Nurse Practitioner, Carol Rowsemitt, Reports San Luis Obispo Nutrition And Weight Loss Myths

nutritionist San Luis Obispo

–California’s Central Coast is well known for fine dining and farm fresh nutrition. San Luis Obispo County especially has so much wonderful food it is a shame that people are depriving themselves because of myths about food and weight, so Carol Rowsemitt is debunking the myths.

This report takes a look at topics such as calories; weight loss, supplements, diets, and other food and nutrition myths. Rowsemitt explains why so many popular beliefs about weight loss are not quite true.

A calorie is a calorie

As a measure of energy, all calories have the same energy content. This does not mean that all calorie sources, the food we eat, have the same effects on weight. Calories consumed from proteins are not the same as those from fat or carbohydrates.

The body processes different foods through a different metabolic pathway, which have very different effects on hunger and hormones that regulate body weight. Consuming more fat and protein and fewer carbs decreases insulin to help weight loss.

Steady weight loss

Weight is not always lost steadily week-by-week. Some weeks are better than others and sometimes the scales show a few extra pounds. As long as weight continues to drop over a reasonable length of time, gaining a pound or two once in a while is no reason for concern. It is normal for weight to fluctuate up or down by a few pounds.

Women tend to hold more water weight during the menstrual cycle. Some inflammation as the result of an intense exercise session might seem to add a few pounds. Depending on the last meal, it might be taking longer to digest and adding weight.

Not losing or gaining for a period of time is also normal, but if the scale reads the same for a few weeks, it might be time to discuss diet with a professional. A dietitian or nutritionist in San Luis Obispo can help, but another choice is a weight management specialist with advanced practice nursing certifications. Carol Rowsemitt, Ph.D., RN, FNP has a unique understanding of the physiological human response to insufficient food and the challenges people face when losing weight. Before receiving her nursing degrees, Rowsemitt achieved a Bachelor of Arts (BA) degree in Chemistry from Boston University and her PhD in Biology from the University of Utah.

Weight loss supplements suppress appetite and burn fat

Television ads and full-page colorful magazine ads are continually touting the weight loss benefits of this or that supplement. Some of these ads even include a spokesperson dressed like a medical professional. The weight loss supplement industry is highly profitable, earning $6.3 billion at the last report in 2015.

Unfortunately, supplements are not as effective as their claims. The positive, and short-term effect they have may be due to the placebo effect. People may be more conscious of what they eat and be more active at first, which is the reason for the weight loss.

Just develop some willpower

Obesity is a very complex problem with dozens of possible contributing factors. There are many genetic variables and medical conditions that have been proved to contribute to obesity.

Choosing to eat less of some kinds of food, more of others, and exercise more is not always the entire answer, and it’s not that easy for a lot of people. Biology does have a role. Depression and stress can cause some hormone changes, leading to weight gain.

Eating is driven by behavior and behavior is driven by physiology and biochemistry. Studies show that after losing 10% of body weight, in most people metabolism dips and appetite increases. If that’s going on, it is probably time to see a comprehensive weight management specialist who understands the biology of the famine response.

Dieting is the best way to lose weight

In the long-term, studies show that 85-percent of people who “diet” gain the weight back within a year.

The best approach is to gradually increase activity levels, get more sleep, and eat healthier. This works for many people, and when it does not, when the pounds are just not budging, it is time for the assistance of a weight-management professional to determine and begin to correct any medical, biological issues.

Obesity is associated with an increased risk of several chronic diseases such as type 2 diabetes, heart disease, increased risk of certain kinds of cancers, and other diseases. But, even thin people can have these diseases.

Dietitians and nutritionists in San Luis Obispo, and everywhere, can help plan food and meals for people with health issues, including obesity. But, consider the additional benefits of working with a health care professional who can prescribe medications, monitor progress and recommend the best treatments for long-term health and weight loss.

Getting help for these problems means getting the metabolism back to normal, and may involve using medications that decrease appetite and interest in food as well as normalizing metabolism.

Carol Rowsemitt has been working with Dr. Steven McAllen, MD, as her supervisory physician since 2015. Dr. McAllen earned his medical degree from UCSD and did his residency in internal medicine at UC Irvine. He has been in practice for 26 years.

