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May 25, 2012

Rabbi Yonason Goldson: Thinking About Faith
Mark Clayton: Is Hillary's State Dept. hacking Al Qaeda? Not quite
David G. Savage: Supreme Court limits protection against double jeopardy
Ashley Powers: A nightmare, then conviction is tossed
Erika Bolstad: Temple cancels Wasserman Schultz speech
Deroy Murdock: WWII hero Karski to receive U.S. Medal of Freedom
Kimberly Lankford: Health Coverage for College Grads
The Kosher Gourmet by Ethel G. Hofman: The former president of the International Association of Culinary Professionals, whose members included the likes of Julia Child, is back with contemporary Shavous cuisine: Ruby Fruit Soup, Sweet Noodle Kugel with Cheese, Key Lime Curd, Calsone Casserole Frittata with Wild Mushrooms, Sun-dried tomatoes and Olives, Baked Tilapia with Pepper Cheese Cream and Brown Sugar Shortbread
May 24, 2012
Jeff Jacoby: The peace process battered Israel's reputation
Clifford D. May: What Iran's Rulers Want
Michael Muskal: 'Pro-choice' position hits record low, according to poll
Chris Farrell: Are We in a Tech Bubble?
Kimberly Lankford: Switching Medicare Advantage Plans Mid-Year
Bryan McIver, M.B., Ch.B., Ph.D.: Mayo Clinic Medical Edge: Understanding hyperthyroidism and its variety of treatment options
The Kosher Gourmet by Penelope Wall: PHILLY CHEESE STEAKS --- hold the steak!
May 23, 2012
Ex-CIA spy in Iran's Revolutionary Guard: Baghdad talks highlight Western naivete
Tony Pugh: More private colleges offering tuition discounts
Lisa Gerstner: 4 Money-Etiquette Questions Answered
Mary Beth Franklin: How to Choose the Right Annuity for You
Art Markman, Ph.D.: Get smart: How to bulk up your creativity muscles
Tina Susman: The wig wasn't enough: Man gets 13 years for posing as his dead mom
The Kosher Gourmet by Emma Christensen:A simple way to do fish right
May 22, 2012
David S. Cloud and Kathleen Hennessey: Obama changes mind on Pakistan invite to NATO summit --- and then gets dissed by country's president
Warren Richey: Can US group challenge overseas surveillance act? Supreme Court to decide
Thomas M. Anderson: Walking Away From a Mortgage
Environmental Nutrition editors: The lowdown on a low-acid diet
The Kosher Gourmet by Megan Gordon: Enjoy a celebration of the most rich and layered flavors: Black bean, sweet potato and quinoa chili
May 21, 2012
Mark Clayton: Cybersecurity: How US utilities passed up chance to protect their networks
Howard LaFranchi: NATO summit: Who will foot the bill for long-term Afghanistan security?
Chris Farrell : Earn Dividends in Emerging Markets with This WisdomTree ETF
James K. Glassman: 5 Stock Picks Among Online Retailers
Stephen Whiteside, Ph.D. : Mayo Clinic Medical Edge: Social anxiety disorder --- or just shy?
Guy Jackson : Victim's father regrets death of Lockerbie bomber
The Kosher Gourmet by Mario Batali: Famed chef's veal shoulder farsumagru: A festive meat course for late spring
May 18, 2012
Rabbi Berel Wein: Striving: The People of the Book's Book for (All of) the People
Caroline B. Glick: Embracing dangerous delusions and not our friends
Steven Goldberg: 5 Great Stock Picks and the Exchange-Traded Fund that Owns Them
Janet Bodnar: How to Teach Kids to Handle Credit Cards
Mary Pickett, M.D.: Ask the Harvard Experts: Don't be forced into gluten-free lifestyle based merely on a doctor's false-positive test
The Kosher Gourmet by Carolyn Malcoun: DIY healthy lunchbox treats: HOMEMADE FRUIT BARS for kids and brown-bagging adults alike
May 17, 2012
Warren Richey: Teacher fired for being unwed and pregnant can sue religious school, court rules
Josh Mitnick: Netanyahu's 'centrist' coalition is already proving it's anything but
Steven Goldberg: Earn Dividends in Emerging Markets with This WisdomTree ETF
Mary Beth Franklin: Retirement Savings Tips for New Grads
Amina Khan: Research links coffee to lower death rates
Chelsea Sheasley: Social media: Is it too feminine?
The Kosher Gourmet by Faith Duran : Cheesy Potato Breakfast Casserole with Cheddar and Sun-Dried Tomatoes
May 16, 2012
Jackson Holahan: The Aleppo Codex
Jonathan Tobin : Iran Declares Victory in Nuclear Talks
Anne Kates Smith: 7 Stocks That Let You Sleep Tight
Carmen Terzic, M.D., Ph.D. : Mayo Clinic Medical Edge: A variety of exercises can help improve balance
Melissa Healy: National strategy on Alzheimer's disease aims to halt it by 2025
The Kosher Gourmet by Joyce White : GOODNESS GRACIOUS: GREENS! 4 winning recipes that are no longer just for down-home folks (Includes expert tips & techniques)
May 15, 2012
Dennis Prager: God and Man at (and for) Liberty
Kristen Chick: Obama administration resumes arms sales to Bahrain despite serious unresolved human rights issues. Activists feel abandoned
Pat Mertz Esswein: Homes are now affordable again and mortgage rates are low. What you need to know before you buy
