Hi and thanks for your posting. I'm so happy you're doing your PhD thesis on this topic. Since so many people are now seriously overweight and obese, it's absolutely imperative that medical providers at all levels within the health care system are sensitive to as well as honor and respect the needs of this population.
There is now lots of research in this arena. I published a piece in the AMA under Virtual Mentor.org in which i looked at a provider's BMI and it's effect on patient relationships. Have a look as I think it will be enlightening.
I look forward to reading your work when you're done.
Hi and thanks so much for your posting. Save your money. Human growth hormone is approved for use in people with a true deficiency. It does not result in any miraculous weight reduction, costs exorbitant amount of money and can be dangerous causing problems with ligaments and joints, as well as altering blood sugar levels. In a word, run!
OK, so you are currently carrying a heck of a lot more weight than is healthy. You're also 43 and therefore in the midst of your peri-menopausal journey. In my book Fight Fat after Forty, i have a few tricks up my sleeve to help you get started, achieve your goals and sustain them. Instead of staring at the scale, let's do something novel. Whip a tape measure across your belly button and get your waist circumference. Your goal is to get below 35 inches. That's a healthy and doable goal for you. The next thing is to grab your clothes-o-meter---- that's what i call a piece of clothing that within about 5 pounds or so you'll be able to fit into. For women it's often a pair of jeans. Use this to monitor your progress on a weekly basis. Once that clothes-o-meter fits, you find another one and keep going until one day the clothes you wear every day are your final healthiest clothes-o-meter for life. These are neat ways to stay accountable to your new healthy behaviors and the rewards you'll reap.
I'm thrilled you love your workouts. You don't have to kill yourself. What you need are to stay consistent, regularly hitting your cardio and your strength training. The exercise alone will not cause weight reduction. You have to stay on top of your nutrition. Log onto the WebMD Food and Fitness Planner today and get started. Also, take the food addiction quiz http://www.drpeeke.com/PopQuiz.htm and make sure to eliminate those hyperpalatable food combs sugary/fatty/salty that you're hooked on and keep throwing you back into overeating.
So, bag the HGH and get into a real authentic and credible program of weight management that will yield lifelong results.
Hi and thanks for your posting. Great questions so let's answer them for you. People become vegetarians for a variety of reasons. Religious (7th Day Adventists) or political (not interested in eating animal products), or health (plant based diets are more natural and healthier), to name a few. People have now customized their vegetarian diets to include fish only, or occasional fish and poultry but no red meat, etc. In other words, people are individualizing their own types of diets and you can as well.
A myth is that all vegetarians are reed thin. Wrong. That's because their diet can be quite fatty (triple cheese pizza no meat) and can also be filled with refined sugar. Not so for vegans, who have a highly restrictive dietary intake and as a result may have reduced omega fatty acids as well as B12 in their diet.
The best dietary intake for weight reduction is a balanced diet that includes high quality protein, fat and carb. You can do that as a vegetarian or not. Avoiding refined and processed foods is absolutely critical across the board for the healthiest and most effective way to control your weight.
Check out the WebMD Food and Fitness Planner today. It has a terrific plan to help you customize your own nutrition and activity strategy.
Hi and thanks so much for your posting. One of the consequences of hyperthyroidism is that the thyroid gland finally burns out, secreting very little active hormone. As a result, you do become hypothyroid and require thyroid supplementation. I don't know where you are currently, but that's what it sounds like to me. Please make certain you thoroughly understand your current medical status with your doctor. As well, tell your doctor about the weight issue and your frustration. It would be great if you could sit down with a registered dietitian with whom you could work out a practical program for shedding weight in preparation for your pregnancy. It is very important that your weight ideally is much lower than 250 pounds for your safety and that of your baby. Please take the time to establish and practice healthier nutrition and physical activity behaviors now so that you have a strong basis for a healthy pregnancy. Work with your ob/gyn on a realistic and safe goal for an optimal pregnancy, as well as post pregnancy lifestyle.
I would also highly recommend logging onto the WebMD Food and Fitness Planner today to input your data and get started on your healthy lifestyle journey.
Hi and thanks so much for your posting. Of course you're worth it! This back and forth with weight gain and loss and back again means you need to really look at what's driving this. In my book, The Hunger Fix, the new science of food and addiction is presented. Experts believe this is one of the reasons people pack on the weight again and again. Take the Yale University validated quiz and see if this is your problem http://www.drpeeke.com/PopQuiz.htm If this is your issue, then the book outlines a simple strategy to help you, including the use of WebMD's Food and Fitness Planner.
Identify the foods that you tend to default to. Typically they are in the category of hyperpalatables--- sugary/fatty/salty food combos. Ideally you detox off these foods substituting instead healthy tasty delicious rewarding foods presented in the book and with the food planner. This is a must. You know the foods that, after one serving, send you into a binge. You need to eliminate the bingeables to control your eating.
Next up, do a careful inventory of the people, places and things in your life that enable and instigate your overeating. This is important, because altering your own eating and exercise behavior needs to be supported by a living and working environment that's healthier.
