Eighteen months ago, I wrote about my plan for maximizing menopause preparedness. As with so many missions, this one has experienced both successes and failures. Since January 2016, I have grooved my exercise routine in the most awesome way. I am all over the TRX, doing Spiderman push-ups, incline presses, pistols and more. I ...

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Most people reading this would love to lose weight, feel better and live longer. Doctors are a smart and motivated group of people. Unfortunately, that intellect and drive has not prevented us from avoiding an increasing incidence of obesity, diabetes, and hypertension identical to the general population. While this article may have started out sounding like an infomercial, I promise it will not end like one. ...

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Physician-comedian Brad Nieder, MD riffs on healthy eating in one of his stand-up concerts. See more at the Healthy Humorist.

My nurse practitioner was pleased to see me at my annual physical this year. “So how does it feel to be 20 pounds lighter?” “It feels terrible,” I replied. Allow me to explain. Weight has been an issue my entire life. Raised on a standard Midwest diet of complex carbohydrates and the best processed delicacies that government assistance could buy, I spent most of my childhood socially segregated by my peer group due ...

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"For someone with your breast size, the risk of a complication is pretty high.  I would recommend against the surgery." I smiled at the 50-year-old woman who sat in front of me wearing a pink, paper gown and a crestfallen look.  She had recently been diagnosed with breast cancer and was planning on undergoing a mastectomy as part of her cancer treatment.  Her breast surgeon had referred her to me to discuss ...

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I know why I sometimes eat too many brownies. They taste great! The same goes, of course, for a whole slew of desserts -- I love me my strawberry rhubarb pie, and I never say no to a ginger snap. And while a touch of dessert is often a fine way to top off dinner, many of us get in trouble when we gorge on desserts. So how can we get ...

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Empathy is the cornerstone of quality patient care. It is no surprise that the fundamental moral code that has facilitated human kindness for thousands of years is what drives physicians to commit to their oath today: Treat others as you would have yourself treated. When it comes to the disease that is obesity, I can empathize. I’ve struggled with obesity for as long a time as I can remember. There are ...

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How many calories are in a pound? This seemingly simple question stumped me on my family medicine board recertification exam seven years ago — twice. (I think they asked the question in two different ways. I hoped they were experimental questions that didn’t count.) Later that day, I found the answer: 3,500 calories equals one pound. I don’t remember which multiple-choice answer I chose, but I do remember choosing the same answer ...

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Several years ago, I was meeting a young woman in my clinic for the first time. She was healthy but had been obese most of her adult life, even though she had tried many methods of losing weight. We spoke for a few minutes about diet and exercise, and she agreed to see the nutritionist. A few months later, she came back to check her progress. She had lost weight, about ...

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A patient of mine brought donuts in yesterday for the staff, and I confess! I had the one with sprinkles. But with the study published in JAMA reporting that 35 percent of U.S. men and 40 percent of U.S. women are obese, I felt the need to talk a little about obesity and reproduction. The endocrine system is tightly regulated by hormones which provide feedback to the brain to control their ...

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