10th September 2012
Dr Rushmini Maris bt Ismail
No. 26G, Jalan Semenyih Sentral 4,
43500 Semenyih, Selangor
Dear colleague in the medical world,
REF: Doctor to doctor Sharing about the modern epidemic , O B C T
I hope you would glimpse through my letter in spite of your being so busy. I wish I could see you in person for an exchange of views and experience. But alas! time mercilessly dictates the affairs of doctors like us. In lieu of a visit let me speak through this communication and hope to hear from you on your experience as well.
As doctors we see more and more cases of obesity. The stubborn fat lump of protoplasm that cannot be removed by dieting and exercising is now termed notoriously as resistant obesity.
From my patients I gathered the following:
In the beginning, I am less than amused of my reflection in the mirror
I tried to lose weight but ended up in famine and feasting cycle.
Doctor why, why am I fat? I am not overeating.
Exercise? Oh, please, I exercise regularly.
Do I need liposuction? ( I took up a course in liposuction and had done hundreds of liposuction up to date)
From my experience treating obesity I gathered that:
Liposuction removes fat but definitely it will not help resistant obesity.
Fat is a source of fuel. In spite of that, why do fat people feel so weak and tired? This is how I explain this phenomenon.
Obesity is a consequence of the body not being able to use fat as an energy source. It is energy that cannot be broken down to be used by the body because the required hormones and enzymes are not sufficient to process it into energy. The body has to find other energy sources. It will make fuels from protein, destroying the muscles in the process or demanding more food by making us hungry. If we go against this demand we become cranky and stressful. If we follow we come lumpier and more tired.
The body behaves like a car with the petrol not reaching the carburetor. This is a sign of metabolic failure. It means deficiency in the blood. Hormonal deficiency is not confined to just insulin. It could be other hormones such as thyroid, estrogen, progesterone or dhea. Most of the time what meets the eye is obesity!
More importantly, I would like to share with you some recent findings from health scientists. This is about what is termed as insulin resistance. Referring to cases where insulin level is high but not able to burn down blood sugar. In this case, studies suggest that the insulin is bounded to certain substances such as sugar or amine compounds. The insulin can be assayed but it cannot do its function and unable to enter the mitochondria .no energy can be produced but it could perform some functions such as making more fat thus making huge adipocytes!!
However the body recognizes there is too much food by assessing the amount of insulin! This gives an impact to the pancreas. The islets cells get confused due to constantly changing levels of insulin and blood sugar. due to constant switch on an off. the islet dies and the person gets diabetes.
I have applied these principles based on correcting of the patient’s hormonal balance in order to treat resistant obesity. I have helped to restore joy to over a thousand of my patients. My clinic therefore dedicates to treating and making people with resistant obesity well again.
Dieting and exercise never work for resistant obesity caused by hormonal discrepancies!
if you ever come across people who are obese and yet claimed that they hardly eat anything, please give them the benefit of a doubt. In 90 percent of cases that could be nothing but the truth.
I thank you for your kind attention and hope to meet and network with you in the future.
Have a great day!
Dr Rushmini Maris Binti Ismail