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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Medical Weight Loss Clinic - 12/17/18  WSYM-TVTracy Strieter, CWP, Wellness & Business Development Coordinator, shares some tips for how you can win at losing weight during the holidays and why you ...
Excess Body Weight Responsible For 3.9 Percent Cancer Worldwide: 5 Tips To Manage Obesity  NDTV NewsObesity is emerging to be one of the top health concerns around the world. If the findings of a latest study are to be believed, excess body weight is said to be ...
10 of the most inspiring weight loss stories from this year  INSIDERAs we finish up 2018 and prepare to start *fresh* next year, losing weight will likely be on people's minds. Last year, weight loss (tied with being a better person) ...
Share Your Weight Loss Secrets  Tufts NowLosing weight and keeping it off is no easy feat—especially during the holiday season. It is an accomplishment worth sharing, and now people all over the world ...
100-Pound Weight Loss Part 2: Clarksville man shares his journey  Clarksville NowYou may recall reading about Chris, a Clarksville man who has lost over 100 pounds since February 2018. Chris walked in to Riverside Spine and Physical ...
Paleo Diet for weight loss: How it helps and what are the risks involved  Times NowAlso referred to as the stone age diet, or the caveman diet, paleo diet means consumption of food that might have been consumed in the Palaeolithic era. People ...
Susanna Reid looks slimmer than ever as she reveals impressive weight loss in jeans  OK! magazineSUSANNA Reid has embarked on a new health and fitness plan.
'Lardy Lab' now fitting fit after miraculous weight loss  Thurrock GazetteSUMO sized Sadie has been shedding the pounds and improving her life with help of a PDSA pet hospital.
Man left paralyzed for 2 days after taking weight loss supplements, report says  Fox NewsAfter ruling out a stroke doctors discovered his potassium and magnesium levels were very low, causing extreme muscle weakness.
Weight loss: Eat this food to get rid of bloating and for a flatter stomach over Christmas  ExpressCHRISTMAS brings with it a season of over-indulging and the January guilt of how much we've consumed over a matter of weeks. But there are some foods you ...
Weekend weight loss tips: Mouni Roy's fitness routine and diet- get an hourglass figure like the actress  Times NowMouni Roy is making news for her fit body in the new song titled Gali Gali of the upcoming movie KGF. She is a fitness freak and her Instagram is proof of the fact.
Fries, tans & weight loss set for new N. Meridian retail center  boisedev.comThe boom in retail options in the north portion of Meridian continues. A small new shopping center is set to be constructed, and already has most of the space ...
Weight Loss: 5 Simple Dietary Tips To Lose Weight During Winter  NDTV NewsWeight loss: A few simple yet important dietary tips when followed consistently could not only help you cut the bulge but also make you feel more energetic.
How to maintain your weight loss goals this holiday season  Victoria AdvocatePlanning ahead and being mindful of what you eat can help you avoid unwanted pounds.
4 Small Changes That Helped This Man Drop Over 100 Pounds in 10 Months  runnersworld.comDavid Young used to weigh more than 300 pounds. Now, he runs to the gym three days a week.
How the hell does an overweight person lose weight without trying over Christmas?  The Irish TimesGiving myself a break, letting go of the shame and guilt contributed to my weight-loss.
What We Know About Diet and Weight Loss  The New York TimesYou'd think that scientists at an international conference on obesity would know by now which diet is best, and why. As it turns out, even the experts still have ...
Weight loss: Add low-calorie Gajar Ka Halwa (Indian carrot pudding) to your diet plan to reduce belly fat  Times NowDo you know the amazing health benefits of Gajar Ka Halwa, or Indian Carrot Pudding? Here's a low-calorie recipe to include in your weight loss diet and lose ...
Can Alcohol Help Affect Weight Loss In Diabetics? This Unique Study Will Surprise You!  NDTV NewsConsuming alcohol regularly may lead to long-term weight loss in people with diabetes, revealed a new study published in the journal Obesity. The study, which ...
Intermittent Fasting: Are Conventional Weight Loss Diets Better Than Intermittent Fasting?  NDTV NewsMany people are following intermittent fasting to lose weight and stay healthy. However, findings of the study from the German Cancer Research Center have ...
Weight Loss: Here’s How To Use Kokum To Lose Weight And Burn Body Fat  NDTV NewsIf you are trying to lose weight, try the tarty and citrusy kokum fruit that is said to liven up any curry or dal. A favourite among the Konkans, it is majorly found in the ...
Mumbai girl undergoes second weight-loss surgery week before eighth birthday  Times of IndiaMUMBAI: While the jury is still out on whether obese children should undergo weight-loss procedures, a child from Vakola has undergone her second such.
Weight Loss: Kick-Start Your Day With This 3-Ingredient Drink To Lose Weight And Stay Active  NDTV NewsIf you are watching your weight, then you would know that starting your day with a glass of warm water with lemon and raw honey in it may help you shed some ...
Weight loss: Simple steps to losing weight over the Christmas season  ExpressLosing weight ahead of Christmas is a difficult feat, considering you're surrounded by sweet treats, carb-heavy meals and alcohol for an entire month. But we ...
