Adam thank you for the feedback. I will certainly switch to cream and see if that helps and maybe eliminate the wine. I have been using that as a “treat” at night. It is a dry red-pinor noir. Dinner is usually fish, chicken or pork with veggies. I do not always eat beans or lentils with dinner but work them in when I can. It is a challenge to cook for myself and then my husband and kids.
Over the past few years it has become clear that weight is an important health issue. Some people who need to lose weight for their health don't recognize it, while others who don't need to lose weight want to get thinner for cosmetic reasons. We understand that in some ways your weight is different from, for example, your cholesterol level or your blood pressure, because you can't see what these are by looking at someone. Many patients have had health care providers who approached their weight in a less-than-sensitive or helpful manner. Some patients may have had health care encounters in which they felt blamed, but not helped. Successful weight management is a long-term challenge.