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This article is sponsored by MedStar Washington Hospital Center

By Ivanesa Pardo Lameda, MD, bariatric surgeon, MedStar Washington Hospital Center

Bariatric surgery has been available in the U.S. for more than 50 years, and surgeons are doing more every year. In fact, our team performed 336 of these procedures in 2016, compared with 257 in 2013.

Still, bariatric surgery is still not well understood, and many people have questions about it.

Ive heard many. Two of the most frequent ones I get are, Is bariatric surgery safe? and Will I be left with a lot of flabby skin?

Bariatric surgery, such as gastric bypass or sleeve gastrectomy, can be a lifesaver for people struggling with obesity and its side effects. So lets get to the truth of some of the most common questions.

Is bariatric surgery dangerous?

Patients often tell me that friends and family worry they will die during bariatric surgery and try to discourage them from getting a procedure. I suspect this fear is a holdover from when the surgery was new.

As with any surgical procedure, the risks from bariatric surgery were much greater when it was first developed. But with the advent of minimally invasive techniques, such as laparoscopic and robotic surgery, which come with fewer complications, the procedures safety has dramatically improved.

In fact, the latest data show that bariatric surgery is safer than having your gallbladder removed. The mortality rate for bariatric surgery is 0.25 percent compared with 0.7 percent for gallbladder removal.

And dont forget that obesity also is dangerous, increasing the risk of life-threatening conditions, such as diabetes and hypertension, and even decreasing lifespan.

Will I be left with a lot of excess skin after bariatric surgery?

This is a complex issue and its specific to every individual. The bigger you are and the more weight you lose, the more excess skin youll have. But most patients find they have less excess skin than they expected.

The best advice I can give to avoid excess skin is to maintain and increase muscle mass, giving the skin lean tissue to contract over. Im not saying you need to become a body builder or look like a star athlete. But developing a fitness routine that promotes healthy muscle tone will help reduce excess skin.

If you do have sagging skin that bothers you, you can explore body contouring, which is an umbrella term for procedures, such as tummy tucks and lifts to the upper arms, midsection, back, thighs, buttocks and hips.

Will I just regain the weight after weight loss surgery?

Everyone seems to knows someone who had bariatric surgery and gained all the weight back. But in reality, thats pretty rare. A 2016 study found that only 3 percent of study participants who had gastric bypass regained most or all of the weight they lost after 10 years.

Weight loss after bariatric surgery occurs on a curve. Weight drops rapidly right after surgery and continues for 18 months to two years. A little weight gain is expected after that, but then it should plateau. This is normal, and were talking about a few pounds, not a massive amount of weight (usually about 5 percent).

When a patient does regain a considerable amount of weight, we first try to determine whether there was a problem with the surgery. For example, in gastric bypass, the surgeon reduces the size of the stomach and reconnects the small intestine to the new stomach, bypassing the original stomach and several feet of the small intestine. One rare complication of this surgery is gastrogastric fistula, in which food goes into the old stomach instead of the new stomach pouch, causing weight gain.

Most weight gain can be traced back to dietary habits. People dont come back for after-care appointments or follow diet recommendations, or they simply fall back into old habits. And while someone might go through all the pre-surgery education, their psychological relationship with food may not change post-surgery.

Regaining all the weight can happen, but its rare. Well work with you and a dietitian to help you get back on track before you regain too much of the weight you worked so hard to lose.

Is having weight loss surgery the easy way out?

Im amazed that in this day and age some people still think of surgery as the easy way out. There is nothing easy about bariatric surgery. People who have these procedures prepare for six months on average and then must change their lifestyle and diet after surgery. Its a lot of work.

The National Institutes of Health recognizes bariatric surgery as the only effective way to treat severe obesity and maintain long-term weight loss.

Losing weight through diet and exercise can be extremely difficult. Many people experience the yo-yo effect, in which they lose and gain weight multiple times. This can wreak havoc with a persons metabolism, making losing weight even more difficult. In fact, less than 5 percent of people who lose weight by diet and exercise are able to maintain long-term weight loss.

And weight loss medications come with their own problems. Along with potential side effects, they only work as long as you take them. Theres no long-term weight loss effect.

Will I develop a vitamin deficiency after weight loss surgery?

Vitamin deficiencies are a real concern after bariatric surgery. Your body will not be able to absorb them, as well as it used to. However, taking a daily multivitamin and following your dietary recommendations should ward off potential problems.

Severe vitamin deficiencies dont develop overnight, and we have processes in place to catch them early. We check your vitamin levels six months after surgery, at a year, then yearly after that. If your levels are low, well work on it before it becomes a problem.

Will I still be able to eat dessert or drink alcohol after bariatric surgery?

Yes. Because your body will process and absorb foods differently after surgery, we recommend that you not eat foods high in sugar and fat immediately after surgery or drink alcohol for two years. But after a while, you can have a piece of cake at a wedding or a glass of wine for your anniversary. Youll need to eat and drink these items in moderation, but you can have them for special occasions. This is also a good guideline for people who just want to live a healthier lifestyle.

If you have heard something fishy about bariatric surgery, dont hesitate to ask your doctor. Weve heard it all, and we wont think your question is silly. If youre considering bariatric surgery, its your rightand our jobto make sure you understand the ins and outs before you commit to preparing for and maintaining a healthier weight.

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6 frequently asked questions about bariatric surgery - WTOP

By focusing more on men, Nutrisystem is able to get a leg up on rivals. (NutriSystem)

Bikini-bod season is nigh upon us.

