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Ask a doctor: ‘Why do I keep eating foods that I know are bad for me?’

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Ask a doctor: ‘Why do I keep eating foods that I know are bad for me?’

Most experts agree that nearly all foods are OK in moderation and that it’s fine to indulge now and then — but many Americans fall into patterns of continually making unhealthy choices, even though they want to stay on a healthy track.

Why do people continuously eat foods that they know are bad for them?

Fox News Digital spoke to two medical doctors about what’s driving this unhealthy behavior and how people can pivot their mindset to make smarter choices.

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The main reasons for this pattern are rooted in human nature, according to experts. 

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“Unfortunately, it’s just human behavior,” Jesus L. Lizarzaburu, M.D., a family physician with TPMG Grafton Family Medicine in Yorktown, Virginia, told Fox News Digital.

Many Americans fall into patterns of continually making unhealthy choices, even though they want to stay on a healthy track. (iStock)

“We tend to gravitate toward things that are enjoyable, and a lot of things that are bad for us are very enjoyable.” 

Convenience and comfort can also factor into a repeated cycle of making poor food choices.

“There’s a reason they call a lot of these foods ‘comfort foods,’” added Lizarzaburu. “They bring us a lot of joy at a primal level.”

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When discussing dietary choices with his patients, Lizarzaburu said he attempts to learn about their preferences and behavior, delving into not only their food choices but also portion size. 

“One common denominator that could help everyone is decreasing the serving size,” he said. 

“We tend to gravitate toward things that are enjoyable, and a lot of things that are bad for us are very enjoyable,” one doctor said. (iStock)

Patients can also log what they are eating as part of setting health goals, the doctor suggested.

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It’s important to enjoy and savor foods as well, he said, which can actually help to regulate consumption.

“We have forgotten to enjoy our food,” Lizarzaburu said. “We just eat because it’s time to eat, and we’re so busy that we forget to enjoy a meal. When we do enjoy a meal, we tend to eat less of it.”

How are food prices affecting unhealthy patterns?

Natasha Bhuyan, M.D., a family doctor with One Medical in Phoenix, Arizona, told Fox News Digital that the poor quality of many Americans’ diets isn’t an individual issue, but rather a systemic problem. 

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“Processed foods are often more affordable than healthier options,” she said. 

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“When we do enjoy a meal, we tend to eat less of it.”

“They are also convenient, especially for people who are working long hours, families and other groups who may not have the luxury of time.”

Processed foods are often filled with sugar, starch, sodium and unhealthy fats, Bhuyan warned.

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“They also increase the risk of things like obesity, diabetes and heart disease,” she said.

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How can people break the cycle?

To help patients get on a path to better health, Lizarzaburu said he often brings people’s feelings into the equation. 

One doctor advises patients to prioritize their nutrition just as they would other important areas, like family, work and finances. (iStock)

“It’s worthwhile to appeal to emotion and help [patients] make a change for someone other than themselves, like for a child, parent or friend,” he said. 

“That is a lot more powerful of a motivator than me telling them it’s good for them.”

                                         

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Lizarzaburu also advises patients to prioritize their nutrition just as they would other important areas — like family, work and finances.

“As a family physician, rather than telling patients what to do, I like to engage in a conversation,” she said. 

Simple changes, like cooking at home instead of eating out, can make a big impact, experts say. (iStock)

“After we establish the individual person’s motivation for change, we talk about what realistic changes they can make.”

In many cases, simple changes can have a lasting impact. 

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This might mean drinking more water each day, adding more vegetables to dinner or cooking one meal at home rather than eating out. 

“Small and practical changes are often the foundation for successful healthy changes,” Bhuyan added.

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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A new study has identified why mRNA COVID-19 vaccines could trigger heart issues, especially in one demographic. (iStock)

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SCREENING DEBATE A new study questions whether annual mammograms are necessary for most women

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Aging-related joint disorder increasingly affects people under 40, study finds

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Aging-related joint disorder increasingly affects people under 40, study finds

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Cases of gout are rising in younger individuals, according to a global study.

The condition, which is a type of inflammatory arthritis, steadily increased in people aged 15 to 39 between 1990 and 2021, researchers in China announced.

Although rates vary widely between countries, the total number of young people with the condition is expected to continue rising through 2035.

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The study, published in the journal Joint Bone Spine, investigated 2021 data from the Global Burden of Disease (GBD), spanning 204 countries within the 30-year timeframe.

The data measured gout prevalence, incidence and years lived with disability, tracking global trends over time. The results showed a global increase across all three outcomes.

Gout is expected to continue rising in young people through 2035. (iStock)

Prevalence and disability years increased by 66%, and incidence rose by 62%. In 2021, 15- to 39-year-olds accounted for nearly 14% of new gout cases globally, the study found.

Men from 35 to 39 years old and people in high-income regions had the highest burden, but high-income North America topped the list for highest rates.

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Men were also found to have lived more years with gout due to high BMI, while women tended to have the condition as a link to kidney dysfunction, the study noted.

