As a result, by his 21st birthday Golden hit a peak of 501 pounds. "My heart sank," he says, recalling when he saw the number on the scale for the first time. He was at the doctor for a routine appointment to check up on his blood pressure, which was dangerously high. Golden knew he had to make a change, but wanted to avoid more drastic, invasive procedures such as gastric-sleeve surgery. While there wasn't necessarily a 'final straw' moment, he says, he recalls an episode during a flight to visit his parents that made the reality sink in.


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.

Though not always followed for weight loss per se, an anti-inflammatory diet is rich in whole foods (including fresh fruits and veggies), and low in packaged, processed ones (like french fries and pastries), so there is a chance you will still shed pounds with this approach. But usually, folks follow this diet to help prevent or treat chronic diseases, such as multiple sclerosis, rheumatoid arthritis, Alzheimer’s, and cancer. And that’s smart, considering there’s a bounty of research to support this notion. Adopting this diet is relatively simple. It isn’t focused on counting calories or carbs, or following any sort of specific protocol. Instead of constantly thinking about the quantity of food you are eating, an anti-inflammatory is all about prioritizing the quality of what is on your plate.
The primary con to this diet is that it can be extremely limited and difficult for some people to follow. The average fat intake is only 6% of your total calories, which is considerably lower than the recommended 20% to 35%. This limitation is because meat is omitted from the plan. Cutting out an entire food group may be too much of a restriction to maintain over the long-term, so some people do best by modifying this diet to allow for a moderate amount of meat. The high fiber intake may also pose a problem initially. It's best to slowly increase the amount of fiber you consume so your body can get used to it. The goal is always long-term weight loss and maintenance. This diet does have the research to support it, but it may need modifications to make it work for you.

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.
Most popular diets are considered fad diets. There is no clear definition for what constitutes a fad diet. Merriam-Webster defines a fad as "a practice or interest followed for a time with exaggerated zeal." Fad diets often promise quick results with a short time commitment. Long-term success requires permanent changes in behavior, diet, and activity.

Say cheese! Adding some extra calcium and vitamin D to your diet could be the best way to get the flat stomach you’ve been dreaming about. Over just 12 months, researchers at the University of Tennessee, Knoxville found that obese female study subjects who upped their calcium intake shed 11 pounds of body fat without other major dietary modifications. To keep your calcium choices healthy, try mixing it up between dairy sources, calcium-rich leafy greens, fatty fish, nuts, and seeds.
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.
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.
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.

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.