It's a goodthing for Nutrisystem (NTRI) that the weight-loss plan provider is expected to reporta pretty killer "diet season."

When the company reports first-quarter results Wednesday after the close, analysts are expecting profit to almost double, with revenue jumping 25%.

Craig-Hallum analyst Alex Fuhrman said in a note to clientslast week that "all signs point to another beat and raise" for Nutrisystem, citing "strong" Google searches, ramped-up advertising and developments with the South Beach Diet brand.

"We believe the core Nutrisystem brand has resonated well with consumers in 2017, and a focus on men (is) likelyyielding stronger performance than other diet space peers," he wrote in his Thursday report. "Combined with the continued advertising of the South Beach Diet brand, which is indicative of strong consumer interest, we believe Nutrisystem will continue to gain marketshare in 2017."

When it comes to losing weight, the tsunami of options can be overwhelming.Googling "diet plan" yields 33 million search hits. Searching for "best way to lose weight" brings up more than twice as many results.

Diet delivery plans now also contend, to a degree, with home-delivery meal-kit options like Blue Apron, Hello Fresh and others though many of those cater to amateur gourmands, not necessarily health-conscious diners. Some, like Pete's Paleo, Sakara and Purple Carrot, appear to cater to both.

The company's five-day weight-loss kits and packaged products such as its NutriCrush bars and shakes and Thick Crust Pizza are available at Wal-Mart (WMT).

Now it has another well-known brand in its portfolio. After acquiring the South Beach Diet brand in December 2015, Nutrisystem reintroducedit at the start of this year as a diet-plan system that includes meal deliveries. The company expects South Beach to add $20 million to $25 million to revenue in fiscal 2017, with "meaningful growth" expected the following year.

Investors felt goodabout the last batch of earnings and sales figures in February. Shares of Nutrisystem took off like a rocket after handily beating the Street's fourth-quarterforecasts. Breaking clear of a period of consolidation in heavy volume, the stock popped 18.6% to 46.50 on Feb. 28 and hasn't looked back.

That action led analyst Matthew Gall of Barrington Research to downgrade the stock to market perform from outperform "solely based on valuation."

"Guidance for the Q1 diet season and (fiscal 2017) was particularly strong and ahead ofconsensus expectations, which we believe is now reflected in NTRI's current share price," he wrote on March 24, adding that trading at a premium to its diet peers "reflects consistently strongexecution by management and higher growth rates."

IBD'S TAKE: Nutrisystem's jump after its last earnings report sent shares soaring, but also extended the stock. Still, shares keep climbing and are up nearly 20% from the Feb. 28 rally. The stock is ranked No. 1 in IBD's Cosmetics and Personal Care Group.

Shares now are in the mid-50s, finishing Friday's session down 1.5% to 55.50.

For the first quarter, Nutrisystem is expected to post revenue of $202.9 million for the quarter that includes the key January-February "diet season" months that come courtesy of New Year's resolutions and follow the winter holidays. Earnings are seen catapulting 89% to 17 cents a share from 9 cents in the prior-year period.

Unlike, say, Oprah Winfrey-endorsed Weight Watchers International (WTW), Nutrisystem has a greater focus on building its men's business, with commercials targeted specifically to that demographic. That is seen as helping the company get a greater slice of the presumably low-calorie diet-plan pie.

And compared withpeers such as Hydroxycut, Jenny Craig, Medifast and Weight Watchers, which have toned down their ad spending in April from the prior year, Nutrisystem has accelerated its spending on national TV commercials, which Craig-Hallum's Fuhrman sees as an indicator that the spring ads are performing well with customers.

Fuhrman told Investor's Business Daily that men account for 25%-30% of Nutrisystem's customer base, about double that of Weight Watchers' clientele.

Diets are tricky things, though.A 2015 John Hopkins analysis of 32 commercial weight-loss programs found that "few" are backed by rigorous scientific data; it found thatonly Weight Watchers and Jenny Craig were backed by clinical trials of a year or longer.

Nutrisystem offered "promising weight-loss results," said researchers, but more data were needed to evaluate long-term effectiveness of the plan.

It fared well enough with health experts at U.S. News & World Report. The publication ranks Nutrisystem in fifth place in its Best Commercial Diet Plans category and No. 16 in Best Diets Overall.

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April 23, 2017 10:00 ET | Source: Advanced Physical Medicine of Yorkville

YORKVILLE, Ill., April 23, 2017 (GLOBE NEWSWIRE) -- Obesity in children, teens, and adults has become a serious issue in the U.S. The revolutionary Doctors Weight Loss Solution provides patients with a safe and multifaceted approach to weight loss and lifestyle change. Patients lose weight with a 12-week program developed by a specialized team of healthcare providers. The combination of food, medication, and exercise helps patients achieve healthy weight loss goals. Many patients of the program lose an average of 30 pounds in three months. The program, available at Advanced Physical Medicine of Yorkville, may also eliminate depression, stabilize blood sugar, and lower blood pressure.

The Doctors Weight Loss Solution is a weight loss program created by doctors, dietitians, and psychologists. It takes into account the multifaceted needs of participants and provides patients the support they need to maintain their weight loss and change their lifestyle. The program is led by qualified and certified medical and chiropractic physicians. A patients individualized program may include various components such as a comprehensive body analysis, blood and hormone analysis, clinical nutrition and counseling, medically supervised exercise therapy, weekly lifestyle modification classes, prescription weight loss medication, and prepackaged food for ease and convenience. Interested parties receive a free qualifying consultation at Advanced Physical Medicine of Yorkville to learn about specific treatment options. Some or most of the program cost may be covered by insurance, based on existing pain condition.

