Healthy Living

Tuesday, December 8, 2009

When weight gain is a warning

If pounds are piling on and you've ruled out the usual suspects—a lapsed gym membership, a few too many backyard barbecues—a health problem may be to blame. Examining how much you've gained along with other symptoms may point to a medical culprit and help you feel better fast.

A 5-POUND GAIN MAY MEAN…

Sleep apnea: Other signs include snoring, headaches and fatigue. The link to mystery pounds? With apnea, breathing is interrupted while you snooze, possibly by throat tissue blocking your windpipe. Fitful sleep disrupts your hormones in a way that makes your body accumulate fat, says Gregg Faiman, M.D., an endocrinologist at University Hospitals of Cleveland. See your doc, who might prescribe a special sleep mask to keep your airway open.

Polycystic ovary syndrome
: This hormonal disorder occurs when the ovaries pump out too much testosterone, causing thinning hair, acne and irregular periods along with weight gain. PCOS is linked to too-high levels of the hormone insulin, and extra insulin encourages the body to build up and hoard fat. Exercise and a balanced diet can improve your ability to process insulin; hormonal birth control can help keep testosterone production in check.

A 10-POUND GAIN MAY MEAN…
Cushing's syndrome
: Acne, muscle weakness and facial hair are also telltale signs of Cushing's, a condition typically caused by a benign tumor on the adrenal gland. The tumor spurs cortisol production, which increases fat storage. “Pounds may add up quickly or slowly, but the key clue is continued gain without explanation,” Dr. Faiman says. Having the tumor removed can ease symptoms and help get you back to your slimmer self.

Metabolic syndrome: If you're tired, bloated and craving carbs—whether or not you're PMSing—metabolic syndrome may be behind your weight creep. Like PCOS, it's linked to excess insulin. As the hormone builds up in your blood, it tells the body to build up and store more fat, which brings on weight gain, usually in your belly. Following a low-carb diet, exercising and taking an Rx (such as metformin) can help your body process insulin more effectively.

--Lee Cabot Walker

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From the Community…

Comments 1-10 of 12
  • sumthin2say's Avatar
    Posted by sumthin2say Mon Jul 28, 2008 12:57pm PDT

    I had Cushings and it was horrible. I kept gaining weight and kept going to the doctor with all these bizarre symptoms..... it took them nearly five years to diagnose it and I was 120 pounds heavier.... I had to have an adrenal gland and my pituitary gland removed... I now suffer from Addison's and have to take steroids for the rest of my life. I have lost the weight but struggle to maintain a stable weight because of the meds and the fatigue.... don't let your doctors tell you it's all in your head... if your gut tells you something isn't right be your own advocate!

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  • mabcosmic's Avatar
    Posted by mabcosmic Wed Aug 13, 2008 3:18pm PDT

    Finally, an article about weight that shows people can have a medical reason why they are overweight. I hope the fat-bashers read this, and learn a thing or two!

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  • Hunter's Avatar
    Posted by Hunter Thu Aug 14, 2008 3:49am PDT

    not everyone is going to have a medical problem, some yes i agree but i feel most are just lazy and wont do anything about it... in my town a gym membership is just $25 a month for a 24 hr access, if time is a problem cut back on sleep , tv time, pc time whatever it takes, health is the most important here after all... but yes, medical reasons play a big part, so does depression i believe

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  • Hunter's Avatar
    Posted by Hunter Thu Aug 14, 2008 3:51am PDT

    a second thought, print out a pic of the worlds fattest man on the internet, paste it to the fridge and that should make anyone think twice before opening it, also, a pic of a anorexic person on the fridge will remind someone to maintain a healthy weight and to stay healthy not put yourself at risk of being to thin

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  • Sweeeetie's Avatar
    Posted by Sweeeetie Thu Aug 14, 2008 5:31am PDT

    I am going through the same thing now. I have a sleep test scheduled in a week to determine if I have sleep apnea. I've gained 10 lbs every year for the past 4 years! Yeah...40 extra lbs. I've excersised, watched what I eat, taken vitamins, but nothing has worked. I don't sit around eating Bon Bons and watching tv. I hardly watch tv and have a very busy schedule. I eat salads for lunch and dinner, but still pack on the pounds. I'm going to print this article to discuss with my doctor.

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  • pixie's Avatar
    Posted by pixie Thu Aug 14, 2008 6:18am PDT

    ANY WEIGHT GAIN EXCEPT PREGNANCY POUNDS IS A SIGN SOMETHING IS WRONG EITHER MENTALLY OR PHYSICALLY.

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  • Caramel Cake's Avatar
    Posted by Caramel Cake Thu Aug 14, 2008 8:35am PDT

    Just becasue you gain weight doesn't always mean that there is something wrong with you. My weight fluctuates back and forth and doctors haven't found anything wrong with me(yet), so I;m not sure about that; that sounds a little scary.

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  • mabcosmic's Avatar
    Posted by mabcosmic Thu Aug 14, 2008 11:48am PDT

    caramel cake, I agree that weight gain isn't always a medical problem. However, most people are quick to make the opposite assumption - that weight gain is a willpower and laziness problem. I just picked up a book it's called the Hunger Gene and it explains a lot about the complexities of obesity.

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  • lissa's Avatar
    Posted by lissa Thu Aug 14, 2008 1:08pm PDT

    I have gained 50 lbs since my youngest son was born almost 2 years ago, I watch what I eat, I have 3 boys so I chase them all day long, I do try to exercise when I get a minute to myself, my doctor has run blood test after blood test and nothing has come back, I have been diagnosed with PCOS a few years back, but my weight wasn't a major issue like it is now. And apperently ANNETTE doesn't know the first thing about being healthy because you CANT cut out your sleep time and expect to be healthy as your article states. It is a time when the body and hormones rest. I disaggree with the people that say its because people are lazy. I am not saying that not all of them aren't lazy. But I can say for myself I am not. I am involved with my sons' baseball, cub scouts, and I chase after a 21 month old all day long. When my husband comes home from work we walk around the track for a mile or 2.

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  • knock's Avatar
    Posted by knock Thu Aug 14, 2008 1:34pm PDT

    Annete, your statements are incedibly ignonrant...I am assuming you have never had to worry about your weight...I work out with a personal trainer and hour a day 5 days a week, i watch what i eat, the other 2 days i don't have my trainer i do Yoga for 1 1/2 hours. I have been very thin & ( like now) i could stand to loose 20 pounds...Never have I been lazy... Hormones have a huige effect on your metabolism...there are so many other factors. When i was a size 4 I was incredibly unhealthy. now i am a size 8 (sometimes 10) and i am in the best shape i have ever been. I am healthy... not lazy. Saying Fat people are lazy is as ignorant as saying all men who wear hair gell are abviously gay...`

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