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Truck Driver Thought He Had the Flu or Covid. He Was then Diagnosed with a Brain Tumor and Given 1 Year to Live

Truck Driver Thought He Had the Flu or Covid. He Was then Diagnosed with a Brain Tumor and Given 1 Year to Live

Yahoo13 hours ago
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Kieran Shingler wound up being diagnosed with a potentially deadly brain tumor after thinking that he just had the flu or Covid
The 26-year-old was given only a year to live after being diagnosed at 23 in 2022
He has defied the odds but is undergoing treatment again as his tumor has started to growA man in England thought he'd come down with the flu before receiving a devastating diagnosis and being told he could just have one year to live.
Kieran Shingler, 26, from the U.K. town of Warrington, began to experience a headache, sore throat and runny nose in November 2022. At first, he put it down to a case of flu or Covid. However, a test for the latter came back negative, and as the weeks went on, he started to feel worse and was unable to keep food down, per the Manchester Evening News.
Medics at Warrington Hospital performed an emergency CT scan. Shingler was then transferred to The Walton Centre hospital in the city of Liverpool, "where he had four major brain surgeries, including an emergency surgery on Christmas Day [of that year]," a GoFundMe page previously set up to raise money for the family amid ongoing medical treatment confirmed.
The page stated that Shingler was 23 years old when he was "unexpectedly diagnosed with a high grade cancerous brain [tumor]."
Shingler, who is a truck driver, underwent a biopsy at The Walton Centre which revealed he had a grade three astrocytoma, according to the Manchester Evening News.
Per the Mayo Clinic, an "astrocytoma is a growth of cells that starts in the brain or spinal cord."
"The growth, called a tumor, starts in cells called astrocytes. Astrocytes support and connect nerve cells in the brain and spinal cord," the organization explained.
After meeting with an oncologist at Liverpool's Clatterbridge Cancer Centre on Jan. 5, 2023, Shingler underwent 30 sessions of radiotherapy and chemotherapy within a month. Doing so successfully shrank the tumor, according to the Manchester Evening News.
According to a GoFundMe update posted this summer, Shingler was told his tumor had started to grow again in June after going 19 months without any treatment. Over that time, his tumor had continued to shrink.
"When I was diagnosed with a brain [tumor], I was scared, angry and always questioned why. I couldn't have got through the past couple of years without the support of my friends and family but especially my [mom] and [partner] Abbie [Henstock]," Shingler said, via the Manchester Evening News
https://people-app.onelink.me/HNIa/kz7l4cuf
"They always made sure to put me before themselves and I will always be so grateful. Abbie especially has stuck by my side and remained strong for me as I lost my [mom] last year. I wouldn't be where I am today if it wasn't for [her]," he added.
Henstock, 26, said, "Kieran just wasn't getting any better; he couldn't keep food down, and he was getting excruciating headaches. He was so fit, he was doing a triathlon, working out, we just knew something wasn't right — this wasn't Kieran."
She recalled, "Kieran had an MRI scan and they told us that the [tumor] was blocking fluid from going to his spine. They said he would need an emergency endoscopic third ventriculostomy (ETV) - a procedure used to treat hydrocephalus, a condition where cerebrospinal fluid builds up in the brain's ventricle."
One of the surgeries Shingler had was a craniotomy, the Manchester Evening News reported. He also underwent a surgery to fit a permanent shunt — a device that diverts fluid from one area of the body to another — an hour after being told about his grade three astrocytoma diagnosis, back on Dec. 29, 2022.
Per the Mayo Clinic, "A craniotomy involves removing a portion of the skull for brain surgery. A craniotomy may be done to take a sample of brain tissue or to treat conditions or injuries that affect the brain."
After being told that his tumor had started to grow again in June, Shingler has been undergoing further chemotherapy.
"He was put back on chemotherapy to help get this back under control. We would love to continue to raise money for charities close to our hearts as well as making memories and doing the things Kieran loves, which can be as simple as going to a yummy breakfast and coffee," the GoFundMe page stated.
