Rimma Moysenko: my slimming program!
Rimma Vasilievna Moysenko
– doctor of the highest category, nutritionist, cardiologist, physiotherapist, candidate of medical sciences, creator of the author’s program for achieving beauty and health.
Creator and founder of the “Beauty for Children” charity foundation, the goal of which is the social adaptation and rehabilitation of disabled children with congenital or acquired defects in appearance.
— Rimma Vasilievna, tell us how your journey into nutrition began?
In 1989, I defended my Ph.D. dissertation in the specialty of Cardio-Reanimatologist. Around the same time, I was invited to work as a doctor at the Russian Shaping Federation. At the same time, I completed training in sports medicine and began, as the chief physician of the Shaping Federation, to teach trainers the basics of physiotherapy and dietetics. It was then that the first physiotherapeutic devices were purchased - lymphatic drainage, electrical stimulation, cryolipolysis, electrolipolysis - many of these methods are still relevant today. At the same time, we began to develop the first nutrition and weight loss programs.
— How long ago was your center founded, which you opened with your sister Margarita Koroleva?
Rita and I are twins, she, like me, is a cardiologist.
But she came to the Center a little later, when we could no longer cope. This happened in the 90s. Until 2004, our Center existed within the framework of a physical culture and health complex. But even then we were actively developing - we purchased new equipment every year, invested a lot of money in training, in our education in the field of dietetics, physiotherapy, and cosmetology.
In 2004, our Center expanded. The center employs the best doctors, professionals in their field, and I trust them completely.
— What services do you provide to the patients of the center?
We help people improve themselves, change their body and self-image. We work within the framework of dietetics, physiotherapy, cosmetology and psychology.
The first and most important direction of our activity is diagnostic. We have our own laboratory, and we also cooperate with the Center for Medical Epidemiology - we send some tests there. There are specialist offices: an endocrinologist, a gynecologist, a gastroenterologist-hepatologist, 4 nutritionists, a neurologist and even a psychologist! There is also a physiotherapist and as many as 5 cosmetologists. I can say with confidence that my doctors are wonderful, I am proud of them and value them.
— Where does work begin with a patient who wants to lose weight?
Initially, the patient comes for a consultation and fills out a fairly extensive questionnaire about his eating habits - this way we can understand whether there is an eating disorder.
Next, we conduct a conversation and determine body composition. We definitely carry out an additional examination using the “Complex Medical Expert (CME)” apparatus. This device allows for a complete screening of the human body. Thanks to this examination, I can see the psychological status of a person and the “breakdowns” of his body at all levels. If there is some serious health problem, we first solve it, and then the person returns and we begin to work on losing weight.
During the first appointment, we work with a person for about 3 hours, during the diagnostic process we ask questions, prescribe a list of tests and additional examinations that need to be completed for a further meeting. All this extensive data is needed to create an individual weight loss program.
— Is such diagnostics also part of your proprietary weight loss method?
Exactly. My main task is to find the main cause of excess weight, and not only functional but also psychological parameters are taken into account - the character of a person, his relationships and much more. I ask a lot of questions during the initial conversation and determine the person’s psychological type. In total, we have identified 6 leading psychotypes - all of them are described in my book, which should be published soon. And based on all this data, I help a person learn to feed himself. There is only one recipe for losing weight - learn to listen to yourself and control what you eat, and not go on “fashionable” diets.
Whatever one may say, we, like our classical medicine, are talking about a balanced, varied diet. Which must contain all the ingredients, vitamins, probiotics, the right vegetables, fruits, sweets...
All people are now in pursuit of that one magic pill that will rid them of excess weight once and for all. There is no such magic pill, but I really want to believe in it.
Therefore, people come already with good experience of visiting nutritionists, losing and regaining weight. Here my task is to suggest what mistakes were made before he came here, what character traits prevent him from being consistent, what types of metabolism are disturbed, what food products should be feared - all this so that the person will then be at his stable weight at for many years.
We begin the weight loss program itself with the organization of a drinking regime, since clean water is the most important means of transport, which pulls all toxic substances and decay products from the body. We teach drinking gradually so that a person realizes the need for water. My task is to bring awareness to a person and instill in him new habits from now on and forever. We change ourselves, change our attitude towards life, form a new self (psychologists help us here), and with this comes the ability to take care of ourselves and value our health.
