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Doctor insights on: Change Diet Exercise

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Dr. Arthur Heller
2,585 Doctors shared insights

Diet (Definition)

Refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more


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24 y/o female. 130 pds. Bp always 100/60. No heart disease. Total CHL 226. HDL 65 LDL 150. Told to change diet, exercise more. Is that concerning?

24 y/o female. 130 pds. Bp always 100/60. No heart disease. Total CHL 226. HDL 65 LDL 150. Told to change diet, exercise more. Is that concerning?

No: Its not "concerning" at all...and the advice to change diet is to reduce your cholesterol/fat intake (The "trend" is for lower and lower LDL and TOTAL Cholesterol levels! Ask your Health Care Provider for a GOAL. Just to say "change diet" is NOT enough info
The trend is also for patients to achieve higher and higher HDL levels (using EXERCISE to obtain this is a good idea for HEART CONDITIONING! ...Read more

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What to do if I have been told to change diet and exercise routine every 3-4 wks. How should I do this?

What to do if I have been told to change diet and exercise routine every 3-4 wks. How should I do this?

See below: Take a look at www. Caloriecount. Com. Sign up for a free account and you'll get lots of great nutritional information and diets for free. For exercise, consider joining the y or a gym. Ask for a consultation from the pro or expert for a changing workout schedule. Your local hospital will probably have an exercise physiologist who can do this too. ...Read more

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265lbs mid Dec. Now down 24lbs. No change in diet/exercise. Have had gb pain since July but all tests normal. Should be concerned? Watching anything?

265lbs mid Dec. Now down 24lbs. No change in diet/exercise. Have had gb pain since July but all tests normal. Should be concerned? Watching anything?

Doing right: I think you are doing the right thing. You had an unexplained weight loss and you were checked for it. I would continue to get regular medical check ups. With your history, checking your thyroid level would likely be important. ...Read more

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Would change in diet/exercise affect possible blood tests at my endo appt? Should I wait until after the appt to stray from my usual patterns?

Would change in diet/exercise affect possible blood tests at my endo appt? Should I wait until after the appt to stray from my usual patterns?

Probably no: Diet and exercise are life style changes and take time to change blood levels. We all hope to see immediate changes but generally it takes about 3 months to 1 year because people have different levels of compliance, education on how to make changes and what works for them. Get your lab work, establish your baseline and continue to do the lifestyle changes. Every 1% improvement is exponential. ...Read more

Dr. Alvin Lin Dr. Lin
1 doctor agreed:
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I've been on 10 of Lexapro (escitalopram) since 10/14. I've gained about 20 poinds since. No changes in diet/exercise. I'd like to try another med. Lexapro (escitalopram) helped w/anxiety but I can't continue to gain wait.

Dr. Alvin Lin Dr. Lin
1 doctor agreed:
I've been on 10 of Lexapro (escitalopram) since 10/14. I've gained about 20 poinds since. No changes in diet/exercise. I'd like to try another med. Lexapro (escitalopram) helped w/anxiety but I can't continue to gain wait.

SSRI side effects: Chat w/your prescribing doc and tell him/her what you've noted above. There are many safe options in same SSRI family approved & commonly used to treat generalized anxiety disorder aka anxiety. It's just a matter of figuring out which one works best for you & w/least side effects (no such thing as free lunch so stay in close contact w/your doc). Also ask about cognitive behavioral therapy etc. ...Read more

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TotalCholesterol 220.LDL 165, HDL 43.Trig Levels60 (times 20%)=12.Doc said to change diet and exercise. No Meds Prescribed. Isn't my LDL danger lvl? Age29

TotalCholesterol 220.LDL 165, HDL 43.Trig Levels60 (times 20%)=12.Doc said to change diet and exercise. No Meds Prescribed. Isn't my LDL danger lvl? Age29

High but not: Dangerous level of LDL. Your doctor is providing the right advise. Reduce your intake of saturated fats, exercise and if you are even slightly overweight, lose some weight. ...Read more

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My total cholesterol came to 224.My dr had prescribed me Welchol (colesevelam) for 4 months. Any lifestyle change, diet and exercise that will rduce cholesterol. Thx.

My total cholesterol came to 224.My dr had prescribed me Welchol (colesevelam) for 4 months. Any lifestyle change, diet and exercise that will rduce cholesterol. Thx.

