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  Overweight/Obesity
  More than 64% of US adults are either overweight or obese and children are becoming overweight/obese at an increasing rate. Dr. Mosunic provides scientifically proven modes of psychological and nutritional treatment to both adults and children that are currently overweight/obese or would like to take preventative steps against becoming overweight/obese.
   
  Type 2 Diabetes Mellitus (t2dm)
  Approximately 89% of people with t2dm are overweight/obese. Developing t2dm is largely due to a combination of one’s genes and their environment. Depending on an individual’s genetic profile, some individuals that are overweight/obese will develop t2dm, or vice/versa, and others will not. Given the complexities of each condition, treating t2dm and overweight/obesity simultaneously can be challenging but is greatly manageable.  
 
  Anxiety, Depression, and other Mood Disorders
  Each year, almost 44 million Americans experience a mental disorder and are among the most common conditions affecting health today. Diabetes doubles the odds of comorbid depression and the prevalence of comorbid depression is significantly higher in diabetic women (28%) than in diabetic men (18%).
 
  Gestational Diabetes Mellitus (GDM)
  Pregnant women who have never had diabetes before but who have high blood sugar levels during pregnancy are said to have gestational diabetes. Approximately 7% of all pregnancies are complicated by GDM, resulting in more than 200,000 cases annually.
   
  Binge Eating Disorder
  Binge eating disorder is defined as frequently eating large amounts of food while feeling a loss of control over their eating. This disorder differentiates itself from bulimia nervosa in that people with binge eating disorder usually do not purge afterward by vomiting or using laxatives.
   
  Type 1 Diabetes Mellitus (t1dm)
  Self-care behavior is pivotal in managing Type 1 diabetes mellitus. In order to manage and maintain both physical and emotional health, behavior change is often necessary in order to improve glycemic control.
   
  Anorexia Nervosa & Bulimia Nervosa* (aka Eating Disorders)
  Anorexia nervosa is a serious life-threatening eating disorder defined by a refusal to maintain minimal body weight within 15 percent of an individual's normal weight. Other critical features of anorexia include an intense fear of gaining weight, a distorted body image, and amenorrhea. In addition to a pattern of restrictive eating, some individual engage in recurrent binge eating and purging episodes. Starvation, weight loss, and related medical complications can result in death. Obsessive exercise may accompany the starving behavior. Bulimia nervosa is defined as frequent episodes of binge eating associated with emotional distress and a sense of loss of control accompanied by compensatory behavioral patterns aimed at preventing weight gain. Compensatory behaviors used by individuals with bulimia nervosa include excessive exercise, episodes of fasting or strict dieting, self-induced vomiting, diuretic abuse, laxative abuse, use of appetite suppressants, and/or medications intended to speed up the metabolism. People with bulimia nervosa are also dissatisfied with their body shape, weight, or both.    
 
  *Note*
  *Due to the increased clinical demands of anorexia nervosa and bulimia nervosa, patients with either anorexia or bulimia are seen by Dr. Mosunic on a limited case basis. It is mandatory that the patient is under the ongoing care of a physician.
 
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