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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.


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.


Was I discriminated against?

I'm an Ethiopian student at a university in the US. I have been living in this country for many years and I love it. However, I've noticed a certain trend in people's general reaction concerning my place of origin. I speak English with no accent. When people first meet me, they assume that I'm an American. As such they behave normal until I tell them that I am a citizen of Ethiopia. At this point pretty much all of them immediately seem to develop a sort of superiority complex and start treating me as if I were an inferior being. They seem to respect me less and tease me every way they can. My opinions (even professional ones) are rejected as unacceptable.

Frustrated with this extreme prejudice, I lied to some of these people and told them that I actually am an American and not an Ethiopian. I noticed immediately that their attitudes towards me changed and started treating me as an equal. Encouraged by the result of this little social experiment, I've shied away from telling my place of origin to people to avoid mistreatment. However, I feel guilty doing it. Was I discriminated against because of my place of origin? Any words of wisdom for me, dearest Alice?


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 understand my racial identity?

I'm black and I have many white friends. It doesn't bother me at all until I get around a lot of other black people or around certain family members. Sure some joke around with me saying I'm an "Oreo." But it really gets to me. I'm tired of people saying "acting white" or "acting black" or "the man keeps putting the black man down." It doesn't take long for race to come up in a conversation with some people. And that's when I really feel out of my element. I know no race is perfect. But I feel like where blacks are now is nowhere near what Dr. King was fighting for. Maybe I'm too emotional about it, but everyday I still wake up black.

For instance, I love all types of music, including rock, classical and country music. And these are some reactions: 1. Why am I listening to that "white people music"? and 2. I feel out of place if I don't know one of the latest rap songs. It's little things like this that just make me want to wish there weren't any races. But races and different cultures are beautiful and so much can be learned. I'm happy and comfortable with myself, but not my race as a whole. And on some days, it really gets me down to a point where I just cry. Am I just chasing an insatiable dream?


How can I deal with disapproval of my interracial relationship?

My question is about interracial relationships. I came here from a really small town, very conservative — well, you get the idea. Now, my second week in, I met the most wonderful man. Only he is black. We have been dating now for over a year. He treats me wonderfully but I still get odd looks from people and my parents really don't approve.

I told them it shouldn't matter what color his skin is if I love him, but their small town values seem to say otherwise. How can I cope with the odd looks and my parents without losing my man?


How can I stay safe in a homophobic school?

I'm a teenage gal in a great relationship with another girl who goes to my school. We're both out to our parents and some friends, with okay reactions. The problem is, our school is pretty homophobic, and word is getting out that we're dating. My parents worry we might be physically or verbally assaulted at school. My neighbor, who owns guns, has already asked me about it, and I'm scared for our safety. What can two girls in a homophobic suburban school do? We don't have the same support system some college students do. We don't have a GSA and I don't trust any of the school staff much. Please help!


What should I do if I'm worried about my sexual inexperience?

I grew up in a religiously conservative family, and now I go to a private Christian college. I will be a junior this year, but I've known since freshman year that the school and the religion just weren't right for me. I love the education, but I'm afraid I'm sexually deprived. When I hear all my friends who go to public school talk about parties and sex, it makes me feel like I'm really missing out. I wanted to transfer, but it just isn't fiscally possible. I'm a very mature person, but I haven't done anything sexual (not even kiss!). The girl to guy ratio at my school is 3:1, and most of the boys are very awkward. I want to experiment, but no one at my school does that. I'm afraid that when I graduate, I still won't have done anything, and no one will want me because I have no experience.


What should I do if my religious parents find out I'm changing faiths?

I need some good advice. All my life, I've been raised as a Catholic. Both my parents are fairly religious, but I have completely lost interest in Catholicism as a religion because I feel it does nothing for me but preach and tell me how to live my life. It has now gotten to the point that I have become very interested in alternative religions, so much so that I want to change faiths. However, I'm terrified my parents will find out. What should I do?


What should I do if I'm a conservative Christian and I'm considering sex before marriage?

I'm a Christian, very conservative in upbringing, and I'm having difficulties in discussing sex in an open and casual manner. I told my male friends that sex should be done within the parameters of marriage. But they told me that I should have a first sexual experience so as to satisfy my wife or maybe a girlfriend (I don't have one yet). Should I follow their opinion regarding this? Should I first know the sexual dynamics of sexual intercourse before doing it with her?

I would appreciate your kind response.

Thank you.


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?