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This week we speak to getting results—it's what we all want, right? But what if the secret isn't just about working harder but working smarter? In this episode, I'm diving into the strategy of reverse engineering success, breaking down how to set clear goals, anticipate obstacles, and make real progress. We'll talk about the mindset shifts that make all the difference and the science-backed methods that help you lose weight and keep it off.Because here's the truth—your future isn't something you wait for; it's something you create. And that's why I love this week's quote: "The best way to predict the future is to create it." – Peter Drucker. So, let's create it - let's get to work.Citations:National Institutes of Health, 2020Sonnentag, Journal of Occupational Health Psychology, 2003Harvard Business Review, 2017Journal of Behavioral Medicine, 2019The American Journal of Clinical Nutrition, 2021Locke & Latham, American Psychological Association, 2002Gollwitzer & Sheeran, Harvard Business Review, 2006Wing & Phelan, National Weight Control Registry, 2005Clear, J. (2018). Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones. Avery.Let's go, let's get it done. Get more information at: http://projectweightloss.org
Dr. James Hill—a expert on obesity, metabolism, and long-term weight management—joins me this week to unpack the biggest challenges in sustainable fat loss. Dr. Hill has spent decades researching weight control and the factors that determine whether people can keep weight off long-term. We discuss the science behind energy balance, metabolic flexibility, and why long-term weight loss is about more than just diet and exercise. He shares insights from his groundbreaking work with the National Weight Control Registry, the role of GLP-1 medications, and why physical activity is the key to preventing weight regain.We cover:The critical differences between weight loss and weight maintenanceWhy physical activity is perhaps more important for keeping weight off than losing itThe National Weight Control Registry: lessons from long-term weight loss success storiesHow metabolism, muscle mass, and energy expenditure affect weight regainThe role of protein and resistance training in preserving lean massThe impact of GLP-1 medications on weight loss and why most people regain weight after stopping themThe psychology of weight maintenance: mindset, self-monitoring, and behavior changeIf you've ever struggled to keep weight off, or you're interested in the latest research on metabolic health and sustainable weight management, this episode is a must-listen.Who is Dr. James Hill?Dr. James Hill is an internationally recognized expert on obesity, metabolism, and weight management. He is the co-founder of the National Weight Control Registry, the largest ongoing study tracking individuals who have successfully lost weight and kept it off long-term. Dr. Hill has published over 400 scientific articles and has led pioneering research on energy balance, metabolic flexibility, and the role of physical activity in weight maintenance. He is a professor at the University of Alabama at Birmingham and has served as the President of The Obesity Society. His work has been instrumental in shaping modern obesity treatment and prevention strategies.This episode is brought to you by: Puori - Code DRLYON for 20% off sitewide!– https://Puori.com/DRLYON Cozy Earth - Code DRLYON for up to 40% off! – https://cozyearth.com/DRLYON BON CHARGE - Code DRLYON for 15% off! - https://boncharge.com/DRLYONManukora- Get $25 off the Starter Kit at https://manukora.com/DRLYONFind Dr. James Hill at:International Weight Control Registry https://internationalweightcontrolregistry.org/Scholars Profile - https://scholars.uab.edu/6698-james-hillAcademic Website - https://www.uab.edu/norc/about-us/leadership/executive-committee/james-hillFind me at: Instagram: @drgabriellelyonTikTok: @drgabriellelyonFacebook: facebook.com/doctorgabriellelyonYouTube: youtube.com/@DrGabrielleLyonX: x.com/drgabriellelyonApply to
Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 2898: Losing weight is one thing, but keeping it off long-term requires a shift in mindset and habits. Rachel Trotta challenges the myth that maintaining weight is harder than losing it, emphasizing the importance of sustainable lifestyle changes. She shares key strategies for navigating the transition, including keeping exercise a priority and strategically increasing food intake to find a "new normal" without regaining weight. Read along with the original article(s) here: https://racheltrotta.com/fitness/from-weight-loss-to-maintenance/ Quotes to ponder: "It's easy to lose weight, but it's harder to keep it off." "Instead, you need to embrace that you have a ‘new normal.'" "Keep in mind that exercising an hour per day does not mean slogging it out on the treadmill for 60 minutes every night." Episode references: National Weight Control Registry: http://www.nwcr.ws/ Learn more about your ad choices. Visit megaphone.fm/adchoices
Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 2898: Losing weight is one thing, but keeping it off long-term requires a shift in mindset and habits. Rachel Trotta challenges the myth that maintaining weight is harder than losing it, emphasizing the importance of sustainable lifestyle changes. She shares key strategies for navigating the transition, including keeping exercise a priority and strategically increasing food intake to find a "new normal" without regaining weight. Read along with the original article(s) here: https://racheltrotta.com/fitness/from-weight-loss-to-maintenance/ Quotes to ponder: "It's easy to lose weight, but it's harder to keep it off." "Instead, you need to embrace that you have a ‘new normal.'" "Keep in mind that exercising an hour per day does not mean slogging it out on the treadmill for 60 minutes every night." Episode references: National Weight Control Registry: http://www.nwcr.ws/ Learn more about your ad choices. Visit megaphone.fm/adchoices
Der er ingen tvivl om at det er usundt at være tyk, eller er der? Vi får tudet ørene fulde af at det er usundt at være tyk, at det er forkert at være tyk og at alle ens problemer løser sig hvis bare man taber sig, men hvorfor det er faktuelt forkert forklarer Rasmus Køster-Rasmussen i denne episode. Rasmus der er podcastvært på podcasten Radio Ligevægt, og læge og forsker med speciale i vægtudvikling, har selv skulle se det vægtparadigme vi har i vores samfund dybt i øjnene for at forstå, hvor mange fejlslutninger der florerer omkring det at være tyk og det at være usund. I denne episode centrerer vi os om spørgsmålet: Er det usundt at være tyk, og her forklarer Rasmus blandt andet, at hvis vi skal vurdere om et vægttab er sundhedsgavnligt eller sundhedsskadeligt, bliver vi nødt til at vægte skadevirkninger overfor gavnlige effekter, men hvad, kan der være skadevirkninger forbundet med vægttab tænker du måske. Hør svaret i episoden.Det kommer vi blandt andet ind på i episoden: Censur i forskningen omkring BMI og dødOm der er forskel på tilsigtede og utilsigtede vægttab i relation til øget dødelighedOm vægttab er vejen til mere sundhedHvordan det som sundhedsprofessionel kan være udfordrende at formidle paradigmeskiftVægttabsparadigmetOm vi tager modet fra folk når vi fortæller dem at det ikke er usundt at være tykHvordan alle slankekure virker på kort sigt og ikke på lang sigtHvordan både en slankekur og en livsstilsintervention er synonymer for energirestriktionerOm det er muligt at lave indsatser der kan hjælpe mennesker med at holde vægten nedeHvad der gør at nogle mennesker kan holde et vægttabOm vægttab har en effekt på risikoen for blodpropperHvordan man øger sundheden hvis det ikke skal handle om vægttabHvilke fysiske og psykiske skadevirkninger der kan være forbundet med vægttabOm en høj BMI er forbundet med øget dødelighed og kardiovaskulær sygdomOm risikoen for tidlig død forbundet med en høj vægt reguleres, når vi justerer for andre faktorer så som ulighed i sundhed og vægtstigmatiseringHvordan du kan lære at slutte fred med din krop som den erI episoden deler jeg at du kan teste hvor intuitivt dit spisemønster er via min test: Spiser du intuitivt. Testen kan du hente via linket her.Et randomiseret kontrolleret forsøg viste at en intensiv livsstilsintervention med fokus på vægttab ikke reducerede antallet af kardiovaskulære sygdomme hos overvægtige voksne med type 2-diabetes (1)Intensive livsstilsinterventioner ændrer umiddelbart ikke på risikoen for dødelighed blandt mennesker med prædiabetes eller type 2-diabetes (2)Et stort systematisk review der samlede forskellige vægttabsprogrammer viser et gennemsnitligt vægttab på 1,8 kilo (3)Vægtdiskrimmination er forbundet med en næsten 60% øget risiko for dødelighed (4)Hvis et vægttab skal bevares skal energirestriktionen vedholdes, i en sådan grad at det i mange tilfælde vil kunne sammenlignes med anorektisk adfærd, og små vægtudsving skal monitoreres hurtigt (5,6)Energirestriktion er relateret til afminiralisering af knoglerne (7)Kilder:1: Look AHEAD Research Group. Cardiovascular effects of intensive lifestyle intervention in type 2 diabetes. N Engl J Med. 2013 2: Zucatti et al. Long-term Effect of Lifestyle Interventions on the Cardiovascular and All-Cause Mortality of Subjects With Prediabetes and Type 2 Diabetes: A Systematic Review and Meta-analysis. Diabetes Care. 20223: Madigan et al. Effectiveness of weight management interventions for adults delivered in primary care: systematic review and meta-analysis of randomised controlled trials. BMJ. 2022 4: Sutin AR, Stephan Y, Terracciano A. Weight Discrimination and Risk of Mortality. Psychol Sci. 2015 5: Wing RR, Phelan S. Long-term weight loss maintenance. Am J Clin Nutr 20056: Weightloss maintenance for 10 years in the National Weight Control Registry. Am J Prev Med. 20147: Johnson and the Look AHEAD Study Group. The Effect of Intentional Weight Loss on Fracture Risk in Persons With Diabetes
You might be curious to know what's involved in losing 84# and keeping it off. Science tells us that EXERCISE is a key component to maintenance of weight loss, but how can someone create an exercise habit if they've never been successful before? Today, Dr. Lisa reviews some research from the National Weight Control Registry and shares some secrets to making exercise as automatic as getting up and making your coffee in the morning.Having AUTOMATICITY around exercise means not having to negotiate with yourself when you're not in the mood. You won't need to tap into self discipline or willpower, two things people rely on that aren't always abundant. Exercise lowers the risk of weight gain, diabetes, depression, cancer, stroke, heart attack, and premature death. You'll have more energy, more focus, and be more productive at work, when you develop an exercise habit, and Dr. Lisa will show you how to do just that!Thank you so much for listening! We'd be grateful if you'd follow the podcast and share it with your friends. The more people we reach, the more people we can help with this free resource.If you'd like more support during your SMART weight loss & health focused journey, check out our program at: www.SmartWeightLossCoaching.com. We would love to meet you!This episode was produced by The Podcast Teacher: www.ThePodcastTeacher.com.
