Klein, S., Burke, L.E., Bray, G.A., Blair, S., Allison, D.B., Pi-Sunyer, X., et al. (2004). Clinical Implications of Obesity With Specific Focus on Cardiovascular Disease: A Statement for Professionals From the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: Endorsed by the American College of Cardiology Foundation. Circulation; 110(18): 2952-2967.
This content is strictly the opinion of Dr. Josh Axe and is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician. All readers/viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither Dr. Axe nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program.

This is what's known as insulin resistance. Basically, when your body doesn't respond well to insulin, it actually makes more of the stuff, according to the National Institute of Diabetes and Digestive and Kidney Diseases. And that can lead to fat storage, especially around the middle of your body. That's where protein comes into play: A diet high in protein may protect you against insulin resistance, says Aronne.

Your most immediate and best option is to combine aerobic exercise and exercise involving lifting weights, as you will not only burn body fat but tone your muscles as well, positively changing your hip to waist ratio, and working quickly towards a healthier body in ever aspect. As you burn belly fat, you'll burn fat where it doesn't need to be elsewhere, too!
Research shows this intensity combo also makes you faster. In a 2013 study published in the Journal of Applied Physiology, researchers found that when cyclists performed six weeks of 80/20-style training, they more than doubled their power and performance gains, such as lactate threshold, compared to when they spent more time in moderate training zones.
Noam Tamir, C.S.C.S, founder of TS Fitness, also says that metabolic resistance training and high-intensity interval training is a solid way to reduce fat all over, including belly fat. “These [types of exercise] help to burn calories during the workout, and they also give you that after-burn effect,” he says. “Plus, they help to change your body composition by increasing your muscle mass.”
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%).
Lifestyle plays an even bigger role in belly fat — it's essential that you eat right and work to keep stress at bay, he explained. Of course, walking can help with both of these things, but together they're a factor in how much belly fat you're able to burn. "Too many things contribute to say just one thing will make losing belly fat easier," Goelzer said.
Hannah Howlett is a YouTuber and healthy lifestyle blogger for High Carb Hannah, formerly known as Raw Till Whenever. Her philosophy for achieving lasting weight loss without all the dieting gimmicks, restrictions, and rules is to eat a whole food, plant-based diet in whatever way works best for you. By changing her mindset about eating, no longer revolving her life around what she ate, and never forcing herself to eat, she lost 55 pounds and continues to inspire and encourage others to do the same. Her blog is a compilation of healthy recipes, cookbooks, and meal guides to help you achieve a life and body that you love.
What benefits does this choice bring you? It can be easy to focus on the negative when it comes to dieting and all the things you should be avoiding, but you shouldn't ignore the positives. A great judge of choices that works for you at any given time, could be finding a reason to eat it. Is it a source of protein, fiber or key nutrients you'll benefit from? If you're making a choice, does one item have more benefits than the other, even regardless of calories? This is the practice of eating with intention and making choices that improve your overall diet by adding to it. 
Even though I was burning plenty of calories through exercise, I knew my eating habits were preventing me from losing weight. I wasn’t eating unhealthy foods – I stuck with salads, turkey sandwiches, and stir-fry dishes – I was just eating too much of everything. I started tracking my daily calories online. Counting calories really helped me understand my overblown portion sizes and just how many calories I was consuming.
Hi Isabella! Don’t be so hard on yourself. I found the main thing for me, is you have to want it. When I was in my 20’s I didn’t care so much, but as I got older (mid 30’s) my mind set changed. I recommend taking it in baby steps. Taking the stairs is the first step, that is perfect. Next time you go somewhere park further away. Need Starbucks? Walk there! Cut up some veggies and keep them near by when your bored. I have to do that or my hands go in the chip bag. I have a hard time because I have a super thin Husband who can eat anything and I can’t. Find some hummus that you like and dip veggies in it, or if your a chip person, buy some snack baggies and portion out your servings. Just take it slow and day by day. You can do it! Be positive and go slow!! Small changes now will be big ones in the future.
About: No, Amanda’s blog title is not referring to those delicious chocolate treats— or dancing— or a dog after he gets in from the rain. “Shakes” is Amanda’s long-time nickname and, it just so happens, it also turned into the perfect way to describe her blog. Amanda is an outspoken advocate of having a positive body image and maintaining a common sense healthy lifestyle. She also posts her very real struggle with depression and overcoming her own demons when it comes to sense-of-self. It’s that authenticity that makes for a compelling read that will leave you wanting to check back in every single day. Plus, her top post features a visually stunning photo array of what a typical weekday looks for her.
I am 55 and have been in menopause for 5-6 years, I also had my thyroid removed at 31, So I have a lot of trouble keeping weight off, never mind losing some. I am taking thyroid hormone as well as estrogen and progesterone. What is the best way for me to carb cycle? I feel like you are saying that I should be careful about going to low carb when carb cycling. So keto would be out then, I guess?
If you're mostly sedentary (and let's face it—with 9-to-5 desk jobs being the norm, it's hard to avoid), you'll start to see noticeable results with just a slight increase in your activity level. Break up the hours in front of the computer by using your lunch break to move around. "I started walking for 45 minutes during my lunch break," says Melissa Leon, who ultimately dropped 53 pounds. "The area was super hilly, but feeling the burn in my butt and quads as I powered up those hills let me know I was making progress."
"With all the different tips out there, it can be tricky to understand exactly which exercises work the best. HIIT is great for fat burning and will get your heart rate up, but I’d also recommend including strength (resistance) exercises too. Try lifting weights, using resistance bands or using the weight machines at the gym as these will increase your metabolism to help with weight loss, and increase your muscle strength. It’s important to mix-up your whole-body workouts so you don’t get bored."

