Losing weight is hard. But as anyone who has dropped a few pants sizes can tell you, keeping it off can be every bit as challenging.
It turns out, though, that it likely takes more than just staying committed to a maintenance diet once you reach your goals. Scientists believe your body might actually be fighting to get back to where it was previously in a phenomenon called the ‘set point’ theory.
The idea is that, for some reason, your body has an idea of what weight it wants you to be, said Oklahoma Medical Research Foundation President Stephen Prescott, M.D. So whether you’ve lost 40 pounds or gained 15, your hormones will adjust in an effort to get you back to a particular point.
“A person’s weight may not always go all the way back to the original weight, but there appears to be some kind of intrinsic desire on the body’s part to get back to a certain weight and stay there,” said Prescott. “It’s not been proven scientifically, but there is increasing evidence to support it.”
The set-point theory isn’t new, but it has been re-popularized because of a recent study by scientists at the National Institute of Diabetes and Digestive and Kidney Diseases, who tracked the progress of contestants from the reality television show “The Biggest Loser.” For six years, they followed contestants after they shed massive amounts of weight for the popular competition.
The researchers’ discoveries gave the set-point theory a lot of ammunition, as the former contestants packed the pounds back on regardless of how strictly they adhered to their diets. Some even gained to a point higher than their original weight.
“It was a really dramatic, attention-grabbing example of the theory as it had previously been described,” said Prescott. “It also shows that there are mysteries we don’t quite fully understand, and you can’t just blame people for getting fat again. Some may not follow their diets as closely as they should, but it appears likely that people also end up fighting their own biology.”
Prescott said the study’s findings point to resting metabolism, or basal metabolic rate, which determines how many calories your body burns at rest.
Our bodies burn energy just keeping us alive. Prescott said somewhere around 70 percent of the calories you use each day are going to get burned no matter what, even if you’re just sitting on the couch or at your desk.
Your age, muscle mass, fitness level and height all contribute to how many calories your body burns. But the findings presented a paradox: The people who gained the weight back appear to have lower metabolic rates than expected based on these factors.
“It’s thought that this could be a result of a complex interplay between hormones that regulate how our bodies burn energy,” said Prescott. “These people were not burning as many calories as you would think based on their height, weight or age. They were gaining weight even on what would be considered a maintenance diet.”
In other words, if you should be burning around 2,000 calories on a maintenance diet based on your personal combination of factors but you have recently lost 20-30 pounds, your actual metabolic rate might have dropped to somewhere around 1,700 or so.
So if your body is determined to gain the weight back even after all your hard work to lose it, does this mean it’s time to throw in the towel and raid the freezer for that pint of rocky road?
“That’s a little too dramatic,” said Prescott. “There may be a tendency to do that, but I think there is hope that there are things you can do to alter or reset your set point.”
To influence this process in your favor, the best solution may rely on an old standby—the gym.
“An exercise regimen often leads to more success in maintaining a new, lower weight,” said Prescott. “Maintaining your new weight may tough, but increased understanding can help you start to rebuild your behavior and habits around a new number for better long-term outcomes.”

