Sarah Hyland Weighs 92 Lbs. and Has 49% Body Fat—but Is That Even Possible?

When it comes to understanding body weight versus BMI versus body composition, things can get confusing. Even more confusing is when the numbers don’t seem quite right, which is exactly what happened when actress Sarah Hyland stepped on the scale to determine her body composition (AKA how much of her weight is fat versus lean mass) yesterday.

“Yeah. My scale says I’m 48% fat. Soooo…how’s your Monday?” the Modern Family star captioned a photo she posted on Instagram stories last night. According to Hyland’s body composition scale, she weighs 92.8 pounds, with 49% body fat, 11% muscle, 37% water, and 3% bone. Hmm.

According to the American Council on Exercise, normal body fat percentages for women range from 10% to 31%, with a body fat percentage over 32% being considered obese. At 5’2” and 92 pounds, Hyland is anything but obese. So we had some questions.

RELATED: Kourtney Kardashian Weighs 98 Lbs. Here’s Why That’s Not Necessarily a Bad Thing

First off, is it even possible to be 92 pounds and have 49% body fat? “While it is possible to have that high of a percentage of body fat, it would be very abnormal for half of her body weight to be fat,” says Amy Rothberg, MD, director of the University of Michigan's Weight Management Clinic.

Samuel Klein, MD, director of the Center for Human Nutrition at the Washington University School of Medicine in St. Louis agrees: “Women tend to have more body fat than men, but it's highly unlikely that she would be 92 pounds and almost 50% body fat.”

RELATED: The Number One Thing You Need to Do to Lose Weight Forever, According to Experts

It’s not surprising that Hyland’s home scale provided questionable results. According to Dr. Klein, there's so much variability in home body composition devices that they aren’t always reliable sources. Plus, body composition scales (or the regular versions, for that matter) don’t account for the distribution of fat throughout the body, which is actually just as important as the amount of fat one carries. Why? Belly fat is linked to an increased risk of metabolic diseases like diabetes and heart disease compared to fat stored in the buttocks and legs.

When assessing body fat, it's critical to consider distribution in addition to composition, says Dr. Klein: “Measuring your waist circumference, for example, will give you a better estimate of your fat distribution than stepping on a scale.”

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According to Dr. Rothberg, the most reliable way to measure body composition is with a DEXA scan or Bod Pod device, two tools that are typically found at medical centers, fitness clinics, or in research settings—not your bathroom–and use high-tech methods to compare fat tissue to lean mass.

We weren’t the only ones who were skeptical of Hyland’s home scale reading. The actress captioned her body comp score, “Definition of #skinnyfat or my scale is broken.” We’re going to guess it’s broken.

Source: Health bests

Is Your Body Really Programmed to Be a Certain Weight?

The set point theory is the idea that the body has a preprogrammed weight that it likes to be at to function efficiently. And there is scientific evidence that suggests there is some truth to this; the body uses a variety of metabolic and hormonal mechanisms—like slowing down metabolism when you cut your calorie intake, for instance—to maintain its weight when you try to slim down.

So does this mean that trying to lose weight below your “set point” is futile, since your body will try to fight it and always win? No, weight management is more complicated than that. Many parameters control weight, including genetics, but so do external factors, like stress and your eating behaviors. Plenty of people slim down and settle at a lower weight permanently—but you should follow a safe, gradual weightloss plan so that your body can adapt over time. (Plus, you’ll be more likely to keep the pounds off in the long term if you take on sustainable healthy eating habits.) Crash dieting (like restricting your calories too intensely) can cause your body to try to hold on to fat so it stays at its happy weight—don’t try it.

 

Health’s medical editor, Roshini Rajapaksa, MD, is assistant professor of medicine at the NYU School of Medicine.

Source: Health bests

Kourtney Kardashian Weighs 98 Lbs. Here’s Why That’s Not Necessarily a Bad Thing

In a deleted scene from Sunday’s episode of Keeping Up With the Kardashians, we learned that a short woman weighs a small amount. When you put it that way, it doesn't sound so shocking, right?

