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Let’s step back and think about this issue from a cultural/historical perspective.  If Native American nomads (e.g., the Osage, Kiowa, Lakota, Blackfeet, Shoshone), the Inuit in the Arctic, or the Maasai in Africa ate moderate protein and virtually no carbs, they would remain in nutritional ketosis year around, and yet they manifestly did not keep losing weight until they wasted away.
And now add to this the ketosis piece that makes solving this puzzle even more complex.  Is a calorie still a calorie if cutting carbohydrate to the point of inducing nutritional ketosis reduces appetite, allowing the same level of satiety with a reduced energy intake? (Boden 2005)  Does the keto-adapted individual feel the same need to reduce spontaneous physical activity while losing weight?  What might a barely measurable increase in energy expenditure in a short-term study translate to over a longer duration?  Theoretically, just a one hundred Calorie per day deficit translates to 10 pounds of body fat lost over a year.

So what can we do with all this knowledge? Tempting as it is to get discouraged, we can actually find it encouraging. Biology is not destiny, after all. “Lifestyle choices are immensely powerful,” Peeke says. And on the heels of any tidal wave of new research is sure to come a trickle of weight-loss advice that can be more customized and more effective to help men and women with their weight-loss obstacles, no matter what they are.
Most people I have met knows someone who is heavy, but disabled in some way that makes it difficult or impossible to work out, or someone trying to lose weight after an injury. I encourage them to move their bodies as much as they can, if it means lifting weights while on the couch, or just working a little harder in physical therapy you can do something to move more.
Thanks Jen! When you get down to the last 10 – 15lbs., it’s so much harder to get it off. Sometimes I think when you can’t lose weight and your doing all the right things,it maybe because it’s your bodies way of tell you it’s at it’s happy weight. I just keep plugging away and see what happens. As a long as your exercising and eating right that all that counts because your doing something good for your body!
Overall, great article! Especially the emphasis on self acceptance, which is often lost in weight loss plans playing on false notions “transformation” and “finding the new you,” while subliminally encouraging body-shaming along the way. I do have a question about the very last sentence of the article though. You specify that these things work “for average adults who do not have contributing medical or psychological issues,” but what about those who do have such issues?
Remember that these are all perfectly understandable evolutionary design features. Higher estrogen levels during puberty drive fat gain as an energy reserve in case you get pregnant. During early pregnancy, they go into overdrive to “stock up” for the approaching challenge. Your body still hasn’t caught up to the 21st century; it still thinks its job is to keep you (a) alive, and (b) fertile in an environment of extreme food scarcity and a constant threat of famine. So storing extra fat at every opportunity makes perfect sense: back in the day, it could have meant the difference between life and death (or a healthy baby and a miscarriage).
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The above exceptions may work for some overweight people. But both in my practice as a psychologist and from personal experience I can attest to the fact that such exceptions can be disastrous. There is increasing evidence of an addictive component to overeating, especially when it comes to sugar and refined grains such as those in pasta and bread products. For many people, suggesting that an occasional indulgence is OK is tantamount to telling an alcoholic s/he can have an occasional beer. Its much easier not to start than to stop. After a few months of eliminating sugar and flour from one’s diet, those “occasional treats” will seem unhealthy and the high likelihood that eating them will trigger a cascade of further unwanted cravings will serve as ample deterrent to indulging in them. I have stayed off those “treats” for over 8 years, eating ample amounts of fruits, nuts, raw and cooked veggies, beans, fish, chicken and small amounts of cheese, oatmeal and brown rice and I have never enjoyed food as much as I do now
Just because you may not have access to open water—or a crew team—doesn't mean you can't work this fat-blasting cardio workout into your go-to gym routine. Not only does rowing get your heart rate way up, which helps you blast calories and burn fat, but it also works muscles in your legs, core, arms, shoulders, and back that you may not be used to using, which "surprises" your body and helps you increase muscle, says Penfold. She recommends this belly fat-blasting circuit, which is great for beginners and pros alike: Begin with 20 seconds of rowing followed by 10 seconds of rest, and look at how many meters you traveled in that time. (Don't get off the rowing machine or even let go of the handle when you rest, says Penfold.) Repeat this eight times, trying to beat your distance each time. When you're finished with this 4-minute circuit, row a fast 500 meters and note how long it takes you. "That's the number you'll want to match or beat during your next rowing session," says Penfold.
About: Hannah resides in London and she’s positively adorable, clever and fun to follow as she blogs her way to resisting temptation and staying fit and healthy. Hannah’s also been there, done that. Two years ago she lost 50 pounds through a complete lifestyle overhaul. Now, she’s in maintenance mode, but one of the things that’s unique about Hannah is that she still loves to eat out and socialize, and she knows how to do it in a way that doesn’t result in weight gain. And yes, she shares that in her posts.

