Was it Food Poisoning or a “Stomach Flu”?

All this talk about fruits and vegetables reminds me of…food poisoning. In the recent past, we’ve had several outbreaks of food borne illnesses that have caught our attention- first the E-Coli in hamburgers, then the Salmonella outbreaks from eating tuna (or perhaps from handling small turtles), and let’s not forget the Listeria-infected cantaloupes!  As such, I thought it would be helpful to go over some facts about food poisoning.

First of all, you are unlikely to know if your last bout of intense stomach upset was the result of food poisoning rather than a “stomach virus”, unless there was a … Read more

Doctor, How Do YOU Stay Thin? My Not-So-Secret Revealed…

But Dr. Grimes, YOU don’t have to worry about YOUR weight- you’re tiny! You don’t know what it is like to struggle with your weight.” 

Every time I hear this from a patient, I am not sure if I should laugh or cry. While yes, there are some people out there who seem to be able to eat whatever they want and never exercise, and yet stay thin, healthy, gorgeous, rich and let’s throw in perfect in every way (ha!), MOST people who appear healthy make very conscious choices to keep themselves there. As my close friends can attest, I … Read more

What’s YOUR Blood Pressure?

Today the Center for Disease Control and Protection (CDC) released their report “Vital Signs: Awareness and Treatment of Uncontrolled Hypertension Among Adults- United States, 2003-2010), and what did they find?

  • 30.4% of American Adults have high blood pressure – over 66.9 MILLION of us!!!
  • 14.1 million people HAVE high blood pressure, but do not KNOW it
  • Of those that have high blood pressure, over HALF are NOT CONTROLLED.
  • 5.7 million people KNOW they have HBP but don’t take medicine
  • Of the 35.8 million people who have UNCONTROLLED high blood pressure, the VAST MAJORITY (89.4%) have a usual source
… Read more

What About the HCG Diet?

If I had a penny – okay, maybe a dollar – for everyone who asked me about the HCG diet, I’d be ready for retirement! Locally here in Austin, we had a couple people within our medical community do the HCG diet and lose a dramatic amount of weight, which fueled the fire. In my practice, I have had multiple patients try (outside my advice) different versions of the diet- some shots, some sublingual, some pills- and though all lost weight quickly, virtually all regained it in the same time span. Reading the medical literature to find some evidence-basis … Read more

Scary Mosquitoes & West Nile Virus

Bzzz….swat! The mosquitoes are particularly annoying this time of year, and now we have more to worry about than an itchy red arm- the West Nile Virus (WNV) is spiking again. In fact, the 1118 cases of human West Nile viral infection that have been reported to the CDC in 2012 mark the highest number of cases since the recognition of this disease back in 1999. Unfortunately for my neck of the woods, over 75% of the cases have occurred in Texas, Mississippi, Louisiana, Oklahoma and South Dakota, including 41 deaths. That’s the bad news. The good news is that … Read more

Is it a New or Old Weight Loss Drug?

This month I am talking about obesity & weight loss. By our human (and American) nature, we would all like a quick fix to solve our weight issues. This summer, the FDA approved not one, but TWO new weight loss drugs.  My last blog addressed lorcaserin (Belviq), and today’s focus is really something old in a new package.

Qsymia was FDA approved in July 2012, and it is a combination of two older drugs that have been used independently to help with weight loss: phentermine and topiramate. Phentermine is an appetite suppressant, and was half of the infamous fen-fen (a … Read more

A New Weight Loss Drug!

Have you heard that the FDA approved not one, but TWO new weight loss drugs this summer? Hooray! Our problems are solved, right? Are there still overweight doctors out there? Well…yes, there are, so that should give you a clue that these new drugs are not miracle workers.

Today I will focus on the first drug approved. Locaserin, brand name Belviq, came out in June 2012. This drug will decrease your hunger and increase your feelings of satiety (feeling full after a meal). Locaserin works within the serotonin system (like the antidepressants such as Prozac) but targets a specific receptor … Read more

Which Diet is Best for Weight Loss?

Now there is the million dollar question, right? Interestingly, despite billions of health care dollars being spent on “diets”, there are not recent high level studies in the medical literature to support touting one weight loss diet highly above all the rest. In 2001, there was a scientific review of popular diets by Freedman, King, & Kennedy, that concluded “low fat, low calorie diets are the most successful in maintaining weight loss.” Note- this is in MAINTAINING weight loss, not LOSING weight. Ultimately, as should come as little or no surprise, CALORIC BALANCE is the major determinant of weight loss, … Read more