As a board-certified registered dietitian nutritionist and the clinical nutritionist for NYU Langone’s Joan H. Tisch Center for Women’s Health and the Center for Fibroid Care, I support women on their journey toward a better understanding of how their diet impacts their body. My specialty in diabetes and metabolism allows me to assist women with blood sugar and weight issues. Through our collaboration, we establish the best dietary approach to help them reach their personal goals. I advocate for women to receive comprehensive care that addresses their concerns and make it a point to discuss how lifestyle habits, mental state, and levels of stress and sleep can affect wellbeing. When I’m not meeting with patients, I support the Department of Obstetrics and Gynecology at NYU Grossman School of Medicine by researching the relationship between diet and gynecologic conditions, such as fibroids and endometriosis. I also teach first-year medical students about nutrition. I am passionate about assisting and empowering women to utilize food and nutrition to support their health. If you are seeking support for gastrointestinal conditions or disordered eating concerns, however, please consider contacting a specialist in one of those areas. I do not treat eating disorders or gastrointestinal conditions myself.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:00):
The following is a paid podcast.iHeartRadio's hosting of this podcast constitutes neither an
endorsement of the products offered or theideas expressed. The following program is brought
to you by NYU land Go inHealth. It's Kats's Corner with doctor Aaron
Keaf. You're trusted expert in men'shealth, providing straight talk on a wide
(00:20):
range of men's health topics and adviceon how to live your healthiest life.
Now on seven ten WOOR. It'sthe Chairman of Urology at NYU land Gone
Hospital, Long Island. Here isdoctor Aaron Katz. Good morning everyone,
Happy Sunday. Welcome to Katz's Cornerhere on wr iHeart Radio. So glad
(00:42):
you could join us this morning.Have a wonderful show for you which deals
with the area of diet and nutrition, and we'll be talking about the role
of dieting nutrition for everyone as wellas for those people that deal with obesity
and with diabetes. And I've askedChoke Monsoeur to come onto the show.
(01:06):
She is a certified Dietitian nutritionist,a CD as I'm told in diabetes care
and education specialist at NYU ln GoneHospital. She has been working for many
years and has great experience, andshe's currently the clinical dietitian nutritionist for the
NYU Center for Women's Health, whereher primary focus is on nutrition and diabetes
(01:32):
counseling. Her real passion is ondiabetes and diabetes care, but she also
is interesting that she does research onother conditions in women's health like fibroids and
endometriosis, and she also teaches atthe NYU Grossman School of Medicine on nutrition
and diabetes and gets courses there.So we are very fortunate, Choke to
(01:56):
have you on the show this morning. Thank you very much and really appreciate
the time for you coming on firsttime or here on Kat's corner. Sure,
thank you so much, doctor Katz. Good morning to everyone. I'm
really happy to be on to talka little bit this morning about nutrition and
diabetes. Yes, and maybe youcan start by, you know, telling
(02:21):
all of us about you know,what a registered dietitian, what your role
is at the medical center, andhow you help in managing people with I
guess you're mostly focused on diabetes,but also other medical conditions and whether or
not you give care to nutritional advicefor other conditions. Yeah, absolutely,
(02:46):
so you know, either registered dietitianand certified diabetes education specialists. My primary
role is to help individuals manage youknow, their diabetes or there's thefic you
know, condition that they're coming tome or through personal life nutrition and lifestyle
plans and counseling. So I workwith patients to understand their unique healthy I
(03:12):
understand, try to understand their medicalhistory and educate them about how different food
can impact them clinically or can impacttheir blood sugars. I can provide you
know, strategies and meal plans tohelp with improving their overall help and of
course you know, collaborating with otherhealthcare professionals to ensure a comprehensive approach to
(03:35):
their to their health or to theirspecific problems. So yeah, so I
I do mostly specialize and diabetes,but you know, I see patients for
weight management. I see patients withpcos with you know, high cholesterol,
so all sorts of conditions that thatI see. Yeah, I'm sure you're
(03:58):
quite busy. I mean certain,as we all know, diabetes and obesity
and you know, being OVERWEIGHTHED isa tremendous problem here, uh, in
the United states. I wonder somaybe a little bit off topic, but
how these new you know, oralmedications for for weight loss and also for
diabetes, zembic and some of theothers. Uh, what is the influence
(04:23):
there and what are you seeing nowin your practice and how has that changed
uh or or it has it changedyour role at all? It really has
changed my role dramatically, right,I'm finding a lot of you know,
patients who are not diabetic utilizing beinguh injectable medications such as the dumping or
(04:47):
some maglotide monjaro would go be thatfound you know, these be met essentially
started out a dumping in particular herestarted out a type two diabetes medication,
but because of the strong weight lossbenefit associated with it, you know it,
(05:10):
you started using it. You know, providers started using an off label
and and so that's that's where itboomed from there. So I certainly see
a lot of patient utilizing these thesemedications for weight management, and they're able
to lose weight successfully. But youknow, I think it is important that
if you are on these medications thatyou do actually consult with a registered dietitian
(05:35):
because there are some things that youneed to take into consideration in terms of
what to expect for side effects.It can cause a lot of nod yet
can reduce your caloric intakes significantly,So you do want to meet with a
registered dieticians to just make sure thatyou're still eating in a helpful, balanced
(05:57):
way, that you're eating adequate proteam so that you're not you know,
losing muscle mass, which is somethingthat we've been seeing with with patients losing
tremendous amounts of weight weight while whilebeing all met So yeah, I think
you know, if you're listening andyou're on this and losing a lot of
weight to please, I recommend it'snot a bad idea to meet with a
(06:20):
registered dietitian just to make sure thatyou're you're still eating and having a well
balanced diet, because like I said, you know, lots of muscle mass
is something that we're seeing. Theother thing is the GI aspect, so
it's only from nausea or a lotof it actually has been reported and it's
(06:41):
a common side e fact, soyou know, mediating that through nutrition and
constipation and just overall changes in bowelhabits are to be noted as well.
