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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?


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?


How can I stop seeking sexual attention?

I am afraid my need for sexual attention is getting out of hand. The past several weekends I have wound up kissing guys in bars, and I find myself less interested in flirting or having interesting conversations with them than I am in getting that rush of meeting someone new. This weekend I had sex with a guy I had just met in a bar and I have no idea why. Making matters worse is that he was much younger than I am and I don't think we had anything in common whatsoever. I feel like I am devaluing myself and I don't want to lose my self-respect. How can I find the cause of my behavior and how can I stop?


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.


Does exercising on an empty stomach maximize fat burning?

I have recently learned that in order to burn fat as a fuel, your body requires carbohydrate. Up until this point I had been doing cardio training first thing in the morning on an empty stomach, as I had read that this is optimum for fat burning. However, now I have a small carbohydrate snack before I train in order to prevent my body using lean muscle tissue as a fuel. Today I have again read in another book that training on an empty stomach first thing in the morning burns the most fat. I am a little confused over the best thing to do! I train with weights twice a week and do cardio three times per week. I do want to maintain my lean muscle, but am looking to reduce my body fat.


Is there a connection between cortisol, depression, and weight loss?

I recently went to my doctor because I've been unable to lose weight. I've been on a successful diet, accompanied with a reasonable exercise plan, but I've seen no real results. A series of tests were run — I've got optimum blood pressure, low cholesterol, and I am not diabetic. But, when my cortisol levels were checked — they were very high. The doctor suspected there was a possibility that I might have Cushings' Syndrome — but another test was run and that came up negative.

I was doing research on the internet, and I found that there was a link between excessive cortisol and depression. I was diagnosed with clinical depression when I was 12 (I am now 21). And I am currently untreated. What is the link between cortisol levels and depression? Are excessive cortisol levels a physical manifestation of depression? Or does an excess of cortisol for some other reason cause depression? Does an excessive amount of cortisol cause weight gain, or in my case prohibit weight loss? And if there is a connection — will treatment for my clinical depression (in the form of prescription pills) help me?

I've been unable to find answers anywhere, or at least a good source to tell me to stop worrying — any help would be appreciated.


Can you lose weight if you meet your caloric goal early in the day?

My friends and I disagree — can you settle the dispute? I feel a calorie is a calorie no matter what time of day that you eat it. They say that if you eat all of your calories early in the day, that it is less fattening, because you will be moving around burning off those calories. I say that if you eat 1800 calories a day, it doesn't matter if you eat them in five meals or ten meals, it is still 1800 calories. I believe that the idea of not eating anything after 7 p.m. helps you to lose weight because you cut out the high calorie, high fat foods that are often eaten late in the evening. They say that by not eating after 7 p.m., you lose weight because you're not moving to burn off those calories. Please settle the dispute. Thanks.


Is liposuction permanent fat removal?

My husband and I are having a debate over the value of liposuction as a means to permanent fat removal. He has read that we are born with specific number of fat cells and therefore believes liposuction has the ability to reduce the number, resulting in permanent fat loss in the areas that are surgically treated. I differ in the belief that fat loss and its permanency depends on maintaining and correcting diet that is related to metabolism. I also maintain that there is no such thing as permanent fat loss from liposuction. Have you an answer to our debate?


How to gain weight while recovering from bulimia?

I was bulimic for about four or five months and went from 5'6.5" at 115 pounds to 95 pounds. I have not told anyone, and will not, so please don't ask me to, but I am back up to 110 to 112 pounds and pretty much graze throughout the day so I don't throw up. I mostly snack on white bread, fruit, potatoes, and cereal in large portions, but want to stop and eat a healthy, more balanced diet. The problem is, I am not sure what a healthy weight should be. Charts say I am too skinny, but I don't believe it because I know girls in the media are thinner than me and they seem fine. I want to be as small a weight as possible without being unhealthy. I skipped my period for three months but did get it in January. I have not lost any weight since then though, and I should have gotten my period about a week ago but didn't. I don't understand, it is so confusing, can you help me?


