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Why am I insatiably hungry and losing weight?

I've read a lot lately about midnight snacking and late night eating and obesity and calorie worries, but my problem lies in the opposite direction — I'm LOSING weight, and insatiably hungry, day and night! The only advice I get is, "Eat healthy," which is preaching to the choir, since I consume more fresh produce, mostly vegetables, and home-cook all my own meals. At a recent nutrition check-up, the nutritionist patted me on the back in congratulations for having one of the healthiest lifestyles he's seen, and shrugged at my inexplicable hunger. The fact is, I'm in the kitchen every other hour, and my body doesn't differentiate between awake and asleep anymore when it comes to hunger. I go to bed on a full stomach, and wake up every three hours to eat again. It's exhausting! I'm falling asleep during the day — but never more than an hour, because hunger strikes. And amid all this, my grocery bill climbs and my weight drops. I don't get it. What am I doing wrong?


Am I too nuts for nuts?

I just checked serving sizes for different kinds of nuts, and it turns out that I eat 500 to 1,500 calories worth of nuts every day. I eat a couple of different types (almonds, peanuts, cashews) and nut butters. I've never had a problem with this; I'm on the thinner size of average and feel relatively healthy. I know nuts are healthy for you, but can they be too much of a good thing?


Can being hospitalized for anorexia be helpful for recovery?

I am a freshman in college and I also happen to be anorexic. I have been to the medical services on campus and I am going to be attending the eating disorders group at my university. I also have been seeing an individual therapist for three years, but my weight is pretty bad right now. The doctor who has been keeping tabs on me says that I am very close to my “critical weight.” My therapist and I have discussed hospitalization ad-nauseam, but he's really not in favor of it, saying that hardly anything can be accomplished in a one month stay (which is basically all insurance companies allow for nowadays). He also said that the whole system is like a “revolving door” because people typically go back to their “old” behaviors one to two days after their discharge. However, I feel like the hospital might be the best place for me right now. My parents also are kind-of against the hospital. I really don't know what to do because my gut feelings so contradict my parents and partially my therapist. Also, what is the relapse rate of anorexics after they are released from the hospital? Is there any info on that?


Why do I choose not to eat?

I really hope you can help me. I'm 21 years old and never had any problems with eating. At 18, I sunk into a very deep depression and since then my eating has not been the same. It started slowly, where I would just skip a meal every now and then, but now I sometimes choose to go for days without eating and it's not because I want to lose weight, even though I have lost quite a bit, I just feel like I can't change anything in my life. I love my friends and I always have a great time with them, but at the same time, I find it so much easier to not eat when with them. That's what I can't understand. Why, if I feel happy around my friends, do I still choose not to eat? I went for almost a week without eating when I was away with them. For some bizarre reason, I feel better about my life when I stick to my decision to not do something, but at the same time, I want to stop, but I'm afraid I'll get really depressed. It doesn't really hurt me, but my friends harass me and I can't help them to understand when I don't even understand. Why am I doing this??


Can I lose fat and build muscle mass at the same time?

A friend of mine and I were disagreeing about this point and I thought maybe you could help. I have heard that it is not possible to both lose fat and build muscle mass simultaneously: ideally, a person should do cardiovascular exercise with dieting to lose extra body fat, and then start to focus on building up muscle mass. He says it's possible to both burn fat and build up muscle over the same period of time. Which is the case?


Why do I crave sweet things?

I try to eat a piece of fruit for dessert after a meal; however, when I have substituted after-meal sweet cravings with fruit, I still end up craving some other type of sweets (i.e., candy, chocolate, ice cream.) It seems that after every meal, I can't feel satisfied until I have eaten something of this food category. I do try to listen to my body and this appears to be programmed into my mind telling my body it is wanting this food consistently. Can you provide any explanation as I am trying to lose weight and this type of food is empty calories and unhealthy? I work out six days a week and have recently given up smoking.


Are waxy fruits safe to eat?

I get the apples provided in the dining hall on campus every day and have noticed that they are completely coated with wax (scratching the surface produces white flakes). I was wondering, how harmful is the wax if I eat two or three apples a day?


How can I stop binge eating?

