Monthly Archives: October 2010

Dael Challenges the Conventional Wisdom about Smoking and Weight Control

Dael is taking a lonely path as a confirmed smoker. So far the benefits seem to out weigh the risks, but we all know what the end of this road will look like. I am posting Dael’s comments to see if the community at can make a positive impact on Dael’s rebellious attitude.

Dael writes:

hey guys and gals just to let you know,

am down to 130lbs and feeling fit as a fiddle. have the 6 pack and abs i dreamed of and am fitter than i have ever been.. it really is odd cos i hate smoking but here i am having lost 42 lbs and loving every second of it apart from the smoking. what can i say – maybe rather die skinny and liking myself, than a fatty with some self righteous notion of how wonderful i am for not smoking… i hated myself with the extra weight, sorry but true…. i really can’t give a f***k for what anyone thinks on here but at least i can bear to look at myself in a mirror and like what i see, not loathe what i look like and try to bullshit myself into believing that i am sooooo happy cos i gave up the cigs….. but next is the NRT – lets see what happens there, and b4 anyone says it, yes i lost two of my best friends to cancer, of the spine and brain, but all i can say is like james dean , i’d rather live fast and furious, that be fat and dumb til 101, you can all choose, but in the end what do you all want?
i do not advocate smoking !!!

I know who i am

Have You Been Injured by Your Diabetic Diet?

Ads on TV and in magazines are promoting weight loss programs specifically designed for diabetics. Weight loss is crucial to successful treatment of type 2 (adult onset) diabetes and is a highly desirable goal. In practice however, weight loss diets for diabetics can be dangerous if not properly supervised. Many adult diabetics are taking powerful medications to lower their blood sugars. These medications can work through several different mechanisms in the body, some of which can lead to hypoglycemia which is abnormally low blood sugar. Hypoglycemia may occur almost without warning resulting in rapid heart beating, sweating, confusion , poor coordination and even unconsciousness. When a diabetic begins a weight loss program, if their medication is not adjusted appropriately the risk of hypoglycemia goes up dramatically.

Most of the weight loss programs being advertised are designed by professionals but administered by non-medical personnel. Although their over-all goal is a good one, it seems to me that these programs are putting people at risk and are equivalent to engaging in practicing medicine without a license. It is careless to assume that the dieter’s doctor will be in a position to immediately make accurate medication adjustments when the diet begins.

Have you ever come across ads from lawyers soliciting clients who have been injured by products, including prescription medications? My thought is that soon these lawyers will be soliciting business from people who developed hypoglycemia on commercial diabetic weight loss programs, resulting in injury to themselves or others.

Gary Pepper, M.D.

Cami Gets Contentious About the HCG Diet

The HCG diet has created a great deal of controversy among experts and the people who have tried it. Cami posts these words of warning about the HCG diet based on her own and her husband’s experience.

Cami writes:

What Dr. Simeons book does not tell you is that there is a good chance your hair will fall out aproximately three months after completing the 500 calorie phase of the diet. He also doesn’t mention that the shock to your system can cause adrenal fatigue, and hypothyroidism if you were already prone to these conditions.

My husband and I both went on the hCG diet and both lost the weight we had been hanging onto for years. I followed the diet perfectly, but as soon as the hCG stopped, the weight began coming back on, FAST! I had to do a steak day every other day, my blood sugar plummeted and I began to feel awful! I suffered fatigue, dry skin, dry mouth, no energy, no libido, and my muscles and joints began to hurt. The carb and sugar cravings were so intense I felt like a drug addict. I gained all the weight back plus 13 lbs. in three months, then the hair began to fall. My doctor was shocked and completely surprised. His only theory is that the usual dose wasn’t enough for me and I triggered a starvation response which affected my thyroid and adrenals. Together we are going to support adrenal health, then begin t3 therapy in an effort to repair my thyroid. My husband on the other hand, feel great! He has been able to keep off the weight, add some muscle and is happy and energetic every day. hCG does work, but if you have any health problems related in any way to the hypothalmus, I would consider taking the weight off very slowly to avoid starvation response.

Is it a thyroid or adrenal gland issue?

A while back one of our members, Sylvia, described some troubling new symptoms she was experiencing. A recent contribution to her thread on the message board here at made me re-read Sylvia’s original post. What she described was recent onset of weight gain, depression, high blood pressure and ankle swelling (edema). Her concern was that although her thyroid blood tests were described as “normal”, that the thyroid was the source of her new problems.

On second review the thought occurred to me that the combination of problems Sylvia described is typical of an over-active adrenal gland. This is referred to as Cushing’s Syndrome. With Cushing’s, due to persistently elevated levels of adrenal hormones including cortisol, DHEA, androsteinedione etc., complications develop that include the very ones Sylvia identified; high blood pressure, swelling, weight gain, and depression. Other developments may also include diabetes (high blood sugar), easy bruising, osteoporosis, unusual and severe infections, muscle weakness, and purple stretch marks.

Cushing’s can be diagnosed by obtaining a 24 hour collection of urine for cortisol measurement and by measuring levels of cortisol in the blood in the early morning and late at night. With Cushing’s, urine cortisol levels will be high and there is a loss of the daily high to low transition of blood cortisol levels (diurnal variation).

Sylvia….if you are still reading you should think about the possibility of Cushing’s Syndrome and take it up with your own health care professional. Posting a follow-up of your progress would be very helpful to us all.


Dr. G. Pepper, editor-in-chief,

These comments are for educational purposes only and are not intended as medical treatment. The disclaimer at applies to all comments at this website.