I have been chewing and spitting large amounts of food (pretty much always sweet stuff — pastries, chocolate, etc.) almost every night for eight or nine months. I am eating a healthy, balanced diet otherwise, maybe a little on the lower caloric side (1300 to 1500 calories per day). My chewing and spitting sessions usually follow a balanced meal. I know this is a type of eating disorder. I have done a lot of research online and I know that there are side effects, although they vary depending on who you ask. Some sites mention that chewing and spitting activates the release of insulin and results in hyperinsulinemia, insulin resistance and weight gain. Is this true? How long would it take to develop these problems? Are these reversible if I were to stop this behavior?

Are there other types of eating disorders other than anorexia and bulimia? For example, I have this fear of unnecessary fat in food and eat everything "plain," that is, without butter, oil, dressing, or sauce, etc. I thought that it's good that I'm this health conscious, but my friends say that it's a little obsessive. Is this an eating disorder?

I've heard of body suits that increase sweating during exercise. Then I heard that Saran wrap had the same effect. I want to shed pounds but first I wanted to know if wrapping plastic wrap around the stomach helps burn fat during exercise.

Does altitude affect calorie-burning? That is, if I do the exact same workout twice — once in New York City and once in Colorado — will I burn more calories at the high altitude? What things DO affect how many calories you burn in a workout?

I have heard that if you exercise/work out in the morning before you eat breakfast that it will cause your metabolism to increase throughout the day, helping you to burn calories. Is this true?

I've read a lot lately about midnight snacking and late night eating and obesity and calorie worries, but my problem lies in the opposite direction — I'm LOSING weight, and insatiably hungry, day and night! The only advice I get is, "Eat healthy," which is preaching to the choir, since I consume more fresh produce, mostly vegetables, and home-cook all my own meals. At a recent nutrition check-up, the nutritionist patted me on the back in congratulations for having one of the healthiest lifestyles he's seen, and shrugged at my inexplicable hunger. The fact is, I'm in the kitchen every other hour, and my body doesn't differentiate between awake and asleep anymore when it comes to hunger. I go to bed on a full stomach, and wake up every three hours to eat again. It's exhausting! I'm falling asleep during the day — but never more than an hour, because hunger strikes. And amid all this, my grocery bill climbs and my weight drops. I don't get it. What am I doing wrong?

A friend of mine and I were disagreeing about this point and I thought maybe you could help. I have heard that it is not possible to both lose fat and build muscle mass simultaneously: ideally, a person should do cardiovascular exercise with dieting to lose extra body fat, and then start to focus on building up muscle mass. He says it's possible to both burn fat and build up muscle over the same period of time. Which is the case?

I have a question about walking for weight loss. My walking buddy believes the theory of walking distance is what helps you lose weight best versus my theory that it is the speed at which you walk that matters. So, could you help me figure this one out? Which matters most in ultimate weight loss: speed or distance?

When working out in the gym, machines, such as treadmills and stationary bikes, show how many calories you are burning. Are these calculations correct, or is it just something to keep the participants happy?

What are the advantages of eating five or six smaller meals per day, as opposed to three meals per day? I've heard it helps to lose body fat. Also, are there advantages to eating more of your calories early in the day?

1) A friend and I were discussing this. We both try to stay healthy by eating well (high fiber, low fat, lots of veggies, fruit, etc.) and living an active enough lifestyle (hiking, rock climbing, biking, etc.) that we stay in shape. The question we have, then, is what the current "rules" are for appropriate weight/height ratios? Or are such measurements now thrown out in favor of body fat percentage measurements? She's 5'1" and I'm 6'1" and we're curious what the medical rule of thumb would be for how much each of us "should" weigh...mostly because we're wondering if it takes into account things like muscle mass. What would the current medical/health industry recommend each of us weigh? Are these numbers accepted or are they seen as not as important as they might have been 20 years ago. If you have actual numbers, we'd be curious to see that too. Thanks! I have a dinner riding on this!

2) Could you clarify the Body Mass Index deal? According to one BMI chart, I am "slightly overweight" because I am 5' 5-1/2" tall and weigh 160 lb. I am also very muscular and have a large frame. The lower BMI readings are labeled "ideal," but I've heard muscle weighs more than fat, so if the chart does not include the muscle factor, is it basically saying that it's "ideal" NOT to have extra muscle? I look slender and have never been told by a doctor to lose weight. I'm a twenty-four-year-old female, lacto-ovo-vegetarian, and get lots of exercise, including walking and frequent "sweaty" workouts.

Do "fat burners" really work? If so, why? If not, why not?

