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We offer a range of both funded and unfunded vaccinations. 

 

For a list of vaccinations we can provide just follow this link.

 

 

Glucose Molecule

Just about everyone who has tried to lose weight before will tell you that the first couple of kilos go quickly, then the rate of weight loss slows down dramatically.

You can blame you ancestors for that.  In their defense, they we're just adapting to their situation to try and make the best of it.

It all comes down to your preference for energy sources.

You make choices everyday about where you should get your energy for daily life from.  Not that you personally can do anything about they choice that gets made (well in some cases you can but that's another day).

Glucose

We like glucose, particularly our brains really like glucose.  In mammals it's the "food" of choice for mammal brains.  To put it in perspective the brain usually makes up about 2% of our body weight, but consumes 20% of the glucose our body uses.

 

The problem is you don't get a lot of energy out of glucose for a given weight.  As you can see from the table below fats "contain" more than twice as much energy per gram than carbohydrates.(Table was from http://www.nutritionfoundation.org.nz/nutrition-facts/Nutrients/energy ).

 

Energy Density from: https://nutritionfoundation.org.nz/nutrition-facts/Nutrients/energy

So why do we prefer to use glucose over fat (lipids to give them their technical name), when they can release so much more energy?

It's all about convenience.

The process of converting glucose to usable energy is much simpler and quicker than turning lipid in to usable energy.  When your ancestors needed to get away from something that wanted to eat them, they needed the energy instantly.  So we decided way back in time that we'd use fats or lipids as a way of storing energy, and carbohydrates (glucose) as the fuel for immediate use.  So we mainly store excess carbohydrates (sugars) as fat (lipid), and for most of human history it's been an advantage to accumulate and store excess more efficiently.

We do store some carbohydrate, as glycogen, in the liver.  So if we need more quick energy, we can get at it quickly.

So how does this relate to the quick loss of weight in the first few days of a new diet?

Each gram of stored glycogen has 2 grams of water associated with it (for reasons of deep biochemistry).

The glucose stored as glycogen is released when our blood sugars start to drop. Our blood glucose level are usually kept in a narrow range by our body.  Usually between around 5 and 7 mmol/l.  As blood glucose levels start to drop the body starts breaking down glycogen to bring this level back up again.  When you breakdown glycogen the water used to store it is released too.  The water released then ends up being peed out quickly after that.

So when you start reducing your food intake, your body recognises that blood glucose isn't where it should be and so starts using glycogen.

What happens when the glycogen runs out?

Most people only have between 100 and 120g of glycogen stored, and that runs out pretty quickly.  If you've ever worked or exercised so hard that you've just run out of energy or "hit the wall"   you'll know what this feels like.   Luckily fats come to the rescue after a little while and you get your second wind and can get up and carry on.

As you can see if we could manage a smoother change between burning carbs and fats it would make losing weight a bit easier.

Fortunately we can.

That's coming up in a later post.

Well actually this one ended up being the next post:

 

Cook Street Pharmacy Shop

We’re a small family run Pharmacy in Palmerston North. We pride ourselves on looking after our patients and customers needs. If you need health and well being advice for yourself, or your family feel free to drop in and talk to one of our staff.