Kathy Kristof: Our Practical Investor Fights Inflation with These 6 Investments
Sue Hubbard, M.D.: The Kid's Doctor: Lactose intolerant young child? Check again
Environmental Nutrition Editors: Get the facts on palm sugar sweetening
The Kosher Gourmet by Kathy Hunt: Spread a Little Excitement with EXOTIC CONDIMENTS (4 RECIPES)
May 14, 2012
Richard Simon: Purple Hearts for domestic terror victims?
Nando Pelusi, Ph.D.: The privacy paradox: Surrounded by strangers, we risk isolation, anxiety
Chris Farrell: Investing Lessons from the Great Recession
Lisa Gerstner: How to Protect Your Identity, Finances If You Lose Your Phone
Harvard Health Letters: Heart disease and dementia
Tiffany O'Callaghan: New hormone mimics effects of exercise without the sweat
The Kosher Gourmet by Megan Gordon: MANGO COCONUT OAT MORNING MUFFINS are a bright but hearty delight
May 11, 2012
Rabbi B. Shafier: Why happiness will always be elusive
Charles Krauthammer: Echoes of '67: Israel unites
Howard LaFranchi: With G8 snub, US-Putin 'reset' off to stumbling start
Jeremy J. Siegel: Investors, Relax About Rising Interest Rates
Jessica L. Anderson: Get the Best Deal on a Used Car
Jett Stone: Forget face-lifts and fake knees. Scientists have seen the fountain of youth --- and it's broccoli
The Kosher Gourmet by Chef Mario Batali: The famed chef's vegetable dish that tastes true to the season: FAVAS AND SUGAR SNAP PEAS WITH POTATOES AND TARRAGON
May 10, 2012
Clifford D. May: The Real Palestinian Refugee Problem
Sergei L. Loiko: Putin sends warning to U.S., NATO in Victory Day speech at Red Square
Mary Rourke: How being a 'mentch' got Vidal Sasoon his start and fighting in Israel's War of Independence provided him with confidence and a strong sense of his own identity
Harvard Health Letters: Palliative care: Underused therapy yields surprising benefits
Jeff Bertolucci: Get Home Phone Service for Less Than $10 a Month
Rachel L. Sheedy and Susan B. Garland : Make the Right Moves to Boost Benefits
The Kosher Gourmet by Betty Rosbottom: Gleaming with its golden, crimson, and snowy white hues, this silken smooth and creamy STRAWBERRY ORANGE TRIFLE looks impressive, but is easy to prepare
May 9, 2012
John Rosemond: Parents, stop destroying the American male
Valerie J. Nelson: Maurice Sendak, author of 'Where the Wild Things Are,' dies at 83
Bob Frick: Angst Over Annuities
Sharon Palmer, R.D. How you can reduce your risk -- or delay -- chronic diseases associated with aging
Howard LeWine, M.D.: Ask the Harvard Experts: Why did my blood pressure suddenly shoot up?
Lisa Gerstner: Lower the Rate on All Your Loans
The Kosher Gourmet by Emily Ho : Springtime soba with miso sauce offers a coloful mix of fresh textures and flavors
May 8, 2012
Edmund Sanders: Netanyahu suddenly cancels new elections, forms unity government
Frank J. Gaffney Jr.: Farewell to European superstate
Anne Kates Smith: 4 Stocks That Mimic Buffett and Berkshire Hathaway
Gaia Vince and Clare Wilson The Rise of Miniature Medical Robots: Fantasy Fast Becoming Reality
Paul Takahashi, M.D.: Mayo Clinic Medical Edge: Never suffer night leg cramps
Jessica L. Anderson: Extended-Warranty Warning
The Kosher Gourmet by Diane Rossen Worthington: Celebrate National Chocolate Chip Day with the Best Cookie Ever (Includes techniques)
May 7, 2012
Mark Clayton: Homeland Security warns major cyber attack aimed at gas pipeline industry underway
Angus Roxburgh: Putin Decoded: World view of a Russian feeling dissed
Kimberly Lankford: Navigate a Course for Long-Term Care
Kevin McCormally How to Adjust Your Tax Withholding
Celeste Robb-Nicholson, M.D.: Harvard Health Letters: How do you treat a Baker's cyst?
Joanne Capano: Healthy Snacks for Children: The Choices May Surprise You
The Kosher Gourmet by Penelope Wall: Classic Creamy Spinach Dip with a Fraction of the Calories and Fat
May 4, 2012
Rabbi Nathan Lopes Cardozo: Holy 'trivialities'
Jonathan Tobin: Bibi v. Barak will be no contest this time around
Steven Goldberg: Blue Chip Stocks On Sale Worldwide
Art Pine Slow Productivity Growth a Blessing --- For Now
Sue Hubbard, M.D. : The Kid's Doctor: Are Kids Too Wired?
Kerri-Ann Jennings, M.S., R.D: Foods that are good for your smile
Amy Paturel, M.S., M.P.H.: Eating Well: Foods that are good for your smile
The Kosher Gourmet by Betty Rosbottom: Strawberry rhubarb parfaits are elegant yet simple to assemble
May 3, 2012
Michael Freund: Who's Afraid of the Messiah?
Clifford D. May: The Foggiest War
Susan B. Garland: Insurance to Cover Old Old Age
Steven Goldberg 6 Reasons to Bet on a Big Bull Market
Harvard Health Letters: Treating prostate cancer --- no rush to judgment
Larry Gordon: Harvard, MIT partner to offer free online courses
Naomi Nix : Man gets free trip to Chicago after postcard sent by mother in 1957 finally reaches him
The Kosher Gourmet by Diane Rossen Worthington: Intensely Italian vegetable frittata is a seriously simple standby


