Weight loss & Exercising [Struggling to meet BMR]

Background information:

Age: 21

Weight: 91 Kg

Height: 161-163

For a long time I've been eating rather little due to a large lack of appetite; this has been going on for a little over two years. I can maybe stomach a meal or two a day. I am well aware this is not healthy and have tried to incorporate more food into my diet by trying to train my body to eat even when I'm not consciously hungry. I continuously gain weight despite this. Over the last year and a half I have gone from roughly 63-64 kilos to 91 because of lack of appetite.

Now I typically eat...

Breakfast:

Milo cereal with low fat milk

A banana

Lunch:

Two slices of bread with tuna on them.

Snack:

Apple

Dinner:

Usually chicken with salad.

I have been diagnosed with Ankylosing Spondylitis. I cannot sit anymore for no more than 20-30 minutes at a time. I must keep active to keep mobile, reduce inflammation and for my sanity. My ESR is 44 (Should be <10) and my CRP is 17 (Should be <2.9) despite being on NSAID medication 

I am currently on Endep for migraines and Meloxicam for the inflammation. I have a membership at the local leisure centre that includes unlimited access to group exercises, the sauna, the spa, the steam room, the pools and the gym. I can't do high impact activities and so I swim for roughly 60-120 minutes a day ( I am still a novice and still learning to swim, so they are often not set laps! Leisure swimming, maybe some water aerobic classes). I have found that this has helped my pain levels significantly and it is not something I want to compromise on. I will also be starting my gym exercises on Monday when my gym plan is organised by my instructor.

In order to keep my inflammation down (Thereby slowing down the progression of AS) and to keep a level of mobility I have to exercise daily. However, because I've gone so long without eating properly I have to now eat a large amount (1600-1800 calories) with my exercising(According to the site) in order to lose weight and be healthy. I am severely struggling to eat this amount of food. I am looking for tips on small things, maybe nuts or whatever that is both healthy, beneficial and high in calories so that I am able to safely meet my weight loss goal. As a full time student living away from home, my parents help a little for my membership, but this means that I can't spend a lot of money on expensive food. I do not have a sweet toothe. I do not eat chocolate nor do I drink soda. I drink orange juice, milk and water primarily. 

Any tips would be very much appreciative! My main worry is that I won't be able to eat enough to lose weight with the amount of exercising I am doing, as this level of exercise will only increase and I absolutely cannot limit my exercising. My plan is to lose inches/weight so that I'm around the 60 kg mark again.

Thank you very much! 

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Constipation after increased calories

Hi. I know that this has been asked many times before. But can I deal with ED recovery constipation without taking fibre supplements or laxatives?

I have been on an increased calorie diet for 3 weeks. Approximately 2000cals a day. I eat an average of 2 servings each of fruit and vegetables every day. I get an average of 23g fibre, 60g fat and 60g protein per day. Admittedly, my dietary fat comes from less-than-ideal sources such as chocolates and biscuits.

I usually go to the bathroom at least once a day. But I have been having gas cramps the past few days and keep feeling like I need the toilet today but nothing will come out...? It's rather annoying to feel like I need a poo but I can't have a poo! Any advice?

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Is anyone trying to lose 300lbs or more?

I have just joined today and would like to chat to people that weigh 300lbs or more but if anyone else wants to chat feel free. I weighed myself this morning and weigh 302lbs, I want to cry but have to keep a brave face for my boys. I was seeing a eating disorders therapist but that has stopped as I have just started a new job and because I live in a small village with hardly no bus service I have to rely on taxis which can get very expensive. I spoke to my doctor about this but there is nothing they can do. I feel stuck. So I'm hoping that by joining and getting into a healthy eating pattern I will lose weight' I'm not in a rush but I can't keep eating the way I'm going.

