Kosher Kaveman

Our Story

We have been helping our patients, including our Jewish and Kosher friends improve their health and optimize their weight with prescribed lifestyle modification. We redefine healthy nutrition and teach patients about the relationship between unhealthy refined and processed foods, dietary carbohydrates, inflammation and chronic illness. Dietary carbohydrates are the optional fuel and most people consume too much. Natural dietary fats were never unhealthy. Teaching patients how to make better food choices based on the carbohydrate content controls hunger, promotes weight loss and improves health. Dr. Ge**er has years of experience treating patients using carbohydrate restriction with low-carb high-fat (LCHF), Ancestral, Paleolithic and Primal diets as primary interventions. He maintains a database following patients weight, cardio-metabolic markers, and other health parameters, demonstrating the benefits of carbohydrate restricted diets. Nutrition and its effects on health have always been areas of interest. Obesity and overweight are truly the resultant symptoms of chronic metabolic disease, ultimately caused by the many inflammatory foods in our diet. Blaming behavior (that we eat too much and exercise too little) for why we get fat is a short sighted explanation, especially when considering our present day understanding of metabolism. The science of insulin resistance helps us to understand the epidemics of overweight, obesity and type II diabetes in our country. Fueled by dietary carbohydrates, insulin resistance promotes inflammation and leads to many other chronic diseases, including the metabolic syndrome, lipid and cholesterol disorders, hypertension, atherosclerosis, heart attack, stroke, premature aging, cancer, dementia, depression, cancer, liver and GI disease, leaky gut, adrenal fatigue, thyroid disease, arthritis, impotence, PCOS and infertility, just to name a few. Obesity rates have doubled in adults and tripled in children and adolescents since the official USDA dietary guidelines for Americans were released in 1980. We are one of the heaviest countries in the world. Presently two thirds of adults are overweight and or obese and one third of children and adolescents are overweight and or obese. Although Colorado remains the thinnest state in the country overweight and obesity remain significant health issues. Within our lifetimes we are witnessing these epidemics for which we can only blame a shift in nutrition over the past century. The production and sale of manufactured and industrial food has steered us away from consuming whole, unprocessed and nutrient dense foods. Consumption of sugars, high fructose corn syrup, grains such as corn, wheat and rice, starchy vegetables, legumes and industrial vegetable oils are to blame. Profitable to the food manufactures these refined and processed foods, containing mostly carbohydrates and or manufactured oils, wreak havoc on our health and make us hungrier. A physical examination and blood work, including a two-hour glucose tolerance test, will help to detect insulin resistance and the metabolic syndrome. Advanced cardiovascular screening including Berkeley Heart Lab LDL particle size sub-classification and Vasolabs Carotid-IMT testing. Dr. Ge**er speaks frequently about these important issues to patients, the community and other healthcare professionals. Dietary Tools Low-Carb High Fat Diet For Beginners Glycemic Index Chart I Glycemic Index Chart II Glycemic Index Chart III Glycemic Index Explained @ Mendosa.com New Atkins Carbohydrate Gram Counter Chart Duke University Low Carb Meal Plans Macronutrient Ratio Calculator: Carbs-Protein-Fat Body Mass Index Table (BMI) My Fitness Pal: Free online tool to track your progress * The glycemic index of animal proteins are zero and are not always listed on the glycemic index charts. * Food Politics Fat reform is healthcare reform. By addressing the epidemics of overweight and obesity, we can prevent and treat associated chronic diseases and save billions of dollars in healthcare expenditures. This sounds like a simple solution, but federal policy, the food industry and some of the fundamental principles of supposed healthy nutrition stand in our way. Most of us are familiar with the traditional USDA dietary guidelines developed over past decades. Regarding nutrition and health, there are three basic principals: 1- The lipid hypothesis tells us that eating saturated fat in our diet, raises blood cholesterol and leads to heart attack and stroke. Manufactured polyunsaturated vegetable oils and carbohydrates should be consumed instead. 2- Eat fat and get fat, implies that we should avoid caloric dense foods containing fat and consume carbohydrates and proteins instead. 3- Eat less and exercise more, a recommendation based on the first law of thermodynamics, blames behavior for obesity. One problem with this simple law, it does not explain what makes us hungry. What causes hunger and obesity is a complex derangement of various metabolic pathways leading to such conditions as insulin and leptin resistance. These traditional dietary guidelines, the basis of the USDA food pyramid and now the food plate, promote a diet low in saturated fats, low in calories and relatively higher in dietary carbohydrates. This type of diet is difficult to sustain for any length of time simply because it makes us hungry. It is easy to observe that in 1980, when the federal government began publishing the official dietary guidelines, we see these epidemics of overweight and obesity mushroom. We jump to implicate these dietary guidelines as causing the obesity epidemic, but the scientific evidence (or lack of it), provides us with further insight. In the 1950's Ancel Keys, performed several observational studies looking at the relationship between saturated fat in the diet and heart disease. Some dispute his methods and findings, but based on these studies the lipid hypothesis was born. There have been many observational and head-to-head clinical trials since Keys work, but despite what he observed (and what most healthcare professionals still believe today), the studies continue to refute a causal