In this episode, we talk about the findings of the National Weight Control Registry, an extensive study that has tracked over 10,000 individuals who have achieved significant and sustained weight loss. We explore four key habits that have emerged as common threads among those who have successfully maintained their weight loss over an extended period. ❤️ Weekly Newsletter & Premium Subscription THANKS TO OUR SPONSORS
Claim your complimentary gift of my exclusive mini weight care guide today!Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)The Most Important Meal of The Day: BREAKFAST!Let's talk about it! Are you ready to join the breakfast club?In this episode, I'll persuade you by sharing the top reasons why eating in the morning can positively impact your weight loss journey.The data released by the National Weight Control Registry reveals a striking trend: a majority of individuals who have successfully lost weight and kept it off are incorporating breakfast into their daily routine. Specifically, 78 percent of those who have lost 30 pounds or more and maintained it are consuming breakfast every day.I'll also be sharing some easy breakfast ideas to help you kickstart this journey. So, if you're interested in learning why I'm all about breakfast, listen to the full episode and feel free to take down some notes!Connect with me:Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla Show
Snag your complimentary PDF of my exclusive mini weight care guide today!Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)Fitness routines often face challenges posed by unpredictable weather, whether it's the chill of winter, the haze of smoky conditions, or the intensity of scorching heat. In this episode, we explore seven fun and practical strategies to keep you active and engaged, regardless of the weather conditions. Sustaining year-round physical activity is essential for maintaining overall health. The National Weight Control Registry suggests a minimum of 150 minutes of exercise per week, achievable through 30 minutes of activity on five days. For added health benefits, it is recommended to strive for approximately 300 minutes weekly, equating to about an hour per day, five times a week. The rewards of this commitment to regular exercise are undoubtedly valuable.Ready to conquer the challenges of weather and stay active? Tune in to this episode for practical tips. Your journey to a healthier and more active lifestyle starts here!Connect with me:Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowSnag your complimentary PDF of my exclusive mini weight care guide today!Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Have you ever wondered about the typical behaviors of people after achieving a weight loss milestone? Interestingly, a common practice is to celebrate with a big meal. According to a survey conducted by the National Weight Control Registry, a significant portion of individuals who reached their weight loss goals indulged in food as a reward. This pattern raises an important question... Are we undermining our long-term health goals with such celebrations? BOOK A CALL WITH PERRY: http://talktoperry.com or TEXT PERRY at (208) 400-5095 JOIN MY FREE COMMUNITY: http://upsidedownfit.com RESOURCES: Daily Success Habits - Grab Your Free Copy! My Favorite Pre-Workout for Energy Best Home Workouts WOW! You made it all the way down here! Now I am impressed! I don't know many who do! You absolutely rock my friend!
Weight loss programs work! The problem is only for so long. Unfortunately, 6 out of 7 people who have lost weight on a diet regain all the weight (and most times some additional). The National Weight Control Registry is a database with over 10,000 people who have lost at least 30 pounds and kept it off for a year and found some interesting similarities... They eat breakfast every day. Weigh themselves regularly. Stay active. In this episode, we unpack these 3 things and why they work. What we agree with and don't agree with. And some perspective on what you or someone you care about needs to know about success for LONG TERM RESULTS and Lifestyle. ********************************* Peace ✌
Join me for a free class and discover the 3 PCOS diet mistakes that are keeping you stuck (and what to do instead to lose weight). Save your spot at: www.dafnachazin.com/masterclass Successful weight loss for women with PCOS doesn't come down to counting calories or cutting out gluten and dairy. PCOS weight loss involves adopting well-rounded nutrition plans, avoiding restrictive diets, and focusing more on the quality of food intake rather than quantity. Developing a consistent, gradual weight loss approach is effective and sustainable and today's episode reveals that tools you need to accomplish it. If you're feeling frustrated and defeated because no matter how much you exercise and restrict your diet, the scale just won't budge, then you are not alone! Despite putting in so much effort, you may find that your weight remains the same, leaving you questioning if all your hard work is in vain. Today's episode will offer some strategies and mindset shifts to help you stay on track and discover a better way to meet your weight goals. In this episode, you will be able to: Discover the specific challenges that obstruct weight loss while dealing with PCOS and techniques to overcome them. Learn why conventional diets often fail for those suffering from PCOS and the alternate approaches that work. Understand the role of mindset and flexibility in achieving successful, permanent weight loss. Uncover a healthier, more positive methodology to weight loss with PCOS that focuses on sustainability. Identify vital tools and resources that will assist you in not just losing weight, but keeping it off long-term when living with PCOS. The key moments in this episode are: 00:00:00 - Introduction to PCOS Weight Loss, 00:02:42 - Weight Loss as a Puzzle, 00:04:21 - The Tools for Successful Weight Loss, 00:07:05 - Shifting Mindset and Approaching Weight Loss, 00:14:05 - Successful Weight Loss: Gradual and Consistent Progress, 00:15:33 - Weight Loss Without Obsessive Counting, 00:16:26 - Sustainable Weight Maintenance, 00:19:19 - Learn from the National Weight Control Registry, 00:20:46 - The Crock Pot Mentality, 00:27:41 - The Pictorial Journal, 00:28:45 - Fun and Positive Approach, 00:29:57 - Journal Reviews, 00:31:03 - Not About Restriction, 00:33:44 - Importance of Check-Ins, 00:34:28 - The Power of Community, Work and connect with Dafna: Apply for my coaching program Connect with me on Instagram
In today's episode, we are going to be talking about weight maintenance. You may be thinking this episode is not for me, I have not reached my goal yet, I'm focused on losing weight right now. BUT, you are exactly who this episode is for because you need to know where you're going in order to get there and stay there successfully. Sometimes knowing what you're getting into is really important to experience what you're doing fully. When it comes to weight loss, that is absolutely true. We tend to get very focused on losing weight when in reality we should focus more on maintaining weight because that's hard to do. It's as hard to maintain weight as it is to lose weight. Whether you're trying to stay where you're at and stop gaining weight or whether you're trying to lose weight and keep it off, this is going to be the talk for you. We're going to talk about how you get there, and how you stay there.Points of interest...Why it's important to know where you're going [1:51]5 things we've learned from the National Weight Control Registry [5:12]How often do successful weight losers weigh in? [8:00]Watching less TV and weight [11:44]90% of people who do this have lost 30 pounds or more and are keeping it off [13:15]Having a consistent eating pattern [16:13]When does it get easier? [17:19]What to do with today's information? [23:29]Resources & People MentionedNational Weight Control RegistryConnect With Dr. FrancavillaThe Dr. Francavilla Show My linktreeFollow on TwitterFollow on FacebookFollow on InstagramSubscribe to The Dr. Francavilla Show onApple Podcasts, Spotify, Amazon Music, iHeartRadio, StitcherGoogle Podcasts, Pandora
