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​Karl Popper (1902 - 1994; regarded as one of the greatest philosophers of science of the 20th century)

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    Monday, November 28, 2016

    PHEN-PRO

    Phen-Pro No Longer Means Phentermine-Prozac

    A weight-loss doctor in Texas has acquired the trademark to the word "phen-pro" so I will no longer use that word. His product contains neither phentermine nor Prozac. I have no direct knowledge whether his "phen-pro" named product works. 

    For many years I had the use patent for the phentermine-Prozac combination, but I never acquired the trademark because I was not producing phentermine-Prozac pills. There is published evidence from me and other doctors that Prozac enhances the weight-loss action of phentermine, but the most important thing is not the pills--it's the Ten Orders.


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    Posted by Michael Anchors, MD, PhD on Mon, Nov 28, 2016 6:22 pm | [0] comments

    Tuesday, November 15, 2016

    FAKE DIET PILLS

    ​Fake Phen-Pro Being Sold

    ​My friend in Dallas advised me that Dr. Byron Lee, a doctor in the suburbs, sells a product called “Phen-Pro” for which he claims to have a trademark.  His website is www.BuyPhenPro.com. He may have the trademark–I haven’t checked–but I have the use patent for phentermine-Prozac. Lee’s product has nothing to do with me or with the real phen-pro. Instead, his is a mixture of:

    • phenethylamine (an over-the-counter nasal decongestant)
    • synephrine (ditto)
    • caffeine 
    • naringin (?)
    • hesperidin (?)
    • capsaisin (the hot stuff in hot pepper)
    • hordeinine (?)
    • chromium polynicotate (mispelled, should be picolinate, it’s ineffective)
    • yohimbine (an herb for male sexual potency) (?)

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    Posted by Michael Anchors, MD, PhD on Tue, Nov 15, 2016 3:54 pm | [0] comments

    Thursday, November 03, 2016

    OBESITY MYTHS

    Eating And Exercise Are Strongly Linked

    Last week I read Gary Taubes’ wonderful book How We Get Fat and What To Do About It (2010). The book taught me nothing new, but I admired the clear way Gary expressed things. In particular he reminded me that it is impossible to lose weight by eating less or exercising more. Because of insulin, if you exercise more, you WILL eat more. If you eat less, you WILL move less. You cannot overcome it with willpower.

    Pause for a moment to consider how much of what most people and doctors “know” is bullcorn.  I continue to be amazed by it. Science and math, reading, are the only things on which you can rely. What people only tell you is worthless.


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    Posted by Michael Anchors, MD, PhD on Thu, Nov 03, 2016 9:32 am | [0] comments

    Monday, September 12, 2016

    KIDNEY STONES

    ​Colas and Kidney Stones

    For years I have been telling dieters to avoid “diet” sodas because the artificial sweetener in them is too sweet. Sweet flavor itself raises insulin, blocking weight loss. Dieters would be better off with the high fructose corn syrup in regular Coke than with the aspartame in Diet Coke, or so I thought.

    Now I must modify that advice. Overconsumption of cola-type drinks increases the occurrence of kidney stones, and that fact is especially true of the type sweetened with high-fructose corn syrup. The intake of fructose increases the urinary excretion of calcium and oxalate. Ninety per cent of kidney stones are composed of calcium oxalate. Moreover cola-type sodas, diet or non, contain phosphoric acid. Phosphate contributes to starting stones. Fresca and Sprite don’t have phosphate, but they are still fraught with the fructose issue. 


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    Posted by Michael Anchors, MD, PhD on Mon, Sep 12, 2016 11:39 am | [0] comments

    Wednesday, August 17, 2016

    WEIGHT LOSS TIPS

    ​French Fries Aren’t French

    Americans combine french fries with many things. For a dollar extra Dunkin Donuts will give you an order of fries with your donut! As far as losing weight, I don’t care if you eat fries as part of a meal, as long as you don’t eat a lot of them and you don’t eat fries as a snack. They strongly raise insulin; we are trying to keep insulin low between meals. 


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    Posted by Michael Anchors, MD, PhD on Wed, Aug 17, 2016 3:14 pm | [0] comments

    Wednesday, July 06, 2016

    Meaningless Words

    Patients use a lot of meaningless words, as though mere talking is enough. For example they are eager to tell me they eat “healthy”. I have no idea what they mean. The word “healthy”, an adjective, means ‘not sick’. So are they saying they eat not-sick? What does that mean?

    When pressed on the “healthy” issue, they used to tell me they ate low-fat foods and avoided red meat. Now they have absorbed enough news media to know that red meat is okay (TIME magazine June 23, 2014 and November 9, 2016); carbs are the real problem. But recently they have started telling me they avoid “processed” food. Other than a few fruits, aren’t all foods processed before being eaten? I’m confused.


