Can You Afford the Extra Calories?

hidden caloriesOn a flight to Phoenix this morning, the flight attendant asked me if I wanted a roll. I had to think about if I could afford the snack…not the cost of the roll, but the calories. Have you ever tried to do those mental calculations, on the spot? For me, an early morning flight means that whatever coffee they are serving me is better than water!

I want to tell you about my patient, John*. He had not come in to see me for several years. I barely recognized him. He had lost over 60 pounds and he just wanted to check in. I looked over his chart and he had been hanging around 220 pounds for the previous few months I had seen him. What changed?
*individual results will vary
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