LOW T? THE SAFE AND NATURAL WAY TO BOOST IT IN 24 DAYS.
Throughout much of their lives, men have a weight advantage over women, whose bodies are naturally designed to hold more fat. Fair or not, men’s hormonal make-up, muscle mass, and unique metabolic profile make it easier for them to stay lean. But certain conditions can overturn that gift—the passage of time, the pressure of work and others, the wrong ‘fuel’—and lead men to a hormonal state that more closely resembles, well, women.
If you have a beer gut, fatty pecs and are ‘softer’ then you used to be, especially where it counts the most, keep reading. Help is in your hands. Designed to restore optimal testosterone levels, eliminate dangerous visceral fat and improve sexual performance, REFUEL™ gives you the rules, skills, and step-by-step plan needed to optimize the male biochemical blueprint, including:
-- How to boost T-levels and supercharge sex naturally, without hormones or drugs
--Gender-specific nutritional engineering—or why a generic weight-loss approach just doesn’t work
--No sweat tactics to jumpstart your metabolism, build strength and maximize energy, naturally
--The 5 commandments for getting it up and dropping the gut
--How to man a kitchen—with 15 great tasting dishes anyone can and should make
--How to engage and include the women in your life as partners in your program
With this book, New York Times bestselling author Dr. John La Puma reveals the breakthrough 24 day fat-loss plan specifically engineered for the male brain and body that is dramatically changing lives. Reboot, rebuild: REFUEL™.
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JOHN LA PUMA, M.D., is a board-certified specialist in internal medicine, co-founder of the popular ChefMD® video series and nutrition expert for the Turner Wellness Network. His recent New York Times Op-Ed, Don’t Ask Your Doctor About ‘Low T,’ was one of their top e-mailed stories when it published. He is also a New York Times bestselling author of ChefMD's Big Book of Culinary Medicine, and the coauthor of the bestselling Cooking the RealAge Way and The RealAge Diet. He has hosted two PBS Specials. The first physician to teach cooking and nutrition in a U.S. medical school, he has been repeatedly named "One of America's Top Physicians" by the Consumers' Research Council, and has been called a "Secret Weapon" by the Wall Street Journal. Get free book bonuses at his award-winning website, www.refuelmen.com.
PART ONE
THE HEALTH CRISIS
The Unique Challenges You Face
1
The Biology of Weight and Sex
Why a Generic Weight-Loss Approach Does Not Work for You
When I first met Brad, I realized his health concerns might have become mine if I had not changed the course of my life years earlier, when I was in my early thirties and was accelerating along the fast track of my medical career. I was flying high professionally, but I wasn’t taking care of myself. I inhaled highly processed foods mindlessly at work: bags of bagels and pints of cream cheese, egg rolls, doughnuts, pizza. I grabbed whatever I could eat and kept moving.
I tried to weekend-warrior my way out of my weight, but that of course didn’t work. So there I was: 35 pounds overweight, with many of the early symptoms of aging. I noticed newly sprouting gray hair, I had a big gut, and I didn’t like what I saw in the mirror. My uncle had died of diabetes at age 48, and I was starting to pee more and felt hungry all the time. I knew I could be developing diabetes and that what I was eating was aging me, physically and mentally. But I didn’t know how to stop the process, let alone reverse it.
On top of wanting to change for myself, I also felt a responsibility to change for my patients. How could I help them effectively when I couldn’t make improvements in my own life?
The Fat Doctor Paradox
Ever been startled by the sight of a doctor lighting up? I have. But does the sight of an obese doctor give you the same jolt? It should.
Researchers with Johns Hopkins University’s Bloomberg School of Public Health revealed in a study that a physician’s weight can impact the type of care and information he or she issues to patients. After surveying doctors across the country, they found “normal-weight physicians” were more likely to discuss weight loss, diet, and exercise with their heavy patients. Only 7 percent of overweight physicians (individuals with a body mass index, or BMI, of 25 or more) recorded an obesity diagnosis on any patient versus 93 percent of normal-weight doctors.
My own research in this area reveals that doctors face huge challenges in the workplace. Free meals are in constant supply at many hospitals. Nutritional quality is not always considered—and I am being generous in my assessment here. To be more accurate, most hospital food seems designed to cause heart disease and other illness, not to prevent it.