Jewish World Review

Your body is thwarting your weight-loss efforts

By Sarah Avery


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Scientists are trying to understand how, in recent decades, the population has bloated to a point that lean people are a minority. Their findings should impact pending "food police" legislation. But will it?

http://www.JewishWorldReview.com | (MCT) It seems so simple: Too much food and too little activity make people fat.

But the actual processes that create and perpetuate that imbalance are proving to be astoundingly complex.

Biology, physiology, psychology, genetics and environment figure in the obesity equation to varying degrees. Scientists are trying to understand how, in recent decades, the population has bloated to a point that lean people are a minority.

"There is no simple answer," said Bernard Fuemmeler, a Duke University researcher who is studying the mind-body link in obesity. "People tend to think that it may be willpower or just a lack of control. And these may be reasons, but not explanations for what is driving the epidemic."

In their quest for explanations, researchers at Duke, UNC-Chapel Hill, Wake Forest and East Carolina universities are discovering or are building upon findings that prove just how intractable a foe fat can be:

Rich foods work much like heroin on the brain, making it hard to stop eating them. A recent study indicates a genetic link between overeating and drug addiction, explaining why obese people have such intense cravings and build up such tolerance.

Depression and obesity can be so tightly linked, it's hard to tell which comes first. Some of the same hormones and neurotransmitters are active in both, which could explain a tendency to eat when not hungry.

And as people gain weight earlier in life, they not only get chronic diseases sooner, they also set the course for a lifetime of weight battles. Growing evidence points to biological changes in obese people that means they must work harder to keep weight off than those who never gained.