When getting to grips with how to lose body fat there's plenty of food for thought. ‘Most women do perform better on a high protein, moderate fat and low carb diet,’ Vine says. ‘To maintain muscle, you typically need 0.5g protein per lb of body weight – this can be increased to 0.75g if you want to build more muscle (which will ultimately help to reduce body fat more quickly). For carbs, I suggest starting with 1g per pound of body weight then reducing down, if necessary, until it’s only fat coming off, not muscle.’
Okay, I am a bit confused now, can you explain further? I was all on board with some of your other posts, mainly where you indicate that the best workout to maintain strength in a deficit is through strength training; you indicated that it may not be the most efficient at burning fat, but that it will certainly maintain the absolute most amount of muscle, while letting a caloric deficit to take care of fat loss (this is exactly what I have been focusing on, it seemed quite logical). In regards to hard strength training, focusing on low-moderate reps, I am still finding myself tired, worn out, fatigued, etc. at the same rate as my previous training cycles – in which I was deloading every 4th week – in other words, “working my ass off” as you state in your other post. So, maybe a little more explanation is needed here to clarify for me. Isn’t a deload every 4th (maybe 6th) week suggested even if your strength training focus is down in the 4-8 rep range? I would think that the need for a deload is associated more with the effort you expend in the gym, not what you eat outside of the gym – or even the progress in the gym. Further (with absolutely no consideration for science or anything else – so I could be way off) it even seems to me, that when your body is in a deficit and you are focusing on strength training, maybe the need for a deload would be more apparent (from a symptom standpoint, joint health, fatigue, etc.). No? Thoughts?
The theory behind the diet is not the reason you will lose weight if you follow this plan. Weight loss can only occur when you consume fewer calories than your body needs. In the introduction chapter the author makes numerous claims that you do not need to limit the quantity of food that you consume and then provides portion restrictions on many high calorie foods, such as nuts. It's appealing to hear you can eat unlimited quantities, but weight loss will not be achieved without limitations.
Even though you are eating well and exercising, you may reach a plateau where your weight stays the same. Plateaus are mainly due to decreased resting energy expenditure (REE). When you consume fewer calories, your REE decreases, thus your body's need for energy decreases. Keep exercising and eating well to help you get through periods with no weight loss. Sometimes a plateau is the body's way of saying that you may not need to lose more weight. If you are meant to lose more weight, eventually weight loss will come as your body's metabolism catches up with your new lifestyle.
Glued to your desk every day for eight hours or more? You need to take action, says Richard Atkinson, M.D., a clinical professor of pathology at Virginia Commonwealth University. Get up and walk around for five minutes at least once an hour. Take a stroll around the office. Go talk to a coworker rather than sending her an email. Pace back and forth while talking on the phone.
What I mean is, any diet that actually causes you to lose fat did so because it caused you to create a caloric deficit. That’s a fact. There is literally NOTHING else that could possibly make it happen. This is the most basic proven science of the human body. Calories in vs calories out (aka the law of thermodynamics) is ALWAYS the basis for fat loss (or gain).
Well, weight training plays a huge (and required) role in maintaining muscle/strength while losing fat, but strictly in terms of causing fat loss, weight training doesn’t have much of an effect at all because it just doesn’t burn THAT many calories. Cardio generally burns more calories than weight training, but it’s still not THAT huge of an amount, especially for the amount of time it takes.
And what fat loss comes down to is simply a caloric deficit. Which means either burning more calories, eating less calories, or a combination of the two. And when you get down to it, it’s just a whole lot easier for most people to eat (for example) 500 less calories per day than it will be for them to try to burn those same 500 calories every single day. That’s why diet alone gets the job done just fine, and diet and exercise combined gets the job done too. But exercise alone? That’s the least effective of the group by far.
Until then, *assuming* your goal is fat loss, you only need whatever amount of cardio that’s needed to ensure the optimal deficit is created. So if you’re not making it happen through you’re diet (by eating less calories), you’ll need more cardio. But if you ARE making it happen through (or at least partially through) your diet, you’ll need less cardio, or even none whatsoever.

NOTE: This is only an experimental additional treatment of selected cancers, with highly limited evidence. Many conventional cancer treatments (surgery, chemo etc.) are highly effective and they often offer excellent chances of a cure when used in early stages of the disease. To turn down such treatment would be a mistake that could easily be fatal. Also note that the information we provide at DietDoctor.com is not intended to replace consultation with a qualified medical professional. Full disclaimer

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A dietary quality index was developed that simply reflects the percentage of calories people derive from nutrient-rich, unprocessed plant foods on a scale of 0 to 100. The higher the score, the more body fat may be lost over time and the lower the risk may be of abdominal obesity, high blood pressure, high cholesterol, and high triglycerides. The standard American diet was found to rate 11 out of 100. According to U.S. Department of Agriculture estimates, 32 percent of our calories comes from animal foods, 57 percent from processed plant foods, and only 11 percent from whole grains, beans, fruits, vegetables, and nuts. That means on a scale of one to ten, the American diet would rate about a one.
Nuts. It’s very easy to eat until the nuts are gone, regardless of how full you are. A tip: According to science, salted nuts are harder to stop eating than unsalted nuts. Salted nuts tempt you to more overeating. Good to know. Another tip: Avoid bringing the entire bag to the couch, preferably choose a small bowl instead. I often eat all the nuts in front of me, whether I’m hungry or not.