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    Posted by Michael Anchors, MD, PhD on Wed, Jul 06, 2016 11:54 am | [0] comments

    Tuesday, April 19, 2016

    HEALTHY WEIGHT

    ​Lowering Standards

    In the office I often say, “Late last year I took an important step that tremendously improved my rate of success. I lowered my standards. I decided I am not trying to make women skinny anymore. There is no reason to do it. Men don’t want women to be skinny. GI Joe doesn’t want Barbie to look like this.”

    I show off a Barbie doll.


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    Posted by Michael Anchors, MD, PhD on Tue, Apr 19, 2016 9:16 am | [0] comments

    Saturday, April 16, 2016

    What Dogs Have Taught Me

    My sister is my main helper, taking the initial history on new patients, and she is a dog lover. When I get the chart, it always has information on the patient’s pets. I didn’t ask for this, but it has had a useful result–I have noticed that all the dogs and most of the cats of obese patients are themselves obese. This confirms that animals presented with an excess of food will overeat. I suppose we should not have expected the majority of people to be any different. 


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    Posted by Michael Anchors, MD, PhD on Sat, Apr 16, 2016 10:30 am | [0] comments

    Thursday, April 07, 2016

    BMI

    ​BMI Should Not Be Used For Individuals

    Body mass index or BMI is the weight in kilograms divided by the square of the height in centimeters. To calculate BMI using pounds and inches, multiply the product by 703. The BMI was invented by Belgian statistician Adolphe Quatelet in the 19th century for use in population studies. He never intended it to be used for individual people, because it says nothing about body shape or composition.

    ​Before 1990 doctors and insurance companies used tables of weight versus height, one for men and another for women, based on simple actuarial statistics, to determine who was at risk. In 1998 the NIH went over to BMI in order to present info on both sexes in the same brightly colored diagrams. You saw then, too, the beautiful food pyramids that were also BS supreme. 


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    Posted by Michael Anchors, MD, PhD on Thu, Apr 07, 2016 10:06 am | [0] comments

    Thursday, March 24, 2016

    STRESS EATING

    ​The Most Common Cause Of Stress

    Hard to explain why stress is such a cause of obesity–when I am stressed, I lose my appetite–but among the people who fight obesity, stress is a major cause of snacking and overeating. So it is worthwhile to look at the causes of stress. Cognitive neuroscientists do.

    The major source of stress in most people is: being given responsibility without sufficient power.


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    Posted by Michael Anchors, MD, PhD on Thu, Mar 24, 2016 4:32 pm | [0] comments

    Saturday, March 05, 2016

    Methuselah ate what he found on his plate

    Methuselah ate what he found on his plate,

    And never, as people do now,

    Did he note the amount of the calorie count;

    He ate it because it was chow.

    He wasn’t disturbed as at dinner he sat,

    Devouring a roast or a pie,

    To think it was lacking in granular fat

    Or a couple of vitamins shy.

    He cheerfully chewed each species of food,

    Unmindful of troubles or fears

    Lest his health might be hurt

    By some fancy dessert;

    And he lived over nine hundred years.

    —Anonymous


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    Posted by Michael Anchors, MD, PhD on Sat, Mar 05, 2016 10:32 am | [0] comments

    Thursday, February 25, 2016

    SPORTS ILLUSTRATED MODELS

    ​Reflections on the cover of Sports Illustrated

    The cover of Sports Illustrated swimsuit edition this year features plus-size model Ashley Graham on all fours in the surf. I’m not sure which sport this photo is intended to illustrate, but my first guess is . . . swimming :)

    I had to get that joke out of the way. In fact I use the magazine the following way. Next to the Sports Illustrated, there are copies of Self magazine and a Barbie doll. I tell female patients there is no reason they have to look like Barbie. None of the models in Self magazine has visible breasts or buttocks. I point out that the women in men’s magazines have those features. Witness buxom Ashley. Women don’t have to be skinny to be attractive.


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    Posted by Michael Anchors, MD, PhD on Thu, Feb 25, 2016 4:42 pm | [0] comments

    Monday, February 15, 2016

    CLEAN THE KITCHEN

    ​To Lose Weight Clean The Kitchen

    Years ago a population study showed that obese people have more cluttered homes. You can imagine many reasons for that. You might think it’s a character or personality thing. You might think, spending more time eating, the overweight people have less time to clean. It could be a genetic thing–who knows? But here is a controlled study on the matter.

    In the study a hundred randomly chosen subjects were invited into a clean kitchen or a cluttered kitchen to write a report. In both kitchens there was an equal amount of snack food they were invited to eat. In the cluttered kitchen the study subjects, fat or lean, ate twice as much snack food as in the clean kitchen.