I was anorexic for three years and I have been in recovery for two. At the moment, I am doing well. I have a healthy weight, I eat a balanced diet, I work out regularly though not excessively, and I feel good. However, I haven't had my period in about three years now. I had been told it would come back once I reached a healthy weight, but so far, no deal, even though I've been at this weight for over a year now.

Before I became anorexic, I did get my period regularly. I am 23 years old. I am taking a calcium supplement daily to prevent osteoporosis, but I would feel more comfortable if I did get my period again. What is going on? How worried should I be? Should I go see a doctor? What can I do about this?

I have recently learned that in order to burn fat as a fuel, your body requires carbohydrate. Up until this point I had been doing cardio training first thing in the morning on an empty stomach, as I had read that this is optimum for fat burning. However, now I have a small carbohydrate snack before I train in order to prevent my body using lean muscle tissue as a fuel. Today I have again read in another book that training on an empty stomach first thing in the morning burns the most fat. I am a little confused over the best thing to do! I train with weights twice a week and do cardio three times per week. I do want to maintain my lean muscle, but am looking to reduce my body fat.

My friends and I disagree — can you settle the dispute? I feel a calorie is a calorie no matter what time of day that you eat it. They say that if you eat all of your calories early in the day, that it is less fattening, because you will be moving around burning off those calories. I say that if you eat 1800 calories a day, it doesn't matter if you eat them in five meals or ten meals, it is still 1800 calories. I believe that the idea of not eating anything after 7 p.m. helps you to lose weight because you cut out the high calorie, high fat foods that are often eaten late in the evening. They say that by not eating after 7 p.m., you lose weight because you're not moving to burn off those calories. Please settle the dispute. Thanks.

My husband and I are having a debate over the value of liposuction as a means to permanent fat removal. He has read that we are born with specific number of fat cells and therefore believes liposuction has the ability to reduce the number, resulting in permanent fat loss in the areas that are surgically treated. I differ in the belief that fat loss and its permanency depends on maintaining and correcting diet that is related to metabolism. I also maintain that there is no such thing as permanent fat loss from liposuction. Have you an answer to our debate?

I was bulimic for about four or five months and went from 5'6.5" at 115 pounds to 95 pounds. I have not told anyone, and will not, so please don't ask me to, but I am back up to 110 to 112 pounds and pretty much graze throughout the day so I don't throw up. I mostly snack on white bread, fruit, potatoes, and cereal in large portions, but want to stop and eat a healthy, more balanced diet. The problem is, I am not sure what a healthy weight should be. Charts say I am too skinny, but I don't believe it because I know girls in the media are thinner than me and they seem fine. I want to be as small a weight as possible without being unhealthy. I skipped my period for three months but did get it in January. I have not lost any weight since then though, and I should have gotten my period about a week ago but didn't. I don't understand, it is so confusing, can you help me?

I've been trying to diet for over two years. My goal is to lose about 25 pounds, but the most I've been able to get is 15, and I can hardly keep it off. I concentrate on eating very little and since exercise is so hard to keep up, I pretty much starve myself to death. I manage to maintain the weight for a month, and then I lose control again. I've been thinking about the various diet products in the market, such as diet teas, herbs, meal- substitution shakes, and other medical products. I'd like to know what kind of side-effects they have, and how effective they are. (Some boast a seven-day plan, but that seems hardly believable.) Also, I'd like to know how well-researched the information is on these products (i.e., are they long-term enough to cover all the side-effects?) As for aspartame, is it really harmless, or is it just not researched yet?

I am a female, five feet tall and about 127 lbs. I am not satisfied with my size. I am not obsessed with weight but with the way I look. I am very strong and have plenty of muscle. It just happens to be covered by a thick layer of fat. Yes, it runs in my family. On my father's side everyone has trouble with their weight.

I am writing to you because I don't understand why I am not losing weight. I am a vegan. I have no dairy products and no fat content in my diet. Except for the occasional pat of margarine and fried falafel, I don't see why I haven't lost weight because I just cut the dairy products out about two months ago. I have been a vegetarian for 9 years. I ride a stationary bike twice a week in my target heart rate zone. I work out with weights and do calisthenics in my room every night. What is wrong? Is there another factor I am not considering? Glands? Do I just need to be patient? I like being big, I just don't want it all to be fat.

Thank You.

Is there any danger to taking ephedra (ma huang) for weight loss?

I'm a 22-year-old woman. Many of my friends in their late 20s and early 30s (and older) have been warning me about an inevitable metabolism slow-down and subsequent weight gain around my 30th birthday. They say, "You just wait. When I was your age, I sat around all day eating pizza and I never gained a pound. Now I can't lose weight no matter what I do."

