Pathological Eating Disorders and Poly-Behavioral Addiction

When considering that pathological eating disorders and their related diseases now afflict more people globally than malnutrition, some experts in the medical field are presently purporting that the world's number one health problem is no longer heart disease or cancer, but obesity. According to the World Health Organization (June, 2005), "obesity has reached epidemic proportions globally, with more than 1 billion adults overweight - at least 300 million of them clinically obese - and is a major contributor to the global burden of chronic disease and disability. Often coexisting in developing countries with under-nutrition, obesity is a complex condition, with serious social and psychological dimensions, affecting virtually all ages and socioeconomic groups." The U.S. Centers for Disease Control and Prevention (June, 2005), reports that "during the past 20 years, obesity among adults has risen significantly in the United States. The latest data from the National Center for Health Statistics show that 30 percent of U.S. adults 20 years of age and older - over 60 million people - are obese. This increase is not limited to adults. The percentage of young people who are overweight has more than tripled since 1980. Among children and teens aged 6-19 years, 16 percent (over 9 million young people) are considered overweight."

Morbid obesity is a condition that is described as being 100lbs. or more above ideal weight, or having a Body Mass Index (BMI) equal to or greater than 30. Being obese alone puts one at a much greater risk of suffering from a combination of several other metabolic factors such as having high blood pressure, being insulin resistant, and/ or having abnormal cholesterol levels that are all related to a poor diet and a lack of exercise. The sum is greater than the parts. Each metabolic problem is a risk for other diseases separately, but together they multiply the chances of life-threatening illness such as heart disease, cancer, diabetes, and stroke, etc. Up to 30.5% of our Nations' adults suffer from morbid obesity, and two thirds or 66% of adults are overweight measured by having a Body Mass Index (BMI) greater than 25. Considering that the U.S. population is now over 290,000,000, some estimate that up to 73,000,000 Americans could benefit from some type of education awareness and/ or treatment for a pathological eating disorder or food addiction. Typically, eating patterns are considered pathological problems when issues concerning weight and/ or eating habits, (e.g., overeating, under eating, binging, purging, and/ or obsessing over diets and calories, etc.) become the focus of a persons' life, causing them to feel shame, guilt, and embarrassment with related symptoms of depression and anxiety that cause significant maladaptive social and/ or occupational impairment in functioning.

We must consider that some people develop dependencies on certain life-functioning activities such as eating that can be just as life threatening as drug addiction and just as socially and psychologically damaging as alcoholism. Some do suffer from hormonal or metabolic disorders, but most obese individuals simply consume more calories than they burn due to an out of control overeating Food Addiction. Hyper-obesity resulting from gross, habitual overeating is considered to be more like the problems found in those ingrained personality disorders that involve loss of control over appetite of some kind (Orford, 1985). Binge-eating Disorder episodes are characterized in part by a feeling that one cannot stop or control how much or what one is eating (DSM-IV-TR, 2000). Lienard and Vamecq (2004) have proposed an "auto-addictive" hypothesis for pathological eating disorders. They report that, "eating disorders are associated with abnormal levels of endorphins and share clinical similarities with psychoactive drug abuse. The key role of endorphins has recently been demonstrated in animals with regard to certain aspects of normal, pathological and experimental eating habits (food restriction combined with stress, loco-motor hyperactivity)." They report that the "pathological management of eating disorders may lead to two extreme situations: the absence of ingestion (anorexia) and excessive ingestion (bulimia)."

Co-morbidity & Mortality

Addictions and other mental disorders as a rule do not develop in isolation. The National Co-morbidity Survey (NCS) that sampled the entire U.S. population in 1994, found that among non-institutionalized American male and female adolescents and adults (ages 15-54), roughly 50% had a diagnosable Axis I mental disorder at some time in their lives. This survey's results indicated that 35% of males will at some time in their lives have abused substances to the point of qualifying for a mental disorder diagnosis, and nearly 25% of women will have qualified for a serious mood disorder (mostly major depression). A significant finding of note from the NCS study was the widespread occurrence of co-morbidity among diagnosed disorders. It specifically found that 56% of the respondents with a history of at least one disorder also had two or more additional disorders. These persons with a history of three or more co-morbid disorders were estimated to be one-sixth of the U.S. population, or some 43 million people (Kessler, 1994).

