This study found that exercise and higher protein consumption had additive effects in women – they kept more lean mass with protein or with exercise, but they kept the most with protein + exercise. A meta-analysis of studies in both sexes found that regardless of diet, adding exercise helped people keep more lean mass and lose more weight from fat instead of muscle.
Sleep enough – for most people at least seven hours per night on average – and keep stress under control. Sleep deprivation and stress hormones raise blood sugar levels, slowing ketosis and weight loss a bit.60 Plus they might make it harder to stick to a keto diet, and resist temptations.61 So while handling sleep and stress will not get you into ketosis on it’s own, it’s still worth thinking about. 

Also, the natural sugar in fruit does affect your carbohydrate intake — especially if you eat a lot of fruit. This may temporarily raise your blood sugar or certain blood fats. However, this effect is lessened if you are losing weight. If you have diabetes or any other health conditions or concerns, work with your doctor to adjust the Mayo Clinic Diet for your situation. For example, people with diabetes should aim for more vegetables than fruits, if possible. It's a good idea to snack on vegetables, rather than snacking only on fruit.
That’s because women tend to store more temporary fat in their bellies. “The fat stores are gained and lost,” says Lawrence Cheskin, MD, chair of the department of nutrition and food studies at George Mason University and director of the Johns Hopkins Weight Management Center. “By and large, belly fat comes off easier in the sense that it comes off first. That’s where a good amount of the fat is lost from.”

There is a substantial market for products which claim to make weight loss easier, quicker, cheaper, more reliable, or less painful. These include books, DVDs, CDs, cremes, lotions, pills, rings and earrings, body wraps, body belts and other materials, fitness centers, clinics, personal coaches, weight loss groups, and food products and supplements.[22]
If you're losing weight but not as fast as you'd like, don't get discouraged. Dropping pounds takes time, just like gaining them did. Experts suggest setting a realistic weight loss goal of about one to two pounds a week. If you set your expectations too high, you may give up when you don’t lose weight fast enough. Remember, you start seeing health benefits when you've lost just 5%-10% of your body weight.
As far as the measurement, yeah, those scales are garbage – but since it spits the data out, I figure I might as well right it down. I did a caliper test when I started and it gave me pretty similar results, but who knows. I am taking photos every week for my main source of tracking. I can see the progress there – and can definitely tell I have a lot of cutting yet to do! I’ll keep on pushing, I don’t know if I can hit 10%, but I will try for 12%.
The claims made about the health implications of carbohydrates and protein are controversial. As with other fad diets, one nutrient is being made to look like the enemy (carbohydrates), while protein is made to look like the key to weight loss and health. Most diets that are against carbohydrates use the arguments that we consume less fat and more carbohydrates than we did 10 years ago, and obesity is on the rise. This is half true. We consume more carbohydrates, which means we consume more calories. Our fat intake remains above the recommendations, but the percent of our total calories from fat has come down because we are now consuming more calories. Again, research clearly shows that a balance of each of these nutrients is needed and that an excess or deficiency in any of them will cause problems. This diet can be difficult to stick with long-term, so weight regain can be an issue.
Talk about a catch-22: Doing something healthy, like eating a low-cal meal, can make you less likely to exercise and more likely to gorge yourself with food later on. This is because of a phenomenon scientists call licensing, which happens when we feel that we've earned the right to be self-indulgent. Most people have a tendency to want to balance things out, says Kathleen Vohs, Ph.D., an associate professor of marketing at the Carlson School of Management at the University of Minnesota. So when we do one thing that's good for our health, which often requires exerting plenty of discipline and self-control, we like to follow it up with something that lets us indulge ourselves.
"Healthy fats are totally underutilized by individuals trying to shed body fat," says Matarazzo. "You have to reduce calories to get rid of body fat, but you don't want to cut out healthy fats completely." Fats take longer to break down in your stomach and help control blood-sugar levels, leaving you more satisfied and reducing your cravings. Include avocados, fatty fish, olives, nuts and seeds, and oils such as olive, flaxseed, and canola in your diet.
Because the diet isn’t as restrictive as a traditional vegan or vegetarian diet, it may be simpler to stick with — hence its No. 2 ranking in U.S. News & World Report’s Easiest Diets to Follow category. Because you’ll be eating meat some of the time, you may also be at a lower risk of the aforementioned nutrient deficiencies that vegetarians and vegans may face.
The Atkins diet has gone through numerous revisions over the years, though there was never any acknowledgement of flaws in any of the diet plans. Until recently, there have not been any studies on the safety or efficacy of the Atkins diet. Short-term studies have shown improvements in blood cholesterol and blood sugar and an increased weight loss over the first three to six months in comparison to control diets. Unfortunately, the weight loss is not sustained at one year, and the improvements that were seen were due to weight loss and not the actual diet. The long-term safety of low-carbohydrate, high-protein diets is unknown at this time. In a 2007 rating of diet books done by Consumer Reports, the Atkins diet was ranked at the bottom.

