DR.

SHARI LIEBERMAN,
Ph.D. CNS, FACN
Founding Dean, New York
Chiropractic College’s MS
Program in Applied Clinical
Nutrition
Chair of the Exam Committee,
Certification Board for Nutrition
Specialists
Recipient of the National Natural
Foods Association 2003 Clinician
of the Year Award
Author of:
Dare to Lose: 4 Simple Steps to a Better
Body
The Real Vitamin and Mineral Book
Transitions Low Glycemic Food Guide
The Statistics
ν 58 million overweight, 40 million
obese, 3 million morbidly obese

ν 8 out of 10 over age 25 are obese

ν 78% of Americans not meeting basic

activity level recommendations
Statistics
ν 25% completely sedentary

ν 76% increase in type II diabetes in

adults 30-40 years old since 1990

ν 80% type II diabetes related to obesity

ν 70% of cardiovascular disease related

to obesity
More Statistics!
ν 30% of gallbladder surgery related to
obesity

ν 26% of obese people have high blood

pressure

ν Physician office visits: $62.7 million

Statistics
ν Restricted activity days: $29.9 million

ν Bed-related days: $89.5 million

ν Obesity puts you at higher risk for

illness than smoking

ν Employer insurance premiums

skyrocket, productivity is lowered
Statistics
ν 4% overweight in 1982, 16%
overweight in 1994

ν 25% of all white children overweight

2001

ν 33% African American and Hispanic

children overweight 2001

ν Hospital costs associated with

childhood obesity rising from $35
million (1979) to $127 million (1999)
Statistics
ν 1 in 4 overweight children will be
diagnosed with type II diabetes

ν 60% already have one risk factor for

heart disease

ν Type II diabetes went from 4% in

1990 to 20% now

ν 85% of children diagnosed with type

II diabetes are obese
What is the GI?
The Glycemic Index (GI)
ν Glycemic Index (GI) measures the
impact of carbs on blood sugar levels

ν High GI foods such as sugar, white

flour and rice quickly raise blood
sugar levels and insulin production
9High GI foods throw your
metabolic switch into fat storage
mode (independent of calories!)
What is the GI?
The Glycemic Index (GI)
ν Low GI foods promote weight loss
while preserving lean muscle mass
and increasing metabolic rate
9Low GI foods give your body a
steady stream of energy

ν Addresses body composition

resulting in fat loss!
Low GI Foods
ν High GI: processed foods, junk foods,
white bread, rice, potatoes, ripe bananas,
melons are examples

ν Low GI: high fiber foods, yams, sweet

potatoes, beans, lentils, unprocessed grains
(high fiber), oranges, grapefruit, berries,
less ripe banana
Low GI Foods
ν Our ancestors consumed a low GI
diet

ν Your pets must consume a low GI

diet

ν Low GI: all protein, all vegetables,

most fruits
Low GI Lifestyle
ν Low GI diets have been shown to be
superior for:
• Weight management, weight loss
• Supporting a healthy cardiovascular
system
• Maintaining blood sugar
• Supporting healthy cholesterol levels
Low GI Lifestyle
ν Low GI requires no calorie restriction

ν Low GI creates greatest satiety

ν Low GI has the greatest impact on blood

sugar

ν Low GI has the greatest impact on blood

lipids (even compared to Step 1 Diet -
National Cholesterol Education Program)
Low GI Acceptance
ν The American Diabetes Assn, The
American Heart Assn & The
American Dietetic Assn do not
recognize the role of low GI food
choices in health or disease
prevention or treatment
Low GI Acceptance
ν In contrast the Joint Food and
Agriculture Organization/World
Health Organization Expert
Consultation on Carbohydrates, the
European Assn for the Study of
Diabetes, the Canadian Diabetes
Assn, Diabetes UK all encourage
the application of the GI when
choosing carb- containing foods
Diets Don’t Work - But Low GI Does!
ν Severe caloric restriction can slow
metabolism by as much as 10-15%