Don't spend an extra second on feeling bad about the weight re-gain. The past is only good for one thing--- learning. Not feeling the usual blame/shame and guilt. Don't waste your time on that. Think positively. Look forward and say to yourself--- OK, i got the lessons from the past. Let's plan and organize so i can achieve my goals.
Then, break up your overall goal into countless mini goals. How about celebrating everything--- non scale goals like de-cluttering your house so you can have a stress-free living environment, ready to hop out for a walk because you can now find your sneakers. Celebrate every single pound you shed as a triumph of practicing your new lifestyle behaviors.
Create a support system of folks who love you unconditionally, don't judge you and are there to support you.
Sit up and smile, now. You can do this. You're strong and amazing and powerful. Shine a light deep inside and you'll see an eternal repository of inner strength, self worth and self support.
Hi and thanks for your posting. The answer is yes, you can be addicted to food. In my book, The Hunger Fix, the new science of food addiction is presented as well as a practical strategy. Take this quick test http://www.drpeeke.com/PopQuiz.htm It was developed by a team at Yale university and is a scientifically validated tool to assess food addiction.
The key foods involved are what we in science call the "hyperpalatables" or some combinations of sugary/fatty/salty foods, most often refined and processed. As the book describes, too much exposure to these foods leads to changes in your brain's reward center identical to that of any addicted brain (drugs, alcohol, cigarettes). The brain changes also include the part of the brain that helps you rein in your impulses and plan and organize (the prefrontal cortex). This part of the brain is damaged and impaired making it difficult to make the right decision while you're still in full on addictive mode. How do you help yourself?
You need to do what anyone with an addictive process going on must do--- get off the stuff, substitute with healthier fare, and enter a lifelong recovery. You sound like someone who likes the fatty, crunchy, salty foods especially. There are plenty of great substitutions for those kinds of foods. In addition to the food plans i have presented in my book, there's also wonderful ideas on the WebMD Food and Fitness Planner, which i reference throughout my book.
When it's hard to hit the gym and your life gets crazy during the holidays etc, the best strategy is to assume the vertical and walk as much as you can throughout each day. It's like pennies in a piggybank---it all adds up.
Then, assess how you can start to do some smart substitutions for the typical food fixes you've been used to consuming. Read up as I've noted and make a plan. Know the foods that when you have one serving, kick you into a binge. These bingeables have to be eliminated. Yes, there is life without mountains of burritos.
Have a read and let me know how you're doing. You CAN do this. Read the stories in the book. Many have. Join'em!
Hi and thanks so much for your posting. First, I always encourage each person with bariatric surgery to make certain to check in with the nutrition/psychology/fitness team associated with each credible bariatric practice. You should be tracking your food intake and activity each day so that the team can assess your progress accurately. The WebMD Food and Fitness Planner is an ideal way to do that.
Weight reduction is variable for each person. There are many factors that can support or impede progress. All aspects of your food intake are critical for the registered dietitian to evaluate any problems you may be encountering with weight reduction. You have to stay physically active as well. Are you doing any emotional eating? Have a look at this http://drpeeke.com/data/files/PVWI12_HUNGER_FIX.pd Also, it depends upon how much total weight you're looking to shed. Sometimes the weight reduction will slow down but it keeps going.
Bottom line is check in with your team right away and have them help and support your efforts. We're here to support you as well.
Good luck and please let us know how you're doing,
Hi and thanks so much for your posting. AHH OHH. You're looking for "fast" results. Who isn't? Be careful here. The human body doesn't do well with fast when it comes to dropping any amount of excess weight. Fads and promises of overnight success are shams and lies. You need a credible ongoing plan to help yourself achieve your goals.
If you want to shed weight and KEEP it off for good, you need to have a plan that you can use to remove the weight once and for all. First, take this quiz and see if you have any issues with food and addiction http://www.drpeeke.com/PopQuiz.htm If you do, read the new science in The Hunger Fix to help you outline your strategy for substituting Healthy Fixes for any sugary/fatty/salty foods you constantly cave to the craving with
Next up, log onto the WebMD Food and Fitness Planner, input your data and get started with a sensible way to track your progress. The plan is customized to your unique make up. Don't forget you'll have to incorporate some form of physical activity as well.
Hi and thanks so much for your posting. It's great that you want to get healthier and your physician gave you a bit of a wake up call as well as a nudge to shed some unwanted pounds.
To achieve your goal, you need to get organized. I would very highly recommend the WebMD Food and Fitness Planner. Take a moment and log on, complete your data and set your goals. Then, you'll see the recommendations for nutrition and fitness. These include food plans and snack suggestions. This will help answer a lot of your questions.
Physical activity can be accomplished every day by simply increasing your activities of daily living like stair walking and taking time to get up and move as much as you can throughout the day. You'e begun to do that so that's terrific. You need to keep it going.
Your carb craving is normal. Do you feel out of control around sugary items? What about fatty/salty products? In my book, The Hunger Fix, i talk about the new science of food and addiction. Most people pack on the pounds because of out of control cravings for products in the sugary/fatty/salty realm. You need to substitute healthy sources of sweetness to replace the refined and processed products. The book has many options to offer, as well as the Food and Fitness Planner, so you have plenty of resources to help you.
The tea is fine but it's no miracle pill. Keeping away from the refined and processed foods is key.
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