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I cant understand whether my body weight is normal or excessive. When I visited your site I determined my body mass index and it came out that I was at the upper norm limit. However it seems to me that I am fat. Maybe, I have misunderstood something? Marina

The terms fat or lean are relative and subjective. People regard their bodies and body weights in very different manners. The fact that you are at the upper norm limit means that you are unlikely to develop diseases related to excess body weight. However, it also means that you should be careful with you condition because it is easy to surpass the upper norm limit but difficult to return back to the norm, especially if you have a trend to increasing body mass. Probably, you are not very good in sports, and so the weight that should be related to muscles is related to fat in your case. It is important to know for a specialist, in order to determine whether a person has an excess body weight, how body weight is distributed between musculature, bones, and fat and whether there is excess liquid in the body. The relevant tests may be carried out at LENMEDCENTER.

I work as a model so I cannot put on weight. However, I have read in a magazine that too little weight is no less hazardous that too much weight. What would you advise to me for not to lose neither health no job? Thank you for your answer in advance. With best regards, Anna K.

First, it is necessary to determine to which group of body mass indexes your body mass relates. If you are lean by your body-build, it is quite possible that your weight is not below the norm but is close to the lower norm limit. It is true that the group at risk of dystrophy related to disorders of feeding behavior includes models and dancers, i.e., those who have to maintain the minimal body mass because of their occupation. A prolonged diet and significant restriction of calory intake without supervision by a physician may lead to an excessive reduction of body weight. In your case, the proper nutrition is very important: your ration should be devised so as to contain all nutrients necessary for normal vital activity. Besides that, your energy expenditure should be matched to calory intake. At LENMEDCENTER, you may obtain help in determination whether the body weight that you currently have may adversely influence your health and in correction of your diet.

How do you evaluate liposuction?

There being certain indications, liposuction is an effective means of combating excessive body weight. However, taken alone, it does not resolve the whole complex of problems associated with excessive body mass. It should be also minded that liposuction significantly effects the general condition of the body, so this procedure should not ne abused. When properly employed, liposuction should be combined with a whole program for body mass correction including other methods. Feeding behavior correction and physical exercises are essential. Only such combinations will help you to gain the desired result and to maintain it.

I started suffering from constipations several years ago, but initially they occurred rarely. Probably the remedy was offered by my grannys recipe: a glass of kefir before the bed. However at present constipations occur regularly. Why so?

To help you, it is first necessary to determine the cause of your constipations. In the elderly, this is one of the most prevalent complaints. However, they occur increasingly often in younger people. This may result from too little of physical activity (many people now are involved in sedentary occupations) and from consumption of a high-calory refined foodstuffs deficient in cellulose. Constipations may develop as a functional disorder in otherwise healthy people. However, they may indicate an aggravation of stomach ulcer, bile duct diskinesia, colitis, and other serious gastrointestinal diseases. Therefore we do not advice you to go in for self-medication.

My mother has got a face injury. She experiences difficulties in mastication. I see that she has awfully lost flesh. Eventually I started giving her all her food thoroughly ground. Yet, she goes on thinning, its hard to see how she does. Out local therapeutist does not advice anything useful, it seems it is all the same for him. How can I help my mother? I am waiting for your reply. Inna Vintoniak.

Probably, your mother suffers from alimentary dystrophy. I have dealt with this disease many times and can say that attending doctors often start to pay attention to a sharp decrease in their patients body weight too late being concerned mainly with other aspects of their patients condition. At the same time, alimentary dystrophy often becomes the cause of severe complications including the lethal outcome. Unfortunately, ground food cannot help your mother. To return her to her normal weight, a special program is required, which may include parenteral feeding (via a tube) and intravenous infusion of nutrients. The attending physician must design her ration to include vital substances such as fats, proteins, sugars, vitamins, and microelements. The diagnosis for you mother may be established at LENMEDCENTER where it is also possible to devise a personalized therapy and to follow up your mother. It is essential not to loose time, which may be too precious.

The doctors at first thought that I have stomach ulcer, but it came out to be gastritis. It seemed to be easier, however complications developed. A medical examination would be desirable, but I would hate to swallow the tube. Are there any novel examination means?

If you have gastritis indeed, you should be tested for Helicobacter pylori. Recent studies have shown that these microorganisms often cause gastritis. After entering the gastrointestinal tract they dwell beneath the mucosa and cause first erosions and then ulcers. The duodenal bulb ulcer is caused by H. pylori in 95-98% of cases. Therefore gastritis should not be neglected. Testing for H. pylori does not imply any examinations inside the body. You only have to breath into a tube for several minutes. Symptoms of gastritis caused by H. pylori a fully reversible. You may pass the required examination at LENMEDCENTER where doctors will draw up you personalized therapeutic program.

From the very childhood I have been suffering from diathesis, which is hereditary. It aggravates in winter for unknown reasons: my skin may be clear and may be not. When I was a child, eggs and oranges were prohibited. Now, when I have grown, I realize that both have nothing to do with my condition. Trips to sea cost do produce relief. Stresses, on the contrary, make in worse. Recently I turned to keeping the fast in the Orthodox way and now have no winter problems. However, I am afraid they may relapse. Maybe the matter is my food still? Natalia S.

Diathesis is a condition that may be caused by different factors. It is likely that the reasons of your exacerbations are either some foodstuffs or their combinations, as well as stresses and disorders in some body functions. During fasting you follow a diet in its right and attend to you condition, which may well be beneficial for you health. However, if you want to know exactly the causes of your diathesis and to get rid of it, you have to pass diagnostics and treatment. At LENMEDCENTER it is possible to dray up your personalized examination program, which will definitely show the causes of your problems. After having disclosed them you can reasonably control you condition following the advises of a specialist.