Tuesday, 18 June 2013

The KEN Theory

What is it about

The KEN consists of a 24 hours a day infusion of a simple solution of proteins in a cycle of 10 days:

a) Infusion of proteins allows the patient to lose in 10 days up to 7% to 10% of initial body weight.

b) Continuous infusion creates a state of ketosis (children’s ketoacidosis) which takes away all feeling of hunger.

Ketogenic Enteral Nutrition (KEN)
weight loss in 10 days - Ketogenic Diet - www.aiwo.com -Ketogenic Enteral Nutrition Diet

Obese patients
Since 1986 we have used a protein-based AN to get a good weight loss in obese patients who were placed in treatment for a variety of illnesses (inflammatory bowel disease, abdominal fistulae, dysphagia from neurological conditions).

Four years ago, a young lady with colic fistula, and after the anterior resection of the rectum, obtained within one month the spontaneous healing of the fistula and a weight loss of 20 kg. The daughter, who was also heavily overweight, asked to be subjected to the same treatment with the only purpose to lose weight. Since it was accepted that the infusion of protein was of no risk of any kind, she was put on the tube and after 20 days she had lost 12 kg. It was the first case that dealt with obesity as an illness in its own right. From then on, and by word of mouth, patients begun increasing day by day. Since the slow infusion of protein generates ketosis (which eliminates the feeling of hunger) the technique was called Ketogenic Enteral Nutrition (KEN).

Up till the end of 2009, 8,834 patients have been treated with KEN who have lost around 106 tons collectively.

The Questionnaire


Before putting the tube, patients must fill out a questionnaire that gathers their past history in relation to obesity and in relation to major diseases.

In principle, only 3 categories of patients cannot be subjected to KEN:

a) Patients who cannot take a normal amount of protein. The KEN provides the administration of 60-80 grams of protein a day, when the amount that would normally be assumed corresponds to a gram of protein per kilogram of body weight (that is a much greater quantities). But there are patients with kidney failure that are forced on diets which are low in protein, including low-protein pasta and bread. These patients cannot categorically be included in the treatment with KEN.

b) Patients allergic to milk proteins. The solutions that we commonly use are proteins derived from milk. Those who are allergic to milk proteins and are prone to skin irritation due to dairy intake cannot be possibly subjected to the KEN with the usual protein solutions. They must use alternative types of protein solutions, although these have a higher cost.

c) Patients less than 14 years old. Diets below this age are likely to induce severe alterations that might lead to anorexia. We chose not to treat patients that might run this risk.


Monday, 17 June 2013

Solve Your Health Issues with a Ketogenic Diet

Ketogenic diets are powerful tools, and they can be life changing. Shifting to a low carb, fat burning diet can help you reduce your high blood pressure, banish heartburn, get rid of joint pain, and stop pre-diabetes in its tracks. I used to have all those health conditions and worse, and I've reversed them all. You can too.
On this website, you'll find information on how these diets work, the right way to "do" the diet, and the details on how you can increase your energy and improve your health simply by changing the way you eat.
What is a ketogenic diet?
Contrary to popular rhetoric, a ketogenic, low carb diet is NOT a high protein diet. It's a high fat diet, with a moderate protein and a very low carbohydrate intake. A typical ketogenic meal includes some sort of protein, a source of natural fats (either butter, cream sauce, olive oil, or coconut oil) and green leafy vegetables, such as in the picture at right.
weight loss in 10 days - Ketogenic Diet - www.aiwo.com -Ketogenic Enteral Nutrition

When you reduce the amount of carbohydrate and increase the fat and protein in your diet, it has the effect of switching your body into fat burning mode. Instead of using the easily exhausted sugar from carbohydrates for fuel, your body burns stored fat for energy, and it's this fat burning process which greatly improves health and well-being.
In fact, a ketogenic, high fat, moderate protein diet can alleviate many serious health issues.
Some medical researchers and physicians are using ketogenic, carb restricted diets to:
And many people, including myself, have discovered that a ketogenic diet is a very effective tool for regaining health, losing excess weight and building a muscular, healthy body.