ν A low fat diet compared to a low GI diet -

low GI diet (with same caloric restriction)
slowed metabolism significantly less: 5.9%
vs 10.6%\

ν Less hunger with low GI

Low vs. High GI
ν High GI carbs associated with body weight
(GI 81.7!)
ν Body mass index was found to be positively
associated with glycemic index but not with
daily carbohydrate intake or percentage of
calories from carbohydrates.
Low GI
ν Do genetics play a role in obesity?
ν Do genetics play a role in CVD?
ν Your genetics can be modified by lifestyle
ν Low GI does not equal low carb!
ν High sugar and starch and low fiber
increase risk of disease and obesity
Set An Example
ν A study in the Lancet Medical Journal confirms
that eating fast food makes you fat and increases
the risk of diabetes
ν If you eat fast food twice per week you will be at
least 10 pounds fatter
ν Learn healthier food choices, consider taking food
with you
ν Bring healthy snacks so you don’t grab junk
ν Be an example - your children watch what you are
eating (and doing!)
Fast Food Still Rules
ν These were the Top 10 most popular foods
consumed in restaurants by men and women last
year:
ν Men
• 1) Hamburger 2) French fries 3) Pizza 4)
Breakfast sandwich 5) Side salad 6) Eggs
7) Doughnuts 8) Hash browns 9) Chinese
food 10) Main salad
Fast Food Still Rules
ν Women
• 1) French fries 2) Hamburger 3) Pizza 4)
Side salad 5) Chicken sandwich 6)
Breakfast sandwich 7) Main salad 8)
Chinese food 9) Chicken nuggets or
strips 10) Rice
• Source: NPD Group survey of 3,500
respondents to the question "What did I
order at a restaurant today?" as part of a
year-long diary of eating habits in 2004
 TM