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I have binged for 28 days straight...13 pound weight gain.

went from being anorexic 5"4 and 100 pounds and gained 8 pounds over the span of a month and a half. was at 108-109 June 1st. i have binged every single day since june 2nd to june 30th where i am currently laying in bed eating an icecream bar. I am now 122 pounds-13 pounds heavier in 28 days. i work out 1 and a half to 2 hours everyday to try to counteract the binges cause i know by 10 or 11 pm they are coming. I have never heard of anyone binging to this extent. If i had to average my daily intake for the last 28 days it would probably be about 3500 calories a day. I've eaten anywhere from 2900 (on a couple of "good days") to 4700. im not even hungry. I just like to taste test everything in my cupboards and i feel the need to eat everything..just cause. I am so disgusted with myself..I hide in my room now..my mom even commented on my eating habits cause she noticed all of the food gone the other day that was there when she went to bed..im 17. I don't know what to do with myself. I'm thinking maybe a 5 day juice fast to start? I swear I must be the only person in the world who has binged for 28 days straight...disgusting :'(

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Cannes Latest

This year, we're reporting live from Cannes with Calvin Klein Euphoria to tell you what it's really like at the most fashionable film festival of the year. 

Day Three
The festival is barely underway but alas, our final day in Cannes has arrived. And with it, the sun. Bloody typical. However, in the last 24 hours, we have achieved many fabulous things: we have danced with Cara Delevingne, chatted to Carey Mulligan about her mum and ordered room service in the Hotel Martinez at rougly 3.30am. 

After chatting to CK One Insider Bip Ling about all things make-up, and being made-over by make-up genius, CK Color head make-up artist Hung Vanngo, we headed out for some red carpet action.

All dressed up and positioned on the Calvin Klein black carpet, ready to talk to the stars... Pretty chic, non? Seriously, non. It was blowing a gale and pouring with rain. But while Nicole Kidman didn't want to stick around to chat (very sensible,) Carey Mulligan, Rooney Mara and Naomie Harris all braved the rain to talk to us about women in film. 

vine.co/v/bEX9F3dLZ5W

— Glamour Magazine UK (@GlamourMagUK) May 17, 2013

We'll be posting videos oh-so-soon so stay tuned to hear all about the three beautys' female inspirations. 

After two hours on the not-so-glamorous but still super-stylish CK black carpet, we were ready for a glass or three of champagne. Now off-duty, we could enjoy one of the famous Cannes parties. So imagine our joy when we were joined on the dance floor by none other than Cara Delevingne, looking super-stylish in a sequined black tux with a towering quiff. We can confirm - this girl looks even more beautiful in real life. And she's one of the most down-to-earth celebs we've ever had the pleasure of meeting. She was happy to chat, dance and take photos with anyone that approached her. With Rita not in town, perhaps she was in search of a new wifey? We were happy to volunteer. She told us about her aspirations to act and to sing, hinting that she might move on from modelling in the not-too-distant future. Before she retires though, she agreed to strike a pose with us. Profile picture = sorted. 

New #Cannes party pal: supremely beautiful @caradelevingne twitter.com/GlamourMagUK/s…

— Glamour Magazine UK (@GlamourMagUK) May 16, 2013

After a late-night croque-monsieur (when in France...) in our room at about 4am, we called it a night - waking this morning to find the sun shining for our last few Cannes hours. We'll sign off now to go for a final stroll down the sunny Promenade de la Croisette.

Oh sod it, it's bucketing down again. Marvellous. 

Day Two
Our mission this morning: to find out how the other half live. (Leo is still a no-show in our lives, by the way, NOT THAT WE CARE). A stroll down Boulevard de la Croisette (in the drizzle) takes us to the festival proper, where a grand, red-carpeted staircase leads to one of the screens. Last night it was filled with stars headed to get a first peek at The Great Gatsby (if they hadn't already caught a showing following its earlier US release, that is). This morning, the only celebrity in sight is Pudsey the dog, of BGT fame, who's being carried around in what we can only describe as a doggy Popemobile. 

