Hi Karen! I haven’t dealt with chronic pain and fatigue myself, so my experience is pretty limited in that area. I would encourage you to move however you can without overdoing it. There is a woman who is going through this herself who talk about that here (https://www.youtube.com/watch?v=rWiu-u3Liww) and there are all kinds of gentle workouts available. There is a bed workout here (http://www.domorebemore.net/getfit/bed-workout-easy-workout-chronic-pain-fatigue/) and more workout suggestions here (https://www.prevention.com/fitness/fitness-tips/best-workouts-chronic-pain-and-fibromyalgia). I hope that helps!
But just because belly fat comes off a bit more easily doesn’t make it less dangerous. In fact, it’s the exact opposite. “Belly fat is unfortunately the most dangerous location to store fat,” says Dr. Cheskin. Because belly fat—also known as visceral fat, or the deep abdominal fat that surrounds your organs—is more temporary, it’s more active in terms of circulating in the bloodstream. That means it’s likely to raise the amount of fat in your blood (known as blood lipid levels) and increase your blood sugar levels, which as a result raises your risk of heart disease and type 2 diabetes.
First, does being in nutritional ketosis necessarily cause weight loss?  For individuals who have experienced fairly rapid weight loss with little effort, their answer is usually a resounding yes!  But remember that this is typically based on one person’s experience (or one person and a few of his/her friends).  This commonly happens in a person who is relatively insulin sensitive, so that when that individual gets to their new stable (‘maintenance’) weight, they probably did not need to remain in nutritional ketosis—i.e., they could eat a wider range of total daily carbs and still remain weight stable.  So in that person’s experience, it looks like nutritional ketosis caused their weight loss and it stopped when they ate enough carbs to go out of nutritional ketosis.  In scientific terms, we need to decide if this is a causal relationship, or just an association.
Tamsyn Smith is a triathlete, running coach, fitness instructor, and author of the weight loss journey blog, Fat Girl To Ironman. Tamsyn is currently 60% of the way to reaching her 5-year personal challenge of, you guessed it, running in an Ironman distance triathlon! She began her fitness journey as an overweight couch potato and has since lost over 35 pounds and maintains a healthy and active lifestyle. Tamsyn documents her training on her blog and continues to train for her ultimate goal, Ironman success!
While toning your muscles is best achieved through exercise, ditching the fat that’s obscuring them starts in the kitchen. Luckily, one easy way to get the ball rolling on fat loss outside the gym is a habit you probably already have: drinking coffee. Research published in the American Journal of Clinical Nutrition reveals that obese study subjects whose diet was supplemented with caffeinated coffee significantly increased their metabolic rate, and subjects of an average weight shed more pounds, too.
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