This is the Weight and Healthcare newsletter! If you appreciate the content here, please consider supporting the newsletter by subscribing and/or sharing!Reader Barbara sent me an article with the headline “How to Maintain Weight Loss, According to People Who Succeeded.” The article was about a study called “In their own words: Topic analysis of the motivations and strategies of over 6,000 long-term weight-loss maintainers” by Phelan et. al. (as always, I don't link to research or articles that include fatphobic content.)The premise:This is a study, funded by a grant for Weight Watchers (aka WW) that analyzes 6,139 subjects' responses to six open-ended questions. Two of the study authors are current employees and shareholders in Weight Watchers.I think it's important to put this in context. They have 6,139 people who participated, out of a total of 7,419 who are part of Weight Watcher's “success registry” (more on this later). Weight Watchers (aka WW) had 4.5 million subscribers at the end of 2020 alone (which was down 4.3% year over year). The subjects here represent just 0.14% of that, the total membership of their “success registry” is just 0.16% of their 2020 enrollment alone. So, like the NWCR before it, it is highly likely that this study is simply finding commonalities among outliers.Inclusion Criteria:In order to be included in the study, participants had to lose greater than or equal to 20.0621lbs (9.1 kg) and they only had to maintain it for one year. The average maintenance period was 3.4 years.About a century of research shows that people who lose weight tend to regain it within five years so the fact that they've used inclusion criteria less than that is questionable.It should also be noted that at the time of the study the “maintainers” had gained an average of thirteen pounds from their lowest weight, suggesting that the study authors and I have a different interpretation of the word “maintain.”Also, 67.3 percent of the “maintainers” were still categorized as “overw*ight” or “ob*se” Now, those are nonsense categories, made up to pathologize bodies based on size, and drive profit to the weight loss industry (and creating a lot of harm to those who are labeled as such.) But I point this out because these are categories that are used by this industry to drive profit. I think it's important to know that two-thirds of this sample would still be targeted by Weight Watchers as potential customers, even though, here, they are considering them to be successes.IntroductionThe first half of their first sentence says “Modest weight loss can reduce long-term risk of cardiometabolic disease”There is no citation for this, and I assume that because it's not a statement of fact. We've explored this myth before, and also that research shows that weight-neutral interventions provide greater benefits with fewer risks (for example, Gaesser and Angadi found that increases in cardiorespiratory fitness and physical activity are consistently associated with greater reductions in mortality risk than is intentional weight loss.)Back to the Weight Watchers study, the second half of their first introductory sentence /[admits that weight gain affects most individuals.Points for honesty there.Then they claim “Nevertheless, about 20% of individuals who have lost weight in the US population are able to keep it off long-term”Aaaand, I take the points back. They cite three studies to support this claim. The first defines long-term weight loss as “at least one year,” ignoring that most people regain to baseline or above in years 2-5. The second has a conclusion that literally states “most women who lost a clinically significant amount of weight regained most of it,” and the third only looks at a year of data, and used a sample group who were 10% below their starting weight the year before they were studied (without looking at whether they were already regaining) and found that 33.5% had regained weight, and while they claim that 58.9% had maintained their weight, they defined maintaining has having regained less than 5% of weight, so people could regain weight, but still be considered maintainers.This is a good example of how terrible research begets terrible research, all supporting diet industry profits. Every researcher in every one of these studies should know better, and citing them uncritically is inexcusable.This credibility is not helped by the fact that they uncritically cite the National Weight Control Registry with its questionable science.Results:In terms of extrapolatability, I want to point out that 91.9% identified as female; 94.3% identified as white.Subjects were asked six open-ended questions and only 12.9% of the subjects completed all of them. Subjects only had to complete one question to be included in the study.* What prompted you to start your weight-loss attempt? Please describe. (n = 6,092; 82.1%)* What currently motivates you to manage your weight? (n = 5,710; 77.0%)* What is one piece of advice that you would give to help someone succeed at long-term weight loss? (n = 5,524; 74.5%)* What is the single most important thing in your life that has changed as a result of weight loss? (n = 5,384; 72.6%)* Please describe any negative consequences of successful weight loss. (n = 4,761; 64.2%)* If applicable, please use this section to describe any other factors affecting your weight history that have not been addressed. (n = 1,010; 13.6%)The most important thing to understand is that these questions are being answered by a tiny sample (again, each question was answered by a percentage of a miniscule percentage of Weight Watcher's enrollment.) This means that we actually have no idea if the information provided here has anything to do with these subjects' weight “maintenance.” It's possible that the other 99.9+% of their enrollment did the exact same things as these people did but did not/will not maintain their weight loss (as the research suggests they will not.)Many of the responses focus on the desire to escape weight stigma and the fear of returning to it as motivators. This make sense, weight stigma is real and does real harm. What's heartbreaking is that Weight Watchers continues to both foment and profit from this weight stigma without actually providing significant long-term success to the vast majority of its customers, which doesn't distinguish it from the rest of the weight loss industry.A significant portion of the answers are about “persevering” in the face of things like “plateaus and weight gain.” This is important because even among this tiny group of “successes,” what may actually be happening is weight cycling (which could help explain why these so-called “maintainers” are an average of 13 pounds up from their lowest weight at the time of the study.) The suggestion that people losing and gaining weight endlessly constitutes weight loss “success” and improves health is not supported by the evidence. In fact, weight cycling is independently associated with harm.I think that research and lived experience tells us that the best thing we could do for our physical and mental health is to ditch the weight-loss paradigm. In healthcare/public health we could move to a weight-neutral (and, as soon as possible, weight-inclusive) paradigm, and even if we can't end stigma, it's important to reconsider that we fight our bodies on behalf of weight stigma and consider that we start fighting weight stigma on behalf of our bodies. Regardless, I would suggest that we stop trusting studies that are funded by the weight loss industry but, at the very least, we should demand far more from those studies than this.Did you find this newsletter helpful? You can subscribe for free to get future newsletters delivered direct to your inbox, or choose a paid subscription to support the newsletter and get special benefits! Click the Subscribe button for details:Like this piece? Share this piece:More ResearchFor a full bank of research, check out https://haeshealthsheets.com/resources/*Note on language: I use “fat” as a neutral descriptor as used by the fat activist community, I use “ob*se” and “overw*ight” to acknowledge that these are terms that were created to medicalize and pathologize fat bodies, with roots in racism and specifically anti-Blackness. Please read Sabrina Strings: Fearing the Black Body – the Racial Origins of Fat Phobia and Da'Shaun Harrison: Belly of the Beast: The Politics of Anti-Fatness as Anti-Blackness for more on this. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe
In this episode of the Simply Fit Podcast, Elliot goes through the research findings of the NWCR's 4 habits of successful long term dieters. Work with us: www.ehcoaching.co.uk Connect with me on Instagram: @elliothasoon Watch The Podcast On YouTube: Simply Fit Channel Link To Findings: http://www.nwcr.ws/Research/default.htm Please rate us 5* on Apple Podcasts Or Spotify and leave us a review if you're enjoying the podcast.