People talk about “weight” loss because scale weight is a proxy measure for fat loss. Fat is the major source of excess body mass for most people who want to “lose weight.” Measuring fat (by DEXA scans or other body composition tools) is expensive and difficult; measuring weight is cheap and easy. So people just measure weight and assume that if they lose weight, it’s because they’re losing fat.
As chronic obstructive pulmonary disease (COPD) advances, about 35% of patients experience severe weight loss called pulmonary cachexia, including diminished muscle mass.[31] Around 25% experience moderate to severe weight loss, and most others have some weight loss.[31] Greater weight loss is associated with poorer prognosis.[31] Theories about contributing factors include appetite loss related to reduced activity, additional energy required for breathing, and the difficulty of eating with dyspnea (labored breathing).[31]
A diet that’s low in fat and carbohydrates can improve artery function, according to a 2012 study by Johns Hopkins researchers. After six months, those on the low-carb diet had lost more weight, and at a faster pace. But in both groups, when weight was lost—and especially when belly fat shrank—the arteries were able to expand better, allowing blood to travel more freely. The study shows that you don’t have to cut out all dietary fat to shrink belly fat. For heart health, simply losing weight and exercising seems to be key.
We also love yoga, hula-hooping (yep, great for the abs) and the good standby “Abs of Steel” videos, and trust me the outfits in the 1990’s video will increase the cardio aspect just from laughter alone! There are also a slew of videos online, find one you love and can stick to every few days and you’ll be toning as you shed the unwanted belly fat.

He's also become a firm believer in structure: Eating at roughly the same time every day, and getting plenty of sleep to recover from workouts and to allow your body to keep its hormones in check. Finally, don't let small, inevitable setbacks get to your head, he says. "Hell, just this December I gained 15 pounds in one month. It's just a bump in the road. Nobody succeeds without failures."


In addition to improving your health, maintaining a weight loss is likely to improve your life in other ways. For example, a study of participants in the National Weight Control RegistryExternal* found that those who had maintained a significant weight loss reported improvements in not only their physical health, but also their energy levels, physical mobility, general mood, and self-confidence.
Many people choose to forgo food from animal sources to varying degrees (e.g. flexitarianism, pescetarianism, vegetarianism, veganism) for health reasons, issues surrounding morality, or to reduce their personal impact on the environment, although some of the public assumptions about which diets have lower impacts are known to be incorrect.[3] Raw foodism is another contemporary trend. These diets may require tuning or supplementation such as vitamins to meet ordinary nutritional needs.
After somewhere between three and five hours, your body stops processing its last meal. There's nothing left to absorb, so insulin levels naturally decrease. Then, somewhere between eight and 12 hours after that last meal, your body starts burning stored fat. (Why don't you start burning fat sooner? Biology is sometimes a pain in the ass; it's like our bodies will do anything to hang on to fat.)

There are many ways to do intermittent fasting — ranging from fasting for a number of hours each day up to an entire 24-hour fasting period one or two times a week. “If you're trying to kick a habit like eating late into the night, then stopping eating earlier in the evening and fasting overnight could be beneficial for you,” says Hultin. “There are many types of intermittent fasting, so ensuring you pick one that works for you and your lifestyle is important.”