Obesity rates have increased from 1990 to 2010. In two decades obesity rates have gone from less than 15 percent, up to 25 percent in the United States. Today, approximately two out of every three adults in the U.S. are overweight or obese. The issue is not only seen in adults but in children. Early obesity in children and teens increases the risk of adult obesity, cardiovascular disease, and heart disease.

Unhealthy weight gain and obesity can undermine good health and cause unnecessary pain and suffering, said Brian D. Berkey, DC. The Doctors Weight Loss Solution provides a multifaceted approach to patients. It is a 12-week program designed to help patients change their lifestyle, lose weight, and maintain the results over the long-term. Part of the program may be covered by insurance. We partner with patients to help them take charge of their health and experience lasting weight loss results. Schedule your free qualifying consultation today!

Dr. Brian D. Berkey of Advanced Physical Medicine of Yorkville serves residents of Yorkville and the surrounding communities. Patients receive an integrative and holistic approach to physical medicine with services including advanced diagnostics, chiropractic care, and physical rehabilitation.

Call (630) 239-7284 to learn about the Doctors Weight Loss Solution or visit http://www.advancedphysicalmedicine.net/ for more information.

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Advanced Physical Medicine of Yorkville Offers Weight Loss Solution - GlobeNewswire (press release)

Sunday, April 23, 2017 2:01 PM UTC

YORKVILLE, Ill., April 23, 2017 -- Obesity in children, teens, and adults has become a serious issue in the U.S. The revolutionary Doctors Weight Loss Solution provides patients with a safe and multifaceted approach to weight loss and lifestyle change. Patients lose weight with a 12-week program developed by a specialized team of healthcare providers. The combination of food, medication, and exercise helps patients achieve healthy weight loss goals. Many patients of the program lose an average of 30 pounds in three months. The program, available at Advanced Physical Medicine of Yorkville, may also eliminate depression, stabilize blood sugar, and lower blood pressure.

The Doctors Weight Loss Solution is a weight loss program created by doctors, dietitians, and psychologists. It takes into account the multifaceted needs of participants and provides patients the support they need to maintain their weight loss and change their lifestyle. The program is led by qualified and certified medical and chiropractic physicians. A patients individualized program may include various components such as a comprehensive body analysis, blood and hormone analysis, clinical nutrition and counseling, medically supervised exercise therapy, weekly lifestyle modification classes, prescription weight loss medication, and prepackaged food for ease and convenience. Interested parties receive a free qualifying consultation at Advanced Physical Medicine of Yorkville to learn about specific treatment options. Some or most of the program cost may be covered by insurance, based on existing pain condition.

Obesity rates have increased from 1990 to 2010. In two decades obesity rates have gone from less than 15 percent, up to 25 percent in the United States. Today, approximately two out of every three adults in the U.S. are overweight or obese. The issue is not only seen in adults but in children. Early obesity in children and teens increases the risk of adult obesity, cardiovascular disease, and heart disease.

Unhealthy weight gain and obesity can undermine good health and cause unnecessary pain and suffering, said Brian D. Berkey, DC. The Doctors Weight Loss Solution provides a multifaceted approach to patients. It is a 12-week program designed to help patients change their lifestyle, lose weight, and maintain the results over the long-term. Part of the program may be covered by insurance. We partner with patients to help them take charge of their health and experience lasting weight loss results. Schedule your free qualifying consultation today!

Dr. Brian D. Berkey of Advanced Physical Medicine of Yorkville serves residents of Yorkville and the surrounding communities. Patients receive an integrative and holistic approach to physical medicine with services including advanced diagnostics, chiropractic care, and physical rehabilitation.

Call (630) 239-7284 to learn about the Doctors Weight Loss Solution or visit http://www.advancedphysicalmedicine.net/ for more information.

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Breast Cancer

The American Cancer Society estimates 252,710 women and 2,470 men will be diagnosed with breast cancer in 2017 and about 42,070 will die from it.

The rate of breast cancer in women has declined from its 1989 peak by 38 percent, mostly due to improvements in detection. For women at average risk of breast cancer, annual mammograms are optional between the ages 40 to 44. Starting at age 45, the annual screening is recommended and, at age 55, women can transition to biennial mammograms.

+ Signs and symptoms: A lump in the breast is the most common symptom, though others include breast thickening, swelling, distortion, tenderness, redness, nipple abnormalities, spontaneous nipple discharge.

+ Risk factors: Weight gain after the age of 18, being overweight or obese, postmenopausal hormone use, alcohol consumption, heavy smoking, shift work that disrupts sleep patterns, family history of the disease, BRCA1 or BRCA2 genetic mutation, high density breast tissue, long menstrual history, recent use of oral contraceptives, never having children, having the first child after the age of 30.

+ Five-year survival rate: 90 percent.

An estimated 10,270 new cases will be diagnosed in the U.S. in 2017, and 1,190 children will die from the diseases.

The childhood cancer death rate has declined by more than two-thirds since 1969, due to improvements in treatment.

+ Signs and symptoms: Unusual mass, swelling, unexplained paleness or loss of energy, sudden increase in tendency to bruise or bleed, persistent pain or limping, prolonged unexplained illness or fever, frequent headaches, changes in vision, rapid weight loss.

+ Risk factors: There are few known risk factors for childhood cancers, though a small percentage may be related to an inherited genetic mutation or one that arises during fetal development.

+ Five-year survival rate: 83 percent, though it varies depending on type of cancer, and age of the patient among other factors.