Hello, and welcome to another audio version of Burnt Toast!Today, I am so so thrilled to be chatting with Ragen Chastain, who is a professional speaker and writer, trained researcher, and co-author of The HAES Health Sheets. Ragen is also a multi-certified health and fitness professional, and a queer fat woman. Ragen, thank you so much for being here!RagenThanks for having me. I love your work so much. I’m giddy as a school girl! VirginiaRagen and I have been in each other’s orbits for a very long time. We were talking about something that we worked on where the website doesn’t even exist anymore. RagenVirginia gave me my very first paid freelance work in this space. She was leaving a platform and recommended me, so she’s been supporting my work, and just be an awesome leader in her own right, for a long time.VirginiaThat’s very lovely of you to say. When I first found your work in the mid-2000s you were extremely patient with my learning curve. For folks who don’t know, Ragen created the beloved fat activism blog Dances With Fat. She is now writing a Substack called Weight and Healthcare. So let’s start with that, Ragen. You have this amazing blog, you’ve been doing it forever, you have, I don’t even know, 1000 posts there. What inspired you to also say I need a newsletter?RagenI started Dances With Fat in 2009. There are a little over 1800 posts on there now. In the same year, I started doing talks for healthcare professionals around working with higher weight patients: Best practices, weight, stigma, weight science, health care. I wrote about that on Dances With Fat, but recently I’ve started to do more of that work and to do it at a higher level, and when I’m talking with a VP of a major healthcare group, sending them to Dances with Fat is not ideal, even though I’m very proud of that blog. It’s not quite the the thing that they’re looking for. I knew about Substack and I knew about Burnt Toast, so I reached out to Virginia, who helped give me a sense of how Substack worked. It seemed like a really good platform for this type of work. I got a little logo made from Toni Tails, a little researcher Ragen icon, and then put together some of the posts from Dances With Fat that were classics. Now I’m going to be writing new stuff, as well. VirginiaI sort of love the idea of healthcare CEOs going to Dances With Fat. It gives me a lot of joy. But it’s a smart activism strategy to have it all in one place. We’re recording this, I should say, right after your first launch week. So you’ve been putting up a lot of pieces that I will be linking to forever. You are covering these really fundamental questions that can be kind of exasperating, like, “This question is coming up again?” But for people who are new to challenging this huge paradigm, you do have to start with these fundamental questions and grapple with stuff. One question people often ask is, “Isn’t obesity a disease?” So, walk us through it, Ragen.RagenThis is something that has been coming up more and more, this idea that just existing in a fat body is a chronic lifelong health condition for which people should get treatment. This has been pushed for a while now by people who sell dangerous and expensive “treatments” for weight loss. I first started seeing it happening in the most insidious way, with organizations that claim to be advocacy organizations—like the Obesity Action Coalition—but that are actually well-funded by diet drug manufacturers and weight loss surgery purveyors. For the diet drugs, for example, their product doesn’t work long term. People gain the weight back as soon as they go off the drugs. So the drug companies say, “Oh, well, it’s a chronic and lifelong condition, then we can just keep them on the drugs forever,” which is exactly what Novo Nordisk is doing, and why they’re pushing this so hard right now. It also expands their market to every fat person alive. That helps them with what is their golden goose, which is insurance coverage. They can’t get insurance to cover these things because they’re expensive and because they don’t work. So by saying, “Oh, well, it’s because you haven’t let us do it long enough,” they are expanding their market. But that it doesn’t make any sense, and here’s why: Thin people get all the same health issues that fat people do. So, being thin can neither be a sure preventative nor a sure cure. That’s just not how that works. This idea that if fat people experience a health problem more often than thin people, then obviously their body size is the problem and making them thinner is the solution is not a science-based conclusion. We have to look at what are the confounding variables that could be causing this? And in this case, weight cycling, weight stigma, and healthcare inequalities are well researched for their negative impacts on fat people’s health. And this idea of fat being a chronic condition increases those three things. I want to be super clear, there is no shame in having a health condition. There is no shame in seeking treatment. The shame here is trying to make simply existing a pathologized condition for which people can sell dangerous treatments that risk people’s lives for an outcome that isn’t shown to be positive. It’s actually shown to be harmful a lot of the time. So, the AMA studied this. They had their Committee on Science of Public Health study whether or not being fat should be a disease and the committee came back and said no. And the AMA said, “Okay, well, thanks for your time, but we’re gonna go ahead and declare it a disease anyway.” VirginiaI just want people to really take that in. The American Medical Association’s committee that was asked to study that question, should we medicalize weight higher body weights, said no, the evidence does not support that. And the AMA said, Okay, so we’re gonna do it. RagenYeah, it’s a “let me just take a minute to bang my head on the desk and then I’ll complete this post that I’m writing” sort of situation.It’s important because this seems so science-y and medical-y, right? BMI is an equation and that’s math and math is science. We have these words like “obesity” that pathologize body size, and that can sound really legitimate, right? But then you start digging and learn that Body Mass Index is just a complicated ratio of weight and height that is racist in its origins. Sabrina String’s Fearing the Black Body and Da'Shaun Harrison’s Belly of the Beast are books I recommend to everyone to read about this and other racism and body size intersections. The term obesity comes from a Latin word meaning “to eat until fat.” This is not science. It’s a term that was created to pathologize bodies. It was invented for that purpose. The AMA saying, “Oh, yes, this is this constitutes a chronic health condition or disease,” sounds very science-y until you find out that the actual science had to be ignored to make that happen.VirginiaYes and this “chronic lifelong condition” we’re talking about, the treatments that they are pushing actually exacerbate the condition, because the condition is living with weight stigma, living with social inequities around health care, all of these other issues that these treatments further. Fat is not a chronic lifelong health condition.RagenIt really isn’t. It’s gotten out that intentional weight loss interventions fail the vast majority of the time. The majority of the time weight loss has the opposite of the intended effect, right? People gain back all of their weight and up to 66% of people gain back more than they lost. But the response wasn’t, “Hey, there’s a mountain of evidence that shows that there are better ways to support the health of fat people than trying to make them lose weight.” The suggestion was, “Well, then let’s do it harder, and more and more dangerously.” And that’s what we’re seeing with the pharmaceuticals. That’s what we’re seeing with the surgery. We’re getting healthcare for fat people based on the premise that it is acceptable to kill fat people in an effort to make them thin.VirginiaAnd yet they’re saying we need to get insurance coverage for these things, even though they don’t work. They frame that as an example of the stigma. They’re like, “Look, it’s so misunderstood that the insurance companies won’t even pay for these treatments that these people desperately need.” They don’t see the inherent disconnect there. RagenI’m going to say they aggressively don’t see the disconnect, possibly negligently, purposefully don’t see it. They’re saying, “We don’t want to stigmatize fat people, we just want to eradicate them from the earth and make sure no more ever exist.” That’s not an anti-stigma message. It’s a profitable one. One of the things that frustrates me is the way that they are co-opting the rhetoric of anti-weight stigma, which the fat liberation community has spent so long trying to get out there, and then using that to sell even more dangerous intentional weight loss methods. It is super gross.They are creating weight stigma and then selling their dangerous product as a “solution.” It’s this idea that if you don’t want to be oppressed, you should change yourself to suit your oppressors.VirginiaThat’s what I want my kids to learn: Make the bully like you better.RagenGive them your lunch money, and maybe they’ll stop beating you up! It’s not a perfect comparison, obviously, but as someone who is both queer and fat and who came out in the mid-90s in Texas, I see parallels between that and this idea of just doing whatever dangerous thing you need to do to make yourself straight, so that you don’t experience homophobia; this idea of changing yourself to move yourself out of the oppressed category, rather than fighting oppression. I spent years fighting my body on behalf of weight stigma. Weight stigma is real and weight stigma does real harm, including to me, but now I fight weight stigma on behalf of my body.VirginiaThat’s a really helpful framing. You took one for the team by taking on one of the most common and irritating troll comments around fat activism: That all these fat people are a drain on the system because they’re costing us so much money in terms of tax dollars in health care. This is an argument that hits me really personally, not around weight, but I have a daughter with a chronic heart condition. I wrote a piece for Slate about the fact that we had $3 million in medical bills before she turned three years old. That’s why universal health care is essential, to help families avoid destroying themselves financially to save their children. The number one troll response I got was: “She’s a drain on the system. Some kids aren’t meant to live.”RagenIn the piece I tackle that from two aspects: The reality and then if it were true that fat people are this drain on the system. The first thing I always do when somebody comes at me with this “my tax dollars” argument is I say, “Well, I want to see your yes/no tax list.” They say, “What yes/no tax list?” And I say, “Oh, the one that shows all the things your taxes pay for broken down into what