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	<title>Comments on: obesity</title>
	<link>http://www.epocrates.com/insights/obesity</link>
	<description>Perspectives from the Epocrates Community</description>
	<pubDate>Mon, 13 Oct 2008 12:20:43 +0000</pubDate>
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		<title>By: \')/*</title>
		<link>http://feeds.feedburner.com/~r/CommentsOnObesity/~3/415037523/obesity</link>
		<dc:creator>\')/*</dc:creator>
		<pubDate>Wed, 08 Oct 2008 16:18:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.epocrates.com/insights/obesity#comment-5843</guid>
		<description>&lt;strong&gt;ekibastos...&lt;/strong&gt;

ekibastos...</description>
		<content:encoded><![CDATA[<p>ekibastos&#8230;</p>
<p>ekibastos&#8230;</p>
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	<feedburner:origLink>http://www.epocrates.com/insights/obesity#comment-5843</feedburner:origLink></item>
	<item>
		<title>By: Kristal L. Rosebrook</title>
		<link>http://feeds.feedburner.com/~r/CommentsOnObesity/~3/413776304/obesity</link>
		<dc:creator>Kristal L. Rosebrook</dc:creator>
		<pubDate>Tue, 07 Oct 2008 08:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.epocrates.com/insights/obesity#comment-5842</guid>
		<description>Interesting thoughts on this topic. I appreciate everyones feedback.

Kristal L. Rosebrook</description>
		<content:encoded><![CDATA[<p>Interesting thoughts on this topic. I appreciate everyones feedback.</p>
<p>Kristal L. Rosebrook</p>
]]></content:encoded>
	<feedburner:origLink>http://www.epocrates.com/insights/obesity#comment-5842</feedburner:origLink></item>
	<item>
		<title>By: Kristal L. Rosebrook</title>
		<link>http://feeds.feedburner.com/~r/CommentsOnObesity/~3/413776305/obesity</link>
		<dc:creator>Kristal L. Rosebrook</dc:creator>
		<pubDate>Tue, 07 Oct 2008 08:27:42 +0000</pubDate>
		<guid isPermaLink="false">http://www.epocrates.com/insights/obesity#comment-5841</guid>
		<description>Interesting thoughts on this topic.  I appreciate everyones feedback.

Kristal</description>
		<content:encoded><![CDATA[<p>Interesting thoughts on this topic.  I appreciate everyones feedback.</p>
<p>Kristal</p>
]]></content:encoded>
	<feedburner:origLink>http://www.epocrates.com/insights/obesity#comment-5841</feedburner:origLink></item>
	<item>
		<title>By: ofexcbq ikoyx</title>
		<link>http://feeds.feedburner.com/~r/CommentsOnObesity/~3/344613831/obesity</link>
		<dc:creator>ofexcbq ikoyx</dc:creator>
		<pubDate>Thu, 24 Jul 2008 06:59:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.epocrates.com/insights/obesity#comment-5558</guid>
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	<feedburner:origLink>http://www.epocrates.com/insights/obesity#comment-5558</feedburner:origLink></item>
	<item>
		<title>By: rgij oxkuepia</title>
		<link>http://feeds.feedburner.com/~r/CommentsOnObesity/~3/342628984/obesity</link>
		<dc:creator>rgij oxkuepia</dc:creator>
		<pubDate>Tue, 22 Jul 2008 14:55:11 +0000</pubDate>
		<guid isPermaLink="false">http://www.epocrates.com/insights/obesity#comment-5552</guid>
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	<feedburner:origLink>http://www.epocrates.com/insights/obesity#comment-5552</feedburner:origLink></item>
	<item>
		<title>By: Marci, ARNP, FNP</title>
		<link>http://feeds.feedburner.com/~r/CommentsOnObesity/~3/272551274/obesity</link>
		<dc:creator>Marci, ARNP, FNP</dc:creator>
		<pubDate>Tue, 08 Jan 2008 19:01:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.epocrates.com/insights/obesity#comment-3142</guid>
		<description>Obesity, as some in the above commentary have noted, is a problem that has many factors involved in it's development and continuation.  There has been a lot of research in the last 5 to 10 years which points to the fact that for many, obesity is a phenotype which gets switched on to a functioning genotype by lifestyle factors. Once that genotype is operating, losing weight and maintaining weight loss is extremely difficult because of abnormal hormonal signals from fat cells, the stomach and other areas along with a down regulation of response to these hormones in the hypothalamus. Obesity is a disease. Yes, those of us who are obese need to decrease our intake and increase our exercise, but the response to these actions is never going to be as great as it is for those who do not have the obesity genotype switched on. 
