In my experience, most patients consider weight loss drugs or surgery only as a last resort.  “I want to lose weight naturally,” they say. 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.
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?

Not only did I struggle to lose weight for more than a decade then discover how to happily and heatlhfully achieve permanent weight sustainability ffor myself, but I ahve also mastered the science of it and had excellent resutls with clients on six continents. As a result of my insights and success, I have become somewhat of an internationally-celebrated expert on women’s hormones and health.
And at the gym, that difference just gets exacerbated. Women, worried about bulking up, tend to lift lighter weights and focus more on cardiovascular fitness, while men tend to gravitate toward the kind of heavy lifting that boosts muscle composition and metabolic rate, says Jim White, a Virginia Beach-based nutrition expert and certified personal trainer.

Becky struggled with her weight nearly her entire life—her weight hitting nearly 250 pounds at her highest. After years of trying to lose weight, she finally had a breakthrough when she decided to change her mindset about weight loss. Before it was all about finding a quick fix—now, her philosophy is about making one small change at a time. With her new mindset, Becky was able to lose over 100 pounds! She shares healthy, and not-so-healthy recipes on her blog, along with healthy living tips and motivation.


“Once you decide on the method that you’re going use to lose weight, put the blinders on every well-meaning friend or family member who thinks it’s not a good idea. For me, it was raw juicing. Along with a healthy diet, it helped me lose 48 pounds and keep it off for over a year.” —Jennifer Devlin Waller, 48, founder and CEO of Celtic Complexion Luxury Artisan Skincare
Nicole Morrissey is a registered dietitian who works specifically with diabetes and weight management. What sets her apart from many other dietitians is that she’s struggled with her own weight since a young age. She was 14 when she went to her first Weight Watchers meeting, and the years that followed brought many ups and downs. Today, she accepts that she “may forever be a work in progress,” so she focuses on balance. That means healthy, good-for-her foods, and doing the active things she loves, like running and hockey. Visit the blog.
The best way to get rid of belly fat is a combination of strength training and cardio. The cardio will help burn fat from all over your body, including your belly, while the strength training will help you build more muscle, which burns more calories at rest than fat does. For weight loss, aim to fit in at least 300 minutes of cardio per week and at least two strength-training sessions.

This is amazing. Absolutely amazing! My daughter is 15 months old and I’m struggling with about 25 pounds of extra-ness. How do/did you find the motivation?! I literally need a swift kick in the butt. We don’t sleep much either, as you said. I’m not happy with the way I look, but the exhaustion, as you know, plays a huge role in the lack of motivation. I would love to chat!
Thank you for your insightful comments which can be taken either way depending on your point of view. Personally I have not gone for a Ketogenic diet, just a massive Carb/Sugar reduction to attain fat loss. Let me say at the outset that I am not a trained Medico, nor do I pretend to be. Also I am 70+, no heart disease, no implants, just a Parietal Vagotomy where half the Vagus nerves of the upper part of my stomach were cut to prevent Stomach Ulcer formation. I assume that since these nerves were cut there is poor communication between my stomach and my brain to tell my brain that I have had enough to eat and to stop pumping Insulin. But that is another issue.

About: Jenn’s story is one we can all relate to. She’s struggled with her weight all her life, and has spent many times going up and down with winning over her food addiction — and succumbing to it. Her posts represent the deepest emotions we battle when it comes to food, and it’s her willingness to open up that really touches readers. She’s been blogging for a long time, and her constant battle is one that more people definitely should follow.
I gather that by consuming copious amounts of water, you decrease the concentration of sodium in the cells and plasma, which decreases anti-dieuretic hormone activity, which enhances pissing (correct me if I’m wrong). Is osmolality the regulated variable here??? If so, would it not fall to within normal ranges after the excess water is pissed out, thereby reducing diuresis? If there is further pissing, there must be some residual effect of ADH, or perhaps some other explanation? Any idea of how much water is actually lost through this residual process?
At the end of the summer (August) I weighed myself again and found out I had lost 10 pounds since January. I didn’t get down on myself when it felt like I had working so hard for little progress, but instead decided I was going to kick it hardcore into gear. It was at this point that my healthy habits were formed and I could continue in the direction of a healthy lifestyle. I could work harder in the hopes of seeing results. I realized at this point going forward it would be more of a mental battle than physical battle. The habits were formed, but I needed to continue believing in myself, staying encouraged, and thinking positive. I tried my best.
About: Shae is a Wichita native, and, as she puts it, she is “not skinny.” But she’s blogging about fitness and healthy eating anyway, with a few (ok, a lot) of complaints. Her blog features an impressive combination of her quirky, laugh-out-loud style and visually stimulating photos that tell the story or show the recipes as well as the writing itself does. Once you start reading, strap in. Because you’re not going to want to stop.
Remember that in order to keep the pounds off and maintain your happy weight, you need to develop a healthy lifestyle. That means forming a routine and keeping up the habits so you can hang on to them for life. "I forced myself out of bed at 5:30 a.m. four to five times a week to run," says Erin Bowman who has kept off 69 pounds. "My first few were horrible. But I stuck with it, eventually trading my run-walk intervals for steady 45-minute jogs," she says.

