Ayurvedic Weight Balancing - Preliminary Study

This study measured the effects of specific lifestyle changes on a variety of common complaints plaguing an average American population. These complaints included: weight gain, insomnia, anxiety, depression, fatigue, cravings, exhaustion after work and a general sense of being unhealthy. Eighteen subjects were evaluated during the two-month study. They were initially asked to eat three meals a day in a relaxed dining fashion without snacks during the day. As they became acclimated to three meals a day without snacking they were asked to eat only two meals a day by omitting supper. The average days a week that the group ate nothing for dinner was only 3.5 days out of each week (with maximum benefits expected at 7 days per week). There were no specific recommendations with regard to exercise or diet, other than the instructions regarding daily routine. The study population was comprised of 18 men and women randomly selected (some were on medication for diabetes, depression or insomnia). Average weight lost per week during the eight-week study: 1.1 pounds per week (extrapolated to 57.2 pounds per year). Self-reported issues of insomnia, anxiety, depression, fatigue, cravings, exhaustion after work and a general sense of well-being were all significantly improved in two weeks. Introduction rnAlthough we in the U.S. are one of the world’s wealthiest and superficially most advanced nations, we are succumbing at epidemic rates to the debilitating effects of chronic diseases including obesity, diabetes, heart disease, cancer, depression, anxiety and a host of other ills. People search through modern medicine to little avail for solutions to not only lose weight and maintain optimal health, but to also feel a greater sense of physical, mental, emotional and spiritual well-being. But, from the perspective of Ayurveda, true healing, including healthy weight balance, can only come from complete integration of body, mind and spirit. rnThe lifestyle experienced by Americans around one hundred years ago, it shared many characteristics with traditional Ayurvedic recommendations. Lunch was the biggest meal of the day. People went to bed shortly after the sun set and were up before its rise. Internal oleation techniques with castor and cod liver oil were commonly used and people naturally ate foods that were in season, either because that was what was available, or because they were farmers. Herbal remedies were the medicines of choice and families relied on kitchen remedies for most ailments. Overall, this type of routine resembles an adaptation of an Ayurvedic lifestyle to a specific culture. rnWith our modern lifestyle, we have rejected a good deal of the wisdom of our past; therefore we find ourselves looking to India for the answers to our healthcare concerns. What we find when we look at the Ayurvedic lifestyle is that it is not that far fetched from the lifestyle we once practiced here in America. rnAccording to Ayurveda, dinacharya, or the practice of a balanced daily routine, is one of our most powerful medicines. One of the strengths of Ayurveda, the science of life, as a medical system, is the emphasis on lifestyle and the connection with the Self. Ayurveda recognizes that the cause of our woes is linked to our sense of separation from our true nature or divine Self. In the sacred texts of the Vedas, this separation is known as prajnaparad, or the mistake of the intellect. rnPrajnaparad occurs when the mind has made the costly mistake of seeing itself as separate from its own consciousness. The memory (smriti) of pure consciousness in every cell must be restored in order for the whole body to heal the mental, emotional and spiritual components that cause obesity in the first place. When addressing a complex issue such as obesity, measures must be taken to evaluate and treat the entire body by treating each of the five koshas, or sheaths that make up the physical and subtle bodies. The annamaya kosha or physical body is addressed by the use of herbs, lifestyle and detoxification. The pranamaya kosha or energetic body is treated with pranayama, yoga asana, panchakarma and other more refined therapies. The manomaya kosha, or mental sheath, is treated via the senses utilizing therapies including sound, taste, touch, sight and smell along with panchakarma. The vijnanamaya kosha (sheath of higher intellectual knowledge) and the anandamaya kosha (body of ultimate bliss) are treated, with among other things, a sattvic lifestyle and dharana and dhyana (concentration and meditation). Obesity: Classical Ayurvedic Review rnCaraka describes two types of obesity. One is Sthaulya (Su.16.13); it is caused by the doshic accumulation and is treated with either vamana (emesis) or virechana (purgation) administered according both the type and strength of the accumulated dosha. The second is Atisthaulya (Su.21. 