the intensive rehabilitation program is very interesting question but this was out of scope in our study. Dietitians followed-up each participant and a social worker and psychologist also offered individual follow-up. Each participant was discussed in a multidisciplinary team during each stay in order to secure optimal rehabilitation for each individual. The quality of performance on each of the 14 tests was recorded using a 4-point scale gaining a maximum score of 56 points. The UHDRS Cognitive Assessmentwas used to evaluate change in cognitive function from baseline to evaluation stay 20, and includes the following tasks: a) Verbal Fluency Test, requiring the participant to generate as many words as possible beginning with a specific letter (F, A and S) in 60 seconds.
The Stoop interference test, an executive function task, measuring cognitive inhibition showed a slight decline of -0.04 points. Our study demonstrates that HD-patients are able to complete a structured rehabilitation program, and possible explanation for the high retention rate in our study could be planned effort to assist and maintain regular contact with the patients in between stays, and that financial expenses with participating in the program were covered by the health care system. Moreover, there is a need for randomized clinical trials to study the effect of multidisciplinary intensive rehabilitation intervention on progression of HD, and it is important to investigate which participants profit most from such intensive rehabilitation.
Future research is needed to evaluate of cost-benefit of intensive rehabilitation program among HD population with an appropriate study design.
Coffee and a low-sugar Atkins shake in the morning, and usually some sort of meat for dinner & lunch, either turkey or chicken. However, cognitive and behavioral changes are known to frequently occur many years before clinical diagnosis 4,5 resulting in functional decline already early in the disease 6.
All participants and their family members received written and oral information, and gave their written informed consent to participate in the project. Further information about description of rehabilitation program is in the Appendix, table A.
Overall there was no significant change in mean UHDRS cognitive scores among participants during the study period.
The use of complex and long self-reported rating scales and long assessment batteries should be considered when planning future multidisciplinary rehabilitation studies and programs for patients with HD. Additionally, metabolic changes (increased appetite, weight loss etc.) and sleep disturbances are known to develop 4,7,8. Participants and caregiver?s who completed at least one course of the full rehabilitation protocol program (3-week intensive multidisciplinary treatment) reported improvement in physical function, swallowing, balance, increased independence, improvement in mood, less apathy and improvement in social relations 17. The final and important goal of this project was to implement the establishment or initiation of coordinated health care and social services for participants, using a so called “Individual plan”.
The participants in the present study all completed an evaluation stay three months after discharge of the third stay. Nurses observed and helped participants with reduced cognitive function or who showed problems in ADL function due to chorea.
We found that an increased number of patients reported having, an Individual Plan, indicating that a larger number of patients have received established long term coordinated health care services. Current treatment of persons with HD consists mainly of symptom management and improving quality of life 7. Another study is a pilot study comparing participation in a multidisciplinary rehabilitation program (once a week over 9 months combined with home-based exercises three times a week for 6 months) with a control group of early to middle-stage HD patients. An Individual Plan is a statutory tool for co-operation between patient and local health care providers or the labour and welfare organization to secure long-term follow-up for persons with chronic diseases and disabilities in Norway. For all participants the following demographic information was collected from the medical records at the time of the first admission: age, gender, marital status, estimated disease duration.
Even though my personal life has had some recent downturns, I’m still sticking with it and loving the results! The results of the study suggest therapeutic benefit and good tolerance of multidisciplinary rehabilitation 18.
It contains an outline of patient’s goals, recourses and the services he or she may require due to disability. Additionally, baseline clinical characteristics were collected using standardized assessments, including the motor, functional and behavioral assessment of Unified Huntington?s Disease Rating Scale (UHDRS) 20. Assessments a) – d) were completed at the beginning and end of each admission, resulting in a total of seven assessment points. Information about patients’ medication use according to disease stage at baseline is in the Appendix, table B. Currently, there still is a lack of randomized clinical trials investigating the effects of multidisciplinary rehabilitation programs or other forms of non-medical treatments. Assessment e) was completed at the beginning of each admission, generating a total of four assessment points. It’s not required that patient need to receive specialist healthcare to receive this plan and it can be used at any level of health care services. It also specifies when the different actions are to be carried out and who is responsible to execute these actions 19. Dietary intake in adults at risk for Huntington’s disease: analysis of PHAROS research participants. Sleep and circadian rhythm alterations correlate with depression and cognitive impairment in Huntington's disease.
Effectiveness of Physiotherapy, Occupational therapy, and Speech Pathology for people with Huntington’s disease: A Systematic Review. Client and therapist views on exercise programmes for early-mid stage Parkinson’s disease and Huntington’s disease.
What effect does a structured home-based exercise program have on people with Huntington’s disease? Effects of an intensive rehabilitation programme on patients with Huntington’s disease: a pilot study. Patients’ and caregivers’ perspectives: assessing an intensive rehabilitation programme and outcomes in Huntington’s disease. The effects of multidisciplinary rehabilitation in patients with early-to- middle-stage Huntington’s disease: a pilot study.
A 12-Item Short-Form Health Survey: construction of scales and preliminary test of reliability and validity.

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