    The report written by the subjects had nothing to do with the study; it was just an excuse to get them into the kitchen. The subjects were not even told the true purpose of the study. They had no idea it was about food or clutter, or that there were two kitchens.

    I conclude that if you are trying to lose weight, it is a good idea to keep the kitchen neat.


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    Posted by Michael Anchors, MD, PhD on Mon, Feb 15, 2016 10:49 am | [0] comments

    Friday, January 15, 2016

    ​What I Wish I Had Said

    The other day a nurse working at a weight loss clinic called me on behalf of the doctors running her clinic to find out what I do that makes me so successful with the group I am so successful with, i.e. motivated smart people mostly women with a BMI of 25-35. This group constitutes the majority of the people coming to my clinic. Of course my view is that the people with a BMI of 25-30 don’t need help at all, since that group has the longest lifespan, lowest mortality, NOT the skinny people (Flegal 2005). My other view is that we should not be using BMI, but instead some measure involving abdominal girth, waist-hip ratio or body fat percentage.


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    Posted by Michael Anchors, MD, PhD on Fri, Jan 15, 2016 12:17 pm | [0] comments

    Wednesday, December 23, 2015

    NON-CELIAC GLUTEN SENSITIVITY

    FODMAPs

    If you have abdominal bloating and discomfort after eating, you may have non-celiac gluten sensitivity. This syndrome has only recently been described. It will soon be renamed for it has nothing to do with gluten.

    When you eat too much carbs and sweets, you may start to grow the wrong type of bacteria in your colon. The bacteria may even extend up into the small intestine where bacteria do not normally grow. The bacteria cause the wall of the bowel to become leaky, leading to bloating, discomfort and alternating constipation & diarrhea–I am sure about all that–and perhaps to arthritis, "brain fog" and depression. I am not as sure about the latter claim. Google "leaky gut syndrome". 


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    Posted by Michael Anchors, MD, PhD on Wed, Dec 23, 2015 12:41 pm | [0] comments

    Wednesday, December 02, 2015

    OPINION

    ​Train Your Dog

    Everyone of you has a dog, and that dog is you. You have to train your dog. One of my patients complained that she could not lose weight because of poor sleep. She would lie awake for hours in the middle of the night, then get up and get something to eat figuring that "she was awake anyway."

    But I pointed out that she was not eating because she was awake, but rather staying awake so she could eat. Picture her as a dog, I said. Stay awake, girl. Stay awake... stay awake... good girl. Now you can have a treat.

    When she looked at the problem in this way and stopped putting treats in the refrigerator, she returned to sleeping through the night.

    You can think of many ways in which you train yourself to do things you don’t want to do. Take control. Especially parents. You can’t train your kids if you make no effort to train yourself.


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    Posted by Michael Anchors, MD, PhD on Wed, Dec 02, 2015 12:28 pm | [0] comments

    Wednesday, November 11, 2015

    OPINION

    ​Health and Wellness

    While I was growing up and even when I was in medical school, the word "healthy" meant simply ‘not sick’. It was the opposite of "sick". Now and unfortunately, the word has evolved to mean a zen-like state of wellness. Another funny new word–wellness. The reason this is all bad is that it gets people to think badly about themselves, to worry, reducing the quality of life and spoiling the fun. For no benefit to the person. The idea only makes money for doctors, drug & insurance companies and lawyers.

    The mutation of the word "healthy" began with the idea that real disease could be prevented by doing the right exercise, taking the right vitamins and supplements and getting an annual check-up at the doctor. All this began in the sixties on the basis of no studies at all. Please don’t think American doctors have anything to do with science; they are interested only in money.


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    Posted by Michael Anchors, MD, PhD on Wed, Nov 11, 2015 10:14 am | [0] comments

    Thursday, September 10, 2015

    WOMEN

    Why I Love Women

    I love women for four out of five reasons. First they are VERBAL. They use language, keep eye contact and read body language well. As a writer, I appreciate that. Women inherit this ability from cave women. Men inherit only the ability to give and take orders and exchange facts; they struggle to come up with anything else to say.


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    Posted by Michael Anchors, MD, PhD on Thu, Sep 10, 2015 10:04 am | [0] comments

    Tuesday, May 12, 2015

    VITAMIN D & TESTOSTERONE SUPPLEMENTS

    ​Binding Proteins Matter

    Many overweight patients take vitamin D or testosterone supplements prescribed by their primary care doctor. Few patients need it. Here is what is going on.


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    Posted by Michael Anchors, MD, PhD on Tue, May 12, 2015 1:36 pm | [0] comments

    Friday, April 17, 2015

    ​Your diet has little to do with what happens to you

    I get a lot of letters like the one that began with . . . 

    "I moved to MA from MD last Fall, and I believe that I need your help. I am a physical therapist, and I am keenly aware of the importance and positive impact of proper diet and consistent exercise."