The funny thing to me is that what was described in the article was not at all foreign to me and I was thinking “what’s new” when I was reading it, but if you’ve never done it before, it’s really really unpleasant. We’d always fly in the night before the weigh ins and the day of, I’d often wake up at 5am and cut for 12 hours straight. The hardest part is to have the discipline to not check your weight too frequently because it gets extremely hard to get your sweat going when you’re dehydrated, especially in the absence of a sauna. My mom also noticed that I’d go running in a foot of fresh snow at 3am when I’d have an early flight and at that point she decided she didn’t have to worry about my determination.

Whey protein decreases your appetite and promotes fat loss thereby getting rid of inner thigh fat. It also enhances secretion of serotonin in your body. Serotonin is a hormone that increases your feelings of wellbeing. It reduces your cravings for sugar and carbohydrates there allowing you stick to a healthy fat loss lifestyle.Add it to your food or enjoy it in a shake. See-19 Quick Fat Burning Smoothies for Weight Loss At Home
"It’s easy to become impatient and frustrated when you’re trying to lose weight and haven’t seen the results yet. But be realistic – you won’t see the affect overnight. Your brain’s wiring plays a huge part in resisting changes in lifestyle, and it takes time to establish new habits – up to 12 weeks. Stick with it for at least eight weeks and you should notice a change."

Studies suggest that healthy behavior can be contagious and something as simple as just posting about running on your social media can influence your friends and followers to go for a run (93). But is it possible to have to much of a good thing? Can a constant overload of fitness pictures of ripped abs and physiques flooding your feed wreck your self esteem? 
My body went through a slow weight gain throughout the years and because it was so slow, I didn’t really notice too much, or really, I noticed once it had already happened and the weight was there. I remember the times getting frustrated in dressing rooms, when older clothes didn’t fit, feeling terrible in my body, and the comparison of feeling like there were so many people around me that ate more unhealthy foods than me and exercised less that were somehow still so much smaller than I was. I thought that my body would stay the way it looked forever, no matter how hard I tried to change it. I wondered if I would ever accept how my body looked or be comfortable in it. For all of the years building up to this one, I was not quite hopeless, but always a little let-down in myself, specifically the choices I made, the way I felt, and the way I looked. I didn’t feel the best in my body and wanted peace.
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As my middle 30’s were here, I ate better, more home cooked meals, but again didn’t do any exercise.  I was tracking calories, but I wasn’t eating enough.  I didn’t know how many calories I needed in a day, I just thought I wasn’t suppose to eat.  At work the other day, I was cleaning my desk drawer out and came across papers that had my calorie intake for the day on it and it said I was eating 800, 900 and 1000 calories on a high day!  I was shocked, well no wonder I wasn’t losing any weight, I wasn’t eating enough.  You can’t go from eating way over 2000 calories a day to practically nothing.  But back then I didn’t care, I did that for a few months and gave up.  The scale didn’t move, so I figured again, this is the weight my body is comfortable with. (image of my calorie count from January 2009)
Drink green tea for a great source of antioxidants and negligible calories.[5]Green tea contains about ten times the polyphenols as most other veggies and assists the body in protecting its cells from free radicals. Best of all, tea contains 1-2 calories per liter, which means that a simple cup of tea (unsweetened) is about as guilt-free as it gets!
About: Yes, this is another one with plenty of followers, but it really is the best for one group: mom. Let’s say you are a mom. We’ll bet finding time to exercise and eat healthy seems damn near impossible, yes? Then Brooke’s blog is for you. It’s armed to the tee with quick fitness routines, easy-to-make recipes, heck, even stuff you can do with your baby. And if that’s not enough, you can also use it as a go-to resource to get the skinny on things like baby names, connecting with your loved ones and activities to do with the kiddos.
Sarah Dussault is a mother, a Certified Personal Trainer, Holistic Health Coach, and full-time health and wellness blogger and YouTuber. Her mission is to help young women learn how to eat clean and get fit so they can feel confident about the way they look, without depriving themselves of a social life. She shares fitness videos, healthy recipes, mom stuff, and health and fitness for pregnancy all on her blog!
“If there’s one thing that comes up over and over with the thousands of patients enrolled in the National Weight Control Registry, it’s weighing yourself every day on a scale,” says Rena Wing, Ph.D., founder of the registry, which tracks more than 4,500 men and women who have lost an average of 20lbs or more and kept it off for at least six years. “Don’t obsess over the number,” she says, “but at least keep track of the general range of what you weigh so you can catch small changes as they occur and take corrective measures immediately.”

