I occasionally read through veterinary catalogs for horse supplements.  These animals, worth up to millions of dollars get the best of care and often state of the art medicine before it percolates down to humans. As I was reading through the catalog it struck me that the weight-gain supplements contain some of the very same ingredients that are touted for weight loss in articles and ads all over the web.  What gives? The short answer is that once you are fat, unless you are slightly fat or you had a short term weight gain, it is incredibly difficult to reverse.
I’ve been fat since age 5, with a short break during my late teens and 20s when I felt like and metabolically was an underweight fat person. I have no question that if I had bypass surgery and lost weight that people would congratulate me on becoming healthier and it might well help me get a teaching job or keep patients.  It would not be true.
Most fat people do best on low carbohydrate diets, without appreciable grains.  Even if you might have done well with grains pre-obesity, your metabolism is probably damaged by long term weight gain. Ketosis (not the dangerous ketoacidosis) metabolically causes you to lose fat rather than muscle, provided that you don’t overeat. For a long term diet, a food plan that hovers between ketosis and low carb just above ketosis is probably the best.  Green vegetables and clean fish or pasture-raised meat, eggs from outdoor chickens and small amounts of berries, yellow fruits and vegetables or pickled root vegetables should be the basis of your diet.
This actually can be done with a vegetarian diet but will be a lot more interesting with animal protein.  The infamous low glycemic vegetarian diet that beat the ADA diet for diabetes was basically vegetarian Atkins. There is a threshold beyond which losing weight is close to impossible without extraordinary changes, so don’t get there.
The kind of extraordinary changes that allow weight loss include moving away from family and friends who may reinforce inactivity or stress, changing to a very physical profession, radically increasing exercise and changing the kind of food you need and a spiritual renewal that doesn’t involve lots of sitting  or reading. If you suddenly gain weight, loose it as soon as possible so that your setpoint weight doesn’t increase. When you take medications like steroids, antidepressants, antipsychotics, long term antibiotics or insulin you will probably gain weight, often substantial amounts.
While some people can, I have never lost weight from exercise alone but I also don’t lose significantly without exercise, including interval aerobics, weight training and stretching. If your endocrine system is unbalanced, try adaptogen herbs like rhodiola, ashwaganda, ginseng and eleuthero.
Weight loss herbs basically fall into a few categories:  detoxification, bulk laxatives, liver support, starch blockers, fat blockers and thermogenic herbs. Liver herbs like dandelion leaf, green coffee extract, Oregon grape, berberis and milk thistle will help you convert fat and get rid of toxins that were locked up in your fat. Go for periods of time without appreciable carbs, like between dinner and lunch with salmon salad or a veggie frittata for breakfast. A two year, $4 million  studyof 307 people, purporting to compare low carb to low fat diets has been completed, apparently showing similar weight loss after two years, but improved blood lipids for people who followed the low carbohydrate diet. The low carb diet went for 12 weeks, after which people were encouraged to add 5 grams of carbohydrates daily for a week, increasing carbohydrates until their weight stabilized.
The low calorie diet went on for 2 years.  So a short term diet was compared to a long term diet. UCLA psychologists Traci Mann (right) and Janet Tomiyama analyzed 31 long-term studies on dieting.


