Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 49-year-old woman is evaluated during a follow-up visit. She is overweight and has hypertension and type 2 diabetes mellitus, both of which are well controlled. For several years, she has attempted to lose weight through various commercial diets; dietician-monitored, calorie-restricted diets; and physical activity. She has worked with ...

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I stood in line at the grocery store waiting to pay for my items. The woman behind me, who would be categorized as obese, was eyeing some of the snacks so conveniently placed in the checkout aisle. She grabbed a meal bar and analyzed it for a few seconds, then said aloud to me: “You ever had one of these? They’re pretty good. And they’re gluten-free, that’s how you know they’re healthy.” Healthy. What ...

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The keto diet has recently garnered much fame for its apparent ability to improve diabetes and obesity – results so impressive the Journal of the American Medical Association recently highlighted the diet and thereby christened it as something more than a low-carb craze. However, not all the evidence supports such a positive outlook, leading the diet to straddle the increasingly blurred lines between faddist snake ...

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Editor's note: Graphic image below. Envision a large, loafy muffin top. Not just a central bulge or even love handles. I’m speaking of an apron of skin and fat that hangs down over many an American’s lower torso and groin. Surely you’ve seen it -- you may even have one. Its medical name is the pannus. I had never heard of a pannus in medical school and I still never hear it ...

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Two years ago, much ado was made about what appeared to be a decline in obesity rates among 2- to 5-year-olds, a finding based on a national study of fewer than 1,000 children that age. However, subsequent analyses have shown the decline to be transient at best. The number of overweight, obese and severely obese children in that age group -- as well as older children, ...

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A recent news story in the Journal of the American Medical Association (JAMA) reminds me that lots of things in our lives are changing these days, not the least of which is the shape of our bodies. Oh, my. This aging thing isn’t so easy, and that is really the message behind Rita Rubin’s timely piece about shifting body mass and muscle as we age and its implications. Although focused ...

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When thinking about the United States military, we conjure up images of Rambo and GI Jane, or Maverick and Iceman from Top Gun. The images are of lean, mean fighting machines who are ripped, fit and ready to take on America’s enemies. Movies are one thing, but reality paints a different picture. A recent report from The Heritage Foundation describes trouble ahead for the U.S. military. Based on 2017 Pentagon ...

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Two of the most well-known American food journalists have been telling readers that the DASH and Mediterranean diets are not tops for our health. But hang on — the evidence tells a different story. The journalists are Gary Taubes, the author of The Case Against Sugar, and Nina Teicholz, the author of the bestselling, The Big Fat Surprise. In their ...

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Why are there vending machines in hospitals? This seems like an odd question to ponder, and it certainly would seem to have nothing to do with the current state of medicine and health care in our country. But it is a question that I am having a hard time wrapping my brain around. Certainly, most hospitals do have vending machines that sell snacks and soda, and they are by no ...

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As a physician, I am totally disgusted by what President Donald Trump eats -- and you should be too. His standing order on Trump Force One is reminiscent of a fast-food bacchanalia, comprised of “two Big Macs, two Filet-O-Fish, and a chocolate malted” according to the recently released book by his former campaign manager Corey Lewandowski and top aide David Bossie. But it doesn’t stop there: ...

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