THE FAT BURING ZONE

HIGH
Glucose Levels

Fat Burning Zone

LOW
The GI & Children
ν When children were given sugary beverages
- their behavior was rated more than 300
times worse by their teachers!
ν CNN warned parent NOT to give their
children sugar before getting on the
airplane
ν Aspartame may adversely affect their
behavior as well
Keep Away From Sweet Drinks
ν University of Texas Health Science Center at
San Antonio (Houston Chronicle 6/11/05). A
Diet Coke, Pepsi, Dr Pepper, Sprite or any
other zero-calorie drink won't make you fat,
but a new study by San Antonio researchers
suggests that drinking diet soda in middle age
dramatically increases the chance of gaining
weight later.
Keep Away From Sweet Drinks
ν The study of more than 600 normal-weight people
found, eight years later, that they were 65 percent
more likely to be overweight if they drank one diet
soda a day than if they drank none. And if they
drank two or more diet sodas a day, they were
even more likely to become overweight or
obese.And more surprising still, those who drank
diet soda had a greater chance at becoming
overweight than did those who drank regular, full-
calorie soda.
Read Labels
ν Buy fresh foods
ν Read labels - avoid sugars, high fructose corn
syrup, hydrogenated oils, trans fatty acids
ν Cereals should have no added sugar or sugar as
one of the very last ingredients
ν Cereals should have at least 8 or more grams of
fiber, bread at least 3 grams per slice
ν Clean the house of junk!
ν Sweet cravings are acquired
You Are What You Eat!
ν Keep fresh fruit, fruit salad, fresh
vegetables on hand
ν Freeze fruit and blend for smoothie
ν Put fruits through processor for ice cream
ν Make your own fresh, healthy snacks
ν Dried fruit, raw or roasted nuts, nut butters
(no oil added)
Feed Your Children Right!
ν Numerous studies have shown that children who
don’t eat breakfast are fatter and learn less
ν Children who consume sugar and sugary
beverages may have severe behavioral changes
ν Children who are not nourished with healthy
foods are less healthy and learn less
ν Heart disease, diabetes and certain cancers are
related to diet and lifestyle factors
Low GI
ν "Effect of breakfast composition on cognitive processes in
elementary school children," Mahoney CR, Taylor HA, et
al, Physiol Behav, 2005; 85(5): 635-45. In a study
comparing the effects of instant oatmeal versus a ready-to-
eat cold cereal versus no breakfast at all, consuming
oatmeal for breakfast was found to improve cognitive
performance among elementary school aged children.
While the oatmeal and the ready-to-eat cereal were similar
in energy, they differed in the makeup of macronutrients
score, and their effects on digestion and metabolism.
Low GI
ν After consuming a breakfast of oatmeal, spatial
memory was enhanced in both boys and girls aged
6-11 years old, and short-term memory improved
among girls in this same age bracket. In addition,
among boys and girls aged 6-8 years old, auditory
attention improved as well.
Low GI
ν Researchers hypothesize that the cognitive
enhancement found after oatmeal consumption as
compared to the ready-to-eat cereal may be
because oatmeal provides a slower and more
sustained source of energy due to its protein and
fiber content, glycemic score, and rate of
digestion.
Metabolic Syndrome
ν The metabolic syndrome, a dangerous cluster of
risk factors previously seen in adults and
adolescents, is now appearing in elementary
school-aged children. The findings, presented at
the 52nd American College of Sports Medicine
(ACSM) Annual Meeting in Nashville, are the first
to emerge from a three-year physical activity
intervention and study to determine the prevalence
of the condition in young children.
Metabolic Syndrome
ν The metabolic syndrome has become a prevalent
condition in North America, affecting nearly a
quarter of U.S. men and women. An individual
with the metabolic syndrome has three or more of
the following factors: high blood pressure, high
blood glucose, high plasma triglycerides, low
HDL cholesterol, and high waist circumference.
The metabolic syndrome is considered a precursor
for Type 2 diabetes, coronary artery disease, and
premature mortality.
Metabolic Syndrome
ν Three hundred seventy-five second- and third-
grade boys and girls were assessed to determine
the prevalence of the metabolic syndrome and its
related components in this age group. Researchers
developed metabolic syndrome screening protocol
for the children, defined as the presence of three
or more of the following components: 1) central
obesity (high waist circumference); 2) elevated
triglyceride concentrations; 3) low HDL (good)
cholesterol; 4) elevated blood pressure; or 5)
elevated fasting glucose levels.
Metabolic Syndrome
ν Five percent of both boys and girls were identified
as having the metabolic syndrome. Half of the
children had no components, and 45 percent had
one or two components, with elevated blood
pressure being the most common. Although the
prevalence is low in this population, researchers
say the results show the need for early prevention
since components of the metabolic syndrome track
into adulthood.
Metabolic Syndrome
ν The prevalence of metabolic syndrome
dramatically increased among children who were
overweight, with one in five overweight children
having the condition, said Katrina D. DuBose,
Ph.D., lead author. To help manage this, children
need to participate in more physical activity and
choose healthier foods to eat. Parents and
teachers can help by encouraging children to be
more active both inside and outside of school
Stay Off The Sweet Stuff!
ν Americans consume about 145 pounds of
sugar - per person - per year! And sugar
has a glycemic index of 100!! It’s not
necessarily the calories that are doing you
in, but the super sweet taste of sugar that
can throw the metabolic switch to signal
your body to store body fat. Some folks can
metabolize sugar into alcohol making it an
extremely addictive substance.
Stay Off The Sweet Stuff!
ν Artificial sweeteners are not necessarily a
panacea. No one is thinner, lighter or
weighs less using an artificially sweetened
beverage. Increased consumption of
artificial sweeteners and of high-calorie
beverages may be a contributing factor to
being overweight since these beverages
appear to interfere with the body’s ability to
control caloric intake based on sweetness.
Move It!
ν Sedentary lifestyle is habit forming
ν Increases risk of disease, bone loss, muscle
loss
ν Increases fat to muscle ratio
ν Increases disability, falling, fractures later
in life
ν Cross-training is important - working both
aerobically and strength training
Exercise Is Key
ν Aerobic - 30 minutes or more of a
continuous movement at least 3 times each
week
ν Walking, dancing, cycling, treadmill,
dancing, etc.
ν Make it a family event!
ν Taking a walk for just 20 minutes after
meals can significantly reduce weight and
body fat
Exercise Is Key
ν Strength training is also important for strong
muscles
ν Muscle dictates metabolism
ν Crash dieting and yo-yo dieting results great
muscle loss - sometimes more than 30%
ν You gain back the weight as fat
ν Many DVD/tapes, free weights, gym, exercise
bands, light hand weights - many choices
ν Karate, boxing, etc.
ν At least twice per week - alternate days for
muscles to recover
Resources
ν Transitions Low Glycemic Index Food
Guide
ν Low GI < 55
ν Book - “Dare To Lose: 4 Simple Steps to a
Better Body”
Selected References
ν Pereira MA et al. Effects of a low-glycemic load
diet on resting energy expenditure and heart
disease risk factors during weight loss. JAMA
2004;292:2482-2490.
ν Dulloo AG et al. Adaptive changes in energy
expenditure during refeeding following a low-
calorie intake: evidence for a specific metabolic
component favoring fat storage. Am J Clin Nutr
1990;52:413-20.
ν Opperman MA et al. Meta-analysis of the health
effects of using the glycaemic index in meal-
planning. Brit J Nutr 2004;92:367-381.
ν Marks BL et al. The importance of fat free mass
maintenance in weight loss programmes. Sports
Med 1996;22(5):273-281.
TRANSITIONS LIFESTYLE SYSTEM™
– PRODUCT ASSORTMENT