There are a variety of FDA approved medications that can be used to help decrease appetite and restore metabolism to normal. The combination of medications, positive support, and learning about healthier choices can be the key to weight loss and a better quality of life

Comprehensive Weight Management
295 Posada Lane, Suite C
Templeton, CA 93465
(805) 748-0954

This press release is by San Luis Obispo SEO company Access Publishing, 806 9th Street, #2D, Paso Robles, CA 93446. (805) 226-9890.

San Luis Obispo Weight Loss Expert Weighs In On Biggest Loser Weight Re-Gain

Carol Rowsemitt, San Luis Obispo weight loss expert. Credit J. Emilio Flores for The New York Times

Carol Rowsemitt, San Luis Obispo weight loss expert. Credit J. Emilio Flores for The New York Times


–A recent study of Biggest Loser participants showed that metabolism decreases during weight loss and persists for six years. Recently, San Luis Obispo weight loss expert Carol Rowsemitt weighed in as to why this occurred. To view her report, click here or see below.

Dr. Kevin Hall and colleagues have gotten a lot of well-deserved attention for their work on metabolism in weight loss attempts in recent years. Our metabolism is determined by thyroid function; that’s where my interest lies.

Where is the thyroid and how does it affect weight?

The thyroid gland is in the neck. The hormones from the thyroid regulate metabolism. If your metabolism is high, you burn more calories at rest than would be normal. If your metabolism is low, you burn fewer calories at rest than normal. Symptoms of low thyroid include: cold, cold hands and feet, extreme fatigue, constipation, dry skin, hair loss. And with low thyroid, it’s hard to lose weight and easy to gain weight. It’s also really hard to get out and exercise because you are exhausted.

What causes low thyroid?

Many different problems can cause low thyroid, including lack of iodine in the diet and eating large quantities of cruciferous vegetables (broccoli, Brussel sprouts). However, what is less well known relates to trying to lose weight.

In 1950, a study showed that young men fed a low calorie diet decreased their metabolism. Studies have confirmed this over the years, but the concept was not well known. That same year, a researcher burned a pound of fat and found it contained 3500 kilocalories (commonly referred to as calories). The guy with the pound of fat must have had a better press agent because we’ve all been taught for years that if you eat 3500 fewer calories, you will lose a pound. But if you put the two ideas together, you get a better understanding of the real problem.

We have a thermostat in the hypothalamus, a small portion of the brain. This thermostat sets your rate of metabolism. Eat less and your thermostat recognizes that you’re aren’t getting enough food to support your current weight; the thermostat resets to a lower rate so you’ll burn fewer calories at rest. You may be carrying an extra 100 lbs. that you’re trying to lose, but the body pays more attention to the lack of current food supply. This response results from eons of evolution so that we can survive famine. So the thyroid has decreased function ON PURPOSE. We currently have no way to convince the thyroid to make more hormone during this time.

Is the medical community aware of this?

We were all taught to measure just TSH, the pituitary hormone that tells the thyroid gland how much thyroid hormone to make, rather than the actual thyroid hormones. That works fine most of the time. However, when you are in the famine response, you’re burning fewer calories at rest, but TSH is perfectly normal because the thermostat has been reset lower. So if you’re dieting, doing everything you’re supposed to do to lose weight, and your thermostat is reset down, your doctor or other provider may order TSH, find it’s normal, and tell you your thyroid is fine. The active thyroid hormone, T3, is likely to be at the low end of normal and your metabolism will be low.

Is some of this information getting out now?

Sort of. However, most health care providers are not aware of the resetting of the thermostat and how to effectively treat thyroid to safely eliminate low thyroid symptoms. I gave a presentation at the Obesity Medicine Association meetings in late September addressing these issues.

Learn more

For more information about Carol Rowsemitt and her San Luis Obispo weight loss practice, visit or call (805) 748-0954.

Press release prepared by San Luis Obispo SEO Access Publishing, 806 9th St. #2D, Paso Robles, CA 93446. (805) 226-9890.

San Luis Obispo Nurse Practitioner Sheds Some Light On Stress and Weight

dietitian San Luis Obispo

–Why is that some people gain weight under stress while others drop so much it seems every bone in their body is visible? San Luis Obispo nurse practitioner, Carol Rowsemitt, PhD, RN, FNP-C, says, “Weight gain, especially as a result of stress, has more to do with the human primitive body response and little to do with will power.” She understands this better than most dietitians because she specializes in this field.