This drug is an injected variant of a satiety hormone called GLP-1. It slows down how quickly the stomach empties and tells the brain that you don’t need to eat yet – a great idea for losing weight. As a bonus this drug works fine while one is on the keto diet and it works even better with intermittent fasting – for a rapid weight loss with no hunger.
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. 

I need to drop a lot of weight and after reading your article felt that I could ditch the stupid crap I have on my bookshelf. Unfortunately, I have a tremendous burden of laziness these days and was wondering if you have any witty, blunt or military-like motivation you can share with me. I need to move my fat a–, but have lost all desire to take this seriously.

"Any competitor who drastically cuts calories to try to get leaner for a show learns that that's not the best way to diet," says IFBB fitness competitor Laurie Vaniman. "You end up looking flat and depleted." The same holds true for noncompetitors; aim for a modest decrease in calories instead. Smaller bodybuilders shouldn't cut more than 200-300 calories per day, and larger bodybuilders shouldn't cut more than 500, says Aceto.
Lap band (gastric banding) surgery, also referred to as laparoscopic adjustable gastric banding (LAGB) is a surgical procedure in which an adjustable belt is placed around the upper portion of the stomach. Candidates for lap band surgery are generally individuals with a body mass index over 40 kg/m2, or are more than 45 kilograms over their ideal body weight. Side effects, risks, and complications from lap band surgery should be discussed with a surgeon or physician prior to the operation.
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.

Very well said, love the article… I’ve tried to explain this to people before but a lot of them seem to get offensive about it. They usually come back, with a very sarcastic tone, with something like “So you’re saying I can eat cake all day and lose weight”. I tell them, “if you consume less calories then you burn, yes”, that’s when they usually say “whatever” and stop listening to me.


Shaping is a behavioral technique in which you select a series of short-term goals that get closer and closer to the ultimate goal (e.g., an initial reduction of fat intake from 40 percent of calories to 35 percent of calories, and later to 30 percent). It is based on the concept that "nothing succeeds like success." Shaping uses two important behavioral principles: (1) consecutive goals that move you ahead in small steps are the best way to reach a distant point; and (2) consecutive rewards keep the overall effort invigorated.
(I put myself down as lightly active since im a recovering couch potato haha. I walk abt 20 mins almost every evening & “actually” exercise in my house in addition to my housework. And im so excited, i have to tell the world! I’m up to two pushups! Lol :p from zero to two is pretty crazy :p and im very encouraged by what my body is already showing me it IS actually capable of doing haha :p
The primary advantage to this diet is that you will lose weight if you eat what you are given. Portion-and-calorie-controlled meals are great tools for long-term weight loss and maintenance. They take away the guesswork of how many calories you consume, they can be nutritionally balanced, they are quick and easy to prepare, and they teach you about healthy portion sizes.

Sleep apnea is defined as a reduction or cessation of breathing during sleep. The three types of sleep apnea are central apnea, obstructive apnea (OSA), and a mixture of central and obstructive apnea. Central sleep apnea is caused by a failure of the brain to activate the muscles of breathing during sleep. OSA is caused by the collapse of the airway during sleep. OSA is diagnosed and evaluated through patient history, physical examination and polysomnography. There are many complications related to obstructive sleep apnea. Treatments are surgical and non-surgical.
Which leads us to point number two: If you want to lose belly fat, you'll need to lose weight. If you stick to the following plan, you won't have to lose as much weight as you might think because your body will burn more fat for energy, but still. Reducing your body fat percentage will require losing some weight. Don't go into this thinking you won't have to lose weight, because that's the surest way to fail.
Glued to your desk every day for eight hours or more? You need to take action, says Richard Atkinson, M.D., a clinical professor of pathology at Virginia Commonwealth University. Get up and walk around for five minutes at least once an hour. Take a stroll around the office. Go talk to a coworker rather than sending her an email. Pace back and forth while talking on the phone.
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.
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