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Ask Dr. Paul — Late-Night Snack?


Late-Night Snack I have trouble controlling my eating late at night. I know this keeps me from losing weight. Can you help?
Nighttime eating is a cause of obesity and chronic fatigue. This type of eating has been linked to periods of increased stress in people’s lives. Many snacks contain high glycemic index carbohydrates, which initially have a calming effect, but lead to an increased appetite. The cycle goes on as weight goes up.

Usually, if you can manage stress, you can manage your overeating. Personally, I’ve found prayer and meditation to be major neutralizers of stress when practiced on a regular basis. Read Philippians 4:6-7.

I’ve tried exercising to get in shape, but somehow I get off track. How can I stay consistent?
You’re not alone. Every time a person makes a major commitment to change a habit, it seems like something or someone is there to get him or her off track — that’s life!

I’ve learned to expect the unexpected. Try to see your obstacles as “speed bumps,” and practice turning adversity into positive energy. This will help you develop both courage and character. Everyone knows and agrees that consistent exercise is a major key to good health and vitality.

I’m 14 and have recently noticed stretch marks on my upper thighs. I haven’t gained a lot of weight. What causes them, and how can I get rid of them?
Stretch marks, also known as striae, are scars that usually fade with time. Although the skin is designed to stretch, it’s kind of like a rubber band that snaps when it’s stretched too far. The resulting damage to the skin causes scarring. In your case, the stretch marks may be related to a rapid growth spurt, such as the natural widening of the hips and thighs, which occurs in teen girls as they go through puberty.

It’s important to maintain proper weight and use a moisturizer to help lubricate the skin. In many cases, stretch marks are unavoidable. A cosmetologist might help in choosing proper skin care products. If your marks are severe, consider seeing a dermatologist.

I play several sports, and at the end of practice my face turns beet red. It’s embarrassing. Anything I can do?
The flushing you’re experiencing is a normal response to exercise, which produces a sudden increase in metabolism and body heat. Increased blood flow in the capillaries of your face causes the flushing. This is the same response that you experience when you’re tense or embarrassed. Obviously, the flushing is only temporary. Flushing that occurs in the absence of stress or exercise could point to an underlying medical problem, but this is unlikely in your case. Keep up the exercise because the benefits far outweigh any temporary embarrassment.

In health class, I learned that milk is good for us and helps develop strong bones. My mom says milk is nonessential. Who’s right?
Both your teacher and your mom are right to a certain degree. The standard American’s source of calcium is cow’s milk. Usually, milk companies add vitamin D to assist with assimilation of calcium into the bones.

Many nondairy sources of calcium also exist, and some of these may actually be better for your health than milk. Examples include certain meats, fish, egg whites, beans, fruits and vegetables.

I drink and recommend low-fat or skim milk. Remember though, that milk should never be used as a substitute for water. If you have more questions, see a certified dietitian.

These are the opinions of one physician and not necessarily those of Focus on the Family. In similar cases, you should consult your own physician.

Last updated June 2004.


This article appeared in Brio magazine. Copyright © 2003 Paul Rothwell, M.D. All rights reserved. International copyright secured.

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