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Decisions are made between healthy and unhealthy foods in what may seem like an instant. Studies show that it may be more scientific than once thought. Dr. O’Toole reminds patients that it is both unproductive and time-consuming to feel guilty about lifestyle or diet that may have produced a figure that is disproportionately overweight. Patients who are considering body contouring procedures such as abdominoplasty, traditional liposuction, or the new Smartlipo should understand that these procedures are for patients who are at or near their ideal body weight. They are not weight loss procedures. Fat is removed in specific strategic locations. The remaining fat cells can be overpowered and the patient will gain weight if they are not committed to a good diet and exercise program. According to The Los Angeles Times, when people who regularly make healthy eating decisions look at food, their brains respond differently from those of people who routinely succumb to dietary temptation. Brain scientists who explore human decision-making have mounting evidence that when we give greater weight to more distant rewards — such as health — than to shorter-term pleasures (tucking into a bowl of ice cream), the dorsolateral prefrontal cortex is typically acting in concert with the ventromedial prefrontal cortex. When we succumb as well, the ventromedial prefrontal cortex is at work — but without the more sober input from the lobe next door.

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