Wednesday, June 29, 2022

Diary of A Weight Loss Physician # 3

‘I don’t eat to live. I live to eat.’ - weight loss patient.

Predicting failure in weight loss.

Understanding a patients *love* for food is powerful in predicting how difficult they will find the weight loss journey.

Think Romeo and Juliet.

Two star crossed lovers...

Weight loss is a game of trial and error.

Which strategy will be most effective for a given patient?

Reduce Calories. Increase exercise. Carefully consider medications to help.

That’s the game.

There are thousands of ways to achieve each of the above.

So how do you know which one will work? And on who?

And most importantly: which strategy will they STICK to!?

It's a journey of a thousand miles with a thousand calibrations.

Often, guiding people through this journey involves identifying who is at risk of stopping.

And those that love food..well boy o' boy is it tough...

You’re making someone stop what they absolutely love!

And since weight loss is also a game of patience and perseverance, without seeing quick results..they'll second guessing real quick!

So asking this probing question: ‘How much do you love food’ will set expectations for everyone.

And happiness = results/expectations!

So weight loss for these patients is not impossible. Absolutely not.

It just requires a little extra tender love and care.

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Tuesday, June 28, 2022

Did you have long-term loss eating at just around your goal weight's sedentary TDEE?

I'm just curious to hear from people who lost weight by finding their goal weight's sedentary TDEE and eating right around there for weight loss. I've never tried it, but it makes the most sense to me- you're still eating at a deficit, but it seems like a great way to adjust to the maintenance part if you're already used to how many calories you're, in theory, aiming for for the rest of your life (or, as long as you want to be at that goal weight).

MFP/online calcs have me eating 1400 a day (5'4" F SW: 235 CW: 175 GW: 130(?) ) for about a pound a week. It's by no means difficult at this point in my journey, but I've been basically plateaued since February. I don't particularly want to cut any larger of a deficit, so I think upping my calories could potentially help me not get so mentally burned out from a plateau. TDEEcalc has me at 1566 for my sedentary TDEE calories at 130 pounds. I was thinking I could up to 1500 and lose no doubt slower, but be less burned out by plateaus and slow loss because while 1400 isn't hard, 1500 is even less hard.

Has anyone done this goal long term? Has anyone swapped to maintenance doing this for loss and find it easier? Thanks!

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This is my Day 1.

Posting in hopes that I can find a way to keep myself accountable this time around. Im sick of giving up every time this journey gets difficult. So I’m coming to you, people of Reddit, asking if you could be my accountability partners! It would mean the world to me. currently I’m standing at 5’7 and 248 lbs and want to reach my goal weight of 160, however long it takes.

Some background, I’m a mom who just gave birth to my second child in February. Luckily I didn’t gain any weight during my pregnancy, but I have been stuck ever since. I’m breastfeeding which has affected my weight loss to some degree, and while I started to go to the gym, the sciatica I developed while pregnant gets in the way sometimes. But I don’t care about those obstacles. Im sick of being this large, of being this unhealthy.

My daughter has a habit of taking my cell phone and taking pictures of whatever she’s interested in at that moment. A lot of the times she takes pictures of my husband and I interacting. Yesterday she took a picture of us and it showed me just how far I’ve gone. I see slumped shoulders. I see bad knees at only 25 years old. I see how my legs try so hard to carry all of my weight. I see someone who needs to change.

So that’s what I’m doing. Luckily, I already have an arsenal of resources and information regarding CICO, TDEE and whatnot because my husband and I first started our journey early last year. He successfully lost over 50 lbs and I fell pregnant two months into it and gained a baby lol. I’m sick of making excuses. Of not remaining disciplined. Of losing motivation every time my life changes. I deserve the chance to make myself the best version of myself. I’m taking that chance. And it would be awesome if anybody could do a remind me! In one month or so, so that I could stay focused on that goal. I don’t have a specific amount of weight loss in mind. I just want to push to maintain my healthy habits for one entire month. This is my day 1, hopefully for the last time.

