Weight loss that works: A true story

Many people struggle with being overweight, or even obese. It’s a common topic at office visits. As a doctor, I know that excess weight is associated with potentially serious health conditions —  high blood pressure, high blood sugar, high cholesterol —  not to mention sleep apnea, fatty liver disease, and back and knee problems, among other things. Patients may also worry about their appearance. Whether a patient is at risk for medical problems due to being overweight, or if it’s a personal health goal, then it’s my job to provide counseling. In my experience, most patients consider weight loss drugs or surgery only as a last resort.  “I want to lose weight naturally,” they say. Once we screen for (and treat) any contributing medical problems that could be causing weight gain (low thyroid function, polycystic ovarian syndrome, prediabetes, among others), or psychological issues (bulimia, binge-eating disorder, depression, anxiety), I encourage a diet-and-lifestyle approach for many reasons, among them my own personal experience. A real-life weight loss story A few years ago, I embarked on a personal weight loss journey. I had had two pregnancies back-to-back, and had gained considerable weight, to the point where my own body mass index was over 30 (obesity range). I was many months postpartum, and realized that the “baby weight” wasn’t going anywhere. As a matter of fact, I had gained even more weight...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Diet and Weight Loss Exercise and Fitness Health Healthy Eating Source Type: blogs

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ConclusionThe rare clinical entity of a WS necessitates a targeted diagnostic evaluation and therapy. Clinical details, diagnostic studies and treatment are discussed here.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Hi all, I'm an MS3 that has wanted to be an ER doc since he was a kid. I have stayed away from sdn largely because I find it to be unnecessarily anxiety producing and toxic, especially in premedical and med student forums. In thinking about residency applications I ventured on here. What I have found, not surprisingly given my other experiences on this site, is waves of negativity, regret, frustration, and unhappiness written by emergency medicine physicians. I don't want to minimize what... Is there anything good about EM?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Emergency Medicine Source Type: forums
For anyone interested: https://psyarxiv.com/bhyg9/ Apparently, BA does not beat out active control. I am sure the common factors folks will love this. However, I caution that camp not to conflate studies of depression and anxiety with more severe problems.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
ConclusionThere was a small attentional bias for heart disease-related words in women with heart disease, but this was not related to other constructs including automatic associations, attitudes or intentions. Women in the current study reported ‘nothing new’ in the information, with may indicate they did not have positive affective responses to it and it may not have automatically attracted attention nor have activated associations with physical activity. Health promoters should consider what might make messages about physical activity and heart disease more salient for women.RésuméIntroductionLe...
Source: European Review of Applied Psychology - Category: Psychiatry & Psychology Source Type: research
ABSTRACT To review the occurrence of pelvic, anorectal and urinary symptoms according to the nutritional status of adultwomen. Methods This is a cross-sectional study with 54 women, aged 18 to 35 years, divided into normal weight (
Source: Revista de Nutricao - Category: Nutrition Source Type: research
Conclusion The different nature of the barriers identifi ed were overlapped, which reveal the need for professional qualifi cation along with the consolidation of an appropriate care model for chronic noncommunicable diseases such as obesity.RESUMO Objetivo Este estudo buscou compreender, a partir da percep ção dos nutricionistas, as diferentes naturezas dos desafiospara o cuidado integral dos indivíduos com excesso de peso na atenção básica. Métodos Trata-se de um estudo qualitativo com profissionais da atenção básica do Distrito Federal, Brasil. Foram ...
Source: Revista de Nutricao - Category: Nutrition Source Type: research
Conclusion A high prevalence of malnutrition and of other risk factors for cardiovascular disease were observed. Such factors included diabetes Mellitus, smoking and former smoker conditions and were associated with malnutrition. Inaddition, it was found that malnourished individuals were more likely to develop cardiovascular disease within 10 years.RESUMO Objetivo Verificar associa ção entre estado nutricional e fatores de riscos cardiovasculares tradicionais e não tradicionais em pacientes em hemodiálise. Métodos Estudo transversal com 132 pacientes maiores de 18 anos em hemodiál...
Source: Revista de Nutricao - Category: Nutrition Source Type: research
This study was to screen strains which had effects on insulin resistance in vitro and explore the possible mechanism. These strains were tested the ability of colonization, hormone release, lipid accumulation, glucose uptake and immunomodulatory. Three strains of Lactobacillus paracasei 1F-20, Lactobacillus fermentum F40-4 and Bifidobacterium animalis subsp. lactis F1-7 led to results as follows: (1) survived in the harsh conditions. (2) increased the hormone release of glucagon-like peptide 1(GLP-1), peptide YY (PYY) and up-regulated genes expression of proglucagon gene (GCG), PYY; (3) decreased lipid accumulation, down-r...
Source: Journal of Functional Foods - Category: Nutrition Source Type: research
ConclusionThe polymorphisms Glu298Asp and C677T, affecting the eNOS and 5,10-MTHFR enzymes, respectively, and smoking, hypertension, and family history of stroke were associated with ischaemic stroke in young Mexican patients; this was not the case for the Thr325Ile, Ala147Thr, 4 G/5 G, and PLA1/A2 polymorphisms of the genes coding for fibrinolytic proteins and platelet receptors.ResumenIntroducciónDiversos polimorfismos en genes candidatos que codifican proteínas del sistema hemostático se han propuesto como factores de riesgo para el desarrollo de trombosis.MétodosCasos y controles, ...
Source: Neurologia - Category: Neurology Source Type: research
Source: BMJ Comments - Category: General Medicine Source Type: forums
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