Stress triggers the body’s fight or flight response, which is the natural survival instinct that tells us to run away from a threat and survive. The flight response is a natural biological survival mechanism. Triggered by hormones and neurotransmitters flooding our cells with signals to run away, all animals have this response and run to escape or turn and fight when escape doesn’t seem possible. We humans, however, have developed the ability to ignore the signals at a logical level, but that doesn’t stop the primitive body from continuing to do its job.

Rowsemitt, the San Luis Obispo nurse practitioner, explains the reaction to stress, as being stuck on a train track and the speeding train is not stopping. Your instinct is to run away and survive. Everyday stresses, worries and aggravations may not seem like a speeding train to one’s logical mind, but the primitive body considers any threat as a matter of survival. Prolonged stress—work deadlines, family matters, chronic pain, a demanding school schedule, a daily commute through heavy traffic—the primitive body keeps sending out signals about the threat. On the milder side of stress, we just get a headache and tight shoulders. At the upper end, such as surviving war, severe abuse and trauma, some develop Post Traumatic Stress Disorder (PTSD).

Everyone deals with stress and trauma differently. Many are able to cope with the flood of stress hormones and not have prolonged effects. Some don’t and the primitive body continues to respond as though the stress or threat is still present, eventually causing imbalances in the entire body.

To simplify a complex biological reaction, there are two primitive body responses to stress that can affect weight. One is that first signal to run and survive. The second is to eat and replenish the body’s fuel and energy to be ready for the next threat.

As long as the signal to run is active, appetite might be suppressed. If we don’t eat we lose weight. When the threat is over, we eat. Sometimes people get frozen in one or the other of these responses because the flood of hormones and neurotransmitters from the stress/threat causes cellular overloads and imbalances, resulting in issues with weight.

For some, stress also triggers the “famine response,” which is the primitive body survival response against starvation. “Eat now because we don’t know when we’ll have food again.” Whether the response is to eat to be prepared to escape or to avoid starvation, the primitive body is saying, “Eat now. We need food to survive.” When the primitive parts of our brains tell us there is not enough food coming in, the changes in brain chemistry causes several things, including:

  • An increased interest in food, often in quick energy foods high in fat and sugar
  • More food is needed to trigger the “full” signal in the stomach
  • Metabolism resets to burn fewer calories
  • Lowered metabolism causes tiredness and fatigue, possible depression, and we become less active

Weight loss makes muscles become more efficient and we burn fewer calories for the same amount of work, even when we exercise

These changes have been observed to still be present as far out as one year after weight loss.
The San Luis Obispo nurse practitioner, Carol Rowsemitt, although not a dietitian, specializes in helping people with weight loss, eating disorders and thyroid disorders. Before receiving her nursing degrees, Rowsemitt achieved a Bachelor of Arts (BA) degree in Chemistry from Boston University and her Ph.D. in Biology from the University of Utah. This experience has given her a unique understanding of the physiological human response to hunger and the challenges people face when losing weight.

Rowsemitt’s supervising physician is Dr. Steven J. McAllen, an internal medicine specialist in Templeton, CA. Formerly, her supervising physician was Dr. Thomas Najarian, an innovative pioneer in the field of non-surgical weight loss and appetite suppression medicine. Rowsemitt and Najarian authored the scientific paper, “TSH is Not the Answer: Rationale for a New Paradigm to Evaluate and Treat Hypothyroidism, Particularly Associated with Weight Loss.” The paper is available to public on the Thyroid Science website.

Comprehensive Weight Management
295 Posada Lane, Suite C
Templeton, CA 93465
(805) 748-0954

This press release is by San Luis Obispo SEO company Access Publishing, 806 9th Street, #2D, Paso Robles, CA 93446, (805) 226-9890.

San Luis Obispo Nurse Practitioner Explains Why Losing Weight Gained After Surgery Or Injury Is Difficult

dietitian San Luis Obispo

–There are some very good scientific reasons why some of us gain weight after surgery or an injury. Carol Rowsemitt, PhD, RN, FNP-C, a San Luis Obispo nurse practitioner, has a unique understanding of the physiological reasons people have trouble losing weight. She understands this better than most dietitians.