you do and don’t want to pay for, and the interventions you’re involved in for everything you don’t want to pay for.” This isn’t about their tax dollars. This is about trying to find a justification for their fat bigotry. This is what they’ve arrived at that people sort of find acceptable. Like, “Oh, well, I’m paying for their health care.” But that’s what civilized societies do, right? I am paying for the health care of people who jumped out of helicopters wearing skis and people whose attempts to climb mountains are dramatically unsuccessful. I want to do that. Anytime you say, “Okay, this group of people who we can identify by sight is a drain on society and we should eradicate them to make things cheaper for everyone,” you have gone down a bad bad road. This is a straight up eugenics argument. We have to really recognize that. I find that people who want to say this about me don’t want other people to be doing it to them. Whether they are a raw foods vegan or a keto or paleo person, they believe that they’re right, and they are not interested in other points of view. This is where it really starts to break down. Who gets to decide for all of us? If somebody finds that, for example, a raw food vegan diet is the most healthy, do we all have to do that? VirginiaAnd do we all have to do that in order to access healthcare? What do we owe in order to access healthcare?RagenExactly. This is a really dangerous argument that’s being made by people flippantly, in many cases, just to justify discriminating against fat people, just to justify their weight bigotry. They don’t follow it to the end of where that goes. So that’s really dangerous. And also, fat people pay taxes, too. My taxes go to fund a government war on “obesity” that makes my life terrible and has negative impacts on my health. In general, this argument, when you scratch the surface even a little bit, just becomes a thin veil for fat bigotry that is unsupportable by any kind of evidence.VirginiaAnd ableism! It’s saying that the only people worthy of health care are people who are making virtuous choices that we approve of or who won the genetic lottery and don’t really need health care. What strikes me when it’s levied against fat folks is that it’s often because people are blaming people for their body size and assuming that it’s your lifestyle that led to this, as opposed to the fact that people just come in different body sizes. With something like my daughter, you can’t say, “The baby’s responsible for her heart condition, but we still don’t want to pay for it.” Either way, it becomes this ableist thing to say some lives are more valuable because they have this genetic luck. RagenThere are a lot of places where the intersections of ableism and healthism and fatphobia come together, and this is certainly one. One of the things that is also frustrating is that the idea of body size as a choice is obviously really problematic, but even if we believed that that was true, also a choice is playing sports, which cost billions of dollars in sports injuries every year that are completely unnecessary. Research shows that moderate walking gives us the health benefits that can come out of movement, so nobody needs to be playing sports.VirginiaI love this so much as someone who just hates sports.RagenI’m someone who loves sports and who does ridiculous fitness-y things. Just to be super clear, health and fitness, by any definition, is not an obligation, not a barometer of worthiness, not entirely within our control. There is this good fatty / bad fatty thing, so I always want to be clear that completing a marathon or having a Netflix marathon are morally equivalent activities. I’ve done both, so I can tell you for sure. So, it’s not about that, but I enjoy fitness. I’m also aware that when you go to a triathlon or when you watch the CrossFit Games and people have an exoskeleton of physio tape, that’s a lot of injuries that people don’t need to have in their lives, but they’re choosing that lifestyle. Shaq got knee surgery even though he for sure caused his knee problem and was going right back to the lifestyle that caused it. The NFL was created to risk people’s short and long term mental and physical health in the hopes that one day their team will score enough points to get a shiny piece of jewelry. You’re allowed to do that, but let’s not act like it prioritizes health because it doesn’t. This is a whole group of people purposefully not prioritizing their health and the average player is broke by two years out of the league. VirginiaAnother piece I love is where you break down why diets fail. A line that really jumped out to me, in your piece, is “the entire basis of prescribing weight loss for greater health is built on the decidedly unscientific premise that if we make fat people look like thin people, they will have the same health outcomes.” RagenWhen I did my original literature review of weight loss, looking for the best diet, I was still in diet culture, but my background is research methods and statistics and I’d never really researched this. I had been yo-yo dieting for years. I decided to read every study and break it down and find the best diet. What I found was that, as you said, there wasn’t a single study were more than a tiny fraction of people were succeeding at long term, significant weight loss. The thing that really blew me away was that there wasn’t a single study that showed that the people who were successful had better out health outcomes or similar health outcomes to thin people. That study doesn’t exist, in large part because there aren’t enough people who are successful to commission such a study.VirginiaIt’s hard to do research on unicorns.RagenThe National Weight Control Registry tried it, they’ve got 10,000 successes since 1994. There have been over a billion attempts, but okay. What they found were just some commonalities among outliers. 98% of the people who have lost 30 pounds and kept it off for a year ate breakfast. They don’t know how many of the other billion also ate breakfast. VirginiaA lot of us eat breakfast without successfully losing weight. RagenHad I turned in the study plan of the National Weight Control Registry research in my freshman year research methods class, the dean would have been telling me, “There are a lot of majors here and I think you should choose another one because you don’t understand this at a pretty basic level.” We know that cis male pattern baldness is highly correlated with cardiac incidents. So it would be like if they stopped there and said, “We have to get these people to grow hair” And when their initial attempts didn’t work, they were like, “We need more dangerous ways to grow hair! Drugs and surgeries and a war on baldness!” That is exactly what they did when it came to weight and health. They simply stopped and those who didn’t stop are getting ignored. Lucy Aphramor did an incredible paper about the validity of the research within dietetic articles. It’s a great piece and I recommend it for people who are trying to look into this. VirginiaI’m thinking of a doctor I saw when I was six months postpartum and my baby wasn’t sleeping through the night. The doctor was concerned about my weight. She was like, “Oh, well, I walked an hour a day when I had a newborn.” And I was like, “That’s nice for you, but I have a job and two children and I don’t have an hour to walk. If I had an hour to walk, I would sleep.” It’s just not realistic. A friend of mine was just telling me that she’s pursuing treatment for various medical conditions and the guy was like, “Intermittent fasting will solve all your problems.” And she’s like, “I am parenting and working full time, during a pandemic. I have two chronic conditions. Starvation is not a great way for me to go.” The way that diet and fatphobia show up in the healthy habits conversation feels really problematic to me. It ends up becoming another form of shame and stigma. What can we do, as patients, to advocate for ourselves in these conversations? RagenOne way to go is to try to bypass it. My magic question is, “What would you recommend to a thin person in this situation?” Often that bypasses some of the fatphobia and some of the recommending of healthy habits just because they believe if you did them, you would lose weight. I was at a regular physical with a new doctor and at the end he said, “I just need you to do something for me and it’s going to be so hard. So hard. But if you can do it, it is going to change your life.” And he said, “I just need you to start walking ten minutes a day.” And to his credit, ten minutes a day is reasonable! He didn’t say you have to walk an hour, like your doctor said. But I was training for my first marathon and I had done eighteen miles the night before. So I told him that and said, “I’d be glad to do ten minutes a day because I’m going to claw back a lot of time that way, but I don’t think it’s going to meet my goals at all.” And he said, “Look, you don’t have to lie about it if you’re not going to do it.” So one thing to always know is that this isn’t your fault. This shouldn’t be happening. You can’t make a doctor practice ethical, evidence-based medicine. I also teach ego management techniques—because I live in LA, I can fire a doctor a day, and I will, there there are tons of them around—but if someone lives in a rural area and there’s only one doctor, they have different options. So you can say things like, “oh, I’m actually already doing a weight loss diet, and I’ve lost some weight, but it hasn’t really helped.” This doesn’t have to be true, by the way. Then you say, “What would you do for a thin person? Let’s try that as well.” Like, “Sure, I’m gonna take this diet advice you’re giving me and I can’t wait to put food in baggies of certain caloric amounts. I’m super excited. But in the meantime my cousin had this and she was given this medication.” When a thin person gets an evidence based treatment for their symptoms and a fat person gets a diet, it delays them getting that evidence based treatment for who knows how long. Probably forever, because that diet isn’t gonna work. So, unless the doctor says, “Okay, this isn’t working, I’ll give you the treatment,” it can delay treatment forever. The person maybe doesn’t go back. This is just one of the ways that these healthcare inequalities impact fat people’s health. Just to be clear, don’t do the diet. And I also want to be clear that lying to your healthcare practitioner is not ideal. Ideally, you wouldn’t need to do that. The fact is that weight stigma in healthcare forces fat people to make some really difficult choices that we shouldn’t have to make. This is one of them. In the past when I needed care and was not been able to get it, I said, “I already lost 75 pounds. It hasn’t helped at all. What else is there? What else do you have?” That was, in that moment, effective. Suddenly I’m somebody who is compliant and deserves ethical, evidence-based care. But what they recommended was also recommendable ten