So talking to a registered dietitian aboutways to mitigate these types of issues.
Yeah, those those are really importantpoints. I think there's a lot of
people taking these medications don't realize it, and they probably feel well. They're
(07:02):
losing weight through on their medication andthey can eat whatever they want. But
you know, it is interesting thatwe're seeing patient that you're seeing patients that
are losing muscle mass, maybe losingprotein. Wonder the effect that it may
have also on their kidneys. Yousay that you should go see a registered
certified dietation How does one do that? I mean, I'll give out your
(07:26):
number, I'll give it out now, and I can leave it out the
end of the show, which issix four six seven four thirty three hundred
at six four six seventy five fourthirty three hundred. And I know that
you also do mentioned before the showsome telemed visits, which is really nice
for some people that they don't actuallywant to get down to the office.
We're talking with Chokemon Sour this morning, who is a certified dietitian Nutritionness.
(07:49):
They CD at NYU and gives coursesat NYU Grossman School of Medicine. But
if you're listening out there, andyou go, well, yeah, maybe
I should see the certified dietitian nutritionis that? How does one go about
that? Yeah, it's go online, google it. I mean you can,
but you might not be able toget to a registered dietitian. You
(08:13):
might maybe come across a nutritionist,which you know goes through a different as
a different kind of educational background.But if you want to meet with a
registered dietitian who is you know,certified through the Academy of Nutrition and Dietactics,
you want to go on eat rightdot boold and through there you want
(08:35):
to click on to find a nutritionexpert and then you can go in and
it's a huge database. You canyou know, again look up if you
want to see someone in person ortelehealth and put your insurance in and other
requirements that you might have. ButI would say that's kind of the best
lead to find a credential nutrition anddietetic practitioner. Okay, that's good.
(09:00):
Eat right dot org. Is thatright? You got yep, you got
it right right dot org And thenthere you would get a certified dietisis and
nutritionists. And I assume because you'reputting in your insurance that this would be
covered by insurance, it may so, at least at my aufice, we
(09:22):
always encourage patients to double check withtheir insurance because with nutrition counseling, it's
honestly sometimes a hitter amiss and youreally have to ask if it'll be covered.
Sometimes they'll tell you it'll be coveredif it's for specific diagnosis and so
forth, so it's you know,it may or may not. I know
(09:43):
that for Medicare patients, if youhave diabetes or kidney to be is the
only two conditions that they'll cover anappointment would have registered dietitian. But yeah,
each insurance is going to be different, so you definitely want to make
surely. Yeah, and so thenutritionists you mentioned, if you look that
up that that wouldn't be covered,is that is that fair to say?
(10:07):
Again, it may or may notbe covered as well, so it's okay,
absolutely, Yeah, it's really ahitter on this, So I definitely
encourage to always double check and callyour insurance company and give the name of
of the of the dietitian that you'reyou're going to see so that they can
tell you yeah, okay, great. And of course you know the role
(10:31):
of diet and nutrition is obviously extremelyimportant. You mentioned that people are on
some of these newer diabetic medications andmaybe losing proteins. Uh, would it
be would it be important for peopleon these medications to take protein shake,
like maybe like buy some weight protein, put her in with some almond milk
or some regular milk or whatever kindof milk the lines, shake it up
(10:54):
and and have that every day.Is that is that reasonable? That is
definitely a great idea. Absolutely,that's something that I often suggest. Actually
two patients who are on these weightloss injectables, you know, when you're
on them, you do have diminishedappetite, and so liquid nutrition is usually
(11:16):
preferred and you know, more tolerated. So something like a protein shake is
excellent. So you know, ifyou do consumed dairy, you could go
for a weave based protein powder,or if you're vegan or vegetarian, you
could go for a vegan feat proteinbaked hemp protein based type of a powder.
(11:37):
And Yeah, certainly just mixing itwith some milk or almond milk or
water and having that can be agreat supplement or addition. But that's definitely
something huge that we talk about.It's just really making sure that your prioritizing
protein throughout the day. So somethinglike protein shakes can be really helpful.