In 2017, the American Cancer Society estimates 95,520 new cases of colon cancer and 39,910 of rectal cancer will be diagnosed and an estimated 50,260 people will die from it.

Colorectal cancer rates have been declining for several decades. Beginning at age 50, men and women of average risk should begin colorectal cancer screenings.

+ Signs and symptoms: This cancer typically has no symptoms in its early stages, but later stage symptoms include rectal bleeding, blood in the stool, changes in bowel habits, lower abdominal cramping, decreased appetite, and weight loss.

+ Risk factors: Obesity, long-term smoking, high consumption of red or processed meat, low calcium intake, moderate to heavy alcohol consumption, low intake of fruits and vegetables.

+ Five-year survival rate: 65 percent.

The American Cancer Society estimates 63,990 new cases of kidney and renal cancers will be diagnosed in the U.S. in 2017 and about 14,440 people will die from the disease.

Kidney cancer rates increased in the past several decades due to diagnosis during abdominal imaging for other issues but, since 2002, diagnoses have declined about 1 percent per year.

+ Signs and Symptoms: This cancer typically has no symptoms in the early stages but as the tumor progresses, there may be blood in the urine, pain or lump in the lower back or abdomen, weight loss or swelling in the legs or ankles.

+ Risk factors: Obesity; smoking; high blood pressure; chronic renal failure; occupational exposure to certain chemicals, such as trichloroethylene; and rare hereditary conditions.

+ Five-year survival rate: 74 percent.

An estimated 62,130 new cases of leukemia will be diagnosed the U.S. in 2017 and about 24,500 will die from the disease, according to the American Cancer Society. The death rate from this cancer has steadily dropped 1 percent per year since 2005.

While there are no current recommended screenings for this cancer, it sometimes is detected due to abnormal blood tests results performed for other issues.

+ Signs and symptoms: Fatigue, paleness, repeated infections, fever, bleeding or bruising easily, bone or joint pain, swelling in the lymph nodes or abdomen

+ Risk factors: Exposure to ionizing radiation, including medical radiation used in cancer treatments; and cigarette smoking.

+ Five-year survival rate: Varies by subtype, from 27 percent to 83 percent.

The American Cancer Society estimates 40,710 new cases of liver cancer will be diagnosed in the U.S. in 2017 and about 28,920 people will die from the disease.

Diagnoses of this cancer have more than tripled since 1980. From 2004 to 2013, the rate steadily increased by about 4 percent per year.

Screening for liver cancer has not been shown to reduce the mortality rate, but some doctors test high-risk individuals with ultrasound or blood tests.

+ Signs and symptoms: Symptoms usually dont appear until the cancer is advanced, but include abdominal pain or swelling, weight loss, weakness, loss of appetite, jaundice and fever. An enlarged liver is the most common physical sign.

+ Risk factors: Chronic infection with hepatitis B or C, heavy alcohol consumption, obesity, diabetes, tobacco smoking, and certain rare genetic disorders such as hemochromatosis.

+ Five-year survival rate: 18 percent.

Lung cancer is the second most commonly diagnosed cancer in the U.S. The American Cancer Society estimates 222,500 new cases will be diagnosed in 2017 and about 155,870 people will die from it this year.

The rate of lung cancer in the U.S. has been declining since the mid-1980s.

+ Signs and symptoms: Symptoms typically dont occur until the cancer is advance, but include a persistent cough, sputum streaked with blood, chest pain, voice changes, worsening shortness of breath and reoccurring pneumonia or bronchitis.

+ Risk factors: Cigarette smoking; exposure to radon gas; occupational or environmental exposure to secondhand smoke, asbestos, certain metals, radiation, or air pollution. Occupational exposures that increase risk include rubber manufacturing, paving, roofing, painting and chimney sweeping.

+ Five-year survival rate: 15 percent for men and 21 percent for women.

An estimated 49,670 new cases of oral and throat cancers will be diagnosed in 2017 and about 9,700 people will die from it.

From 2004 to 2013, the rate dropped by about 2 percent per year for blacks, but has increased 1 percent per year among whites, largely driven by a subset of cancers associated with the human papillomavirus (HPV) infection.

+ Signs and symptoms: A lesion in the throat or mouth that bleeds easily and does not heal; a persistent red or white patch, lump, or thickening in the throat or mouth; ear pain; a neck mass; coughing up blood.

+ Risk factors: Tobacco use, excessive alcohol consumption, an HPV infection of the mouth and throat believed to be transmitted through sexual contact.

+ Early detection: Visual inspections by dentists and physicians can often detect premalignant abnormalities and cancer at an early stage.

+ Five-year survival rate: 66 percent for whites and 47 percent for blacks.

An estimated 53,670 new cases of pancreatic cancer will be diagnosed in 2017 and about 43,090 will die from the disease.

This type of cancer has been declining by about 1 percent per year in whites, but was stable for blacks since 2004.

+ Signs and symptoms: Symptoms usually dont appear until the disease has progressed, but include weight loss, abdominal discomfort, and occasionally the development of diabetes. Advance stages of the disease include abdominal pain, nausea and vomiting.

+ Risk factors: Cigarette smoking, a family history of the disease, a personal history of chronic pancreatitis or diabetes and obesity, excessive alcohol consumption, Lynch syndrome and certain other genetic syndromes, including the BRCA1 and BRCA2 mutation.

+ Five-year survival rate: 8 percent.

The American Cancer Society estimates 161,360 new cases of prostate cancer will be diagnosed in 2017, and about 26,730 men will die from it.