Rowsemitt specializes in helping patients understand that their battle with weight loss is more than a matter of will power. Her practice and treatment regimen accounts for the biological changes in brain chemistry that are a determining factor in the effectiveness of a person’s weight loss.

Fluid retention is a very common post-surgery or post-injury condition. The associated inflammation and sometimes the prescribed medications can interrupt the body’s normal ways of eliminating fluid. The fluid adds weight and creates a swollen and bloated look. Contrary to what some believe, retained fluid does not “turn into fat.” Eventually the body heals and the normal processes for eliminating fluid are restored. If someone does not lose the weight after temporarily changing their diet and returning to normal activity, other factors may be involved.

Stress and trauma that trigger our primitive survival responses can be the cause of weight gain following surgery or injury. Even minor surgery or a broken leg or arm can be interpreted as a threat by the primitive body. One survival mechanism is to eat, now. Eat now after surviving a threat to replenish the body’s energy before the next threat. Eat now when food is available to avoid the threat of starvation—a reaction to the “famine response,” which is believed to have evolved from the unpredictable food supplies primitive humans experienced.

If we don’t run away from a threat, we might not survive. If we don’t eat, we will starve. When we experience any trauma, or even when daily stress is constant enough, hormones associated with survival are released into our bodies. For some of us, these hormones and neurotransmitters continue to release even after the original stressor is over, creating a condition of ongoing stress responses and anxiety. Eating now is a primitive response to survival and our logical minds have no control over it.

Weight gain associated with pregnancy is also very common. Some weight gain during pregnancy is healthy and actually desired because it can indicate a healthy and growing baby. Excessive weight gain during or after pregnancy might be due to hormonal changes that need to be addressed medically. The stress of caring for a newborn can contribute to weight gain. Hormonal changes can lead to depression and weight gain, and some new mothers experience thyroid problems after pregnancy.

Carol Rowsemitt, the San Luis Obispo nurse practitioner, specializes in Thyroid disorders, eating disorders and weight loss. With broader knowledge than a typical dietitian, her unique weight loss program is based in the understanding of brain chemistry and the influence of the primitive body that she gained from her studies and work as a biologist before acquiring her nursing degrees. Rowsemitt received her Bachelor of Arts (BA) degree in chemistry from Boston University, her Ph.D. in Biology from the University of Utah, then went on to achieve first a Bachelor’s degree in nursing from the University of Utah, then her Masters degree in nursing with an emphasis in diabetes care.

Rowsemitt currently works with Dr. Dr. Steven J. McAllen, as her supervising physician. Dr. McAllen, a graduate of University of California, San Diego School of Medicine, is an internal medicine specialist in Templeton, CA and has been practicing medicine since 1986.

Rowsemitt has offices in Templeton and Grover Beach, CA.

Comprehensive Weight Management
295 Posada Lane, Suite C
Templeton, CA 93465
(805) 748-0954

This press release is by San Luis Obispo SEO company Access Publishing, 806 9th Street, #2D, Paso Robles, CA 93446, (805) 226-9890.

San Luis Obispo weight loss expert opens new office locations

–Carol N Rowsemitt PhD, RN, FNP-C, owner of Comprehensive Weight Management, A Nursing Corporation, which specializes in unique and effective weight loss management, recently announced the opening of two new office locations in San Luis Obispo County.

To better serve clients across the county, the company opened offices both above the grade and below the grade, in Templeton and Grover Beach. Dr. Steven McAllen is her new supervisory physician. Her Templeton office is located in Dr. McAllen’s off at 295 Posada Lane, along with Diabetes and Nutrition Education Center. The Grover Beach office is located on 815 West Grand Avenue.

Carol Rowsemitt’s methodology for weight loss management applies a deep understanding of the physiological human response to hunger. Her technique differs from many weight loss San Luis Obispo practitioners. Carol specializes in treating thyroid disorders and helping patients understand that their battle with weight loss is more than a matter of will power. Her practice and treatment regimen accounts for the biological changes in brain chemistry that are a determining factor in the effectiveness of a person’s weight loss. Patients of Carol Rowsemitt have a better understanding of the primitive “famine response” and the changes in brain chemistry that occur when a person begins dieting. Her individualized treatment plans take into consideration the changes in a patient’s brain chemistry, genetic disposition, and overall health history to determine the best treatment method.