"After gaining 70 pounds during my pregnancy, my weight had escalated to 245 pounds. Before I knew it, Tye was almost one. I hadn’t exercised or watched what I ate the entire year and my weight hadn’t budged. I was standing in a grocery store checkout line and picked up a copy of People Magazine’s, “How They Lost 100 lbs” issue. Inside, I found the story of Dawn Bryant who was also from Minneapolis. She had hired Jason Burgoon, owner and lead trainer at Bodies by Burgoon, as her personal trainer the year before and he helped her lose 130 pounds. I thought if this gym and this man could have such a profound impact on this woman’s life and health ... then maybe he can help me too. So I made the call. I began training with Jason three days per week. I started logging my food in My Fitness Pal, drank a gallon of water every day, and ate small meals, consisting of lean proteins, vegetables and healthy fats, every two to three hours. One year later, I had lost 100 pounds. It inspired me to become a personal trainer and nutrition coach and help others define what strong means to them."

If you have been weight stable for a period of time and you feel energetic and strong, maybe it’s time to revise your goals or at least your timeline. For now, focus on the rediscovered metabolically healthy you, feeling well and functioning well. You’ll be amazed at what can happen when you stop letting weight, especially a specific weight, be the marker of your success.
Consider reducing the volume of added fat to test the effect on your weight. Just be sure to notice any changes in hunger as you experiment. If you find yourself hungry, you’ve reduced your fat intake a bit too much. If your hunger remains unchanged, you’ve either found just the right amount or you can experiment with further reducing your fat intake.
Cutting the most amount of calories possible from your diet may seem like the fastest and most effective way to lose weight, but cutting too many calories can often do more harm than good. Because your body requires calories for survival, very low calorie diets can put your body into a state of adaptive thermogenesis, commonly referred to as "starvation mode".
A few years ago, I embarked on a personal weight loss journey. I had had two pregnancies back-to-back, and had gained considerable weight, to the point where my own body mass index was over 30 (obesity range). I was many months postpartum, and realized that the “baby weight” wasn’t going anywhere. As a matter of fact, I had gained even more weight since my daughter was born.
Thanks for sharing the article Monique. Obesity and more body fat can make people weak and accustomed to several diseases. Diet is the single most important thing when losing weight along with regular exercise and sipping green tea. Love the idea about self-monitoring though. This is something many people totally ignore. Stuffing down whatever is served on the plate is an unhealthy way of eating. While losing weight people should make sure they are receiving enough nutrition.