ν Daily Journal
ν DVD Support Series
ν Dietary Supplementation
ν Transitions™ Entrees
ν “On-The-Go” Bars & Shakes
ν Lifestyle Audio CD (selling tool)
ν Transitions 101 - 2 CD Set (training tool)
THE DAILY JOURNAL

ν Program overview
ν Complete 30 day system journal
ν Progress log
ν Daily affirmations
ν Supplement Guide
ν Stress & relaxation techniques
ν Exercise suggestions
ν Menu suggestions
ν Accountability tool

Keeps you on track!

Code: 6387
DC: $5.00
SR: $6.95
TRANSITIONS™ SUPPLEMENTATION

ν Do you have issues with carbohydrates?

ν Are carbs getting in the way of achieving
your weight management goals?
ν Then consider: Carbohydrate Absorption
Inhibitor
ν It reduces the effects of high glycemic
index foods on blood sugar levels*

Code: 6379
DC: $29.99
SR: $39.99
BV: 23
* The Food and Drug Administration has not evaluated the statements
statements made in this presentation. The Transitions Supplements are not
intended to diagnose, treat, cure or prevent any disease.
CARB UTILIZERS

ν Constant dieting results in high body fat to muscle

mass ratio, slows weight loss
ν MUSCLE DICTATES METABOLISM!
ν Chromium is essential for glucose tolerance -
essential for insulin production and tissue sensitivity
ν 80% of Americans deficient in Chromium, refined
products increase need
CARB UTILIZERS - CAI

ν Chromium essential for glucose tolerance

ν Inhibits metabolic switch to fat storage
ν Enhances insulin sensitivity so sugar goes into
working muscle
ν Reduces sweet cravings, blunts GI
ν Vanadium also important for optimal blood sugar
regulation
ν Magnesium also essential for optimal blood sugar
regulation and glucose tolerance
CARB UTILIZERS - CAI

ν Wheat amylase inhibitor blunts the rise in blood sugar

ν Inhibits metabolic switch to fat storage
ν Inhibits alpha-amylase which digests sugars in foods
ν Helps maintain healthy cholesterol and triglyceride
levels
ν All carb utilizers blunt glucose rise and inhibit fat
storage
CARB UTILIZERS -CAI