Weight Loss: Drinking Cabbage Juice May Help Lose Weight And Burn Body Fat  NDTV NewsThere are many healthy beverages you can enjoy while trying to lose weight and one of them is cabbage juice. Yes, you heard us! Cabbage juice is said to help ...
Weight Loss: 3 Drinks To Increase Metabolism And Burn Fat Naturally  NDTV NewsThe faster the metabolism, the easier it is for you to maintain weight. A good metabolism is able to burn more calories effectively, and prevent us from putting on ...
5 Important Tips to Make Your Weight Loss Plans actually WORK!  BOXROXThere are many factors surrounding weight loss beyond the calories and counting. Use these tips to help yourself achieve your true goals.
Weight Loss And Other Amazing Benefits Of Vegetable Broth  Doctor NDTVWe all know the numerous health benefits of vegetables. It is beneficial for the overall health and provide adequate nutrients to the body.
12 Keto Diet Weight-Loss Tips Jenna Jameson Swears By  Women's HealthJenna Jameson has lost 80 pounds since starting the keto diet, and she just shared the 12 pieces of weight-loss advice that helped her get there.
Apricots For Weight Loss: Why Should You Eat This Furry Fruit To Cut Belly Fat  NDTV NewsWeight loss: The fuzzy and furry fruit that hails from China is exceptionally loaded with nutrients.
Take Less Carbs To Help Maintain Weight Loss  Star2.comLow carbohydrate diets can help people maintain their weight loss by triggering the body to increase the number of calories it burns.
Susanna Reid weight loss: How the Good Morning Britain star shed 1.5 stone without the gym  HELLO! MagazineSusanna Reid has said she's feeling more energetic than ever since slimming down – and it's all without spending hours in the gym. The Good Morning Britain ...
7 Tips for Losing Weight That You Won't Roll Your Eyes At  GreatistWhat you eat is important for weight loss, but it's so much more than that. Here's a look at one person's journey that focuses more on mindset and self-care than ...
Weight loss: 14 tips to increase your protein consumption by ACE-certified specialist Sapna Vyas  Daily News & Analysis1. Have a protein shake for breakfast. Have a protein shake for breakfast. 1/14. There are several types of protein powders available in the market, including ...
Weight Loss Tips: 8 ways to get faster results by ACE-certified specialist Sapna Vyas  Daily News & AnalysisIt's a tale as old as time. You can lift a weight for a solid set of eight-10 reps, so you add another small plate. And another. You get stronger, and you start seeing ...
Breast cancer: Exercise linked to weight loss, higher disease-free survival rates in patients  Times NowPeople with breast cancer who lead a healthy lifestyle, such as eating a healthy diet and exercising regularly, are more likely to lose weight and have higher ...
Weight loss: Eat your dinner at 2 p.m if you want to lose weight!  Times of IndiaIf you are looking for a way to get rid of that extra flab, it's time you take your dinner early.
Here's How Many Minutes You'd Need to Walk Each Day to Lose Weight, According to a Trainer  POPSUGARWalking may seem too simple to be an effective form of exercise, but if you play your cards right, this familiar movement can be a lean, mean,
Hefty hounds shed pounds in weight loss challenge  Sky NewsBy Lucia Binding, news reporter. Two hefty hounds have shared a pet slimmer of the year award after shedding a quarter of their body weight. Borris, a formerly ...
Mihir Jain, world's heaviest teen, loses 100 kg through weight loss surgery: Is it the only answer to obesity?  Times NowMihir Jain underwent a gastric bypass surgery in July this year when he lost 100 kg weight. He recently visisted Comicon and even took a picture with ...
Isha Ambani's brother Anant Ambani's weight loss journey- the diet and exercise he followed to lose 108 kg  Times NowNew Delhi: Isha Ambani, the daughter of India's richest man Mukesh Ambani and Nita Ambani, is all set to tie the knot with Piramal Anand on the 12th of ...
Want to lose weight? Eat more of sweet potato!  Times of IndiaIf you are looking to lose weight while continuing to binge on the winter delicacies, you absolutely must add more sweet potatoes to your diet!
Try These Homemade Protein-Rich Shakes For Quick Weight Loss  Doctor NDTVWe all know the importance of the nutrient protein in losing weight. Protein is an important nutrient for which helps in shedding those extra kilos.
You Can Absolutely Speed Up Weight Loss! A Beachbody Trainer Shares 3 Fitness Tips  POPSUGARYou're eating a healthy diet, watching your calorie intake, and focusing on whole, unprocessed foods. That's the key to weight loss, but you can speed up your.
See before-after pics of Sara Ali Khan's weight loss: Kedarnath actress' diet & workout secrets revealed  Times NowSaif Ali Khan and Amrita Singh's daughter Sara Ali Khan's weight loss transformation will inspire you to hit the gym right away. Here's the secret behind the ...
Weight Loss: 10 Easy Ways to Burn Fat & Shed Extra Kilos  Odisha Television Ltd.How to burn the stubborn fat? This is the question that people of all age group are brooding upon and trying almost everything to lose weight but they often do ...

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