Here's how it actually unfolded:

Khloé tells friend Simon Gebrelul, “You know she’s 97 lbs.?” about her older sis Kourtney.

“Guess what? I gained a pound,” Kourtney chimes in. “I’m 98.”

Perhaps forgetting that Kourtney stands a mere 5 feet tall, reactions on Twitter ranged from “OMG I want to be her” to “OMG that can’t be healthy,” with a sprinkle or two of “OMG why is this news?”

In a way, everyone's kinda right.

“People aren’t used to seeing weights under 100 pounds, and I think that’s triggering for a lot of people,” says dietitian and educator Claudia T. Felty, PhD, RD. In general, she says, we all need to take a deep breath and a big step back from being so quick to judge others by the numbers on their scales.

RELATED: 16 Weight Loss Secrets of the Kardashians

Aside from it simply not being a friendly thing to do, “the number on the scale tells us very little about the overall health and wellness of a person,” says certified eating disorder registered dietitian Marjorie Nolan Cohn, RDN. “Bodyweight is just one (relatively small) variable we use to determine someone’s overall health and disease risk. It doesn’t tell us anything about one’s genetic risk factors, cardiovascular health, immune health, bone health, or hormonal balance.”

The number on the scale also varies greatly with our own individual packaging, so to speak—which in Kourtney's case is small. She revealed in a 2015 Instagram post (which also garnered lots of commentary about her weight) that she is only 5 feet tall. While 98 pounds may be unimaginable for most of us non-Kardashians, it’s not outrageous for someone of this size. “Depending on bone structure, muscle mass, and genetics, a range for healthy women of 5 feet could be anywhere from the low 90s to the 120s,” Cohn says.

Reshmi Srinath, MD, director of the weight and metabolism management program at the Mount Sinai Hospital in New York City, says she typically looks at a person’s BMI or body mass index rather than just the number on the scale—and even those don't provide a perfect measure. “BMI is a standardized measure of height compared to weight, and using that, I can characterize someone as normal weight, underweight, or reaching obesity,” she explains.

RELATED: The Best and Worst Ways to Calculate Body Fat

Current guidelines suggest that someone with a BMI over 25 is considered overweight. Over 30 and you're considered obese, while you'd fall into the underweight category if you clock in under 18.5. At her height and weight, Kourtney comes in at a low but still healthy 19 or so, Dr. Srinath says. But someone who has a lot of muscle mass—which weighs more than fat and would therefore raise BMI score—could be easily miscategorized as obese, Cohn says. Meanwhile, someone with very little protective muscle mass could be classified as meeting a healthy weight, despite a greater risk for certain conditions.

Emerging research suggests that measuring a person’s waist circumference and comparing it to the size of her hips—the waist-to-hip ratio—may be even more telling. “We know that people who have greater waist circumferences have greater risk of heart disease and metabolic syndrome,” says Dr. Srinath, also an associate professor of endocrinology, diabetes, and bone disease at the Icahn School of Medicine at Mount Sinai. That’s because it’s the so-called visceral abdominal fat (otherwise known as belly fat) that seems to pose the biggest risk to our health.

Felty recommends ditching the scale entirely. “I focus on intuitive eating, becoming more in touch with your own body,” she says. “I look at energy levels, food and exercise behaviors, and use that intuitive process to learn what your body needs, which often helps stabilize weight naturally.”

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For everyone who was quick to judge Kourtney’s weight—or anyone’s, for that matter—remember that every person is unique. “We all have different curves,” Dr. Srinath says, and a fair amount of curviness comes from genetic factors, meaning it’s out of your control. Whatever your weight is, don’t spend another second comparing it to Kourtney's.

“Look at our furry friends,” Felty suggests. “We would never expect a Chihuahua to look like a St. Bernard. We have different genetics, different builds—we’re all individuals.”