Bad information: Hi. Total cholesterol is a virtually worthless test. What matters in atherosclerosis risk assessment are triglycerides, HDL, LDL, and non-HDL. Treatment decisions should never be based on total cholesterol. LDL is pretty much genetically determined. If it's high, medication is warranted (primarily a statin, but colesevelam is also good). Triglyceride is very diet and exercise responsive. Good luck ...Read more

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I've gained ~20lbs w/in a month w/o change to diet/exercise. Thyroid panel wnl. I'd taken 100mg dhea short term for weight loss. Could this have caused this? Besides diet & exercise, anything to help?

I've gained ~20lbs w/in a month w/o change to diet/exercise. Thyroid panel wnl. I'd taken 100mg dhea short term for weight loss. Could this have caused this? Besides diet & exercise, anything to help?

Unusual: Defying physics is remarkable. You have created energy without a source. Most people cannot possibly gain weight without a change in diet or exercise. You need to sit down and think about this, and then formulate a plan so that you expend more calories than you consume. Good luck and have a great weekend. ...Read more

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I changed my diet/exercise routine 4 months ago & since then I've had a lighter period & no cramps. Is it all due to lifestyle changes?

Exercise is great: Very likely especially if you are overweight. Exercise is great because it improves your hormonal milieu, lowers blood pressure, and insulin resistance. However, in excess even exercise can be dangerous as in excess it can cause loss of menstruation in patients with eating disorders. Eat a balanced diet and good measure of exercise, about 200 minutes per week in divided doses. ...Read more

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Taking B12 shots once a week. Makes me sick. Blood test didn't show thyroid problems. Gained 60lbs in a year. Didn't change diet or exercise. No energy.

Taking B12 shots once a week. Makes me sick. Blood test didn't show thyroid problems. Gained 60lbs in a year. Didn't change diet or exercise. No energy.

Why then?: If the B12 shot is making you sick and has done nothing for me, why keep on getting them? You really need to see an internist soon to find out why you are gaining weight and feeling tired. For example, this may be a sign of underlying depression. ...Read more

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I have gained 15 pounds since being on Zoloft without changing diet and exercise. My doctor changed my medicine to Lexapro, (escitalopram) will this help?

I have gained 15 pounds since being on Zoloft without changing diet and exercise. My doctor changed my medicine to Lexapro, (escitalopram) will this help?

Lexapro (escitalopram): Gaining weight is not fun. Change to Lexapro (escitalopram) may be OK but I am concerned about your weight gain.
Please have your doctor refer you to a nurse specialist - she will do everything possible to help you with weight gain and that may well remove the need for Zoloft or Lexapro (escitalopram).

Please keep me posted. ...Read more

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I am 24. I have not got my period. I'm 12 days late. No changes in diet exercise or health. I have taken pregnancy tests all neg but no blood test yet?

I am 24. I have not got my period. I'm 12 days late. No changes in diet exercise or health. I have taken pregnancy tests all neg but no blood test yet?

See below: If you had sex since your last period, you may repeat the pregnancy test. Use first morning urine and follow the instructions carefully. It would be better to get a blood test for HCG.
Menstrual irregularities are not uncommon and anovulatory cycle is a common cause. If you miss more than two periods it would be time to see your doctor. If you do not wish to be pregnant, use contraception all the time. You may consider implanted contraceptive or an IUD.
Consult this site for more information on this topic.
http://www. Nichd. Nih. Gov/health/topics/menstruation/conditioninfo/Pages/causes. Aspx
Practice safe sex.
Get HPV vaccine. ...Read more

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I gained 35lb in 6mo. No change to diet/exercise. 1000-1200 calories of a gluten-free, dairy-free, all organic diet. Low WBC, High ALT, . 49TSH. Ideas?

I gained 35lb in 6mo. No change to diet/exercise. 1000-1200 calories of a gluten-free, dairy-free, all organic diet. Low WBC, High ALT, . 49TSH. Ideas?

Weight gain: When you say low WBC do you know how low? Also what was your T4 level? Sometimes people that are in extreme stressful conditions, poor sleep or high cortisol levels tend to affect your overall adrenal system. It may not be as apparent in a clinical setting but it can be subclinical. Doing things like mediation and yoga and frequent exercise can sometimes push you back to balance. ...Read more

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Lately and suddenly I've been getting stomach cramps and nausea when exercising. I haven't changed diet or exercise, am not on my period or pregnant?

Lately and suddenly I've been getting stomach cramps and nausea when exercising. I haven't changed diet or exercise, am not on my period or pregnant?

