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Hunger and Complex Appetite

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Hunger and Complex Appetite. ½ hour (30 minutes) AMA PRA Category 1 Credit™. Objective 1. The participant will understand the difference between complex and regular appetites. Objective 2. The participant will be able to identify symptoms of complex appetite. Objective 3.

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Hunger and Complex Appetite

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  1. Hunger and Complex Appetite • ½ hour (30 minutes) AMA PRA Category 1 Credit™

  2. Objective 1 • The participant will understand the difference between complex and regular appetites.

  3. Objective 2 • The participant will be able to identify symptoms of complex appetite.

  4. Objective 3 • The participant will be able to identify the most common complex appetite residual symptom.

  5. Objective 4 • The participant be able to identify questions used in this slide show in the process of evaluating if significant appetite is present.

  6. Objective 5 • The participant will be able cite reasons when a patient misses a meal and becomes light headed and dizzy it may not be due to hypoglycemia.

  7. COMPLEX APPETITE • A Case Study of Clinical Observations

  8. CATAGORIZING OF APPETITE • Regular >> go all day • Complex >> must eat regular Case Report of Clinical Observations

  9. COMPLEX APPETITE SYMPTOMS • The following is 12 of the 18 identified: Lightheadedness, Dizziness, Tremor, Nausea, Abdominal pain, Goose bump skin, Headaches, Sweating, Feeling of uneasiness, Anxiety, Disorientation, Irritability Usually have 3 or 4 Case Report of Clinical Observations

  10. COMPLEX APPETITE SYMPTOMS • The following is 12 of the 18 identified: Lightheadedness, Dizziness, Tremor, Nausea, Abdominal pain, Goose bump skin, Headaches, Sweating, Feeling of uneasiness, Anxiety, Disorientation, Irritability The same symptoms as heroine withdrawal. Case Report of Clinical Observations

  11. PREVELANCE • 66% of weight patients have complex appetite • 34% of weight patients have regular appetite Case Report of Clinical Observations

  12. NOT HYPOGLYCEMIA • 1960’s and 1970’s physicians diagnosed “hypoglycemia” • In weight loss, with appetite suppression and eating less, symptoms resolve instead of getting worse Case Report of Clinical Observations

  13. INDUCE APPETITE SUPPRESSION • Patients convert to a regular appetite • Patients eating later in the day, eat less Case Report of Clinical Observations

  14. IMPORTANCE IN WEIGHT LOSS • As complex appetites come under control, symptoms resolve one at a time. • Patient may be confused with new presentation of old problem. Case Report of Clinical Observations

  15. IMPORTANCE IN WEIGHT LOSS A typical patient’s symptoms of complex appetite Nausea Headaches Dizziness Case Report of Clinical Observations

  16. IMPORTANCE IN WEIGHT LOSS Go away one at a time Nausea Headaches Dizziness Case Report of Clinical Observations

  17. IMPORTANCE IN WEIGHT LOSS Go away one at a time Headaches Dizziness Case Report of Clinical Observations

  18. IMPORTANCE IN WEIGHT LOSS Go away one at a time LEFT WITH ONLY Dizziness Case Report of Clinical Observations

  19. HUNGER • If still with residual fractionated symptoms of complex appetite = the patient is still hungry Case Report of Clinical Observations

  20. BETWEEN A ROCK AND A HARD PLACE • Dieting on own without good suppression makes symptoms worse. Case Report of Clinical Observations

  21. COMPLEX APPETITE, cutting edge theory • High correlation with carbohydrate addiction or high intake of carbohydrates. • Could the symptoms of complex appetite be from carbohydrate addiction? We believe they are. Case Report of Clinical Observations

  22. IS THE PATIENT HUNGRY??? • Hunger is a nebulous term • Patients think in the present tense with answers that are black or white • “Are you hungry? - YES or NO” University of Minnesota Medical School Protocols

  23. SIGNIFICANT HUNGER • Snacking • Nibbling • Blowing diet • Using willpower that causes them to feel stressed University of Minnesota Medical School Protocols

  24. HUNGER • This is appetite suppression NOT eradication • Patient can experience hunger, as long as they are not snacking, nibbling, blowing their diet or using too much willpower University of Minnesota Medical School Protocols

  25. FACES OF HUNGER • Patient is not hungry, but is not losing weight • Food is an appetite suppressant University of Minnesota Medical School Protocols

  26. FACES OF HUNGER • Patient appears to have no significant hunger, but has experienced a change in complex appetite symptoms. University of Minnesota Medical School Protocols

  27. FACES OF HUNGER • Appetite suppression is not a regulator of feeling full • Can eat comfortably at 900 calories per day or 3,000 calories per day University of Minnesota Medical School Protocols

  28. FACES OF HUNGER • This is not a stress test for patients. If they are too hungry, have them eat more food AND count all of the calories University of Minnesota Medical School Protocols

  29. FACES OF HUNGER • Patients in appetite suppression need to count calories to insure that they are eating enough food University of Minnesota Medical School Protocols

  30. FACES OF HUNGER • Patients on prolonged, low calorie diets may find it hard to eat for their regular caloric needs • SIDE NOTE: If a patient has major surgery, keep them off of weight loss for 3 to 4 weeks. They will need the extra calories and nutrients to heal properly University of Minnesota Medical School Protocols

  31. FACES OF HUNGER • Compliance is the main reason that patients struggle. Examine the four areas of success with patients. • Patients who eat erratically and do not count calories will find it harder to maintain appetite suppression University of Minnesota Medical School Protocols

  32. FACES OF HUNGER • Appetite suppression is a tool to assist in weight loss, it is not an absolute cure • Motivation • Calorie counting • On-time clinic visits • Pills University of Minnesota Medical School Protocols

  33. FACES OF HUNGER • If the patient isn’t hungry • If the patient is happy with the program • If the patient is not losing weight The patient probably has an ulterior motive for being in clinic University of Minnesota Medical School Protocols

  34. CASE STUDY • 41 year old white female enrolled in the weight program on a fee for service basis. Was paying $75 per visit. • Asked her about the the cost of the program, she said she did not care. • Had been paying $350 to $400 a month for Sumatriptan for migraine headaches and now was migraine free. University of Minnesota Medical School Protocols

  35. Take Test • Module 15 Slide Show 2: Hunger and Complex Appetite

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