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Louis B. Cady, MD, FAPA – CEO & Founder – Cady Louis B. Cady, MD, FAPA – CEO & Founder – Cady Wellness Institute Wellness Institute Adjunct Clinical Lecturer – Indiana University School of Medicine Department of Psychiatry Wellness Medicine & Functional Neuropsychiatry – Evansville, Indiana TR 90: A Revolutionary Genomic Based Weight Loss Approach

Weight Loss and Pharmanex TR90: What You Need to Know

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Dr. Cady reviews the science and the facts of weight gain, weight loss, and the new genomically focused weight loss program from Pharmanex: TR90. In this program, Dr. Cady relentlessly dissects the errors of the "low fat" way to eat, targets high glycemic eating and protein deficient diets as the main culprits in our society's weight gain, and proposes a common-sense and rational way to eat to achieve any of the following goals: (a) not gain any more weight, (b) maintain your current weight, (c ) lose weight. The genomic science behind the technology used by Pharmanex to develop TR-90 is reviewed. TR90 is the only genomically focused, nutritionally sound weight management available for sale today. The genomic science behind this product is established. Multiple scientific papers (one of which is referenced in this presentation) unequivocally show that what you eat in your diet alters gene expression. As of the release of this slide deck on 4/19/2014, the three month TR90 system will only be available for sale in the US for one day on April 23rd at 11 a.m. CST. It is estimated that the entire manufactured run available for the US will sell out in 60 - 90 minutes. It will not be available for sale in this country for six months after this date. Please contact the office at Cady Wellness Institute if you are interested in securing a three month supply. (812) 429-0772.

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Page 1: Weight Loss and Pharmanex TR90: What You Need to Know

Louis B. Cady, MD, FAPA – CEO & Founder – Cady Louis B. Cady, MD, FAPA – CEO & Founder – Cady Wellness Institute Wellness Institute Adjunct Clinical Lecturer – Indiana University School of Medicine Department of Psychiatry

Wellness Medicine & Functional Neuropsychiatry – Evansville, Indiana

TR 90: A Revolutionary Genomic Based Weight Loss Approach

Page 2: Weight Loss and Pharmanex TR90: What You Need to Know

Focus of this review• What most people do not know about why

they are (a) gaining weight and (b) can’t lose weight.

• How does this eating and insulin thing work?

• Why calorie restriction and typical diets don’t work.

• Is the problem “all in your glands”?

• “What is TR 90?”

Page 3: Weight Loss and Pharmanex TR90: What You Need to Know

Calorie restriction

• The foundational principle of the “yo-yo diet”

• The FAILURE of calorie restriction only– Starve yourself – Lose fat and muscle– Go off diet– Put on all the weight, and then some, because

of loss of muscle– Repeat ad infinitum. And get bigger and

heavier.

Page 4: Weight Loss and Pharmanex TR90: What You Need to Know

Techniques of (net) calorie reduction part I: cut calories

• Using diet books, weighing portions, counting calories, increasing activity

• Join Weight Watchers. • Diet pills & supplements• Fen-Phen disaster – heart valve abnormalities• Stimulant problems –

– Stresses adrenals– Potential for adverse cardiac events

• Lap band (surgical complications), muscle with fat loss, toxins

Page 5: Weight Loss and Pharmanex TR90: What You Need to Know
Page 6: Weight Loss and Pharmanex TR90: What You Need to Know

WEIGHT STATS

ADULTS 70%

OVERWEIGHT

CHILDREN 20%

OBESE

OBESITY IS A KILLER

Page 7: Weight Loss and Pharmanex TR90: What You Need to Know

UP TO 40% OF THE WEIGHT LOSS IN TYPICAL DIETS IS MUSCLE LOSS

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Page 9: Weight Loss and Pharmanex TR90: What You Need to Know

Muscle

Muscle

Metabolic

Burn

Metabolic

Burn

LEAN MUSCLE = METABOLIC ENGINE

• Traditional calorie restricted diet• Lose lean muscle as well as fat

• Protein heavy, calorie restricted

• Maintain more lean muscle

Metabolic burn = rate at which body burns calories at rest

Muscle

Muscle

Metabolic Burn

Metabolic Burn

Page 10: Weight Loss and Pharmanex TR90: What You Need to Know

Glycemic index

• A measure of how fast a carbohydrate triggers a rise in circulating blood sugar.

• The higher the number, the greater the blood sugar response.

Page 11: Weight Loss and Pharmanex TR90: What You Need to Know

Selenium, the Thyroid, and You

• “T3” is the ACTIVE form of thyroid

• Conversion of T4 to T3 is selenium dependent

• LP & LP Nano have 200% of RDA of selenium

Se+

Page 12: Weight Loss and Pharmanex TR90: What You Need to Know

The Old FDA Food pyramid – R.I.P 2005

Page 13: Weight Loss and Pharmanex TR90: What You Need to Know
Page 14: Weight Loss and Pharmanex TR90: What You Need to Know

June 1, 2011

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Page 16: Weight Loss and Pharmanex TR90: What You Need to Know

“Pyramid Power”

USDA Food PyramidZone Food Pyramid

Vegetables

Fruits

Low-fat Protein

Monounsaturated Fat

Grains and Starches(Use in Moderation)

Page 17: Weight Loss and Pharmanex TR90: What You Need to Know

How to lose it?