What makes the ketogenic diet so effective?

It all starts with a process called ketosis, and the effect that it has on each one of the trillions of cells in our bodies. In short, ketosis means more energy and cleaner fuel burning in our cells, which leads to better cell health, better organ health, and better health overall.

But isn't a high fat diet unhealthy?

Actually, a high fat diet is healthier for you, when it is eaten while carbohydrate consumption is kept low.
A diet high in clean saturated fats and low in carbohydrates actually raises your HDL good cholesterol and lowers your triglycerides. These two factors are really the true measure of good heart health.
More and more people are discovering the benefits of eating more fat, and reducing carbohydrate consumption.
Literally thousands of people have gone on the Atkins diet, or the Protein Power diet, or some other higher fat, low carb diet and reaped the benefits. They have resolved nagging health issues (high blood sugar, hypertension, heartburn, joint pain, etc.), reversed serious disease processes, lost weight, felt better, and rarely felt hunger.

Tuesday, 11 June 2013

What You Should Know About the Low carb Ketogenic Diet

Though it was originally developed to treat patients with epilepsy, interest in the ketogenic diet has taken off in recent years as we've learned more about its therapeutic and health benefits. Here’s what you need to know about ‘keto’ and why some health experts believe it's good for your body — especially your brain.

Fasting and other ketogenic-like diets have been used to treat conditions like epilepsy for thousands of years. And in fact, a version of the keto diet has been traced back to 500 BC.

Fast forwarding a bit, Dr. Rawle Geyelin gave a 1921 presentation to the American Medical Association in which he reported on the remarkable outcomes of several children who had benefited from fasting; his patients were having fewer seizures — and the effect appeared to be long-lasting.

Geyelin continued this work, and he developed a tolerable and reproducible high-fat and low carbohydrate diet now formally known as the ketogenic diet. For the next two decades, it was used by physicians to minimize seizures in their patients. Once modern antiepileptic drugs were introduced, however, the practice declined dramatically.

But interest in keto was renewed about 20 years ago as a number of scientists began to study it more closely — and not just for its ability to treat epilepsy. As we’re now learning, and despite its reputation as a “starvation” diet, a keto regimen has been shown to confer a variety of benefits.

The state of ketosis

The ketogenic diet is essentially a way to get our bodies to enter into a condition known as ketosis.
Normally, our bodies rely on glucose for fuel — the result of our moderate to high-carb diets. Carbohydrates are broken down to glucose, which gets converted into energy and transported to our muscles and organs.

www.aiwo.com-ketones bodies-ketogenic diet
But when carbs are restricted, and when there’s a lack of glucose, our liver starts to produce ketones — a process that shifts our body towards fat utilization. This new mode of metabolism, or ketosis, can come about in several different ways, including starvation, type 1 diabetes, and even alcoholism.

While in this state, the levels of ketones in our blood starts to rise. Ketones are acidic chemicals that include acetone, acetoacetate, and beta-hydroxybutyrate. Needless to say, this can lead to some serious problems; starvation is obviously not good! If left unchecked, ketones can increase blood acidity, which can affect urine and cause serious liver and kidney damage.

But, when done correctly and responsibly, the keto diet can be used to effectively treat a number of health conditions.

 How to do keto
A keto diet can take on many forms, but it typically involves the restriction of carbohydrates to no more than 50g per day. Sources should typically come from whole foods like vegetables, nuts, dairy, and so on. Refined carbohydrates, like bagels, pasta, and cereals, should be avoided, as should refined sugars (including high-sugar fruits and fruit juices).

Meals, therefore, should mostly be comprised of protein and some healthy fats (like olive oil, coconut oil, and avocados). A good rule of thumb is to follow the 60/35/5 rule in which 60% of calories come from fat, 35% from protein, and 5% from carbs. Protein should be set at about 1.5 to 1.75g of protein for every kilogram of your ideal body weight.

For comparison, a typical Western diet is about 5-15% protein, 10-20 % fat, and 65-85% carbohydrates.

