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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?


Will I ever find a gay partner?

I've been gay all of my life, and until just now, I've learned to accept it. I've told all my friends that I am gay. Some of them didn't like that, and now they're not my friends. None of my other friends are gay, which was a disappointment because I had a crush on one of them. Now I don't know what to do because not only do I not know who else is gay, but I don't have the courage to ask someone out. I'm afraid that if I can't ask someone out by the time I'm out of college, I'll never be able to have a relationship. I don't want to have to resort to online dating either. I want to know how I can overcome my fear.


How can I stop seeking sexual attention?

I am afraid my need for sexual attention is getting out of hand. The past several weekends I have wound up kissing guys in bars, and I find myself less interested in flirting or having interesting conversations with them than I am in getting that rush of meeting someone new. This weekend I had sex with a guy I had just met in a bar and I have no idea why. Making matters worse is that he was much younger than I am and I don't think we had anything in common whatsoever. I feel like I am devaluing myself and I don't want to lose my self-respect. How can I find the cause of my behavior and how can I stop?


Why do nice guys always finish last?

Just a quick question: why is it that nice guys always finish last? I've tried being nice all my life (nineteen years) to women, yet I get nothing. Yet if some guy who treats them really badly comes in, they're the ones who end up with a girlfriend — and me with squat. What's the deal?!


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.


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.


Was this a one night stand or more?

My friend and I went to a male strip club last Saturday. One of which caught my eye. I would have chickened out if the guy we were with hadn't gone over to him and brought him back. We talked for a while and then went back to my friend's house — I was so attracted to this guy I could have died. We started to fool around and things got heavy so he went out to the store (CONDOMS, CONDOMS, CONDOMS!!!).

He seemed very sensitive in the way he acted, letting me know that it would go only as far as I wanted it to, afterwards asking me about how I was doing, how I was feeling — he even started cooking the next morning. After breakfast, though, things got a little weird when he expressed that he wanted to see me again and I took his number, but didn't give him mine. Of course, I also told him that I'm living with a guy who I've been going out with, but that I am moving out in the next month — I felt that I'd better be honest...

How seriously should I take this guy? How much of what he told me should I believe? Do you think that this guy just has sex and moves on? I didn't initiate the subject of seeing him again, although I would totally be into that. How should I handle the subject of the guy I live with??? HELP!!!


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?


How can I get over fear of rejection in romantic pursuits?

I am an undergrad who knows many people at my school. Interestingly enough while I am a very outgoing person and a very self-confident person, I am very shy when it comes to initiating a relationship. I know that I simply am afraid of the big "R" (rejection). I know that this is normal, but I feel that my fear is possibly causing me to miss out on a chance of having a good relationship.

I have been asked out a few times this year, but the guys did not interest me at all (one was divorced with two kids, the others I found nice but dull). All my friends are male, and I talk to them about my problems, but it hasn't helped at all. How can I gain self-confidence in the area of romance (I don't have a problem once I am in a relationship), and why is it that all my friends are males? Am I seen always as the sister or mother type? (Don't get me wrong, I am not interested romantically in any of my friends.)


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?


How can I tell the girl I've been hooking up with that I just want to be friends?

I'm a 25 year-old guy, average looking, and I think I have a normal personality. I met this very nice and pretty girl a little more than a month ago. Almost since the beginning, all she wants to do is go to bed and make love. This was great in the beginning, but, you and some guys out there may think I am crazy, I am starting to get worn out. I like her very much and we get along great in bed, but I want to date her just like my friends date their girlfriends, although my friends tell me they wish they had my problem.

Anyway, when I suggest going out, she shrugs her shoulders and says that she likes to be in bed with me. I'm sure that you get a lot of inquiries about how to move a friendship over to bed. Can you give me some advice about how to move the bed over to a friendship?


What should I do if I'm interested in my nurse practitioner?

I am a graduate student and have been using Health Services for a number of years. On recent visits, I couldn't help but notice a certain nurse practitioner on whom I now have a big crush (pardon the school-kid terminology). On my last visit through walk-in, luck would have it that I got this person to treat me (a random happening--I didn't choose it in any way). I felt somewhat awkward during the visit, yet happy to see this person. Nonetheless, I realize that this is not an ideal state of affairs, but I don't know how to handle it. I am due to return to this same N.P. for follow-up.

Should I tell this person that I feel awkward receiving medical treatment from someone I would rather be dating, or should I just make an appointment with another person? Would it be possible to seek medical attention from this person after letting them know how I feel? If I do end my medical relationship with this person, how would I begin a different one? There don't seem to be many occasions when students and the Health Service staff interact outside a medical setting. I would hate to pass up the possibility of meeting that someone special due to professional constraints that would not hold had we met under different circumstances.