Source: Health bests

How to Lose Weight on a Part-Time Diet

You know what dieting demands: cut calories, go hard on veggies, exercise, and repeat, well, forever. But what if you could hit pause on dieting once in a while, but still reap weight-loss benefits?

That’s the premise of part-time diets. “ ‘Part-time dieting’ is an umbrella term for eating styles that let you be flexible with the hours, days, even weeks that you cut calories,” explains Courtney Peterson, PhD, assistant professor in the department of nutrition sciences at the University of Alabama at Birmingham. And recent research is starting to uncover how different methods may make it easier to shed pounds and improve health.

No, dieting part-time doesn’t mean you can go crazy on burgers and fries when you’re not watching your calories as closely—and there’s no one-size-fits-all plan. Here, our experts dive into ways you can try this trend and how to customize it just for you.

The fasting-mimicking diet

Despite the name, the fasting-mimicking diet (FMD) doesn’t actually involve fasting. You restrict your calorie intake for five consecutive days, every three to four months, on average. The evidence behind the method: In a clinical trial, when healthy adults did FMD (eating around 1,100 calories on the first day, and about 750 calories on days two, three, four, and five) once a month for three months, they saw drops in body weight, total body fat, and blood pressure, while the people who followed a normal diet did not. How does it work? FMD puts the body in a fat-burning, ketogenic mode over the "fasting" period, explains Valter Longo, PhD, professor and director of the Longevity Institute at the University of Southern California and author of the new book The Longevity Diet ($27; amazon.com). "The average healthy adult can do an FMD cycle a few times a year and reap the benefits,” says Longo, who worked on the aforementioned trial. The caveat: Any diet that involves fasting or major eating changes is not recommended for pregnant or breastfeeding women. And it’s always a good idea to talk to your doc before making significant diet changes.

Time-restricted feeding

The time-restricted feeding (TRF) concept is simple: Narrow the window when you consume food. A recent small study conducted by Peterson with the Louisiana State University’s Pennington Biomedical Research Center suggests that eating within a six-hour window may boost fat burn. Two other small studies found that even eating meals within an eight-hour period may promote fat loss. If this narrow time frame sounds like a freaky fad diet, don’t worry—Peterson says that a 10-hour window, like 8 a.m. to 6 p.m., is very doable and still works.

Keep in mind that shifting your entire meal schedule can be a tricky behavioral change. “Fasting isn’t for everyone,” says Stephanie Middleberg, RD, owner of Middleberg Nutrition in New York City. “I am a fan of people working on eating less at night. Even stretching your fasting period from 8 p.m. to 8 a.m. could have tremendous benefits.”

Two-week cycling

A study in the International Journal for Obesity found that obese men who dieted two weeks on, then two weeks off for 30 weeks lost more weight than those who dieted continuously. These intermittent dieters kept the weight off for the long term, too. The mechanism at play isn’t totally clear, but it’s possible that “the body may not fully adapt to intermittent dieting in a way that would permanently slow down your metabolism,” Peterson says.

You don’t even have to do two-week cycles. "We don’t know at this point what the ideal schedule is," Peterson notes. “To a degree, I think the scheduling depends on the person and her preferences.” So if, say, one week on, two weeks off seems more realistic for you, it’s fine to tweak the format to fit your needs. Peterson recommends giving it a couple of months for your body to adapt.

Before you try this on-off strategy, remember this: You can’t eat whatever you want during your no-dieting period. "Consuming 5,000 calories just because it’s a ‘free’ week is not efficient. You still want to think about filling your body with whole foods," says Jennifer Cholewka, RD, senior clinical dietitian at the Mount Sinai Hospital in New York City.

Going vegan… until dinner

Popularized by the book Eat Vegan Before 6:00, by Mark Bittman, this scenario eliminates all animal products and focuses on eating vegan protein sources, vegetables, whole grains, and healthy fats until your evening meal. Plus, swapping animal protein for vegan sources slashes calories and saturated fat and has real weightloss potential. "When my clients break from consuming animal protein at all meals, they also realize how full they get when reintroducing it, so they often have a lot less at one sitting," Middleberg says.