 Why it works

Actually, we’re not entirely sure why it works so well. But some theories are beginning to emerge.
Keto diets have beneficial effects in a broad range of neurological disorders, particularly those involving the death of neurons. Scientists think it may have something to do with the effects of cellular energetics.
As already noted, the keto diet is associated with increased circulation of ketones in the body, which is a more efficient fuel for the brain. Ketones may also increase the number of brain mitochondria — the power packs inside of cells.

It’s possible that the boosted energy production capacity created by these effects is what gives our neurons an enhanced ability to resist metabolic challenges. Other biochemical changes — namely ketosis, high fat levels, and low glucose levels — may contribute to neuronal protection through a number of antioxidant and anti-inflammatory actions.

The keto diet is being increasingly considered for the treatment of many neurological diseases and injuries, a list that includes Parkinson’s, Alzheimer’s, stroke, and even traumatic brain injuries. The keto diet can also improve memory function in older adults with increased risk for Alzheimer’s.
Neuroscientists attribute the keto diet’s brain-protective qualities to a number of things:
  • Ketone bodies serve as an alternative source of energy during metabolic stress
  • Ketosis diminishes the toxicity produced by glutamate acid, a problem when a brain injury happens
  • It enhances GABA levels (γ-Aminobutyric acid) — an important inhibitory neurotransmitter
  • It has antioxidant and anti-inflammatory qualities
  • The diet protects against various forms of cell death
  • Restricting carbs protects against oxidative- and glutamate-stress, among other things

Cancer

The keto diet may also help in fighting off certain types of cancer and various tumors. It seems to do a good job treating brain tumors, likely a consequence of its neuroprotective qualities.
In one case, it seems to have helped an elder woman mange her brain tumor. It can also work well in conjunction with radiation therapy to treat brain tumor cells — at least in mice. Some scientists believe that a restricted keto diet is “a viable alternative to the standard care for managing malignant brain cancer.”
A 2011 pilot study indicated that the ketogenic diet is suitable for even advanced cancer patients, claiming that “It has no severe side effects and might improve aspects of quality of life and blood parameters in some patients with advanced metastatic tumors."

Weight loss

The ketogenic diet is also being considered as way to help people lose weight, though evidence of its efficacy and safety are mixed.
A 2006 study comparing ketogenic and non-keto diets concluded that both diets are useful for weight loss, but the researchers found that the keto diet was associated with metabolic and emotional effects. "The use of ketogenic diets for weight loss is not warranted," the authors write.
Another study indicated that keto diets work great for the first three to six months compared to other dietary routines, but that the difference is no longer apparent after a year. The researchers found that keto is associated with favorable changes in triglyceride and HDL cholesterol levels (that’s the good kind), but that it results in higher LDL levels than conventional low-fat diets.
Nancy Krebs’s 2010 study is probably the most favorable in terms of its application to weight loss. Her team concluded that a high-protein, low-carb keto diet may be effective for severely obese adolescents in the long term.

Exercise

The keto diet has also been used in conjunction with exercise and athletics. And in fact, a growing number of athletes and bodybuilders swear by it, including many CrossFitters and other strength-and-conditioning types.
Formal studies are far-and-few on the subject, but a 2011 Italian study suggested that keto could be used as a way to lose weight in conjunction with exercise.

Diabetes

Because it’s a low-carb diet, ketosis works very well for people with diabetes. It’s effective at improving glycemic control in diabetic patients, and it "has a significant beneficial effect in ameliorating the diabetic state and helping to stabilize hyperglycemia."



Monday, 10 June 2013

Aiwo KEN Program

The KEN program offers a way to get the obesity epidemic under control, while reducing the incidence and seriousness of Type 2 diabetes, stroke, hypertension, heart disease and cancer – conditions that are putting unbelievable stress on healthcare and the economy. www.aiwo.com