minutes before, when I was just fat. Our choices are often not ideal.VirginiaIt’s frustrating because you are then stuck needing to play into that “good fatty” stereotype. But if that gets you the treatment you need and it’s a way to preserve your mental health through the shitty ordeal, then it’s worth doing.RagenA lot of privilege goes into this too. Not just good fatty privilege, but like as a white, cisgender, currently able-bodied, currently neurotypical person. For those with multiple marginalizations, for those who are higher weight, these solutions are less effective because of intersectional oppression and because of the greater oppression that higher weight people face. That’s a your-mileage-may-vary-due-to-oppression -situation.VirginiaThe HAES health sheet website that you’ve put together, is a phenomenal resource for folks. Ragen worked with Dr. Louise Metz and Tiana Dodson, who are amazing as well. They’ve put together this whole library of different health conditions and information on the weight inclusive approach to this health condition, as opposed to the weight-loss-centered approach that many doctors take. If you’re preparing for a medical encounter, this is a great place to go and prep yourself for what’s to come. So we’re gonna wrap up with our recommendation segment. It can be about a product anything and experience you’ve had recently so, Regan, what have you got for us?RagenI have for you Latoya Shauntay Snell’s Running Fat Chef podcast. Latoya Shauntay Snell is this incredible, Black, fat, disabled athlete and activist. She put together this podcast with different athletes talking about the intersections of weight stigma and fitness in the athletic world and how to overcome that. I love all of her work, and her podcast is incredible.VirginiaThat sounds phenomenal. I will definitely be subscribing and downloading immediately. That’s an awesome recommendation. Mine is a little more out of left field, given the whole context of our conversation, but very much in the field for the context of my life right now. It is a parenting book I’m finding very helpful called Why Is My Child in Charge? by Claire Lerner. If you have a preschooler or a toddler who is often trying to be in charge of your life this book is great. I am not a big fan of parenting writing, which is weird to say since I get labeled as parenting writer, but it’s true. Melinda Wenner Moyer, who’s a friend and parenting writer I love, actually loaned me her copy because I was texting her about various tantrums happening in the house. Lerner frames parenting as understanding that you cannot control your child’s behavior. So your job is not to persuade them to agree with every rule you make or to get them to change their minds about stuff, but actually to keep providing the framework they need to be loved and nurtured without needing to stay up an hour past bedtime and ruin your life.It actually applies to a lot, like what we were just talking about with doctors, you can’t change their minds either. It’s a useful message for going through life. I’m not here to change other people’s behavior. I’m just here to set my boundaries and set the framework I need to function. It’s been very helpful for me with a certain four year old at the moment. (Virginia Note: I finished the book after recording this episode and sadly, cannot recommend the chapter on mealtimes. But the rest is still great!)RagenI feel like I need to read it for my little Maltese. We named him after three drag queens and he acts like it. Don’t name your dog after three drag queens.VirginiaWe also have a dog whose behavior I cannot control, but I can control the framework. Alright Ragen, where can Burnt Toast fans find more of your work?RagenSo my newsletter is Weight and Health Care. You had mentioned the HAES Health Sheets and then Dances with Fat. I also do a monthly workshop and the one coming up is on dealing with fatphobia at the holidays. We will be talking a lot about how we can’t control their people’s behavior but we can control our reactions and boundary setting. If you go to Dances with Fat, you’ll also find all of my social media and past writing outside of the healthcare sphere. VirginiaAwesome. Ragen, thank you so much for doing this.Thank you all so much for listening to Burnt Toast! Burnt Toast transcripts and essays are edited and formatted by Corinne Fay, who runs @SellTradePlus, an Instagram account where you can buy and sell plus size clothing.The Burnt Toast logo is by Deanna Lowe. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit virginiasolesmith.substack.com/subscribe
Is there any difference between people who lose weight and are able to keep it off compared to those who lose weight only to gain it all back? It was with this question in mind that the National Weight Control Registry was formed. In this episode, we're going to discuss significant findings from the National Weight Control Registry and then we'll take a deeper dive into some of the studies on the data from the National Weight Control Registry.
Lisa shares the most important findings from her research after she had lost 150 pounds and struggled to maintain that weight loss, and what she wished she had known all along. Topics Include: Weight gain and shame Yo-yo dieting The National Weight Control Registry The ACE Study Trauma's effect on our weight and relationship to food [2:50] How and why Lisa's maintenance of her 150 pound weight loss is defying statistics [3:57] Lisa's experience with yo-yo dieting post weight-loss and “falling off track” or “losing control” but never believing it was her fault [5:22] Feeling shame after weight gain [7:04] Lisa had no question about whether she had discipline and willpower, so she decided to get to the bottom of why she was eating out of control [8:44] Important Fact Number 1: Lisa explains the science and mind-body reason why diets don't work [16:17] Important Fact Number 2: Lisa finds The National Weight Control Registry and discovers how most members who have maintained at least 30 pound weight loss for at least a year claim they keep the weight off, and why Lisa decided she would not follow in their footsteps [19:24] The biggest mistake in our mindset around dieting and weight loss and the 3 three traps we set ourselves up for everytime we go on a diet [21:30] Important Fact Number 3: What we can learn from the ACE Study when it comes to our relationship to food, eating, and our bodies [31:00] “Big T” vs “Little t” trauma [35:57] Important Fact Number 4 / Trigger Warning: Mentions of Sexual Abuse | The origins of the ACE Study and how weight was always at the center [44:15] Final take-aways and sneak peek into the weeks ahead Next Group Coaching Cohort Begins January 2022!!!! Visit https://www.outofthecave.health/work-with-me or email lisa@lisaschlosberg.com For 10% Off Out of the Cave Merch enter SCHLOS10 at Checkout https://www.outofthecave.health/shop Join the Global Out of the Cave Community | 2 Live Group Zooms with Lisa Monthly + So Much More https://www.outofthecave.health/membership Socials Instagram: www.instagram.com/lisa.schlosberg Facebook: https://www.facebook.com/outofthecavellc YouTube: https://www.youtube.com/user/lees325
In episode 4, Tiffany considers whether exercise is a necessary part of losing weight and explains how to create a personalized workout plan. She also answers these questions:Why should exercise be a part of a weight loss program?How much and what kind of exercise is recommended for weight loss?Why is strength training important?Timestamps:Episode Start: [1:11]Reasons to Exercise: [2:50]Amount and Type of Exercise: [9:40]Importance of Strength Training: [13:41]Next Week's Topic: [14:42]Helpful Resources:"Do You Need to Exercise to Lose Weight?" https://www.eatingwell.com/article/7823878/do-you-need-to-exercise-to-lose-weight/National Weight Control Registry: http://www.nwcr.ws/Research/default.htmExercise for Weight Loss: Calories Burned In One Hour: https://www.mayoclinic.org/healthy-lifestyle/weight-loss/in-depth/exercise/art-20050999Couch-2-5k: http://www.c25k.comhttps://lovelifebefit.com/couch-to-5k-program/DHHS: https://health.gov/sites/default/files/2019-09/Physical_Activity_Guidelines_2nd_edition.pdfWomen's Health Magazine: https://www.womenshealthmag.com/fitness/a30522035/what-is-strength-training/Twitter: http://www.twitter.com/ServingSizePodInstagram: http://www.instagram.com/servingsizepodFacebook: http://www.facebook.com/servingsizepodWebsite: http://www.servingsizepod.comEmail: servingsizepod@gmail.comSpecial Acknowledgments:Cover Art: pgeshan Music: "Upbeat Funk Pop," Scott Holmes Music
Episode 12. Today on the podcast, I got to talk to my very dear friend and incredibly talented colleague Dr. Sapna Doshi. Dr. Sapna Doshi is a licensed clinical psychologist and owner of Mind Body Health. Dr. Doshi earned her Ph.D. from Drexel University and completed her internship at Duke University Medical Center. In 2015, she opened her private practice, Mind Body Health which now operates in Arlington, VA and Washington, DC and is staffed with 25 psychologists and dietitians. Mind Body Health specializes in providing evidence-based treatment in the areas of eating disorders, insomnia, obesity, chronic pain, anxiety disorders, and mood disorders. What We Cover What is the field of clinical health psychology doing well?Where are we missing the mark?How can people balance working on improving their relationship to food and their bodies when they have difficulty letting go of weight loss as a goal? Health at Every Size and Intuitive Eating Dr. Doshi talks about the positive effects of the Health at Every Size movement and Intuitive Eating as an alternative approach. We also discuss a controversial topic which is the effect she and I have seen where some members of a social movement can come across as shaming to others. She talked about the environment she has created within her practice where they can have conversations between professionals that are respectful, even if they ultimately disagree. This has created a community where collaboration and focus on the client remains the top priority. Striking the Balance Between External Suggestions and Internal Cues Dr. Doshi talks about the balance and difficulty of this in the real world. She discusses her own personal experience with having a diagnosis of small intestinal bacterial overgrowth (SIBO) and how challenging it is to tune inwards while having to avoid certain foods she enjoys. Considerations for the Body Mass Index in South Asian Community Dr. Doshi talks about her experience as a South Asian woman growing up in the United States. We also talk about her dissertation research and the fact that South Asian women on average actually have higher body fat percentage at a lower body mass index (Doshi, 2012). So again we see the limitations of the body mass index in actually predicting health. She also discussed a finding from her dissertation that more cultural conflict (that is, more conflict between the South Asian and standard American culture) was associated with higher levels of disordered eating (Doshi, 2012). Ways to Improve Cultural Adaptations to Improve Care Dr. Doshi shares a story of her experience being told how to treat her SIBO and the lack of cultural adaptation and flexibility in the standard medical approach. She also shares about the fact that South Asians are underrepresented in the mental health field. Therefore, it's important to work towards increasing diversity in different health professions. Why Does Behavioral Weight Loss so Often Fail? We talked about our experiences with behavioral weight loss trials, and ways in which we were part of methods that were ultimately rarely successful long-term. "Deprivation is not a state we can constantly be living in."Dr. Sapna Doshi, PhD She also discusses the fact that prior weight loss attempts can sometimes be romanticized, leaving people to forget the negative and focus on all the positive (e.g., "I think I was happy... I must have been, I was thin!") Is Long-Term Weight Loss Possible? What Do We Know? We talked about the National Weight Control Registry. This is a registry for people who have lost at least 30 pounds and kept it off for at least a year, though on average they have lost more weight and kept it off longer than that (Thomas et al., 2014). What Have We Learned from this Registry? Regularly activeModifying their eating in some wayMost eat breakfast regularlyThey aren't watching a ton of television
