Archives: June 2005
Thu Jun 30, 2005
But Dr. Anchors...
Sometimes standing at the wall chart explaining the correct (Anchors) diet pyramid, when I tell patients to reduce their intake of starch and table sugar, the patients interrupt me. "But Dr. Anchors, the Chinese eat a lot of rice and they're all thin." More...
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Fri Jun 24, 2005
Reducing the Side Effects of Topamax
In a dose of 100-200 mg daily, Topamax is a very useful appetite supressant for very obese people, but 25-30% of the patients don't tolerate the drug due to its dysphoric side-effects, that is causing causing sadness or sorrow or discontent. It makes some people feel woozy and causes tingling sensations in the extremities. I have learned that the major source of this side-effect is the fact that Topamax is a carbonic anhydrase inhibitor. There's a simple way to mitgate this problem. More...
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Mon Jun 13, 2005
Eliminate Unnecessary Calories
Often on phen-pro, patients lose weight quickly, about 15% of their body weight, reaching a plateau where they get stuck. At that point they have cut out all the snacking they are initially willing to cut out and they make portion-reducing decisions at some meals, but not all. I remind the patients that their weight, in the steady state, always reflects their calorie intake. More...
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Fri Jun 03, 2005
Oatmeal Cookies
Like other practicing docs, I get frequent visits from representatives of pharmaceutical companies trying to influence me to prescribe their medicines. The "reps" proffer small gifts. I haven't had to buy a ballpoint pen for myself since medical school. More...
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