And then there is the controversial NuSi study* (Hall, 2016).  This involved 17 individuals confined for 2 months in a metabolic ward and fed two different diets containing identical energy contents but differing in carbohydrate contents – one ‘balanced’ and one ketogenic.  After 4 weeks of adaptation to each diet, the subjects had their metabolic rates monitored by two different methods:  one using isotope analysis over the last 10 days and the other with continuous indirect calorimetry in a chamber for 24-hrs.  The average chamber energy expenditure over 24-hrs was 75 kcal/day greater during the ketogenic diet.  Given that the average subject in this study was consuming about 3000 kcal/day, that translates to about a 2% difference.  Using the different isotopic method to assess average metabolic rate over the last 10 days of each 4-week study period, the calculated increase in daily energy expenditure on the ketogenic diet was closer to 150 kcal (i.e., 4%).


Keep researching. I’ve recovered from sciatica pain, lost 19 lbs, dramtically reduced my cholesterol and lowered by blood pressure from 137/93 to 125/89 in 3 months ! Read Dr Greger’s book: “How Not to Die” and Dr Campbell’s book: “The China Study.” Watch the documentary “Forks Over Knives.” Look up Dr Ornish, Dr Barnard and Dr Esselstyn. I’m convinced that eliminating all (or almost all) animal protein from your diet is the way to go. There’s a mountain of evidence that shows a whole food, plant based diet can prevent many cancers including prostate and breast cancer and even reverse many major diseases like heart disease (Dr Esselstyn). Dairy is very bad for you, your patients and your kids. But, don’t take my word for it, you’re a doctor, do the research. Dr Greger’s book references thousands of studies. May be the best place to start.
A common misconception amongst many female fitness enthusiasts is that steady-state cardio in the "fat burning zone" is ideal for weight loss. Spending two hours on the treadmill may seem like it'll get you bikini-worthy bod—more minutes, more calories, right? However, while steady-state cardio has many benefits, it isn't the most effective way to reduce body fat.[1]
Great informative article for over all healthy weight loss, however in my experience you cannot spot train fat loss. Your body simply burns fat from wherever it naturally decides, with a healthy diet and exercise routine. That said, you can of course work on building muscle on your thighs, which helps burn fat over all. My advice to anyone would be not to get too transfixed on where fat is coming off because your body will make up its own mind, instead focus on eating healthily and getting more active, simple science 🙂
Some patients also experience bruising or stiffness in the treated area. After Coolsculpting, it takes anywhere from 3-12 weeks to see results. Several treatments may be required. The cost generally starts at approximately $750 per treatment, but the typical cost for a complete personalized treatment plan averages $2,000 to $4,000 according to the company.
But the information that researchers are unearthing about the differences in the way that men and women lose weight inspires hope that the next generation of weight-loss advice will be more tailored and effective than the generic tips that have gotten Americans no closer to sliding into their dream jeans. (More than a quarter of Americans are obese, according to a May Gallup poll, a number that has been ticking upward for years). Although experts have long insisted that losing weight is simply a matter of burning more calories than you consume, they now say that it’s much more complicated than that.
Nice Article. I do however have a couple questions. 1. You say each gram of carbs pulls in 2.7 grams of water, I was always taught that protein takes the most water to digest. 2. Do have the figure for how much water each gram of water ulls into the body or is needed for digestion? 3. And iif you can give those numbers for consumption, it would be great!
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? 
"Feeling stressed can wreak havoc on our bodies. It can cause our body to produce the steroid hormone cortisol, which can make you crave sugary foods that provide instant energy and pleasure. Short-term bursts of cortisol are necessary to help us cope with immediate danger, but our body will also release this hormone if we’re feeling stressed or anxious. When our cortisol levels are high for a long amount of time, it can increase the amount of fat you hold in your belly."
Let me start by saying, HOW INSPIRING!! I am 54 years old, turning 55 in February. I just started your Instant Pot Class. I lost 100 pounds a couple years ago, but then I got hospitalized with pneumonia and pleurisy. The strong steroids sent my sugar through the roof and damaged my pancreas, so now I have diabetes. All the new medications I’m on caused me to gain back almost 50 pounds. I have rods from my neck to my tailbone and I now have fibromyalgia and neuropathy, which makes a lot of exercises, including walking for long periods or distances, quite painful. I have found Chair Zumba classes on You Tube, which I do M, W, F, and strength exercises that I do T, R, Sa. I rest on Sundays. I too, wear my Vivofit, and find it to be an inspiration.
We don’t recommend thinking about macros in terms of percentages, especially if you’re focused on weight loss. We recommend keeping your carb intake under 30 grams/day, eating the protein requirement we outline in our protein post, and eating fat to satiety. There’s more info on our rationale around macros in this post by Steve Phinney and Jeff Volek: https://blog.virtahealth.com/how-much-protein-on-keto/
I am mid 40s and already going through perimenopause phase sinc last year. Seems like I gained suddenly body fat even exercise with HIIT, cardio and weight lifting. I eat clean, no sugar, no flour and processed food. I assume it is to do with my hormone change. I have light period and shorter now these days. Still experiencing mood swings, breast tenderness, bloating and weight gain, hungry for sweets and salty before period. I try to find any articles about carb cycling for women who go through perimenopause phase but can’t find them.

Research suggests that people with stronger legs are less likely to fall as they age, potentially reducing their risk of fracture and immobility, so there’s no time like the present to start shedding that extra body fat, toning those muscles, and building a strong foundation for a healthy future. Incorporate the 10 ways to lose thigh and leg fat into your routine now and you’ll be feeling stronger and more confident in no time.

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