This study divided its subjects up into 2 groups, and had them both create the same sized caloric deficit. HOWEVER, the difference between them was the manner in which this deficit was created. One group did it by eating less total calories (diet alone), but the other group did it by eating less total calories AND burning more calories by doing cardio (a combination of diet AND exercise). But again, the total weekly caloric deficit was the same for both groups. Guess what happened? They all lost the same amount of weight and body fat. Why? Because a deficit of X calories is a deficit of X calories regardless of whether you burned those calories off via cardio or just didn’t eat them in the first place. Fat loss isn’t about how you create the deficit, it’s just about the deficit itself.
Having ready-to-eat snacks and meals-in-minutes on hand sets you up for success. You'll be less likely to hit the drive-through or order a pizza if you can throw together a healthy meal in five or 10 minutes. Here are some essentials to keep on hand: frozen vegetables, whole-grain pasta, reduced-fat cheese, canned tomatoes, canned beans, pre-cooked grilled chicken breast, whole grain tortillas or pitas, and bags of salad greens.
I have one question though. I think I’ve read most of your site at this stage and I think I can find most of the answer to my question but I can’t seem to find the complete answer and it would be nice to see it pulled together in one place. Now I understand the whole calorie deficit thing & I understand that you can create the deficit through diet & exercise. I also saw your article saying that, although weight training does have *some* effect on weight loss, its actually very small. I’ve also seen you virtually dismiss (:-)) cardio. The thing is, I haven’t seen all these things drawn together in one place. So: are you saying that changes to diet has BY FAR the greatest effect on fat loss? And that weight training and cardio have such a small effect on fat loss that, relative to diet, they are almost insignificant? Because that is the impression I’m getting. Actually – and I know this is not really possible – could you quantify their relative effects as you see them? e.g. diet 70%, cardio 20% weight training 10%. Again, I know, that’s not possible, but just to give a “feel” for their relative impacts. You can see what I’m getting at here: I’d like to get an idea for where to concentrate my efforts.
Want to lose that belly fat fast? In your dreams! Seriously, though: a good night’s sleep is one of the best ways to get rid of that extra fat around your waist for good. Among the 60,000 women participating in the Nurses’ Health Study, those who snoozed for fewer than five hours a night were at the greatest risk of becoming obese and gaining 30 or more pounds over the course of the 16-year study period when compared to those who slept for seven or more hours.

The two diet options that are currently available are the Flex Plan and the Core Plan. The Flex Plan is an updated version of the POINTS Food System in which the goal is to stay within your recommended amount of points each day. The POINTS value for foods is calculated based on the food's calories, fat, and fiber. Along with your weekly POINTS target you are also given a "Weekly Allowance" to use for indulging or special occasions.
Just figure out what works best for your schedule and your lifestyle. Most people wait a while after they wake up to start eating; for me, it's easier to hold off for a few hours in the morning than it is to go, say, from 3 or 4 p.m. until bedtime without eating. Plus, if you work out in the morning before you eat, you get to double-dip on fat burning, since your body will use even more of your stored fat for energy.
But vegetarians may suffer high rates of chronic disease if they eat a lot of processed foods. Take India, for example, where rates of diabetes, heart disease, obesity, and stroke have increased far faster than might have been expected given its relatively small increase in per-capita meat consumption. This has been blamed in part on the apparent shift from brown rice to white and substitution of other refined carbohydrates, packaged snacks, and fast-food products for India’s traditional staples of lentils, fruits, vegetables, whole grains, nuts, and seeds.
Obviously, it’s still possible to lose weight on any diet – just eat fewer calories than you burn, right? The problem with this simplistic advice is that it ignores the elephant in the room: Hunger. Most people don’t like to “just eat less”, i.e. being hungry forever. That’s dieting for masochists. Sooner or later, a normal person will give up and eat, hence the prevalence of “yo-yo dieting”.
Good post and you shed light on some “hidden meaning” points (eat low carb diet suddenly you stop eating excess bread). However, I have a question/statement. If I were to eat a calorie deficient diet, but one mainly of raw broccoli and miscellaneous other foods. Explain to me how it “doesn’t matter what you eat as long as you are calorie deficient” if the large amounts of goitrogenic acids in raw broccoli inhibit my ability to convert thyroxine into T3 therefore actually gain fat? And, explain to me someone with a very “stressful” life whom produces high amounts of cortisol eats calorie restrictive loses muscle and not fat?
^ Jump up to: a b c d e f g h i Payne, C; Wiffen, PJ; Martin, S (18 January 2012). Payne, Cathy (ed.). "Interventions for fatigue and weight loss in adults with advanced progressive illness". The Cochrane Database of Systematic Reviews. 1: CD008427. doi:10.1002/14651858.CD008427.pub2. PMID 22258985. (Retracted, see doi:10.1002/14651858.cd008427.pub3. If this is an intentional citation to a retracted paper, please replace {{Retracted}} with {{Retracted|intentional=yes}}.)