The Acting Inspector General of Social Security, Gale Stallworth Stone, is warning citizens about a suspicious email “phishing” scheme that recently surfaced. The Office of the Inspector General (OIG) received reports that several hundred employees of a private company, with offices across the country, recently received an email message that appears to be from the Social Security Administration (SSA). The message alerts a recipient of “unusual” activity with his or her Social Security number (SSN).
The email subject line reads, “Review Your Social Security Activity”, and while the email sender displayed is “Social Security Administration,” the corresponding email address is ceriley@centurytel.net. The message includes a PDF attachment with the heading “Notification.” It advises the recipient, “We detected something unusual about a recent use of your SSN” and “to help keep you safe, we required an extra security challenge.” The message states that if the recipient did not recently use his or her SSN, then a “malicious user” might have misused the recipient’s number. It asks the recipient to review recent activity via an embedded link, which links to a suspicious SSA-like site. Further, to appear legitimate, the notice includes SSA’s official seal and the words “Social Security Administrator, United States Of America” in the signature.
This type of phishing scheme could lead to identity theft or Social Security benefit theft. Therefore, Acting Inspector General Stone urges all citizens to be extremely cautious when receiving requests to provide personal information over the internet or the telephone. “Don’t provide your Social Security number, bank account numbers, or other personal information, including account passwords, over the internet or by telephone unless you know and trust the source requesting it,” Stone said. “You should be extremely confident that the source is a legitimate entity, and that your information will be secure after you provide it.”
Before clicking an embedded email link, try to verify the source. One method of verifying the true source is to hover over the linked text, without clicking, to reveal the destination address. For instance, in the email described above, the attachment includes the text “Review your activity,” which links to www.ssa.gov.kerodun.net/activity. While ssa.gov appears in the destination address, the “kerodun.net/activity” portion of the address is suspicious; users should be vigilant of similar questionable web addresses.
If a person has questions about any communication—email, letter, text, or phone call—that claims to be from SSA, Stone recommends contacting a local Social Security office, or calling Social Security’s toll-free customer service number at 1-800-772-1213, 7 a.m. to 7 p.m., Monday through Friday, to verify its
Fraud Advisory
legitimacy. (Those who are deaf or hard-of-hearing can call Social Security’s TTY number at 1-800-325-0778.)
Individuals may report suspicious activity involving Social Security programs and operations to the Social Security Fraud Hotline at https://oig.ssa.gov/report, or by phone at 1-800-269-0271, 10 a.m. to 4 p.m., Eastern Time, Monday through Friday. (Those who are deaf or hard-of-hearing can call the OIG TTY number at 1-866-501-2101.)
For more information, please contact Andrew Cannarsa, the OIG’s Acting Communications Director, at (410) 965-2671.

Local In-home Senior Care Company to Bring 50 New Jobs to the Area

Senior Helpers, the nation’s premier provider of in-home senior care, today announced the official opening of its Greater Oklahoma City North location, to be managed and operated by husband and wife team John and Laurie Stansbury together with their partner, Sharon Johnson MSN, RN, CNE, who will serve as president and chief nursing officer. The new franchise will serve senior citizens and their families throughout the Greater Oklahoma City area, which includes Edmond, Deer Creek, Piedmont, Warr Acres, Bethany, Yukon, Mustang, Midwest City, Del City, Moore-Norman, and Guthrie. It hopes to bring more than 50 new jobs to the region over the next year. Senior Helpers’ professionally trained caregivers will help local seniors continue to enjoy the comfort of their own home despite age-related illnesses and mobility challenges.
“All three of us have personal experience caring for a family member living with early onset Alzheimer’s, and we understand profoundly how challenging it can be without the proper care,” said Laurie. “Through Senior Helpers, we’re providing a valuable resource by helping to alleviate this stress and ensure a better quality of life for families in our community through personalized in-home senior care.” Sharon adds, “Over the years, Senior Helpers has established itself as the best option for navigating the challenges of in-home senior care today, and we are proud to be a part of this company.”
Founded in 2001, Senior Helpers operates with a vision to be the leading home care company in each community it serves. Its caregivers in Oklahoma City are fully trained and certified to offer the highest level of care possible based on the company’s Senior Gems® Alzheimer’s and Dementia care program. As the gold standard for excellence in personalized in-home senior care, the program was developed in conjunction with nationally recognized dementia care expert Teepa Snow and is endorsed by the Alzheimer’s Foundation of America and the American Society on Aging. Local residents will also benefit from the company’s new Parkinson’s Care Program, a specialized training and certification program created in conjunction with leading experts from the National Parkinson Foundation’s Center of Excellence.
“We’re pleased to welcome Laurie, John and Sharon to our team as the newest Senior Helpers franchise owners,” said Chris Buitron, vice president of marketing for Senior Helpers. “This amazing triobrings a passion for their community and an acute understanding of in-home senior care to their new roles. This will serve them well and also will be rewarding for seniors and families living in Oklahoma City and the surrounding area.”
Senior Helpers is the nation’s largest premier in-home senior care company in the U.S. with over 270 franchised businesses operating across the country. Founded in 2001 with a vision to help seniors who wish to remain in their homes despite age-related illnesses and mobility challenges, Senior Helpers has now cared for tens of thousands of seniors with a pledge to provide “care and comfort at a moment’s notice.” Senior Helpers offers a wide range of personal care and companion services, including trained Alzheimer’s, dementia and Parkinson’s care, to assist seniors who wish to live independently. Learn more by visiting http://www.seniorhelpers.com.

