Physical therapy can help a patient with arthritis to work out stiffness without damaging their joints. Occupational therapy teaches the patient how to reduce joint strain during daily activities. Those receiving occupational or physical therapy will learn about their arthritis, be given a dietary plan if they are overweight, get foot care advice, and learn methods of relieving discomfort.
To prep his patients for success, Dr. Seltzer tells them to plan around a large evening meal by eating a lighter breakfast and lunch—NBD since most people who eat a meal before bed tend to wake up feeling relatively full, he says. Research suggests balanced bedtime meals may also promote steady next-day blood sugar levels, which also helps with appetite regulation.

If you make the right food choices and watch your portions but you find that you’re still struggling to lose weight, don’t forget to consider the calories consumed in your favorite sweetened beverages. “Café mocha’s or other popular coffee beverages, sweetened teas, sodas and fruit drinks can easily add 150 to 500 calories extra to your day and daily consumption can easily foster a pound or more weight gain per week,” says Gueron. Stick to water or unsweetened tea and save the sweetened stuff for a special treat.


"When going out for fast food, I used to get the large-size value meal. Now, I satisfy a craving by ordering just one item: a small order of fries or a six-piece box of chicken nuggets. So far, I've shaved off 16 pounds in seven weeks, and I'm on track to being thinner than my high school self for my 10-year reunion later this year." —Miranda Jarrell, Birmingham, AL
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