A reader asked the following question:
But now I want to know what you think is the psychopathology of people who want to lose a more moderate amount of weight (say twenty pounds) and are unable to do so?
In these situations, there is a strong possibility that the body is simply comfortable at that weight and struggling with this state of comfort is pure masochism. If this were my situation, I’d do the following:
1. Measure fasting blood sugar level over a course of a couple of months (once a week should do it).
2. Measure blood pressure over the same length of time, preferably in summer.
If the blood sugar is consistently under 90 and the BP is always around 120/80, I’d just quit worrying about weight altogether and accept it the way it is.
If the anxiety persists, one has to start asking the question of what purpose this anxiety serves in his or her life. What is the constant worry about “the extra 5 lbs” trying to shut out? What is the bigger, scarier concern that is lurking behind it? Small, mundane anxieties often exist to distract us from bigger underlying problems.

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