(11:58):
Greet yogurt, you know, eggs, pottage, cheese, chicken, turkey,
fish, plant based protein like beingplentful tofu. So you know,
thinking about wheat and strategies to reallyup your protein and you know, incorporate
it throughout the day is really important. Yeah, that's great, I'd say
(12:20):
in my own life, I've changed. I used to have like eggs every
morning, and now I've gone toa protein shake and I make a wave
based protein. I mix it withsome oak milk. I throw some blueberries
in there, some spinach and someflat seed and some beet powder. They
have these beet powders that you canbuy. I throw that in there,
(12:43):
maybe a little our ine or somethinglike that to sweeten it up. Maybe
a little very scoop of peanut butter. I'm in the mood, blended up,
and then I kind of used thatthe whole morning. It kind of
you know, last me through themorning. I kind of you know,
what's that? Well that Yeah,I filled you up. It's actually perfect
and nutritionally complete. Right, ifyou have some complex cards you have fiber,
(13:07):
you have protein, you have fat, so you have a little bit
of everything. So if you're goingto have a shake or a smoothie at
a meal replacement, it advice thatyou're really thinking about, you know,
making sure that you're cutting in morethan just you know, fruit and protein,
so you can add you know,healthy spots by sticking in you know,
(13:30):
a table through a natural nut butter, you even put in an avocado,
you know, adding in more fiberwith brown flax orchia, putting in
greens so molootieth are actually a greatway to really increase your fiber intake in
general. Yeah, I tell youalso, I feel like since I've done
this, I have much more energy. I really feel great throughout the throughout
(13:56):
the day that I have. Yes, so it really has changed my life.
If you just tuning in, youknow Catsus Corner, we're talking with
Chope Monsur, certified dietitian, nutritionistsand diabetes care and education specialists at NYU
land Going Health or number if you'dlike to make an appointment is six four
six seven five four thirty three hundredand tell her that you heard it on
(14:20):
Katsus Corner. Will make sure thatwe can get you in quick and maybe
a telemedicine visits that you do telemedicinevisits for people as well. Yeah,
yeah, don't do both could?I know that people sometimes preferred that as
well, so yeah, a littlebit of both. Yeah, I love
that. That's great to help people. And so the number again is six
(14:41):
four, six seven, five,four thirty three hundred, and I know
that you do specialize in diabetes.What do you think are some of the
common misconceptions that that people have aboutdiabetes and nutrition. So one of the
most common misconceptions is that people withdiabetes PA avoid all carbohydrates, right,
(15:03):
because you know, carbohydrates are essentiallythe macronutrients that turns into sugar glue boats
and you know, raises are bloodsugars. But it's important to note that,
you know, carbohydrates are an essentialnutrients. It's actually the bodies preferred
fuel source or energy source. Soyou know, while it's important to monitor
(15:24):
your carbohydrate intake, the keys toreally choosing the correct type of cards and
managing portion sizes. So, youknow, a huge misconception as well as
that sugar alone is the primary causeof diabetes, but in reality, you
know, factors like genetics overall thatand lifestock can also play significant role.
(15:48):
So you know, the point isis you can eat carbohydrates in your diet
if you have diabetes, but needto be mindful of the spacing, the
type of carbohydrates and the amount andalso what you eat the carbohydrate wet.
So it's a lot to really thinkabout when it comes to carbs if you're
(16:11):
dealing with something like diabetes. Soyeah, in terms of you know type
you know you want to be thinkingabout fast absorbing versus slow absorbing carbohydrates.
Right, So if I have,you know, a condition like type two
diabetes or even type one that I'mmostly going to talk about type two here
(16:37):
in the context of our conversation iswe're trying to promote blood shorter stability.
So you know, something that's importantis that you're focusing on these slow absorbing
carbohydrates or they're going to be theones that are highest than vibrus. Those
things like coal, grain, sproudedgrain, o scale cut oh brown right
(17:00):
gin wile Fharaoh married lentils, chickpeas, these containing fiber and not fiber flows
down the rate of which that thosecarbohydrates get broken into sugar or glucose and
enter the bloodstream. So that's youknow, a much better option than a
simple or fast absorbing car like whitebread. You know, crackers, soda,
(17:23):
French fries, white potatoes, thoseare more kind of simple and very
fast absorbing. They get into yourbloods room very quickly because there's not a
lot of fiber content two of them. So that's really rue. So those
are the things that you want toreally avoid, I guess if you're diabetic,
(17:44):
or even if you're not a diabetic, right, I mean absolutely,
yeah, you know, diet sodais the fried foods. You didn't talk
about red meat at all. Whereare we with red meat these days?
What's your take on that? So, I mean, here's the thing I
always tell people, if you're nota red meat eater or lover, you
(18:06):
know, don't start eating it.You know, with red meat, you
can eat it in small amount.I think there's some nutritional benefit to grass
bed, you know, good qualitygrass bed red meat. Of course,
you know, we want to bemindful of you know, saturated fat stemming
(18:27):
from animal products like red meat,because you know that can impact cholesterol.
So you know, my take onit is limited as much as as much
as you can. You know,I'm a big sound of Mediterranean diet,
which really you know, focuses andendorses the consumption of fatty fish, fish
(18:52):
and laygons and really put in enough. Yeah, I completely agree. I
think red meat is great in moderation, especially if you are someone that does
need protein take it can be veryhelpful in moderation for sure. And not
to completely eliminated. You mentioned fish. You know, one of the concerns
I have about fish, and Ilove fish. I go to the food
(19:14):
market and I see that most ofthe fish is farm raised fish. You
know, you means, yeah,you want to spend it, you want
to spend extra money to get youknow, a wild caught soho salmon or
hall of bit is usually not farmraised. I don't think so word tuna,
but a lot of the salmon thatwe see today seems to be farm
raised. You warned about that.Even the color I see, the color
(19:37):
looks different in the stores of thefarm raised versus like the the coho or
the king salmon or you know,it's it's a deeper, richer kind of
a reddish colored, right, Yeah, you see that. Yeah, and
it actually had more a fishy erteape than the I find than the than
the farm raised farm but the farmraised yeah, the farm raised actually is
(20:03):
not even orange. If you pickup a package you know in the super
market, they yeah, they theyactually color it. They act coloring to
it. Really, Yeah, yeahthey do. So you know, I
understand, you know, with theeconomy can be challenging. Yeah, you
(20:26):
know to like purchase wild caught allthe time. So the question is is,
you know, is it okay toyou know, keep eating this farm
rate salmon and you know it's unknownto be honest, you know, the
long term effects of consuming that.I will say, you know, if
(20:48):
you can try to get something likeeven can wild caught salmon, sometimes that's
a more cost effective way of havingit in your diet. So there's that
could be something to to consider.And those are great and easy. Just
open it up. I usually likeput that in a salad or something like
(21:10):
that. Oh really, now init can't you're saying, yeah you can?
