this post was submitted on 18 Aug 2024
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You Should Know

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Why YSK: many countries have issues with weight, such as mine with 74% of US adults being overweight or obese. The global weight loss industry is over $200 billion yearly, with many influencers, pills, and surgeries promising quick results with little effort. These often come with side effects, or don't work long term.

Studies suggest filling yourself with foods low in caloric density and high in fiber, like fruits and vegetables, can help reach and maintain a healthy weight. It's good to have these foods available in our living spaces to make the choice easy. Your taste buds will likely adapt to love them if you're not there yet.

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[–] [email protected] 43 points 4 months ago (6 children)

That little clicker in the brain that goes off when you've had enough doesn't really work for me. I have to feel physically full or I still feel hungry. Even worse, my dopamine levels are garbage and eating makes me feel good.

Not saying this doesn't work. Only that I'm far from the only one where it is this simple.

[–] [email protected] 16 points 4 months ago (1 children)

I'm like you, and no it's not simple. As others said, calories in, calories out. Nothing else matters, you need to find your own way to keep it. And no, exercise does not help much with weight, only if paired with a good diet. You would need to work out for hours continuously just to lose the calories from a random extra dessert.

But, you can do it. Two things I wish I had known:

  • For example, my body was able to keep my weight instead of losing it if I kept calories intake where it should be and had a "cheat day" once a week at most. No cheat days for me, my body is too smart for that.

  • Sometimes you feel you are on track, and then you get stuck at a certain weight. Even if you keep your diet, you might get stuck at a certain weight despite losing it well beforehand. Keep at it. You will break through at one point, closer than you think. But you have to keep at it.

[–] [email protected] 1 points 4 months ago (3 children)

It is not as simple as just calories in vs calories out. Your body has a setting point for what weight it thinks it should be. Once you are overweight, your setting point will be higher and your body wants to get back to that higher weight. It will start working actively against you. This might mean your appetite will increase and your metabolism will slow down. I think that is what you are describing here.

Trying to push yourself to lose more weight despite your body working against you can cause rebound weight gain if you are not able to keep the diet (which might become increasingly difficult due to increasing appetite). The most important thing is to keep a healthy diet that does not reduce your quality of life too much and is doable on the long term, I think. If you are struggling everyday, then it might be better to eat a little bit more and stay on a higher weight a bit longer to ensure that you will maintain the weight loss.

Maybe this is already what you meant. But the phrase "calories in vs calories out" and stating that nothing else matters made me want to respond. I think it is a popular oversimplification that causes a lot of unnecessary suffering for people trying to lose weight.

[–] [email protected] 3 points 4 months ago (1 children)

This is not true.

It’s just not true.

[–] [email protected] -1 points 4 months ago* (last edited 4 months ago) (1 children)
[–] [email protected] 0 points 4 months ago

You said words that weren’t factually accurate.

I’m not going to argue with you about it but straight up the notion that your body has some “set point” and the idea of needing to keep your metabolism in the right area so calories work is … it’s bullshit.

It’s wrong.

The real problem with CICO is people don’t measure properly and our bodies have a varying requirement day to day based on a myriad of factors but that doesn’t invalidate the simple truth that is CICO.

[–] [email protected] 2 points 4 months ago (1 children)

This is propaganda from companies that want you to keep gorging on their slop instead of natural portions of food.

[–] [email protected] 1 points 4 months ago

It is not. I am not saying people should not eat healthy or should not try to lose weight. I am just saying that pushing the oversimplification that for everyone it is just calories in vs calories out and that it is only about willpower is not correct. People should get the right help with losing weight and the factors that cause the weight gain or makes people not losing the weight should be addressed.

There is lots of scientific work on this. I copied some links from another comment I made.

For example, this is an article in Journal of Obesity. It discusses the role of willpower and provides an overview of some of the research on other factors that affect whether people lose weight, such as metabolic compensation.

This is another interesting paper in the Irish Journal of Medical Science on patient's view on obesity as a disease. I think the conclusion of this study aligns well with some of my claims:

The presence of beliefs and perceptions to support the narrative that obesity is a choice, that choosing to eat less and move more effectively treats the disease and willpower is a principle determinant of weight loss maintenance may negatively impact long-term treatment. A belief that obesity is a choice will see prevention and treatment strategies continually focus on education regarding eating less and moving more, which may be suboptimal. Therefore, the narrative must change and align with the science regarding the biology of obesity as a disease.

[This] (https://www.sciencedirect.com/science/article/abs/pii/S0953620521000029) paper on weight regain also claims that it is not just about compliance with a diet, but that, amongst others, metabolic adaptation and changed appetite play an important role as well.

If you disagree, please provide some substantiation. I would be interested in reading it.

[–] [email protected] 2 points 4 months ago (1 children)

Despite what others are saying, I think you are right in a lot of ways.