Now on to the yachts - despite walking very slowly up and down the various jetties, no yacht-party invitations were forthcoming. The sun does make an appearance, however, and suddenly it's clear what makes Cannes just so fabulous: the warm Rivierra sunshine and the clear blue sea. C'est magnifique.  A spot of lunch with a glass of white goes from tres bien to parfait when The Lumineers strike up a song right next to us. You can hear six seconds of their song on repeat in our Vine post.

(We think you'll agree, we chose the best six seconds).

Lumineers #cannes vine.co/v/bEn0uUIlYWg

— Glamour Magazine UK (@GlamourMagUK) May 16, 2013

Alas, it's now back to work we go: tonight we'll be interviewing the likes of Carey Mulligan, Nicole Kidman and Naomie Harris at the Calvin Klein Euphoria/ Independent Film Project party to celebrate women in film, hosted by Francisco Costa, creative director of Calvin Klein. It's a hard life.

Yacht time #Cannes vine.co/v/bE1EvBuZn3l

— Glamour Magazine UK (@GlamourMagUK) May 16, 2013

DAY ONE
Let's just get this out of the way first off: we haven't seen Leo yet. It's the opening day of the 2013 Cannes Film Festival and Leonardo DiCaprio is definitely in town (this picture was taken of him here - although it doesn't appear to be pouring with rain or blowing a gale force wind, which I can assure you, it is). But, this picture aside, we have yet to clap eyes on Jay Gatsby, the man of the hour, the man everyone in town is talking about. 

But aside from the Leo no-show, it's been pretty fabulous so far. On our plane out here were Naomie Harris and Rooney Mara (not bad flying companions). There was also a fluffy white Shih Tzu puppy who had his own seat.  On arrival at the Hotel Martinez, we were met with about 100 celeb spotters who, as you can imagine, were pretty excited when our car pulled up and we climbed out. Or not. They did get more excited, however, by Cara Delevingne, who arrived at our hotel just a few minutes after we did. 

Here's the moment we pulled up at the hotel...

#Cannes we're heeeere! vine.co/v/bEq3E25XYtg

— Glamour Magazine UK (@GlamourMagUK) May 15, 2013

This evening we spotted the likes of Julianne Moore and Fan Bing Bing headed to an opening night party, while we sipped champagne in the hotel bar trying to pluck up the courage to head out into the downpour. Let us tell you: Cannes in the rain is pretty much the same as anywhere else in the rain - people running around bumping umbrellas and trying to find anywhere to eat/get out of the rain/curl up and cry. There will be no yacht-hopping for us while this weather continues, so while we sit out the storm in the comfort of our hotel room, this is the closest we'll be getting to Leo...

Leo fever has hit #Cannes vine.co/v/bEMLFmepUdA

— Glamour Magazine UK (@GlamourMagUK) May 15, 2013

Before we left, we wrote...

We're headed to Cannes with Calvin Klein to bring you all the gossip live from the most fashionable film festival of the year.

Nicole Kidman, Rooney Mara, Carey Mulligan, Naomie Harris and Lynne Ramsay are to be celebrated at a 'women in film' party at this year's Cannes festival, hosted by the IFP (Independent Filmmaker Project), Calvin Klein Collection and euphoria Calvin Klein.

We'll be reporting from the red carpet and inside the party, as well as star-spotting on the opening days of the festival.

Stay tuned! 

#Cannes vine.co/v/b0xDmJtEpiZ

— Rebecca Cox (@Rebecca_Cox) May 13, 2013

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Michelle Williams carries her luggage at John F. Kennedy International Airport

Daft Punk day finally arrives… But does it live up to its astronomical hype? Plus, the latest from Maya Jane Coles, London Grammar, Laura Marling, Eddie Berman and a special Virgin Records announcement »

Read more »

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Night Owls May Pack on More Pounds

Study found they ate worst foods late at night, long after sound sleepers had hit the sack

By Dennis Thompson

HealthDay Reporter

FRIDAY, June 28 (HealthDay News) -- Night owls are more likely to gain weight than people who get good sleep because they tend to graze the kitchen for junk food in the wee hours of the morning, a new study suggests.