Sorry, I should have read those articles on carbohydrate in full first before I got on my soap box. They’re inaccurate too. In 2015 the Scientific Advisory Committee on Nutrition (SACN), advisors to the UK government, did a meta-analysis of all the best research and found none of the effects on health, i.e. heart disease, cancer and diabetes, reported by small scale studies and the likes of Robert Lustig. Link: https://www.gov.uk/government/publications/sacn-carbohydrates-and-health-report
When Addison was not even one year old, I saw this commercial one day. I still remember it like it was yesterday. She was taking a nap and it came on the television. It was about this anxiety medicine that had begun to be linked to so many birth defects. It was a commercial for a law firm asking you to call this number if you had taken the medicine and gave birth to a child with a defect. I was in shock. It was the medicine that I had literally gotten off of two months before Addison was conceived. I cried and cried at the thought of what could’ve happened to Addie had I not “woken up” that day in January 2007.
Including your significant other in your workouts can help to keep you on track, even if your goals aren't necessarily the same. "My hubby and I make exercise outings 'our' time," says Twyla Grimes, who knocked off 26 pounds by combining an hour on the stairmill or treadmill with strength training. "We'll go to the gym for an hour and lift weights together. Having him there keeps me accountable."
While some people fear the amount of sugar in fruit, have no fear! Fruit can be a part of a healthy weight loss diet. As with all foods, however, fruit should just be one component of a healthy diet. Strive to get 3 servings of fresh or frozen, plain fruit per day. Fruits give you fiber, water, vitamins and minerals. They can keep you healthy, hydrated and full!

The researchers explain that people who cook their own meals may simply have other good-for-you habits, like exercising more. However, they also concluded that home cooks ate more fruits and vegetables (along with a wider variety of foods), have healthier methods of prepping their food, and splurge less on foods high in calories and sugar. No clue where to start? Check out these 25 high-protein chicken recipes for weight loss.
“The secret to dropping the baby weight while working full-time was eating real food—no shakes or supplements, preparing meals in advance, and going slow. I balanced all of my meals to have a mix of protein, fat and carbs. As for meal prep, that was critical! After my kids went to bed, I would roast some veggies and meat in the oven with olive oil and seasoning like garlic, rosemary, oregano and bake for 425 degrees at 25 minutes. Then I would prep egg muffins, flourless banana muffins or snacks like roasted chickpeas. The whole prep would take from 30 to 60 minutes. I did this meal prep every two to three days instead of all day on Sunday. That allowed for greater variety and fresher ingredients, plus I could grab and go during the crazy busy morning rush for my meals the next day at work. Also, I incorporated both HIIT and strength training to get the most bang for my 5:30 a.m. workouts on weekdays, using my home equipment of dumbbells, resistance bands, a core ball and kettlebell. You don't need to sacrifice time with your family or from your career to lose weight. I'm proof of that.”
Sorry, I should have read those articles on carbohydrate in full first before I got on my soap box. They’re inaccurate too. In 2015 the Scientific Advisory Committee on Nutrition (SACN), advisors to the UK government, did a meta-analysis of all the best research and found none of the effects on health, i.e. heart disease, cancer and diabetes, reported by small scale studies and the likes of Robert Lustig. Link: https://www.gov.uk/government/publications/sacn-carbohydrates-and-health-report

