Send in Dr "Now".
Posted on 06/17/2021 8:24:09 AM PDT by BenLurkin
Shaw Somers, a consultant surgeon who specialises in weight-loss operations, has been treating people with severe obesity for many years. He says people like Sarah, who have an inherited set of certain genes, are much more likely to develop obesity compared with those who don't.
Historically, he says, people with these genetics would have done well in a famine, but with today's plentiful, high-calorie food they will put on weight "without strong determination and support".
Dr Denise Ratcliffe, a clinical psychologist...says that many of the people she sees, have experienced trauma, abuse or neglect, for example, which leads to a dysfunctional relationship with food.
Both the genetic and psychological components of obesity can be amplified when there is easy access to fatty, sugar-laden foods, which are available cheaply and conveniently.
Dr Abd Tahrani, a senior lecturer in obesity medicine at the University of Birmingham, says there are a lot of people who are "biologically pre-designed to conserve energy", which is stored as fat. He explains that signals from the hypothalamus - the part of the brain that controls appetite - bombard the person with feelings of hunger and a desire to eat, that are almost impossible to fight.
For many scientists and doctors who have developed a deep understanding of obesity, the condition is a complex illness driven by a combination of factors. To blame someone for suffering with that illness flies in the face of the scientific evidence, they say.
"If blame worked," says Dr Abd Tahrani, "we would have a very thin society by now. Everybody who has obesity has been blamed an endless amount of times, either by their doctors, by their neighbours or their family, or wider society. It's not working, please stop it."
(Excerpt) Read more at bbc.com ...
Good job! Keep up the good work!
always helpful advice
Send in Dr "Now".
You probably can’t eat that much. But if you did you would not store fat. I have been eating all the meat I want for 7 years. I lost 40 pounds. I eat what I want. I rarely exercise. And I can’t gain weight. I eat, eggs, cheese, nuts, green veggies, and lots of meat. I never touch corn, wheat or sugar in any form. Wife did the same. She lost more.
Your body is not a perfect calorie burning engine. It burns alcohol first, carbs second. And lastly it goes after fat. If those are not there it will go after protein, preferring to use the protein for muscle maintenance.
By the way we have had several complete cardio tests. We pass with flying colors. We have no arterial plaque. Our blood work is super. And we feel great. Better than before.
Some people can stay thin while eating carbs. Many can’t. If you are type 2 or boarder-line diabetic, you can’t.
My diet is 20 or fewer carbs a day. When some old lady brings over her special rhubarb and cherry pie and waits for me to try it, I do. If someone has a birthday or a wedding, I have a very small piece so I am not the party-pooper. But those days happen about once a quarter. Once you stop eating carbs and get them out of your house, its easy to not eat them.
Would you recommend an all-meat diet to someone with serious chronic kidney disease?
Congratulations on your success so far, with both the dieting and the cancer! I am a believer in thinking positively. We may have to work hard to achieve our goals, but I know achieving this weight loss goal is attainable. It is a matter of not giving up.
“I didn’t come this far to only come this far.” - inspirational quote on a calendar I have.
I haven’t had success with intermittent fasting yet, though I’ve tried it briefly. I do eat a small breakfast every day. I skip lunch and don’t have a snack unless I really need something, and I often opt for a bit of protein. I’ve learned to enjoy reduced fat items, and I completely cut out sodas. That was a lot easier to do than I thought it would be.
Both my husband and I cook, but I’m usually the one coming up with the menu plan most days. We do a lot of cooking from scratch, and I do mean scratch. (I have friends that call adding an ingredient to a packaged kit cooking from scratch, but I don’t have the heart to tell them that isn’t what that means.) We focus on fresh fruits and vegetables, but definitely eat meat, seafood, and truthfully, darn near anything. Controlling my portion size has been helpful.
“Every human is hard wired to store fat. That’s just a plain natural fact.”
Some more than others. Consider the Pima Indians. And the Navajo.
With most Americans, it is partially hormonal. Insulin issues CAN make you as good at storing fat at the Pimas are genetically. Tough to beat. I like Keto and IF but they aren’t a complete cure all for me.
For others on this thread, it is true that if you STARVE, you will eventually lose fat too. But you will lose muscles tissue, possibly damage your heart and be weak as a kitten.
“when it is directly and provably the ONLY factors in the equation”
Ever known anyone whose hormones went out of whack? You can be made fat by hormone injections, which strongly suggest hormones play a bigger role than the “Calorie in, calorie out” fans realize.
And the modern American diet is geared to screwing up our hormone balance.