On the flip side, she points out that you need to make sure you’re still getting enough protein, carbs, and fat during the day so you aren’t ravenous at dinner and end up overeating.

The 5:2 diet

This plan is named after a book by the same name. (Benedict Cumberbatch and Jimmy Kimmel have both tried it.) A few studies have linked the regimen—which calls for eating normally five days of the week and only 25 percent of your typical calorie intake for two days of your choice—to weight loss and lower insulin levels. “If I were to try any part-time diet, the 5:2 plan would be my pick,” says Cholewka.

"You’re responsible for remembering your eating schedule and keeping an eye on calorie counts, but you aren’t burdened by strict food lists." However, keep in mind that, as your body adjusts, you may feel the effects of hunger more acutely, she adds.

Worried that severe restriction will get to you? Peterson reversed the plan a bit for herself. "In the past, when I lost weight, I did an approach where five days a week I would cut down about 15 percent of my calories," she explains. "Then I would eat healthy but normal for two days each week."

Source: Health bests

704-Lb. Woman Goes for Weight Loss Surgery After Finding Maggots in the Folds of Her Skin

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Lisa Fleming was already overweight when she gave birth to her first child at 15, and her weight only went up from there. But she knew it was absolutely time to make a change when, bedridden and weighing 704 lbs., she found maggots in the folds of her skin.

For the first time in years, Fleming, 49, is going to leave her bed — the same bed where her mom died due to obesity — and make the six-hour trip to get weight loss surgery.

“I’m tired, I’m hungry, and I’m not looking forward to having the paramedics move me out of this bed,” Fleming says in this exclusive clip from Wednesday’s episode of My 600-Lb. Life. “Lord, give me strength.”

Seven paramedics arrive with multiple emergency vehicles to get Fleming out of her bed, down a ramp and into an ambulance.

“The paramedics have to reinforce the ramp they’ll use to get me out of the house,” she says. “I can’t believe it’s come to this. But at least I’m doing something about it before it gets to be too late.”

And when they ask Fleming if she’s ready to go, she says that she “ain’t ever gonna be ready,” but tells them to go for it, because she knows “for a fact” that she’s “sick of this damn bed.”

Using her bed sheets and a dolly, the paramedics painfully lift Fleming out of her bed.

“Oh lord, please don’t let them kill me,” she says.

My 600-Lb. Life airs Wednesdays at 8/7c on TLC.

Source: Health bests

People Who Lost a Combined 6,818 Lbs. Struggle with Excess Skin on My 600-Lb. Life: Skin Tight

Losing hundreds of pounds is tough enough, but for many people it comes with the added complication of excess skin. That challenge is the focus of My 600-Lb. Life: Skin Tight, which starts its third season on March 7.

This season features 29 people who have lost a whopping total of 6,818 lbs. But instead of celebrating their accomplishment, many are frustrated with the loose layer of skin covering their bodies.

“My skin makes me look like a circus freak,” says one woman in this exclusive clip from the new season.

“It looks like I’ve melted,” adds a man.

“This extra skin is a punishment worse than death,” says another woman.

“I lost 320 lbs., but I’m still reminded of being the fat girl,” adds a third.

With the help of Dr. Younan Nowzaradan and other plastic surgeons, those 29 people will get skin removal surgery and, hopefully, will finally feel comfortable in their bodies.

“I’m one step closer to being able to live a real life,” says one woman.

My 600-Lb. Life: Skin Tight premieres March 7 at 10/9c on TLC.

Source: Health bests

Demi Lovato Says She Quit Dieting: 'I Gained a Little Weight but I'm Happier'

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Despite what the titles of her hit singles “Confident” and “Sorry Not Sorry” might indicate, Demi Lovato struggles with body positivity like so many of her Lovatics fan base.

