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You are the one person in the world who knows your body best. So, YOU
are the best detective for helping your doctor diagnose your bodys
imbalances. Some are correctable, and some are not, at this time.
The signs and symptoms described in the full length ebook may give you the
information you need to assess if you or a loved one could suffer from one or
more medical syndromes likely originating from imbalances in the body.
Finally, overcome your willpower hurdle. Maybe its not a willpower thing!
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During this period of English history no real stigma was attached to obesity, and Lambert was
generally considered a wonder to be marveled at, rather than to be sneered. (More at the end of
this report)
Obesity in pets is common in many countries. In the United States, 2341% of dogs are
overweight, and about 5% are obese. The rate of obesity in cats was slightly higher at 6%
In the Body Mass Index, a measurement obtained by dividing a person's weight by the square
of the person's height, a BMI greater than 30.0 kg/m2 is considered obese. A BMI greater than
40.0 kg/m2 is considered morbidly obese. (More in full ebook pages 8, 22-28)
Genetic syndromes
Studies have identified variants in several genes that may contribute to weight gain and body fat
distribution; although, only in a few cases are genes the primary cause of obesity.
The genetics of common obesity is complex, and an important thread through this labyrinth is the
study of genetic syndromes in which obesity is a major component.
The percentage of obesity that can be attributed to genetics varies widely, depending on the
population examined, from 6% to 85%.
As of 2006, more than 41 sites on the human genome have been linked to the development of
obesity when a favorable environment is present.
The BMI is an attempt to quantify the amount of tissue mass (muscle, fat, and bone) in an
individual, and then categorize that person as underweight, normal weight, overweight,
or obese based on that value. However, there is some debate about where on the BMI scale the
dividing lines between categories should be placed. Commonly accepted BMI ranges are
underweight: under 18.5, normal weight: 18.5 to 25, overweight: 25 to 30, obese: over 30.
PraderWilli syndrome
PraderWilli syndrome is frequently associated with an extreme and insatiable appetite, often
resulting in morbid obesity. It is the most common genetic cause of morbid obesity in children.
Characteristic of PWS is a chronic feeling of hunger that can lead to excessive eating and life-
threatening obesity. The incidence of PWS is between 1 in 25,000 and 1 in 10,000 live births.
BardetBiedl syndrome
The BardetBiedl syndrome (BBS) is a ciliopathic human genetic disorder that produces many
effects and affects many body systems.
As of 2012, 14 or 15 different BBS genes had been identified. Recent findings in genetic research
have suggested that a large number of genetic disorders were not previously identified in the
medical literature.
BBS is one such syndrome that has now been identified to be caused by defects in the cellular
ciliary structure.
Historically, mental retardation has been considered a principal symptom but is now not regarded
as such. Obesity is possibly related to a decreased sensory function that would normally indicate
satiation the feeling of fullness which triggers us to stop eating.
Most cases of Bardet-Biedl syndrome are inherited as an autosomal recessive trait. Genetic
diseases are determined by the combination of genes for a particular trait that are on the
chromosomes received from the father and the mother.
Cohen syndrome
Cohen syndrome is also known as Pepper syndrome or Cervenka syndrome. More than 80% of
individuals with this syndrome are reported to be underweight during early childhood, but
overweight afterward. The obesity tends to be truncal in nature.
Cohen syndrome is diagnosed by clinical examination, but often difficult due to variation in
expression. Early diagnosis of Cohen Syndrome can make a positive impact as this enables
medical and therapeutic interventions to ensure children thrive. Intensive therapies such as O.T.,
P.T. and Speech are critical to ensure maximum development of gross/fine motor functions.
Cohen Syndrome children are known to have a very friendly disposition and a positive outlook.
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MORM syndrome
MORM syndrome is an autosomal recessive congenital disorder.
This means that the disorder is present from birth and is likely the result of both healthy parents
passing on a defective gene, associated with MORM syndrome, to their offspring. The disorder is
not dependent on sex of the child, as both males and females are equally likely to inherit the
disorder.
MORM syndrome is associated with the gene INPP5E. Although not well understood, it is
hypothesized to play a role in primary cilia stability. This phenotype shows similarities to two
autosomal recessive disorders, BardetBiedl syndrome and Cohen syndrome.
Truncal obesity is a term used to describe the buildup of fat around ones trunk or torso as opposed
to the extremities.
MOMO Syndrome
MOMO syndrome is an extremely rare genetic disorder which belongs to the overgrowth
syndromes and has been diagnosed in only six cases around the world, and occurs in 1 in 100
million births. It is unknown if it is a life-limiting condition.
Genetic testing is not available for MOMO syndrome as the underlying cause of MOMO
syndrome has yet to be determined. Diagnosis is based upon clinical findings (i.e., symptoms).
Current research suggests that it is linked to a de novo (new) autosomal dominant mutation. If a
disease is autosomal dominant, it means that you only need to get the abnormal gene from one
parent in order for you to inherit the disease.
