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Here’s what you haven’t seen. Ryan who won the first season of The Biggest Loser? He’s regained all but 30 pounds of his initial 254 pound loss, and 30 pounds of that regain happened during his first week off the show. Kai Hibbard, another Loser, says she keeps off the weight she lost on the show through a daily regimen that includes sitting in a sauna for 6 hours and eating only sugar free Jell O and asparagus.

It sounds like you gained this weight in the past few years because you have made some lifestyle changes that either caused you to eat more calories or have less activity. Try to examine what those are. It could be something as simple as Adding an extra bowl of ice cream to your daily routine.

You also educate patients on how to properly use their medication. A colleague of mine 2 months ago helped a woman who been suffering from an unexplained cough for over a year. He correctly identified it as a ACEi cough and resolved a problem that a few doctors had been unable to diagnose. My husband, age 46, weighs about 200 lbs and has always struggled with his weight. He knows he needs to lose weight and has even been told by his doctor, yet nothing will get him motivated to start eating beter and exercising. It is a very sensitive issue and I try to voice my concerns about his weight without being mean,green soft gel pill, nagging, etc.