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The family said the money they'd raised over the years had "allowed us to buy a Hyperbaric Oxygen Tank, a red light machine and a PEMF [Pulsed Electromagnetic Field] machine, all of which have shown this helps and increases his recovery and helps with [Shingler's] short-term memory loss."
The GoFundMe page had raised over $36,000 as of Tuesday, Aug. 5. PEOPLE has reached out to Shingler for an update on his recovery.
Read the original article on People
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Minneapolis fire stations install saunas to help crews clear out smoke, toxins
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CBS News

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Minneapolis fire stations install saunas to help crews clear out smoke, toxins

There's no doubt firefighting is a dangerous job, but some of the biggest risks aren't just the flames. It's what lingers afterwards. It's why Minneapolis Fire Departments have been installing saunas at their stations. Steve Shapira is the founder of the Minneapolis Fire Foundation, an organization that supports the health and safety of Minneapolis Fire Fighters. "One of the things we're trying to do is help firefighters have a post fire place to go and get some of these toxins away from their body," said Shapira. "What we're really trying to do is stop the absorption of the soot and smoke that is on the surface of their skin, before it can get into their fat, get into their bloodstream, and get into their organs." For him, the mission is personal. After 17 years as a St. Paul fire captain, Shapira was forced to retire after developing blood cancer, likely caused by exposure to toxins. "It's kind of become my mission since I got sick 10-plus years ago to help keep firefighters healthy and so this is just one more tool in our tool box to kind of have firefighters go down that road of a long, safe, healthy career," Shapria said. According to the International Association of Fire Fighters, occupational cancer is the leading cause of line-of-duty death in the fire service. in 2023, 72% of firefighter deaths were from cancer. So far, five fire stations in Minneapolis have the saunas. The goal is to equip the remaining 14 and the training station. CJ Schertner is a captain with the Minneapolis Fire Department. He says the saunas are doing what a shower can't. "You're showering, you're scrubbing, you still come out of that shower smelling like smoke," Schertner said. The saunas are benefiting in other ways as well. "It's also been a nice thing for people to use just for their mental health. It's a good thing to help rejuvinate you a little bit," said Schertner. Research is still underway on just how effective post-fire saunas are for removing carcinogens, but for firefighters, it's one more defense in a job full of hidden risks.

One in five NHS doctors considering leaving UK profession, report warns
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Yahoo

timean hour ago

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One in five NHS doctors considering leaving UK profession, report warns

The Government's pledge to cut hospital waiting lists is at risk unless more is done to retain doctors in the NHS, the medical regulator has warned. Almost one in five (19%) of doctors are considering quitting being a doctor in the UK, the General Medical Council (GMC) said. And one in eight (12%) are considering leaving the UK to work abroad, according to GMC figures. The main reason given for considering a move abroad was that doctors are 'treated better' in other countries, with an increase in pay cited as the second most common reason for plans to emigrate. Overall, some 43% of doctors told the GMC that they had researched career opportunities in other countries. Some 15% of doctors reported they had taken 'hard steps' towards leaving UK practice – such as applying for roles overseas or contacting recruiters. 'We must be alive to the ongoing risks to retention of doctors and the impact of losing talented staff,' the authors of the GMC's latest report wrote. 'This could threaten Government ambitions to reduce waiting times and deliver better care to patients.' Prime Minister Sir Keir Starmer has pledged that, by July 2029, 92% of patients will be seen within 18 weeks for routine hospital treatment such as hip and knee replacements. The GMC's latest report also raised concerns about career progression for medics. The report highlighted that 8% of doctors who felt they could progress their career said they were likely to leave the UK medical profession and had taken hard steps towards doing so, compared with 27% of those who did not feel this way. Overall one in three doctors said they are unable to progress their education, training and careers in the way they want, according to the report, which is based on responses from 4,697 doctors around the UK. It found that those who did not feel as though their careers were progressing the way they would wish were at higher risk of burnout and were less satisfied with their work. The GMC said that workloads, competition for posts, and lack of senior support for development are adversely impacting career hopes for UK doctors. Charlie Massey, chief executive of the GMC, said: 'Like any profession, doctors who are disillusioned with their careers will start looking elsewhere. 