— How long does your weight loss program last?
The first stage lasts 40 days, exactly the amount needed to form a new habit.
This is true for any new business that a person begins to engage in. At this time, patients come to us once every 10 days, with a detailed menu that records everything that a person eats. And we check how balanced the nutrition is and calculate everything using a special program. We must understand the number of calories, check the protein-fat-carbohydrate ratio, the presence of vitamins and microelements. We are gradually restructuring the diet, changing the ratio of products so that there is no deficiency of vitamins and microelements. Sometimes additional nutritional supplements may be required.
The second stage is another 120 days.
During this time, primary habits are laid down at the subconscious level. Consciousness is rebuilt, the habit goes into the subconscious, and this guarantees that a person will not change his ideal weight in the next 2-3 years. At this stage, patients come 1-2 times a month. In addition, some patients also come to us for physical therapy aimed at correcting their shape.
— Can the program be individual or group? Which ones do people lose weight better in?
— We offer mainly individual programs. But we also organize off-site events where we conduct group classes. Now we have agreed to open a gym for working on breathing techniques. Among other things, the hall will offer therapeutic exercises, yoga and other techniques that change consciousness and help a person. Because physical activity must be mandatory, and we must be able to control its dose, type, and regularity.
— Tell us more about what physical activities are included in your program?
It has been noted that breathing techniques are the most effective in terms of detoxification. For example, bodyflex from the well-known Marina Korpan. One of her students, Antonina Kravets, works with us. With her, we did a section on breathing exercises in my book - there will be detailed exercise diagrams, as well as CDs for independent work.
Thanks to breathing techniques, volumes are released well
– after all, our body loses its shape when the diaphragm stops working. Since all women naturally breathe through the chest, the diaphragm sag from impotence and changes its position. Aging of the body begins with the fact that more toxins accumulate than are eliminated. But they don’t appear because we don’t know how to breathe and don’t know how to drink water. The breathing technique is accompanied by physical exercise, and within a month the muscles, without changing weight, change shape. The volume of the chest changes, the abdomen disappears, and lymphatic drainage begins. And any weight loss program becomes even more effective. In addition, a person’s well-being improves, shortness of breath disappears, a feeling of joy in life appears and a desire to do something additional.
Therefore, the process of losing weight necessarily includes lifestyle, normal sleep, alternation of work and rest, mandatory fluid intake and mandatory breathing exercises, which are simply necessary for every person over 30 years old. These conditions should become part of the lifestyle and help him reach his stable weight.
— You are talking about a balanced diet, but are there any foods that are better to exclude from your diet? For example, vegetarian, no-carb, low-fat, etc.?
— I’ll tell you about one study that was conducted over 25 years - the “Chinese study.” American scientists studied the nutritional patterns of different population groups in different areas of the world. Based on this research, they came to the conclusion that when a person grows and the formation of organs and all systems occurs, protein of natural origin is needed. That is, meat is needed for at least 25 years. After 35 years
The process of aging of the body begins, and then, if a person wants to have a high quality of life, nutrition must be revised. It should become relatively vegetarian - you need to eat vegetables, fruits, cereals, coarse bread, nuts, seeds and once a day - fish as animal protein. Dairy products are also extremely important: cottage cheese, kefir, cheese. That is, this is a classic balanced diet that includes all the ingredients, but is by no means vegan (pure vegetarianism). Why is it recommended to reduce meat consumption as you age? Red meat is heavy and has a lot of hidden fat, while fish has enough antioxidants and omega-3s to make it a must-have.
— Is separate nutrition useful?
— There are certain rules for combining foods under which they are poorly absorbed. Animal protein (i.e. meat) does not go well with grains (rice). Meat is a complex protein product that requires additional digestive juices; it is digested in 5 hours. Bread - just like cereals - is a separate product, a complex carbohydrate, it also requires the separate participation of all digestive juices.
The second point is the combination of acidic and alkaline. Bread, for example, goes well only with fat - butter or cheese.
If we are talking about a classic sandwich - bread with sausage - and let’s assume that sausage is meat, the same product with a complex chain of proteins, many amino acids. Such a chain is already difficult to split, but in the presence of bread (a long chain of carbohydrates and starch) it is almost impossible! Further, if within 5 hours the product does not have time to break down to its final elements, rotting begins, and against this background many toxins are released.
