Over the last three months I’ve lost 22 pounds simply by upping my exercise and reducing bad calories. I’m 68 years old, always in good shape, but added sedentary pounds as I aged. (6 feet tall, 212 pounds before — 190 pounds now) I’ve generally restricted my diet to about 1200 calories a day — 200 – 300 for breakfast, 200 for lunch, and about 700 or less for the rest of the day. I try to vary the foods, do as much exercise as I can (biking, swimming, walking, weights). I drink as much non-caloric liquid as I can and I try to find food that fills me up — vegetables, fruits, mostly. I eat some cheese and a good hamburger occasionally, although I avoid most meat. I still work full time. I realize the discipline necessary, but it’s not that hard to do. I rely on a good scale and moderate my diet each day to keep a constant weight. My blood pressure has dropped from 130/80 to 117/72 and heart rate is resting 58. I’m lucky that my chronic diseases are not yet serious (osteoarthritis and borderline cholesterol, although I dont take statins because of reactions). I’m not a diet fadder, but using common sense goes a long way. Eat smart and work out. MM 

At any given time, there are dozens of weight-loss hypes in the marketplace that claim to take off 10 pounds in 10 days, or whatever. Desperation can tempt us to try anything — from "clean eating" to cutting out food groups entirely. Keep in mind: Just because an avocado-walnut-"crunchy"-kale-salad dripping in coconut oil is deemed "clean" by a so-called "expert" on your Instagram feed does not make it an unlimited food. Moral of the story? Avoid fads, eat real food, watch some Netflix, and unwind (perhaps with a glass of wine in hand). Now that's my kind of detox.

So, in the midst of this unexpected positivity, I got an email from Pamela Peeke, M.D. She wanted to have a call and give me some advice. In a very unlike-me move, I did not get to the email. I'm very good about responding to email, which has to be one of the lamest brags of all time, but in a world full of ghosting, I'm proud of my prompt replies. But I messed up, and a week and a half later, I got another email. Dr. Peeke wanted to make sure I got her message.

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