What can I do about my food issues, exercise compulsion, and loss of bladder control?

Last year I was Teetering on the Brink and this year I've fallen off of it. The teetering individual who was worried about how much she thought about food and her weight has turned into a very scared person who has fallen off the brink, with little on her mind but what she eats, when she eats it, and how she looks. I haven't had my period for almost a year and exercise compulsively until I can't anymore, when my legs simply hurt so bad and my knees won't hold me up. Worse, I seem to be losing bladder control — several times when I've been very tired, I've wet the bed at night or been unable to wait until I got to a bathroom. I can't live like this anymore and every morning I promise myself I'm going to change but then night rolls around and I've not changed a thing. Please tell me something that will help — I never knew desperation's face was this thin.


Does your metabolism slow when you hit 30?

I'm a 22-year-old woman. Many of my friends in their late 20s and early 30s (and older) have been warning me about an inevitable metabolism slow-down and subsequent weight gain around my 30th birthday. They say, "You just wait. When I was your age, I sat around all day eating pizza and I never gained a pound. Now I can't lose weight no matter what I do."

I am sure there's some truth to this, but I DON'T sit around eating pizza all day. I run three to four times a week and eat very healthfully. Will these habits ease the slowing down of my metabolism? Or should I expect some weight gain no matter what I do (as they say will happen)?


Is it better to spread out or binge alcohol consumption?

I am a healthy, fit, 18-year-old male. I have tried both ways: consuming small amounts of alcohol regularly (one standard drink a day) and consuming a lot of alcohol irregularly (10 to 20 standard drinks in one night, but only two days a month, or thereabouts).

I have tended towards drinking a lot irregularly because I have found that I can't notice any effects until I have had at least four or five drinks, 80 to 100 proof shots, usually mixed with soft drink.

I was wondering if either way was less healthy or more of a risk as the same amount of alcohol is ultimately consumed. Also, I noticed that I got a bit more of a 'beer gut' when I had one-a-day than 15 at once; is that likely or just my imagination?


How can I build self-confidence?

I have a problem with self-confidence. Whenever a person compliments me about something, in my head, I disagree with them. This has also affected my love life. When I am in a relationship, I can't help but to ask myself, why is this person interested in me? Well, that's all I wanted to say. Please help me by giving me advice.


How can I come to terms with my adoption?

I was adopted when I was two and a half years old, and I still have a lot of issues from it. I don't really like myself and at times; I feel like I don't know who I am. I never let myself become close to my adoptive family, and still feel uncomfortable and out of place around them. I don't have many friends. I isolate a lot and don't really trust people. I am always scared to make friends for fear that I won’t be accepted or liked. Growing up I often turned to drugs and alcohol to escape these feelings and to feel comfortable with myself. The problem now is that I am 22 and I have a two year old daughter. I feel like I need to get over this so I can be a good mother to her, and raise her to know and love herself. I feel lost, what can I do?


How can I find a girlfriend?

I am a college grad who has always had trouble finding a girl to have a romantic relationship with. I have had only one real relationship during my junior year in college and it ended before the point in which we would have had sex. (Alas, I am still a virgin!). The other day my older brother (by one year) and I were talking about this and he advised me to be more aggressive. (I am admittedly somewhat shy). However, I fear that it may be something more basic than that. I used to not think that my brother was that much better looking than me but seeing girls walk across a crowded room to talk to him on more than one occasion while I stood right beside and watched has changed my mind and affected the confidence I have in myself. I'm starting to realize that all the girls I am interested in don't see me as attractive. Without even asking, I can see it in their eyes: "Let's just be friends." If my problem is lack of physical charms maybe I should set my sights lower.

What do you think??


Do you have suggestions for an effective, short-term weight loss and toning plan?

I am 18 years old and I am determined to lose a few pounds and tone my body by the end of May. I just began running and I'm starting off by running a mile and hope to work up to a four-mile run four or five days a week. My diet is generally a bowl of cereal in the morning, and a turkey or ham sandwich with some type of fruit and a bottle of water. Dinner is something different every day, but usually healthy. I also have been doing an ab workout for about seven minutes after I run. Is what I'm doing effective? What are your suggestions?


How can I cook for my partner who has different nutritional needs?

I have a job that is largely sedentary — mostly sitting in an office in front of a computer. My partner's work is very physically active. Since we've been living together, food and nutrition have increasingly become a source of stress and conflict. He needs big meals with lots of protein and calories, and I need better portion control with lots of vegetables. We're having real problems with shopping and menu planning. Since we've been living together, I've been gaining weight and he's been losing! Can you give us any advice or direct us to information on how to live and eat together while addressing both of our nutritional needs?


Am I under eating and overexercising?

I am very concerned about my eating and exercise habits. I'm a first-year, and since I got here last fall, I've lost about 35 pounds. I've been exercising almost obsessively and eating a rigid, low-fat diet. I try to eat about 2000 calories a day, but still feel hungry a lot (especially in the morning) and still seem to be losing weight at the rate of about a pound a week. I'm 6'0" tall and weigh 133 lbs. right now; my family and friends are all worried and although I keep telling them I'm not sick, I wonder if I am. I've seen a nutritionist in Health Services; she gave me some advice about good nutrition and what I should be eating, and I've been trying to follow her guidelines, but it's gotten very hard for me to know what is a "normal" diet. Am I anorexic? If I am, what can I do to help myself? I know I could never go to counseling; I'm too independent. Can you give me any advice?