McGinnis and Foege, (1994) report that, "the most prominent contributors to mortality in the United States in 1990 were tobacco (an estimated 400,000 deaths), diet and activity patterns (300,000), alcohol (100,000), microbial agents (90,000), toxic agents (60,000), firearms (35,000), sexual behavior (30,000), motor vehicles (25,000), and illicit use of drugs (20,000). Acknowledging that the leading cause of preventable morbidity and mortality was risky behavior lifestyles, the U.S. Prevention Services Task Force set out to research behavioral counseling interventions in health care settings (Williams & Wilkins, 1996).

Poor Prognosis

We have come to realize today more than any other time in history that the treatment of lifestyle diseases and addictions are often a difficult and frustrating task for all concerned. Repeated failures abound with all of the addictions, even with utilizing the most effective treatment strategies. But why do 47% of patients treated in private treatment programs (for example) relapse within the first year following treatment (Gorski,T., 2001)? Have addiction specialists become conditioned to accept failure as the norm? There are many reasons for this poor prognosis. Some would proclaim that addictions are psychosomatically- induced and maintained in a semi-balanced force field of driving and restraining multidimensional forces. Others would say that failures are due simply to a lack of self-motivation or will power. Most would agree that lifestyle behavioral addictions are serious health risks that deserve our attention, but could it possibly be that patients with multiple addictions are being under diagnosed (with a single dependence) simply due to a lack of diagnostic tools and resources that are incapable of resolving the complexity of assessing and treating a patient with multiple addictions?

Diagnostic Delineation

Thus far, the DSM-IV-TR has not delineated a diagnosis for the complexity of multiple behavioral and substance addictions. It has reserved the Poly-substance Dependence diagnosis for a person who is repeatedly using at least three groups of substances during the same 12-month period, but the criteria for this diagnosis do not involve any behavioral addiction symptoms. In the Psychological Factors Affecting Medical Condition's section (DSM-IV-TR, 2000); maladaptive health behaviors (e.g., overeating, unsafe sexual practices, excessive alcohol and drug use, etc.) may be listed on Axis I only if they are significantly affecting the course of treatment of a medical or mental condition.

Since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning, it is no wonder that repeated rehabilitation failures and low success rates are the norm instead of the exception in the addictions field, when the latest DSM-IV-TR does not even include a diagnosis for multiple addictive behavioral disorders. Treatment clinics need to have a treatment planning system and referral network that is equipped to thoroughly assess multiple addictive and mental health disorders and related treatment needs and comprehensively provide education/ awareness, prevention strategy groups, and/ or specific addictions treatment services for individuals diagnosed with multiple addictions. Written treatment goals and objectives should be specified for each separate addiction and dimension of an individuals' life, and the desired performance outcome or completion criteria should be specifically stated, behaviorally based (a visible activity), and measurable.

New Proposed Diagnosis

To assist in resolving the limited DSM-IV-TRs' diagnostic capability, a multidimensional diagnosis of "Poly-behavioral Addiction," is proposed for more accurate diagnosis leading to more effective treatment planning. This diagnosis encompasses the broadest category of addictive disorders that would include an individual manifesting a combination of substance abuse addictions, and other obsessively-compulsive behavioral addictive behavioral patterns to pathological gambling, religion, and/ or sex / pornography, etc.). Behavioral addictions are just as damaging - psychologically and socially as alcohol and drug abuse. They are comparative to other life-style diseases such as diabetes, hypertension, and heart disease in their behavioral manifestations, their etiologies, and their resistance to treatments. They are progressive disorders that involve obsessive thinking and compulsive behaviors. They are also characterized by a preoccupation with a continuous or periodic loss of control, and continuous irrational behavior in spite of adverse consequences.

Poly-behavioral addiction would be described as a state of periodic or chronic physical, mental, emotional, cultural, sexual and/ or spiritual/ religious intoxication. These various types of intoxication are produced by repeated obsessive thoughts and compulsive practices involved in pathological relationships to any mood-altering substance, person, organization, belief system, and/ or activity. The individual has an overpowering desire, need or compulsion with the presence of a tendency to intensify their adherence to these practices, and evidence of phenomena of tolerance, abstinence and withdrawal, in which there is always physical and/ or psychic dependence on the effects of this pathological relationship. In addition, there is a 12 - month period in which an individual is pathologically involved with three or more behavioral and/ or substance use addictions simultaneously, but the criteria are not met for dependence for any one addiction in particular (Slobodzien, J., 2005). In essence, Poly-behavioral addiction is the synergistically integrated chronic dependence on multiple physiologically addictive substances and behaviors (e.g., using/ abusing substances - nicotine, alcohol, & drugs, and/or acting impulsively or obsessively compulsive in regards to gambling, food binging, sex, and/ or religion, etc.) simultaneously.