I suffer from overeating constantly and binge eating. I've gained a considerable amount of weight and have tried to get my eating under control as a result, but when I try to stick to a diet, all I think about is food. I can't stop thinking about food until I eat something; when I try to ignore it, the urge doesn't go away. It's hard to think about anything else, so I usually give in. I feel out of control, like food controls my life, and like I'll never get my weight down to a weight I'm comfortable with. I don't have health insurance, so I can't get psychotherapy. How can I get my eating under control? Do you know of any free accessible resources I can use like books or websites that would be helpful?


Can supplements affect birth control effectiveness?

1) Is it true that taking those Emergen-C packets or any other vitamin supplements can effect the effectiveness of your birth control pill?

2) I know antibiotics can lower the effectiveness of birth control, but can probiotics or prebiotics, such as a floral acidophilus FOS, also decrease effectiveness? I've been taking birth control pills for the past 10 years with no scares or baby bumps, and I don't want to wake up pregnant one day because I took a capsule that's supposed to be healthy! :)


Am I the right BMI and weight for my height?

1) A friend and I were discussing this. We both try to stay healthy by eating well (high fiber, low fat, lots of veggies, fruit, etc.) and living an active enough lifestyle (hiking, rock climbing, biking, etc.) that we stay in shape. The question we have, then, is what the current "rules" are for appropriate weight/height ratios? Or are such measurements now thrown out in favor of body fat percentage measurements? She's 5'1" and I'm 6'1" and we're curious what the medical rule of thumb would be for how much each of us "should" weigh...mostly because we're wondering if it takes into account things like muscle mass. What would the current medical/health industry recommend each of us weigh? Are these numbers accepted or are they seen as not as important as they might have been 20 years ago. If you have actual numbers, we'd be curious to see that too. Thanks! I have a dinner riding on this!

2) Could you clarify the Body Mass Index deal? According to one BMI chart, I am "slightly overweight" because I am 5' 5-1/2" tall and weigh 160 lb. I am also very muscular and have a large frame. The lower BMI readings are labeled "ideal," but I've heard muscle weighs more than fat, so if the chart does not include the muscle factor, is it basically saying that it's "ideal" NOT to have extra muscle? I look slender and have never been told by a doctor to lose weight. I'm a twenty-four-year-old female, lacto-ovo-vegetarian, and get lots of exercise, including walking and frequent "sweaty" workouts.


Should I be concerned about BPA from hard plastic water bottles?

I use Nalgene bottles for about 75 percent of the water I drink each day. Therefore, I was startled to find out that there is some possibility that these bottles leach chemicals into the water. I've found conflicting opinions about the veracity of these claims on the Internet. What's the truth? Should I dump my Nalgene for glass? You have an earlier post about bottled water, but it doesn't seem to address this issue specifically, and you recommend purchasing reusable bottles like the ones that might be poisoning me. The bottles I use have #7 on the bottom in the recycle symbol.


Does sweating release toxins?

After practicing yoga in normal temperatures for years, I recently attended a heated yoga class (heated quite hot: 95 to 100 degrees!). The experience left me dizzy, nauseous, and completely enervated. Afterwards, I expressed my concern to the teacher, asking why the studio needed to be so hot. She "explained" that by sweating, supposedly the body releases "toxins" and that my nausea and dizziness must indicate that I need to "detox." Personally, I think I was suffering from heat exhaustion. I've heard this silly explanation more than once, as many people seem to believe toxins are released through sweat. But is that true??? And — next question — doesn't exerting oneself in extremely hot temperatures seem like a recipe for dehydration? Are their any benefits that make it worthwhile, or is all this heated yoga just nonsense?


Are overcooked pasta and beans still nutritious?

I know if I cook vegetables too long, they would lose nutrients. How about pasta and beans? Do they lose their carbohydrates and proteins and other nutrients in them if I cook too long? I always cook pasta and beans for over an hour because I like nice and soft and plumed pastas and beans. Am I eating zero nutritious pasta and beans?


Is raisin bran a good source of iron?

I was recently turned away from a blood donation site for slightly low hemoglobin. I'm a menstruating woman and a vegetarian, so it wasn't a big shock. I'm trying to add more iron to my diet in the form of beans and cruciferous veggies and eggs (cooked on cast iron!), but I've run into some confusion. The pamphlet I got from the blood bank suggests raisin bran as a very good source of iron. Several health articles and studies I've found online also point to raisin bran, but others say that wheat bran inhibits iron absorption and should be avoided when trying to raise iron levels. Sometimes the conflicting information comes from the same source! Can you shed any light on this, Alice? Would a bowl of raisin bran a day help or hurt my iron intake?