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Barbara Berkeley
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by Barbara Berkeley, MD Those who set out to lose weight view the process as a project and want a goal. Thus, it is rare that a new patient does not conclude our first visit by asking: "What should I weigh?" Unfortunately (or perhaps fortunately) there is no simple answer to this question. You are a work in progress with no specific ending point. How does an artist know when a painting is done? The understanding of when to put... Continue reading
Posted 6 days ago at Refuse To Regain
KINDLE VERSION OF REFUSE TO REGAIN IS FINALLY BACK UP AND RUNNING. CLICK ON THE PICTURE OF THE BOOK TO THE LEFT TO ACCESS AMAZON. THANKS TO THOSE WHO HAVE BEEN WAITING FOR THEIR PATIENCE. IT'S BEEN A SEIGE. SO GLAD WE ARE FINALLY BACK ON LINE!!! Continue reading
Posted May 18, 2015 at Refuse To Regain
by Barbara Berkeley, MD This post is a re-run from 2010. I decided to re-post it after a flurry of patients expressed dismay about being unable to reach the supposed "normal weight" range on a BMI chart. In almost every case, their primary care or specialty physician had insisted that they shoot for a weight in the "normal" section of the chart. I'm here to tell you that it's not necessary or even advisable. The patient in front of me... Continue reading
Posted May 16, 2015 at Refuse To Regain
UPDATE ON KINDLE VERSION: For anyone who is waiting for the Kindle version of Refuse to Regain to reappear, I have been advised that the new digital files are ready. We should see the book back in Kindle within about two weeks. Very sorry for the problem and thanks for your patience!! Continue reading
Posted Apr 30, 2015 at Refuse To Regain
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by Barbara Berkeley, MD Once again, let's venture into the territory of opinion.....but opinion based on experience. As we will soon see, it's nearly impossible to accurately compare weight loss programs. Most weight loss programs are unable to follow people long enough to gauge their degree of permanent change. So while it is possible to get a general idea of how well clients do with weight loss, it is not always possible to know about their long term outcomes....and of... Continue reading
Posted Apr 13, 2015 at Refuse To Regain
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by Barbara Berkeley MD The most frequently accessed posts on this blog are the ones that I've written about weight control after menopause. Clearly, there is enormous frustration and confusion surrounding this topic in my sisters over 50. And why not? The American mainstream becomes disinterested in us women as we get older. We feel invisible. We internalize this cultural meme and fear it. Menopause, while just a biologic event, becomes a huge, nefarious bookmark in our lives. For many... Continue reading
Posted Mar 18, 2015 at Refuse To Regain
A few days ago I accompanied two Hadza hunters to a series of seeps or springs where they had set up hunting blinds of tall grass to ambush thirsty animals. It’s late dry season in Tanzania and dwindling water sources force otherwise dispersed animals to aggregate, and if you’re a hunter-gatherer, this is a good thing. The week before a hunter killed a zebra from one of these blinds with a poison tipped arrow (a windfall of >400-500 pounds of... Continue reading
Reblogged Feb 22, 2015 at Refuse To Regain
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by Barbara Berkeley, MD The Dietary Guidelines Advisory Committee, which convenes every five years, have come out with its latest recommendations. Sugar is out. Eggs are back in. Fat? Still unclear. While we are finally starting to move in the right direction---a little---these guidelines remain mostly in the mode of previous directives. Count teaspoons, eliminate or add back individual elements, dissect your diet into ever-changing parts. Keep your eyes peeled for the latest change. We might be wrong! As frequent... Continue reading
Posted Feb 20, 2015 at Refuse To Regain
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by Barbara Berkeley, MD It's been a message I've been repeatedly posting since 2008. That was the year when, frustrated to the max with a lack of attention to regain, I found the energy to write a book about it. My intention was to create support material for my patients and for other weight loss practices. I discovered blogging around the same time and started putting my perspective out on the internet. In the intervening seven years there has been... Continue reading
Posted Feb 17, 2015 at Refuse To Regain
http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/MedicationHealthFraud/ucm234592.htm Caveat emptor! This site is an eye-opener. Scroll down to see the list of tainted diet supplements that have been outed by the FDA. Continue reading
Reblogged Feb 7, 2015 at Refuse To Regain
http://www.nytimes.com/2015/02/06/opinion/the-politics-of-fraudulent-dietary-supplements.html?action=click&pgtype=Homepage&region=CColumn&module=MostEmailed&version=Full&src=me&WT.nav=MostEmailed Everyone should do a little research on DSHEA, the Dietary Supplement Health and Education Act….an ironic name…..which allowed the supplement industry to go on its merry way without any regulation. Continue reading
Reblogged Feb 7, 2015 at Refuse To Regain
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Dear Readers: I occasionally re-run old posts and decided this one might be worth another look. Hope you find it interesting. It was published in 2011. by Barbara Berkeley MD Do you take medicine to treat your blood pressure? Once you swallow your pill, can you control your blood pressure via sheer willpower? While such feats of bodily control are reported by swamis and other advanced body-mind practitioners, they are not in the average person's repetoire. And a good thing... Continue reading
Posted Feb 5, 2015 at Refuse To Regain
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by Barbara Berkeley, MD Over the past month, this blog has tripled its daily readership. I'm not really sure why this has happened…. but I'm tremendously happy to have new readers who seem to be engaged with the blog and its content. I hope that this upswing in interest means continued growth. For those of you who are new to Refuse to Regain, I started blogging in 2008 at the same time as I was releasing a book on weight... Continue reading
Posted Feb 4, 2015 at Refuse To Regain