New Proposed Theory

The Addictions Recovery Measurement System's (ARMS) theory is a nonlinear, dynamical, non-hierarchical model that focuses on interactions between multiple risk factors and situational determinants similar to catastrophe and chaos theories in predicting and explaining addictive behaviors and relapse. Multiple influences trigger and operate within high-risk situations and influence the global multidimensional functioning of an individual. The process of relapse incorporates the interaction between background factors (e.g., family history, social support, years of possible dependence, and co-morbid psychopathology), physiological states (e.g., physical withdrawal), cognitive processes (e.g., self-efficacy, cravings, motivation, the abstinence violation effect, outcome expectancies), and coping skills (Brownell et al., 1986; Marlatt & Gordon, 1985). To put it simply, small changes in an individual's behavior can result in large qualitative changes at the global level and patterns at the global level of a system emerge solely from numerous little interactions.

The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual's develop to any one form of treatment to a single dimension of their lives, because the effects of an individual's addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual's primary addiction. The ARMS' theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual's life dimensions in addition to developing specific goals and objectives for each dimension.

The ARMS acknowledges the complexity and unpredictable nature of lifestyle addictions following the commitment of an individual to accept assistance with changing their lifestyles. The Stages of Change model (Prochaska & DiClemente, 1984) is supported as a model of motivation, incorporating five stages of readiness to change: pre-contemplation, contemplation, preparation, action, and maintenance. The ARMS theory supports the constructs of self-efficacy and social networking as outcome predictors of future behavior across a wide variety of lifestyle risk factors (Bandura, 1977). The Relapse Prevention cognitive-behavioral approach (Marlatt, 1985) with the goal of identifying and preventing high-risk situations for relapse is also supported within the ARMS theory.

The ARMS continues to promote Twelve Step Recovery Groups such as Food Addicts and Alcoholics Anonymous along with spiritual and religious recovery activities as a necessary means to maintain outcome effectiveness. The beneficial effects of AA may be attributable in part to the replacement of the participant's social network of drinking friends with a fellowship of AA members who can provide motivation and support for maintaining abstinence (Humphreys, K.; Mankowski, E.S, 1999) and (Morgenstern, J.; Labouvie, E.; McCrady, B.S.; Kahler, C.W.; and Frey, R.M., 1997). In addition, AA's approach often results in the development of coping skills, many of which are similar to those taught in more structured psychosocial treatment settings, thereby leading to reductions in alcohol consumption (NIAAA, June 2005).

Treatment Progress Dimensions

The American Society of Addiction Medicine's (2003), "Patient Placement Criteria for the Treatment of Substance-Related Disorders, 3rd Edition", has set the standard in the field of addiction treatment for recognizing the totality of the individual in his or her life situation. This includes the internal interconnection of multiple dimensions from biomedical to spiritual, as well as external relationships of the individual to the family and larger social groups. Life-style addictions may affect many domains of an individual's functioning and frequently require multi-modal treatment. Real progress however, requires appropriate interventions and motivating strategies for every dimension of an individual's life.

The Addictions Recovery Measurement System (ARMS) has identified the following seven treatment progress areas (dimensions) in an effort to: (1) assist clinicians with identifying additional motivational techniques that can increase an individual's awareness to make progress: (2) measure within treatment progress, and (3) measure after treatment outcome effectiveness:
PD- 1. Abstinence/ Relapse: Progress Dimension
PD- 2. Bio-medical/ Physical: Progress Dimension
PD- 3. Mental/ Emotional: Progress Dimension
PD- 4. Social/ Cultural: Progress Dimension
PD- 5. Educational/ Occupational: Progress Dimension
PD- 6. Attitude/ Behavioral: Progress Dimension
PD- 7. Spirituality/ Religious: Progress Dimension

Considering that addictions involve unbalanced life-styles operating within semi-stable equilibrium force fields, the ARMS philosophy promotes that positive treatment effectiveness and successful outcomes are the result of a synergistic relationship with "The Higher Power," that spiritually elevates and connects an individuals' multiple life functioning dimensions by reducing chaos and increasing resilience to bring an individual harmony, wellness, and productivity.