by Bobby Anderson
Staff Writer

With mental health services in our state disappearing at an alarming rate AllianceHealth Midwest has doubled its commitment to helping patients.
The hospital has opened a new mental health unit featuring 32 patient rooms, large community rooms, a group therapy room and occupational therapy room. The hospital now has 72 beds and has a special focus for seniors.
In behavioral health for 25 years, James Hutchison was brought in by the health system to open the new unit.
“They needed experienced leadership from the psychiatric perspective,” Hutchison said. “They needed someone to grow them through the expansion. I fix things.”
Hutchison said for the last year the hospital was forced to turn away 75 seniors and 25 adults each month due to space restrictions.
The hospital applied to the state for a certificate of need in order to begin building.
Judy Anderson, RN, has been a nurse for 37 years now. She said the new facility is a blessing for all involved.
“This is going to be really nice for seniors, it’s state of the art, it’s something for them,” Anderson said. “I think people tend to push seniors back and we’re pushing seniors forward and that’s what I think is so important. A lot of people will instead of dealing with someone with Alzheimer’s or dementia they’ll put them in a nursing home and just not deal with them.”
DEALING WITH THE PROBLEM
Anderson understands that just because someone begins to show signs of dementia or Alzheimer’s doesn’t mean that they immediately need to be in a long-term care facility.
“If we have them here sometimes we can get them on the right medication and they can go home and live successfully there for years,” she said.
Anderson said many times when you begin seeing a change in your loved one it can be spurred by treatable medical conditions sometimes as simple as a urinary tract infection.
“If we can get them in here early enough and address their medical problems … early onset dementia can be stopped with (medication) and they can go home and lead a normal life for a long time. We just have to get the public aware there are other alternatives.”
“People don’t live it until their parents have it.”
Gloria Ceballos, RN, PhD, serves AllianceHealth Midwest as the chief nursing officer. She said the hospital has a special focus on senior adults.
“It’s a commitment because our community needs it,” Ceballos said. “This unit will never cure anybody. This unit is here to address the crisis. We do know how to treat them with medications or trying some other treatment and incorporating the family.”
Hutchison said having a facility like this in place not only helps the patients and their families but the community as a whole.
When an untreated mental health patient acts out often times law enforcement is called.
“They pick up people with mental health issues and they don’t have any place to take them,” Hutchison said. “They take them to the emergency department because that’s their only option. There emergency department holds them one to two hours or one to two days. If that person is under arrest the officer has to stay with them that whole time which takes them off the street for hours.”
Once the patient leaves the hospital, Hutchison said they will often commit a crime whether intentionally or unintentionally.
“We’ve had a lot of patients say they don’t know what else to do. They do this because they don’t have any place to live or get medicine,” Hutchison said. “It causes a huge problem for law enforcement and the community because there is no place for them to go.”
The new facility will serve as a stabilization and treatment point at a time when providers are leaving the mental health arena.
“This hospital has basically invested a huge amount of money at a time when a lot of other places are closing,” Hutchison said. “Everybody knows about the legislative issues with funding so at a time when everyone is scaling back we spent a fortune on this floor.”
Providing a safe transition point is the focus and Anderson says AllianceHealth Midwest nurses are there to serve seniors in whatever capacity they need.
“I think one of the most important things we do here is not medication it’s listening, listening to the family about the problems and listening to the patient to find out what’s really going on,” Anderson said.