The key to losing weight is eating fewer calories than you expend. That creates an energy deficit, so your body taps into other sources of fuel — namely, your fat stores — to make up the difference. You’ll be able to lose weight safely by creating an energy deficit of up to 1,000 calories a day, which will allow you to lose up to two pounds per week.
And some emotional eaters, in an effort to feel better, are prone to reach for foods that will ignite the reward center of the brain, which tend to be the sugary, fatty, salty, hyper-palatable foods that can lead to weight gain, says Pamela Peeke, author of the “The Hunger Fix: The Three-Stage Detox and Recovery Plan for Overeating and Food Addiction.”
The female body is naturally slightly less insulin sensitive when progesterone levels are higher in the luteal phase (after ovulation, in the last two weeks of the cycle). This means it does not tolerate carbohydrate as well in these weeks. Women who are diabetic know this well. I’ve read many studies and heard from many women I know that their insulin injections have to increase in the second half of their cycle because their blood sugar levels are inordinately high.
I found your story very inspiring! I am 57 years young and about 70 lbs overweight. I have been on some kind of a diet for most of my life. I would love to find a quick fix ,but I know it does not exist. With that being said, I love what you said about the help available to us from God, I never considered the spiritual component to weight loss. Thank you for sharing your story, I will be looking forward to your tips in my email.
Eating a large amount of protein will leave you feeling full, thus decreasing your appetite. Protein also has the unique ability to boost metabolism by helping maintain and even build muscle mass. There has been some correlation between high protein diets and a reduction in belly fat. The best way to ensure you are getting enough protein is to eat a little at every meal. A general rule of thumb for high protein intake is to get around 1 gram of protein for every pound of bodyweight. For example, a 130 pound person would aim to get 130 grams of protein each day. Excellent sources of protein come from lean meats, eggs, nuts, etc.
Good for you Joanna! I have been trying to live a healthier lifestyle too, sometimes it’s hard, but it’s always baby steps. Leading a healthy lifestyle is better than losing weight, that will come naturally and easily. I love that you don’t have a weight loss goal, because it’s really not about the weight it’s about feeling good and being healthy. I am so glad you stopped by my blog! Just remember you can do it and be proud of yourself!! You inspired me! Sometimes I need the motivation too and have a junk food Husband can be hard!!

Thanks so much for sharing your story! I saw your Instagram post opening up this post for questions. My question is about your arms. How was the skin under your arm after losing the weight? Did you do any exercises to target that area? Your arms look great & it is giving me hope that if I can get some more weight off mine will continue to improve. Would love to know any secrets there!
●Halt bad eating habits. Before you cave to the crave, hit the pause button, recommends Pamela Peeke, author of the bestseller “The Hunger Fix: The Three Stage Detox and Recovery Plan for Overeating and Food Addiction.” Ask yourself: “Am I hungry? Angry? Anxious? Lonely? Tired?” Get in touch with your emotions and ask, “Am I’m emotional right now? Am I about to knee-jerk into overeating?”