Starting in the late 1980s, prostate cancer diagnoses spiked due to widespread screening with the prostate-specific antigen blood test but has been declining by about 8 percent per year since 2009.

The American Cancer Society recommends men of average risk of this type of cancer have a conversation with their doctor about the benefits and limitations of PSA testing.

+ Signs and symptoms: Early prostate cancer usually has no symptoms but as the disease progresses, men may experience weak or interrupted urine flow, difficulty starting or stopping urine flow, the need to urinate frequently, blood in the urine, pain or burning with urination.

+ Risk factors: Age, African ancestry, a family history of the disease and certain inherited genetic conditions.

+ Five-year survival rate: almost 100 percent.

An estimated 87,110 new cases of melanoma will be diagnosed in the U.S. in 2017, and about 9,730 people will die from it, according to the American Cancer Society.

Melanoma diagnoses have risen rapidly during the past 30 years, with a 2 to 3 percent increase per year since 2004 for those older than 50, but the rate has stabilized for those younger than 50.

The best prevention for this type of cancer is to use proper protection while in the sun wear sunglasses that block UV rays, apply a broad spectrum sunscreen with an SPF of 30 or more, and wear protective clothing.

+ Signs and symptoms: Changes in the size, shape or color of a mole or other skin lesion; the appearance of new skin growth; or a sore that doesnt heal. Changes that progress over a month or more should be evaluated by a health care provider.

+ Risk factors: A personal or family history, the presence of atypical; large or numerous moles; high exposure to ultraviolet radiation from sunlight or indoor tanning; a history of excessive sun exposure including sunburns; diseases or treatments that suppress the immune system.

+ Five-year survival rate: 98 percent.

An estimated 56,870 new cases of thyroid cancer will be diagnosed in 2017, with three out of four cases occurring in younger women. About 2,010 people are expected to die from this cancer this year.

Thyroid cancer has been increasing worldwide during the past few decades. In the U.S., the rate has increased about 5 percent per year since 2004.

+ Signs and symptoms: A lump in the neck, a tight or full feeling in the neck, difficulty breathing or swallowing, hoarseness, swollen lymph nodes, and pain in the throat or neck that doesnt go away.

+ Risk factors: Being female, having a family history of goiter or thyroid nodules, a family history of thyroid cancer and radiation exposure early in life, and a mutation in the RET gene.

+ Five-year survival rate: 98 percent

The American Cancer Society estimated 12,820 new cases will be diagnosed in 2017, and about 4,210 will die from it.

The cervical cancer rate has declined by more than half since 1975 due to a widespread uptick in screenings, but the declines recently have slowed.

The currently recommended screening for women ages 21 to 65 is a Pap test along with the human papillomavirus (HPV) test for women over the age of 30. Vaccines to protect against HPV are available for those ages 9 to 26.

+ Signs and symptoms: The most common symptom is abnormal vaginal bleedings, which may start and stop between regular menstrual periods or occur after sexual intercourse, douching or a pelvic exam. Menstrual bleeding may last longer and be heavier than usual. Bleeding after menopause and increased vaginal discharge also may be symptoms.

+ Risk factors: Most cervical cancers are caused by a persistent infection with certain types of human papillomavirus (HPV).

+ Five-year survival rate: 69 percent for white women and 57 percent for black women.

The American Cancer Society estimates 61,380 new cases will be diagnosed in 2017, and about 10,920 will die from it.

Diagnoses of this type of cancer have been increasing by about 1 percent per year among white women and three percent per year among black women since 2004. Theres no standard screening for women of average risk, but most cases are diagnosed at an early stage because of postmenopausal bleeding.

+ Signs and symptoms: Abnormal uterine bleeding or spotting and pain during urination, intercourse or in the pelvic area.

+ Risk factors: Obesity, use of postmenopausal estrogen, late menopause, never having children, a history of polycystic ovary syndrome.

+ Five-year survival rate: 84 percent for white women and 62 percent for black women. White women are more likely to be diagnosed at an early stage of the disease.

An estimated 79,030 new cases of urinary or bladder cancer will be diagnosed in 2017 and 16,870 will die from the disease.

The rate has decreased since 2009 by about 1 percent per year in whites, and increased about .5 percent for black men and was stable for black women.

+ Signs and symptoms: Blood in the urine, increased frequency or urgency of urination, pain during urination.

+ Risk factors: Smoking. Workers in the dye, rubber, leather, aluminum industries, painters and people in communities with high levels of arsenic in the drinking water are at increased risk.

+ Five-year survival rate: 79 percent for white men, 74 percent for white women, 69 percent for black men and 54 percent for black women.

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Knowledge is power: Signs, symptoms & survival rates of the most common cancers - Lynchburg News and Advance

Women's Health

Leptigen: Will This Fancy Diet Pill Really Help You Lose Weight? Women's Health If you've ever searched online for a diet pill, you might have come across Leptigen at some point. The pill bills itself as a weight-loss solution and its website claims that it contains a proprietary blend of clinically-researched ingredients for ...

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Leptigen: Will This Fancy Diet Pill Really Help You Lose Weight? - Women's Health

A year ago, Debbie Belle found herself in the same unhealthy situation as one-third of American adults. At 5 feet 6 inches and 221 pounds, she had a body-mass index above 30 and was officially obese, according to weight criteria set by the Centers for Disease Control and Prevention.

Belle, 54, had tried several of the best-known programs on the multibillion-dollar weight-loss market. She enjoyed early success with one or two. But each turned out to be too pricey, too stress-inducing or too unwieldy to keep her committed for the long haul.