Addictions Recovery Measurement - Subsystems

Since chronic lifestyle diseases and disorders such as diabetes, hypertension, alcoholism, drug and behavioral addictions cannot be cured, but only managed - how should we effectively manage poly-behavioral addiction?

The Addiction Recovery Measurement System (ARMS) is proposed utilizing a multidimensional integrative assessment, treatment planning, treatment progress, and treatment outcome measurement tracking system that facilitates rapid and accurate recognition and evaluation of an individual's comprehensive life-functioning progress dimensions. The "ARMS"- systematically, methodically, interactively, & spiritually combines the following five versatile subsystems that may be utilized individually or incorporated together:

1) The Prognostication System ? composed of twelve screening instruments developed to evaluate an individual's total life-functioning dimensions for a comprehensive bio-psychosocial assessment for an objective 5-Axis diagnosis with a point-based Global Assessment of Functioning score;

2) The Target Intervention System - that includes the Target Intervention Measure (TIM) and Target Progress Reports (A) & (B), for individualized goal-specific treatment planning;

3) The Progress Point System - a standardized performance-based motivational recovery point system utilized to produce in-treatment progress reports on six life-functioning individual dimensions;

4) The Multidimensional Tracking System ? with its Tracking Team Surveys (A) & (B), along with the ARMS Discharge criteria guidelines utilizes a multidisciplinary tracking team to assist with discharge planning; and

5) The Treatment Outcome Measurement System ? that utilizes the following two measurement instruments: (a) The Treatment Outcome Measure (TOM); and (b) the Global Assessment of Progress (GAP), to assist with aftercare treatment planning.

National Movement

With the end of the Cold War, the threat of a world nuclear war has diminished considerably. It may be hard to imagine that in the end, comedians may be exploiting the humor in the fact that it wasn't nuclear warheads, but "French fries" that annihilated the human race. On a more serious note, lifestyle diseases and addictions are the leading cause of preventable morbidity and mortality, yet brief preventive behavioral assessments and counseling interventions are under-utilized in health care settings (Whitlock, 2002).

The U.S. Preventive Services Task Force concluded that effective behavioral counseling interventions that address personal health practices hold greater promise for improving overall health than many secondary preventive measures, such as routine screening for early disease (USPSTF, 1996). Common health-promoting behaviors include healthy diet, regular physical exercise, smoking cessation, appropriate alcohol/ medication use, and responsible sexual practices to include use of condoms and contraceptives.

350 national organizations and 250 State public health, mental health, substance abuse, and environmental agencies support the U.S. Department of Health and Human Services, "Healthy People 2010" program. This national initiative recommends that primary care clinicians utilize clinical preventive assessments and brief behavioral counseling for early detection, prevention, and treatment of lifestyle disease and addiction indicators for all patients' upon every healthcare visit.

Partnerships and coordination among service providers, government departments, and community organizations in providing treatment programs are a necessity in addressing the multi-task solution to poly-behavioral addiction. I encourage you to support the mental health and addiction programs in America, and hope that the (ARMS) resources can assist you to personally fight the War on pathological eating disorders within poly-behavioral addiction.

For more info see: Poly-Behavioral Addiction and the Addictions Recovery Measurement System, By James Slobodzien, Psy.D., CSAC at:

http://www.geocities.com/drslbdzn/Behavioral-Addictions.html

Food Addicts Anonymous: http://www.foodaddictsanonymous.org/ Alcoholics Anonymous: http://www.alcoholics-anonymous.org/

