Category: Obesity, Insulin Resistance, and Insulin
Case Study 1:

Alan, a 51 year old computer specialist, living a couch-potato-like life for the last 15-20 years, had numerous health issues when he came in for health coaching. His job is an active one as he works as a middle-school teacher in a local school, so daytime activity is not an issue.  Did I mention, a really pleasant cordial man.

The following is his list of health concerns:

  • Weight: 272 pounds on a solid frame, with a height of 5’10”, and a corresponding BMI of 39.0 (severely morbidly obese);
  • Displayed the typical pear-shaped overweight male;
  • Full-blown insulin-dependent diabetes;
    • Long-range insulin (Levamir) 120 IU/day
    • Short-range insulin (Humalog) ranges 50-100 IU/day
    • Byetta for insulin resistance; 10 units BID
    • Metformin (3 doses of 1 g/day)  and other oral meds

  • Arthritis
    • Plantar fasciitis (discomfort at its worse 7/10)
    • Ankles (normally 4/10 with a peak Pain/discomfort of 8/10)
    • Knees (relatively minor, but occasionally is more severe)
    • Hips (like knees)
    • Taken together, makes walking difficult and contributes to his obesity
  • Heart Disease
    • Regular chest pain
    • Lisinopril
    • Metaprolol
    • Nitroglycerin
    • Calcium channel blocker
  • Skin lesions
    • Steroid creams
    • Thyroid dysfunction
    • Levo-synthroid
    • Moderate depression
    • Off and on again with SSRI’s

His obesity made him self-conscious and he became lonely and depressed.

Prior Care:

Alan had a PCP with whom he had worked with for more than 7 years.  During that time, he had been referred to an endocrinologist, a cardiologist, a rheumatoid specialist, a psychologist, and a consulting internist.  He had tried numerous medications, but either had complications or found these drugs to be relatively ineffective.  He had tried numerous diet plans, without any long term success.  Alan lives to eat and that presents a major challenge.

Our Program:

His food sensitivity showed several major items that included wheat (gluten), cow’s milk, egg, numerous nuts, vegetables and nuts.  Alan’s primary foods included large quantities of the top three antigens.   Alan also began taking probiotics and curcumin on a regular basis.

Within three weeks, his metabolism began to change.  Here are the results:

It is clear to see that Alan was dysfunctional and why he might be motivated to change.  We started by meeting with his primary care physician, and started by food sensitivity testing.  We engaged Alan in our coaching program focusing on his food compliance and various strategies.  Somewhere around week 6, his metabolism began to change dramatically.  He had been losing weight but it accelerated.  He averaged almost 2.2 pounds a week during the 12 week program, but he continued to lose weight and by the 9th month, he checked in at 204 pounds.

In addition to his successful weight loss,

His insulin dosage had dropped dramatically

His lower extremity arthritis had been reduced so that he was able to exercise daily (or almost daily) and had increased slowly each month;

His skin lesions have mostly cleared (dramatically);

He had not undergone a cardiac stress test but his chest pain had mostly disappeared.  If he exercised too much, he still would get chest pains.

His psychological profile had changed dramatically for the better; He tells us that the reason he was successful, was that he could eat as he had calorie-wise but by eliminating key foods, his inflammation and thus, his weight had responded positively.

Two and a half year later, he would like to retest his foods and start over again as some symptoms have returned.