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Follow me along my weight loss journey

Hello everyone. I’m tired of who I am and will become who I want to be. 5 months ago I was at my highest of 450lbs. I’ve always been big, since a child all I did was eat and play videos games all the time. My childhood wasn’t the best, due to this I used food and games as an outlet to calm my emotions. I was depressed and suicidal in my early teens. It got so bad that I didn’t takes showers for weeks. I smelt like a cow farm all the time at school. During this I went into the foster system. My mental health and hygiene picked up a lot, but slacked in my weight. I did loose a bit though, but BOOM fucking Covid. During Covid I gain an extra 120lbs. I was never moving and still on my game. I’d drink at least 5 cans of Pepsi a day 750 calories alone. Ate out twice a day, each meal being a huge meal. For example, let’s say I get McDonald’s [Which I loved] I’d get 3 doubles, 2 fries and 2 soda’s. That be my first meal. Then I’d have another one later on in the evening. I also snacked a lot of very unhealthy stuff like cookies and etc. This leads to the change 5 months ago. I was tired of barley being unable to walk, feeling like shit all the time, calves would hurt over just a few steps. This part is cringe, I was also tired of my sex life with my girlfriend. Never could stay hard and couldn’t do a lot of positions due to my stomach. Also penis size of course, loosing a lot of it cause of my weight. This introduced the change in me. I started working out and got a PT, switched up how much I ate. I signed up for a boxing gym and been training with my trainer for 3 months now. Currently I’m down about 60 pounds [394]. Just off that little bit I feel 50x better, my life has had a significant change. I train 5 days out of the week for multiply hours. Strength and condition and boxing cardio. I love all of it, if I miss one day of working out in my schedule I keep like complete shit and can’t stand it. I still struggle with my diet though, I don’t eat nearly as much and eat more at home. I haven’t drank one soda since I started. I think that the no soda has gave me a reason to pick myself up after a fall and not to fall in a new hole. Any and all tips are appreciated, I’ll answer any questions if your curious. Thank you all

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I've LOST 16 POUNDS! + tips!

Hey, I'm the dude that made a post like, about 2.5 weeks ago talking about how I lost around 5 pounds, but that's past news and baby numbers compared to what I've lost since....as the title says, I've lost 16 POUNDS! So I at least feel semi-qualified to give some new weight losers some tips!

  1. Think of losing weight as a marathon not a race

  2. Get plenty of sleep!

  3. Avoid getting constipated! This one's kinda funny but it can SERIOUSLY put a damper on weight loss.

  4. Go Outside! It keeps your mood up and it's always good to get vitamin D, which is necessary to increase morale and weight loss surprisingly.

  5. Find healthier alternatives for food you love! If you like Doritos or other salty and calorie filled foods, then try veggie straws or bruschetta chips in moderation!

  6. Eat a larger than usual (but low calorie/within calorie deficit) breakfast! Eating a larger breakfast of the morning I've noticed really helped me curb cravings and especially hunger during the later parts of the day.

7.Track and celebrate your losses in weight! This will keep you motivated to continue further and further!

  1. Meditate on your day!

I'm still newer to this too and I'm on my own weight loss journey, I've went from 236.6 pounds to 220.2 pounds in about a month, which is SIGNIFICANT weight loss lol. Thank you guys once again for being so supportive, eventually I'll share a before and after when I get below 200 pounds ☺️☺️.

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55 y/o Man Loses 45 lbs so Far! 272 to 227!

Well, I honestly thought I would never get here again. This is the least I've weighed in probably 12 years. Action sports injuries, surgeries, the pandemic, lost hope, all conspired to weigh me down, literally.

The funny thing is, I'm a mental health therapist and I've finally (maybe) put all the pieces in place except for my own health. I robbed myself and my family of time I can never get back, but I'm not focused on the past. I'm focused on what I do right now and what I'm going to do tomorrow, next week, next month and next year.

My weight loss journey is going to sound controversial, possibly. I was pre-diabetic, on blood pressure meds, cholesterol meds, nerve pain meds, anti-inflammatories, muscle relaxers, sleep aids. And in January of this year, I felt like a hypocrite trying to help people when my own inability to manage myself and my feelings, was on full display. So I said I was done. Absolutely. Done.

I spoke to my doctor and I went on Adipex. Now, this drug isn't for everyone or maybe anyone. There were a shit-ton of side effects. Fogginess, headaches, extreme dry mouth, but it stopped me from eating. And the goal, my goal, was to be able to modify my own behavior, such as polishing off a bag of chips on the couch. To know when I was full, understand the signal and then stop eating.

And the weight came off. Like crazy. Now, I have sustained a lifetime of injuries due to competitive downhill mountain biking. A grade 3 shoulder separation, rib fractures, one concussion, fractured the L1-L2 transverse process on the rt side of my spine, knee injuries that resulted in a knee replacement (at 40) on the right that got infected and morphed into over a year down and four more surgeries. I am bone-on-bone on my left knee, had an L3-L4 spinal fusion that is now collapsing into my L2 and will require another surgery. And despite the pain, I wouldn't change a damn thing. Well, maybe I might have cut down on the crashing part. That would have probably helped.

But I stopped taking the meds about a month ago and the weight is still coming off. I was able to kayak a week ago without too much pain. I'm lifting weights again although supervised and modified. I'm putting the work in and things are changing.