●Halt bad eating habits. Before you cave to the crave, hit the pause button, recommends Pamela Peeke, author of the bestseller “The Hunger Fix: The Three Stage Detox and Recovery Plan for Overeating and Food Addiction.” Ask yourself: “Am I hungry? Angry? Anxious? Lonely? Tired?” Get in touch with your emotions and ask, “Am I’m emotional right now? Am I about to knee-jerk into overeating?”
Visceral fat—a type of fat that lies deep inside your abdomen and surrounds your internal organs—is linked to a whole slew of terrifying health problems like heart disease and type 2 diabetes, according to the Mayo Clinic. Even scarier: According to the National Heart, Lung, and Blood Institute (NHLBI), your risk of those health issues increases even more if your waist size is greater than 35 inches for women and 40 inches for men.
Instead of choosing more processed foods, look for "real foods". This is the stuff we have been eating for hundreds of years and are biologically designed to consume. Real food is any natural, whole food with ingredients you recognize. If your Great Great Grandparents were here today, would they be able to readily identify the food you are eating? Can you picture these ingredients in your head and visualize you making it at home? Did it grow like that? How much processing and manipulation took place to get the food to where it is now?
Sometimes, to whip your body into shape, you have to get a little nutty. While nuts are high in fat, it’s that very fat that makes them such powerful weapons in the war against a ballooning belly. In fact, research from Reina Sofia University Hospital reveals that study participants who consumed a diet rich in monounsaturated fats, like those in nuts, over a 28-day period gained less belly fat than their saturated fat-consuming counterparts while improving their insulin sensitivity.
About: Megan is a lifelong runner who exemplifies what’s it’s like to find happiness in fitness. Her blog is mainly a personal diary about her running, race trainings and occasional trim-ups, but it’s her integrity and honesty that makes you want to keep reading once you start. She’s a real person with real ups-and-downs, perfect for a person who is well on their way to their goal weight and a general healthy lifestyle, but sometimes takes a few steps back and struggles. Megan, like them, has downs, but her continuous determination is something you’re sure to admire.