Listed below are the different ways to get thinner thighs in order from most expensive to least expensive. Some are home treatments that take no money at all, but may not be effective. Others are expensive surgical treatments for thigh fat that are costly but have demonstrated good results. Evaluate all of your choices before you make a decision about the best method for you.
About: Going through a divorce can do nasty things to a person — it can cause weight gain, low self-esteem, job changes, you name it. It certainly was a downward spiral for Emma, who went through the ringer before meeting (and getting engaged) to her current fiancé — but along the way she learned how to find the joy in life and learn to love herself. Emma decided to start a blog as a way to bring her newfound positivity to others. Her outlook on healthy living and eating, fitness and weight loss is charged with positivity. She’s a glass-half-full kind of person, and reading her blog can make you one too.

If you don’t have an established exercise routine, simply walking is the best first step toward weight loss. “Walking is a pretty good entry point for people,” says Gagliardi. This is particularly true if you have been out of the gym for a while and want to ease back into a workout routine. One small study published in The Journal of Exercise Nutrition & Biochemistry found that obese women who did a walking program for 50 to 70 minutes three days per week for 12 weeks significantly slashed their visceral fat compared to a sedentary control group.
Heather Gannoe-Hart is an avid runner, adventure seeker, Exercise Physiologist, and writer for her blog Relentless Forward Commotion. For Heather, running started as an attempt to shed some pregnancy weight after having her first baby—eventually, it turned into a passion that kick-started a new outlook on life. Relentless Forward Commotion is a place where she shares her passion for fitness, the outdoors, and the newest adventure she encounters, whether its trail running, mud runs, obstacle courses, cycling, or hiking. Her fitness journey will inspire you to step outside your comfort zone, try something new, and see the world in an entirely new way.
To start off, aim to do ab work 3 or 4 times a week on non-consecutive days with at least 24 hours of rest in between sessions, says Gagliardi. During those sessions, you can start with simpler moves like crunches, bicycle crunches, and planks. Even though you may only be directly targeting your abs 3 or 4 times a week, you should still be activating your core (aka, tightening your ab muscles) in every workout you do, says Gagliardi.
“I have one heck of a sweet tooth, and so I have to refuse to bring candy, cake, or sweets into the house, period,” say Lin Williams, who’s lost 105 pounds. Instead, if she wants a treat she has to want it bad enough to get up, get in the car, leave her home, and go to the store—a process that rarely feels worth it. And on the rare occasion she does indulge? “I get exactly what I want and enjoy every bite of it!” she says.
The main guiding principles of Nutrisystem are portion control, proper nutrition and daily exercise. By relying on foods with a low glycemic index (in other words, foods that release their sugars slowly and steadily, instead of rapidly and intensely), Nutrisystem meals provide a consistent amount of energy throughout the day. The prepackaged, portion-controlled meals eliminate guesswork, while their nutritional guides encourage you to incorporate fresh produce into your meals. Nutrisystem’s meals are rich in high-quality proteins to keep you feeling fuller for longer and incorporate healthy fats (like nuts) to ensure you get all the nutrients you need. Their website allows you to track your progress and set realistic goals for yourself as well as giving you a large list of ten-minute exercises to do three times a day to help you stay active to lose weight even faster.
In addition, eating more nutrient dense foods may promote losing more weight and help control hunger (42). When your body is not getting the nutrition you need or is deficient in key nutrients, it signals to your brain that you need to keep eating, regardless of how many calories you’ve consumed. Make your calories count and choose the most nutrient dense foods for optimal and healthy weight reduction.
About: Brand new to the blogging world, Ayla’s story is a familiar one. She started out her journey at about 200 pounds and tried tons of different things to lose weight — pills, dieting, the gym, you name it — none of which seemed to work. Finally, Ayla gave it one last go using Insanity workouts and overhauling her diet, and, what do you know, it worked. Ayla lost 63 pounds, and now dedicates her time and energy to sharing tips and tricks that worked for her with others. Her blog has easy-to-follow, quick-hit guides and ideas for losing weight quickly and effectively.