Researchers at the University of Pennsylvania found that people who were kept up until 4 a.m. in a sleep lab ate more than 550 additional calories during the late-night hours.

"People consumed a substantial amount of calories during those late-night hours when they would normally be in bed," said study author Andrea Spaeth, a doctoral candidate in the psychology department at the University of Pennsylvania. "Those calories also were higher in fat compared to the calories consumed at other times of day."

As a result, subjects kept up late gained more weight during five days of sleep deprivation than people in a control group who were allowed to get good sleep, Spaeth said.

Late-night overeating is likely the result of hormonal changes that occur in people who are sleep-deprived, said Dr. W. Christopher Winter, medical director of the Martha Jefferson Sleep Medicine Center in Charlottesville, Va.

They tend to experience an increase in their levels of ghrelin, a hormone that stimulates hunger cravings, and a decrease in levels of leptin, a hormone that makes people feel full.

"Now you're in a situation where you are craving bad food and more of it, and your body feels less full when it gets that bad food," Winter said.

The research team monitored the eating habits of about 200 people who, for five days straight, were kept up until 4 a.m. and then allowed only four hours of sleep. They remained in the lab the whole time, going through in groups of four or five at a time.

Subjects were allowed to eat whenever they liked, and trained monitors in the sleep lab maintained a running tally of the amount consumed and the times at which they ate.

Researchers then compared their calorie intake and weight gain to that of a control group allowed a good night's sleep in the same lab with the same food availability.

"The only difference between the two groups was sleep," Spaeth said. "They lived in a suite, and in the suite there was a kitchen with a fridge and microwave."

The eating habits of the control group remained unchanged. The sleep-deprived group began eating additional calories between 10 p.m. and 4 a.m., and they tended to eat fattier foods during that time period. "That does kind of mimic the real world, when you're up late at night and you drift over to your fridge," Spaeth said.

There was one key difference between the lab and the real world. Since the study took place in a hospital, the suite's kitchen was stocked with hospital food. "I'm wondering if the effect would be stronger in the real world, where you have access to more calorically dense foods," Spaeth said.

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Costlier Heart Device May Not Be Worth It, Study Suggests

Dual-chamber implanted defibrillators had more complications than single-chamber models

By Brenda Goodman

HealthDay Reporter

TUESDAY, May 14 (HealthDay News) -- Patients prone to dangerously fast heart rhythms may get just as much help and have fewer complications with less-expensive implanted defibrillators that run one wire to the heart instead of two, a new study shows.

Implantable cardioverter defibrillators, or ICDs, are like having an emergency "crash cart" in the chest. The devices can sense runaway heart rhythms and deliver powerful shocks to jolt the heart back to a normal, steady pace.

Studies have shown that the devices cut deaths in patients at risk for sudden cardiac arrest because their heart muscles are too weak to effectively pump blood throughout the body, a condition called cardiomyopathy.

But little evidence exists to help doctors decide when it's better to choose a single-chambered ICD for patients or the more complex dual-chambered model.

The study, published in the May 15 issue of the Journal of the American Medical Association, compared the fates of more than 32,000 Medicare patients who received ICDs, from 2006 through 2009. None of the patients also needed a pacemaker, a device that speeds up a slow heartbeat.

"There is evidence for greater risk of complications. Not clear evidence of benefit. That risk-benefit ratio really doesn't support the routine use of dual-chamber devices for primary prevention," said study co-author Dr. Pamela Peterson, an associate professor of medicine at the University of Colorado at Denver.

About one-third of patients received a single-chamber ICD, in which an electrical lead is attached to the heart's lower right pumping chamber. The other two-thirds got dual-chamber devices, in which wires are attached to the upper and lower chambers of the heart's right side.

