I have got some catching up to do on this thread. I am 32 and recently finished Family Medicine residency and currently practice hospital medicine. I am glad to see some dialogue about making good decisions. Most of what I deal with in patients is self-inflicted on some level. Sure, there is a genetic component to many issues, but on some level you can beat genetics or at least delay their effects with good choices. As for me, I try to eat balanced as much as possible, drink plenty of water, eat plenty of fiber (filling and low calories) and practice intuitive eating. With intuitive eating I choose where and how I spend my calories. If I really want some ice cream at the end of the day, I will cut out calories on the front end throughout the day and allow for a small portion of ice cream. With intuitive eating, you have to really ask yourself do I want it bad enough to make some sacrifices and justify it to yourself, but if you find that you really do want something, it is probably better to allow for a small portion and satisfy the craving. If the craving passes, then you probably didn't really want it anyway. If it hangs around, you may splurge and go overboard in a moment of weakness.
I am working on trying to figure out a good exercise regimen with my bizarre schedule. That is the next step for me.
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Stephen
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