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It's not just the heart and circulation that suffer from excess fat on the body or in the blood. As any doctor who has treated osteoarthritis can tell you, obesity makes joint pain a good deal worse, especially if the arthritic joint is a weight-bearing one such as the ankle, knee, hip, or spine. One of the quickest and safest ways to markedly improve the pain and disability of
os­teoarthritis is simply to get the patients to lose weight. For most people, arthritis care begins with weight loss.
     I've also noticed that low back pain is especially prevalent in people who have "apple" shapes, with their excess fat stored in and around their belly and abdomen. All that weight in the abdomen causes the center of gravity to change, affecting both the position and posture of their back. This, in turn, can lead to back pain. Many times, I have been able to help patients ease back pain to the point where they could throw away their pain medications just by helping them lose weight. Excess weight in the chest and upper back can also make breathing difficult, which is why so many overweight people are short of breath (dyspnea) after just a little exertion.


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