“It’s a daily battle. Some days I feel great and some days I don’t feel great. And sometimes it’s periods of times,” the singer, 25, tells PEOPLE. “I stopped dieting and have gained a little weight so it’s been a struggle but at the same time, I’m happier because I’m not restricting myself from certain foods and I’m no longer food shaming myself.”

Lovato, who recently launched her third capsule collaboration with Kate Hudson‘s activewear company Fabletics, told fans and social media followers in January via Twitter that she has “given up dieting and in exchange has “given up the chronic stress” of food shaming herself.

“I think that’s something in our society we get caught up in diet culture. Every commercial on TV is either about a weight loss pill or piece of fitness equipment or it’s all food-based,” says Lovato, who credits Brazilian jiu-jitsu, which she has been practicing for two years, as her go-to workout and source of empowerment.

RELATED: Demi Lovato’s Swimsuit Selfies Have Helped Her Take the Power Away from Her Online Haters

“As someone recovering from a food disorder, it’s something that I want to put out there that you don’t have to diet in order to be happy. I don’t think I’ve heard that message out there in the public and of course, it’s important to be healthy and everything in moderation is fine,” Lovato shares.

Her tweet about no longer dieting was specifically timed, according to the Tell Me You Love Me hitmaker.

“I wanted to put that message out there for other people especially with the new year coming in because it’s very triggering for people that are in recovery because everything is about weight loss,” Lovato explains.

Adding, “Because new year’s resolutions are about going to the gym and it’s really important that there’s somebody out there to speak up and say, ‘Hey your weight doesn’t define your self-worth and it definitely doesn’t define your beauty inside and out.’ ”

RELATED GALLERY: From Bikinis to Bedhead: See All of Demi Lovato’s Sexiest Social Media Snaps

After candidly discussing her eating disorder in her YouTube documentary, Simply Complicated, the Grammy nominee reveals a positive update on her recovery.

“I think every day I work towards a better version of myself. It’s recovery so I don’t think it’s something that there’s a cure or anything like that,” Lovato says. “I work towards a better life. And I’m definitely in a great place.”

RELATED: Demi Lovato Is Offering Free Mental Health Counseling to Fans on Tour: ‘I’m Here For Them’

Honest about body positivity and the own struggles with her eating disorder, Lovato is now embracing her curves with bikini and one-piece-clad selfies on social media.

“I think posting sexy pictures are so empowering and liberating,” she says about never hesitating to share sultry photos.

“Anytime you can put yourself out there the more empowering I feel. Also it doesn’t hurt when you look good and you have a good bathing suit on and then a cute guy likes your picture. Doesn’t hurt,” she shares.

Source: Health bests

Common Chemicals in Nonstick Pans and Food Wrappers Could Hurt Your Health–and Your Waistline. Here's How to Avoid Them

A common class of chemicals that’s been linked to cancer, fertility problems, and thyroid dysfunction has now been tied to another major health issue: According to a new study in PLOS Medicine, women who have high levels of perfluoroalkyl substances (PFAS) in their blood tend to gain back more unwanted weight after dieting.

The new study included both men and women who’d been enrolled in a two-year clinical trial and who lost weight by following a heart-healthy diet. But when researchers factored in the levels of PFAS in participants’ blood at the start of the study, they found that people with high levels tended to gain more of that weight back after initially losing it.

The association was found almost exclusively in women, and the researchers say that PFAS’ effects on estrogen in the body may be one reason why. But the study also found that people with high PFAS concentrations had lower resting metabolic rates; in other words, their metabolism was slower and they burned fewer calories doing daily activities.

RELATED: Best Superfoods for Weight Loss

The researchers concluded that PFAS may play a role in body weight regulation, and therefore in the country’s current obesity epidemic. “We all know it’s feasible to lose weight through diet or physical activity; however the challenging part is that almost no one can maintain that weight loss,” says senior study Qi Sun, assistant professor in the department of nutrition at Harvard T.H. Chan School of Public Health. “Now we’ve shown that PFAS level may actually determine how much weight people regain.”