By no means does this cancel out the care you receive from an overweight doctor or a fast-food-franchise-hosting hospital. But it does bring to light the fact that doctors are far from perfect, and that acquiring or building upon your self-care survival skills is never a bad idea.
I knew enough about the science of aging and weight gain to recognize that nutrition (or lack of it) had landed me in my current state, so I went straight to the source: food. But I didn’t want to simply put on my medical scientist’s hat. I wanted to learn a new skill: to understand food from a tactile sense, to see natural ingredients in their natural form. I wanted to approach food as a chef would, so I did the most obvious thing: I went to cooking school.
In cooking, I finally found a professional niche that also helped serve my personal goals. I was eating better than ever—in both taste and nutrition—and my body, appearance, and energy level reflected this change. I lost most of my big gut, and many of the external signs of aging that had begun to reveal themselves prematurely retreated. I felt my sense of purpose renewed.
Hot Tip
Soft, smooth skin and diminished underarm hair can signal low testosterone.
From there, and with my friend Dr. Mike Roizen, I became the first physician to teach nutrition and cooking together in a medical school. We went on to research and co-write a popular book, The RealAge Diet.
I took this momentum to re-invent my individual practice, Chef Clinic®, where I began to offer patients my hands-on, strategic plan for achieving better health through weight loss. I started collecting good stories, and writing down the details of my calls from patients. They were losing weight and doing things that they had never thought about doing. A few examples:
•A 72-year-old from Washington, D.C., called me after reaching the bottom of the Grand Canyon, over nine miles from where he had begun.
•A 54-year-old let me know he no longer needed to use seat belt extenders, and had to push his car’s driver’s seat forward because it was too far from the steering wheel.
•A 48-year-old had to take two links out of his metal wristwatch because it became too loose; he noticed this when the tan line around his watch began to show—it was the tan line that caught his eye.
•A 39-year-old reported being able to pull the airplane tray table down without hitting his stomach.
My professional and personal passions united in my practice. I could now blend the pleasure of writing recipes on prescription slips with the chance to empower motivated people to transform their lives.
As I continued work in my practice, I began to see a pattern emerge—it was mostly men who were coming to me, and they were achieving knockout, sustained results.
I knew this was a statistical anomaly. Men notoriously shy away from “diets” and balk at traditional dieting rules. Counting points or calories, eating smaller portions, and consuming low-fat, low-sugar, low-flavor versions of everything aren’t concepts that bring most men to the table. But something about my approach was not only bringing them to the table, it was helping them embrace this gut-free, pain-free, ready-for-action solution. And sometimes, they got to leave behind the pill bottles they no longer needed.
Hot Tip
Losing just 10 pounds can lower your blood pressure. Track your pressure at home and show your doctor the numbers. Decide together whether you can adjust your medication.
Refuel Emerges
In writing this book, I went back and re-read and analyzed the file of every man I’ve treated over the last fifteen years, paying attention to what worked for each and what didn’t. I analyzed thousands of peer-reviewed clinical reports in metabolism and endocrinology to find the science behind the most successful strategies. I read all of the comments on my ChefMD® and Paging Dr. La Puma blogs and the recipe postings from over 30,000 subscribers. (Join them! Sign up at www.refuelmen.com for tools and advice.)
After all that research, one fact struck me immediately: there is no such thing as a unisex diet. If a man wants to lose weight, a diet designed to help women will not usually work.
When it comes to the subject of weight, men and women couldn’t be more different. Not only do men feel differently about food, we metabolize it differently, carry our weight differently, store our fat differently, and burn fat differently and at different rates with exercise. We have completely different attitudes toward and expectations of weight-control programs.
Man Memo
Men who went to exclusively male weight-loss meetings lost twice as much weight as those who attended co-ed meetings.
These differences are obvious when you look at many current diet books and programs. Nearly all popular diets and diet books have been written for women. Almost no programs have been created just for men to meet their distinct medical, physiological, and behavioral needs. That is, until now.
Man Memo
Men generally have greater muscle mass and lower body fat than women. More muscle and less fat means men need 10 to 15 percent more calories than their female counterparts to maintain their...
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