Dr. Vassili was born in Thessaloniki (Greece).
He graduated in Medicine and Surgery at the University of Rome "La Sapienza".
He enrolled as a Medical Officer at the Athens Military Aviation Hospital (Greece). He subsequently served as a Local Doctor in Grevena (Greece) and as a Doctor of the Vassilissa Ski Center (Greece).
He specializes in Internal Medicine at the "Papanicolau" Hospital in Thessaloniki (Greece). He also specialized in Obesity at the University of Chieti "G. D 'Annunzio". He then completed four years in Aesthetic Medicine at the "Bartoletti-Fatebenefratelli International School" in Rome, graduating with honours. Finally, he received the 2nd level biennial Master's degree in Aesthetic Medicine from the University of Rome "Tor Vergata", graduating with laude.
He has attended numerous national and international medical conferences, some of whom as a rapporteur. He wrote a thesis on "The use of phytotherapeutics medicines in overweight and Edemato-Fibro-Sclerotic Pannicopathy (so-called Cellulitis)".
He discovered the time when the "Plateau phenomenon" shows up in the diet and published (in 2010) this in-depth study of over 8 years, carried out on 971 clinical cases.
He has developed an experimental thesis on the organization of a Clinic for Nutrition - Obesity - Aesthetic Medicine, with reference to scientific, marketing and management; as well as its administration in times of crisis. It was released in 2010.
He has published many articles, has given interviews with several media and has organized some public relations, especially in the fields of Nutrition and Aesthetics.
He is an active member of: Greek Society against Obesity, European Society against Obesity, Greek Anti-Ageing Academy, Italian Anti-Ageing Academy, Italian Society of Aesthetic Medicine, Italian Association of Aesthetic Medicine.
He knows and daily uses the following languages: Italian, Spanish, Greek. The English language is in learning course.
He founded the "Bioelettronica Medica" - Medical practice on Obesity and Aesthetic Medicine of Panorama-Thessaloniki (Greece), where he held the position of scientific and organizational manager for 10 years (2002 - 2012).
He has been Director for 3 years of the Department of Overweight-Obesity of the "Bioclinic" - General Clinic of Thessaloniki (Greece) (2009 - 2012).
He has been working for 2 years as Nutritionist and Aesthetic Doctor in "Naturopratic" - Health Center in Rome (2010-2011).
He took a sabbatical year to write his books and learn new languages. He has worked for a year as Nutritionist and Aesthetic Doctor in "Skindermolaser" - Medical Center in Rome and in “AREL” Sulmona Medical Center (2014)
He currently collaborates with Samsara Medical Clinic, offering his services in the areas of Nutrition - Overweight - Obesity and Aesthetic Medicine.
Because diet is a medical question.
Specialized in Internal Medicine, perfected in Obesity and in Aesthetic Medicine
Scientific manager of "Medica Bioelettronica" - Panorama (Greece) - Rome
Director of the Nutrition-Overweight-Obesity section of the "Bioclinica" - Thessaloniki
Avramidu, Muta, Papaghelis, Petropulu, Vardaka
"Bioelectronic Medical" - Panorama (Greece)
The study was published in the 1st National Congress of Aesthetic Medicine SIRNA (9-10 / 10/2010 Caserta Italy) and later presented itself at many conferences. It was published in the scientific journal PANGEA (Edition 2011), on the Internet (http://it.doctmag.com/wellness/il-fenomeno-plateau-nella-dieta and http://en.doctmag.com/wellness/the -plateau-phenomenon-in-the-diet) and in many media (RES, Adesmeytos Tipos, Tipos de Thessalonika, 4E, in.gr, etc).
The plateau phenomenon in the diet is the period that occurs during the follow-up of a low-calorie diet, and in which the patient perfectly follows the diet plan, but despite this does not lose MASSA GRASSA. It is always the fat mass that must be taken into consideration, because the weight undergoes variations according to the entertainment of water.