References American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC, American Psychiatric Association, 2000, p. 787 & p. 731. American Society of Addiction Medicine's (2003), "Patient Placement Criteria for the Treatment of Substance-Related Disorders, 3rd Edition,. Retrieved, June 18, 2005, from:

http://www.asam.org/ Bandura, A. (1977), Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191-215. Brownell, K. D., Marlatt, G. A., Lichtenstein, E., & Wilson, G. T. (1986). Understanding and preventing relapse. American Psychologist, 41, 765-782. Centers for Disease Control and Prevention (CDC). Retrieved June 18, 2005, from: http://www.cdc.gov/nccdphp/dnpa/obesity/ Gorski, T. (2001), Relapse Prevention In The Managed Care Environment. GORSKI-CENAPS Web Healthy People 2010. Retrieved June 20, 2005, from: http://www.healthypeople.gov/ Publications. Retrieved June 20, 2005, from: www.tgorski.com Lienard, J. & Vamecq, J. (2004), Presse Med, Oct 23;33(18 Suppl):33-40. Marlatt, G. A. (1985). Relapse prevention: Theoretical rationale and overview of the model. In G. A. Marlatt & J. R. Gordon (Eds.), Relapse prevention (pp. 250-280). New York: Guilford Press. McGinnis JM, Foege WH (1994). Actual causes of death in the United States. US Department of Health and Human Services, Washington, DC 20201 Humphreys, K.; Mankowski, E.S.; Moos, R.H.; and Finney, J.W (1999). Do enhanced friendship networks and active coping mediate the effect of self-help groups on substance abuse? Ann Behav Med 21(1):54-60. Kessler, R.C., McGonagle, K.A., Zhao, S., Nelson, C.B., Hughes, M., Eshleman, S., Wittchen, H. H,-U, & Kendler, K.S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the national co morbidity survey. Arch. Gen. Psychiat., 51, 8-19. Morgenstern, J.; Labouvie, E.; McCrady, B.S.; Kahler, C.W.; and Frey, R.M (1997). Affiliation with Alcoholics Anonymous after treatment: A study of its therapeutic effects and mechanisms of action. J Consult Clin Psychol 65(5):768-777. Orford, J. (1985). Excessive appetites: A psychological view of addiction. New York: Wiley. Prochaska, J. O., & DiClemente, C. C. (1984). The transtheoretical approach: Crossing the boundaries of therapy. Malabar, FL: Krieger. Slobodzien, J. (2005). Poly-behavioral Addiction and the Addictions Recovery Measurement System (ARMS), Booklocker.com, Inc., p. 5. Whitlock, E.P. (1996). Evaluating Primary Care Behavioral Counseling Interventions: An Evidence-based Approach. Am J Prev Med 2002;22(4): 267-84.Williams & Wilkins. U.S. Preventive Services Task Force. Guide to Clinical Preventive Services. 2nd ed. Alexandria, VA. U.S. Department of Health and Human Services. Healthy People 2010 (Conference Edition). Washington, DC: U.S. Government Printing Office; 2000. World Health Organization, (WHO). Retrieved June 18, 2005, from: http://www.who.int/topics/obesity/en/

James Slobodzien, Psy.D., CSAC, is a Hawaii licensed psychologist and certified substance abuse counselor who earned his doctorate in Clinical Psychology. The National Registry of Health Service Providers in Psychology credentials Dr. Slobodzien. He has over 20-years of mental health experience primarily working in the fields of alcohol/ substance abuse and behavioral addictions in medical, correctional, and judicial settings. He is an adjunct professor of Psychology and also maintains a private practice as a mental health consultant.