Then, she says, she tried the cheapest, lowest-pressure, most self-effacing program she'd ever run across, and the decision transformed her quest for better health.

Belle joined Taking Off Pounds Sensibly, or TOPS, a national nonprofit that promotes peer support and personal determination to encourage members to avoid crash diets and instead adopt healthy lifestyle changes. Its goal is to help the average person lose weight moderately and manageably and to keep it off.

Belle, who lives in Nottingham, has shed 74 pounds in 11 months on the program and, more statistically promising for her health, has maintained her target weight of 147 since reaching it months ago.

She won a divisional first-place prize at a statewide TOPS convention in Ocean City this month for her efforts.

But the ribbon and affirmation Belle received were far from the only reason she intends to never to give up the $32-per-year program.

"It isn't a quick-fix approach or a diet program," she said. "The goal is to make weight loss permanent. I get such deep support and encouragement from my TOPS family. Never once have I felt judged, and I mean 'never' with a capital 'n.' That has all helped motivate me not just to lose the weight but also to keep it off."

Belle's experience with TOPS, a nationwide nonprofit with 63 chapters in Maryland (including 18 in the Baltimore area), is in some ways a model of what weight-management scientists as opposed to those who market weight-loss programs have been arguing for years: that when it comes to losing weight, participants' long-term health is more important than their appearance; that a slow and steady approach is healthier than a quick and splashy one; and that it's just as important to maintain weight loss as to achieve it in the first place.

Dr. Kimberly Gudzune, an assistant professor of medicine at the Johns Hopkins University and a leading researcher in weight-management science, said a study of 32 popular weight-loss regimens she led in 2015 suggested that the TOPS approach is effective. But what interests her more than any single program is exploring and explaining the tenets that lie behind any program that works.

Research has long shown that obesity increases the incidence of diabetes, heart disease, hypertension and a host of other dangerous medical conditions.

Gudzune said those who wish to lose weight would do well to look at what TOPS and a few other organizations emphasize in contrast to most programs in the $40 billion- to $60 billion-per-year weight-loss industry.

"If you look at the market of proprietary weight-loss programs, you'll generally see two main camps," she says. "One spotlights dramatic losses by using ads with models holding up these very large pants, then tiny ones in the next photo: 'Lose 100 pounds in three months!'"

Others "advocate a more regimented change in lifestyle, changes you can actually keep up for the rest of your life," Gudzune said. "I usually prefer a steadier, more purposeful change."

Given her weight loss, Belle might appear to exemplify the quick-fix camp, but what originally attracted her to TOPS was the gently supportive, user-friendly approach it has promoted for 70 years, always without paying for advertising.

Trying a better-known national program for more than a year, Belle said, helped her shed 100 pounds, but she regained it within few months.

In retrospect, she said, that program called for such rigorous calculation of weight-loss points it was hard to keep up. What's more, its monthly membership fee, which added up to $540 per year, was too high. She also felt the company representatives who ran the meetings were often judgmental, and the program reduced its accountability requirements once participants hit their target weight.

"They only asked you to come back once a month after you make your goal weight, and I need it once a week," Belle said. "I can be disciplined, but when it becomes too hard to keep up, it's easy to fall back into bad habits."

She then checked out TOPS. She'd heard the program operates in self-organized chapters in churches and senior centers.

At her first meeting with the Fallston chapter she felt as though she had met 30-plus soul mates.

They encouraged her that night and welcomed her developmentally disabled adult son, David, into their midst.

After two meetings, she said, she began getting motivational cards from the group and realized they felt like family.

Taking advantage of TOPS literature on exercise and nutrition, she began taking what felt like manageable steps, swimming at a local community college, doing morning walks with David, and maintaining a regimen of "calorie cycling" 1,800 calories on high-exercise days, 1,200 on the rest.

The positivity of the feedback and weekly weigh-ins motivated her not to quit, she said, and to add gradually to her chosen exercise regimen. She now swims 30 laps a day three times a week, walks for an hour at a rapid clip four times a week, and rarely goes back for seconds at meals.

Perhaps most important, she said, TOPS doesn't let up after members hit their target weight; it places them in its coveted "KOPS" (Keeping Weight Off Sensibly) category, and the positive feedback and weekly expectations continue.

Like most programs in an industry regulated more by the Federal Trade Commission than by federal health agencies, TOPS has never been subjected to the randomized clinical trials that would measure its effectiveness against that of its rivals.

But one weight-management researcher, Dr. Nia S. Mitchell of Duke University, became interested in TOPS while seeking weight-loss alternatives for her lower-income clinical patients 14 years ago.

She found in longitudinal studies that members who stayed enrolled year to year generally lost between 5.9 percent and 7.1 percent of their original body weight over three years, easily eclipsing the 5 percent considered a benchmark for significantly improving one's overall health.

And most of those who stayed with TOPS for seven straight years kept the weight off.

"I see continuous engagement as a key to the weight-loss maintenance success of TOPS," Mitchell said.

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Shedding pounds sensibly and making weight loss stick - Baltimore ... - Baltimore Sun

MONTGOMERY, AL--(Marketwired - April 20, 2017) - The Military Diet claims rapid weight loss results for individuals who have the military-style discipline to adhere to its strict guidelines. The official website says that people can lose up to 10 pounds each week without the help of exercise or supplements. It consists of very low-calorie foods that work together in order to activate weight loss. The Military Diet is an attractive option, given that one only needs to adhere to its low-calorie meal plans for 3 out of 7 days; leaving dieters the option of eating whatever else they want during the other four days.