I would say wild cat, it'llstay wild hot. Absolutely, It's
a good idea. Yeah, Andgetting back to the snack ideas, what
are some things that you recommend?There are just nutritious as well as is
blood sugar friendly. Let's call it. There are blood sugar friendly snack ideas.
(21:34):
Sure, so something really important aboutsnacking is trying not because snack on
Jeff again refined carbs. Right.When we think of snacks, you know,
people are often picking sactful of theircrackers or chips, and those types
of things can bite your blood sugarand again they don't really provide long term
to tiety. So when you're thinkingabout having a healthy snack, you want
(21:59):
to have a little bit of youknow, good quality card with maybe some
protein or fat. For example,like an apple with a tablespoon of no
sial peanut butter or almond butter,or great yogurt with some berries or some
nuts or seeds, or maybe somerock ont didgies with hummus. You could
do like a serving of whole graincrackers with you know, some little fat
(22:22):
cheas or harboiled egg, maybe somesliced cucumber with guaca moley. So again
notice all these examples, we're havingyou know, some protein, a little
bit of healthy fats, some carbs, some fiber, some nutritional benefits.
So we're not just knacking on carbohydrates. I'm sure that when you have a
(22:45):
console with someone, you're going throughall of this, like what are they
eating through the day and what theycan you know, you tailor it,
do you think? I mean,how often what would you see somebody in
console? And how often are youseeing them again? Like you say,
Okay, look is what I'm goingto do. I want you to eat
this, this, this, don'teat this, this and that, and
then we've got to come back andwhat months or two months or Yeah,
(23:08):
usually I'll tell them about four tosix weeks, and that really gives them
enough time to you know, makeand implement them changes that kind of come
back to me to kind of reassessand continue our conversation. But yeah,
usually you know, in our inour first visit or our first appointment,
(23:29):
that's where we'll just kind of gothrough and do a general nutrition assessment and
I'll you know, cast for asnapshot of what you know, those day
to day eating habits and patterns looklike, you know, what kind of
things do you drink throughout the day, what's your meals? Think like,
you know, how frequently are yousnacking? What what are your eating patterns
on the weekend? You know,I feel like this is often missed.
(23:52):
People are just thinking about what theyeat during the weekday and they're so good,
and then the weekend come and it'sjust you know, a different story.
So you know, having a conversationabout you know, your approach and
eating habits and patterns on the weekends, and you know, then just coming
up with a plan and talking aboutthe recommended changes with the patient and then
(24:17):
I follow up about four to sixweeks later. Yeah. Well, I'm
sure many people see the benefit.And you know, if you eat right
and you probably lose the weight,then that probably helps in the control of
your sugar, especially if you're diabetic. I'm sure you see that all the
time. And you're you know,outlining a strategy for someone that that really
can make a difference. And youneed, you know, you need like
(24:38):
a coach. You know, notto say that you are a coach,
but in a way you probably doserve as a coach, a life a
diet coach, so to speak.You know, people can't do it on
them. It's really hard. No, no, it's really challenging. And
you're absolutely right, you know,I am a coach sometimes a sarapist,
(24:59):
you know, because we do haveconversations about you know, barriers or issues
or feelings and emotions about food,their relationship with food, their relationship with
their body and their nutrition. Souh, you know, part of this
is psychology. And believe it ornot, I would say about maybe ninety
percent ofations that come and tell me, you know, I already know all
(25:22):
this. It's just the problem isis a matter of you know, practical
application, and I need accountability orI need to create that kind of space
once a month to calm and sitdown with you and just you know,
have a conversation reminding me again ofwhat I'm doing. Absolutely, it is
(25:42):
so challenging to lose weight. Andplease, you know, seek help from
your primary doctors, seek help fromyou know, a registered diacation. You
know there are people will care aboutyou. And unfortunately that's the end of
the show. I want to thankyou show. But unfortunately the primary cure
doctors are swamped with people. Theydon't have a lot of time, you
(26:04):
know, and and for the majorityof time. So thankfully we have someone
like yourself who's dedicated. If youare interested in seeing chop Mansur or anyone
on her team at the Diabetes Centerand she's a certified dietitian nutritionist. Please
give a call. The number issix four six seven five four thirty three
hundred six four six seven five fourthirty three hundred show. Thank you so
(26:27):
much for coming on. I reallyappreciate you. We'll have you on again
next time because we didn't really geta chance. You can talk about all
the fads and the diets and allof that, so that would be another
great topic of conversation. Thank youso much. Well, let's endo the
show everyone. I hope you enjoyedit as much as I did. Tune
in every Sunday here on Worcats's Corner. We'll have a great show for you
next week. This is doctor AaronKatz. You've been listening to Katzer's Corner.
