This week I'm playing a lecture I recorded a while ago, about menopause and weight loss. I talk about how it's harder to lose fat after menopause, and why. It's all about the cortisol! Get that cortisol down and it will help. Also, having a little extra weight on after menopause is actually good, because the fat makes estrogen for you, and carrying it strengthens your bones. But, if you want to be at a lower weight, here's some tips! Just like all my advice about weight loss, the first rule of weight loss is to not focus on weight loss.

This week, I talk about my jump to the Dark Side. Well, not really. Hey, did you know that the term "going to the Dark Side" was popularized by Star Wars? I'm going to try another BLOOD PRESSURE MEDICATION, and hopefully this time I can take it and stay on it! We're going to try low dose lisinopril, an ACE inhibitor. The more I talked with various cycling friends, the more of them I discovered were taking it, feeling fine, and enjoying riding their bikes as much as they liked! So my PCP prescribed it, and first dose will go down the hatch tonight. I'll report on how I'm feeling, hoping for no dizziness!

We continued the series on weight loss, some basic good advice on lifestyle choices that can help. Drinking water, reducing carbs, reducing stress, eating produce and fiber, all good! All of those things are basic habits that are great for healing from anything. Ron also read off some calorie, fat and sugar content of some very large coffee-based drinks available at a popular regional establishment. A large version of one of them had 1100 calories! Pair that with a glazed jelly stick, and that's all your calories for the day! We particularly talked about Neuropeptide Y, which gets stimulated when you eat fat and starch or sugar together. It turns off your satiety signals, so you wind up eating most of the pizza, or the entire pint of ice cream! So avoiding large portions of fat and sugar together is a good idea.

This week I talked about how I tried hibiscus tea and it pretty much knocked me out, so if I do hibiscus it has to be in very small amounts! Everyone is different and responds differently to herbs and supplements. I DO feel good taking l-theanine, a calming amino acid from the tea plant, which calms without grogginess! And I also took the gastrodia/uncaria Chinese herbal complex in pill form, and I did better with that than the big cup of tea.

There's so much to talk about with weight management and loss. This week, I managed to discuss these neat Please Don't Weigh Me cards that you can get, and discussed the merits and detriments of being weighed at the doctor's office. Bottom line: if it makes the patient feel comfortable, no need to weigh them! Also, if you're at the doctor's office, you do not have to consent to ANY physical exam that you don't want to do. At my office my patients always have a choice! We also discussed the most important aspect of fat loss, which is stress reduction. Lowering cortisol is good for ANY condition, but directly helps to lower cortisol so that it's not putting more sugar into your blood for you to store. And there's lots of ways to reduce stress!