This week I'm replaying an amazing discussion I had one year ago with registered dietitian Glenys Oyston. She lost weight, kept it off for years, and was considered a true success story. What people didn't realize is she didn't feel successful at all but instead was a full-time food and body obsession. Details on the episode are below. I'll be back next week with a new episode!!! * * * I am so excited to bring you this latest episode of Speaking of Hungry! I’ve been listening to the Dietitians Unplugged podcast with Glenys Oyston and Aaron Flores for quite some time now. Recently I was reading Christy Harrison’s Anti-Diet book and Glenys popped up. Then I was listening to the Pursuing Private Practice podcast and Glenys was the guest. I am beyond thrilled that Glenys, a Los Angeles-based anti-diet dietitian, joined me to chat on Speaking of Hungry. I know you’re going to like this one! Glenys joins me and talks about her relentless pursuit of weight loss, how losing weight was never enough, and that keeping weight off for several years meant taking obsessive measures. We talk about: Her dieting history starting in her early 20’s that led her to sign up for the National Weight Control Registry. How Glenys was a weight-loss “unicorn” who kept the weight off for over five years but this wasn’t all rainbows and butterflies. She explains the obsessive measures required to keep her weight off. How her weight loss journey led her to pursue becoming a registered dietitian. How her reaction to stressful times in her life was to tackle her weight and try to shrink her body. When her weight loss pursuit took a “dark turn” and persisted despite the struggle to keep losing. Her work with clients and Health at Every Size (HAES) program for diabetics currently in the works with Rebecca Scritchfield. Take your mind off of all that’s going on in the world right now. While most of us are in quarantine, we must be mindful that we still have needs and we still have our recovery to work on. We may not be able to give it 100% at this time but we have to try to give it something! Mentioned in this episode: Glenys’ website DareToNotDiet.com HAES Care for Diabetes Concerns Glenys on Facebook Dietitians Unplugged podcast Traci Mann’s Secrets from the Eating Lab Kate Harding’s The Fantasy of Being Thin * * * Need more resources to help with the restrict-binge cycle? Grab my free workbook: 5 Steps to Ditch Diets!! What will you get in this guide? This is a sample of work I do with my private, 1:1 clients. I’ll take you through: #1 - examining your personal history with dieting #2 - reflecting on how diets interfered with your life #3 - how to slowly get rid of dieting tools you may still use. #4 - identifying hidden forms of dieting you may still engage in but don’t realize you are and how it interferes with your work to become more intuitive. #5 - a worksheet on how to stop the self-critical talk. GRAB THE GUIDE HERE! ***** If you love the show, please leave a rating and review on Apple podcasts! Please go to iTunes and leave a rating and review!! ***** Curious about working with me? You can schedule a complimentary 20-minute Zoom with me to let me know what you are struggling with and determine if my program is a good fit for you! Need MORE help healing your relationship with food AND exercise? Consider joining my FREE Intuitive Eating & Body Compassion Facebook community!!!
Alle slankekure virker på kort sigt, men ingen virker på lang sigt. Alle vægttabsstudier viser uden undtagelse det samme mønster: Man taber sig i starten, men efter få måneder vender udviklingen og man tager stødt og roligt på igen til man havner omkring den vægt man startede på. De studier der refereres til er oplistet på ligevaegt.org som reference 6-13 til positionspapir#1. Desuden omtales the National Weight Control Registry http://www.nwcr.ws/
Join me today as I lay out the research supporting the 95% failure rate of weight loss attempts. I discuss how weight loss research is flawed and share what we know from the National Weight Control Registry. Studies Mentioned: (1999 review Miller): https://journals.lww.com/acsm-msse/Fulltext/1999/08000/How_effective_are_traditional_dietary_and_exercise.8.aspx (2007 review Mann et al.): https://escholarship.org/content/qt2811g3r3/qt2811g3r3.pdf?t=njijaw&v=lg (2015 study Fildes et al.): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4539812/pdf/AJPH.2015.302773.pdf (2018 review O'Hare and Taylor): https://journals.sagepub.com/doi/10.1177/2158244018772888 (2005 critique of NWCR): https://www.jneb.org/article/S1499-4046(06)60247-9/pdf (2017 paper on NWCR): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5386813/ If you enjoyed this show please rate/review and share with a friend! Connect with me on Instagram @nourishingnibblesrd or email me at nourishingnibblesrd@gmail.com If you'd like to make a one time donation to support this podcast: PayPal Make a recurring donation with the support link below. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/nourishingnibbles/support
In this episode I'm speaking with Jen Espinosa-Goswami who has spent her life focused on personal improvement, starting with her 100-pound weight loss as a college student and most recently as a marathon runner. She is a speaker and holistic coach, where her passion is to facilitate bliss for every woman. Jen is a member of the National Weight Control Registry, and her weight loss story has been featured in national publications.Despite challenges with weight from an early age, Jen grew up with loving friends, family and enjoyed being a star student at school. A month before she graduated from college, her grandmother, who she was very close to, passed away. A trigger moment for Jen, she was faced with the possibility of her own mortality and her health journey.Jen talks about her weight loss journey, how she built the mental strength to run her first marathon, and how to use these strategies in your own life.Show Highlights[02:28] How Jen made the mental shift and change of mindset to start her weight loss journey.[05:12] Her unhappiness of the vision she saw of her future self.[06:43] Jen took a year to reach her goal weight.[10:55] Running marathons and why she decided to run.[14:18] Why I find marathon runners so interesting. [17:51] How Jen emotionally moved past running when she was exhausted.[19:39] The evolution of her weight loss coaching program.[22:34] Why it's hard to recognize your daily small wins.[24:08] Finding the right virtual exercise program for yourself.[25:38] Three strategies to get and stay fit![31:07] Why she wouldn't change any of her challenges in her life.Subscribe Today!Apple PodcastSpotifyAndroidStitcherRSSLinks | ResourcesIG: @DrNicoleByersFacebook: Dr. Nicole ByersWebsite: Drnicolebyers.comEmail support@drnicolebyers.comDrnicolebyers.com/quizWeight Less ChroniclesWork with Jen
Research says long-time weight losers and maintainers do better when they weigh about once a day most or all days of the week. ⚖ According to the National Weight Control Registry, which follows individuals from every walk who have lost substantial weight and kept it off, they weigh themselves "frequently." Frequently translates into most days of the week and for most it's once a day every day. ⚖ Weighing daily can show you daily trends in your body's response to your weight-loss plan rather than relying on one "glorious" day a week to hope with fingers crossed that the scale behaves. What if you weigh yourself only on Mondays? Your Monday weight was 205# then Tue:204.5#, Wed:204#, Thurs:203.5#, Fri:203#, Sat:202.5#, Sun:205#, Mon:205# Welp, I guess you did poorly and didn’t lose any weight this week. Not true. You were doing great and then you had your splurge meal Saturday night and popped up 2.5# of water but since you only weigh once a week you get a discouraging report card on Monday. Weighing once a week doesn’t give a true picture of what’s going on. ⚖ Through education you can become the “scale whisperer” and no longer fear it - ever again. Only through education and understanding can this occur. We fear what we don't understand. If we don't understand why the scale is "misbehaving" it's mysterious and we fear it. Once we have the education we can master the scale and no longer fear it. We understand the science of water-shifts (water fluctuations) and realize we have the power and control to manage it! ⚖ I've got five simple rules for weighing yourself each day. ⚖ 1. Weigh one time a day 2. At the same time 3. In the same place 4. In the same "nude" condition or close to it 5. With the same scale ⚖ To see some of the research about self-weighing and weight loss ➡ https://bit.ly/3g9y3mb ⚖ To learn more about my program and how you can lose the excess weight one more time for the LAST time: WEB: http://Lifestyle180.com FB: https://www.facebook.com/LLUniversity IG: https://www.instagram.com/llu180/
Jenn Espinosa-Goswami has spent her entire life releasing her inner Wonder Woman, beginning with her 100 pound weight loss as a young college student and most recently as a marathon runner. Her passion as a speaker and health coach is to facilitate body bliss for every woman. A member of the National Weight Control Registry, her 100 pound weight loss story has been featured on Women’s Health, Prevention, Reader’s Digest, First for Women magazine, and Fox. You can find Jenn presenting wellness seminars in her hometown of Minneapolis, dancing or baking with her two beautiful daughters, or online at www.weightlesschronicles.com.