(26:51):
Come back every week to hear morestraight talk on a wide range of
men's health topics and advice on howto live your healthiest life. The proceeding
was a paid podcast. iHeartRadio's hostingof this podcast constitutes neither an endorsement of
the products offered or the ideas expressed.
The following is a paid podcast.iHeartRadio's hosting of this podcast constitutes neither an
endorsement of the products offered or theideas expressed. The following program is brought
to you by NYU land Go inHealth. It's Kats's Corner with doctor Aaron
Keaf. You're trusted expert in men'shealth, providing straight talk on a wide
(00:20):
range of men's health topics and adviceon how to live your healthiest life.
Now on seven ten WOOR. It'sthe Chairman of Urology at NYU land Gone
Hospital, Long Island. Here isdoctor Aaron Katz. Good morning everyone,
Happy Sunday. Welcome to Katz's Cornerhere on wr iHeart Radio. So glad
(00:42):
you could join us this morning.Have a wonderful show for you which deals
with the area of diet and nutrition, and we'll be talking about the role
of dieting nutrition for everyone as wellas for those people that deal with obesity
and with diabetes. And I've askedChoke Monsoeur to come onto the show.
(01:06):
She is a certified Dietitian nutritionist,a CD as I'm told in diabetes care
and education specialist at NYU ln GoneHospital. She has been working for many
years and has great experience, andshe's currently the clinical dietitian nutritionist for the
NYU Center for Women's Health, whereher primary focus is on nutrition and diabetes
(01:32):
counseling. Her real passion is ondiabetes and diabetes care, but she also
is interesting that she does research onother conditions in women's health like fibroids and
endometriosis, and she also teaches atthe NYU Grossman School of Medicine on nutrition
and diabetes and gets courses there.So we are very fortunate, Choke to
(01:56):
have you on the show this morning. Thank you very much and really appreciate
the time for you coming on firsttime or here on Kat's corner. Sure,
thank you so much, doctor Katz. Good morning to everyone. I'm
really happy to be on to talka little bit this morning about nutrition and
diabetes. Yes, and maybe youcan start by, you know, telling
(02:21):
all of us about you know,what a registered dietitian, what your role
is at the medical center, andhow you help in managing people with I
guess you're mostly focused on diabetes,but also other medical conditions and whether or
not you give care to nutritional advicefor other conditions. Yeah, absolutely,
(02:46):
so you know, either registered dietitianand certified diabetes education specialists. My primary
role is to help individuals manage youknow, their diabetes or there's thefic you
know, condition that they're coming tome or through personal life nutrition and lifestyle
plans and counseling. So I workwith patients to understand their unique healthy I
(03:12):
understand, try to understand their medicalhistory and educate them about how different food
can impact them clinically or can impacttheir blood sugars. I can provide you
know, strategies and meal plans tohelp with improving their overall help and of
course you know, collaborating with otherhealthcare professionals to ensure a comprehensive approach to
(03:35):
their to their health or to theirspecific problems. So yeah, so I
I do mostly specialize and diabetes,but you know, I see patients for
weight management. I see patients withpcos with you know, high cholesterol,
so all sorts of conditions that thatI see. Yeah, I'm sure you're
(03:58):
quite busy. I mean certain,as we all know, diabetes and obesity
and you know, being OVERWEIGHTHED isa tremendous problem here, uh, in
the United states. I wonder somaybe a little bit off topic, but
how these new you know, oralmedications for for weight loss and also for
diabetes, zembic and some of theothers. Uh, what is the influence
(04:23):
there and what are you seeing nowin your practice and how has that changed
uh or or it has it changedyour role at all? It really has
changed my role dramatically, right,I'm finding a lot of you know,
patients who are not diabetic utilizing beinguh injectable medications such as the dumping or
(04:47):
some maglotide monjaro would go be thatfound you know, these be met essentially
started out a dumping in particular herestarted out a type two diabetes medication,
but because of the strong weight lossbenefit associated with it, you know it,
(05:10):
you started using it. You know, providers started using an off label
and and so that's that's where itboomed from there. So I certainly see
a lot of patient utilizing these thesemedications for weight management, and they're able
to lose weight successfully. But youknow, I think it is important that
if you are on these medications thatyou do actually consult with a registered dietitian
(05:35):
because there are some things that youneed to take into consideration in terms of
what to expect for side effects.It can cause a lot of nod yet
can reduce your caloric intakes significantly,So you do want to meet with a
registered dieticians to just make sure thatyou're still eating in a helpful, balanced
(05:57):
way, that you're eating adequate proteam so that you're not you know,
losing muscle mass, which is somethingthat we've been seeing with with patients losing
tremendous amounts of weight weight while whilebeing all met So yeah, I think
you know, if you're listening andyou're on this and losing a lot of
weight to please, I recommend it'snot a bad idea to meet with a
(06:20):
registered dietitian just to make sure thatyou're you're still eating and having a well
balanced diet, because like I said, you know, lots of muscle mass
is something that we're seeing. Theother thing is the GI aspect, so
it's only from nausea or a lotof it actually has been reported and it's
(06:41):
a common side e fact, soyou know, mediating that through nutrition and
constipation and just overall changes in bowelhabits are to be noted as well.
