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The never ending debate, is it better to diet or exercise for weight loss? For most people, exercise does not burn enough calories to lose any significant weight. I went for a 20 minute run yesterday and my Nike plus app said I only burned 250 calories. That's about the same amount of calories in a latte. As I always tell patients, the best way to lose weight is to decrease calories. The above article from the New York Times health blog discusses a recent study stating that with weight loss there is a subsequent decrease in metabolism. This means that it's even harder to keep weight off once you lose it due to this decrease in metabolism. So what's the bottom line on weight loss, decrease caloric intake and increase caloric expenditure through exercise. And instead of calling it a diet, let's call it a lifestyle change because without changing our eating and exercising habits permanently, weight loss will always be just a temporary thing.
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I'm sure everyone is curious of this experimental treatment that pro athletes are flying to Germany to have done. It is a Similar treatment to PRP (platelet rich plasma) that is done here in the states. PRP is used to stimulate healing of tissue where Bynum's therapy, Regenokine or Orthokine treatment, is in theory blocking inflammation through the infanti-inflammatory cytokine IL-1 receptor antagonist (IL-1Ra). The hope is that it can alter the inflammatory response and limit cartilage erosion present in osteoarthritis. To date, there only a few studies that support this claim, and no longer term trials supporting its use. Insurance does not pay for either PRP or Regenokine/Orthokine treatments which cost hundreds (PRP) to thousands of dollars (Regenokine). There are other treatment options that are covered by insurance and have research to support their use, such as viscosupplementation. It's important to discuss your options with an orthopedic or sports medicine specialist as newer isn't always better and potential downsides do exist for some treatments, the least of which is the money you've spent for a treatment that didn't work.
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