Oklahoma Medical Research Foundation scientist Holly Van Remmen, Ph.D., has received the Denham Harman Award from the American Aging Association. The honor, the highest bestowed by the organization, was presented to Van Remmen at the Aging Association’s annual meeting in Seattle earlier this month.
Established in 1978, the prize is a lifetime achievement award that recognizes scientists who have made significant contributions to the field of research in aging.
Van Remmen joined OMRF in 2013 and heads the foundation’s Aging & Metabolism Research Program. Prior to that, she spent more than two decades as an aging researcher at the University of Texas Health Sciences Center in San Antonio, where she earned her Ph.D. in 1991.
Her work has focused on age-related muscle loss and amyotrophic lateral sclerosis, also known as Lou Gehrig’s disease. During her career, she has made a series of important insights on muscle degeneration, and this past year she led study that found new links between traumatic brain injuries and neurodegenerative conditions.
“This is such a nice honor for me personally,” said Van Remmen, who was named the G.T. Blankenship Chair in Aging Research at OMRF in April. “But this award also lets me know that our colleagues across the country now recognize Oklahoma as a force in research on aging.”
In 2015, working with scientists at the University of Oklahoma Health Sciences Center and the VA Medical Center, she helped secure a Nathan Shock Center of Excellence in the Biology of Aging grant—one of only six awarded nationwide—from the National Institutes of Health. With OUHSC’s Arlan Richardson, Ph.D., she now serves as co-director of the Shock Center, which focuses on geroscience, the study of how aging impacts disease and changes that occur in aging that predispose people to disease.
The long-term goal of this work, she said, “is not to find a fountain of youth, but to address the declining quality of life as we age. We want people’s ‘healthspans’ to match their lifespans.”

Acclaimed singer-songwriter inspires kids with type 1 diabetes to pursue their dreams

Crystal Bowersox understands how crucial it is to find a healthy balance on and off the stage. Diagnosed with type 1 diabetes (T1D) at age 6, Crystal — now 30 — reached the heights of American Idol in 2010 and maintains an ongoing musical career. Having nearly lost her spot on the show due to a short hospitalization brought on by the rigorous taping and rehearsal schedule, she vowed to make it her mission to touch others impacted by diabetes with her music and her message.

On Wednesday, July 20, Crystal will visit Camp Blue Hawk, a residential camp serving Oklahoma kids also growing up with T1D. Camp Blue Hawk is a project of Harold Hamm Diabetes Center–Children’s at the University of Oklahoma. This year’s five-day camp will serve 48 children ages 10 to 15 near Guthrie at the Central Christian Camp and Conference Center. Crystal will meet the campers, share her story, and perform briefly.

“Growing up with diabetes, I felt isolated from other kids because they didn’t understand the challenges I faced, and today I know there are many who experience the same things,” said Crystal. “However, despite the obstacles, I learned how to manage the disease, and I try to live my life to the fullest.”

Crystal’s grit and determination caught the eye of Lilly Diabetes, which today introduced her as its newest type 1 diabetes ambassador. Crystal’s visit to Camp Blue Hawk is part of the Lilly Camp Care Package program, one of the largest diabetes camp support programs in the United States.

Attending a diabetes summer camp can be a valuable experience for children learning to live with the disease, particularly those transitioning from parental care to self-care. A three-year survey by the American Diabetes Association® showed camp experience increases children’s diabetes knowledge, self-confidence, diabetes management and emotional well-being. Camps are especially valuable for newly diagnosed campers (less than one year since initial diagnosis) changed the most, with 19 percent showing improvement in their ability to manage diabetes-related issues.

Since finishing as first runner-up on Season 9 of American Idol, Crystal has released two full-length albums and two EPs, mostly featuring her own original songs. She has collaborated with Joe Cocker, B.B. King, Alanis Morissette, Jakob Dylan, John Popper of Blues Traveler, and Melissa Etheridge, among others. Originally from Northwest Ohio, Crystal now makes her home in Nashville.

Harold Hamm Diabetes Center (HHDC) is an OU Medicine Center of Excellence leading the way to prevent, treat, and ultimately find a cure for diabetes. HHDC–Children’s is the center’s pediatric division, housed in the OU Children’s Physicians building in Oklahoma City. This is Camp Blue Hawk’s second year; campers are invited by medical staff at HHDC–Children’s, and every camper attends on scholarship. www.haroldhamm.org