ScienceDaily (2007-04-05) — Dieting does not work, report researchers who analyzed 31 long-term studies on dieting. The study underestimates how many people fail at diets since the failures are reluctant to return for follow-ups.  Many studies have less than 50% followup and rely upon self-reporting of weight levels. Several studies indicate that dieting is actually a consistent predictor of future weight gain.
One study found that both men and women who participated in formal weight-loss programs gained significantly more weight over a two-year period than those who had not participated in a weight-loss program.
None of this means that eating healthy foods in moderation and exercise are not worthwhile.  You can be healthy and improve blood sugar levels or blood lipids.
Say you eat an apple which is all sucrose and some fiber.  Half of sucrose is glucose and 76% of that burns off at the first pass while 24 % of it goes into the liver where most of it is stored as glycogen and the rest powers mitochondria for energy. I was listening to Jeffrey Yuen speak about how heat turns into  fire toxins unless the body damps it down, and it suddenly hit me why people with long term heating emotions might eat the way they do. And what kinds of foods do we look for when we eat emotionally?  Sweets, breads, chocolate, ice cream, perhaps with a glass of milk- all the foods that tend to generate dampness when consumed.  We rarely have cravings for bell peppers or mustard greens or shitake mushrooms when we are emotionally spent. Most people with blood sugar problems have noticed that carbohydrates raise blood sugar, often followed by a crash. But not all carbs are created equal:  a baked Idaho potato with a sprinkle of salt will send your blood sugar spiraling more than an equal weight of even ice cream or table sugar. Low carb diet is a high-protein diet, therefore you will eat enough protein foods to satisfy your hunger. To lose weight, you are only allowed to have a certain grams of carbohydrates a day, and the amount may varies among individuals. A two-year study has found that those on Mediterranean or low-carb diets, such as Atkins, lose more weight than those who go low-fat, and with no ill effects. The study, which appears in Thursday's New England Journal of Medicine, involved 322 moderately obese people, the majority of whom were men.
The median weight loss for those on moderate-fat, restricted calorie Mediterranean diet was 9.7 pounds. By contrast, the mean weight loss for those on a low-fat, restricted-calorie diet, aimed at boosting heart health by having participants consume low-fat grains vegetables, fruits and legumes, while limiting intake of fats, sweets and high-fat snacks, was just 6.4 pounds. The study also found that the Mediterranean and low-carb diets yielded the most health benefits, such as improvements in blood pressure and cholesterol. The study was conducted in Israel between 2005 and 2007 and carried out by randomly assigning participants to the three main diet groups, each of which received the counsel of a registered dietician. Lead study author Iris Shai, acknowledging that most diets are difficult to adhere to, said what the study demonstrated that many dieters have a tough time sticking to a low-fat regimen. Of the 322 persons who started the study, a total of 272 were able to adhere to their diets for the full two years, reaping even greater rewards in terms of weight loss. From local news to politics to entertainment and sports, the twice daily Right Now eNewsletter has all of the New Jersey news you need! Many herbal and nutritional supplements are described for effectiveness in terms that the FDA would prohibit for people -which tends to prevent good information from getting to us about how to use nutritional supplements.


Maybe it was my grandmother’s Native genes clashing with a 1960s Standard American Diet- I took after her rather than my parents.  Maybe it was a reaction  (mine? Heck we have a worldwide epidemic of obese 6 month olds who probably eat and move much like infants always have, so it makes no sense to blame.  And we need to get real about it. There are entire civilizations in ketosis (traditional Inuit, Bantu, hunter-gathers) who are not in active weight loss.
Move to a 5th floor walk-up or work a  half hours walk from home to build in exercise.  You also need to make peace with monitoring everything you eat, monitoring exercise and monitoring weight. Statins can cause diabetes, but are pushed on people with insulin resistance.  It may be worthwhile, but consider the effect in evaluating your course of treatment and also whether protective lifestyle changes are realistic. Don’t skip the stretching, because heavy weight predisposes you to injury if your muscles are in the wrong place.
Studies consistently find that people who reported the most exercise also had the most weight loss.
For sources of carbohydrate, give priority to leafy green vegetables, followed by low-carb fruits and legumes.
Some fruits are allowed, but fruits with high glycemic index which will raise the blood sugar levels rapidly are restricted.
With this low carb meals plan, you will only have less than 20 grams of net carbs daily, so as to switch your body into the state of ketosis. It found that the median weight loss of 10.3 pounds for those on a low-carb, unrestricted calorie diet, in which participants avoided refined carbohydrates like sugar, flour as well as trans fats.
Such diets are rich in vegetables and low in red meat, with poultry and fish replacing beef and lamb. Those with diabetes assigned to eat a Mediterranean diet also saw a greater improvement in their blood sugar levels compared to those in the low-fat group. All rights reserved (About Us).The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of New Jersey On-Line LLC. You can do quite a bit to stay healthy via your diet and lifestyle, but you may end up healthy and fat.
Occasionally I go on tiramisu jaunts.  I go between wondering if I am gluten-sensitive or just carb-sensitive and go in and out of drinking milk.
Younger men who haven’t been obese long and are willing to, say, become exercise instructors or indulge in full time physical labor stand the best chance of  joining that elusive 2-5%. For fats, go for healthy vegetable oils (such as corn oil, olive oil, canola oil, etc.), as well as from nuts and seeds and fruits like avocado. Even they say that only 20% of dieters are successful at a 10% weight loss for over one year.   You have to make your life about keeping weight off and maybe change your work to something physical all day.



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