There have been few cases of MOMO syndrome reported in the medical literature, and information
about long-term complications associated with the disease is scarce. Furthermore, potential
complications likely depend on the specific signs and symptoms present in each affected
individual.
Leptin Deficiency
The discovery of leptin39 and the leptin receptor40 heralded a new era in obesity research.
It has been suggested that the main role of leptin is to act as a starvation signal when levels
are low, to help maintain fat stores for survival during times of starvation.
Leptin, the "satiety hormone", is made by adipose (fat) cells. They help to regulate energy
balance by inhibiting hunger. Leptin is opposed by the actions of the hormone ghrelin, the "hunger
hormone". Together, these two hormones keep the hunger desire in balance.
In obesity, a decreased sensitivity to leptin occurs, resulting in an inability to detect satiety despite
high energy stores.
Leptin deficiency from disruption of both leptin genes results in severe obesity in mice and
humans. Numerous studies of laboratory rodents provide strong evidence that genetics plays an
important role in obesity. (More in full ebook pages 75-88)
Cushings syndrome
Cushing's syndrome is a hormonal disorder caused by prolonged exposure of the body's tissues to high
levels of the hormone cortisol.
Sometimes called hypercortisolism, Cushing's syndrome is relatively rare and most commonly affects
adults aged 20 to 50.
Cushing's syndrome in children is rare. An estimated 10 to 15 of every million people are affected a
year and only about ten percent of these new cases occur in children.
Deposits of fat in the cheeks give a moon face appearance. Breakdown of protein in the connective
tissues of the skin makes the skin thin, allowing blood vessels to show through and give the cheeks a
reddened appearance.
The abdomen is obese, while the extremities are thin and there is muscle wasting and weakness. Dark
facial hair and amenorrhea (an abnormal absence of menstruation) occur only with Cushings disease.
(More in full ebook pages 37-43)
A depressive disorder is not the same as a passing blue mood. It is not a sign of
personal weakness or a condition that can be willed or wished away.
Major depression is manifested by a combination of symptoms that interfere with the ability to
work, study, sleep, eat, and enjoy once pleasurable activities. Such a disabling episode of
depression may occur only once but more commonly occurs several times in a lifetime.
A less severe type of depression, dysthymia, involves long-term, chronic symptoms that do
not disable, but keep one from functioning well or from feeling good. Many people with
dysthymia also experience major depressive episodes at some time in their lives.
Another type of depression is bipolar disorder, also called manic-depressive illness. Not
nearly as prevalent as other forms of depressive disorders, bipolar disorder is characterized by
cycling mood changes: severe highs (mania) and lows (depression).
Many women are also particularly vulnerable after the birth of a baby. The hormonal and
physical changes, as well as the added responsibility of a new life, can be factors that lead to
postpartum depression in some women. (More in full ebook pages 44-55)
Authors note: Transcranial Magnetic Stimulation (TMS) is a new therapy that involves no
drugs and is proven safe and effective for treatment-resistant depression! TMS is free of the
negative side effects often associated with taking antidepressants. More Info
Menopause
Changing levels of estrogen and progesterone can cause a variety of symptoms. Visible changes
with menopause may include a thickening at the waist, loss of muscle mass and increase in fat
tissue, or thinning and loss of stretchiness in the skin. (More in full ebook pages 56-60)
People with binge eating disorder are usually very upset by their binge eating and may
experience stress, trouble sleeping, and depression. Binge eating disorder may lead to weight gain
and to related health problems, such as heart disease and diabetes.
GARD's How to Find a Disease Specialist fact sheet provides several ways to identify healthcare
professionals who have experience with a particular condition. Click on the link to access this
resource and learn more.
Genetics Resources
Individuals who have concerns about a genetic syndrome may wish to contact a genetics
professional. The following online resources can help you find a genetics professional in your
community:
The National Society of Genetic Counselors provides a searchable directory of US and
international genetic counseling services.
The American College of Medical Genetics has a searchable database of US genetics
clinics.
The University of Kansas Medical Center provides a list of US and international genetic
centers, clinics, and departments.
The American Society of Human Genetics maintains a database of its members, which
includes individuals who live outside of the United States. Visit the link to obtain a list of the
geneticists in your country, some of whom may be researchers that do not provide medical
care.
Each disease in the database has been characterized by hand, which allows them to provide
carefully curated data for the tool to use. You may access the tool here.
Patients with BardetBiedl syndrome and PraderWilli syndrome suffer from learning
disabilities and muscular weakness. But all those who knew Lambert agreed that he was highly
intelligent, was extremely strong physically, and did not suffer from any health problems.
Although he had an aunt and uncle who were overweight, his parents and surviving siblings
remained of normal build throughout their lives.
Consequently, it is likely that Lambert's weight gain was caused not by a physical disorder but by a
combination of overeating and a lack of exercise. Although heavily built in his teens, he began to
gain weight only when he took up the relatively sedentary job of prison keeper.
Lambert's position as the heaviest person in recorded history was soon overtaken by the
American Mills Darden (17991857), but Lambert had by now become a cult figure, and virtually
every item connected with him was preserved for posterity.
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