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Weight Loss Strategies - What Should Doctors Say to Patients?

Yesterday’s Times offered two dis­tinct per­spec­tives on weight loss. One, a detailed feature on gastric surgery by Anemona Har­to­collis, details the plight of a young obese woman who opts for Lap-​​​​band surgery. In this pro­cedure, sur­geons wrap a con­stricting band of sil­icone around the stomach so that patients will feel full upon eating less food than they might oth­erwise. Allergan, the company that man­u­fac­tures the device, admits to these com­pli­ca­tions on its website.

The other, a dis­cussion of res­o­lu­tions and will-​​​​power by John Tierney, con­siders strategies for sticking to diets, exercise reg­imens and other good inten­tions for the new year. Within this piece lies a dis­tracting story of an obese (375 pound) hedge fund manager whose gastric band failed to keep his appetite in check. When he landed a project in Las Vegas and feared regaining weight, he aimed high – to lose 100 pounds, out­fitted his hotel suite with

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Lunch with Yogurt, Honey, Crumbled Cereal and Cut Fruit

fruit salad Sept 2011 003

For today I thought I’d skip writing a formal post and try a picture, instead, of yesterday’s lunch – fruit with yogurt, honey and crumbled cereal:

Ingre­dients:

Plain, low-​​​​fat yogurt (I use Fage brand, 2% fat, 1⁄4 — 1⁄3 cup)

Honey, less than 1⁄2 teaspoon

Cereal (a fistful of your pref­erence – I like “Smart Start,” roughly 1⁄4 — 1⁄3 cup)

Fruit – whatever’s ripe and in the ‘fridge: in this case I included cut hon­eydew melon and a nec­tarine, grapes cut in halves and some blueberries

Easy to prepare:

1. Transfer yogurt to a cereal or soup bowl. I usually use a table­spoon to take 3–4 dollops.

2. Add the honey and use a tea­spoon to swirl it through the yogurt.

3. Crumble the cereal in your fist, above the bowl — so that the small pieces fall into the yogurt. Mix every­thing with the spoons.

(You may

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Get Off My Case

In my inbox this morning, via ASCO’s “Cancer in the News” feed:

The UK’s Tele­graph (5/​​6, Beckford) reported that as “many as 20,000 British women could avoid devel­oping” breast cancer “each year, if they took more exercise, drank less and ate better.” Latest figures “suggest that 47,600 women developed breast cancer in 2008,” and the World Cancer Research Fund esti­mates that esti­mates that “42 per cent of these cases…would be pre­ventable if women developed healthier lifestyles.” The WCRF’s “10 Rec­om­men­da­tions for Cancer Pre­vention include being ‘as lean as pos­sible without becoming under­weight’; keeping fit; lim­iting con­sumption of fatty, salty and sugary food and drink; eating fruit, veg­etables and pulses; eating less red meat and processed meat; drinking less and choosing a bal­anced diet rather than vitamin supplements.”

This follows numerous reports that women may develop breast cancer or suffer recur­rences because they eat too much, drink too much, work too

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