There definitely is a set point where your body feels comfortable. You can get above and below a few kilos, and your body will return to that set point if you return to what you eat normally. That's why it's hard, to move the set point, you have to get around 5 under and keep at it. So when you are 5 under and your weight loss suddenly stops, that's when you really started to push the kilos down, that's why it suddenly gets harder. And you should go that 5 kilos past your set point because you will gain it back when you stop eating less.

With me, with a resting consumption of around 1800 kcal, how it went is that I did 6 months of trying to keep it below 1500 kcal, targeting 1400 if I can - but no less, and more or less kept it. My results have been going from 124 kg to 110 then rebounding to 114, then another round of doing the same got me from 114 to 100 then rebound to 104. After the ~4 kg rebound, it stabilized. Just now, a month after finishing, I just ate nothing but shitty McDonalds for 3 days (have been on the road a lot) and my weight went from 104.2 to 103.9.

I guess what I'm saying is that your only real way of affecting the system is cals in vs cals out, but as you say, the inside of the system is not simple. Also, don't crash diet, and even if you feel like eating less on one day for some reason, keep your diet from the other side as well. Every time I ate less than 1400, the next day I fucked it up and went to 1800-ish, every single time. It makes it much harder.

[–] [email protected] 2 points 4 months ago

Thanks! I think you are describing what a lot of people experience. Weight loss is highly complex and by oversimplifying it, lots of people do not get the help they need and are made to feel bad about themselves.

There is actually quite some scientific work supporting what I am saying. For example, this is an article in Journal of Obesity. It discusses the role of willpower and provides an overview of some of the research on other factors that affect whether people lose weight, such as metabolic compensation.

This is another interesting paper in the Irish Journal of Medical Science on patient's view on obesity as a disease. I think the conclusion of this study aligns well with some of my claims:

The presence of beliefs and perceptions to support the narrative that obesity is a choice, that choosing to eat less and move more effectively treats the disease and willpower is a principle determinant of weight loss maintenance may negatively impact long-term treatment. A belief that obesity is a choice will see prevention and treatment strategies continually focus on education regarding eating less and moving more, which may be suboptimal. Therefore, the narrative must change and align with the science regarding the biology of obesity as a disease.

[This] (https://www.sciencedirect.com/science/article/abs/pii/S0953620521000029) paper on weight regain also claims that it is not just about compliance with a diet, but that, amongst others, metabolic adaptation and changed appetite play an important role as well.

I am personally quite interested in work on obesity due to eating disorders. The reason for this is that I suffered from an eating disorder causing obesity for most of my life (fortunately, I do not have the disorder anymore). The constant pressure to just eat less and getting blamed if you fail, severely increased my eating disorder and I saw the same thing happen to others with similar issues. I know that this is anecdotal and not everyone that is obese has an eating disorder and not everyone with an eating disorder is the same. However, there is some limited evidence that weight neutral treatment of binge eating disorder has better outcomes. This and treatment for my CPTSD is exactly what worked for me.

[–] [email protected] 9 points 4 months ago (1 children)

Feeling full is about volume of food. With high calorie dense foods like fast food, that’s going to be a ton of calories. With low calorie dense foods you can eat the same amount of food, and eat substantially less calories.

The only thing that matters in weight loss is calories in, calories out.

I get that it’s harder for some people, but finding less calorie dense foods that you enjoy will go a long way towards helping lose weight. Also, don’t drink pop unless it’s diet.

[–] [email protected] 0 points 4 months ago

or maybe stop eating for feeling full, and start eating for satiety.

[–] [email protected] 3 points 4 months ago

Same here. I use popcorn to get there. We probably go through three air poppers a year.

[–] [email protected] 3 points 4 months ago* (last edited 4 months ago)

I fucked my "clicker" up with too large portions, which expanded my stomach over the years. i was NEVER satiated, because i had no way of filling my stomach up. I was always hungry. In the end and after many years of fighting my massive overweight i went for an stomach bypass. If someone tells you that this is the easy way out: they are full of shit. You have to relearn eating, and 1) that really sucks and 2) that was exactly what i needed, No more feeling hungry is a blessing.

[–] [email protected] 1 points 4 months ago

It doesn't work for me when it comes to any sort of fried potato variation (fries, tots, crispy crows, etc). No matter how full I am, I can keep eating those.

[–] [email protected] -2 points 4 months ago (1 children)

If you would accept a suggestion: Just fast for a few days. Your stomach will shrink and you can go back to eating normal portions after. Plus it's good for the soul, there's a reason so many religions recommend it.

[–] [email protected] 3 points 4 months ago

A few days? Depending on the person's condition, it might turn out badly.

First, start with one day. Second, and most importantly, consult with a medical professional to make sure you don't have any counter-indications.