Carol N. Rowsemitt received her B.A. in Chemistry from Boston University and her PhD in Biology from the University of Utah, with an emphasis in ecological physiology. This background gave her an understanding of how humans, like animals, adapt and respond to seasonal environmental changes. She later received a second Bachelor’s and Masters Degree in Nursing, with an emphasis in Diabetes Care, from the University of Utah and founded the Diabetes Wellness Center in South County, California with colleague Kris Dilworth, RN, NP-C, CDE.

Carol worked under supervising physician Dr. Thomas Najarian, an innovative pioneer in the field of non-surgical weight loss and appetite suppression medicine, for many years before opening her own private practice in 2015.

An initial one-hour assessment visit costs $190 and the recommended half-hour follow-up appointments cost $95. Patients have seen the best results when regularly attend review and maintenance sessions every 6 to 8 weeks.

For more information about Comprehensive Weight Management, A Nursing Corporation, or to book an appointment with Carol N. Rowsemitt, PhD, RN, FNP-C, call (805) 748-0954 or visit

Press release by San Luis Obispo SEO company Access Publishing, 806 9th Street, #2D, Paso Robles, CA 93446 (805) 226-9890.

Why choose Carol Rowsemitt, PhD, RN, FNP, weight-loss specialist?

If you are looking for a San Luis Obispo dietician, instead consider weight-loss specialist Carol Rowsemitt. She may offer the weight loss solution you are looking for.

Do you ever go through a search engine or look through the old reliable phone book looking for a dietician in San Luis Obispo? Yes, there can be several to choose from but do you really want to go that route since all you are trying to do is lose weight and be healthier? Many people already know what they should eat; the problem is sticking to a healthy eating plan. Carol Rowsemitt, a weight loss expert, could have a solution for you. As a nurse practitioner, she can prescribe medications to help suppress your appetite and keep your metabolism normal. If you know very little about calories, carbs, fats, and proteins, seeing a dietician may be helpful.

Don’t get it wrong, a San Luis Obispo dietician is a great source, but if you desire something more than just the knowledge of what and how much to eat, try this weight loss program instead.

With Carol Rowsemitt, you will not just receive a weight-loss plan; you will be educated on how your brain and body respond to food as well.

For instance, your brain chemistry and hormones play a big part in how your mind knows whether it is full or not. When you diet, these pathways push you to be more interested in eating as well as having to eat more to feel full. FDA approved medications can help you stick to your eating plan.

Another thing that Carol believes is important to focus on is thyroid function. Many providers, including various San Luis Obispo dieticians, pay more attention to thyroid stimulating hormone (TSH) than to any other factor when evaluating the thyroid. Carol will assess a variety of lab values as well as listening to your report of symptoms to determine how to evaluate and treat thyroid problems.

Some doctors will order thyroid blood tests, but do not include all thyroid hormone evaluations such as free T3, free T4 or reverse T3. These thyroid hormones need to be evaluated and thyroid treatment may be needed to return metabolism to normal.

Learning what your body needs and how it works will assist you in your weight loss goal. With Carol’s expert weight loss solutions, she will get you where you want to be, and help you maintain that weight.

Call San Luis Obispo weight-loss expert Carol Rowsemitt, PhD, RN, FNP, today at (805) 748-0954.

Pill Poppers vs. Weight Watchers?

Now that two appetite-suppressing medications have obtained FDA approval, you’ll be hearing lots of discussions posing an either/or view. Should you use medications to lose weight and rely on a magic pill, or should you watch your diet and get more exercise? Weight Watchers or Pill Poppers? Which is the best approach? I believe this is a ridiculous view of the problem. We know that the human body is designed to want food whenever it’s available. We know that the pathways in the brain that cause strong desire for food are the same pathways involved in addiction to narcotic drugs. So this is a major battle. Or should I say “war” because this is a long term process with no end in sight? (more…)

Why do I always regain the weight I lost?

Something very important happened last week. I’m sorry I haven’t gotten this note out sooner:

The New England Journal of Medicine published an article (10/25/11) on an excellent piece of research.  The study was designed to look at hormones and other factors involved in metabolism, sensations of hunger, and fullness in people who lost 10% of their body weight.  They gathered data before dieting, after the loss, and after 1 year of maintaining the weight loss.