So talking to a registered dietitian aboutways to mitigate these types of issues.
Yeah, those those are really importantpoints. I think there's a lot of
people taking these medications don't realize it, and they probably feel well. They're
(07:02):
losing weight through on their medication andthey can eat whatever they want. But
you know, it is interesting thatwe're seeing patient that you're seeing patients that
are losing muscle mass, maybe losingprotein. Wonder the effect that it may
have also on their kidneys. Yousay that you should go see a registered
certified dietation How does one do that? I mean, I'll give out your
(07:26):
number, I'll give it out now, and I can leave it out the
end of the show, which issix four six seven four thirty three hundred
at six four six seventy five fourthirty three hundred. And I know that
you also do mentioned before the showsome telemed visits, which is really nice
for some people that they don't actuallywant to get down to the office.
We're talking with Chokemon Sour this morning, who is a certified dietitian Nutritionness.
(07:49):
They CD at NYU and gives coursesat NYU Grossman School of Medicine. But
if you're listening out there, andyou go, well, yeah, maybe
I should see the certified dietitian nutritionis that? How does one go about
that? Yeah, it's go online, google it. I mean you can,
but you might not be able toget to a registered dietitian. You
(08:13):
might maybe come across a nutritionist,which you know goes through a different as
a different kind of educational background.But if you want to meet with a
registered dietitian who is you know,certified through the Academy of Nutrition and Dietactics,
you want to go on eat rightdot boold and through there you want
(08:35):
to click on to find a nutritionexpert and then you can go in and
it's a huge database. You canyou know, again look up if you
want to see someone in person ortelehealth and put your insurance in and other
requirements that you might have. ButI would say that's kind of the best
lead to find a credential nutrition anddietetic practitioner. Okay, that's good.
(09:00):
Eat right dot org. Is thatright? You got yep, you got
it right right dot org And thenthere you would get a certified dietisis and
nutritionists. And I assume because you'reputting in your insurance that this would be
covered by insurance, it may so, at least at my aufice, we
(09:22):
always encourage patients to double check withtheir insurance because with nutrition counseling, it's
honestly sometimes a hitter amiss and youreally have to ask if it'll be covered.
Sometimes they'll tell you it'll be coveredif it's for specific diagnosis and so
forth, so it's you know,it may or may not. I know
(09:43):
that for Medicare patients, if youhave diabetes or kidney to be is the
only two conditions that they'll cover anappointment would have registered dietitian. But yeah,
each insurance is going to be different, so you definitely want to make
surely. Yeah, and so thenutritionists you mentioned, if you look that
up that that wouldn't be covered,is that is that fair to say?
(10:07):
Again, it may or may notbe covered as well, so it's okay,
absolutely, Yeah, it's really ahitter on this, So I definitely
encourage to always double check and callyour insurance company and give the name of
of the of the dietitian that you'reyou're going to see so that they can
tell you yeah, okay, great. And of course you know the role
(10:31):
of diet and nutrition is obviously extremelyimportant. You mentioned that people are on
some of these newer diabetic medications andmaybe losing proteins. Uh, would it
be would it be important for peopleon these medications to take protein shake,
like maybe like buy some weight protein, put her in with some almond milk
or some regular milk or whatever kindof milk the lines, shake it up
(10:54):
and and have that every day.Is that is that reasonable? That is
definitely a great idea. Absolutely,that's something that I often suggest. Actually
two patients who are on these weightloss injectables, you know, when you're
on them, you do have diminishedappetite, and so liquid nutrition is usually
(11:16):
preferred and you know, more tolerated. So something like a protein shake is
excellent. So you know, ifyou do consumed dairy, you could go
for a weave based protein powder,or if you're vegan or vegetarian, you
could go for a vegan feat proteinbaked hemp protein based type of a powder.
(11:37):
And Yeah, certainly just mixing itwith some milk or almond milk or
water and having that can be agreat supplement or addition. But that's definitely
something huge that we talk about.It's just really making sure that your prioritizing
protein throughout the day. So somethinglike protein shakes can be really helpful.
(11:58):
Greet yogurt, you know, eggs, pottage, cheese, chicken, turkey,
fish, plant based protein like beingplentful tofu. So you know,
thinking about wheat and strategies to reallyup your protein and you know, incorporate
it throughout the day is really important. Yeah, that's great, I'd say
(12:20):
in my own life, I've changed. I used to have like eggs every
morning, and now I've gone toa protein shake and I make a wave
based protein. I mix it withsome oak milk. I throw some blueberries
in there, some spinach and someflat seed and some beet powder. They
have these beet powders that you canbuy. I throw that in there,
(12:43):
maybe a little our ine or somethinglike that to sweeten it up. Maybe
a little very scoop of peanut butter. I'm in the mood, blended up,
and then I kind of used thatthe whole morning. It kind of
you know, last me through themorning. I kind of you know,
what's that? Well that Yeah,I filled you up. It's actually perfect
and nutritionally complete. Right, ifyou have some complex cards you have fiber,
(13:07):
you have protein, you have fat, so you have a little bit
of everything. So if you're goingto have a shake or a smoothie at
a meal replacement, it advice thatyou're really thinking about, you know,
making sure that you're cutting in morethan just you know, fruit and protein,
so you can add you know,healthy spots by sticking in you know,
(13:30):
a table through a natural nut butter, you even put in an avocado,
you know, adding in more fiberwith brown flax orchia, putting in
greens so molootieth are actually a greatway to really increase your fiber intake in
general. Yeah, I tell youalso, I feel like since I've done
this, I have much more energy. I really feel great throughout the throughout
(13:56):
the day that I have. Yes, so it really has changed my life.