So how does this work? A quick run-through: The first tip was to eat low carb. This is because a low-carb diet lowers your levels of the fat-storing hormone insulin, allowing your fat deposits to shrink and release their stored energy. This tends to cause you to want to consume fewer calories than you expend – without hunger – and lose weight. Several of the tips mentioned above are about fine-tuning your diet to better this effect.
If your goal is to get leaner and not lose muscle in the process, then I’d recommend sticking to slow consistent fat loss and not try to rush it (that will just impact strength even more, which increases the potential for muscle loss). Keep doing what you’re doing, and take 1-2 week diet breaks when needed (go back up to maintenance or possibly a very slight surplus).
One quick unrelated question – both of my AC joints are garbage (probably too many years of benching “bodybuilder” style). I have had some luck now sticking with dumbbell presses and staying away from the barbell – but overhead presses still kill me no matter what (dumbbell, barbell, Arnolds, etc.). Any thoughts on an alternate? I know I have read on here that you are no stranger to shoulder pain yourself…….
What does a HIIT workout look like? You could jog for two minutes, sprint for one minute, jog for two minutes, sprint for one minute. Or you could do a HIIT workout on a bike, or by running up stairs and then jogging back down. The key is that you go relatively all out for a short period of time, then recover by maintaining a moderate level of intensity, then go again. 

Unintentional weight loss can occur because of an inadequately nutritious diet relative to a person's energy needs (generally called malnutrition). Disease processes, changes in metabolism, hormonal changes, medications or other treatments, disease- or treatment-related dietary changes, or reduced appetite associated with a disease or treatment can also cause unintentional weight loss.[25][26][27][31][32][33] Poor nutrient utilization can lead to weight loss, and can be caused by fistulae in the gastrointestinal tract, diarrhea, drug-nutrient interaction, enzyme depletion and muscle atrophy.[27]
Yup, sounds like a good plan to me. A 2 week diet break at maintenance certainly can’t hurt (especially as you’re going lower in body fat), and then coming back to a small deficit is definitely the right idea. Getting into single digit body fat levels, you’re gonna want to lose slower now (0.5lb per week range), so a small deficit is the way to do it.
On a ketogenic diet, your entire body switches its fuel supply to run mostly on fat, burning fat 24-7. When insulin levels become very low, fat burning can increase dramatically. It becomes easier to access your fat stores to burn them off.8 This is great if you’re trying to lose weight, but there are also other less obvious benefits, such as less hunger and a steady supply of energy. This may help keep you alert and focused.9

Just figure out what works best for your schedule and your lifestyle. Most people wait a while after they wake up to start eating; for me, it's easier to hold off for a few hours in the morning than it is to go, say, from 3 or 4 p.m. until bedtime without eating. Plus, if you work out in the morning before you eat, you get to double-dip on fat burning, since your body will use even more of your stored fat for energy.


I have one question though. I think I’ve read most of your site at this stage and I think I can find most of the answer to my question but I can’t seem to find the complete answer and it would be nice to see it pulled together in one place. Now I understand the whole calorie deficit thing & I understand that you can create the deficit through diet & exercise. I also saw your article saying that, although weight training does have *some* effect on weight loss, its actually very small. I’ve also seen you virtually dismiss (:-)) cardio. The thing is, I haven’t seen all these things drawn together in one place. So: are you saying that changes to diet has BY FAR the greatest effect on fat loss? And that weight training and cardio have such a small effect on fat loss that, relative to diet, they are almost insignificant? Because that is the impression I’m getting. Actually – and I know this is not really possible – could you quantify their relative effects as you see them? e.g. diet 70%, cardio 20% weight training 10%. Again, I know, that’s not possible, but just to give a “feel” for their relative impacts. You can see what I’m getting at here: I’d like to get an idea for where to concentrate my efforts.
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