It is very important that the doctor or dietitian know when the plateau phenomenon occurs, in order to warn the patient, telling them in a very simple way, that he must be careful in the next few days not to go out of his diet.
In this way, when the plateau phenomenon presents itself, it can be reassured. Otherwise it is very likely that the patient will be disappointed and stop the diet.
From all this it is evident that the plateau phenomenon must be studied. This necessity also results from the definition of the word itself: "Phenomenon is all that manifests itself to human experience and is subject to experimental investigation" (Dizionario Garzanti, 1984).
On the other hand, the plateau or limit point phenomenon in general, in medicine, is the physiological reaction of the organism to a therapy, depending on the posology and the time elapsed from the beginning of it. It is due to the function of HOMEOSTASIS of the 'organism: homeo + stasis: the internal environment of the healthy body remains intact, despite the changes caused by the outside.
In our case the scientific explanation is that the body that is seen to reduce calories, begins to compensate for this reduction, decreasing the amount of calories burned. Most likely the organism to obtain this, the thermogenesis decreases, that is, the consumption of oxygen decreases, by the brown adipose tissue. In other words, it adapts to the calories it receives and begins to use exactly the energy supplied to it. In practice it slows down its metabolism and therefore THE CALORIES OF DIET ARE CONSIDERED AS MAINTENANCE CALORIES.
With regard to the plateau phenomenon there are many "myths": It occurs more 'in women !!! It comes from the 15th to the 35th day !!! Muscle mass grows more ', fat mass decreases less !!! Do not measure weight, but circumferences !!! To eliminate it, increase the introduced calories by 200 up to 700 a day !!! It shows up after 6 months !!! ... !!!
Usually in the studies the anthropometric measurements are distant from each other for months or years (e.g. in the Framingham study the anthropometric measurements were detected every 2 years).
Instead, our study is detailed and complete, because the number of patients is conspicuous, at the same time as a high visit frequency (weekly), which also lasts 45 minutes! So under these circumstances you can safely ascertain whether our patient "ate or not"! There are those who claim that the plateau phenomenon occurs only in strict diets! Our "diet" is not "restrictive": we lose 1% of weight per week, with a moderate calorie deficit. It is absolutely "tailored" to the patient and not just "personalized". The difference lies in the fact that it not only follows its nutritional preferences, but also respects every daily habit. Finally macronutrients are distributed according to the most accepted pattern worldwide (15-20% Proteins, 50-55% Carbohydrates, 30% Fat, of which 1/3 saturated, 1/3 polyunsaturates and 1/3 monounsaturated).
The pool of subjects examined: the patients were selected randomly and according to the stratification method, based on gender and age.
Measurements: Apart from the initial measurements (which are many and varied), the weight (SECA mechanical balance) and body fat (AKERN Impedenziometer) are measured every week.
The results: In 88% of patients who follow a low-calorie diet, in most cases in the middle of the second month, the plateau phenomenon occurs that lasts from 5 to 17 days and is followed by the post-plateau phenomenon (Fig.1).
In detail, in both sexes there are 84% in males and 93% in females (Fig.2).
In a first estimate it was seen that in 11% of cases occurs in the first month. In all these cases, however, with a closer look, we realized that they had started the "diet" 15 to 30 days before the official delivery of the program, eating in practice less than usual (Fig.3)!
So the real data is that 87% appears in the second month and 13% in the third month (Fig.4).
The duration of the phenomenon is 5 - 17 days, with an average value of 8.8 days and a usual value of 7 days (Fig.5).
We have also discovered that the non-loss vine followed by a very conspicuous, unimaginable fat loss that is called the post plateau phenomenon and that confirms there existence of the plateau. It occurs in 77% of cases (85% in F and 70% in M) (Fig.6).
By making our patients even better, we also found that among those who continued the diet for at least 5 months, 19% presented a 2nd plateau phenomenon (21% in F and 15% in M) (Fig.7).
We have studied the curves of all patients, some of which are reported in Figures 8, 9, 10, 11, 12.