Weight gain may be due to menopause

DEAR DR. GOTT: I am a 57-year-old post-menopausal woman. I have been gaining weight despite the fact that my diet includes plenty of fruits and vegetables, eating meat as a condiment rather than the main event, drinking lots of water and getting regular exercise. Several times a week I bicycle 12 miles, walk three miles a day and use the stairs to my 4th floor office. Despite all this, I continue to gain weight. Is there a supplement I should consider taking or something else I should be doing? Until my mid-40s, I was slim and fit.

DEAR READER: My first thought for your weight gain was menopause. In the peri-menopause phase leading up to menopause, symptoms can include vaginal dryness, decreased fertility, irregular periods, mood swings, thinning hair, loss of breast fullness, hot flashes, sleep disturbances, [Read more...]

Weight gain blamed on prescription drug

DEAR DR. GOTT: I am a 32-year-old male who has been struggling with weight ever since I started on Nardil in 2004. During that time my weight ballooned from 180 to 220 pounds, despite lowering my caloric intake to 1500 calories a day and doing two hours of high intensity cardio five days a week. The Nardil gave me a heightened energy level so it wasn’t difficult to maintain, though I didn’t experience any weight loss.

Since going off Nardil in 2009 I have had low energy and sleep disruptions. My weight has dropped to 210, fluctuating occasionally between 205 and 215. Despite my best efforts, I cannot drop my weight any further, though adding vitamin B has helped with my energy. Hormone tests have come back normal, so there is not an issue there.
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Eat before or after exercise?

DEAR DR. GOTT: I walk about two miles every morning to keep in shape. I’ve developed a paunch and what my wife calls a bicycle tire around my middle. To get rid of the paunch and tire, is it better to do the morning walk on an empty stomach or to walk after I’ve eaten something?

Twenty years ago, I would run three or four miles every morning right after I got up, consuming nothing but water, and it seemed to work fine.

DEAR READER: The key words here are “twenty years ago.” Unfortunately, our metabolism changes as we age, and what worked then for most of us probably won’t work as easily now.
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Despite strict diet and exercise, weight gain still a problem

DEAR DR. GOTT: I’m beginning to think I’m crazy. I’m five-feet-nine, 41 years old, about to tip to 200 pounds, and am unable to lose weight. Everyone talks about challenges in weight loss, but I have seriously made giant efforts and do not see any results. I’m beyond frustrated.

I swam competitively in high school with up to four hours per day of heavy training, ate as little as possible, and still gained. I continued to swim in college and met with doctors, trainers and nutritionists who claimed I had a healthful and appropriate diet and got plenty of exercise despite my ever increasing weight.
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Sunday Column

DEAR DR. GOTT:
I hope you can give me an answer to my problem which is about to drive me nuts!

I am a 50-year-old male, 5’9” tall, somewhat well muscled yet, have a 36” waist, and weigh 190 pounds. I drink alcohol on occasion, never smoked, have no health problems and take no medication. My daily diet consists of coffee and one cookie in the morning, water and a sandwich with mustard for lunch, and a well-balanced supper.

I don’t use sugar in my coffee or tea. I don’t drink soda or sugary juices and don’t eat iced cream, baked goods, chips, junk or fast food.

I work at a seasonal job doing turf maintenance from April until the end of October. In that time, I will lose ½ to ¾ pound each week until I get laid off in October. During November my weight loss levels off and is maintained easily because I am quite active outdoors hunting and the like. Sometimes I’ll lose a pound or two during that time. Then comes December! I’ll gain a pound per day (almost all belly fat) for the first two weeks and then will gain between two and five pounds more the last two weeks. The weight gain then stops and I have to work like heck to get it off. This has been going on for almost ten years and only happens in December. Nothing in my diet changes. In fact, the only change in my lifestyle is that I do not get up every day at 4:30 AM. Otherwise, I’m just as active as when I’m working.

Is it possible that a genetic or chemical trigger is set off in me because of the shortness of daylight or could it be something else? I’m ready to explode because I’m so frustrated. I wish I could skip December altogether or go into hibernation.

DEAR READER:
A person will ordinarily gain weight when the caloric input exceeds the caloric needs. Your conscientious approach to a healthful lifestyle is remarkable; in fact, your caloric intake is far from being extreme. I’m tempted to blame your “belly fat” on stress, a condition that causes increased waistlines for most of us. With your obvious concern about your end-of-year annual weight gain, you may enter December with trepidation and your system may adversely react and cause you to store excess fat despite your diet and activity level.

Do you attend many family or community parties during the holidays that might provide empty calories? If not, perhaps something as simple as additional coffee ingested daily during the winter months might slow your calorie consumption. To explore this possibility you may want to write down everything you eat and drink in December, as well as your exercise habits, to determine if there is an alteration in your daily routine. Perhaps you are consuming more or are less active than you think. By keeping a journal you can go back and review it. You may even find a pattern of which you were completely unaware.

I recommend that you address your concerns with your family physician. For instance, you may want to have your metabolism checked with a thyroid blood test. In fact, after taking your history, your physician might consider other blood tests that may provide the missing pieces to your puzzling weight gain. At the very least, your doctor can follow your weight loss/gain to identify any reasonable cause for it.

It appears that you are healthy. Your weight depends on calories. This relation can have a genetic basis. Were either of your parents or your siblings troubled by inexplicable weight alterations? If so, treatment for your pattern would be different. Maybe it’s time to relax and not be perturbed by your modest winter alterations. What you gain in December is basically what you are losing in the summer. I don’t believe you need to worry about your loss/gain pattern. However, your family physician can help you.

To give you related information, I am sending you a copy of my Health Report “A Strategy for Losing Weight”. Other readers who would like a copy should send a self-addressed, stamped number 10 envelope and $2 to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title.