I am sure there's some truth to this, but I DON'T sit around eating pizza all day. I run three to four times a week and eat very healthfully. Will these habits ease the slowing down of my metabolism? Or should I expect some weight gain no matter what I do (as they say will happen)?

I am writing in hopes that your answer to this question will help other readers. A few years ago, when I was in college, I discovered that my college roommate was bulimic. My boyfriend and I found evidence in the mornings that she had been vomiting on a daily basis; she also developed weird eating habits (at 6 A.M., she would wake up and buy two pints of ice cream and eat it all, and then not eat for the rest of the day). We didn't know how to address the problem, and were afraid of hurting her. When we called the Health Service, they took the "my best friend is bulimic" line to suggest that I was bulimic instead! I didn't want to become the food "hall monitor" — are you eating? What did you eat today? etc. — but we tried to include her in healthy meals.

Eventually, some other stress factors in her life calmed down and her binge/purge behavior seemed to subside. However, I've always regretted that I couldn't attack this situation head-on. Do you have any advice for people that might be in a similar situation?

A friend of mine takes laxatives to keep her weight under control. The directions on the box say that you should only take two a day for no more than a week. She has been taking two to six a day for two months now. I was wondering what possible physical side effects might result from this kind of activity.

I am 18 years old and I am determined to lose a few pounds and tone my body by the end of May. I just began running and I'm starting off by running a mile and hope to work up to a four-mile run four or five days a week. My diet is generally a bowl of cereal in the morning, and a turkey or ham sandwich with some type of fruit and a bottle of water. Dinner is something different every day, but usually healthy. I also have been doing an ab workout for about seven minutes after I run. Is what I'm doing effective? What are your suggestions?

I have a job that is largely sedentary — mostly sitting in an office in front of a computer. My partner's work is very physically active. Since we've been living together, food and nutrition have increasingly become a source of stress and conflict. He needs big meals with lots of protein and calories, and I need better portion control with lots of vegetables. We're having real problems with shopping and menu planning. Since we've been living together, I've been gaining weight and he's been losing! Can you give us any advice or direct us to information on how to live and eat together while addressing both of our nutritional needs?

I am very concerned about my eating and exercise habits. I'm a first-year, and since I got here last fall, I've lost about 35 pounds. I've been exercising almost obsessively and eating a rigid, low-fat diet. I try to eat about 2000 calories a day, but still feel hungry a lot (especially in the morning) and still seem to be losing weight at the rate of about a pound a week. I'm 6'0" tall and weigh 133 lbs. right now; my family and friends are all worried and although I keep telling them I'm not sick, I wonder if I am. I've seen a nutritionist in Health Services; she gave me some advice about good nutrition and what I should be eating, and I've been trying to follow her guidelines, but it's gotten very hard for me to know what is a "normal" diet. Am I anorexic? If I am, what can I do to help myself? I know I could never go to counseling; I'm too independent. Can you give me any advice?

Do you have any suggestions for me on losing weight? I feel so intimidated going to a fitness center because of the looks I get. I really do. It seems like an individual has to be thin to go into fitness centers now-a-days. I should say some of them are that way.

I am currently trying to revise my eating habits to eat less often (I'm a throughout the day snacker, and normally don't eat meals). Is it okay to replace cravings or "boredom eating" with herbal teas? I was told that tea is a no calorie drink, and yet it fills me up when I'm hungry. I have started to replace most of my cravings with tea now, so that I actually eat a lot less than before. Is tea healthy for you if it is no caffeine, herbal, and I use honey to sweeten it? I am not used to drinking much of anything in the day and am fairly slim, so could the extra water intake have any weight gaining effects on me? Could this be a healthy diet?

I just got a diet tea that contains senna. How is this herb bad for your health? Is it unsafe to drink it everyday to lose weight?

Thank you very much.

I have a problem with food. I hate it and never know what I want to eat. Sometimes I'll be famished to the point of shaking, and I'll just lie there thinking about what to put into my body, sometimes for hours. I know I should eat something, and I really am hungry, but at the same time, nothing appeals to me. Is this a form of anorexia? Or could it be a symptom of stress, depression, etc.? I would really appreciate it if you could help me.

Once a day, after meals — whenever my roommate isn't around, I stick my fingers down my throat and throw up most of the food that I had just eaten. I do not binge — I only purge. I understand from my Psychology professor that the diagnosis of bulimia nervosa requires that the person binge and then purge. I am curious, then, what I have — do I have a form of anorexia nervosa or what? Also, I am on birth control pills and I am afraid that I might hurt their effect by throwing up. How long does it take for the pill to get absorbed into my system? I usually don't throw up until about 5 or six hours after I have taken the pill. Will this hurt the effect of the pill?