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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?


What’s the deal with my bad breath?

1) I often have a bad taste in my mouth, and bad breath as well, I assume. This doesn't stem from poor hygiene: I brush my teeth at least three times a day, and usually more. I'm wondering if there is anything I can do about this. Could this be a symptom of some sort of nutritional deficiency? I think my diet is pretty bad, although I'm working pretty hard on getting more protein and eating less fat. I've also been nauseous a lot lately, and vomiting some. Could that be related?

2) Like many people, I often have an embarrassing bad breath. Listerine and other mouthwashes won't be of any help for this chronic problem. There are lots of products available to get rid of "volatile sulfur compounds (VSC)" - that supposedly cause this — and I just don't know which one I should try. Also, what's your opinion on tongue-brushing?


Why can’t I control my bladder?

1) When I was a child, I used to wet the bed. This finally cleared up when I was about twelve. In the last month or so, it has come back — except it's even more embarrassing now because I'm twenty-eight and share my bed with my husband! It started when I had a bad cold, so I thought perhaps it was just stress incontinence caused by coughing while asleep. I do suffer somewhat from stress incontinence, but I learned to deal with it when awake by clamping my legs together whenever I cough or sneeze. I talked to my doctor about this, and he also thought it was due to coughing while asleep. He treated my cough and assured me that once the cough was gone, the bedwetting would be, too. Well, my cough has cleared up, but I am still wetting the bed almost every night! It's mortifying, and I feel like my husband finds me disgusting (not that I really blame him). He says it doesn't matter to him, but I feel like I ought to be put in a nursing home. Is there anything I can do to stop this?

2) I have an embarrassing problem that has always held me from going to a doctor. I do not know if it's called incontinence. When I'm out of the rest room, I always find a few drops of urine being discharged later in my dress. This usually occurs when I bend down, or when I sneeze, or sometimes even due to a jerk. I have tried to prevent this many a time by remaining in the comfort room for invariably a long time trying to make sure that I'm done fully, but in vain.

Being a Muslim, I always find it very difficult to offer my prayers due to this. I'm suffering from this problem for a long time. Would you please advise if there is any cure for this? Can some pills treat this or an operation is a must?


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 wearing ear plugs disrupt the natural ear cleaning process?

I am a very light sleeper so I began wearing ear plugs to be able to sleep uninterruptedly. I moved into a quieter neighborhood now and thought that I would be able to sleep without them but it turns out that my boyfriend is a snorer and so I have to keep wearing them. I know that ears clean themselves out at night but because I'm wearing the ear plugs I have a lot of wax build-up. How can I clean my ears? And also, do you think that prolonged use of ear plugs can cause some kind of damage?


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 manage feelings of embarrassment over having to visit a gynecologist?

I'm a 21 year old woman with white lumpy vaginal discharge (odorless)...I thought it was thrush but after two courses of yeast infection cream it has not resolved...I have never had sex, so can't have an STD...I get bad pain in my lower back and sacro-iliac region with my period and with ovulation though I don't know if this is relevant...I'm embarrassed to see a health care professional about this and don't know if I'm just concerned over nothing...


What is proper gym etiquette?

1) When you are at the gym exercising do you need to wipe down each machine that you use even if you are not sweating?

2) I'm looking for some helpful pointers you might have on the subject of health club etiquette (i.e., don't wear perfume because others will leave workout equipment wearing your perfume). I would appreciate anything you have to offer on the subject.


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?


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?