Question: I’ve heard that it's worse for your weight to "roller coaster" up and down, rather than to just be fat and stay that way. Is that true?

Dr. Hibberd's Answer:

I've heard every excuse in the book to avoid losing weight, and your statement is one I've heard many times.

First of all, are you depressed? If you're not sure, see your doctor for treatment. The medications now used are excellent and often will help you lose weight.

If you're serious about your future health, see your doctor for medical clearance and begin a safe exercise routine. Do exercises that you enjoy — you must select activities that are sustainable in the long term. Set reasonable goals for yourself: Avoid losing more than two pounds per week. Quit the non-sustainable fad or starvation diets; they are a setup for long-term failure and future weight regain. Avoid late-night meals and eliminate between-meal snacks. Consume plenty of water — the body often confuses hunger and thirst. Moderating alcohol intake often helps you lose weight.

Most importantly, avoid swings in weight extremes. These swings are now recognized as causing additional health risks. Above all, live for today in anticipation for tomorrow! Be positive, and enlist the help of your friends and family to avoid relapses.