The consequences are huge. Obesity is estimated to directly kill 112,000 people a year in the United States and to contribute to the deaths of many hundreds of thousands more. Health costs associated with the epidemic are tabbed at $147 billion a year, according to an analysis by RTI International.

Cheap, abundant and tasty food that requires almost no physical effort to obtain have upset an intricate equilibrium within the body that is at the very essence of existence.

Food is life; every system in the body depends on it. But too much of anything, even a basic necessity, can create a poison.

Well-educated and motivated, Jennifer Joyner began every day determined to lose weight. By noon, she was off course.

"I used that failure to go ahead and eat (poorly) the rest of the day," said Joyner, 38, who lives in Fayetteville, N.C., with her husband and two children. At her heaviest, she carried 336 pounds on her 5-foot-5-inch frame.

Joyner firmly believes she was addicted to food.

"Nobody is that heavy because they don't know how many calories they should limit themselves to," Joyner said. "That's absurd."

There's growing evidence she might have a case.

High-energy foods hit the same pleasure centers of the brain that heroin and cocaine activate, recent research has found. Wake Forest's Pratt said that very brain circuitry was once an evolutionary benefit.

Humans were programmed to like sweets and fatty foods so they'd eat more of them during those fleeting moments of abundance — finding a berry bush or a trove of tree nuts.


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"It makes sense to eat more than you'd need for that day, so you could put down a layer of fat to survive" during the inevitable periods of scarcity, Pratt said. "The reward system is there to take advantage of things that are beneficial to us."

Even though people are hard-wired to find rich foods pleasurable, most are not addicted in the sense of becoming increasingly compulsive and self-destructive.

But in an unprecedented environment of food abundance, a steady diet of cheeseburgers, pizzas and doughnuts can trigger in some the same cravings and tolerances that an addict gets from heroin or cocaine. Recent brain studies show that drug addicts and people who are obese have similar neurobiological circuitry.

Studies with rats show why we start craving fat. Rats on high fat and sugar diets begin craving the foods because the reward centers in their brains grow numb to the pleasure signals, much like the addict develops a tolerance to cocaine that fuels more and bigger binges. As a result, the rats eat more and more, growing obese.

Adding to the biological evidence, a team of scientists that included UNC-Chapel Hill researchers reported in 2009 that they had found a gene, NRXN3, associated with obesity in some people. The same gene previously was identified as playing a role in substance abuse.

Keri Monda, an epidemiologist at the UNC Gillings School of Global Public Health and one of the study's authors, said the finding draws a strong inherited link between overeating and drug addiction — problems characterized by difficulties limiting enjoyable experiences.

"We do know there are common underpinnings," Monda said, adding that additional studies are needed to make a definitive association.

For Joyner, the science only confirms her experience. In March 2008, she had weight-loss surgery and has since dropped 150 pounds and written a book about her experience, "Designated Fat Girl." But overcoming her addiction, she said, has taken counseling and work beyond the operation.

"You don't treat addiction with a diet-and-exercise plan," she said. "There needs to be intervention, family support, ongoing counseling."

As anyone who has battled obesity knows, the struggle is as much mental as physical. Sadness, self-loathing, disgust and frustration often accompany weight gain. Bad health begets a bad frame of mind, which begets more bad health.

Maureen Leslie of Raleigh, N.C., started that spiral six years ago, when she was diagnosed with pre-diabetes, a condition of early metabolic failure characterized by a growing inability to clear sugar from the bloodstream. It can often be reversed with diet and exercise, or it can bloom into full-blown diabetes.

Leslie then lost her job, her marriage fell apart and she sank into despair. Sweets offered a poisonous escape, turbocharging the tailspin.

"The stress of all that stuff was overwhelming," said Leslie, now 45.

The connection between depression and obesity, long linked by the anecdotal experiences of people who suffer from both, is only recently becoming better understood. Some of the same hormones and neurotransmitters are active in both diseases.

Fuemmeler, the Duke researcher, was the lead author of a 2009 study that investigated the intersection of depression and obesity.

It's a confounding area of research.

"There is some controversy about the relationship between obesity and depression," Fuemmeler said, noting that many factors cause depression and that an equal number cause obesity. Often, the two overlap, and it's hard to determine whether one causes the other.