I cook from scratch too! For example, my favorite chili seasoning is from a combination of seasonings I mix together myself. I don’t go so far as to make my own mayo or spaghetti sauce (yet)... but in general I use very fresh ingredients. I’m also the messiest cook you’ll have seen so that combined with a ‘scratch’ approach is quite the combo! lol
Love that quote!
And you can fit into all those stacks of old clothes again in the closet!
Bell bottoms are in style again, I betcha!
What is one with chronic kidney disease suppose to eat?
Just curious.
The body can only store fat when there is an excess
False
Very little protein.
The great thing about protein, from a weight loss point of view, is that it requires more calories to metabolize. So, calorie-for-calorie, you net fewer of the calories.
But that means the body is working harder to get it done.
The kidneys do much of that added work. Thus, folks who have or work with chronic kidney disease say protein is “harder” on the kidneys than other foods, causing more wear-and-tear, and causing kidney disease to progress more rapidly.
This is said to be true even with people with healthy kidneys. But, life generally wears kidneys out. Kidney disease is generally measured by glomerular filtration rate, or GFR. An healthy individual’s GFR at 70 is almost certainly going to be lower than when he was 20. And lots of protein will cause that to happen more quickly. But most people wear the rest of their body out before their kidneys. “Bisogna morire.” We all die.
But if you have chronic kidney disease, I don’t know ANYONE who recommends an all-meat diet. Interestingly, prior to ESRD and the need for dialysis/transplant, protein, especially animal protein, is VERY restricted. While on dialysis, it’s still restricted, but folks with CKD tend toward anemia, and many nephrologists and renal dieticians actually recommend that you eat a modest, but regular amount of meat. especially lean beef.
As to what folks with CKD eat, very little! LOL. A renal diet is often pretty restricted, at least for those on hemodialysis. Restricted sodium, potassium and phosphorus intake are typical, but kidney patients are told to “eat their labs,” in other words, adjust diet according to individual blood work results.
Conduct a study, as many have.
Control the obese group with 1,000 calories per day of balanced nutrition.
Every single one of them will lose weight rapidly.
100%, with not even a single mil of error.
And their weight will also drop in a directly correlation to their activity level.
Absolutely predictable.
But I think the argument you are making is that hormone excesses, deficits and imbalances make it harder for some people to move more and eat less.
I agree.
But I am also certain it occurs with some regularity.
So if they go on a 1,000 cal/day diet they have a 2,000 cal/day calorie deficit. At that deficit level they will lose a pound every 1 1/2 to 2 days or 15 to 20 pounds per month!!!..
I guess it depends. But these very large people are what we are talking about. They have a myriad of health issues that will only get worse if they don’t do something quickly. I am not advocating a carnivore diet for everyone. I am advocating a diet with far fewer carbs than the standard American diet for the normal America. I am advocating cutting out virtually all carbs for huge people.
Actually, I’m arguing that hormones can make it VERY hard for your body to access visceral fat. In a sense, it become a locked room. Not IMPOSSIBLE to access, but very difficult.
As a result, your body WILL burn muscle tissue before it burns the visceral fat, and since your body is then starving, you have a very strong urge to eat. Because in a sense you NEED to eat.
There is good evidence that at least two sources can lock up fat: insulin, and POSSIBLY the types of bacteria in your gut.
When I was in the 9th grade, I lost 50 lbs - from 155 to 105. By the end, I was eating 800-1,000 calories a day. And walking 6 miles a day. And when I stopped, I gained part of it back - up to 125, which was still much better than 155!
Over the last 40 years, my weight has varied from 130-190. Ideal for me would be about 145. Right now, 155. I was at 185 3 years ago when I started with Keto and Intermittent Fasting. Now? I can’t see my abs, but it is very obvious where they are hiding!
That didn’t happen in months. It has taken 3 years. And still more room to go. Maybe I’ll get to 145. Maybe not. But unlike everything else I’ve tried in 40+ years (almost 50 now)...keto and IF are making a lasting difference.
Note: My sister NEVER had these issues. She never got very fat and has no need to use keto or IF. For her, it really IS just calories in versus out. I think obesity as a kid threw my body out of whack and it is finally, after 3 years of work, turning into a normal, healthy body.
PS: I spent years doing low fat diets because that is what everyone said worked. I’d get severe headaches, feel weak, WOULD LOSE WEIGHT...and then gain it back because the pain was not sustainable. In essence, daily migraines. Using Keto and IF, I can cut calories and lose. And live like this for the rest of my life. And yes, even with keto and IF, I need to control total calories. But this approach lets me do so without hideous headaches.
Not for everyone. But two friends of mine have had the same experience. One is now on year 14 of his “diet”.
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