But what exactly are these chemicals, and why are they in our bodies to begin with? Here’s what you need to know, and how you can reduce your exposure.

Ditch fast food and microwave popcorn

PFAS chemicals have water- and oil-repellant properties, which makes them valuable to the fast-food industry and for packaged foods like microwave popcorn. In a 2017 study published in Environmental Science & Technology Letters, researchers found that about half of the 400 food wrappers and containers they analyzed contained fluorine, an indicator of PFAS.

Previous studies have found that PFAS have the potential to leach into food—and that once PFAS enter the body, they stay there for years. That’s reason enough to avoid exposure whenever possible, says Laurel Schaider, PhD, an environmental chemist at the Silent Spring Institute and lead author of the food-wrapper study.

“I think we all already have some reasons to reduce how much fast food we consume, and this may be another one,” Schaider told Health in 2017. “If you’re going to eat it, you could try to get the food out of the wrapper as quickly as possible—that might help a little bit.”

RELATED: Another Reason to Never Eat Fast Food Again (That Has Nothing to Do With Fat)

Think twice about stain- or water-resistant products

Another common use for PFAS is making clothing, carpets, upholstery, and other textiles stain- or water-resistant. (Think of advertisements where spilled wine on a sofa beads up and wipes right off.) And while some older PFAS have been phased out of textile production because of associated health and environmental risks, some newer ones have taken their place, says Tom Brutton, PhD, a fellow and PFAS researcher at the Green Science Policy Institute—and their health effects are not yet known.

To be safe, Brutton recommends avoiding stain-, water-, soil-, or grease-repellant products whenever they’re not necessary. And when they are—in the case of a raincoat, for example—look for gear labeled PFAS-free or fluoro-free. “You’re starting to be able to find rain jackets and outdoor gear without these chemicals,” he says, “and I think there will be many more options in as little as two or three years.”

If you already own fabrics with PFAS, don’t panic. “The harm that’s going to happen to one person from the exposure of wearing a raincoat or sitting on a stain-resistant carpet is probably quite minimal,” says Brutton. “What we’re really concerned about are the chemicals released when these products are manufactured and also when they’re disposed of and end up in a landfill." If consumers can make smarter choices so there are fewer of these products in circulation, he says, it will be better for our health, and for the environment as a whole.

RELATED: 13 Worst Jobs For Your Lungs

Don’t buy another nonstick pan

The same advice goes for nonstick cookware: If you already own pots and pans with these chemicals, you don’t have to stop using them or throw them away—at least not until they’re scratched or damaged. But don’t buy a new set either. “The exposure to you from your use of that pan isn’t going to be so huge that it represents a significant health threat,” says Brutton. “But when it’s time to buy a new one, perhaps look for one that doesn’t contain PFAS.” Many experts recommend stainless steel, ceramic, or cast-iron cookware, or you can look for brands that advertise being PFAS-free.

RELATED: 6 Reasons You Need a Cast-Iron Skillet in Your Kitchen

Be smart about seafood

Because they’re so prevalent in the environment, PFAS can also accumulate in the tissue of animals that humans then consume for food. The chemicals have been found in contaminated seafood, for example, and Brutton says that buying organic won’t necessarily reduce your exposure.

What will help, however, is choosing fish that are lower on the food chain. You may already be doing that if you’re concerned about mercury and other heavy metals in seafood, says Brutton. Following those same rules will also help you avoid PFAS. “Instead of buying swordfish, for example, choose salmon,” he says.

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Check on your water supply

PFAS released during industrial and manufacturing processes can also accumulate in water supplies, especially near industrial sites, wastewater treatment plants, and military fire-training areas. A 2016 study found that drinking water supplies for at least 6 million Americans may exceed the Environmental Protection Agency’s health advisory limit for lifetime exposure to certain PFAS from drinking water.

Unfortunately, there may not be an easy way to know if your community’s drinking water is contaminated with PFAS, since the EPA does not currently require municipalities to notify residents about these chemicals. But if you’re concerned, it’s worth asking your local supplier.