'Doctors need to be satisfied, supported, and see a hopeful future for themselves, or we may risk losing their talent and expertise altogether. 'Achieving this requires modernising the current training system, so it meets the needs of doctors and patients.' It comes as Health Secretary Wes Streeting and the British Medical Association are locked in talks to avert further strike action by resident doctors after a five-day walkout in July. Resident doctors, formerly known as junior doctors, are in a dispute with the Government over pay and a lack of places for doctors in training. Commenting on the GMC report, Billy Palmer, senior fellow at the Nuffield Trust think tank, said: 'Pay and industrial action have been a lightning rod for dissatisfaction among doctors but this survey puts a spotlight on the wider difficulties facing the medical profession. 'Job guarantees, better rotas and placements, and protection of training time all need to be on the table. 'Addressing the burden of medical graduates' student debt by gradually writing off loans could also be a promising way to reward doctors' NHS service. With fewer than three in five doctors in 'core training' remaining in the NHS eight years later, unless warnings from this survey are dealt with, we'll continue to lose these skilled clinicians.' A Department of Health and Social Care spokesperson said: 'The findings in this report are further evidence of what we know, that after more than a decade of neglect, doctors have legitimate complaints about their conditions, including issues with training bottlenecks and career progression. 'We want to work with them to address these and improve their working lives, which includes our plans set out in the 10 Year Health Plan to prioritise UK graduates and increase speciality training posts. 'This Government is committed to improving career opportunities and working conditions, bringing in ways to recognise and reward talent – as well as freeing up clinicians' time by cutting red tape.'

If You're Suddenly Gaining Weight Despite Doing Everything 'Right,' Doctors Say This Might Be Why
If You're Suddenly Gaining Weight Despite Doing Everything 'Right,' Doctors Say This Might Be Why

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If You're Suddenly Gaining Weight Despite Doing Everything 'Right,' Doctors Say This Might Be Why

Whether you deal with constant bloating or you tend to feel heavier during your period, seeing seemingly unexplainable weight gain on the scale can be frustrating. However, weight fluctuation is a natural part of life, and factors like age, decreased activity levels, loss of muscle mass, and a slower metabolism can all contribute to unexplained weight gain. In some cases, there may be a connection between your weight gain and insulin. 'Weight gain around the waistline in adults—outside of pregnancy—is often a sign of insulin resistance or insulin hypersecretion,' says Naomi Parrella, MD, a family physician and obesity medicine specialist at Rush University Medical Group. Although it's less common, Parrella adds that weight gain may also be a sign of excess cortisol, a condition like Cushing's syndrome, or in more serious cases, an illness like ovarian cancer. If a few extra pounds are starting to impact your mental health or way of life, it may be time to consider an appointment with your dietitian or doctor—especially if you're noticing joint pain in the hips and knees, reduced daily activities and movement because of pain, or a worsening mood. Before you decide to book a visit to your doctor's office, keep a log of everything you eat as well as your exercise habits (including activity outside of your workouts) for at least a few days if not a week or two, says Melina Jampolis, MD, an internist based in Los Angeles. Perhaps you are eating more calories throughout the day or you're sitting at your desk more often than usual due to a heavier workload. Even a busy schedule involving being away from home with lots of travel can impact unexplained weight gain. As for a general benchmark, Dr. Parrella says it is common to see a weight increase of one to two pounds per year from the age of 20 to 65. However, if your weight gain is greater than that and you can't seem to pinpoint the