Why do I, as a man, have womenly hips?

I'm a man who has been teased about the shape of his body!! How is it a man in his 20s, who is physically in great shape, has "women's" hips? I asked my doctor and he said a bunch of mumbo jumbo. They are in exact proportion to a woman sized 12 (waist, too). My wife doesn't mind it, but it really bothers me! The only thing you tell that I wasn't a woman is the fact I don't talk that high and also the breast issue (not having them).


How can I control my body hair?

I'm only 18, but I have a lot of hair on my chest. I'm afraid of letting women see me with my shirt off because I don't want them to be turned off. How can I get rid of this rug and keep it under control without shaving daily? Also, is there away to slow down my beard growth? Shaving more than once a day can be very irritating to my face, but I hate looking so dirty.


Do diet teas and meal-substitute shakes work to lose weight?

I've been trying to diet for over two years. My goal is to lose about 25 pounds, but the most I've been able to get is 15, and I can hardly keep it off. I concentrate on eating very little and since exercise is so hard to keep up, I pretty much starve myself to death. I manage to maintain the weight for a month, and then I lose control again. I've been thinking about the various diet products in the market, such as diet teas, herbs, meal- substitution shakes, and other medical products. I'd like to know what kind of side-effects they have, and how effective they are. (Some boast a seven-day plan, but that seems hardly believable.) Also, I'd like to know how well-researched the information is on these products (i.e., are they long-term enough to cover all the side-effects?) As for aspartame, is it really harmless, or is it just not researched yet?


How can I improve my self-esteem?

Do you have some advice for someone suffering from low self-esteem? Some things that I struggle with: comparison of myself to others ("She is so "together!" Why am I not like that? What is lacking in me that makes her better?"), lack of faith in my abilities ("I'll never be as good as him at that — I might as well not try."), lots of self-criticizing ("Why did I sign up for this class — I should have known I couldn't handle it."), always saying yes to people or feeling like I've said the wrong thing... you get the idea. I've been feeling pretty unmotivated lately too, and I think this just adds to the problem. Can you give some advice, dear Alice?


Can I shrink my large nipples?

I am an eighteen-year-old male and I have had an embarrassing problem my entire life. My nipples are rather large and round. I'm not fat, and the rest of my body looks normal, but my nipples protrude and look very strange. I have spent much time doing every chest exercise imaginable, and although my chest muscles seem to grow, my nipples just get pushed out further. This has been a source of insecurity for me for a very long time. I am ashamed to take off my shirt in front of others. I really think that my nipples are the only thing keeping me from having a nice body. Is there anything that can be done to correct this problem?


How do I find out about college parties?

I am a freshman who has just moved into the "social dorm." It's only been a few days, but I already feel like my place in the social strata is being cemented — I'm somewhat overweight, and although I can be very talkative and can force myself to make the effort to meet people despite being nervous, I feel like I'm already being classed as one of the straight-edge less popular types. I don't mind that I'm not the type who makes 500 friends instantly; I'm still managing to make a few good acquaintances/potential friends.

The problem is that the people I make friends with aren't really the party types, and while I'm not a huge party person either, I still want to get to go to some and have the whole "college experience." How is it that other people are "in the know" about parties and stuff like, as soon as they get here? What are the qualities that make them seem to bond so instantly? How do I get myself invited to at least some of these events?? I don't want to crash the parties and show up alone...


What can I do if I'm intimidated by my incredibly intelligent partner?

I have just entered into my first real relationship with a guy that I really like. The problem is, he's incredibly bright. So much so that it intimidates me a little. He doesn't brag or make me feel unintelligent (and I know I'm not), it's just a part of who he is. He cares a lot about me, but I want to feel that our relationship is more than physical. I've always valued intelligence, and I really enjoy being with this guy, but there is an aspect of him that I'm not able to be a part of. Thanks for your help.