“In a lot of cases when water utilities find that their levels are high, they’ve taken action and installed filters and alerted consumers, although there’s no guarantee,” Brutton says. Consumers who are concerned about contaminant levels can also install activated carbon filters in their homes. “These products do a fairly good job at removing a lot of these chemicals from drinking water,” he adds.

Source: Health bests

The Number One Thing You Need to Do to Lose Weight Forever, According to Experts

Want to lose a little—or a lot—of weight? Forget the get-slim-quick gimmicks and magic bullets and follow the advice of these weight loss pros instead. We asked four experts in different fields to explain their research into what really works when it comes to losing the weight and keeping it off. Their full-proof strategies will help anyone win at losing.

RELATED: 25 Surprising Ways to Lose Weight

Go to bed

No, you’re not dreaming! Getting your Zz’s is proving to be one of the most important behaviors to achieve—and maintain—a healthy weight. Studies show that adults who report sleeping less than five to six hours per night gain more weight over time, have bigger waistlines, and are more likely to be obese compared to those who get sufficient sleep, says Andrea Spaeth, PhD, an assistant professor in the department of kinesiology and health at Rutgers University.

The reason: When you skimp on shut-eye, your hunger hormones get thrown out of whack, which can drive you to eat more calories, often in the form of sugary or fatty foods. It’s much easier to stick to healthy eating habits when you give your body the sleep it requires. If you snooze, you lose!

Since one in three adults are getting insufficient sleep, Spaeth recommends planning your sleep schedule a week at a time in order to ensure at least seven hours of slumber each night. She also suggests creating a healthy sleep environment by limiting light and setting the temperature to around 67 degrees, as well as establishing a nighttime ritual that includes powering down electronic devices and engaging in more relaxing activities instead.

RELATED: 34 Sleep Hacks for Your Most Restful Night Ever

Eat early

When obesity researcher Courtney Peterson, PhD, assistant professor at the University of Alabama at Birmingham, wanted to shed 30 extra pounds and keep it off, she used time-restricted eating, one of her areas of research. Time-restricted feeding involves eating in a defined time period (say eight to 10 hours per day), followed by an extended fast of 14 to 16 hours. According to Peterson, research shows that time-restricted feeding reduces appetite, increases fat burn, and aids weight loss.

Eating during a more defined timeframe helps guarantee that you get the majority of your calories earlier in the day. In one study of 420 dieters, those who ate most of their calories before 3:00 p.m. lost more weight (22 pounds) compared to participants who ate most of their calories later in the day (17 pounds), despite both groups following the same 1,400-calorie diet and sticking with an exercise program. To start a time-restricted eating plan, try dining within a 10-hour window, say 7 a.m. to 5 p.m. Then, fast overnight. If you want to get more aggressive, switch to an eight-hour eating window.

RELATED: The 50 Best Weight Loss Foods of All Time

Step on the scale

Your bathroom scale may be the best tool to help you lose weight and keep it off, explains Dori Steinberg, PhD, RD, associate director at Duke Global Health Science Center. After completing a series of studies, her research team discovered that overweight and obese adults who stepped on the scale each day lost an average of 13.5 pounds, with some volunteers dropping up to 20. Those who weighed themselves less frequently lost an average of 7 pounds.

“Contrary to popular belief, our research didn’t reveal any downsides of daily weigh-ins, like feeling depressed or displaying signs of disordered eating,” Steinberg says. Weighing yourself daily provides immediate feedback about your typical behaviors, she adds, which explains why it has been shown to motivate individuals to adopt healthier habits, such as eating fewer sweets and getting enough exercise. In other words, it provides additional accountability to help you stay on track.

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Commit to a new lifestyle

Weight loss experts often say: Don’t diet, change your lifestyle. Making the commitment to change your life for the long haul is the key when it comes to lasting weight loss, explains Lisa Zucker, MS, RD, who worked with weight loss clients for nearly a decade at the Anschutz Health and Wellness Center at the University of Colorado.

