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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?


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.


What are my chances of getting cancer if I have high-risk HPV?

I just found out I tested positive for high-risk HPV. My pap smears have been normal for years. I'm 45 years old and have had lots of basal cell skin cancer. I'm scared to death of getting cancers that are caused by HPV. I'm so stressed. What are the odds that I will actually get cancer, now that I am supposedly high-risk? It appears there it nothing I can do at all to prevent this from happening other than keeping up with my visits and pap smears and hoping I beat the odds. I just wonder at how much risk am I when they say I am HIGH-RISK???


What's polycystic ovary syndrome?

1) This is in reference to your Missed periods Q&A. Another cause of missed or late periods is PCOS (polycystic ovary syndrome). A lot of health care providers don't seem to be aware of this syndrome. In this syndrome, missed or irregular periods are caused by unusual hormone levels, sometimes in combination with insulin intolerance. Because missed and irregular periods cause scar tissue build-up in the uterus (which may cause endometrial cancer) and may cause infertility, it is important that your readers know to ask their health care provider about this syndrome. There are obviously other symptoms and complications, but I just thought that I might mention it to you so that you might read up on it for your readers. Thank you.

2) I was recently diagnosed with polycystic ovary syndrome (PCOS). I'm only 17 and am afraid that this will affect my chance of having children. Should I worry? Also, I know birth control pills will help me regulate my period, but if I take them, will it stop the effects PCOS has on me? Like me gaining rapid weight, missed periods, and losing my hair? This is really worrying me. Can you inform me on this syndrome?


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.


How do I talk about ableism without losing friends?

I have an invisible disability and I'm really getting into disabilities activism. Even in liberal circles ableism is still pretty accepted and this upsets me. However, when I try to educate people around me, it sometimes goes awry. I had one friend get upset when I called her out for using the word "retard." Another got upset when I pointed out that her Facebook post of inspirational people with disabilities (that just showed people with disabilities doing normal things) was a little offensive and tried to tell her about "inspiration porn." I get that using the word "retard" is normal as is "inspiration porn." I just don't think it should be.

I know my friends are caring, socially conscious people. I expect people to be a little upset, but ultimately I would also expect them respect the fact that it's really not OK to objectify people with disabilities in the way that inspiration porn and the use of words like "retard" do. What I want to know is how do I point out that people are expressing a harmful social bias, without having them get so upset that they write me off as an over sensitive concern troll?


Is sunscreen necessary for dark skin?

I am African-American, but my skin is not that dark. I was never told that I needed sunscreen and when I worked in a daycare I was told in a very delicate manner that only the paler children needed sunscreen. I've been out in the sun for extended periods of time and was wondering if sunscreen is necessary for someone of my complexion. If so, what strength?


Does being a lightweight drinker have anything to do with my liver?

Does the classification of a "lightweight" with regard to alcohol consumption imply anything about the liver? In particular, is there anything abnormal about feeling tipsy after only one beer (vital stats = 155 lbs., 6 ft.). I know my family has a history of liver problems and I have in the past drank to excess on many occasions. It has never taken much to become inebriated and now it takes even a little less. Should I be worried?


Will starting and stopping the pill increase my risk for cancer?

I have been on the pill for over a year now. Recently, I broke up with my boyfriend of two years. We still see each other, but I have not had sex since we broke up. I don't plan on having sex with anybody else. My question is, if I don't plan on having sex for a long while, should I stop the pill? I am afraid that if I decide to get back on the pill, I will have an increased risk of cancer or something like that. Is this true?