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Showing posts from March, 2013

Here’s to a Speedy Recovery? Not So Fast!

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Alan came in yesterday and he put it right out there. “I was really disappointed with our visit last month.”, he shared. “I expected to lose more that the 6 pounds given all the work I had done”. More than a pound per week achieved through his modest dietary changes and his move from a sedentary activity level wasn’t enough. Sure he was feeling better—sleeping better, less heartburn, more energy—but still the weight loss wasn’t enough. Thinking this portion should satisfy? Maybe not! I wish I could say this was an atypical occurrence. Rather, many a patient, and a parent, present painfully honest about their dissatisfaction. Not with me, I’ll add, but with themselves, their child, their spouse. Really, they struggle to make sense of the reality of changing behaviors with their vision of what should be. And if you’re like them, it’s not your fault for struggling with this. Ever watch The Biggest Loser ? Those who get thrown off the show for not losing fast enough lost 7 or so poun...

Dessert Happens

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Saturday night. New York City. True story. I’m out to dinner with my husband while visiting New York City, at a restaurant highly praised by a foodie—friend I’ll call Lloyd. And Lloyd says “you must try the desserts—they’re amazing”, or something to that effect. It’s a 45-minute wait for a seat at the bar (a beautiful, relaxed setting, I’ll add). We share a couple of wine flights—those 3 oz samples, and order our meal. That part was easy. The arctic char appetizer was divine, surpassed by the two entrees we decided in advance to share. (Basically, I have a hard time deciding and don’t want to limit my options, so I petition my husband that we should share and he generally obliges as he did Saturday. Yes, marrying him was a good decision.)  Skillfully prepared fish and a butternut squash lasagna—the labels do no justice to their taste. Totally wow, and I don’t use superlatives for food too readily. The bread was similarly fabulous—a whole-wheat sourdough seemingly right from t...

Weight Loss and Recovery—Can they Coexist? Is Recovery Even Possible After So Long?

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Remember Maggie who lost over 150 lbs.? She’s experienced them all—she’s been labeled with anorexia, bulimia and BED (binge eating disorder)—now an official diagnosis in the new DSM-5, the manual of mental health diagnoses. And she’s been categorized as obese. She did not seek treatment for her disorders early in her history, when recovery is known to be more likely. Yet she’s done it, she recovered. And she didn’t truly start the process until she was in her 60’s. Hooray for Maggie! Recovery is possible! I'm writing about Maggie, once again, to offer hope that recovery is possible. Because it is. And because you may believe that even if you did recover, that you would never maintain it. And that it’s not even worth starting on the path, because you just might fail. There. I’ve said it. Now let’s move on. About Maggie, present day. This lovely, now 74-year old woman with a long history of eating disorders, has maintained her consistent recovery—and then some. If you ha...