    People really believe that by acquiring special "knowledge" and regulating how they eat and exercise, they can change their fate. They so much want to believe this that they skip the crucial step of looking for real evidence for the position. If they did, they would find none.


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    Posted by Michael Anchors, MD, PhD on Fri, Apr 17, 2015 12:15 pm | [0] comments

    Thursday, April 09, 2015

    SCAM PRODUCT

    ​Phentramine Is A Scam

    Yesterday I saw a 49 year old mildly overweight woman for the first visit whose blood pressure was 170/117 with a pulse of 77. She said she had no history of high blood pressure, saw her primary care doctor annually and took no medicines. I asked about coffee and caffeine. She thought better of herself and admitted she had been taking "Phentramine" which she had obtained in a local GNC type store. She took two pills twice a day. 

    Children, children. Phentramine is a swindle taking advantage of the fact that you can’t spell. I thought it was available only on line. I was alarmed to learn you can buy it off the shelf. 


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    Posted by Michael Anchors, MD, PhD on Thu, Apr 09, 2015 1:19 pm | [0] comments

    Friday, November 28, 2014

    FAT LANGUAGE

    Fat Language

    Patients speak a language I don’t understand. They would have an easier time losing weight if they used moderate, adult language. For instance, fat people never say, “I am hungry.” They usually say, “I am starving.” Why say such a thing? In point of fact they aren’t starving. But see,if you believe you are starving, well then you must eat right now and you can eat a lot. 

    Instead of saying “I’d like that”, they say I crave it. I must have it, have to have it. But adults don’t crave things unless they are drug addicts. Children crave things. Children have to have it. Fat speech is childish speech. Adults can delay gratification, show restraint, divert focus. All it takes is a little practice.


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    Posted by Michael Anchors, MD, PhD on Fri, Nov 28, 2014 5:12 pm | [0] comments

    Friday, October 03, 2014

    WHAT TO EAT

    ​You Don’t Have To Be A Biochemist

    You don’t have to be a biochemist to know how to eat! Most foods contain about the same things–most foods come from cells. You can live eating nothing but meat. Cavemen came close to doing that. The Masai in Africa do so even now. Provided you occasionally eat liver (for certain vitamins), you can live on meat. You can live on starch, too. A billion people do it, because it’s all they can get. You can live on vegetables. There’s protein even in broccoli.

    Americans think they are biochemists. On my desk there is a block labeled “meat & cheese” and a block labeled “starch”. I use them in explaining the harm done by combining large portions of each. (Basically starch drives insulin very high allowing extra calories from meat to come in.) When asked about this part of my demonstration, many patients swear I told them to avoid combining protein and starch. I said no such thing. The block was clearly labeled “meat & cheese”, not protein. My material is meant to be understood word for word as written.


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    Posted by Michael Anchors, MD, PhD on Fri, Oct 03, 2014 3:45 pm | [0] comments

    Tuesday, September 02, 2014

    WEIGHT LOSS ADVICE

    ​Bureaucratic Versus Radical Change

    The most frustrating thing in my practice is the tendency of patients to make bureaucratic changes rather than radical changes.  The bureaucratic process is the process by which government agencies change, i.e. making a small change and waiting to see if the change makes a positive difference. If so, they make another small change and wait. This process is very safe–especially for the bureaucrats–and also very slow. The social need usually outruns the response.

    In the office I present compelling evidence why exercise, low-fat diet and calorie-counting do not work and the only effective means to lose weight is the Ten Orders. Too often patients respond bureaucratically, with a half-hearted effort to do some of the Orders, never bothering to learn the rest. And they hedge their bet by continuing to exercise, restrict fat and count calories. Result? They lose only 2 or 4 lbs between visits, and sometimes gain.


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    Posted by Michael Anchors, MD, PhD on Tue, Sep 02, 2014 10:33 am | [0] comments

    Monday, July 07, 2014

    WEIGHT LOSS LESSONS

    ​CHANGE ORDER #8

    Heretofore Order #8 of the Ten Doctor’s Orders has been “Moderation in all things”. I was never satisfied with that order. It was a place-holder so that I would have ten orders like Moses. But it was useless as a teaching tool since women already knew it and American men, having learned excess, violence and winning as children, can’t learn moderation & compromise as adults. 

    Besides that, there are things in which you should not be moderate, such as devotion to the truth. And cases where compromise is inappropriate. Cutting the dose of statin drugs in half is inappropriate; they should be stopped altogether. 

    So last week I changed Order #8 to “Eat more slowly”.  I noticed that when food arrives at the table, Americans pick up their fork and do not set it down again until the food is all eaten. By contrast, French people set their fork down while talking or listening intently. They don’t talk with mouths full.


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    Posted by Michael Anchors, MD, PhD on Mon, Jul 07, 2014 12:56 pm | [0] comments
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