The total number of cases is expected to increase globally due to population growth, but the study projected that rates per population would decrease.

The researchers noted that data quality, especially in low-income settings, could have posed a limitation to the broad GBD data.

What is gout?

Gout is a common form of arthritis involving sudden and severe attacks of pain, swelling, redness and tenderness in the joints, according to Mayo Clinic. It most often occurs in the big toe.

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The condition occurs when urate crystals accumulate in the joint. These form when there are high levels of uric acid in the blood, which the body produces when it breaks down a natural substance called purines.

A gout flare-up can happen at any time, often at night, causing the affected joint to feel hot, swollen, tender and sensitive to the touch.

Urate crystals, described as sharp and needle-like, build up in the joint, causing intense pain and swelling. (iStock)

Purines can also be found in certain foods, like red meat or organ meats like liver and some seafood, including anchovies, sardines, mussels, scallops, trout and tuna, according to the Mayo Clinic. Alcoholic drinks, especially beer, and drinks sweetened with fruit sugar can also lead to higher uric acid levels.

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Uric acid will typically dissolve in the blood and pass through the kidneys into urine, but when the body produces too much or too little uric acid, it can cause a build-up of urate crystals. These are described by the Mayo Clinic as sharp and needle-like, causing pain, inflammation and swelling in the joint or surrounding tissue.

Risk factors for gout include a diet rich in high-purine foods and being overweight, which causes the body to produce more uric acid and the kidneys to have trouble eliminating it.

Experts urge patients to seek medical attention for gout flare-ups. (iStock)

Certain conditions like untreated high blood pressure, diabetes, obesity, metabolic syndrome and heart and kidney diseases can increase the risk of gout, as well as certain medications.

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A family history of gout can also increase risk. Men are more likely to develop the condition, as women tend to have lower uric acid levels, although symptoms generally develop after menopause.

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Untreated gout can cause worsening pain and joint damage, experts caution. It may also lead to more severe conditions, such as recurrent gout, advanced gout and kidney stones.

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The Mayo Clinic advises patients to seek immediate medical care if a fever occurs or if a joint becomes hot and inflamed, which is a sign of infection. Certain anti-inflammatory medications can help treat gout flares and complications.

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Fox News Digital reached out to the researchers for comment.

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New study questions whether annual mammograms are necessary for most women

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New study questions whether annual mammograms are necessary for most women

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A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography.

The WISDOM randomized clinical trial, led by study authors from universities and healthcare systems across the U.S., considered more than 28,000 women aged 40 to 74 years old, splitting them into a risk-based screening group and an annual mammography group.

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Researchers calculated each woman’s individual risk based on genetics (sequencing of nine breast cancer genes) and other health factors. 

A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer. (iStock)

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. Patients with elevated risk were told to get an annual mammography and counseling.

Average-risk women were guided to get mammograms every two years, while low-risk individuals were advised to have no screening until they became higher risk or reached age 50.

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The researchers found that risk-based screening did not lead to more advanced cancer diagnoses (stage 2B or higher) compared with annual screening, indicating that it is just as safe as traditional methods. The risk-based approach, however, did not reduce the number of biopsies overall, as researchers had hoped.

Among the risk-based group of women, those with higher risk had more screening, biopsies and detected cancers. Women at lower risk had fewer procedures.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography. (iStock)

“[The] findings suggest that risk-based breast cancer screening is a safe alternative to annual screening for women aged 40 to 74 years,” the researchers noted in the research summary. “Screening intensity matched individual risk, potentially reducing unnecessary imaging.”

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Fox News medical contributor Dr. Nicole Saphier, associate professor of radiology at Memorial Sloan Kettering Cancer Center in New Jersey, commented that while these findings are important, the study “completely sidelines” what screenings are designed to do — detect cancer early.

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“If you don’t measure stage 0, stage 1 or stage 2A cancers, you can’t tell whether personalized screening delays diagnosis in a way that matters for survival and treatment intensity,” Saphier, who was not involved in the study, told Fox News Digital in an interview.

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. (iStock)

More than 60% of breast cancers in the U.S. are diagnosed at stage 1 or 2A, where cure rates exceed 90%, the doctor noted.

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The trial doesn’t “fully evaluate” whether risk-based screening changes detection at the earliest and most treatable stages, where screening “delivers its greatest benefit,” according to Saphier.

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“Mammography is not without risk — radiation exposure, false positives, anxiety and potential over-diagnosis are real and should be acknowledged,” she said. “But it remains the most effective, evidence-based tool for detecting breast cancer early, when treatment is most successful.”

The expert added that labeling women under 50 as “low risk” is “outdated,” as breast cancer diagnoses are on the rise in younger females.

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“Until long-term mortality data support alternative approaches, annual screening beginning at 40 for average risk women should continue,” Saphier added. “Women should be assessed for breast cancer risk by 25 years old to determine if screening should begin earlier.”

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