Healthy Living
No Mystery to Losing Weight
MEDICAL HELP
I have been on fi ve diets, and each time I gained back results with Accutane, the fear of becoming one
twice as much weight as I had lost. What should I do? of the rare side-effect victims makes a risk/benefi t
— Verla J., San Antonio, Texas discussion with your doctor imperative. The
“black box” warning is not to be underestimated.
Pick a sensible diet with a 30 percent calorie Follow the drug company’s recommendations and
reduction, and monitor your progress. Aim for your prescribing doctor’s instructions. I am not a
1-2 pounds of weight-loss per week. fan of Accutane use for women
Exercise regularly to avoid muscle who may become pregnant or
loss. See your doctor for exercise men who plan to father children.
clearance and any necessary Otherwise, it may be considered
testing for medical when there is severe cystic
issues. If you intend acne not responsive to other
to use appetite medications.
suppressants,
discuss possible side I have brown spots on the bottom of
effects. There is no both of my feet. What do you think
real secret — calories they are?
in and calories out. — T. Whaley, Tucson, Ariz.
ASKS DOCTOC ORO
If you work off more
calories than you Newly pigmented skin may
HIBBERD
consume, you’ll lose require a skin biopsy to rule out
BY PETER HIBBERD, M.D.
weight. melanoma unless a clear cause
is otherwise evident on examination by your
How can I get rid of skin tags? physician or dermatologist. Although the spots
— Wallace F., Orlando, Fla. may be simple moles, they probably should be
removed. Further treatment may depend upon
Skin tags, or fi broepithelial polyps, are biopsy and skin fungal scraping results.
cosmetic nuisances often present in frequently
irritated skin. They do not undergo malignant I sometimes wake up with a mouthful of blood that
transformation and are easily removed at skin comes from my tongue. My dentist and other doctors
level by self-application of a 5-7 day cotton ligature can’t explain it. What could be causing this?
at its base, or excision, cryotherapy, or cautery — Janet V., Seattle, Wash.
removal. Once removed, they rarely ever grow
back. Have your tongue examined for evidence of
abnormalities such as a tumor or ulceration.
Is it safe to use Accutane for acne despite the adverse If none are found, let’s presume you are
reactions I’ve heard about, such as depression, liver inadvertently biting your tongue. Bleeding
damage, and birth defects? disorders likely would reveal bleeding or bruising
— Lucy D., Waterbury, Conn. at other sites. Consider an ENT consultation.
Further evaluation for the source of bleeding may
While most patients experience wonderful be necessary, likely by endoscopy.
ABOUT DR. HIBBERD: Peter Hibberd is NOTE: All information presented in “Ask Dr. Hibberd” is for informational purposes
a doctor of medicine whose advice is based only. It is not speci c medical advice for any individual. You should take no action
T
O
O
H
on over 28 years of outpatient and hospital- solely on the basis of this publication’s contents. Readers are advised to consult a
P
C
K
inpatient experience. He is an experienced health professional about any issue regarding their health and well-being. T
O
emergency medicine physician, surgeon, and E
/
I
S
R
consultant. He is certi ed by the American
QUESTIONS FOR DR. HIBBERD?
E-mail
askhibberd@newsmax.com
S
U
Board of Emergency Medicine. and write “Ask Dr. Hibberd” in the subject line.
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NEWSMAX MAXLIFE / NOVEMBER 2009
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