After a year, patients who got single-chamber ICDs were no more likely to die or be hospitalized than patients who got the more expensive dual-chamber models. They were, however, slightly less likely to face serious complications, including fluid build-up around the heart or lungs and mechanical problems with the device that required a second surgery to fix.

That was true even after researchers adjusted their results to control for any differences between patients who got single- and dual-chamber devices.

Overall, close to 4 percent of patients with single-chamber ICDs had complications with their devices compared to about 5 percent of patients with dual-chamber models, the investigators found.

The study was observational, which means researchers couldn't prove that the type of ICD was the only reason patients fared the way they did. Though they tried to carefully control their data for important differences between the two groups, other factors they couldn't measure, such as medications people were taking, may have influenced the results.

The study was funded by a grant from the U.S. Agency for Healthcare Research and Quality.

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How long did it take you to lose Belly Fat?

I've been been working out since last year summer, but my diet sucked while I was away at college (pretty active though) and I ended up regaining some weight I lost.

I've been reworking out again this summer and it's been week 7 and I've lost about 11 pounds. I've also toned up a lot around my arms and legs, but I just can not seem to lose that stubborn fat around my midsection.

So just wondering how long did it take you to lose your belly fat? and Realistically how long does it take to lose fat in that area?
Thanks!

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Procedure for Incontinence in Women May Lose Effectiveness With Time

In 7-year study, failure rate for pelvic organ prolapse surgery gradually increased

By Serena Gordon

HealthDay Reporter

TUESDAY, May 14 (HealthDay News) -- The success of a common surgery for pelvic organ prolapse -- a painful and distressing condition affecting many women -- lessens over time, according to a new study.

Abdominal sacrocolpopexy is a procedure used to relieve the problem. It involves stitching a piece of mesh on the top of the vagina and attaching it to a strong ligament from the back of the pelvic bone. This surgery helps to support the pelvic organs.

But the new study found that with each passing year, the rate of pelvic organ prolapse surgery failure increased. The rate of mesh erosion (the primary material used to provide support) reached 10.5 percent by seven years after surgery.

The study also found that the risk of urinary incontinence rose with each year after the surgery.

"This is the longest follow-up of a common operation for women with pelvic organ prolapse. We found that pelvic organ prolapse and urinary incontinence rates increased gradually over follow-up," said study author Dr. Linda Brubaker, a professor of obstetrics and gynecology and urology at Loyola University Medical Center.

Even though surgeons might define a procedure as a failure, many of the patients did not. Only about 17 percent of women had additional pelvic floor surgeries, according to the study.

Pelvic organ prolapse leads to surgery in 7 percent to 19 percent of women, according to study background information. Normally, muscles, ligaments and connective tissue keep all of the pelvic organs where they're supposed to be. But, weakness or tears in these supportive tissues can allow pelvic organs, such as the uterus and vagina, to protrude through the vaginal opening.

This can lead to problems with pelvic organs, according to the American Urogynecologic Society. For example, if the bowel is protruding, constipation or fecal incontinence can result. If the bladder is affected, urinary incontinence may occur.

As to why these surgeries might fail, Brubaker said, "surgeries don't stop time. Women continue to age and the underlying biology continues. Patients may gain weight, too," added Brubaker, who is also dean of the Loyola University Chicago Stritch School of Medicine.

Results of the study are published in the May 15 issue of the Journal of the American Medical Association.

Each year, as many as 225,000 American women have surgery for pelvic organ prolapse, the study authors noted. However, very little long-term follow-up data is available on the success of these procedures, Brubaker said. Most studies only follow women for two years.

The current study included seven years of follow-up. Abdominal sacrocolpopexy isn't the only procedure available for pelvic organ prolapse, but it is commonly used. And, in more recent years, the surgery is being done laparoscopically, so it's less invasive.

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