The problem with food addiction, unlike a substance addiction, is that you can't stop eating food. I mean you can try, but it never works. You have to figure out a way to modify your behavior going forward. This is why diets don't work, because they don't modify your behavior. People diet, lose some weight and then go back to eating terribly again. Rinse and repeat.

If you have unresolved issues that spur your eating, really think about therapy. Therapy can help change those core thoughts you have about yourself and put you in better position to be successful.

Anyway, I'm heading for onederland, who's coming with me?

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18 Healthy 4th of July Cookout Ideas

While a backyard cookout is one of the most popular ways to celebrate the 4th of July, the options available aren’t always in line with a healthy diet. But at Nutrisystem, we’re all about helping you to still enjoy food—and festivities—to the fullest. We believe that when people don’t feel deprived, they are able to achieve the most success.

That’s why we’ve rounded up 18 healthy 4th of July cookout ideas. Any of these recipes would make a delicious and festive addition to your July 4th cookout.

1. Grilled Balsamic Chicken >

Grilled Balsamic Chicken

This Grilled Balsamic Chicken recipe is a great way to add some serious flavor to plain, old grilled chicken. The trick is to give your chicken some time to soak in the delicious marinade which combines olive oil, balsamic vinegar, Italian dressing, garlic and black pepper. While we love this marinade on chicken, it works great on steak or shrimp, too.

2. Grilled Cedar Plank Salmon >

Grilled Cedar Plank Salmon

The reasons for grilling salmon on a cedar plank are two-fold: It acts as a barrier between the heat source and the fish, preventing it from falling apart. It also imparts that delicious, smoky flavor from the cedar. While salmon is sometimes intimidating to prepare, this recipe will show you just how simple it really is to do. It’s a great way to get those valuable omega-3 fats and a boost of protein power.

3. Honey Glazed Chicken Skewers >

Honey Glazed Chicken Skewers

Skewers are fun, festive and delicious, making them a great choice for a 4th of July cookout. This particular Honey Glazed Chicken Skewer recipe will help you to whip up a yummy glaze made from honey, chili powder, garlic, oil, low sodium soy sauce and lime juice. It’s got a little bit of everything—sweet, savory and just a tad spicy, too. You can add veggies of your choice to the skewers to amplify the health-factor. We personally love zucchini, bell peppers and onions, but the choice is yours.

10 Tips for a Healthy Home Cookout

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4. Grilled Foil Packet Cheeseburger and Veggies >

Grilled Foil Packet Cheeseburger and Veggies

Foil packets are one of our favorite 4th of July cookout ideas for a few reasons. They contain some of the mess, help to lock in flavor, and allow you to create “diet-friendly” portions. This Grilled Foil Packet Cheeseburger and Veggies recipe will guide you in making lean beef cheeseburgers with lots of healthy veggies on the side. With onions, potatoes and zucchini cooked right along with your burger patty, you’ll infuse some delicious flavors into your meat and also get a big dose of antioxidants and fiber.

5. Grilled Shrimp and Scallop Skewers >

Grilled Shrimp and Scallop Skewers

Seafood options like shrimp and scallops make a nice lean protein combo that is delicious on the grill. In this Grilled Shrimp and Scallop Skewers recipe, the seafood duo are combined with a medley of fresh produce like zucchini, bell peppers and red onions. They are delightfully colorful and will make an appetizing addition to your 4th of July cookout.

6. Grilled Feta Salmon Burger >

Grilled Feta Salmon Burger

Salmon and spinach make up the base of these burger patties, while some feta cheese adds creamy deliciousness. It’s a fun way to get your omega-3s and some leafy greens. If you like condiments on your burger, we recommend trying some tzatziki, relish or mayonnaise for added flavor. Or, you can even top this Grilled Feta Salmon Burger with a slice of avocado.

5 Low Calorie Condiments to Use at the BBQ

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7. Tomato, Cucumber and Mint Mediterranean Salad >

Tomato, Cucumber, and Mint Mediterranean Salad

Bright and colorful cherry tomatoes, cucumbers, mint and onions come together in this fresh salad featuring a honey lemon dressing. This refreshing Tomato, Cucumber and Mint Mediterranean Salad recipe is sure to become a staple at all of your upcoming summer get-togethers! And that’s something you can feel good about. A serving is a mere 34 calories and packed with veggie power.

8. Greek Orzo Summer Salad >

Greek Orzo Summer Salad

Everyone loves a good pasta salad at a cookout! By using whole wheat orzo, this Greek Orzo Summer Salad recipe boosts the health factor without sacrificing flavor. It has fresh diced cucumbers, red onions, bell peppers and delicious feta cheese. The homemade Greek dressing is a combination of lemon juice and olive oil. It’s simple, fresh and tasty.