http://well.blogs.nytimes.com/2015/02/03/sidebar-whats-in-those-supplements/?action=click&contentCollection=Music&module=MostEmailed&version=Full®ion=Marginalia&src=me&pgtype=article I've never been a fan of supplements, but this story is frankly mind-blowing. I think that it's likely that most people are unaware that the supplement industry is unregulated by the government. If you are going to take supplements (many of which have little scientifically proven benefit) It is really important to be extremely wary and to remember that a printed label does not necessarily reflect the contents. Continue reading
Reblogged Feb 3, 2015 at Refuse To Regain
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by Barbara Berkeley, MD One of RTR's most visited blogs is the one I wrote about Mike Huckabee's weight re-gain. There is no question that we are all fascinated by public persons who lose weight, proclaim that they have found the permanent answer, then re-fatten before our eyes. Kirstie Alley is the poster child for public regain, followed closely by Oprah. The cover image to the left appeared in January, 2009 just as my book was being published. Despite many... Continue reading
Posted Jan 30, 2015 at Refuse To Regain
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by Barbara Berkeley, MD Last year was arguably the "Year of the Microbiome" in the obesity world. Considerations of gut bacteria, its health and composition, assumed 'hot topic' status. And for the first time in many years, our attention was diverted from the endless and fruitless debate about calories. Amazing! Incredible! There might be factors entirely unconsidered which have changed us from lean beings to fat ones. Indeed, as most obesity specialists had already suspected, we might have been barking... Continue reading
Posted Jan 18, 2015 at Refuse To Regain
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by Barbara Berkeley, MD Once again, the resolve to lose weight tops the list of vows made with the New Year. Unfortunately, we all know that this resolution is also one of the most commonly forgotten. While earnestly desired, the intention to lose weight simply doesn't hold up for most. So why do we keep making the same, failing resolution each January 1st? The answer is hope. We truly want to be healthier and hope that this time, this year... Continue reading
Posted Dec 9, 2014 at Refuse To Regain
http://www.nytimes.com/2014/12/04/opinion/seamus-mullen-a-chef-predicts-the-future-of-our-food.html?mabReward=RI%3A11&action=click&contentCollection=Sunday%20Book%20Review&region=Footer&module=Recommendation&src=recg&pgtype=article I liked so many sections of this article, I thought I would share it. It's interesting that the author dances around the issue of primal eating, not quite endorsing it until the final paragraph, in which he reveals that changes in the way he eats have---indeed---made him well. Continue reading
Reblogged Dec 5, 2014 at Refuse To Regain
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by Barbara Berkeley, MD There have been some studies recently that suggest that people who consume calories earlier in the day have better weight loss. This data dovetails nicely with increasing interest in intermittent fasting, a technique that proponents believe can speed weight loss and solidify maintenance. I have written here about meal-flipping in the past. This is a trick that I use in my own weight maintenance and which I suggest to patients. Simply pick two days a week... Continue reading
Posted Nov 17, 2014 at Refuse To Regain
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by Barbara Berkeley, MD Perhaps you are curious about what goes on when an obesity doc like me sees a patient. Or perhaps not. If not, stop reading because I'm about to tell you. Someone from our practice (either me or one of our dietiticans) sees each of our patients weekly. This is obviously a much more intense treatment model than most weight loss programs provide. Sometimes we can see someone every week for a year or more. When patients... Continue reading
Posted Nov 16, 2014 at Refuse To Regain
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by Barbara Berkeley, MD Now that LeBron is back in Cleveland you're going to get sick of hearing me talk about the Cavaliers and their trials and tribulations. But bear with me, because sports resembles life in many ways and there is much to learn from the best of it. This video clip from last night records LeBron's reaction to losing the third game of this young basketball season. The Cavs were blown to bits by the Portland Trailblazers, losing... Continue reading
Posted Nov 5, 2014 at Refuse To Regain
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by Barbara Berkeley, MD Dear Readers, I'm counting on your wisdom! I am involved in a project to help in the design of an internet site for weight loss. Personally, I've always preferred personal counseling and support, but it's just not available to everyone and the internet has stepped in to serve an unmet need. The question is, does it do the job well? Just as there are competent and incompetent weight loss counselors, there are internet resources that are... Continue reading
Posted Nov 4, 2014 at Refuse To Regain
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by Barbara Berkeley, MD I know I should share more maintenance recipes, and I do hear about them all the time from my patients...yet they never seem to make their way into these posts. Today, though, I was talking to someone who passed along a good one so I thought I'd share. This recipe, which uses low fat cheese, was suggested by my patient's sister as a pizza substitute and has become a favorite. Here it is: Paula's Taste of... Continue reading
Posted Nov 3, 2014 at Refuse To Regain
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by Barbara Berkeley, MD Our parents ate pie and cookies. Our grandparents drank whole milk and ate butter, cheese and eggs. We come from ethnic traditions that venerate pasta, spaetzle, dumplings and chicken fat. And yet, obesity...once rare....is now rampant. We spend a great deal of mental energy trying to unravel the puzzle that surrounds our now super-overweight nation. Most of the endless, circular reasoning is in the service of trying to figure out how we can still eat the... Continue reading
Posted Oct 15, 2014 at Refuse To Regain
http://niemann.blogs.nytimes.com/2014/10/09/the-gummi-bear-chronicles/?hp&action=click&pgtype=Homepage&version=HpSumSmallMediaHigh&module=second-column-region&region=top-news&WT.nav=top-news Familiar? Insert your favorite trigger food. Continue reading
Reblogged Oct 11, 2014 at Refuse To Regain