If you just tuning in, youknow Catsus Corner, we're talking with
Chope Monsur, certified dietitian, nutritionistsand diabetes care and education specialists at NYU
land Going Health or number if you'dlike to make an appointment is six four
six seven five four thirty three hundredand tell her that you heard it on
(14:20):
Katsus Corner. Will make sure thatwe can get you in quick and maybe
a telemedicine visits that you do telemedicinevisits for people as well. Yeah,
yeah, don't do both could?I know that people sometimes preferred that as
well, so yeah, a littlebit of both. Yeah, I love
that. That's great to help people. And so the number again is six
(14:41):
four, six seven, five,four thirty three hundred, and I know
that you do specialize in diabetes.What do you think are some of the
common misconceptions that that people have aboutdiabetes and nutrition. So one of the
most common misconceptions is that people withdiabetes PA avoid all carbohydrates, right,
(15:03):
because you know, carbohydrates are essentiallythe macronutrients that turns into sugar glue boats
and you know, raises are bloodsugars. But it's important to note that,
you know, carbohydrates are an essentialnutrients. It's actually the bodies preferred
fuel source or energy source. Soyou know, while it's important to monitor
(15:24):
your carbohydrate intake, the keys toreally choosing the correct type of cards and
managing portion sizes. So, youknow, a huge misconception as well as
that sugar alone is the primary causeof diabetes, but in reality, you
know, factors like genetics overall thatand lifestock can also play significant role.
(15:48):
So you know, the point isis you can eat carbohydrates in your diet
if you have diabetes, but needto be mindful of the spacing, the
type of carbohydrates and the amount andalso what you eat the carbohydrate wet.
So it's a lot to really thinkabout when it comes to carbs if you're
(16:11):
dealing with something like diabetes. Soyeah, in terms of you know type
you know you want to be thinkingabout fast absorbing versus slow absorbing carbohydrates.
Right, So if I have,you know, a condition like type two
diabetes or even type one that I'mmostly going to talk about type two here
(16:37):
in the context of our conversation iswe're trying to promote blood shorter stability.
So you know, something that's importantis that you're focusing on these slow absorbing
carbohydrates or they're going to be theones that are highest than vibrus. Those
things like coal, grain, sproudedgrain, o scale cut oh brown right
(17:00):
gin wile Fharaoh married lentils, chickpeas, these containing fiber and not fiber flows
down the rate of which that thosecarbohydrates get broken into sugar or glucose and
enter the bloodstream. So that's youknow, a much better option than a
simple or fast absorbing car like whitebread. You know, crackers, soda,
(17:23):
French fries, white potatoes, thoseare more kind of simple and very
fast absorbing. They get into yourbloods room very quickly because there's not a
lot of fiber content two of them. So that's really rue. So those
are the things that you want toreally avoid, I guess if you're diabetic,
(17:44):
or even if you're not a diabetic, right, I mean absolutely,
yeah, you know, diet sodais the fried foods. You didn't talk
about red meat at all. Whereare we with red meat these days?
What's your take on that? So, I mean, here's the thing I
always tell people, if you're nota red meat eater or lover, you
(18:06):
know, don't start eating it.You know, with red meat, you
can eat it in small amount.I think there's some nutritional benefit to grass
bed, you know, good qualitygrass bed red meat. Of course,
you know, we want to bemindful of you know, saturated fat stemming
(18:27):
from animal products like red meat,because you know that can impact cholesterol.
So you know, my take onit is limited as much as as much
as you can. You know,I'm a big sound of Mediterranean diet,
which really you know, focuses andendorses the consumption of fatty fish, fish
(18:52):
and laygons and really put in enough. Yeah, I completely agree. I
think red meat is great in moderation, especially if you are someone that does
need protein take it can be veryhelpful in moderation for sure. And not
to completely eliminated. You mentioned fish. You know, one of the concerns
I have about fish, and Ilove fish. I go to the food
(19:14):
market and I see that most ofthe fish is farm raised fish. You
know, you means, yeah,you want to spend it, you want
to spend extra money to get youknow, a wild caught soho salmon or
hall of bit is usually not farmraised. I don't think so word tuna,
but a lot of the salmon thatwe see today seems to be farm
raised. You warned about that.Even the color I see, the color
(19:37):
looks different in the stores of thefarm raised versus like the the coho or
the king salmon or you know,it's it's a deeper, richer kind of
a reddish colored, right, Yeah, you see that. Yeah, and
it actually had more a fishy erteape than the I find than the than
the farm raised farm but the farmraised yeah, the farm raised actually is
(20:03):
not even orange. If you pickup a package you know in the super
market, they yeah, they theyactually color it. They act coloring to
it. Really, Yeah, yeahthey do. So you know, I
understand, you know, with theeconomy can be challenging. Yeah, you
(20:26):
know to like purchase wild caught allthe time. So the question is is,
you know, is it okay toyou know, keep eating this farm
rate salmon and you know it's unknownto be honest, you know, the
long term effects of consuming that.I will say, you know, if
(20:48):
you can try to get something likeeven can wild caught salmon, sometimes that's
a more cost effective way of havingit in your diet. So there's that
could be something to to consider.And those are great and easy. Just
open it up. I usually likeput that in a salad or something like
(21:10):
that. Oh really, now init can't you're saying, yeah you can?