9. Easy Melon Prosciutto Skewers >

Easy Melon Prosciutto Skewers

This Melon Prosciutto Skewers appetizer combines some unlikely choices—fresh melon cubes (watermelon, cantaloupe and honeydew) with prosciutto, cucumber and a balsamic glaze. It’s one of those combos you just have to try for yourself to believe. The flavors just work together, making this fabulous finger food a new favorite on your cookout menu.

23 Healthy Summer Side Dishes

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10. Red Potato Salad >

Red Potato Salad

What’s a cookout without a good potato salad? We know that potato salad is a cookout staple, so we’ve found a guilt-free way that you can still enjoy it. While full-fat mayonnaise is the typical downfall in a traditional spud salad, our version uses healthy Greek yogurt (with some delicious additions) in its place. The result is a creamy, appetizing Red Potato Salad that remains weight loss-friendly.

11. Grilled Asparagus Caesar Salad >

Grilled Asparagus Caesar Salad

We know that salads are a go-to choice on a healthy diet. However, traditional lettuce salads can get kind of boring after a while. Why not switch things up with this Grilled Asparagus Caesar Salad recipe? It’s got all the flavor you love in a Caesar salad but uses nutrient-packed, superfood asparagus as its base. It’s such a fun addition to your cookout that your guests will be begging for the recipe.

12. Grilled Stuffed Portobello Mushrooms >

Grilled Stuffed Portobello Mushrooms

If you’re looking to choose more plant-based options at the cookout, this Grilled Stuffed Portobello Mushroom recipe will provide a meat-like meal that is nutritious and delicious. Simply season your mushrooms with olive oil and balsamic vinegar, then grill and stuff with a delicious filling of chopped tomatoes, spinach, garlic and seasonings. It’s a dish filled with veggie power and incredibly tasty, too.

9 Tips and Ideas for a Healthy Grilling Season

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13. Grilled Peach Melba >

Grilled Peach Melba

Don’t forget that the grill can also be an excellent way to prepare some unique desserts. Grilling fruit helps to caramelize its sugars and adds some unique flavor factor. In this Grilled Peach Melba recipe, halved peaches are cooked on the grill and then topped with a raspberry melba sauce and a mascarpone cheese mixture. It’s a beautiful, restaurant-quality dessert that is sure to impress.

14. Watermelon Fruit Pizza >

Watermelon Fruit Pizza

This simple, two-step Watermelon Fruit Pizza is a trendy snack recipe that will make a healthy and gorgeous centerpiece at your dessert table. A yogurt mixture including honey, cream cheese and vanilla extract is whipped up and spread atop slices of watermelon. Top it all off with berries, kiwi  and cacao nibs for added flavor and appeal. You could also just stick with blue and red fruits as the topping for a festive and patriotic plate.

15. 5-Ingredient Patriotic Cheesecake >

5-Ingredient Patriotic Cheesecake

This Patriotic Cheesecake is the perfect 4th of July cookout idea! With three cups of red and blue berries (strawberries, blueberries, blackberries, etc., depending upon your preferences), and a cheesecake filling made from cream cheese and whipped topping, it has all the patriotic colors. Plus, it’s diet-friendly and delicious.

10 Summer Pie Recipes for a Satisfying Sweet Treat

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16. Strawberry Pineapple Popsicles >

Strawberry Pineapple Popsicles

Nothing quite hits like a fresh and fruity popsicle on a hot day. While typical popsicles are mere sugar water, our Strawberry Pineapple Popsicles are just as delicious while also being made entirely from fresh fruit! One popsicle is just 32 calories and a nice boost of antioxidants and fiber.

17. Smore’s Icebox Cake >

Smore’s Icebox Cake

Icebox cakes became popular in the 1920s. They are a dessert that doesn’t require the oven for baking. This particular no-bake Smore’s Icebox Cake is especially summer-friendly with its smores theme. It features layers of creamy, yogurt-based marshmallow filling with crunchy graham crackers, light cool whip and mini chocolate chips. It’s sure to be a crowd pleaser.

18. Grilled Foil Packet Apple Crisp >

Grilled Foil Packet Apple Crisp

Remember how we said that the grill is for desserts, too? Well, here’s another great grilled dessert to try. This Grilled Foil Packet Apple Crisp involves grilling sliced apples in aluminum foil with cinnamon and nutmeg, then topping with an oat, butter and brown sugar mixture. You’ll be amazed by how much the finished product tastes like apple pie—but is just 155 calories per serving.

Looking for more 4th of July cookout ideas? Check out these 8 healthy dessert recipes perfect for July 4th! >

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