Update on COVID

I wanted to share some thoughts as many questions are coming into my office about COVID. The issue with COVID is not necessarily what the virus will do to young & healthy people, the real issue is overwhelming/taxing a limited healthcare system with severe respiratory disease & deaths (the complications of COVID typically seen in […]

Stress: The Leading Cause of Weight Regain

By Dr. Tro Kalayjian While very few physicians have embraced remote monitoring, our practice has been thriving on the use of remotely monitoring patient biometric data. In our clinic, almost all of our patients have smart equipment in their homes which wirelessly sync with our practice. We monitor body weight, fat mass, water weight, muscle […]

Do Athletes Need Carbs?

While many dietitians and nutritionists who keep up with the medical literature have become more accepting of low carb & ketogenic diets, many still hold on to their biases. Many dietitians, nutritionists and physicians are not aware that low carb and ketogenic diets are now an ADA recommended medical nutrition therapy for diabetes and high […]

Grand Rounds Presentation on Hunger & Obesity at Virginia Commonwealth University

On Thursday, June 13th, 2019, Dr. Tro Kalayjian presented at Virginia Commonwealth University, to the Department of Medicine at Internal Medicine Grand Rounds. The presentation was made to the Department of Medicine staff, including attending physicians, residents and medical students as well as the VA and satellite offices. The title of the presentation was “Questioning […]

Is Fruit Healthy?

Patients ask me all the time… “Is fruit is healthy?” Many patients are shocked to discover that my recommendations are NOT to eat as many fruits and vegetables that you possibly can. Particularly when patients are diabetic, pre-diabetic or have fatty liver disease, I may in fact recommend that some patients REDUCE all of their […]

Avoiding Processed Food

One of the cornerstones of any healthy lifestyle change is increasing the amount of real food and thus limited the amounts of processed food. Undoubtedly some may ask, what exactly is processed food? After all, isn’t cheese and yogurt processed? By and large, when we talk about “processed food”, we are talking about cookies, crackers, […]

Can food be thy medicine?

Many evidence-based proponents will be quick to judge clinicians who claim that food can “improve symptoms of mental health disorders”, or when clinicians say that a good diet can “reverse” or even “cure disease”.  Let’s take a look at some of the literature to see what the “evidence” tells us. Does food/glycemia/nutrition affect mood, depression, […]

Why I Don’t Emphasize Calorie Counting…

It’s easier to track hours of eating than calories. It’s easier to track sugar/carbs than calories. It’s easier to track pounds of steak, fish, shrimp, chicken than calories. Even if you did track calories, per the literature, you’d be off by 20-50%. Even if you were a medical doctor, or nutritionist, per the literature, your […]

Is Protein King?

One of the problems is that protein can be engineered to be hyperpalatable. Think of how good protein bars, protein shakes, protein cookies & protein chips taste… And now think about how widely available they are… While there may be some unique hormonal signals w/high protein intake that may induce satiety, the flavor & palatability […]

Long-Term Weight-Loss Strategies

There are exactly 5 ways to lose weight in the LONGTERM- WITHIN a low carb, keto/carnivore dietary paradigm •Preventing Carb Creep •Time Restricted Feeding •Protein Leverage •Hunger Re-Assessment •Exercise Preventing Carb Creep In any dietary paradigm, when it’s new, a person naturally restricts until they get accustomed to eating within the framework. As time goes […]