Just to be clear: if you’re struggling with a chronic hormonal issue like PCOS, infertility, or amenorrhea your best bet is to go find a good endocrinologist who can run blood tests and give you specific advice. Diagnosing yourself over the internet is not a substitute for a doctor! But while you’re waiting for an appointment, here are some studies that point to possible avenues for normalizing estrogen levels.
Sometimes, you might need an external motivator—like a race or a competition—to keep you on track. After a slow start to her slimdown, Maribel Contreras decided to sign up for a 12-week body transformation contest at her gym. She swapped out her fast-food trips for healthy homemade meals and revved up her workouts, which ultimately helped her win the competition. She now maintains a 77-pounds-lighter frame. 
About: Jess doesn’t blog as often as she used to, but every once in awhile she’ll pop in to share her latest life experiences, and, when she does, it’s sure to touch you deeply. Jess started blogging in 2013 to document her training for her first marathon, but quickly found that running ran in her veins. She uses it as a way to cope with life’s hardships and adventures — and takes her readers along a relatable journey as she does.
The most common mistake you're probably making when doing abs work is jumping in without limbering up, causing you to do most of the work with your hips and back. See, your core muscles are harder to activate when the areas surrounding it are still tense. Try this: Before doing a single crunch, put a foam roller in the center of your back at the edge of your shoulder blades and stretch back over the roller, arms up. Repeat until the middle part of your back, which tends to get pulled the most during improper abs work, feels loose.
Some scientists and journalists have concluded from this body of evidence that there exists a ‘metabolic advantage’ associated with ketogenic diets. In other words some believe that ketogenic diets cause a greater expenditure of energy (aka, calories) than non-ketogenic diets leading to the claim that ‘a calorie is not a calorie’ (Feinman 2003, Taubes 2007).   However this flies in the face of a standard tenet of nutrition and dietetics that in order to lose weight, we always have to eat fewer calories than we burn – i.e., ‘a calorie IS a calorie.’
I have been heavy my entire life, at my largest I was 275 lbs and a size 20. I hated how I looked and how I felt. I have tried every diet out there, South Beach, Weight Watchers, Atkins, sugar free, fat free, calorie counting, you name it I’ve tried it. I read all the weight loss blogs. Sometimes I would lose a little weight, but inevitably something happened, I gave up and gained it back plus more.
Absolutely! Doctors are supposed to consider, screen for, and treat any underlying issues that could be causing weight gain or difficulty losing weight. As above, “Once we screen for (and treat) any contributing medical problems that could be causing weight gain (low thyroid function, polycystic ovarian syndrome, prediabetes, among others), or psychological issues (bulimia, binge-eating disorder, depression, anxiety), I encourage a diet-and-lifestyle approach for many reasons, among them my own personal experience.”
Belly fat is is different from fat elsewhere in your body. The extra weight some people carry around their waists, arms, and love handles isn’t the same — that’s subcutaneous fat, which sits beneath the skin and is relatively harmless, according to Harvard Medical School. The stuff in your belly, visceral fat, lodges deeper down, around your abdominal organs. It's metabolically active tissue that actually functions like a separate organ, releasing substances into the rest of your body that, in excess, can increase your risk of disease.
How we are, depends a lot on the people we hang out with. To lose weight, you have to be around people with similar goals or people who have lost weight. This will inspire you and make you more aware of healthy habits. Gradually, you will incorporate those habits into your life. And I bet, you will wake up and be proud of how your thighs and your whole body looks.
Great question, Cain. The cumulative stress of training for a competition and then cutting 10-20 pounds certainly does compromise the immune system. (So does competition itself, for a few hours after the event). Then, when you stuff hundreds of people in an arena or auditorium, all sharing their bacteria and viruses with those compromised immune systems…so getting a cold is the very common. All big athletic events are like this: marathons, tournaments, etc.
In almost every human study of overweight patients lasting 3 months or longer comparing a ketogenic diet to a low fat diet in an outpatient (aka ‘real world’) setting, the weight loss with the low carb diet is somewhat or significantly greater (Sachner-Bernstein 2015).  And despite claims by skeptics that “most of that weight loss is water,” in fact most of the weight lost on a well-formulated ketogenic diet lasting a few weeks or longer comes from body fat.  Add to this the common anecdotes of individuals who “went low carb” and lost a lot of weight seemingly effortlessly, and one could start believing that there is something about ketones or nutritional ketosis that mandates body fat loss.

#11 – Most importantly, set a goal and try to achieve it!  Don’t give up, even if you mess up for a day or two.  Just get back on that horse and keep going.  Along that note, you need to reward yourself!  If you reach a mini goal, then treat yourself to a pair of jeans, or something you desire.  I bought clothes at every 5lbs loss.  A little crazy, but it worked and I felt great!!
I’d love to know what shakes you use. I’m a pretty picky eater who struggles to find the healthy options I can have that fit my tastes. I need a shake (protein/veggie/fruit/healthy) that I can suffer through to help me get some nutrients and fill me up when I’m wanting to grab those crackers or chocolate chips instead 🙂 I also need to give up diet soda because I know that enhances my salt/sugar cravings.
Think cooking healthy meals is difficult and time-consuming? Think again. Annie Allen, a postsurgical nurse in Tampa Bay, Florida, let her freezer do half the work for her—and now she's down 52 pounds and runs about 10 races a year. "Frozen vegetables are as nutritious as fresh ones, and in minutes you have half of your meal prepared," she says. These frozen meals are also surprisingly healthy if you don't have time to mix and match one of your own.
With blood sugar spikes contributing to obesity and health problems, it’s no surprise that you need to cut the sugar to get thinner thighs. According to the American Heart Association, the average American eats 20 teaspoons of sugar per day. With one teaspoon of sugar being 16 empty calories, it’s easy to see how fast this can add up. Instead, make sure you eliminate added sugar and sweeteners like corn syrup and high fructose corn syrup.
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