Is liposuction permanent fat removal?

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?


How to gain weight while recovering from bulimia?

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?


Why do I lose my erection when I put on a condom?

I care for my girlfriend, whom I have been seeing for a few months now. I have no problem maintaining an erection when she performs oral sex on me. In fact I can climax twice in a relatively short time. We have, however, been unable to actually engage in intercourse, since when we go to put on the condom, I lose my erection. I'm not really having too much of a problem getting erect (i.e., I get an erection, and may lose it early on, but I am able to get and maintain another one for oral sex). What could be the problem? Stress? A lack of physical attraction? I will be grateful for any answer you can provide me.


Do diet teas and meal-substitute shakes work to lose weight?

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?


Should I start PrEP?

If my husband takes antivirals or post-exposure prophylaxis can we still have sex with a condom and still complete the process like normal? It is affecting our sex life because he does not want to infect me. I don't want to be infected but I knew what I was getting into from the start. I might start PrEP as it is now available to me. What are your thoughts?


Is there a connection between Depo-Provera and hair loss?

I have taken three Depo-Provera shots. My hair started falling out excessively several months ago. In looking for answers I found out that this is a side effect to the shots. I was not informed of that before I took the shots. I saw in one of your Go Ask Alice! answers that depo-provera suppresses the Follicle Stimulating Hormone and the Luteinizing Hormone. What is this hormone? Is this what makes my hair fall out? And do you know if there is anything I can do to stop it? My next shot is due by May 15 but I am not going to get it. Thanks.


What should I expect when I go off of birth control pills?

I've been taking birth control pills for almost seven years and decided to stop taking them as of my last cycle last week. What kind of changes should I be expecting? How long will it take for my body to get used to not having the hormones? In the past few days, I've been feeling very edgy, tired, and with on and off headaches. Is it true that once you withdraw from birth control pills, you may actually lose a few pounds?


Is body fat genetic?

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.