In addition, there are some people who do not have the phenotype in their genetic material and will never have to worry about having an activated obesity phenotype.</description>
		<content:encoded><![CDATA[<p>Obesity, as some in the above commentary have noted, is a problem that has many factors involved in it&#8217;s development and continuation.  There has been a lot of research in the last 5 to 10 years which points to the fact that for many, obesity is a phenotype which gets switched on to a functioning genotype by lifestyle factors. Once that genotype is operating, losing weight and maintaining weight loss is extremely difficult because of abnormal hormonal signals from fat cells, the stomach and other areas along with a down regulation of response to these hormones in the hypothalamus. Obesity is a disease. Yes, those of us who are obese need to decrease our intake and increase our exercise, but the response to these actions is never going to be as great as it is for those who do not have the obesity genotype switched on.<br />
In addition, there are some people who do not have the phenotype in their genetic material and will never have to worry about having an activated obesity phenotype.</p>
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	<feedburner:origLink>http://www.epocrates.com/insights/obesity#comment-3142</feedburner:origLink></item>
	<item>
		<title>By: Folee</title>
		<link>http://feeds.feedburner.com/~r/CommentsOnObesity/~3/272551280/obesity</link>
		<dc:creator>Folee</dc:creator>
		<pubDate>Fri, 04 Jan 2008 00:41:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.epocrates.com/insights/obesity#comment-3101</guid>
		<description>Obesity is a big problem in the USA. The main problem is the lack of want to cook inside the house. There are McDonalds commercial on television every other commercial break, coaxing people to leave their homes and get food instantly at a fast food resturaunt. McDonalds Served extremely fatty foods, even though they claim to be getting better. The reason they are claiming to be getting better is because they added salads and "healthy" foods to their menu. This is true. They have in fact added a few healthy items to the menu. There is only one problem... Nearly every obese person will CHOOSE the fatty foods over the healthy foods. And even if they DO choose the healthy food, they will have a different food with it that is extremely fatty. Or, they will have so much of the food that it will cause extra fat. Americans need to stop, and actually pay attention to what they're doing. Go outside, run. Then all the overweight kids say, "I can't run! It hurts! I'm too fat to run, the fat makes me heavier, which makes it harder for me to run!"... Here's the catch... I am a runner... IT HURTS FOR EVERYONE!! Running causes physical pain. A fact. GET OVER IT. If you run MORE, it won't hurt as much, and some of that fat will go away! I don't understand all these people who say they "barely have anything" and they gain lots of weight. This is simply implausible. I am in fact underweight, and have been for most of my life. I don't understand HOW you gain so much weight.. I actually wish I could, I weigh very, very little. I actually diet to GAIN weight, and I can't. America needs to get their act together. Soon. Obesity causes more than 300,000 deaths every year. This is a huge problem. Get on the ball, USA.</description>
		<content:encoded><![CDATA[<p>Obesity is a big problem in the USA. The main problem is the lack of want to cook inside the house. There are McDonalds commercial on television every other commercial break, coaxing people to leave their homes and get food instantly at a fast food resturaunt. McDonalds Served extremely fatty foods, even though they claim to be getting better. The reason they are claiming to be getting better is because they added salads and &#8220;healthy&#8221; foods to their menu. This is true. They have in fact added a few healthy items to the menu. There is only one problem&#8230; Nearly every obese person will CHOOSE the fatty foods over the healthy foods. And even if they DO choose the healthy food, they will have a different food with it that is extremely fatty. Or, they will have so much of the food that it will cause extra fat. Americans need to stop, and actually pay attention to what they&#8217;re doing. Go outside, run. Then all the overweight kids say, &#8220;I can&#8217;t run! It hurts! I&#8217;m too fat to run, the fat makes me heavier, which makes it harder for me to run!