Abdominal pain: Do you have heartburn? Are you constipated. Chest pain and anxiety are noted in gerd patients-stop spicy food soda, coffee, late dinner. Abdominal cramps and nausea quite suggestive of constipation. Avoid white flour, meat, eat more high fiber diet and drink a lot of water. Try excercising on empty stomach ...Read more

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My blood pressure is high and I am overweight. Do you think changing diet and exercise will help blood pressure?

My blood pressure is high and I am overweight. Do you think changing diet and exercise will help blood pressure?

Absolutely: A regimen of exercise and a healthy diet can work wonders for your heath... But you need to start slowly, and with the help of your physician. A consultation will start you on the right track and get referrals to a nutritionist if need be.

All the best to improving your health... ...Read more

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My husband has lost 15kg in the last 6 months. No change in diet or exercise. Should we be concerned?

My husband has lost 15kg in the last 6 months. No change in diet or exercise. Should we be concerned?

Yes: Unexplained significant weight loss is concerning. There are many potential causes. Testing should be helpful in differentiating various causes, but is not 100% revealing. ...Read more

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I've lost 35lbs or 21% of my body weight in the past 10 months. I have not significantly changed my diet or exercise. What could cause it?

I've lost 35lbs or 21% of my body weight in the past 10 months. I have not significantly changed my diet or exercise. What could cause it?

See your doctor: It's time for a check up with your doctor. Depending on your history, exam and blood work, and any other tests that are indicated, you may have something going on (example: hyperthyroidism). You need to be evaluated! ...Read more

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Can I reverse atherosclerotic plac changes with diet and exercise dr?

Atherosclerosis: With diet, exercise and treatment, we slow or stop progression of atherosclerosis if goals are reached. In a few folks we may reverse the process but this can't be promised. ...Read more

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What amount can blood sugar be reduced without changes in diet or exercise?

What amount can blood sugar be reduced without changes in diet or exercise?

Not sure: Exactly what you mean. If you have blood glucose issues like prediabetes or frank diabetes, and you don't make any changes to your diet or activity levels, your sugar levels aren't likely going to change for the better, if anything that can progressively worsen (particularly if you are gaining weight). ...Read more

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Is there anyway to stay off diabetes drugs permanently? I've made serious changes to diet and exercise. What tests do I need now and ongoing?

Is there anyway to stay off diabetes drugs permanently? I've made serious changes to diet and exercise. What tests do I need now and ongoing?

Blood sugars: Commendable that u r actively working to improve your health. Losing 7-10% of your weight can reduce your risk. However, some people r genetically predisposed, and in general pancreas may weaken with age so u may need a me down the road if u have predm or dm now. Check fasting blood sugar once in a while to keep an eye on how u r doing. Best is fasting sugar <100. ...Read more

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My recent triglycerides were at 450! how long can this number take to change with diet and exercise? Is it fat that takes long to work out of blood?

My recent triglycerides were at 450! how long can this number take to change with diet and exercise? Is it fat that takes long to work out of blood?

HaveSeen ↓↓↓ 1 month: Triglycerides within the lipoprotein particles are the way our body moves fat molecules around in the water outside cells. What makes Trig. Levels still elevated even fasting for 12 hrs or longer? Largely 2 issues: (1) A high-carb/low-fat diet &/or (2) increased body fat stores which are not being burned (no ketosis, little movement/exercise); rarely any of a variety of major genetic variations. ...Read more

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Can a change in diet and exercise make my period come a week early?

Can a change in diet and exercise make my period come a week early?

Yes: Women who train very hard can eliminate periods aii together, cn mainly in the running culture, so depending on how hard u train it may cause ur periods 2 b irregular. ...Read more

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What does the term "hot" gallbladder mean? Hubby was diagnosis with it, drs. @ 1st sugg surgery but then prescription change his diet and exercise?

What does the term "hot" gallbladder mean? Hubby was diagnosis with it, drs. @ 1st sugg surgery but then prescription change his diet and exercise?

Acutely inflamed. GB: When acute infections sets in gall bladder and surrounding tissues, swell up, more blood rushes to area to contain, feels warm & red compared to so rounding tissue (hot), some times body succeeds as in your husband case, then will not need emergency surgery. ...Read more

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I've gained 15 lbs in the last 2 months with no change in diet or exercise. I've also started having sweating spells for no reason. Why??

I've gained 15 lbs in the last 2 months with no change in diet or exercise. I've also started having sweating spells for no reason. Why??

Need more info: How old are you? Could you be entering menopause? It would be prudent to see your doctor for an evaluation that is not feasible without additional history, physical examination and may be some tests. ...Read more

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I had rapid weight loss because I changed my diet and exercised. My hair started falling out in june... Thinning all over. When will this stop?