21-28), or over-obesity. Caraka refers to obesity as being one of the eight despicables, which include over-tall, over-short, over hairy, hairless, over-black, over-fair, over-obese and over-lean. The over-obese conditions has eight defects including: shortness of lifespan, hampered movement, difficulty in sexual intercourse, debility, foul smell, excessive sweating, too much hunger and excessive thirst. Over-obesity can be caused by over-saturation, intake of heavy, sweet, cold and fatty foods, indulgence in sleeping during the day, lack of mental work and genetic defect. rnIn obesity there is an accumulation of meda dhatu or fat which causes obstruction and imbalance in all the seven dhatus or tissue types. The accumulation of meda also interferes with the normal movement in the body, including the movement of food and nutrition through the digestive system, which is closely connected to our agni, or digestive fire. Maintaining balance of all three doshas and their seats within the digestive system is critical for weight management. rnIncreased exercise, mental activity, sexual activity (although not excessive) and proper diet and routine can be employed to balance the doshas. While eight factors are mentioned with regards to dieting (Vi. 1.21) there are three general principles that encompass all of those mentioned in the texts. These critical principles are: how, when and what you eat. How you eat takes into consideration the place in which a person is eating, rules of eating, attitude of the person eating and the quantity of the food. The concept of what you eat also encompasses the nature of the food, its preparation, the season of harvest and season in which it is eaten, and food combinations. When you eat determines the time of day the meals are taken. rnThe dietary principles used as the basis for this study are outlined in detail in my book, The 3-Season Diet. The focus of the study was to obtain information on the effectiveness of a weight loss regime based on these Ayurvedic principles. The study measured the benefits of modifying how, when and what you eat. (The study instructions gave the least amount of emphasis on “what” to eat as this is the primary emphasis of most modern American fad diets; an emphasis that has repeatedly proved to be ineffective). Methods rnThe study was advertised as a weight loss lifestyle study and anyone who was interested in following through with the eight-week program was accepted. There was no screening process eliminating people with medical issues other than the need to lose weight. Many in the group were on medications for serious conditions such as diabetes, depression, high blood pressure, asthma, hormone replacement therapy and more. rnA total of five men and 13 women who ranged in age from 21-65 were enrolled in and completed the eight-week study. Participants received no financial compensation for completing the study. They participated in a written questionnaire and interview at the beginning and end of the study. They were given a set of instructions to follow with recommendations for daily routine. See the appendix for the complete instructions for daily routine recommendations. rnParticipants were asked to eat a healthy breakfast, lunch and supper with supper preferably finished by 6pm. Lunch was asked to be the largest meal of the day with breakfast and supper large enough to make it to lunch or bed respectively without hunger pangs. The goal was to be able to skip supper all together and be able to eat two meals a day without experiencing hunger or food cravings. If cravings arose or if they felt uncomfortable they were given instructions to eat a light supper such as a soup or salad. rnExercise with nasal breathing and seasonal eating was suggested in the study but not emphasized. Results rnMost of the study participants were between 10-30 pounds overweight. The 18 people in the study lost a collective total of 143 pounds in the 130 person-weeks of the study (Some participants were enrolled after the study had already begun. The average weight lost per week during eight-week study was 1.1 pounds per week. This is extrapolated to 57.2 pounds per year. This weight-loss was broken down in the following manner: Therapeutic Results: rnThe following results were based a subjective questionnaire given at the beginning and end of the eight-week study. The group was asked to rate the severity of their ailment on a scale from 1-10 with 1 – 3 indicating a mild or no complaint, 4 - 7 indicating a moderate complaint and 7 - 10 indicating a severe complaint. The results were deemed significant for only those who recorded a moderate to severe level of complaint on the questionnaire.

• 11 out of 12 subjects with anxiety noticed significant decrease in 19 days.
• 16 out of 17 subjects with cravings noticed significant decrease in cravings in 15 days.
• 16 out of 17 subjects with fatigue noticed significant decrease in fatigue in 14 days.
• 12 out of 13 subjects with insomnia noticed significant decrease in insomnia in 15 days.
• 9 out of 10 subjects with depression noticed significant decrease in depression in 16 days.
• 11 out of 14 subjects who were overweight noticed significant weight loss in 15 days.
• 17 out of 18 subjects who felt generally unhealthy felt healthier in 15 days.
• 13 out of 14 subjects who came home from work tired and exhausted, came home less tired and exhausted in 12 days.