&#8221;&#8230; Here&#8217;s the catch&#8230; I am a runner&#8230; IT HURTS FOR EVERYONE!! Running causes physical pain. A fact. GET OVER IT. If you run MORE, it won&#8217;t hurt as much, and some of that fat will go away! I don&#8217;t understand all these people who say they &#8220;barely have anything&#8221; and they gain lots of weight. This is simply implausible. I am in fact underweight, and have been for most of my life. I don&#8217;t understand HOW you gain so much weight.. I actually wish I could, I weigh very, very little. I actually diet to GAIN weight, and I can&#8217;t. America needs to get their act together. Soon. Obesity causes more than 300,000 deaths every year. This is a huge problem. Get on the ball, USA.</p>
]]></content:encoded>
	<feedburner:origLink>http://www.epocrates.com/insights/obesity#comment-3101</feedburner:origLink></item>
	<item>
		<title>By: Myron Drazen</title>
		<link>http://feeds.feedburner.com/~r/CommentsOnObesity/~3/272551282/obesity</link>
		<dc:creator>Myron Drazen</dc:creator>
		<pubDate>Tue, 24 Jul 2007 23:20:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.epocrates.com/insights/obesity#comment-730</guid>
		<description>Does anyone know if laproscopic lap band surgery can be performed if I continue to take Plavix and 325mg aspirin as my cardioogist instructed? I had a stent successfully put in my right corronary artery in April of 2006. I have no other risk factors as my BP is typically around 120/70 and I have no indications of diabetes.

Thanks for any insights.</description>
		<content:encoded><![CDATA[<p>Does anyone know if laproscopic lap band surgery can be performed if I continue to take Plavix and 325mg aspirin as my cardioogist instructed? I had a stent successfully put in my right corronary artery in April of 2006. I have no other risk factors as my BP is typically around 120/70 and I have no indications of diabetes.</p>
<p>Thanks for any insights.</p>
]]></content:encoded>
	<feedburner:origLink>http://www.epocrates.com/insights/obesity#comment-730</feedburner:origLink></item>
	<item>
		<title>By: Robert C. Grupe, Ph.D.</title>
		<link>http://feeds.feedburner.com/~r/CommentsOnObesity/~3/272551284/obesity</link>
		<dc:creator>Robert C. Grupe, Ph.D.</dc:creator>
		<pubDate>Sat, 21 Jul 2007 15:12:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.epocrates.com/insights/obesity#comment-724</guid>
		<description>My wife Dorothy Cleveland Grupe submitted her comments earlier in this forum. My youth was similar to my wife's in dealing with weight issues. At age 11 I weighed 190 pounds. I have yo-yo'd for years. Until my doctor gave me the bad news in 2005 that I had become diabetic (7.5) and my BP was 165/105. At that time I weighted 307 pounds. Since 2005 I have changed my eating habits, taking out "empty" carbs, increasing protein and taking up a consistent exercise program including resistance training. I was ADDICTED to food. It was my emotional friend and release valve. I am now 223. I have slowly lost over 80 pounds and am maintaining the new weight. Many have ask me how. So many in fact that I have published a book:  BUILDING SAND CASTLES - a Baby Boomer's Journey Through Addictions outlining my weight loss experience. Personally, I believe permanent weight loss and maintenance is a matter of deep psychological change as with true release from any addiction. I'll be 60 next year. My A1C is now in normal range (5.3) and with Lotrel, my BP is in healthy range (118/65). My website www.drgrupe.com provides more background information about my challenge with food addiction.</description>
		<content:encoded><![CDATA[<p>My wife Dorothy Cleveland Grupe submitted her comments earlier in this forum. My youth was similar to my wife&#8217;s in dealing with weight issues. At age 11 I weighed 190 pounds. I have yo-yo&#8217;d for years. Until my doctor gave me the bad news in 2005 that I had become diabetic (7.5) and my BP was 165/105. At that time I weighted 307 pounds. Since 2005 I have changed my eating habits, taking out &#8220;empty&#8221; carbs, increasing protein and taking up a consistent exercise program including resistance training. I was ADDICTED to food. It was my emotional friend and release valve. I am now 223. I have slowly lost over 80 pounds and am maintaining the new weight. Many have ask me how. So many in fact that I have published a book:  BUILDING SAND CASTLES - a Baby Boomer&#8217;s Journey Through Addictions outlining my weight loss experience. Personally, I believe permanent weight loss and maintenance is a matter of deep psychological change as with true release from any addiction. I&#8217;ll be 60 next year. My A1C is now in normal range (5.3) and with Lotrel, my BP is in healthy range (118/65). My website <a href="http://www.drgrupe.com" rel="nofollow">http://www.drgrupe.com</a> provides more background information about my challenge with food addiction.</p>
