4 reasons why you can't keep that weight off

There are lots of one-size-fits all do-it-yourself ways to drop that excess weight quickly: paleo, keto, low-carb, etc.. As well as branded regimes that advertise heavily on television. Some are phone apps, others involve buying special supplements. Then there are more expensive programs that involve purchasing powders, patches or prepared meals that are sent to your home. Some people claim these regimes and programs hold the “secret formula” to sustained weight loss.

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Chronic stress and its effect on hormones

When considering changes that need to be made in order to have a healthy lifestyle, nutrition, physical exercise and sufficient sleep are usually the first things that come to mind. But stress management can also play a critical role. This is because of the many ways that chronic stress undermines good health.

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Is losing weight all about will power?

We all know obesity is a major health problem. It is the view of many of those who are not overweight that this problem is caused primarily by absence of willpower. If only those fat people would just eat less! Unfortunately, as with virtually all chronic health conditions, it’s not that simple. Turns out multiple factors contribute to inability to lose weight, eating too much is just one of those.

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Hyperthyroidism: your thyroid in overdrive

Hyperthyroidism is a set of conditions that result in overactivity of the thyroid, a butterfly-shaped gland located in the front of the neck below the Adam’s apple. This is the opposite of hypothyroidism (or thyroid underfunction), which is far more common. Hormones produced by the thyroid affect many important body functions including lipid metabolism and carbohydrate metabolism, growth, the cardiovascular system and the reproductive system.

60 to 80% of hyperthyroidism cases result from Grave’s disease, an auto-immune condition that tends to run in families, occurs more often in women and frequently peaks between 20 and 40 years of age.

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I can't sleep: is it my hormones?

About 30% of adults report insomnia at any one time, with 10% suffering from chronic insomnia. Women as well as people over 60 tend to be more affected. There can also be grave consequences, including a range of other chronic health conditions (such as diabetes, high blood pressure and weight gain), unproductive work lives, car accidents and fatalities. For these reasons, insomnia is considered a serious public health problem.

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Mastitis: symptoms, prevention and management

Breastfeeding a baby can be a satisfying experience, healthy for both baby and Mom. But the joy of this experience can be quickly thwarted by mastitis, a relatively common, painful and debilitating acute infection of the breast that affects between 10 and 30% of breastfeeding women. With the right care mastitis can often resolve on its own, but if neglected it can lead to a more serious infection, and can also cause women to prematurely stop breastfeeding because of the pain and discomfort.

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The long view of lifestyle change: Part 2

This 2-part series discusses what is involved with “lifestyle change”, which many of us have been advised by our doctors or other health care providers to do. In Part 1, we first reviewed the overall contributors to health and disease: genes, environmental (including social and economic) factors, epigenetic factors (if or when certain genes are turned off or on) and, of course, lifestyle. We then focused specifically on two aspects of lifestyle: stress management and physical exercise. Part 2 focuses on another important aspect of lifestyle change necessary for attaining better health: nutrition.

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The long view of lifestyle change: Part I

Those with chronic health conditions are frequently told by health care providers (and others) that they will see significant improvement in their health if they change their lifestyle. But which health conditions might these changes help? And what exactly does “lifestyle change” mean, what is involved, how easy is it, and how long does it take?

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That uninvited friend: premenstrual syndrome (PMS)

Most women know (or remember) the uninvited friend who visits just before their period every month: the moodiness, bloating, insomnia, headaches, breast tenderness and other annoying symptoms. While as many as 75% of women experience disruptive symptoms related to premenstrual syndrome (PMS), only a small proportion, around 5-8%, are considered to have symptoms that are “clinically significant”. A comparable proportion, 3-8%, experience the most severe symptoms of Premenstrual Dysphoric Disorder (PMDD), which are mostly behavioral and addressed as a psychiatric disorder .

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Change of life: for men?