ν Banaba leaf improves glucose uptake activity of

insulin - escorts glucose into working muscle
ν Inhibits metabolic switch to fat storage
ν Reduces glucose absorption, helps maintain healthy
cholesterol and triglyceride levels
ν Blunts glycemic index of food
CARB UTILIZERS - CAI

ν Bitter melon has a long history of use in Ayurvedic

medicine
ν Enhances insulin sensitivity so sugar goes into
working muscle
ν Reduces sweet cravings
ν Promotes optimal blood sugar levels
TRANSITIONS™ SUPPLEMENTATION

ν Do you have issues with your metabolism -

no matter what you do?
ν Have you yo-yo dieted?
ν Is metabolism getting in the way of
achieving your weight management goals?
ν Then consider: Fat Conversion Inhibitor
(FCI) or TC-AMP
Code: 6381 Code: 6383
DC: $37.25 DC: $38.95
SR: $49.99 SR: $49.99
BV: 28.5 BV: 30
* The Food and Drug Administration has not evaluated the statements
statements made in this presentation. The Transitions Supplements are not
intended to diagnose, treat, cure or prevent any disease.
FCI

ν Gymnema sylvestre has a long history of use in

Ayurvedic medicine
ν Blunts rise in blood sugar
ν Enhances insulin sensitivity, helps maintain healthy
cholesterol and triglyceride levels
ν Reduces sweet cravings
METABOLIC SUPPORT - FCI

ν Garcinia cambogia has a long history of use

in Ayurvedic medicine
ν Also known as Malabar Tamarind
ν Active ingredient - hydroxycitric acid
(HCA)
ν Reduces carb cravings - may increase the
release and availability of 5-
hydroxytryptophan in the brain
METABOLIC SUPPORT - FCI

ν HCA significantly increases weight loss

ν Preferentially induces fat rather than muscle loss
ν Preserves lean body mass
ν No CNS stimulant effect
ν May increase satiety
ν Bioperine (black pepper) enhances the
absorption and utilization
TRANSITIONS™ SUPPLEMENTATION

ν Do you have issues with stress?

ν Is stress getting in the way of
achieving your weight management
goals?
ν Then consider: Anti-Stress Formula
ν Promotes more balanced moods and
stress hormone levels
Code: 13175
DC: $26.25
SR: $35.99
BV: 20
* The Food and Drug Administration has not evaluated the statementss made in this presentation. The Transitions Supplements are not
* The Food and Drug Administration has not evaluated the statement made in this presentation. The Transitions Supplements are not
intended to diagnose, treat, cure or prevent any disease.
TRANSITIONS™ SUPPLEMENTATION

ν L-theanine: relaxation, calming

ν Rhodiola rosea, Ashwaganda, Eleuthero
root, Passion flower, Bacopa monneira are
all adaptogens
ν Adaptogens help the body better deal with
and cope with the effects of stress
ν They can be calming or they can be
energizing - it depends on your own
individual need

* The Food and Drug Administration has not evaluated the statements
statements made in this presentation. The Transitions Supplements are not
intended to diagnose, treat, cure or prevent any disease.
TRANSITIONS™ SUPPLEMENTATION

ν Do you have issues with belly fat and

overall body fat no matter what you do?
ν Is your body fat getting in the way of you
achieving your weight management goals?
ν Then consider: Conjugated Linoleic Acid
ν It helps reduces overall body fat and
stubborn belly fat*
Code: 6408
DC: $29.40
SR: $39.99
BV: 20
* The Food and Drug Administration has not evaluated the statements
statements made in this presentation. The Transitions Supplements are not
intended to diagnose, treat, cure or prevent any disease.
TRANSITIONS™ SUPPLEMENTATION

ν CLA may reduce overall body fat when

combined with exercise and diet
ν It helps shift weight loss to fat loss
ν It helps reduces overall body fat and
stubborn belly fat (visceral fat)
ν It prevents the regaining of body fat (if you
are still on a program) - it’s excellent for
maintenance

* The Food and Drug Administration has not evaluated the statements
statements made in this presentation. The Transitions Supplements are not
intended to diagnose, treat, cure or prevent any disease.
TRANSITION™ ENTREES

ν Do you often eat cafeteria food?