Currently there’s no evidence that consuming coconut oil can lower the risk of heart disease. And while there is some research suggesting MCTs are more satiating and may promote more fat loss compared to long chain fatty acids, more research is needed to provide any conclusive evidence that coconut oil is beneficial to weight loss (59,60,61). In reality, it is not one single food that will make or break your diet, and any food, including coconut oil can be included in a healthy weight loss diet when calories are controlled and good nutrition is emphasized overall. 
With fitness, just get active. Find an activity you enjoy, and stick with it. Progress will come with time. If you’re a student, try walking to class or taking laps around buildings for study breaks. If you work full time, take a lap every hour or two, use your lunch break to work out, and just find something that works. One of my favorite things was taking walks when I talked on the phone to people – that’s at least a 30-60 min time to get moving.
Fast forward several years later, I had another baby (Winter) and came out of that pregnancy about 40-50 lbs over my end goal weight. I had always had this dream to finally hit the big “100” in weight loss. By 2013 I had begun to take some classes at the gym and count calories a little more but I in NO WAY did anything extreme. And I honestly believe that is the key to weight loss and to keeping it off. It was NO quick journey to that final number but by July 2013, I hit 120 lbs and had officially lost 100 lbs…
We already mentioned above that this diet is perfect for women over 40 and it is a very good choice for women of all ages. It is not very difficult to follow as it does not restrict any food groups from your daily meals. All it takes it to be selective on what you eat and in what quantities. You do not need any special preparations on food other than remembering to minimize the consumption of red meat, fats, sugars and salt.
The surgical removal of fat, or liposuction, is an effective treatment for many people who want to reduce thigh fat. There have been new variations of liposuction (such as smart lipo or micro-laser lipo) that promise quick results with minimal downtime. But Dr. Maman says that traditional liposuction is still the gold standard. He says that it takes time to sculpt the thigh area properly and quick fix methods can lead to poor results.
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.
Jillian Michaels is a full-fledged fitness regimen, complete with exercise protocol and meal guides. If you’re motivated to lose weight and get in shape, this may be the program for you. The workouts are broken up into circuits of a few simple exercises, with multiple circuits per day. You’ll also benefit from the encouragement of Jillian Michaels herself—who repeatedly promises to kick your butt and whip you into shape on her website—through her video tutorials and training guides. It’s like having a personal trainer motivate you during your workout, but with a much lower price tag.
Rather than training hungry, drink a protein shake before you go. One scoop, or about 20 grams, is sufficient. Whey is a great choice because it's easy on the stomach, quickly absorbed, and has an enormous list of additional benefits. Numerous studies have shown that ingesting more high-quality protein leads to both increases in muscle mass and decreases in fat mass.[8]

A review article published in the Journal of Obesity in 2011 notes that while there is some evidence for chitosan, Irvingia gabonensis, conjugated linoleic acid and pyruvate, there isn't yet enough evidence to say for sure that they're helpful for weight loss. The article notes that Garcinia cambogia and chia seeds don't appear to show promise as fat burners. The 2011 Obesity Reviews article notes that evidence is also lacking for the use of forskolin, fucoxanthin, kelp and chromium for weight loss.
About: Brian’s struggles with weight are some we can all relate to — the need to get healthy, fit, you name it. But what makes his blog particularly interesting is that his studio apartment doesn’t have a kitchen. That forces Brian to get creative, and all he has to work with is a mini-refrigerator and a Big Boss Rapid Oven. His blog is a way to stay accountable and share recipes that are about as creative as you can get.
Schedule a workout with a friend—you'll be less likely to skip out on it knowing that she is expecting you to show up. Or, use your workouts as "dates" where you can catch up with friends. "Every Wednesday, I take a Zumba class with the friends I met at Weight Watchers," says Michele August, who lost 117 pounds. "It's our weekly girls' night. We catch up, bond, and even enjoy a fun workout that burns a bunch of calories!" 
Thank you for your insightful comments which can be taken either way depending on your point of view. Personally I have not gone for a Ketogenic diet, just a massive Carb/Sugar reduction to attain fat loss. Let me say at the outset that I am not a trained Medico, nor do I pretend to be. Also I am 70+, no heart disease, no implants, just a Parietal Vagotomy where half the Vagus nerves of the upper part of my stomach were cut to prevent Stomach Ulcer formation. I assume that since these nerves were cut there is poor communication between my stomach and my brain to tell my brain that I have had enough to eat and to stop pumping Insulin. But that is another issue.
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.
Which one of these statements resembles your thigh desires? Do you have a mixture of a few? Depending on which of these is your main goal, you will be able to target the correct nutrition and fitness plan for the legs you want. That being said, however, keep in mind that there are many factors that affect the look of your legs, so make sure you are being realistic about the legs you want and the obstacles you may face. Here are some other factors to consider when formulating your thigh fat fitness plan:
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