* Please note that these results were with no changes or additions to medical or herbal supplements. The results were based solely on a simple and sustainable lifestyle change. Discussion rnIf the population were screened for healthy, non-medicated individuals, it is reasonable to presume the results would surely have been more dramatic. This study did however reflect accurate and predictable results with the average overweight population who unfortunately suffer from a host of obesity-related conditions requiring medications. Many of theses drugs have side effects that include weight gain. It is therefore reasonable to assume that the results with the general population would be much better, particularly when they reached the ability to comfortably sustain the goal of just two good meals per day. rnIt should also be noted that many in the group who complained of severe blood sugar handling disorders could barely eat only three meals a day without severe cravings or side effects at the start of the study. Many were conditioned to eat every two hours and changing this pattern represented a dramatic behavioral shift. As the weeks went by, everyone in the group noticed their improved ability to eat a smaller dinner. By the end of the study, almost all the participants were able to eat nothing for dinner two-three days each week. This is a powerful indication that without any pills, powders or medications the group was able to stabilize blood sugar levels and begin to enjoy a newfound stable source of energy for longer periods of time. As energy and blood sugar levels naturally became more stable, anxiety, depression, fatigue, cravings and the quality of sleep also dramatically improved according to the study. rnThe goal of the study was to show that there is a healthy alternative to the ineffective American way of life. The average American is overweight with many complaining of fatigue, cravings, anxiety and depression. America is the fattest country in the world with the highest percentage of chronic disease. This study set out to prove that with a simple and sustainable change in lifestyle the cause of the above conditions could be eradicated without the use of drugs, medicine, surgery or a ridged starvation diet. References rn1. Frawley, D. Ayurvedic Healing. P. XV. Passage Press: Salt Lake City, Utah. 1989.rn2. Bhishagratna, K.L. Sushruta Samhita, Vols. 1-2. Chowkhamba Sanskrit Series Office: Varanasi, India. 1981rn3. Tirtha, Swami Sada Shiva. The Ayurvedic Encyclopedia. P. 7. AHC Press. Bayville, NY. 1998rn4. Duke, James, 1986. Handbook of Medicinal Plants, Preface. CRC Press, Boca Raton. FL.rn5. Sharma, P.V. Charaka Samhita. Ch-1, V-41. Chow­khamba Orientalia: Varanasi, India. 1981rn6. Svoboda, Robert. Ayurveda, Life Health and Longevity. Arkana Penguin Books, NY. 1992rn Appendix—Instructionsrn rnNatural Weight Balancing BREAKFAST: Fruit. (If unable to sustain energy on just fruit add small portions of toast, cereal or eggs.) Breakfast has to be large enough to get you to lunch without hunger pangs. Morning exercise before breakfast will help sustain energy through the morning. LUNCH: Make it the largest meal of the day. For example: Rice, chicken, vegetables, salad, soup, dessert and herb tea. It should be a complete, large and satisfying meal. During this meal you must relax and not watch TV, open mail, drive your car or talk on the phone. For the body to digest a large meal and provide energy, you must relax during the meal and take five to ten minutes of rest after the meal before going back into your day. If you get tired after a large meal see optional section. SUPPER: (Supplemental – before 6:00pm) To re-educate the body to burn fat as energy rather then craving sugar and breads, this is the most important time of the day. Most importantly this process must be effortless. If you strain to not eat then the body’s emergency response will trigger cravings for more sugar (emergency fuel) and store the very fat we are trying to burn. So progress from phases one to three only if it is effortless. PHASE 1: Eat soup, salad or fruit for supper. This will only be easy if the lunch meal is large, relaxed and satisfying. PHASE 2: If phase one is easy. After five o'clock PM, eat only liquids. For example, fruit or vegetable juice, water or herb tea with honey. PHASE 3: Only if steps one and two are established effortlessly do you attempt phase three: Drink 3-6 liters of water from lunch to breakfast the next morning. Herb tea with honey in the evening is OK. To offset hunger pangs drink eight full ounces at one time every hour or two from the lunch meal to bedtime. Phase three allows the body to fast from lunch to break-fast where the fast is broken and fat is forced to be burned for energy. Try to stay on phase two or three for four weeks or longer for best results. Or use phases 1, 2, 3, interchangeably. VERY IMPORTANT: The kitchen closes at 6pm. It is extremely important that those light dinners not be consumed after that time, as the body is moving to a different period of activity, namely rest. Ideally, you’re moving to a liquid or no dinner, but at the very least, help control the late night cravings with a large glass of water and even shift that bedtime a little earlier if you can. Conclusion By completing your last meal of the day at 6 PM, you are truly fasting for 13 hours (until around 7am the following morning). You then break that 13 hour fast with break-fast. During that 13 hour fast, by definition, you will be burning fat and balancing your blood sugar, moods and energy. As your body becomes more stable with this program, you will gracefully be able to move from Phase 1 to Phase 2 to Phase 3. Significant weight loss will happen in Phase 3 where the fast from lunch to breakfast is 17 hours; however you can expect to see weight loss in Phases 1 & 2. rnIf you’re unable to do Phase 1 comfortably, meaning you can’t survive with the soup/salad/fruit routine, you may have a blood sugar imbalance in which case you need a more substantial meal. This program is designed to utilize fat as energy and cut our unnatural cravings for sugar. In the beginning it will be difficult to make this transition. Use phases 1-3 interchangeably until it becomes effortless. If lunch is big and there is no hunger in the evening, move to phase three. If evening hunger persists do phase one or two. Soon it will become easy to do phase two or three for weeks at a time and metabolize stored fat. Once the desired weight is established then you can maintain that weight effortlessly with phase one or a light evening meal of your choice. Once in a while, you can enjoy a big dinner, just eat a light lunch and enjoy yourself. It is what you do every day that will make a difference. NOTE: For Further Details see The 3-Season Diet by Dr. John Douillard.