ν Do you have issues finding the time
to cook and instead rely on fast food
and other unhealthy food choices?
ν Then consider our delicious
Transitions Entrees!
ν Just heat (boil or microwave) and
serve.
A New Meal for On The Go!

ν Shelf stable and requires no

refrigeration.
ν No preservatives are added
ν Just heat (boil or microwave) and
serve.
Ginger Shiitake Sauce with
Brown Rice and Beef
DC: $4.50
SR: $475
BV: 3
TRANSITIONS™ “ON THE GO”
BARS & SHAKES
ν Do you have issues with snack
foods?
ν Do you have issues with a sweet
tooth?
ν Consider our delicious On The Go
Bars & Shakes!
ν They have no added sugar
ν Low GI
ν High protein, high fiber
ν Low fat and no trans fat!
TRANSITIONS™ “ON THE GO”
Breakfast Bars
ν Comes in two delicious flavors

Apple Cinnamon
DC: 20.00
SR: 28.00
BV: 11

Oatmeal Raisin
DC: 20.00
SR: 28.00
BV: 11
TRANSITIONS™ “ON THE GO”
BARS & SHAKES
ν Satisfy your sweet tooth
ν Great 3 pm treat or snack
ν Great before or after a workout
ν Guilt-free dessert
ν Use when you’re on the go to tide
you over until you have a meal
TRANSITIONS LIFESTYLE SYSTEM™
AUDIO CD
ν Learn why you didn’t fail - and how
the diet failed you!
ν Learn new solutions to the issues that
have stopped you from achieving
your weight management goals.
ν Let Dr. Shari do the selling!

Code: 6386
DC: $2.50
 THE TRANSITIONS LIFESTYLE
SYSTEM™ – 30 Day Starter Kit
A great way to help you achieve the weight loss
goals you have always wanted.
*The kit includes:

ƒ 1- Daily Journal
ƒ 1- Carbohydrate Absorption Inhibitor
ƒ 1- Fat Conversion Inhibitor
ƒ 1 Transitions Support DVD:
ƒ Segment 1: Get Off the Sweet Stuff
ƒ Segment 2: Good Fats, Bad Fats
ƒ 1- Transitions Lifestyle System CD Code: 6412
DC: $70.00
SR: $99.95
BV: 50
* The Food and Drug Administration has not evaluated the statements
statements made in this presentation. The Transitions Supplements are not
intended to diagnose, treat, cure or prevent any disease.
DVD SUPPORT SERIES
ν Education leads to better compliance and
results
ν Covers topics that are important for long
term success
ν The DVDs provide powerful behavior
modification for your group meeting and
individual customers
ν The DVDs provide personal support for
anyone wanting to achieve their weight
management goals

Code: 6413
SR: $69.95
Alternative & Complementary
Therapies:
Transitions™ Study Reprint

The 12 week pilot study Undertaken to

determine the overall efficacy of the
Transitions Lifestyle System™.

Code: ACT
DC: $5.00 for a pack of 10
TRANSITIONS GLYCEMIC FOOD
INDEX BOOK
ν Includes the glycemic index and
glycemic load of hundreds of
popular foods and beverages
ν Provides ethnic food lists for use
at restaurants and presents
easy-to-understand explanations
of glycemic index, glycemic load,
and other important terms.
TRANSITIONS™ GLYCEMIC FOOD
INDEX BOOK

ν Answers the most commonly asked

questions about:
• Carbohydrates
• Blood glucose
• Glycemic index

CODE: 6420
DC: $5.00