underlying reason, here are some potential conditions that may be at play. 1. You have hypothyroidism. When a young woman walks into a doc's office with unexplained weight gain, the thyroid is the first place most physicians will investigate, says Dr. Jampolis. And for good reason: A whopping one in eight women will develop a thyroid disorder in her life, according to the American Thyroid Association. That butterfly-shaped gland in the neck is responsible for secreting a hormone that regulates your metabolism, and if you've got an underactive thyroid (called hypothyroidism), your metabolism may slow down, triggering weight gain. Women with hypothyroidism may also suffer from low energy levels or fatigue, dry skin, hair loss, muscle cramps, or constipation, says Dr. Jampolis. Notice any of these signs and you should book a chat with your doc, who can check on your thyroid with a simple blood test if necessary. 2. You have polycystic ovary syndrome. Research shows that as many as one in five women have polycystic ovary syndrome (PCOS), an endocrine disorder that throws off the balance of reproductive hormones estrogen and testosterone and can trigger a number of unpleasant symptoms like wacky periods, facial hair growth, and migraines. PCOS can also muck up the way your body uses insulin (the hormone that helps turn sugars and starches into energy), which means (womp, womp) unexplained weight gain around the mid-section is common, says Dr. Jampolis. If your menstrual cycles are off, a gyno will likely take a peek at your hormones to diagnose this one. 3. You are dealing with depression or anxiety. When you're stressed, you're thrown into fight-or-flight mode and get a surge of adrenaline, along with a heavy dose of the hormone cortisol, which is supposed to help you restore energy reserves and store fat. The problem? Lots of us get chronically stressed sitting at our desks all day or just living a crazed life, says Dr. Jampolis. When your cortisol levels stay elevated for a prolonged period, then your body continues storing fat, which can lead to weight gain. If you've persistently felt down in the dumps or anxious, have trouble sleeping, feel fatigued, or you've lost interest in the stuff that used to make you tick, talk with an MD or mental health pro who can make suggestions for getting back on track if stress seems to be the culprit behind your sudden weight gain. 4. You're not sleeping well or enough. There's nothing like a trash night of sleep to make a girl crave sugar and fat (anything to survive at work the next day, right?). That's because missed shuteye does a number on your hunger hormones and metabolism: Sleeping too little raises ghrelin, the hormone that signals it's time to eat, while lowering your levels of leptin, the hormone that conveys the 'I'm full' feeling, says Dr. Jampolis. The result: a totally unsatisfying chow-fest the next day. In a randomized, controlled 2023 study of 195 adults in Sleep, adults with obesity were put on an eight week-diet and were monitored over the next year after losing about 28 pounds on average. Those with shorter sleep duration (less than six hours per night) regained an average of a little over 11 pounds and reduced less body fat than those with a normal sleep duration (more than six hours per night). 5. You have small intestinal bacterial overgrowth (SIBO). The gut relies on good bacteria to function well (probiotics, anyone?), but there's also bad bacteria chilling in your digestive tract. When that balance of good to bad gets thrown off, small intestinal bacterial overgrowth (SIBO, for short) can take place, triggering extra gas in your GI tract along with bloating, abdominal pain, diarrhea, and—you guessed it—sudden weight gain. Docs aren't entirely sure how SIBO may trigger those extra pounds, says Dr. Jampolis, but treatment typically includes antibiotics to treat the bacterial overgrowth, according to the U.S. National Library of Medicine. Making changes to your diet can also help. 6. You're going through perimenopause. The transition period to menopause (a.k.a. perimenopause, which can start in women as early as their mid-30s, but usually starts in your 40s) triggers hormones like estrogen to rise and fall unevenly, which can cue weight gain in some women, says Dr. Jampolis. Other signs of perimenopause include irregular periods, hot flashes, mood swings, and a change in your libido—symptoms your doc can usually suss out with her eyes closed. Compound perimenopause with the other inevitable body changes that happen with age (like a loss of muscle mass and increase in body fat), and it may feel like the scale's tipping fast. Talk to your doctor to manage "the change" in stride. 7. You're taking certain medications. There's a laundry list of both prescription and over-the-counter meds that can trigger sudden weight gain or water retention that show up on the scale as extra pounds. 