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Are you a slow eater? It may help you with weight loss!  Times of IndiaIt is not only good for weight loss, but also a great way to savour your food.
These Healthy Food Swaps Can Help Speed Up Your Weight Loss Goals; Try Them Now  NDTV NewsIs weight loss your new health goal? While you must have read a lot of nutritional guidelines related to weight loss, there may be times when you might be ...
Weight Loss Is Hard. We Want To Hear Your Story  NPRNPR is working on a series of stories about overcoming the biological and mental hurdles to weight loss, and we want to hear from you.
Drink ginger-lemon water every morning to lose weight and cut belly fat quickly  Times NowTrying to get rid of your belly fat and improve weight loss? Here are some incredible health benefits of drinking ginger juice with lemon every morning on an ...
Do you think exercising too much will help in weight loss? Here's proof it won't  Times of IndiaBut most of us wanting to lose weight want to do it fast and in order to attain their goal, they often over exercise, assuming that it will help. But.
Quick Weight Loss Tips To Control High Blood Pressure  Doctor NDTVHypertension or high blood pressure is defined as the high blood pressure in the arteries. Also known as the silent killer, high blood pressure can lead to several ...
Weight loss diet: One food that can help you slim down fast - what is it?  ExpressMANY people know that to lose weight they must eat less and move more, but there are some foods that can help the weight loss process more than others.
Weight loss: 3 simple tips to lose weight and get a flat tummy in just 1 week  Times NowNot losing weight, especially unhealthy belly fat? Here's a simple 3-step weight loss plan, backed by science, to help you lose up to 5kg and give you a flat ...
This most effective weight loss strategy is also the easiest  Times of IndiaLosing weight is easier said than done. Exercising every day, following a proper diet regime and ditching your favourite junk food are some of the most important ...
Weight loss surgery proposed for SWAH  Impartial ReporterLocal health care professionals are “delighted” that Enniskillen's South West Acute Hospital is the location in focus for the proposed first…
Weight Loss And Top 5 Reasons Why You Should Ditch Refined Sugar; Says Luke Coutinho  Doctor NDTVPeople tend to grab a candy; chocolate, ice-cream, desert or any other sweets soon after they have eaten a meal or when they are hungry.
Weight loss: 5 healthy snack recipes for a flat stomach and abs  Times NowYou must be thinking, who would enjoy waking up early in the morning to exercise or starving themselves or eating bland food? But weight loss can be enjoyed ...
Weight Loss: 5 Unique Tips To Burn Belly Fat  NDTV NewsWeight loss: You may have heard of these tips from your close friends or peers, or read about them on the internet, some of them may even take you by surprise.
Cheat meals vs cheat days: Which one is healthier for weight loss?  Times of IndiaThe only perk of following a strict diet is cheat meals/cheat days (whatever you follow). Sticking to a strict and boring diet plan along with a regular workout can ...
CSIRO profiting from weight loss pill with no scientific backing  The AgeThe CSIRO, Australia's national science agency, is being used to promote a weight-loss pill despite there being no scientific evidence it helps people lose ...
Follow Lemon Detox Diet Plan For Quick Weight Loss And Better Health  NDTV NewsWe always want to keep our weight in check. In order to lose weight, we must include healthy and nourishing foods in our diet, keep a constant check on the ...
5 things to do before sleeping for easy weight loss  PINKVILLAWondering what exercises to add to your fitness regime to lose weight? Do these simple activities before sleeping and see how they transform your weight loss ...
First weight-loss surgery unit planned for Northern Ireland  BBC NewsThe Department of Health is considering setting up Northern Ireland's first dedicated weight-loss surgery unit. An assessment will be carried out into whether or ...
Fiber: The superfood 95 percent of Americans fail to eat enough of  Vox.comWhen we fret about the deterioration of the American diet, we tend to focus on the excessive amounts of sugar, salt, and calories we're now eating. What we ...
Weight loss: Woman loses seven stone in just 12 months - what diet plan did she use?  ExpressWEIGHT is something many people decide to change in a bid to improve their health, should they find themselves obese or overweight. Having lost an ...
Aaron Washer Weight-Loss Pictures: ‘My 600-LB Life’ Appearance Leads Aaron To Drop More Than 300 Pounds  The Inquisitr NewsAaron Washer came to My 600-LB Life in need of a desperate change, and new weight-loss pictures show that he appears to have found it. The 30-year-old ...
Calculating the number you need to know to understand weight loss  foxrochester.comMetabolic rate is the one number you need to know to demystify weight loss, according to the Tall Trainer, Jeremy Biernat. He has built a free calculator so ...
World Kidney Day: Here's How You Can Maintain Calorie Intake For Weight Loss, Improve Kidney Health  NDTV NewsMaintaining a healthy weight is imperative in people with kidney disease. Their diet depends on their present body weight and thus they must take care of the ...