relationship between saturated fat in the diet and heart disease. In recent years there have been several dozen well done head-to-head clinical trials comparing low-carb high-fat diets to traditional low-fat low-calorie diets. In virtually all of these studies LCHF diets show a greater and sustainable weight loss and more importantly, favorable cholesterol, lipid and blood sugar profiles compared to low-fat diets. These studies demonstrate how insulin metabolism and other metabolic pathways regulate food energy. Dietary carbohydrates, rather then saturated fats, appear to be the unhealthy inflammatory fuel. We hope to see long-term head-to-head outcomes studies (with hard endpoint data like heart attack and death from heart attack) but until that time the best data at this time support low-carb diets in the overweight, obese and diabetic. What is difficult for most to acknowledge is the notion that the nutritional guidelines, the basis of the low-fat and carbohydrate heavy food pyramid and now what is called My Plate, are actually causing disease rather than preventing it. The USDA, supported by the food industry, have created these nutritional guidelines, in part to promote the sale of the most abundant (and yet unhealthy) food commodities such as sugars, corn, wheat, soy legumes, starchy vegetables and industrial vegetable oil seeds. Natural dietary saturated and mono-unsaturated fats were never unhealthy. We know that early civilizations and primal man were healthy and ate much differently, a diet based on whole and unprocessed foods such as animals including fish, seasonal nuts, roots, vegetables, fruits and natural fats. Ancestral Health teaches us about the relationship between whole foods and wellness throughout the ages. Medical Advances And Updates Although the right foods control appetite, for some, medication addressing appetite suppression, weight loss and insulin resistance have proven useful. Newer and smart hormonal drugs, called GLP1 analog's and Amylin mimetic's, restore normal physiology and suppress appetite. Byetta, Symlin,Victoza and Bydureon used in diabetics are now being studied for weight loss in the general population. Insulin resistance and the metabolic syndrome are new rapidly evolving areas of medicine. Stay tuned for the latest updates as they become available. See Dr. Ge**er's Fox 31 news interview - The new weight loss drug Qnexa Most Health Insurance Plans Accepted We provide long term solutions for weight loss and diet, but we are not a traditional medical weight loss clinic. We refer to these traditional programs as pay-per-pound weight loss. Clients are required to pay out of pocket with a guarantee of rapid weight loss. If and when the goal is reached, usually the client runs out of money and most regain the weight. Unfortunately these clinics contribute to the unhealthy yo-yo effect of dieting. In contrast, our program works with your health insurance, accepting most plans. The goals are long-term, treating associated and coexisting medical conditions along with any weight issues. We are re-defining the delivery of quality healthcare itself by placing nutrition center stage, thus addressing the true cause of chronic diseases. Maintaining ideal body weight for life is critical because there is no medication or medical therapy that will treat and prevent disease as well, period! Physicals, preventive services, counseling and referrals from your other doctors are usually covered within our program. Although weight loss may or may not be specifically covered, in the context of treating your total health, health insurance plans will cover these services. We also accept self pay if you do not have insurance. General Information Dr. Jeffry N. Ge**er is a board-certified family physician and owner of South Suburban Family Medicine in Littleton, Colorado, where he is known as “Denver’s Diet Doctor.” Nutrition and its effects on health are areas of interest for Dr. Ge**er. Frustrated with spiraling healthcare costs related to the treatment of diseases like diabetes, atherosclerosis and heart disease just to name a few, Dr. Ge**er has been focusing on prevention and treatment programs using low-carb high fat (LCHF) diets in the overweight and obese. He maintains a database, now almost ten years in the making, looking at weight loss, and improved cardio-metabolic markers, demonstrating the benefits of these types of diets. Redefining healthy nutrition is a goal, and Dr. Ge**er speaks frequently about this and other important issues to patients, the community and other health care professionals. “We are helping our patients improve their health and optimize their weight with prescribed lifestyle modification,” said Dr. Ge**er. “We redefine healthy nutrition and teach patients about the relationship between unhealthy refined and processed foods, dietary carbohydrates, inflammation and chronic illness. Saturated fat was never unhealthy. Teaching patients how to make better food choices based on the carbohydrate content of food controls hunger promotes weight loss and improves health.” "Obesity and overweight are truly the resultant symptoms of chronic metabolic disease, ultimately caused by the many inflammatory foods in our diet. Blaming behavior (that we eat too much and exercise too little) for why we get fat is a short sighted explanation, especially when considering our present day understanding of metabolism." In 2010, Dr. Ge**er received his degree of Fellow from the American Academy of Family Physicians (AAFP) for his commitment to family medicine and contributions to the local community. Dr. Ge**er is a member of ASBP, AAFP, Colorado Academy of Family Physicians, Colorado Medical Society and Arapahoe-Douglas-Elbert Medical Society. Dr. Ge**er graduated from Temple University School of Medicine (Philadelphia) in 1986. He completed a medical residency in family medicine at Abington Memorial Hospital in 1990 and maintains his board certification. Dr. Ge**er, his wife and three children love the outdoors, and enjoy all that the wonderful state of Colorado has to offer. Read more about Dr. Ge**er, obesity medicine, food politics and fat reform at http://denversdietdoctor.com/.