I would say wild cat, it'llstay wild hot. Absolutely, It's
a good idea. Yeah, Andgetting back to the snack ideas, what
are some things that you recommend?There are just nutritious as well as is
blood sugar friendly. Let's call it. There are blood sugar friendly snack ideas.
(21:34):
Sure, so something really important aboutsnacking is trying not because snack on
Jeff again refined carbs. Right.When we think of snacks, you know,
people are often picking sactful of theircrackers or chips, and those types
of things can bite your blood sugarand again they don't really provide long term
to tiety. So when you're thinkingabout having a healthy snack, you want
(21:59):
to have a little bit of youknow, good quality card with maybe some
protein or fat. For example,like an apple with a tablespoon of no
sial peanut butter or almond butter,or great yogurt with some berries or some
nuts or seeds, or maybe somerock ont didgies with hummus. You could
do like a serving of whole graincrackers with you know, some little fat
(22:22):
cheas or harboiled egg, maybe somesliced cucumber with guaca moley. So again
notice all these examples, we're havingyou know, some protein, a little
bit of healthy fats, some carbs, some fiber, some nutritional benefits.
So we're not just knacking on carbohydrates. I'm sure that when you have a
(22:45):
console with someone, you're going throughall of this, like what are they
eating through the day and what theycan you know, you tailor it,
do you think? I mean,how often what would you see somebody in
console? And how often are youseeing them again? Like you say,
Okay, look is what I'm goingto do. I want you to eat
this, this, this, don'teat this, this and that, and
then we've got to come back andwhat months or two months or Yeah,
(23:08):
usually I'll tell them about four tosix weeks, and that really gives them
enough time to you know, makeand implement them changes that kind of come
back to me to kind of reassessand continue our conversation. But yeah,
usually you know, in our inour first visit or our first appointment,
(23:29):
that's where we'll just kind of gothrough and do a general nutrition assessment and
I'll you know, cast for asnapshot of what you know, those day
to day eating habits and patterns looklike, you know, what kind of
things do you drink throughout the day, what's your meals? Think like,
you know, how frequently are yousnacking? What what are your eating patterns
on the weekend? You know,I feel like this is often missed.
(23:52):
People are just thinking about what theyeat during the weekday and they're so good,
and then the weekend come and it'sjust you know, a different story.
So you know, having a conversationabout you know, your approach and
eating habits and patterns on the weekends, and you know, then just coming
up with a plan and talking aboutthe recommended changes with the patient and then
(24:17):
I follow up about four to sixweeks later. Yeah. Well, I'm
sure many people see the benefit.And you know, if you eat right
and you probably lose the weight,then that probably helps in the control of
your sugar, especially if you're diabetic. I'm sure you see that all the
time. And you're you know,outlining a strategy for someone that that really
can make a difference. And youneed, you know, you need like
(24:38):
a coach. You know, notto say that you are a coach,
but in a way you probably doserve as a coach, a life a
diet coach, so to speak.You know, people can't do it on
them. It's really hard. No, no, it's really challenging. And
you're absolutely right, you know,I am a coach sometimes a sarapist,
(24:59):
you know, because we do haveconversations about you know, barriers or issues
or feelings and emotions about food,their relationship with food, their relationship with
their body and their nutrition. Souh, you know, part of this
is psychology. And believe it ornot, I would say about maybe ninety
percent ofations that come and tell me, you know, I already know all
(25:22):
this. It's just the problem isis a matter of you know, practical
application, and I need accountability orI need to create that kind of space
once a month to calm and sitdown with you and just you know,
have a conversation reminding me again ofwhat I'm doing. Absolutely, it is
(25:42):
so challenging to lose weight. Andplease, you know, seek help from
your primary doctors, seek help fromyou know, a registered diacation. You
know there are people will care aboutyou. And unfortunately that's the end of
the show. I want to thankyou show. But unfortunately the primary cure
doctors are swamped with people. Theydon't have a lot of time, you
(26:04):
know, and and for the majorityof time. So thankfully we have someone
like yourself who's dedicated. If youare interested in seeing chop Mansur or anyone
on her team at the Diabetes Centerand she's a certified dietitian nutritionist. Please
give a call. The number issix four six seven five four thirty three
hundred six four six seven five fourthirty three hundred show. Thank you so
(26:27):
much for coming on. I reallyappreciate you. We'll have you on again
next time because we didn't really geta chance. You can talk about all
the fads and the diets and allof that, so that would be another
great topic of conversation. Thank youso much. Well, let's endo the
show everyone. I hope you enjoyedit as much as I did. Tune
in every Sunday here on Worcats's Corner. We'll have a great show for you
next week. This is doctor AaronKatz. You've been listening to Katzer's Corner.
(26:51):
Come back every week to hear morestraight talk on a wide range of
men's health topics and advice on howto live your healthiest life. The proceeding
was a paid podcast. iHeartRadio's hostingof this podcast constitutes neither an endorsement of
the products offered or the ideas expressed.
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