I had rapid weight loss because I changed my diet and exercised. My hair started falling out in june... Thinning all over. When will this stop?

Could be: Need to look into diet changes you made. There could be several reasons and you might have overlooked other causes. You can try stopping or eliminating changes you made to narrow it down to the cause. If this does not work need to do a work up to find the real cause. ...Read more

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Itch on body for 5 days. No rash or spots. Avoiding change of diet and exercise sweat but still occurs at night time after shower. Avoid foam soap?

Itch on body for 5 days. No rash or spots. Avoiding change of diet and exercise sweat but still occurs at night time after shower. Avoid foam soap?

Yes,: Use cream soap, and moisturizer right after bathing/shower, shower only once a day, if that doesn't help or rash/other symptoms develop, see your doctor ...Read more

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In the last year I have gained 20 lbs. Without any change in diet or exercise. I am 71 and have had cardiovascular issues including CHF. No edema.??

In the last year I have gained 20 lbs. Without any change in diet or exercise. I am 71 and have had cardiovascular issues including CHF. No edema.??

Check labs: Followup with your doctor to get routine labs including a thyroid panel. You may also benefit from BNP and echocardiogram if you have CHF. ...Read more

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On risperdal (0.5 mg). Gained 5 lb less than one month. Concerned about too much weight gain. What can I do? Any advice? Change med? Diet and exercise

On risperdal (0.5 mg). Gained 5 lb less than one month. Concerned about too much weight gain. What can I do? Any advice? Change med? Diet and exercise

Consult your Doctor: Your doctor may recommend changing medications, there are several with similar effects and some are less likely to cause weight gain than others.
However, if Risperdal is working to control the symptoms it is supposed to be treating, you may want to discuss a diet and exercise plan with your doctor as well. ...Read more

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For 3 days I had very achy muscles mostly in legs. I don't have a temp & feel fine otherwise. - 19 yrs. Healthy, no recent change in diet or exercise?

For 3 days I had very achy muscles mostly in legs. I don't have a temp & feel fine otherwise. - 19 yrs. Healthy, no recent change in diet or exercise?

Achy muscles: Do you cool down after exercise? Are you on a statin medication? Please see your doc. Peace and good health. ...Read more

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How would a person know if they have cancer? I'm not sick. Blood work is good. I do have fattt liver which I have changed my diet and exercise some. I lose about ten lbs a month is this normal

How would a person know if they have cancer? I'm not sick. Blood work is good. I do have fattt liver which I have changed my diet and exercise some. I lose about ten lbs a month is this normal

Weight loss with: Effort is difficult; without explanation is worrisome. A 'fatty liver" on ct may be non-specific, but it sounds like you need an internist to evaluate all the possibilities. ...Read more

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No weight gain ever previously. Stable at 53k for 1+ years. Suddenly, in 2 weeks went from 53 to 56kilos. Nothing has changed, diet, sleep, stress. Exercise 30min everyday. Tsh 2.2 in 12/2013. Nervous

No weight gain ever previously. Stable at 53k for 1+ years. Suddenly, in 2 weeks went from 53 to 56kilos. Nothing has changed, diet, sleep, stress. Exercise 30min everyday. Tsh 2.2 in 12/2013. Nervous

Need to be checked: Thanks for asking as this suggests something is changing in your body. It helps that you have already considered many things that can affect weight. Other things can as well, including some medical problems like thyroid disease, and even heart failure. But likely you would have some other things happening as well, and thyroid disease does not usually cause rapid weight gain. Best to get good exam. ...Read more

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I'm experiencing extreme exhaustion for the last 5 weeks. I am 20 years old. I have had no change in diet or exercise, I'm not under any large stress. I have no personal history of medical problems in any form, though heart problems are common in my fam

I'm experiencing extreme exhaustion for the last 5 weeks. I am 20 years old. I have had no change in diet or exercise, I'm not under any large stress. I have no personal history of medical problems in any form, though heart problems are common in my fam

These: These symptoms could be a result of anemia, thryoid issues, diabetes, etc. You need to see a dcotor for a complete physical and diagnostic testing. I wish I could give you more advice but honestly you need to be evaluated right away.
Best of luck. ...Read more

Dr. Heidi Fowler
5,151 Doctors shared insights

Exercise Or Physical Activity (Definition)

Exercise is a physical activity that is completed to maintain or improve health. Benefits of exercise include weight maintenance, improving mood, increasing energy, preventing or controlling chronic diseases, promoting better sleeping, and improving sex life and libido. ...Read more


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