And many of our eating habits are not correct. It is tasty, good and relatively harmless until the age of 25, if there are no genetic peculiarities. But after 25 years, you need to take into account the nuances of nutrition. And everyone spoke in favor of separate nutrition, from Hippocrates to Montignac.
— What about the frequency of meals and drinks during meals?
- You can drink after eating at least half an hour later, not immediately, since water dilutes gastric juice and interferes with the digestion of food.
According to physiology, we are supposed to eat 5 meals, this is due to blood sugar levels, which drop every 2.5-3 hours. If no food intake occurs during this time, the burden of maintaining insulin levels in the blood falls on the pancreas. If we want to have ideal health, we must eat every 2.5 - 3 hours, then stable carbohydrate metabolism is maintained and neither the liver nor the pancreas “wears out”. Given 5 meals, a person eats much less than in three meals, because the feeling of hunger increases and you want to eat a little more.
— How do you feel about the extremely popular trends today: the blood diet, the Dukan diet?
— Each of these methods has its own rational grain, has its positive and negative sides. But we are all very different. And today, perhaps, there is not a single diet that would be universal for everyone. That's why an individual approach is so important. For example, the Dukan diet
Suitable for those who have impaired carbohydrate metabolism. That is, first the amount of carbohydrates is minimized and then you need to look at the state of health - how a person reacts to the diet.
— Diet according to blood type
very relative and approximate, there are indeed some foods that are ideal for a particular blood type, and there are foods that are not suitable for them at all. But this approach is not sufficient. If we work on immunoglobulins E, then here we are talking about allergic intolerance to certain products that are not suitable for a person. Such programs are good as therapeutic programs if a person has various diseases. If we are talking about an analysis for immunoglobulin G4, we are talking about a delayed-type allergic reaction, which we often listen to. This is an individual intolerance to certain foods, when foods are not completely digested, their elements are retained in the body and cause the production of blood antibodies. But such a detailed blood test, again, is not indicated for everyone. We carry it out if there is a stop in weight loss and some ailments associated with weight loss are observed. Based on this analysis, a person gives up certain foods for a while, his metabolism starts, he gets rid of toxins, and the process of losing weight continues.
— Detox programs are very popular now. How effective is this technique?
— Detox
– this is extremely important. We were one of the first to offer such programs. This program must be diagnosed based on signs of intoxication. In the body, under the influence of various foods, the pH of the internal environment, primarily the intestines, changes - its environment changes from alkaline to acidic. This happens if a person abuses protein products: they do not have time to be digested and create intermediate elements that interfere with the normal functioning of the body. Increasing intoxication is accompanied by decreased performance, sleep disturbances - and if people eat unhealthy foods, smoke a lot, and sleep little - intoxication increases. Detox nutrition is aimed at changing the pH of internal environments so that normal flora is revived and coexists in this body. Our task is to prescribe those food products that can enrich the internal environment with alkali. Alcohol, coffee, and sweet tea are excluded from the diet for the first 10-20 days. Meat and meat-like products, baked goods (but not cereals!), almost all fruits (with the exception of bananas and ripe apples) are eliminated; tomatoes, spinach, and sorrel are excluded from vegetables.
Next, a nutrition program is drawn up from permitted foods, which necessarily includes cereals, fermented milk products and a large amount of water (minimum 30 grams per 1 kg of body weight). Perhaps choleretic teas, herbs involved in detoxification, bathhouse, sauna. As a result of this program, health, sleep improves, joy of life appears, performance increases, while a person can lose a certain amount of kilograms, but this program is not at all aimed at losing weight. This is just a pleasant side effect.
After a detoxification program, when the PH of the internal environment is restored, when good flora takes root and all systems for assimilation of food and their breakdown to final elements work well enough, we can be sure that all elements are absorbed and do not lead to the accumulation of toxins.
— How do you feel about all kinds of teas and weight loss medications?
— Since 1989, when I came into the field of dietetics, I have been very interested in all new products and drugs for weight loss. My task is to find what is most effective in today's market. I study the market very actively, and periodically introduce something new. If it is good and justified.
I can vouch for some compositions that accelerate and improve carbohydrate metabolism and water-salt metabolism. But all this must be taken according to indications.
