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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?


Should I get the meningitis vaccine?

1) I'm a college student and I've heard in the media that meningitis vaccine shots are recommended. How do I get more information and a shot?

2) As a parent of a college freshman this fall, I was concerned about the increasing publicity that Meningitis has received recently over the networks. Since the population most likely to be infected includes young adults living in close quarters, do you recommend vaccination and where is it available?


Why is mpox being spoken about as if it's a gay STD?

So I'm wondering some stuff about mpox. Why is mpox being spoken about as if it's a gay STD? Mpox can be spread through nonsexual contact and fomite transmission, according to health authorities, and many other diseases such as the flu and corona can be obviously spread through sexual intercourse (via close contact). Additionally, according to the CDC, Ebola can be spread through semen of a previously infected male a while after recovery while not symptomatic (which appears to be unlike mpox in which it's only spread while actively symptomatic and, although mpox is extremely severe, it doesn't last for more than several weeks) but Ebola isn't thought of as a STD (and of course Ebola can obviously be spread through nonsexual as well as sexual contact) just like corona and the flu among many other diseases. Yet mpox is basically now thought of as being a STD — and a gay STD at that — whereas other diseases that also spread through nonsexual means like mpox aren't. This is very concerning to me both because it would be contributing to ineffective containment measures which would let mpox continue spreading and because it could lead to an increase in discrimination against an already marginalized demographic. What's going on here?


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?


What's up with FluMist?

I have heard numerous reports in the media where they make mention of the "live flu virus" in the flu vaccine, specifically "flu-mist." This is mentioned in conjunction with a warning to avoid contact with this and that (yadda, yadda) for a certain time period. This confuses me. I was under the impression that the flu vaccines contain dead viruses and that it was not possible to catch the flu from the vaccine. Which is it?


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.


How can I start practicing meditation, yoga, or tai-chi?

Recently I've been thinking a lot about ways to relieve my stress and other mental problems such as OCD and ADD and I have been hearing that meditation, yoga, tai-chi, etc. can possilby help with these problems that I have been suffering with all my life, but I am very confused as to which one would be the best for me.

Also, if I find out which one would work the best for me, how would I go about finding someone that could teach me these things? Or is a book a good way to go? If a book is a good way to go would you suggest one of those "The Complete Idiot's Guide to..." books?


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 my hair addicted to dandruff shampoos?

I have dandruff that responds well to over-the-counter shampoo. Ergo, I have been using the stuff almost exclusively for ten years. No brand in particular, sometimes zinc pyrithione (the blue stuff!), sometimes coal tar (the smelly brown stuff!). Anytime I switch to non-dandruff shampoo for like three to four days straight, I get my dandruff back. I worry that I might be addicted to dandruff shampoo. Should I worry?


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?