The Military Diet appeals most to those who want to lose a few quick pounds prior to a vacation or an event. However, the meals themselves aren't sustainable for long-term weight loss, nor do they provide any health benefits. Its heavy protein, minimal fruit and vegetable servings and freestyle approach to the rest of the week won't go far towards preventing common diseases such as diabetes, hypertension and high-cholesterol, which are becoming growing health crises. Given that the diet is so low in calories, it is essentially a form of fasting that may come with some residual side effects such as low-energy, fatigue, persistent hunger pangs and increased irritability.

If one can discipline themselves enough to follow the Military Diet, why not choose a better diet program that can improve overall health and promote long-term weight maintenance? Diet Doc Medical Weight Loss has helped thousands of patients through comprehensive meal planning and personalized assessments to support optimal health. Diet Doc patients are losing up to 20 pounds per month quickly and safely. Their one-on-one consultations with experienced weight loss doctors and nutritionists provided unlimited support and guidance with your unique needs in mind.

New Diet Doc patients can call or easily and effortlessly visit https://www.dietdoc.com to complete an initial comprehensive, yet simple, health questionnaire and schedule an immediate personal, no-cost consultation. Diet Doc Physicians all received specialized training in nutritional science and fast weight loss. Diet Doc reviews each patient's health history to create a personalized diet plan geared for fast weight loss, or that addresses life-long issues causing weight loss to slow down or stop. Nutritionists work personally with each patient and use their own algorithm to craft meal and snack plans that are compatible with each patient's age, gender, activity level, food preferences, nutritional needs and medical conditions. They combine these state of the art diet plans with pure, prescription diet products that enable their patients to resist the temptation to reach for sugary snacks, eliminate fatigue and curb the appetite. Over 97% of Diet Doc patients report incredible weight loss results with the majority losing 20 or more pounds per month.

At Diet Doc, all patients gain unlimited access to the best minds in the business. Their staff of doctors, nurses, nutritionists and coaches are available 6 days per week to answer questions, offer suggestions, address concerns and lend their professional guidance and support. Because of this, more and more people are turning to Diet Doc for their weight management needs. Diet plans are tailored to be specific to the needs of those of any age, gender, shape or size and for those who are struggling to lose that final 10-20 pounds to those who must lose 100 pounds or more. Call today to request a private, confidential, no-cost online consultation.

About the Company:

Diet Doc Weight Loss is the nation's leader in medical, weight loss offering a full line of prescription medication, doctor, nurse and nutritional coaching support. For over a decade, Diet Doc has produced a sophisticated, doctor designed weight loss program that addresses each individual specific health need to promote fast, safe and long term weight loss.

Twitter: https://twitter.com/DietDocMedicalFacebook: https://www.facebook.com/DietDocMedicalWeightLoss/Linkedin: https://www.Linkedin.com/company/diet-doc-weight-loss?trk=biz-brand-tree-co-logo

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Diet Doc's Comprehensive Weight Loss Program Surpasses Military ... - Marketwired (press release)

PORTLAND, OR--(Marketwired - April 19, 2017) - Dietary restrictions are almost always thought of as a means of losing weight, or fostering a healthier lifestyle. Most consumers assume that the term 'diet' automatically corresponds with improving one's wellness. The gluten-free diet falls into this category, as many assume that avoiding gluten offers health benefits, including weight loss. However, Diet Doc's Medical Director, Dr. Nishant Rao, wants to remind consumers that going gluten-free without having a gluten allergy might ultimately do more harm than good.

Gluten is a type of protein that is typically found in breads and pastas made of wheat, barley and rye. It can also be found in some soups, pizzas, cereals and beer. Gluten gives these foods their elasticity and shape. Celiac disease (or gluten sensitivity) affects one in 100 people, with symptoms such as bloating, diarrhea, headaches, fatigue and even depression. For those who suffer from celiac disease, it is indeed necessary to maintain a gluten-free diet. However, this does not mean that they are not required to seek out foods that can replace the missing nutrients. In fact, a study conducted by Harvard University found that low gluten diets were linked to a higher risk of developing type 2 diabetes.

The truth is, for most people, gluten is not a threat to their health. However, many gluten-free products can be. Studies show that these products often lack important vitamins, dietary fiber and minerals and may be higher in mercury and arsenic. Rather than simply opting for gluten-free foods to improve overall health, balanced diets with the right balance of nutrients are always your surest bet to lower risks for common conditions (heart disease, diabetes, obesity, inflammatory conditions, etc.). Diet Doc Medical Weight loss has revolutionized the health and weight loss industry by avoiding one-size-fits-all dieting and instead customizes dietary guidelines based on each patient's health history, current health needs and goals. Their Jumpstart Diet program is designed to shift momentum in the direction of quick weight loss with amazing health benefits.

New Diet Doc patients can call or easily and effortlessly visit https://www.dietdoc.com to complete an initial comprehensive, yet simple, health questionnaire and schedule an immediate personal, no-cost consultation. Diet Doc physicians all received specialized training in nutritional science and fast weight loss. Diet Doc reviews each patient's health history to create a personalized diet plan geared for fast weight loss, or that addresses life-long issues causing weight loss to slow down or stop. Nutritionists work personally with each patient and use their own algorithm to craft meal and snack plans that are compatible with each patient's age, gender, activity level, food preferences, nutritional needs and medical conditions. They combine these state of the art diet plans with pure, prescription diet products that enable their patients to resist the temptation to reach for sugary snacks, eliminate fatigue and curb the appetite. Over 97% of Diet Doc patients report incredible weight loss results with the majority losing 20 or more pounds per month.