'Antidepressants—most commonly the selective-serotonin reuptake inhibitors (SSRIs) such as Paxil, Lexapro, and Prozac—may affect the appetite center in the brain,' says Rocío Salas-Whalen, MD, an endocrinologist at the Medical Offices of Manhattan. Meanwhile, beta blockers (meds that reduce blood pressure) can slow your metabolism, and certain steroids (like prednisone—an anti-inflammatory that causes water retention and an increase appetite) can add on pounds. Even OTC antihistamines like Benadryl, which can disrupt an enzyme in the brain that helps regulate food consumption, can trigger noticeable weight gain, says Dr. Salas-Whalen. A word to the wise: Don't stop taking any pills cold-turkey—chat with your doctor, who may be able to find a substitute. 8. You have Cushing's disease. A super rare condition called Cushing's disease (only 10 to 15 people per million are affected, but 70 percent of those diagnosed are women) causes excess cortisol production and can trigger excessive weight gain just around the abdominal area (the legs and arms usually stay lean) and the back of the neck, says Reshmi Srinath, MD, an assistant professor of diabetes, endocrinology, and bone disease at the Icahn School of Medicine at Mount Sinai. It can sometimes be caused by certain medications like steroids used to treat asthma and autoimmune disorders. 'Cushing's typically presents with significantly low energy and complications like diabetes, high blood pressure, and high cholesterol. But the telltale sign is very large, red stretch marks on their belly,' she says. If this sounds eerily familiar, talk to your doctor ASAP. Cushing's disease can be managed with medication, radiation, or surgery, adds Dr. Parrella. You'll also want to tamp down your stress levels, which means taking really good care of yourself and finding ways to recharge on a regular basis. 9. You're dehydrated. There's a reason behind the bloat, and it may have just as much to do with the water you forgot to drink as the food that you ate. Most of us aren't drinking nearly enough water, says Kristen Neilan, RD, of University of Florida Health. That's because many of us mistake the feeling of thirst for the feeling of hunger. 'Confusion, tiredness, and lightheadedness are all signs of even mild dehydration,' she says. Sounds a lot like how we feel when we're hankering for a snack. Mixed signals aren't the only only possible culprits behind your unexplained weight gain. 'Adequate hydration increases mitochondrial function—what that basically means is that it increases your metabolism,' says Neilan. Without enough water, your cells can't do their thing (namely, convert your food into energy) quickly and efficiently. Make sure to drink plenty of water, especially at higher altitudes (like air travel), on hot days, with fevers and infections, or with extra physical exertion. Choose options with the least amount of sugar—coconut water, clear broth, and of course pure H2O, are all fair game. If your pee looks darker than usual or you're not using the bathroom as often, that's a sign to begin drinking more fluids, notes Dr. Parrella. Other warning signs include fatigue, muscle cramps, and lightheadedness when standing up. 10. You have ovarian cancer. In rare cases, an expanding belly is the result of an ovarian tumor and the fluid buildup associated with it, says Sanaz Memarzadeh, MD, PhD, a gynecologic cancer surgeon at UCLA Health. 'Patients come in with abdominal bloating, and their usual pants are not fitting,' she says. 'Sometimes the tumor is so large, it can cause distention of the abdomen." Women are more likely to be diagnosed with ovarian cancer after menopause. But it's important for women at every age to look out for this symptom, as well as feeling full too quickly, pain in the lower stomach area, and extra pressure on the bladder. See your doc if the bloating persists, especially if your family has a history of ovarian cancer. 11. You quit smoking. Smoking can often act as an appetite suppressant, so when you quit, the cravings can hit you hard. Smoking can lead to a rise in dopamine, the neurotransmitter responsible for instant pleasure, says Pouya Shafipour, MD, a weight loss specialist at Paloma Health. It's the same kind of pleasure you get when you eat a sweet snack, like ice cream. "When one quits smoking, the body still has cravings for dopamine and often, people get this craving from excess intake of refined sugar and starch (i.e., candy and other starchy snacks) and gain weight," says Dr. Shafipour. To counteract the lower levels of dopamine once you quit smoking, it's important to engage in other behaviors, like exercise or meditation, that help release feel-good endorphins and also provide a nice distraction and healthy new