There are nutritional supplements that accelerate the movement of bile; they are required in our endoecological rehabilitation and detoxification program. We are conducting it in collaboration with Yuri Markovich Levin, he works at the Department of Lymphology and Endoecology at RUDN University. The preparations were partly created by him, they are of plant origin and have proven effectiveness. These programs have a comprehensive and immediate effect on all excretory systems of the body. After all, you cannot work with only one aspect of the body, because if we cleanse only one organ, all toxic substances from others are sent there according to the laws of diffusion. Often, such programs are prescribed before a person begins to globally reduce their weight. Patients take inhalations with herbs, procedures in an infrared cabin and wraps, choleretic preparations, kidney tea, nutrition and intestinal cleansing - herbs, pectins, which collect toxic elements.
— You are the creator and founder of the “Beauty for Children” charity foundation, the goal of which is the social adaptation and rehabilitation of disabled children. How are things going with the foundation today?
— The initial idea was born a long time ago, when we realized that we ourselves could not help the category of patients who needed it most - children. We can provide assistance in the field of aesthetic surgery to adults, but we are forced to send children to republican children's hospitals. This requires money, sometimes a lot of it. The state partially helps, allocates quotas - but this is not enough. That’s when we created our own charitable foundation – and now we direct the profits from many of our commercial projects there. We recently held an auction, the proceeds from which were transferred to children with pathologies in appearance. These can be congenital pathologies - usually missing ears, lower jaw, cleft lip, or acquired pathologies - for example, post-burn scars. The fund allows us to raise quite impressive sums and help children and teenagers regain their beauty and believe in themselves.
DIETOLOGICAL CENTER RIMMARITA
Moscow, 1st Kozhukhovsky proezd, 1/7, 2nd floor Phones: +7(495) 626-8426, 626-8466
Moysenko Rimma Vasilievna
Chief physician, . Candidate of Medical Sciences
“80% of the immune response comes from healthy intestinal flora”
Rimma Moisenko, Candidate of Medical Sciences, cardiologist, physiotherapist, nutritionist, founder and chief physician of the Rimmarita Aesthetic Medicine Center
“Successfully pass the holiday test”
On the eve of the New Year holidays, MedNews found out from a nutritionist and a doctor of restorative medicine how to protect yourself from the health consequences of holiday feasts and what to do if they do occur.
– Rimma Vasilievna, are attempts to lose weight before the New Year common and how harmful are they?
– Many, if not all girls, looking at themselves in the mirror a week before the New Year, regardless of the real picture, see plus 2 kilograms. What are they doing? They buy a beautiful dress one size smaller, and begin to lose weight under it. And usually for those who have not thoroughly studied professional literature and do not understand the principles of nutrition - it is easier not to eat anything than to eat correctly, plan a menu, and cook. Therefore, before the New Year, many people tend to give up food. Of course, with a sharply reduced intake of calories, weight loss begins, but at the same time, insulin accumulates in the blood compensatoryly, it gives the fat cell the command not to give anything back, the fat is not broken down and the girl loses weight due to the loss of fluid and muscle mass in the body. The goal seems to have been achieved, but the level of hormones in the blood changes: cortisol and insulin accumulate. This leads to glypoglycemia, and as soon as the restrictions are lifted, not only the lost kilograms return, but also an extra 10% of the weight. This is a required response.
There is no need to force yourself to lose weight intensively in a short period before the New Year or some other event, and especially there is no need to prepare yourself for the holiday by fasting. If you don’t eat all day on December 31, this can only provoke overeating at the New Year’s table, even poisoning due to excess food or alcohol on an empty stomach.
It's important to be very consistent. If the task, after all, is not only to fit into a dress, but also to maintain this shape later, then you need to start by developing a program for proper water intake: between meals, until 19:00, glasses of 180-200 ml, about 2 liters per day. day. You can start before the New Year, but it will take about 40 days to form a habit. The second is to build a program for proper eating, that is, eat five times a day. When a person thinks about these two things, it is already of great benefit. And you need to take water and food in a good mood and with attention. Third, exclude high-calorie foods and fast foods. This is acceptable for every person.
