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PT blog: The doctor weighs in

Weight loss behaviors (RSS)


As we started talking about his health insurance, the conversation naturally drifted to health. He is prediabetic, he told me, and his brother is a type 2 diabetic who has already had some toes amputated. He knows he is facing the same future if he doesn't lose weight, but how can he do it? Read More

posted by: Pat, Friday, September 15, 2006 11:42 AM   201 Comments
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While I agree, parents need to be good role models and set limits, I also believe that there are so many influences in kids lives today, ranging from TV, to the internet, to peers in play groups and day care, that placing all of the responsibility and blame on parents seems naive to me. Read More

posted by: Pat, Wednesday, September 13, 2006 5:35 PM   201 Comments
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Have you noticed that you are ravenously hungry an hour or two after certain meals? Or that you stay fuller, longer after others? Many people have learned that adding protein to their breakfast meal is the best insurance against the mid-morning munchies. And a bit of chicken in your lunchtime salad may help you make it to dinner without a trip to the vending machines. Protein, it turns out, enhances satiety (the feeling of fullness) and helps you lose weight. Read More

posted by: Pat, Thursday, September 07, 2006 1:15 AM   2 Comments
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Now here is the punch line: Although normal and overweight individuals were similar in their ability to estimate the number of calories in food, the overweight individuals in Study 1, who had eaten a fast food meal, ate larger meals. Because everyone significantly underestimates the number of calories in large meals, these overweight people actually ate many more calories than they thought they had. Read More

posted by: Pat, Tuesday, September 05, 2006 11:47 PM   202 Comments
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Every morning, he has the same cereal for breakfast. It is also a Kellogg’s All-Bran, but it is their “Bran Buds” product. He thought it was lower in calories than the Yogurt Bites version. But when he looked at the serving sizes of the two cereals, he was in for a surprise. Bran Buds lists a serving size of 1/3 cup. That barely covers the bottom of the cereal bowl. The serving size of Yogurt Bites is 1-1/4 cup—a decent amount. Read More

posted by: Pat, Monday, August 28, 2006 7:23 PM   3 Comments
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Successful strategies for getting it off and keeping it off included Self monitoring (weigh oneself, planning meals, tracking fat and calories) Exercising 30 or more minutes daily Adding physical activity to the daily routine. The odds of being a successful weight loser were 48% - 76% lower for those reporting that aspects of exercise behavior were influencing factors (no time to exercise, too tired to exercise, no one to exercise with, too hard to maintain exercise routine) compared to those who reported little or no barriers to exercise as a weight control measure. Read More

posted by: Pat, Tuesday, August 22, 2006 11:45 PM   2 Comments
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Cheerios for breakfast? The box says only 110 calories per serving. But, that is without milk or sugar or fruit. Read More

posted by: Pat, Saturday, August 12, 2006 8:34 PM   (Comments Off)
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I have tried to like tofu. I am "almost" a vegetarian....I haven't eaten red meat since December of 2005. I love veggies. I love, love, love Indian dishes with paneer (I thought it was tofu...oh, well). I really want to love tofu, but, well, I don't like to eat it. I can't tell you how much tofu I have bought at my local healthy grocery stores. I put it in the cheese section of my fridge and then I ignore it, day after day after day. Eventually, I realize it is really old or, it reminds me that it is really old by growing beautiful pastel fungi on its surface. Then I toss it into the garbage and I am so relieved that it is gone that I breathe a sigh of relief Read More

posted by: Pat, Thursday, August 10, 2006 3:27 AM   16 Comments
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“Eat more, weigh less” sounds like a slogan for the type of weight loss products you find on the back pages of your favorite woman’s magazine. But, a study in the August 2006 issue of Journal of the American Dietetic Association has found that people who eat diets containing a lot of low energy density foods, such as fruits and vegetables, eat more than people who eat diets rich in energy-dense foods (such as chips and other snack foods with high fat contents). Despite eating a greater amount of food, by weight, people eating a low energy density diet consume fewer calories. So, they can indeed eat more and weigh less than people who eat high energy dense diets. Read More

posted by: Pat, Tuesday, August 08, 2006 12:19 AM   7 Comments
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“Eat more, weigh less” sounds like a slogan for the type of weight loss products you find on the back pages of your favorite woman’s magazine. But, a study in the August 2006 issue of Journal of the American Dietetic Association has found that people who eat diets containing a lot of low energy density foods, such as fruits and vegetables, eat more than people who eat diets rich in energy-dense foods (such as chips and other snack foods with high fat contents). Despite eating a greater amount of food, by weight, people eating a low energy density diet consume fewer calories. So, they can indeed eat more and weigh less than people who eat high energy dense diets. Read More

posted by: Pat, Wednesday, August 02, 2006 7:30 PM   2 Comments
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In most of the Western world, salad is not a traditional breakfast food.   Most of us wouldn’t touch the green stuff until lunchtime as least, preferring instead to start the day with cold cereal, an egg dish, or a pastry.    Read More

posted by: Pat, Tuesday, July 25, 2006 11:43 PM   (Comments Off)
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The decision to have bariatric surgery is highly personal. Each individual must weigh the risks and benefits according to their own unique set of preferences. Some folks would never have surgery and refer to losing weight with diet and exercise as “the right way.” Others, like Wendy Hanawalt, suffer from overwhelming complications of obesity and, for a variety of reasons, including insulin related weight gain, turn to gastric by-pass as a last hope life-saver. Wendy has shared what it was like living as a “really, really fat person” in her compelling story, “Memoir of a Fat Broad.” Now, with her permission, she shares what it is like to live with the after effects of gastric by-pass surgery. Read More

posted by: Pat, Monday, July 24, 2006 6:11 PM   2 Comments
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"When you're really, really fat -- and by that I mean what doctors refer to as "morbidly obese," there is one thing that is screamingly clear: people who are not really, really fat have no idea what it's like. As a formerly really, really fat person who's now just fat, I have to say that we have no one to blame for that misunderstanding but ourselves. Our modus operandi is to hide: hide our feelings, even from ourselves, hide who we really are, hide our shame, hide our disabilities. And so, as part of my "coming out" as a person with reorganized intestines (having had gastric bypass surgery), I'm going to "tell on myself," write about what it's like in vivid detail, so that some of you (those who are not RRF) will have a new understanding of the experience and -- at least I hope -- those of you who are RRF will hear someone singing your song. Read More

posted by: Pat, Thursday, July 20, 2006 1:50 AM   24 Comments
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Walk 10,000 steps. Walk for 30 minutes three times a week. Walk 60 minutes most days of the week. Walk farther and walk longer. These are typical exercise prescriptions. But there is another component of your daily walk that is also important. It is how fast you walk. Read More

posted by: Pat, Tuesday, July 18, 2006 1:29 AM   (Comments Off)
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Hey, calorie counters out there. Did you add it all up and think you did a pretty good job this week? But you still didn’t lose any weight. Must be your slow metabolism, right? Or maybe it’s your condiments. Condiments are those little dabs of this and that we slather on food to make it taste better. There are hundreds, maybe thousands, of different kinds of condiments, ranging from the more mundane (ketchup and mayo) to the exotic, such as raita (a South Asian treat made from yogurt, vegetables, herbs and spices), bagoong monamon (salted fish sauce), and ponzu (a Japanese dipping sauce). Like all other foods, some are low fat and low calorie and others pack a diet-busting wallop of both. If you aren’t paying attention, you could be getting more calories and more fat from your condiment than you are from the food you put it on. Here are some examples from my own refrigerator: Read More

posted by: Pat, Friday, July 14, 2006 9:37 PM   (Comments Off)
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