Americans are contracting superbugs from weight loss surgery in Mexico  Daily MailThe rate of US citizens returning home with pseudomonas aeruginosa, an aggressive bacteria, has more than doubled - from 11 in early January to 25 as of this ...
Fordham flaunts his incredible weight loss on Today Extra  Daily MailThe father-of-two was a picture of self-confidence as he chatted with other panelists on the news discussion show on Friday morning.
7 best and effective yoga asanas to lose weight quickly  PINKVILLAThe best part of yoga is that the asanas will not only help you to lose weight but also help you to relieve stress, improve your mental and physical immunity ...
Weight loss: 3 science-backed tips to lose weight, cut belly fat and get a lean body  Times NowIf these diet and workout tips are proven by science, you can understand the reason behind them and also understand if they will work for you and your body ...
Sania Mirza weight loss: 22 kgs in 4 months - Secrets behind the tennis queen's post pregnancy transformation  Times NowSania admitted how it was really difficult, and people need to understand that not all celebrities undergo the knife to lose weight, some work really hard for it.
Four simple food choices that help you lose weight and stay healthy  The Conversation AUIt's difficult to lose weight. And it's even harder to keep it off. Many people achieve short-term weight-loss only to return to their previous lifestyle choices – and ...
If You're Having Trouble Losing Weight, Here's What To Ask Your Doctor  mindbodygreen.comIf you've ever talked to your doctor about losing or gaining weight, you may have gotten some advice like "eat less, exercise more" or "increase your calories.
Weight loss diet: Best and cheapest diet plan to help you shed the pounds fast  ExpressWITH so many diet options on offer, knowing which will work best can be a difficult task. The ITV show Save Money: Good Diet tested out five different plans to ...
1-day detox diet plan for weight loss: Morning to night routine to cleanse your body and mind  Times NowAs season changes from winter to spring, it may be the best time to detox. According to experts, the time of changing seasons is the best to change your habits, ...
Kate Hudson Is Showing Off Her WW Weight Loss After 3 Months On The Program  Women's HealthAfter a weight gain, Kate Hudson turned to Weight Watchers, becoming a celebrity ambassador and vowing to lose 25 pounds by spring.
Weight Loss and Weight Management Market Size Archives  NewsTenderWeight Loss and Weight Management Market report studies the Weight Loss and Weight Management with many aspects of the industry like the market size, ...
Paul Hollywood weight loss: How the Great British Bake Off judge lost a stone  ExpressPAUL HOLLYWOOD is best known for being a celebrity chef and judge on the Channel 4 show Great British Bake Off. He's often admired for his bread recipes, ...
Lokpal Is the Latest Miracle ‘Weight-Loss Pill’ We Have Bought  BloombergQuintMany newspaper editorials, activists and citizens are elated that the Modi government has finally appointed the first chairperson of the Lokpal. Since seven more ...
Try These Meal Replacement Protein-Rich Shakes For Quick Weight Loss  NDTV NewsThere are times that while you are on a weight loss program you tend to opt for light meals which are not that filling. Or you do not have time to prepare your ...
Weight loss: Know how this guy lost 54 kilos in a year!  Times of IndiaSarvagya piled on the kilos and soon, he found it difficult to fit in his favourite clothes.
Weight loss tips for people suffering from diabetes  Times of IndiaThe first piece of advice that you get from the doctor once you are diagnosed with diabetes is 'weight loss'. This is because losing weight has many health ...
Losing weight after pregnancy: Mum’s weight loss stokes ZADI fitness craze  NEWS.com.auAdala Bolto was on maternity leave when she first discovered her passion for fitness.
Weight loss: 2-minute recipe for the best shake to lose weight and cut belly fat  Times NowNew Delhi: Weight loss is difficult, and the person trying to lose weight leaves no stone unturned to achieve their weight loss goals. While they take care of what ...
Want to lose weight? Eat berries to help you slim down and cut belly fat fast  Times NowBerries - blueberries, strawberries and raspberries - are among the healthiest foods to eat on the planet. Here are four incredible ways antioxidant-rich berries ...
Benefits Of Drinking Peppermint Tea For Weight Loss  NDTV NewsPeppermint tea is an aromatic drink that can even beat your fancy cup of joe or green tea. This interesting beverage is not only low in calories but also curbs ...
Nighttime weight loss tips: 5 simple ways to lose weight and burn belly fat while you sleep  Times NowDo you know that getting enough sleep each night can help boost your weight loss? Maintaining these bedtime habits can help you burn belly fat fast.
Danielle Lloyd heads to the gym after 'massive' 20lbs weight loss  Daily MailDanielle Lloyd, 35, stayed true to her word when she headed to Fiji Spa gym in Sutton Coldfield, Birmingham on Tuesday.
Damilola Dropped More Than 100 Pounds by Pairing a Low-Carb Diet With This Popular Plan  POPSUGARSometimes it takes more than one traditional diet to really keep your weight loss going. Just ask 26-year-old Texan Damilola Soyebo. In three years, she's lost.

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