]]></content:encoded>
	<feedburner:origLink>http://www.epocrates.com/insights/obesity#comment-724</feedburner:origLink></item>
	<item>
		<title>By: Michael Joynes</title>
		<link>http://feeds.feedburner.com/~r/CommentsOnObesity/~3/272551285/obesity</link>
		<dc:creator>Michael Joynes</dc:creator>
		<pubDate>Fri, 22 Jun 2007 16:15:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.epocrates.com/insights/obesity#comment-279</guid>
		<description>The obese child is unfortunately becoming the norm rather than the exception.I recall from my childhood that seeing an extremely overweight child was unusual.This is not to "glorify" the good old days as we certainly don't want to go back to diseases like polio,measles,rheumatic fever,etc.When i was a youngster the fast food chain industry was just getting started.If you lived in certain parts of the country and in less urban areas this stuff was just not available.Now it's practically inescapable.The co-marketing between Hollywood and the fast food chains attracts the kids and probably has had far more impact than "Joe Camel".And while the kids are wolfing down the trinket laden meals the parents are gorging themselves on the the fries and burgers.The unashamed and blatant appeal to come in and get a burger with 3 slabs of meat,with extra slices of cheese,bacon and "special sauce" is downright disgusting.No one needs that much food and especially that type of food.And the drinks-loaded with corn syrup-32 or 64 onces worth!-doesn't any one drink water anymore?This is a phenomonon i've seen in my practice over the years that seems more and more prevalent and usually accompanied by loads of excuses-e.g-"i don't like the taste of water" or "the water has so many impurities" or the best one-"i'm allergic to water"-As a family physician i try to cover some of these areas in a "compressed" fashion but lately i've gotten into advising more of the 'do's" rather than the "don'ts"-trying to emphasize the importance of regular exercise,consumption of anti-oxidant foods and beverages and stress management.Hopefully these few words of advice will have a positive impact.</description>
		<content:encoded><![CDATA[<p>The obese child is unfortunately becoming the norm rather than the exception.I recall from my childhood that seeing an extremely overweight child was unusual.This is not to &#8220;glorify&#8221; the good old days as we certainly don&#8217;t want to go back to diseases like polio,measles,rheumatic fever,etc.When i was a youngster the fast food chain industry was just getting started.If you lived in certain parts of the country and in less urban areas this stuff was just not available.Now it&#8217;s practically inescapable.The co-marketing between Hollywood and the fast food chains attracts the kids and probably has had far more impact than &#8220;Joe Camel&#8221;.And while the kids are wolfing down the trinket laden meals the parents are gorging themselves on the the fries and burgers.The unashamed and blatant appeal to come in and get a burger with 3 slabs of meat,with extra slices of cheese,bacon and &#8220;special sauce&#8221; is downright disgusting.No one needs that much food and especially that type of food.And the drinks-loaded with corn syrup-32 or 64 onces worth!-doesn&#8217;t any one drink water anymore?This is a phenomonon i&#8217;ve seen in my practice over the years that seems more and more prevalent and usually accompanied by loads of excuses-e.g-&#8221;i don&#8217;t like the taste of water&#8221; or &#8220;the water has so many impurities&#8221; or the best one-&#8221;i&#8217;m allergic to water&#8221;-As a family physician i try to cover some of these areas in a &#8220;compressed&#8221; fashion but lately i&#8217;ve gotten into advising more of the &#8216;do&#8217;s&#8221; rather than the &#8220;don&#8217;ts&#8221;-trying to emphasize the importance of regular exercise,consumption of anti-oxidant foods and beverages and stress management.Hopefully these few words of advice will have a positive impact.</p>
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