Even if you do meet your goal, it's nearly impossible to keep off the weight over the long term: "The amount of restriction required [to maintain that number] will make you so hungry that you’ll eat everything in sight—it’s survival instinct," Dr. Seltzer says. And since calorie restriction gradually slows your metabolism, your body will be less prepared to burn the foods you binge on, he adds. That could mean gaining more pounds than you lost in the first place.
Ketosis is the metabolic basis for all “keto” or “ketogenic” diets. On a normal diet that includes carbohydrates (sugar and starchy foods), the body transforms these carbs into glucose, which is used as the body’s main source of energy. But, when we consume a minimum amount of carbs, the body will look elsewhere for that much-needed energy, and that “elsewhere” is fat. In short, when the body goes into ketosis, it is burning fat instead of carbs.
Real talk: It could take weeks or months to see the metabolic effects of exercise on the scale, and even then, building muscle, which is denser than body fat, could lead to weight gain. "Do what you like because it’s good for you," Dr. Seltzer says, noting the way exercise is awesome for your heart, mental health, and more—and that not all measure of progress can be seen on the scale.
We just don't feel full by liquid calories in quite the same way as we do real food. Drinking a juice or caramel coffee drink just isn't as satisfying as eating a bowl of veggie- and protein-packed stir-fry. So monitor your intake of juice, soda, sweetened coffee and tea, and alcoholic beverages. If you consume each of those beverages during the day, you'll have taken in at least 800 extra calories by nighttime — and you'll still be hungry. (Incidentally, alcohol may suppress the metabolism of fat, making it tougher for you to burn those calories.)
"If I had to pick one food for weight loss, I would choose oatmeal. It's a whole grain, high-fiber carbohydrate that sticks to your ribs, so it keeps you full and satisfied. Eating it also leads to a slow rise in blood sugar, which has been shown to keep insulin levels from spiking, leading to less fat storage. The key with oatmeal is how to make it so it's not a calorie bomb. I recommend making it with nonfat milk in place of water, stirring in chopped raw nuts or natural nut butter, and topping with fresh or frozen fruits. If you need some added sweetness, a drizzle of maple syrup should do it. — Jessica Fishman Levinson, MS, RDN, CDN, culinary-nutrition consultant and founder of Nutritioulicious
If you’ve been eating fast food for years, get real about your approach: You’re probably not going to stick to an organic, gluten-free, paleo overhaul for very long. "You want to change as little as possible to create calorie deficit," says Dr. Seltzer, who insists the best way to support sustainable weight loss is to incorporate small changes into existing habits. So instead of giving up your daily BLT bagels in favor of an egg-white wrap, try ordering your sandwich on a lighter English muffin. Or say you eat a snack bar every afternoon: Swap your 300-calorie bar for a 150-calorie alternative. "Your brain will feel the same way about it, so you won’t feel deprived," he says.
Right now, 2 out of 3 Americans are overweight or obese, and the number keeps skyrocketing year after year. Some experts consider obesity an epidemic more dangerous than that of opioids due to its role in the rise of life-threatening conditions such as diabetes, stroke, certain cancers, asthma, and osteoarthritis. Obesity is responsible for 18% of deaths among Americans over 40 years old, and 1 in 5 children in the US suffers from obesity. The medical costs for obesity-related treatments have now reached an exorbitant $150 billion per year.
"Your body begins to work differently. This study proves that small amounts of nourishment throughout the day are better than the same amount of food concentrated in three big sittings. If we feed the body at regular intervals we send a signal to the body that it doesn't have to store calories. Conversely, when we skip meals we send just the opposite signal for the body to store calories, creating a negative effect on the metabolism." — Dr. Wayne Scott Andersen, co-founder and Medical Director at Take Shape For Life