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?


Is body fat genetic?

I am a female, five feet tall and about 127 lbs. I am not satisfied with my size. I am not obsessed with weight but with the way I look. I am very strong and have plenty of muscle. It just happens to be covered by a thick layer of fat. Yes, it runs in my family. On my father's side everyone has trouble with their weight.

I am writing to you because I don't understand why I am not losing weight. I am a vegan. I have no dairy products and no fat content in my diet. Except for the occasional pat of margarine and fried falafel, I don't see why I haven't lost weight because I just cut the dairy products out about two months ago. I have been a vegetarian for 9 years. I ride a stationary bike twice a week in my target heart rate zone. I work out with weights and do calisthenics in my room every night. What is wrong? Is there another factor I am not considering? Glands? Do I just need to be patient? I like being big, I just don't want it all to be fat.

Thank You.


Why do I keep getting UTIs and yeast infrections?

I'm really stressed out because I've been getting recurring urinary tract infections coupled with yeast infections for the last six months. I'm not sexually active and I've been to two urologists and a gynecologist — they've all given me medication but the problems always turn up again. Is one problem causing the other? Can these prolonged problems be doing serious damage to my body? Perhaps you can't answer my questions either, but I'm really at my wit's end. What do I do? I'm tired of doctors and embarrassing exams and I can't understand why this is happening if I'm not having sex. Also, I'm a senior and in five weeks I'm out of health insurance — extending my parent's policy is very expensive and not an option. I'm busy trying to set up interviews, finish a thesis, and do a million things — I don't have time to be running around to more doctors' appointments! What insurance options are there for recent graduates?


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?


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?


Is what I'm experiencing a urinary tract infection?

I think I may have some kind of urinary tract infection. It came on very suddenly, about three nights ago. And when I pee, there is a burning sensation when my bladder has almost emptied. It's not an STD because I'm in a monogamous relationship, and yes, I'm sure! Please help. Thank you.


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?