habit. Try our exclusive 4-week walking plan 12. You have diabetes. Type 1 and type 2 diabetes both require insulin management in order to keep blood sugar levels regulated. In people with type 1 diabetes, the pancreas essentially isn't producing enough insulin, so those that have it need to regularly insert themselves with the hormone. Insulin allows the body to absorb glucose (or sugar) and use it for energy. Generally, type 2 diabetes is associated with insulin resistance from a poor diet, a sedentary lifestyle, and unhealthy eating behaviors. That can usually contribute to weight gain in itself, explains Dr. Shafipour. Type 2 diabetics have a higher baseline insulin level which by itself causes more weight gain, typically around the belly," he says. But an increase in insulin from external hormone treatments can also lead to weight gain. Insulin lets glucose into your blood cells so that it can be stored for energy, but if you're eating more calories than your body needs, your cells will take what they need, leaving the remaining glucose to be stored as fat. To counteract the weight gain, it's important to closely monitor your diet and avoid eating too much fast food or foods high in refined sugar, Dr. Shafipour says. 13. You have other types of cancers. Most cancers in their early stages will result in weight loss instead of weight gain—unless it's a cancer that causes the release of cortisol, like a tumor in the adrenal gland. However, as cancer progresses, it can lead to weight gain. "This weight gain can be due to growth of the size of the tumor itself or [if it spreads] to other organs like the liver, which can cause fluid buildup in the stomach or the stomach cavity," says Dr. Shafipour. But don't be too alarmed, as this is usually a worst-case scenario. Most cancers will cause other symptoms that may warrant you seeing a doctor while it's still in an early stage. When should I see a doctor for unexplained weight gain? First, you should take a look at your lifestyle. If your diet is poor, it's normal to gain between a half a pound to a pound of weight a week. Your menstrual cycle can also cause your weight to fluctuate between four and five pounds, depending on the stage of your cycle. But when is weight gain a cause for concern? If you're gaining one to two pounds or more a week, and you don't see the numbers going down, then it might be time to see a doctor. "If one notices that they're gaining weight rapidly, one to two pounds a week, and it's not related to menstrual cycle, poor sleep, anxiety or depression, or snacking or overeating, then they should probably see their primary care physician, who will do a thorough history and physical as well as some appropriate laboratory work-up to find the causes of weight gain," says Dr. Shafipour. A doctor can work with you to determine whether an underlying condition is contributing to your weight gain, and find appropriate remedies to help you maintain a weight that makes you feel good. Common Questions About Unexplained Weight Gain Why am I gaining weight even though I'm eating healthy and working out? 'There are many reasons this could be happening and the only way to understand it is to systematically investigate what is going on, like a detective solving a mystery,' says Dr. Parrella. 'Weight gain as an adult, outside of pregnancy, is (most of the time) about the hormone balance.' For many people, this means examining thyroid function. 'Thyroid disorders and untreated sleep apnea can cause unexplained weight gain,' she says. 'A few cancers can cause unexplained weight gain, but those are less common.' The most common cause of unexplained weight gain is insulin resistance, she says, which is associated with weight gain (especially around the waistline). However, this can be treated and managed in multiple ways, and you should always consult your doc to see what's best for you. Some commonly used medications may also cause weight gain, but there may be alternatives that won't bring unwanted side effects. 'If you are taking chronic medications, it is worth asking a pharmacist or your doctor if this applies to you,' says Dr. Parrella. Apart from these reasons, your weight gain may be a sign to evaluate your nutrition, stress levels, physical activity, and sleep habits in detail. There may be certain behaviors (including those you believe are "healthy") that are contributing to your weight gain without you realizing it. What is unexpected weight gain a symptom of? Could it be menopause, aging, or genetics? Your weight can certainly be impacted by menopause, aging, genetics, and hormones like insulin, Dr. Parrella says. 