Page 18: Weight Loss and Pharmanex TR90: What You Need to Know

FAT LOSS SECRET #1

Source: http://win.niddk.nih.gov/statistics/index.htm#overweight

Page 19: Weight Loss and Pharmanex TR90: What You Need to Know

FAT LOSS SECRET #2

Source: http://win.niddk.nih.gov/statistics/index.htm#overweight

Page 20: Weight Loss and Pharmanex TR90: What You Need to Know

FAT LOSS SECRET #3

Source: http://win.niddk.nih.gov/statistics/index.htm#overweight

Page 21: Weight Loss and Pharmanex TR90: What You Need to Know

The top weight loss secret from Tim Ferris

“Consume 30 grams of protein within one hour of waking up.”

Page 22: Weight Loss and Pharmanex TR90: What You Need to Know

ageLOC – a novel mechanism to target and reset “youth gene clusters”

Old Gene Expression

Young Gene ExpressionTARGET

Old Gene Expression

RESET

1 Transcriptional Biomarkers of Mitochondrial Aging and Modulation by Cordyceps Sinensis Cs-4. Gordon Research Conference, Biology of Aging, Determinants of Health-Span: From Cells to Humans, August 22-27, 2010. Les Diablerets Conference Center, Les Diablerets, Switzerland.

Page 23: Weight Loss and Pharmanex TR90: What You Need to Know

“Youth Gene Clusters” – bogus or bonanza?

Comparative genomics of fungal allergens and epitopes show widespread distribution of closely related allergen and epitope

orthologues. Bower P, et al, BMC Genomics. 2006; 7:251.

Yeast species

SPECIFIC genes

Page 24: Weight Loss and Pharmanex TR90: What You Need to Know

Prostate Cancer – more relevant?

Changes in prostate gene expression in men undergoing an intensive nutrition and lifestyle intervention. Ornish, Dean

et al. Proc Natl Acad Sci USA 2008 June 17; 105(24):8369-8374

Pre-invention gene expression

Post-intervention gene expression

TRANSLATION: What you eat talks to your genes and

CHANGES THEIR EXPRESSION.

Page 25: Weight Loss and Pharmanex TR90: What You Need to Know

Comparison of Genetic Profiles of Adipose Tissue in Identical Twins

Pietiläinen et al. PLoS Med. 2008 Mar 11;5(3):e51.

Same DNA

Different Expression of Genes

Normal Weight Twin Overweight Twin

Compared to their normal weight twin, overweight twins exhibited down regulation of gene expression pathways related to:

• Fat Regulation (storage versus utilization)• Muscle Protein Synthesis

Page 26: Weight Loss and Pharmanex TR90: What You Need to Know

Ghrelin

LeptinInsulin

References:

Gene Expression relates to the Appetite Control Center of the Brain

• Appetite Control• Eating Behavior• Regulation of energy intake

1. Smeets et al. Proceeding of the Nutrition Society. 2012;71:511-520.

2. Guthoff M, et al. J Clin Endocrinol Metab. 2010;95:748-755.

3. De Silva, et al. Cell Metab. 2011;14:700-706.

4. Malik S, et al. Cell Metab. 2008;7:400-409.

5. Farooqi IS, et al. Science. 2007;317:1355

6. Suzuki K, et al. Experimental Diabetes Research. 2012:1-19.

7. Viquerie N, et al. Diabetologia. 2005;48(1):123-131.

8. Mager et al. European Journal of Endocrinology. 2008;158:

9. Mutch DM, et al. Am J Clin Nutr. 2011;94(6):1399-1409.

Page 27: Weight Loss and Pharmanex TR90: What You Need to Know

Carbohydrates(260g)

Proteins(90g)

Fats(67g)

Normal Calorie Diet – 2000 kcalF

at Burning

Foods

Fat

Sto

ring

Foo

dsF

at Storing

Foods

Carbohydrates(260 g)

Proteins(90 g)

Fats(67 g)

Page 28: Weight Loss and Pharmanex TR90: What You Need to Know

Carbohydrates(260g)

Proteins(90g)

Fats(67g)

Typical Reduced Calorie Diet – 2000 kcalF

at Burning

Foods

Fat

Sto

ring

Foo

dsF

at Storing

Foods

Carbohydrates(180 g)

– 1200 kcal

Fats(33 g)

Proteins(45 g)

Page 29: Weight Loss and Pharmanex TR90: What You Need to Know

Carbohydrates(260g)