Food should be varied, seasonal and regionally adequate. You can completely avoid exotic fruits and dairy products, since they cause fermentation and can lead to delayed weight loss. For many, fermented milk products convert the pH of the internal environment to acidic, and this has to be balanced by alkalization in order to return the body to a state of ideal intestinal function and normalize the ratio of all types of flora, that is, restore the microbiota. And the microbiota is the most important component of our body, which makes it possible to maintain our health: 80% of the immune response is carried out by healthy intestinal flora. There are the most luxurious modern laboratory tests that can be done once for a lifetime: a blood test for food intolerance. This makes it possible to understand what you need to give up forever, and develop for yourself a complete and interesting, scientifically proven nutrition system that will allow you to achieve your ideal weight and maintain it, without losing results even after some holiday overeating.
– What can be done to make it easier to endure the holidays with their excesses?
– If you make it a habit to eat regularly, then the New Year will go much easier. There are two options. If you want to surprise someone, please go on any, most exaggerated, most strict diet, knowing that after the New Year you will definitely gain those extra pounds. If the motivation is to maintain your shape until the 10th-12th, then these restrictions are included not only for the period of preparation for the New Year, but also imply a recovery period after New Year's Eve. Therefore, there are activities that allow you to quickly, within 2-3 days, recover from excesses.
– Are there any special methods?
– Yes, we have an event in our clinic that we call endoecological rehabilitation. Restoration of the body at the cellular level. One of the ways is to restore cellular nutrition and get rid of excess microelements and compositions, restoring pressure at the level of the cell and intercellular space. There is an excellent SPA-Efference solution, on the basis of which we developed the “Exclusive Method of Cleansing the Body” (EMOO). We definitely include it in our comprehensive programs. This is a lavage solution developed 30 years ago, and since then has been tested and improved many times. What is he? Imagine a five-liter bottle filled with a solution that tastes like well-mineralized water. And in terms of its chemical composition, it is close to chyme - food digested to the state of a homogeneous liquid mass before absorption in the intestines. We have been working with this solution for many years and have created a cleansing method based on it. You can’t imagine, people are running to us after him, queues are forming! Some people receive it now, before the New Year, others right after. Many can no longer imagine life without it: you can have a luxurious walk on New Year’s Eve, and then just as luxuriously cleanse yourself of everything that has accumulated and has not been assimilated.
A person must be prepared to take the solution: it must be drunk in full (about 5 liters) within about three hours. That is, early in the morning, on an empty stomach, take a bottle and drink 150 ml every 5 minutes. If at first you don’t like the taste of the solution, you can put a small bowl of honey and lemon in front of you and drink, taking a drop of honey on the tip of your tongue. While you drink it, you can do household chores, the main thing is to move and dress warmly. Since the solution is drunk in large volumes and has an ambient temperature that is lower than body temperature, slight chills and drowsiness may occur. If a person didn’t overdo it on New Year’s Day, then after an hour there is a slight urge to get rid of the ingested liquid - through the intestines, of course. And then in the next two hours, taking the solution will alternate with visiting the toilet. Total – 3 hours of work on yourself. Half an hour after the end of the procedure, you can eat porridge - the fiber will help collect the liquid remaining in the intestines and remove it. After this, the person is free and can devote the afternoon to family, walks and leisure.
But there are also people who really have too much - too salty, spicy, unusual food, alcohol. Then, an hour or even two after the start of treatment, no reaction may occur. Moreover, sometimes after three hours, and nothing happens at all on the first day. In such cases, patients begin to fear that they were given some kind of incorrect, unsuitable solution. In fact, the concentration of toxic substances at the cellular level is so high that the solution, like an orderly, goes to each cell and works in a diffuse manner. If there is little potassium, it gives potassium. If there is a lot of sodium, it pulls it away. And in the next two or three days, the general cleaning of the body will be completed. This happens in deeply poisoned people. But in the end, the balance of all types of flora is restored, the microbiota returns to its normal state, the acidic environment turns into a natural slightly alkaline state. This is a wonderful way to remove toxic elements both after acute poisoning and preventively, since they still accumulate over time, leading to constant fatigue, lethargy, bad mood, and inability to recover. From time to time, at least once a quarter, both young people and adults should undergo this procedure.
We do not recommend this solution only to that category of people who have cholelithiasis. And flush syndrome, sluggish gallbladder, sluggish intestines, irregular bowel movements - these are all direct indications for taking the solution.
