Let’s start with the impetus for my morning study focus: requirements by the American Board of Pediatrics (ABP) for what they call “Maintenance of Certification”. Those of you reading this who are American physicians know what I mean: we are required to take Board Examinations every ten years, something I have just finished doing (again). Some of you reading this may be lawyers or therapists—imagine if you had to retake your professional exams every ten years. I am not talking…Read More
Viewing blog posts categorized under "Metabolic Weight Management"
In our clinic we spend a lot of time thinking and talking to our patients about the hormone leptin.
In another instance of the concordance of important findings to obesity science and eating disorder science, the study of leptin and body weight, leptin and menstrual function and now leptin and mood, has revealed relevance to both of these groups. According to an article titled Leptin Predicts Decreased Depressive Symptoms, from the Neuroendocrine Unit of the Department of…Read More
“With what incredible courage we are able to endure the suffering of others” -- My favorite quote from English garden writer Christopher Lloyd. And nowhere does it apply more than in medicine. And within the world of medicine, nowhere more than in the world of mental health.
When my neighbor is poor, he deserves it for his sloth and lack of thrift. When I am poor, I am the victim of unfairness and persecution. When a young man medicates his abdominal pain with narcotics, he just…Read More
One thing I've observed over the years is that those readers who are interested in anorexia nervosa seem to have little interest in obesity, which they often seem regard as an lifestyle choice irrelevant to them, while those who study obesity often ask themselves what this rare condition (AN) has to do with their vastly more prevalent (read: important) condition of obesity (OB)? Quite a lot, as it turns out. And by the way, it’s worth repeating at the outset, neither condition is one…Read More
For people who are high achieving and successful, patience is typically not one of their long suits, especially when “patience” involves rest and restraint.
It’s not enough that our patients are often self-driven high achievers, but as this temperament trait is also highly heritable, many of our parents are as well. It is not unusual for our kids to be valedictorians, salutatorians, the lead in the school play, talented musicians, or competitive dancers or athletes, whose efforts…Read More
Recently a patient of ours returned from a treatment setting where she had been presented with “challenge foods”. In her case she had been given cheetos and soda pop. Now I ask you, why on earth would someone encourage a child to eat such a thing?
A lot of ink has been spilled on teaching Americans in general and children in particular to make good food choices. Just because you have anorexia nervosa as a child, and desperately need to gain and maintain adequate weight, does not…Read More
I was recently sent an article from which I will be quoting extensively here (it’s also included in this newsletter - ed.). The article is by Heidi Mills, writing for Outside magazine and features the work of Dr. Emily Cooper of Seattle Performance Medicine. Dr. Cooper has consulted with Kartini Clinic on metabolic health and weight balancing for some time. Originally, we worked together to try and solve the conundrum of patients with AN who appear to be weight restored but who…Read More