Fuemmeler said his colleagues are studying brain chemicals that regulate reward and mood.

"These biobehavioral mechanisms might be driving both depression and/or a tendency to eat when not hungry," he said.

For Leslie, the two problems had to be addressed as one. A year ago, she carried 209 pounds on a 5-foot-4-inch frame and was well on her way to full-blown diabetes. She had blurred vision, and her feet and hands tingled from nerve damage caused by the high glucose levels in her blood. Every night, she cried herself to sleep.

Finally, through a free clinic in Raleigh and a diabetes intervention called Project DIRECT that provided free education and resources, Leslie began addressing her sadness and learned that, with proper attention and management, diabetes isn't a death sentence.

She has lost more than 30 pounds, eats more vegetables and fewer sweets and works out by mowing neighbors' yards — which also boosts her mood.

"It's a mental thing," she said. "You know you need to eat right, you know you have something to accomplish, but you may not be fully prepared to commit to it. Finally, I realized I couldn't keep doing this to myself. I was slowly killing myself."

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Most people gain their greatest amount of excess weight between ages 18 and 35.

There are lots of reasons — people go to school or work and don't exercise as much, eat convenience foods, party more, keep odd hours, have children. The weight inches up by an average of 30 pounds over that 17-year period of young adulthood.

It can be a dangerous accumulation, giving a head start to diabetes, cardio-vascular disease, hypertension and other diseases once associated with old age.

Courtney Ward actually wanted to gain a little weight after high school. At 6 feet 5 inches and 170 pounds, he thought he was too skinny. But he hit his desired weight of 200 pounds and kept gaining.

A year ago at age 43, the office manager at RDU International Airport weighed 269 pounds, putting him at 31.9 on the height-weight calculus known as the body mass index. A BMI over 30 is called obese.

Suffering high blood pressure and other signs of poor health, Ward was committed to shedding the weight. He has lost about 45 pounds, primarily by cutting out junk food and exercising daily at the Institute of Diet & Weight Management, a doctor-guided program in West Raleigh.

"I had to realize it was a lifestyle change," he said. "The dieting thing was never me — it had to be a total lifestyle change."

But Ward has a difficult task ahead. By gaining that weight, he might have created a monster because his body will challenge his willpower and try to drive his weight back up.

The yo-yo effect is one dieters know all too well. Most people gain all their weight back within five years, and 33 percent have some weight return in the first year after a successful diet.

Scientists attribute this to basic physiology. For the same survivalist reasons the brain is hard-wired to favor rich foods, the body's cells are programmed to sock away extra fuel as a hedge against famine.

That extra fuel is stored as fat. And once the body has created a fat bank, it fights to protect it, perceiving a successful diet as a heist.

To restock, the body sets into motion a complex cascade of hormones and brain signals that trigger hunger, while it simultaneously downshifts energy. The food cravings and a lack of energy often get worse the longer a dieter tries to stay compliant.

And in a diabolical irony, the body's pepped-up metabolism appears to store fat more efficiently. This makes it difficult for even the most committed to maintain their hard-won weight loss.

Heba Salama and Ed Brantley are a Raleigh couple who appeared on NBC's "The Biggest Loser" reality show two years ago and dropped more than 130 pounds each. They still fight to keep the weight from returning. Each has put back on about 30 pounds.

"It's hard," Heba said, noting that her body seems comfortable maintaining a weight that's about 10 pounds heavier than she'd like.

But the couple took the show's boot-camp mentality to heart and now work to promote healthy eating and exercise. They work out regularly, running or attending hot yoga and other workouts at a gym. They're also training to climb Mount Kilimanjaro in February.

Exercise may be the secret to success.

Deborah Tate, an associate professor of nutrition at UNC-Chapel Hill, said she worked on a study while at Brown University that showed the benefits of exercise outlast a diet, even when people return to unhealthy eating.

Tate noted that 90 percent of the people on the National Weight Control Registry, a research compendium of more than 5,000 dieters who have kept off significant amounts of weight, exercise on average an hour a day.

At the same time, Tate said, her research has reinforced a difficult truth: "People who successfully kept it off had to work a little harder than those who never gained in the first place."

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