As you mention, HS wrestlers (also, many other grappling sport athletes), boxers, etc. aren’t given the full 24 hours to recover from depletion. Many of these sports have mat-side weigh-ins. Others are just given a few hours after weigh-in to replenish. For these sports, athletes are best served focusing on year-round nutrition strategies, ones that help them stay at a weight very close to the weight they’d like to compete at.

About: Holly’s story starts and ends with food. Years ago, Holly spent every waking minute obsessing over every calorie, every bite and trying every yo-yo diet she could think of to shed pounds. But then one day she woke up and realized she would never find happiness living that way. She began focusing on finding a love of healthy food and cooking, a love she now shares on her blog and sees as her true purpose in life. There, you’ll find everything you need to learn to enjoy food again without all the guilt.
Tracy Morris is Fitbit’s Nutritionist. With a master’s degree in nutrition and dietetics from South Africa, she’s also an Australian Accredited Practising Dietitian, and an international member of the Academy of Nutrition and Dietetics in the US. Over the past 15 years, Tracy's lived in five different countries, inspiring people around the globe to be healthy. Currently, she happily lives in Northern California where she writes, practices Pilates, runs after her three kids, and sips pinot noir with her husband.

That’s where these tips come in. We talked with eight women over 40—all of whom have lost 40 or more pounds!—about the tools and methods that helped them make lasting healthy changes. And we've got to admit that they’re pretty darn genius! Try incorporating a few into your weight loss plan, and you just might find yourself on the fast track to getting into those skinny jeans. (Looking for even more slim-down secrets? Don’t miss these 6 things you must do to lose weight over 40.)

Take a walk through the supermarket, and you’ll be assaulted with aisle after aisle of low-fat and no-fat foods, “healthy” chips and cookies and juices and sodas galore. You likely already know that if you want to lose weight, cutting out processed foods and sweets is the first and most obvious step. But those healthy-sounding options can be just as bad, too.
Cutting the most amount of calories possible from your diet may seem like the fastest and most effective way to lose weight, but cutting too many calories can often do more harm than good. Because your body requires calories for survival, very low calorie diets can put your body into a state of adaptive thermogenesis, commonly referred to as "starvation mode".

Alright, so by now you’ve changed your diet, ramped up your workouts, and are ready to tone your slimmer thighs. Here’s a quick anatomy lesson to explain why certain exercises are more effective at toning your thigh muscles than others: Your thigh muscles run diagonally, not vertically like your quadriceps. When you want to work muscles that run diagonally, you have to perform exercises that incorporate different angles, moving in different directions.
The South Beach Diet was developed by clinical cardiologist Dr. Arthur Agatston and puts some signature spin on a classic low-glycemic index diet. Developed for patients with heart health in mind, the diet seeks to eliminate spikes in blood sugar levels by removing most carbohydrates from your diet (refined flours, pasta, etc.). Once the body has eliminated spikes in blood sugar, complex carbohydrates are slowly reintroduced into your diet and you stay in this phase until you reach your target weight. By the end of the diet, you’re allowed to eat all foods in moderation—even sweets! Though this third phase of the diet recommends some precautions, they aren’t very intrusive on your everyday life.
About: Jackie’s a makeup artist by trade, but has been struggling with her weight since she was 17. As she puts it, she’s tried almost every diet out there, but nothing seems to work for good. But when she started her blog in June 2015, she decided to start, and stick with, losing weight for good. Readers have been with her every step of the way as she shares recipes and meals, beauty tips and honest, down-pat product reviews.
Consider a low-calorie diet. If you burn more calories than you take in, you'll lose weight. The low-cal diet[10] means reducing your intake to between 1,200 and 1,500 calories per day for women. It is recommended if you want to lose no more than 2 pounds per week. It is not safe to attempt to lose more than 2 pounds per week unless under strict doctor supervision.
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