– Can it be used as an initial stage of weight loss?
– Yes, this is a great way to both start losing weight and successfully end the ordeal with the holidays.
– What if, on the contrary, we do this before the holidays?
– If you do this before the New Year, then in order to feel more energetic, look better, and have a healthy complexion. But you need to understand that as a result the body will become cleaner, and therefore more receptive. Why cleanse the body and then immediately begin to destroy it? Since the last days before the New Year are usually associated with corporate events and receiving guests, it is better not to drink the solution on the eve of all these events, but to start taking care of yourself after the holidays and take a course of four doses of the solution over a week or two. But if a person is very reasonable, collected and understands that a large amount of food and alcohol is harmful to him, then taking the solution can work as a deterrent for the New Year itself. After all, you should not sacrifice the results that have already appeared and expose yourself to the risk of intoxication. If your motivation is to fit into a dress, then it’s better not to start. Take the holidays off, and dedicate the beginning of the new year to working on yourself, and by the end of the holidays you will feel like a completely different person and look fresh and positive, especially compared to your colleagues who are tired and swollen over the holidays.
Sergey Vinogradov, Candidate of Medical Sciences, doctor of rehabilitation medicine, family doctor, physiotherapist, chief physician of the Long Life clinic.
– Sergey Alexandrovich, what to do after the holidays are over?
– If we are talking about the logical conclusion of the holidays, when a person, as they say, has sinned, then, firstly, the most important thing is not to continue. The best option is to finish and fast for one day, drinking only water. And the next day, be sure to do the SPA-Efference procedure, and it is advisable to continue it for three days in a row. This is a fundamental thing. Then, if libations and food abuse were extensive, you must definitely seek high-tech help, namely, undergo an ultrasound diagnostic procedure of internal organs: liver, pancreas. They suffer first: pancreatitis may develop, the liver may increase in size, and the kidneys may be overloaded. After this, when SPA-Efference has been completed at least three times, you need to start taking hepatoprotectors: drugs that will restore the liver. This will take at least a month. During this period, you need to limit yourself to fatty and fried foods, try to eat steamed or boiled dishes, or, in extreme cases, grilled. It is advisable to eat a large amount of vegetables to normalize digestion; the diet must include not very fatty fish, a small amount of lean meat, and some fruits. You should drink at least three liters of water per day. It is advisable to avoid carbonated drinks and sweets. And stay in this mode for at least three weeks.
– Such a long payback for just 10 days of holidays?
- Yes. Many of my patients generally come and go to the hospital for 10 days for a program with complete fasting and procedures, starting with SPA-Efference.
– Why is fasting necessary before SPA-Efference?
– Because if a person has eaten a lot, there is still a lot of food in the intestines that has not been digested or excreted. If you start drinking SPA-Efference at this moment, all this will go through the intestines, and this is uncomfortable and even painful. I know because I tried it myself. The average Russian spends these 10 days, or even 11, in a continuous feast, so you need to prepare for the SPA Experience.
– But this is a systematic way of recovery, but what to do in emergency cases?
– If a person suffers from a severe hangover or food intoxication, then SPA-Efference is method number 1. Then in the morning he needs to be woken up, brought to consciousness and this procedure carried out. But! The main thing is that after this he does not continue everything that was interrupted by poisoning and a hangover - and many, alas, try to continue. Then the effect will be devastating. This will be extremely difficult for a clean body; not only the gastrointestinal tract will be overloaded, but also the brain and heart. Therefore, here you need to decide: either you want to continue, and then SPA-Efference should be used after the holidays are over. Or you do SPA Efference and immediately improve your well-being, but then no more overeating and alcohol.
If you're doing a New Year's cleanse, you need to be careful. You can drink and eat too much, since the body processes it all quickly enough, but up to a certain point. And then it will be bad, because intoxication can be very serious.
– Is it permissible to use SPA-Efference in case of acute intoxication?
– If we are talking about alcoholism, then, most likely, the person is in such a state that the help of a narcologist is required; it is extremely difficult to force him to drink something in large quantities. He is psychomotor agitated and may behave aggressively. He needs to be taken to a specialized clinic and treated there. As for food intoxication, yes, of course. The procedure takes 2-2.5 hours and after that all symptoms are relieved, we checked this.
Interview with medportal.ru December 26, 2015
