I have read in the archives that with people who have a lot of weight to lose, that they stop loosing weight after 25 lbs. I am morbidly obese and have found that to be true, but have never heard that it was a common issue. Can you direct me to more information about this problem and what do I do about it???

Hi, Jill,
I first learned this from a research nurse at Roosevelt-St. Luke's in NY, where there is a highly regarded program for dealing with obesity and weight loss. She told me that after about 25 pounds, an ancient, built-in survival mechanism kicks in which slows down metabolism - a throwback from the days when famine could strike and people or humanoids or whatever the heck we were at the time, could starve to death. I'm sorry, but I don't remember her name. But I do know the name of her friend and colleague, because she’s my friend and colleague too - a certified diabetes educator/nurse practitioner named Jane Seley, RN, CDE, also from NY, who is passionately committed to helping people with diabetes. She may know more about this or else could maybe put you in touch with somebody with special expertise who can help. Good luck with whatever approach you decide to use.

Ed. Note: Jill got the suggestion to contact Louis Aronne MD, 1165 York Ave, New York, NY 10021, Phone: (212) 583-1000. He has a comprehensive center with nutritionists and clinical trials of new medications.

All best,