'How you eat, how you move, and how regularly you get rest can affect your hormones and the genes that are activated,' she explains. But the good news is, you can help influence how these changes occur in your body, and seeing a provider can be a great first step. Dr. Parrella recommends working with a specialist who can help you uncover your body's 'signaling pattern' and learn how it may be impacting your weight gain. This ongoing process may involve ongoing investigation, self-tracking, and trying different options, she adds. Weight gain can also be a sign that your body is experiencing chronic stress, Dr. Parella adds—especially if you're a caregiver for a small child, someone with a chronic disability, or an aging parent, for example. '[If] your work demands interfere with your ability to relax and recharge regularly or to sleep well, you may gain weight even if your daily food intake is low,' she explains. Can I just use medication to manage my weight, then stop meds later? The short answer: It's complicated. 'If you use medications to lower your weight, with the medications currently available, you will likely need to stay on those medications to keep the weight down,' says Dr. Parrella. Everyone's body is different, so always consult your doctor about starting and stopping meds, and what dosage and frequency is right for you. You may find that medication is helpful for a while, but everyday lifestyle changes might benefit your body just as much. 'If your doctor has ruled out obvious and less common medical issues like thyroid disorder or cancer, [the reason] could be the timing of when you eat, how often you eat, if you are drinking alcohol, what you are eating, medications, sleep, or chronic stress," Dr. Parrella says. I'm barely eating, but I'm still gaining weight. Am I not getting enough calories? Should I eat breakfast? '[Unexplained weight gain] is rarely about not eating enough calories or whether or not you eat breakfast,' says Dr. Parrella. Weight gain can occur if you're not 'eating the right nutrients, are eating the wrong nutrients for your body physiology, are not getting adequate sleep, or you have chronic stress with high cortisol,' she adds. It's entirely possible to eat little and still have unexplained weight gain, and it can also happen if you eat or snack frequently throughout the night, she says. The key, Dr. Parrella explains, is to eat the right nutrients for you and your body. For example, if you deal with insulin resistance, protein and fibrous vegetables can help keep your insulin at a lower level so that you can get health-promoting nutrients that allow your body to burn fat. Rather than undereating, Dr. Parrella suggests that every 24 hours, you allow your body at least 12 continuous hours (usually overnight including your sleep hours) of not eating or drinking anything other than water, black coffee, or unsweetened tea. 'It is good for your health to let your gut rest on a regular basis,' she says. Moderating alcohol use may also help, she adds. Try eliminating alcohol for one month and seeing what happens with your weight, or alternatively, explore a sugar detox month without any sweets or sweetened beverages. How can I stay motivated to eat less and exercise more? You may have heard that 'eating less and exercising more' is the solution for weight loss, but according to Dr. Parrella, weight gain is usually way more complicated than that. 'Motivation is not the problem for most people, and trying to eat less and exercise more is not the answer for most people,' she says. For many, weight gain is a sign of a hormonal imbalance. 'Based on what you eat, how you move, how you socialize, sleep, and recharge, your hormones will vary,' she adds. 'If your hormones are set up to cause you to grow, that is what you will do. If your hormones are set to burn, then you can burn fat [more easily].' That said, if you are struggling with motivation to make lifestyle changes, consider your intentions behind wanting to manage your weight. Is it that you want to feel more energized during the day? Make it through your fun workout classes? Feel more confident taking cute selfies? Whatever your reason is, tapping into your internal motivation (and not just rushing to crash diet) can help you make sustainable, long-term changes. Meet the experts: Naomi Parrella, MD, is a family physician and obesity medicine specialist at Rush University Medical Group. Melina Jampolis, MD, is an internist based in Los Angeles and the host of the Practically Healthy podcast. Rocío Salas-Whalen, MD, is an endocrinologist at the Medical Offices of Manhattan. Reshmi Srinath, MD, is an assistant professor of diabetes, endocrinology, and bone disease at the Icahn School of Medicine at Mount Sinai. Kristen Neilan, RD, a dietitian at the University of Florida Health. Sanaz Memarzadeh, MD, PhD, is a gynecologic cancer surgeon at UCLA Health. Pouya Shafipour, MD, is a weight loss specialist at Paloma Health. 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