When people come to the understanding that their behaviors have to change forever, great things can happen. But if the resolve to stick with it isn’t there, weight loss will be only temporary. Participants in the National Weight Control Registry–a collection of more than 10,000 successful dieters who lost significant amounts of weight and kept it off–are noted for their resolve compared to less successful dieters. These folks haven’t gone back to where they were, no matter what barriers they faced. Analysis of their results shows that even when these dieters faced challenges and slipped, they quickly got back on track with their healthier habits.

To get new healthy habits to stick–forever–make your goals specific and concrete, focus on the positive behaviors you’re going to start rather than the negative ones you want to stop, and enlist close friends and family members to help support you and keep you accountable along the way.

Source: Health bests

Make the Diagnosis: Strange Rash Surfaces

(MedPage Today) — Case Findings: A 20-year-old man went to the doctor complaining of a fever. He had been hiking recently with friends and had gotten a significant number of insect bites, which he had been scratching non-stop – particularly one on his hand, which had become quite red. An erythematous rash in a linear configuration had spread up his arm. Upon exam, the doctor noted regional lymphadenopathy.

Can you diagnose the patient?
Source: Dermatology

This Woman Chose Gastric Bypass and Lost 178 Lbs.: 'I Wanted to Be Healthy but I Needed Help'

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Kathleen Golding’s weight loss struggle started when she was very young.

“I remember being in the fourth grade and having to get a note from my pediatrician granting me permission to start Weight Watchers,” Golding, now 26, tells PEOPLE.

At 21, she found herself wrestling with depression and anxiety turned to food as a “coping mechanism.” By her 22nd birthday she had gained 100 lbs.

“I was stuck in a constant cycle of daily binging,” says the New Bern, North Carolina resident, whose highest weight was 331 lbs. “I was eating fast food for every meal and enormous quantities each time.”

By August 2015, she was ready to start the process of getting gastric bypass surgery. “The morning [I decided to do it] I turned down an offer from friends to go to an amusement park because I knew couldn’t fit in the ride seats, and the following Monday I had a doctor’s appointment scheduled to discuss diabetes medications,” she recalls.

Golding had also been laughed at by strangers earlier that day. “They had pointed to my legs and I knew why — I had stopped shaving my legs because it was difficult to reach my calves, and that was funny to them.”

In preparation for the surgery, which she underwent in June 2016, Golding lost 20 lbs. Afterwards, the weight quickly started to “melt off,” she says. “I felt this incredible sense of confidence that I had totally forgotten about. Even after losing only 30 lbs., I felt amazing, both about my appearance and the way my body was able to move.”

Since losing a total of 178 lbs., Golding maintains a weight of 150 to 155 lbs. — and remains proud of her decision to seek medical help. “For some reason, weight loss surgery is seen as ‘cheating’ or being weak, but for me, I found strength in being able to say ‘I can’t do this on my own. I want to be healthy, but I need help.’ ”

She continued:  “For a long time, I felt completely hopeless. I felt trapped in my body, and no matter what I did to try and lose the weight, I failed. I went into this surgery with the mentality that this would work for me, and I looked at it as me finally taking back control of my life.”

Now the fast-food-free Golding — who recently got married — says she “loves salads and colorful dishes.” She also has been “hitting the gym hard.”

Another source of strength comes from social media. Golding, a photographer and operations manager, has been candid about sharing her story through photos and videos.

“Between Instagram, Facebook, and YouTube, I probably receive about 25 to 50 messages a day from random strangers struggling with their weight and looking for diet and fitness tips, or from people who have been on the fence about bariatric surgery,” says Golding. “I’ve inspired them to take the next steps and move forward with the surgery.”

As for how she’s feeling these days, Golding says she is finally at peace with her body. “I have some loose skin and it definitely has its imperfections, but I worked hard for this body,” she says. “I spent so much time hating it but I’ve realized that this is the only body I’ve got and I’m going to take care of it.”

Source: Health bests