Sometimes called “andropause”, the question of whether men have a change of life similar to menopause for women has long been debated. While women experience age-related physical changes at a rather specific time (when ovarian function declines leading up to age 50), for men the shift occurs much more gradually. A reduction in testosterone production happens over many years as men age, and can result in diminished muscular strength, energy and libido, erectile dysfunction, depression, and even osteoporosis. The problem is that these symptoms are often not seen in men with low testosterone and may also be caused by other factors such as stress, illness, medications, obesity, psychiatric conditions, diabetes, high blood pressure or low thyroid levels.

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Prediabetes: cause for concern?

Prediabetes means that your blood sugar levels are not quite high enough yet for a diagnosis of Type 2 Diabetes. More than 1 in 3 Americans— about 88 million people-- have prediabetes, and of those, more than 84% don't know it. Even more alarming is that 1 in 5 adolescents and 1 in 4 young adults are now prediabetic. Almost all cases of Type 2 Diabetes are preceded by prediabetes. Despite these alarming numbers, the good news is that the progression from prediabetes to diabetes is not inevitable: you can take steps to reverse it.

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More than baby blues: postpartum depression

Most women experience mood changes after giving birth, sometimes called “postpartum blues”. Understandable, since rapid hormonal shifts take place, and having a baby is a dramatic life change that requires immediate adjustment. For the vast majority of women, these mood changes are short-lived and mild. However, 10-15% suffer a more serious form of depression; and a very small proportion--around 0.2%-- experience psychotic symptoms following childbirth.

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The elephant on your plate: portion control

What we eat (e.g. too many processed carbs), when we eat (e.g. too frequently) and why we eat (e.g. from anxiety instead when hungry) typically receive a lot of consideration by those who are trying to lose weight. But how much we eat? Not so much. Why is this? With the exception of eating in restaurants, the quantity of food we consume in one sitting is not typically public knowledge so it is difficult to know how much more we are eating than what we should. Also, the thought of eating substantially less than what we are accustomed to can invoke the very real fear of being constantly hungry.

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When periods stop… or don’t start

For most women, “that time of the month” or the days leading up to it are not their favorite. But menstruation is a sign of our ability as a species to reproduce, which is why the absence of a monthly period (“amenorrhea”) in girls and women from about 16 to 45 years old who are not pregnant is a health problem.

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Balanced metabolism: a key factor in weight loss and weight management

Why is it that many people can lose weight, but once at their goal, immediately start gaining it all back and then some? How is it that even those who have had weight loss surgery can with time gain some or much of the weight back? There are many reasons, including a rapid return to unhealthy eating habits, but one explanation is that without a balanced metabolism, it’s challenging to attain and maintain a healthy weight.

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A personalized approach to weight management

There are many well known do-it-yourself ways to lose weight quickly: keto, paleo, low carb, raw food, etc.. Then there are brand name approaches (I won’t name any) that tend to be more expensive since they often involve purchasing meals that are delivered to your mailbox. Still others involve buying pills, meal-replacement powders, or patches. All of these can help people lose weight, and some who follow them even manage to keep the weight off. But they don’t work for everyone.

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Osteoporosis: the bone loss disease

Osteoporosis is one of a small number of common metabolic diseases that show no symptoms until there’s a crisis. What’s the crisis? Bone fracture. How common is it? Fifty percent of all women and 21% of all men 50 years or older experience one or more osteoporosis-related fractures in their lifetime. While the condition is generally four times more prevalent in women, that doesn’t mean men can afford to ignore it.

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When the calendar betrays you: irregular periods

For most women it’s a fairly predictable event that is easily incorporated into daily life. And then there are others-- about 30% of women-- who experience periods that are not predictable and cause major disruption, not only to daily life but to special events, vacations, etc..

That said, irregular periods occur normally at certain times during a woman’s lifetime. When the period starts, typically between 10 and 15 years old, it can take several years to become established as a regular pattern. Of course, menstruation also stops during pregnancy and often remains suppressed during breast-feeding as well. Finally, irregular periods also occur leading up to the time of menopause.

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