At Diet Doc, all patients gain unlimited access to the best minds in the business. Their staff of doctors, nurses, nutritionists and coaches are available 6 days per week to answer questions, offer suggestions, address concerns and lend their professional guidance and support. Because of this, more and more people are turning to Diet Doc for their weight management needs. Diet plans are tailored to be specific to the needs of those of any age, gender, shape or size and for those who are struggling to lose that final 10-20 pounds to those who must lose 100 pounds or more. Call today to request a private, confidential, no-cost online consultation.

About the Company:

Diet Doc Weight Loss is the nation's leader in medical, weight loss offering a full line of prescription medication, doctor, nurse and nutritional coaching support. For over a decade, Diet Doc has produced a sophisticated, doctor designed weight loss program that addresses each individual specific health need to promote fast, safe and long term weight loss.

Twitter: https://twitter.com/DietDocMedical

Facebook: https://www.facebook.com/DietDocMedicalWeightLoss/

Linkedin: https://www.Linkedin.com/company/diet-doc-weight-loss?trk=biz-brand-tree-co-logo

Original post:
Diet Doc Advises Unless You Have a Gluten Allergy, Gluten-Free Dieting May do More Harm Than Good - Marketwired (press release)

Everyone knows that salty foods make you thirsty. But according to new research, when people increase their sodium intake long-term, they actually drink less water. And thats not the studys only surprising finding: High sodium levels also increasefeelings of hunger, the authors say, which may suggest that high-salt diets contribute to weight gain.

Experts say this counterintuitive discoverythat dietary salt boosts appetite but decreases thirstupends more than 100 years of conventional scientific wisdom. The findings are published this week as a set of two papers in the Journal of Clinical Investigation.

In the first paper, German and American researchers report on 10 Russian cosmonauts who participatedin flight simulation programs from 2009 to 2011. The men were living in a tightly controlled environment for months at a time, so they were ideal for nutritional and metabolic research.

The authors wanted to see what would happen when they gradually decreased the cosmonauts dietary salt intake from 12 grams a day (similar to an average Russian diet) to 6 grams a day (the recommendation of most national health experts). Prevailing science suggested that the men would be less thirsty, and drink less water, as their sodium levels decreased.

But thats not what happened. Instead, the men drank less water when they were on the high-salt dietsuggesting that their bodies were either conserving or producing more water, not flushing it out with the salt, as previously suspected.

Senior author Jens Titze, MD, associate professor of medicine and of molecular physiology and biophysics at Vanderbilt University, says the findings were unexpected, but not entirely surprising.

It makes sense that on a high-salt diet, the body wants to prevent water loss, he says. So the kidneys have to find a way to increase water contentand if you have more water content in your body, youre going to be less thirsty.

The men also reported feeling hungrier when their salt levels were higher, even though they were getting the same amount of calories and nutrients. This may be because it takes extra energy for the body to conserve water, explains Dr. Titze. I do think that if wed offered the cosmonauts more food, they would have overeaten and gained weight, he says.

RELATED: 13 Foods That Are Saltier Than You Realize

In the second paper, the researchers replicated their findings in mice. In these experiments, they did find that mice on high-salt diets ate more food than those on low-salt diets. They also found that high-salt diets were associated with a breakdown of muscle protein. The protein was converted into urea, a chemical that enables the kidneys to reabsorb fluid and prevent water loss while salt is excreted.

Whats more, thebreakdown process was fueled by an increase in glucocorticoidscompounds that, in humans, have been linked to the development of diabetes, obesity, heart disease, and osteoporosis. Thats significant, says Dr. Titze, because scientists to-date have mainly focused on how sodium contributes to high blood pressure.

Our findings suggest that there is much more to know, he says. If a high-salt diet triggers an increase in glucocorticoids, he says, it could predispose people to other chronic health problemseven in the absence of blood pressure changes. And it could potentially raise the risk of metabolic syndrome, a combination of three or more risk factors for heart disease and diabetes.

RELATED: 24 Tasty, Low-Sodium Recipes for Every Meal

Dr. Titze says that, when it comes to the short-term effects of salty foods, bartenders wisdom still holds true. If you put salted peanuts down in front of your customers, theyre absolutely going to consume more drinks, he says. But our research showed that, over several months and even over 24 hours, theyre going to conserve more water and actually consume less.

In an accompanying commentary article, Mark Zeidel, MD, professor of medicine at Harvard Medical School, wrote that the new studies challenge common beliefs about how sodium and fluid levels are balanced in the body. They also demonstrate that an adjustment in dietary salt changes protein and fat metabolism, and alters eating and drinking habits, among other physiological changes in the body.

Learning more about these changes may help scientists develop new treatments for conditions like high blood pressure and congestive heart failure, Dr. Zeidel wrote. Dr. Titze says it may also help doctors better understand the connection between salt and weight gain.

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Of course, most sodium in the typical American diet doesnt come from table salt; it comes from restaurant meals and processed foods that also tend to be high in sugar, saturated fats, and simple carbsso theres already plenty of reason to limit these in your diet. These new studies may suggest one more.

Dr. Titze says that if his teams theories hold up, reductions in sodium content across the packaged food and restaurant industries could potentially prevent some of these harmful effects on metabolism and appetite. Until then, he takes a simple approach to reducing sodium and managing his weight: If you eat less of everything, you will automatically eat less sodium, he says. So my take is to exercise a bit more and eat less in general.

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Always Hungry? This One Ingredient May Be to Blame - Health.com

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