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Barbara Berkeley
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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 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
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
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
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
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
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
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 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 Familiar? Insert your favorite trigger food. Continue reading
Reblogged Oct 11, 2014 at Refuse To Regain
via General Principle: Ask your doctor if you REALLY need that antibiotic he's writing for you. If the answer is yes, take the most targeted type of antibiotic and avoid the big "cannons" (like the Z-Pak, for example). Don't carpet bomb your micro biome when a BB gun could take care of the job. Continue reading
Reblogged Sep 30, 2014 at Refuse To Regain
PUBLIC RELEASE DATE:8-Sep-2014 [ A meta-analysis comprising 16 studies and 891,426 participants from various regions of the world shows that prediabetes increases the risk of cancer by 15%, with differing risks depending on the type of cancer. The study, published in Diabetologia (the journal of the European Association for the Study of Diabetes) is by Professor Yuli Huang, The First People's Hospital of Shunde, Daliang Town, Shunde District, China, and colleagues. via This is a very important meta-analysis because... Continue reading
Reblogged Sep 12, 2014 at Refuse To Regain
by Barbara Berkeley, MD When I travel I like to observe what people eat and how they relate to food. I also take note of the prevalence of overweight and obesity. I was recently lucky enough to travel to Iceland and southern Italy, both great places to observe eating and to do some too! Admittedly, my observations about both of these places are based on a brief exposure yet I think I learned alot. First, let me say that if... Continue reading
Posted Sep 3, 2014 at Refuse To Regain
Top row: escargots, sardines, and fava beans (Crete); naan in salty yak-milk tea (Afghanistan); fried geranium leaves (Crete); boiled crab (Malaysia); raw beetroot and oranges (Crete); chapati, yak butter, and rock salt (Pakistan). Middle row: dried-apricot soup (Pakistan); boiled plantains (Bolivia); fried coral reef fish (Malaysia); bulgur, boiled eggs, and parsley (Tajikistan); stewed-seaweed salad (Malaysia); boiled ptarmigan (Greenland). Bottom row: grilled tuna (Malaysia); cooked potatoes, tomatoes, and fava beans in olive oil (Crete); rice with melted yak butter (Afghanistan); fried... Continue reading
Reblogged Sep 2, 2014 at Refuse To Regain
Despite having ample experiential evidence that low carb trumped low fat, weight loss specialists have never been taking seriously on this point. After all, how could doctors (who know very little about nutrition, by the way) have been wrong about the low fat mantra for all those years? What would it mean to admit that we might have unwittingly created the obesity epidemic by blindly assuming that our dietary precepts were infallible? Finally, studies are being done that may change... Continue reading
Reblogged Sep 2, 2014 at Refuse To Regain
by Barbara Berkeley, MD Although I have written many posts about LeBron James (to the consternation of many of you, I'm sure), I have never written about LeBron's own weight. It never occurred to me, even though he has definitely gotten noticeably larger over the past couple of seasons. Now, LeBron has reportedly gone low-carb in order to get back to optimal playing weight. This article in The New York Daily News is just one of the many written after... Continue reading
Posted Aug 7, 2014 at Refuse To Regain
by Barbara Berkeley, MD If you are over the age of 60, you remember a time when most Americans were thin. Sure, there were some overweight and obese folks, but they were few and far between. Photos and films from the 50s and 60s will confirm the fact that the average weight of America has changed drastically, with the greatest escalation in size occuring since 1980. It is easy to blame our increasing fatness on cheap, available food, poor willpower,... Continue reading
Posted Jul 31, 2014 at Refuse To Regain
by Barbara Berkeley, MD Whenever this blog turns to my basketball obsession I always try to warn readers first. If you are not interested in my ravings about Le Bron James and the Cleveland Cavaliers, skip this post. But really, how can you not be interested in a story that reads like fiction playing out in real life? Should Cleveland win an NBA title in the next year or two, the screen writer for the movie that surely will be... Continue reading
Posted Jul 21, 2014 at Refuse To Regain
by Barbara Berkeley, MD It's the Holy Grail of weight maintenance. The X Factor that turns repetitive dieters into successful maintainers. Over the course of the years I've met and corresponded with many long-term weight maintainers. Without exception they were repetitive dieters at one time. Weight would come off and come back--not once, but many times. And then, something happened. But what? That's the million dollar question. I've asked, I've pushed for an answer, but no one appears to be... Continue reading
Posted Jul 1, 2014 at Refuse To Regain
by Barbara Berkeley, MD In the war for the way America eats, the most recent battle went to Big Soda. Citing "personal freedoms" the Coke and Pepsi folks raised their glasses to Thursday's court decision that overturned the New York City limit on soft drink size. How much would you like to bet that those happy executives were not toasting with the sugar-filled products they sell? Heck no. They want to live long enough to spend their fortunes. To be... Continue reading
Posted Jun 27, 2014 at Refuse To Regain
by Barbara Berkeley, MD The debate continues and probably always will. Is regain inevitable after weight loss? Does our body inevitably sabotage efforts to keep weight stable? Is the only way to avoid this "fat fate" a jaw clenching, moment to moment fixation on every habit and morsel? Are all maintainers clinging to a cliff by their fingernails ready to plunge as the result of a single tremor, a momentary gust of wind? Dr. Rudolph Leibel of Columbia University is... Continue reading
Posted Jun 21, 2014 at Refuse To Regain
by Barbara Berkeley, MD Diabetes is decimating us. This week, the CDC reports a sharp escalation in blood sugar problems, a rising tide of deadly disease. This should come as no suprise as this medical equivalent of global warming has been predicted for some years. What continues to be a surprise is the utter lack of concern about what is happening to us and to our children. Are we really so busy shopping, texting and watching America's Got Talent? Let's... Continue reading
Posted Jun 11, 2014 at Refuse To Regain
by Barbara Berkeley, MD Patients who undergo psychoanalysis engage with their psychiatrists on an intense basis, often for years. When the time comes for treatment to end, the therapist initiates a "termination phase": a time period that allows for examination of what has been acomplished and prepares the patient for separation. Here is a bit about termination from a psychiatry website: "Most experienced psychotherapists are trained to start the termination process early — far earlier than most clients are probably... Continue reading
Posted Jun 9, 2014 at Refuse To Regain
by Barbara Berkeley, MD The things that keep us healthy and fit feel so good when we do them. So why do we always find ourselves returning to bad habits and struggling with our resolve? There are a number of reasons. First, we are inextricably intertwined with our culture. We swim in it, breathe it and are fully surrounded by it. Unfortunately for those who want to stay healthy, our culture does not promote health. Instead, it does everything it... Continue reading
Posted Jun 1, 2014 at Refuse To Regain
A new study suggests that minimal calories and maximal exercise can significantly reduce body fat in just four days — and the loss lasts for months. This article appeared in the May 25, 2014 issue of The New York Times Magazine. Losing weight is simple: Ingest fewer calories than your body burns. But how best to do that is unclear. Most experts advise small reductions in calories or increases in exercise to remove weight slowly and sensibly, but many people... Continue reading
Reblogged May 23, 2014 at Refuse To Regain
Are we fat because we overeat, or do we overeat because we’re fat? FOR most of the last century, our understanding of the cause of obesity has been based on immutable physical law. Specifically, it’s the first law of thermodynamics, which dictates that energy can neither be created nor destroyed. When it comes to body weight, this means that calorie intake minus calorie expenditure equals calories stored. Surrounded by tempting foods, we overeat, consuming more calories than we can burn... Continue reading
Reblogged May 20, 2014 at Refuse To Regain