Thursday, 6 June 2013

Ketogenic enteral Nutrition as a treatment for obesity

Short term and Long term results from 19,000 patients
Gianfranco Cappello*, Antonella Franceschellim Annalisa Cappello and Paolo De Luca
Clinical Nutrition Service of the Department of Surgery Paride Stefanini, University of Rome La Sapienze, Rome, Italy
Nutrition & Metabolism 2012, 9:96 doi:10.1186/1743-7075-9-96 © 2012 Cappello et al.; licencse BioMed Central Ltd.
Abstract
Background
Only protein diet has been used successfully to prevent loss of lean body mass first in post-surgical and then in obese patients. We studied overweight and obese patients receiving short treatments of an exclusively protein-based nutritional solution as 24-hours enteral infusion.
Methods
 www.aiwo.com - KEN Diet
19,036 patients age 44.3±13, M:F = 2:5) with an initial body mass index of 36.5 ± 7.1
inderwent 10-day cycles of enteral nutrition through a fine nasogastric tube. The nutritional solution consisted solely of 50-65g of proteins, plus vitamins and electrolytes. The 24-hour infusion was controlled with a small portable pump. Before and after each 10-day cycle body composition was checked with a Handy 3000 impedance analyzer. At the onset of treatment, average fat mass was 40.9 ± 12.8Kg while body cell mass was 42.7 ± 7.2Kg in males and 27.4 ± 4.6Kg in females.
Results
After an average of 2.5 cycles the patients lost 10.2 ± 7.0Kg of body weight., 5.8 ± 5.5Kg of fat mass and 2.2 ± 3.3Kg of body cell mass. No significant adverse effects were recorded except asthenia and constipation which were easily controlled with therapy. Long-term results were obtained from 15,444 patients and after an average of 362 ± 296 days we found a mean weight regain of 15.4%.
Conclusion
Ketogenic Enteral Nutrition treatment of over 19,000 patients induced a rapid 10% weight loss 57% of which was Fat Mass. No Significant adverse effects were found. The treatment is safe, fast, and inexpensive and has good one-year results for weight maintenance.

The KEN program founded in Italy and proven effective by over 57,000 participants, is a non-surgical procedure that feeds the body 24 hours a day for 10 days. This “Protein sparing” nutritional is a serious works like no other, targeting fat while preserving lean body mass. Ketogenic Enteral Nutrition is a serious, non-surgical, low cost solution. It is not a vanity product designed to make users look glamorous, it’s for obese men and women who need real help and achievable, healthy outcomes. KEN is looking for physicians with patients who are not yet fit enough for surgery or for whom surgery is not the best option.

CONTACT US FOR MORE DETAILS:
AIWO KEN CLINIC
Kamaraj Memorial Hall - Basement,
498/500, Anna Salai, Teynampet
Chennai - 600 018.
Land Line: 044 - 2433 5916
Mobile: 95000 65656
E-mail: contact@aiwo.com
Visit: www.aiwo.com

Wednesday, 5 June 2013

Reach for High-Energy Foods

Rev your workouts and speed weight loss while satisfying your body's nutritional needs

Your body needs fuel to exercise, and the source of that fuel is food. That's why some people report feeling hungrier when they start to work out. If you're trying to lose weight, this could be counterproductive—unless you find the right balance of healthy, filling foods.

The typical American diet is loaded with refined or simple carbohydrates such as white flours, rices, and pastas, and pastries, sodas, and other sugary foods and drinks. These carbs, which lack the fiber found in complex carbs (whole grains, fruits, and veggies), are metabolized by your body quickly. So while you may feel raring to go after eating them, that energy boost will soon be followed by a major energy slump, making it hard to give your all during your workouts.

In addition, if many of the foods you eat are metabolized quickly, you'll find yourself feeling hungry more often, which could mean more snacking and a higher calorie intake. To keep from eating back all the calories you've burned, stick to a diet based on these 6 science-backed components.


weight loss in 10 days - Ketogenic Diet - www.aiwo.com -Reach for High-Energy Foods

Cellulite-busting food 1: Berries


To help keep skin firm and taut and disguise the appearance of cellulite, try adding some vitamin C to your diet to help boost your skin's collagen levels. Berries are a particularly good source of vitamin C, as well as being extremely high in the antioxidants necessary for fighting toxic waste, which can slow down the lymphatic system and accumulate in cellulite-prone areas.

weight loss in 10 days - Ketogenic Diet - www.aiwo.com - Berries