Proteins(90g)

Fats(67g)

Fat B

urning F

oods

Fat

Sto

ring

Foo

dsF

at Storing

Foods

Carbohydrates(120 g)

Fats(40 g)

Muscle Retention Eating Plan – 1200 kcal

Proteins(90 g)

Page 30: Weight Loss and Pharmanex TR90: What You Need to Know

Eating Most of Your Protein with Only One Meal of the Day Limits Duration of Metabolic Burn

FA

T S

TO

RIN

GF

AT

ST

OR

ING

FA

T B

UR

NIN

GF

AT

BU

RN

ING

Time in Metabolic Burn Zone = Only 3 hours/day

Adapted from: 1.Paddon-Jones and Rassmussen. Curr Opin Clin Nutr Metab Care, 2009;12:86.2.Layman DL. Nutrition and Metabolism, 2009; 6:12.

Breakfast Lunch Dinner

ZO

NE

S

Page 31: Weight Loss and Pharmanex TR90: What You Need to Know

Eating Protein with Each Meal Accelerates Metabolic Burn

FA

T S

TO

RIN

GF

AT

ST

OR

ING

FA

T B

UR

NIN

GF

AT

BU

RN

ING

Adapted from: 1.Paddon-Jones and Rassmussen. Curr Opin Clin Nutr Metab Care, 2009;12:86.2.Layman DL. Nutrition and Metabolism, 2009; 6:12.

Breakfast Lunch Dinner

Time in Metabolic Burn Zone = 9 hours/day

ZO

NE

S

Page 32: Weight Loss and Pharmanex TR90: What You Need to Know

The TR90 Eating Plan Based on:Protein Science & Nutrition Science

• Supports metabolically-active lean muscle and inhibits fat storage1

Reference: Wycherley TP, et al. AJCN. 2012;96(6):1281-98.

• An eating plan designed to complement the supplements.

Page 33: Weight Loss and Pharmanex TR90: What You Need to Know

--- previous eating plan, TR 90, Oct 2013 ---

Page 34: Weight Loss and Pharmanex TR90: What You Need to Know

HOW MANY GRAMS?

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H - 36

Benefits of low-glycemic eating

Page 37: Weight Loss and Pharmanex TR90: What You Need to Know

78 pounds gone forever!78 pounds gone forever!

Tina Clark

TINA CLARK

Page 38: Weight Loss and Pharmanex TR90: What You Need to Know

DENNY PRETZ

Page 39: Weight Loss and Pharmanex TR90: What You Need to Know

October 5th, 2013

Page 40: Weight Loss and Pharmanex TR90: What You Need to Know

TR 90 – a look back

October 28, 2013 January 28, 2014Jan 29, 2014

Page 41: Weight Loss and Pharmanex TR90: What You Need to Know

Withings WS-50 Smart Body Analyzer

Page 42: Weight Loss and Pharmanex TR90: What You Need to Know

(Start weight: 168.5 lbs – Oct 28th)

10 lbs of total weight loss = 6% body weight

Page 43: Weight Loss and Pharmanex TR90: What You Need to Know

(43.1 lbs – Oct 28th)

7.7lbs of fat loss

10 lbs of total loss= 77% of weight

loss was FAT loss

Page 44: Weight Loss and Pharmanex TR90: What You Need to Know

Pre-TR90 172 -169

Start June 28th-Oct 28th

4 months, 3 lbs= ¾ lb/mo

Oct 28th-Jan 28th

3 mo’s, ll lbs = 3.7 lbs / mo = 5 X the wt. loss rate

TR90 – (done imperfectly) -169-158

Post TR90158 to 155

Jan 28th –April 17th 2.75 mo’s, 3lbs

= 1.1 lbs/mo

“What happens after I finish 3 months of TR-90?”

Page 45: Weight Loss and Pharmanex TR90: What You Need to Know

“When you change the way you look at things, the things that you look at change.”

-John Assaraf

Page 46: Weight Loss and Pharmanex TR90: What You Need to Know
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Page 51: Weight Loss and Pharmanex TR90: What You Need to Know

Key down-home principles• Jump start your genes.• Eliminate the junk. Pitch it. If you don’t have it, you can’t eat

it.• Develop a taste for [low glycemic] fruit.• Ostrich jerky (GNC) or balance protein/carb bars• 30 grams of protein in the a.m. within ½ - 1 hour of awakening• Eat real food• Minimize eating out. • NO FAST FOOD!! NO FAST FOOD!!• Axiom: If you’re full of the good stuff, you won’t crave the bad

stuff.

Page 52: Weight Loss and Pharmanex TR90: What You Need to Know

Personal collection Louis B. Cady,

M.D.

Page 53: Weight Loss and Pharmanex TR90: What You Need to Know

The Question: What Will You Do About It?

Page 54: Weight Loss and Pharmanex TR90: What You Need to Know