Table of Contents
Acknowledgments
Writing this book has been an amazing journey. In addition to thanking all my friends, family, research participants, and colleagues, I must express special gratitude to the core group of individuals who helped make it possible.
Shirley DeLeon, Registered Dietitian, head of the South Florida Cardiology Associates Wellness Program, whose dedication to the project was paramount. When she walked into my office two years ago, the journey began. Together we have shaped the Reality Diet into what it is today.
Gail Schnur, marketing manager, whose excitement about the project was infectious and whose knowledge of nutrition and marketing has greatly benefited the book.
Dr. Jose Rios, my good friend and colleague for more than twenty years, whose assistance in reviewing the book and valuable contributions to it are greatly appreciated.
Dr. Perry Krichmar, my friend and cofounder of South Florida Cardiology Associates more than fifteen years ago, who is a true expert in the field of preventive medicine.
Dr. Handre Hurwit and Donna Hurwit, who guided many patients to the Wellness Program and helped build the practice to what it is today. Handres work ethic should be a model for medical students.
Dr. Steven Strumwasser, who provided welcome expertise in the field of medical and behavioral psychology and had an unwavering faith in this projects success.
Carole Bidnick, my literary agent, who believed in me and in my vision and put together what I call The Dream Team.
Linda Kahn, the most fantastic writer and a true friend with an unbelievable devotion to putting out the best book possible.
Andrew Hunter, recipe developer, who provided delicious menus for all of us to enjoy.
My exceptional office staff at Mount Sinai Medical Center in Miami Beach, who have always been so supportive, especially Kimberly Hernandez, Johanna Johnson, Xi Zhu, Jackie Ferrer, Ken Tucker, and Vivian Baldizon.
All of the doctors at South Florida Cardiology Associates, in particular Dr. Manuel Abella, Dr. Lou Fernandez, Dr. Francesca Gallarello, Dr. Lewis Elias, and Dr. Islon Woolf, who offered patient support.
The dedicated staff at Pembroke Pines medical office, especially dietitians Carissa Vega and Shana Leird.
Ariel Soffer, M.D., president and CEO of Healthworx, for his support and friendship throughout the years.
Eric Welber, CEO of South Florida Cardiology Associates, whose encouragement and support never wavered.
Candice Lederman, marketing director for South Florida Cardiology Associates, who provided much positive feedback and expertise.
Gonzalo Acevedo, senior vice president at HSBC Private Bank, whose initial introduction to Mitch Kaplan started the journey.
Mitch Kaplan, owner of Books & Books in Coral Gables, Florida, who led me down the right path and helped me make the right connections.
Atif Khan, President of Timeous Systems, who has been a good friend and great sounding board throughout the process.
Steven Sonenreich, CEO at Mount Sinai Medical Center, Miami, who has given me the freedom to pursue my vision.
Marc Auerbach, who has always provided me with sound advice.
David Glanz, whose ideas were terrific.
Ethel Slater at Mount Sinai Medical Library, who pulled hundreds of articles for me on a timely basis.
Berkeley Heart Labs, Liposcience, and DiaDexus, the makers of the Plac test, for their collaboration.
The amazing staff at Avery, including Megan Newman, Kate Stark, and Lucia Watson, who went above and beyond their duties to make this book a success.
Mayte Prida, author of A Difficult Journey: My Battle with Cancer, a good friend who provided me with much inspiration.
All of my friends, especially Charles Valenti, Mario Louis, Michael Rose, Jimmy and Nancy Diaz, Kayvan Amini, and Jeffrey Weissner.
My tennis and exercise buddies Mike Gyarmaty, Clinton Nossel, Tony Antunes; my tennis instructor, Iphton Louis; and my personal trainer, Teofilo Hernandez.
And most of all, Id like to thank my loving family: My wife, Eliane, who has given me all of her love, support, patience, and motivation. My amazing daughter, Samantha, who woke up with me at five in the morning and made me breakfast while I worked. My son, Dylan, who, even at fourteen months, made me laugh when I was ready to pull my hair out while writing the book. And my mom and dad, my brother Mark, and my cousin Adam, whose input at work with the patients was invaluable.
To all, bon apptit!
P.S. If I forgot to mention anyone, I promise to catch you in the next book.
To Eliane, Sami, Dylan, Mark, Mom, and Dad
Introduction
Welcome to Reality!
Perhaps youve struggled with weight issues your whole life. Or maybe youve found yourself steadily putting pounds on since middle age. Perhaps its leftover pregnancy weight that you just never got around to losing. Or maybe youve developed a habit of eating under stress. Whatever the reason, you realize that you need to lose weight and are looking for a diet that works.
But how do you choose? There are thousands of diet books out there, plus hundreds of other programs that claim astounding results. Is it really possible to lose thirty pounds in thirty days? Or to feel satisfied substituting meals with shakes? Or to lose ten pounds of belly fat in two weeks? Or to lose weight and improve your health without counting calories, worrying about portions, or even exercising? Beware the money-back guarantees and promises of effortless weight loss. The only guarantees in life are death and taxes.
If dieting were easy, we would be a nation of supermodels. Instead, 60 percent of American adults are currently overweight, and half of those are clinically obese. And this is in spite of how often we hear about the very serious health risks of obesity: heart disease, diabetes, cancer, depression, and infertility. Clearly, the weight-loss industry has not lived up to its promises.
Most of the fad diets out there are calorie restrictive. They dont tell you that because they want you to believe they know some special secret. Theres no miracle ingredient in their shakes or patented weight-loss ingredient in their prepared foods. By telling you certain foods are bad for you, theyre just forcing you to eat less by limiting your choices. Besides, is it realistic never to eat a potato, a piece of watermelon, a bunch of grapes, or a carrot stick again? Last time I checked, Bugs Bunny was very skinny. Are we that gullible as a society?
Im not a nutritionistIm a cardiologist. As president of one of South Floridas largest cardiology practices, I see patients every day who are experiencing the life-threatening effects of excess weight: diabetes, clogged arteries, hypertension, high cholesterol, heart attack, and stroke. I also see patients who are suffering side effects from fad dietsdizziness, irregular heartbeat, high cholesterol, even life-threatening cardiovascular events. You dont have to be an M.D. to realize that a diet of unlimited bacon, eggs, and heavy cream will clog your arteries. If I were in medicine purely for the money, Id be grateful to all these trendy weight-loss plans for sending so many sick patients my way. But Im notwhat gets me through my day is helping my patients live longer, healthier lives. Seeing more and more of them compromising their health when they honestly believed they were doing something good for themselves made me mad. So I hit the books, reading everything I could get my hands on about human nutrition, metabolism, and obesity.