I invite you to listen in to this powerful episode all about truly appreciating the body you have in this present moment. In today’s episode Jennifer Espinosa-Goswami and I chat about health, but more importantly we chat about how we can love ourselves no matter where we find ourselves on the health spectrum today. Jennifer shares her very personal struggle with her own health and how she came to lose over 100 pounds as a young college student. Jennifer has since become a motivational speaker and an advocate to see others embrace themselves as they are. She is a member of the National Weight Control Registry, and she has been featured in Women’s Health, Prevention, Reader’s Digest, First for Women Magazine and Fox. Jennifer is on a mission to facilitate body bliss for every woman. Please be sure to connect with Jennifer by heading to her website, http://www.weightlesschronicles.com/ or by finding her on Facebook at http://www.facebook.com/bweightless. Jennifer can also be found on Instagram under @jennspingo and be sure to check her out on YouTube by heading to https://www.youtube.com/channel/UC19tueF7IaqpzdbJZZ9NTKQ?view_as=subscriber.
Episode 166 - Dr. Jason Karp - Running Coach, Creator & Chief Running Officer, REVO2LUTION RUNNING ™ Certification, and Ren-Fit, 10x Author, Speaker, Literary Agent “SEXERCISE: Exercising Your Way to Better Sex …. explores how, through sex and exercise, we fulfill our destiny as physical beings.” - Dr. Jason Karp In Episode 166, the Two Fit Crazies welcome back the amazingly intelligent Dr. Jason Karp, who recently released his tenth book, “SEXERCISE: Exercising Your Way to Better Sex. Of course, the Two Fit Crazies took copious notes as Dr. Karp debunked myths about the effects of sex on athletic performance and discussed that Chapter 3 is “not to be missed.” This chapter explores “positions through pictures.” Dr. Karp also explains how and why sex and exercise are the best expressions for physical beings as observed by various scientific studies conducted by sexologists. In addition, Dr. Karp gives us a sneak peek into his 11th book that is due to be released summer of 2020. In concert with the data collected from the National Weight Control Registry, which consists of over 40 studies, Dr. Karp discusses some key findings that constitute his “6 Habits for Successful Losers.” Get ready to make some lasting changes in your health by implementing these vital habits. Enjoy! -Two Fit Crazies www.twofitcrazies.com Website: www.rev02lutionrunning.com Email: jason@run-fit.com Instagram: @rev02lutionrunning @jasonkarp Facebook: @rev02lutionrunning @jasonkarp LinkedIn @JasonKarp
I am so excited to bring you this latest episode of Speaking of Hungry! I’ve been listening to the Dietitians Unplugged podcast with Glenys Oyston and Aaron Flores for quite some time now. Recently I was reading Christy Harrison’s Anti-Diet book and Glenys popped up. Then I was listening to the Pursuing Private Practice podcast and Glenys was the guest. I am beyond thrilled that Glenys, a Los Angeles-based anti-diet dietitian, joined me to chat on Speaking of Hungry. I know you’re going to like this one! Glenys joins me and talks about her relentless pursuit of weight loss, how losing weight was never enough, and that keeping weight off for several years meant taking obsessive measures. We talk about: Her dieting history starting in her early 20’s that led her to sign up for the National Weight Control Registry. How Glenys was a weight-loss “unicorn” who kept the weight off for over five years but this wasn’t all rainbows and butterflies. She explains the obsessive measures required to keep her weight off. How her weight loss journey led her to pursue becoming a registered dietitian. How her reaction to stressful times in her life was to tackle her weight and try to shrink her body. When her weight loss pursuit took a “dark turn” and persisted despite the struggle to keep losing. Her work with clients and Health at Every Size (HAES) program for diabetics currently in the works with Rebecca Scritchfield. Take your mind off of all that’s going on in the world right now. While most of us are in quarantine, we must be mindful that we still have needs and we still have our recovery to work on. We may not be able to give it 100% at this time but we have to try to give it something! Mentioned in this episode: Glenys’ website DareToNotDiet.com HAES Care for Diabetes Concerns Glenys on Facebook Dietitians Unplugged podcast Traci Mann’s Secrets from the Eating Lab Kate Harding’s The Fantasy of Being Thin ———————————————— If you are enjoying my podcast, please go to iTunes and leave a 5-star rating and review!! Send me a DM on Instagram or Facebook (@AlisonBarkmanRD) with your comments or a question you'd like answered on the show! -------------------------------------- Need help healing your relationship with food AND exercise? Consider joining my FREE Intuitive Eating & Body Compassion Facebook community!!! I am currently booking clients for my 1-on-1 online intuitive eating program! You can schedule a FREE 20-minute call with me to tell me more about where you're at in your intuitive eating journey and ask any questions about how we can work together!
The doctors who have successfully guided participants in ABC’s Extreme Weight Loss & The Biggest Loser series share their insights on Moments with Marianne.Dr. Holly Wyatt earned her medical degree from Baylor College of Medicine in Houston, Texas, and completed her internal medicine and endocrinology training at the University of Colorado. She has been involved in the field of obesity, weight management and metabolism her entire career and personally struggled with her weight and maintaining a reduced healthy body weight earlier in her life.Dr. James Hill is an internationally recognized leader in weight management. He has a Ph.D. from the University of New Hampshire in physiological psychology. Dr. Hill has spent the past 35 years conducting research to understand why obesity develops and how it can be prevented and treated. He was a co-founder of America On the Move and a co-founder of the National Weight Control Registry. https://www.stateofslim.com
Today’s podcast is made possible by Sudio headphones! They are the most incredible sounding headphones I’ve ever heard in my life! They give you 7 HOURS of battery life, look beautiful and the portable case will give you up to 6 days of standby time! Our discount code is fasterthannormal which will give you 15% off any purchase! Just click on this link to use the discount: https://www.sudio.com/us/earphones/tolv-pastel-blue Thank you Sudio for sponsoring today’s podcast! — Remember that rainy night, just this past Winter’s eve, when you resolved to drop 25lbs, be fit & super-excited by the time this Summer’s swimsuit season arrived? Us too. Today we’re talking about strategies, just in case that didn’t just magically happen for you. We are joined by Katie Rickel. Dr. Rickel graduated summa cum laude from Duke University with a Bachelor of Science in psychology and earned a Ph.D. in clinical psychology from the University of Florida. She completed an APA-accredited clinical internship in health psychology at Duke University Medical Center, with advanced training in behavioral and bariatric obesity treatment, as well as the psychological management of chronic pain and illness. Dr. Rickel has expertise in treating anxiety disorders, including obsessive-compulsive disorder and specific phobias. Her research has been presented at various professional conferences and published in scientific journals. She has also appeared on “The Dr. Oz Show” and has been quoted in several popular media outlets, including the Wall Street Journal, Huffington Post, Health magazine, Yahoo! Health, Women’s Health magazine, Weight Watchers magazine, andabcnews.com. She is now the CEO of Structure House, which has been named the nation’s leading weight loss treatment program. In existence since 1977, Structure House has helped more than 40,000 participants achieve their wellness goals and live their best lives. Dr. Rickel generously shares her expertise & experience with us here today. Enjoy! In this episode Peter & Katie discuss: 2:28- Intro & welcome Dr. Rickel! ref: www.StructureHouse.com 3:20- Before we get into all of this, would you tell us a little bit more about your background please? 6:20- Let’s talk about ADHD & that premise of “all or nothing” 9:25- On how emotions play a role in cycles of an “all or nothing” mindset, especially when it comes to weight loss 10:20- What are some tips you might share in order to keep us from getting into a bad cycle? ref: The National Weight Control Registry 12:50- Apps for ADHD food journaling: Lose It! My Fitness Pal or just take a picture of your meals. 14:31- What other secret tricks would you recommend? 16:00- On the importance of how you look & feel 17:00- On turning to your strengths 18:14- What percentage of your patients have ADHD? 19:21- How can people find you if they would like to learn more? www.StructureHouse.com @StructureHouse on: Twitter, FB, INSTA, Pinterest, LinkedIn 20:38- Thank you Dr. Rickel! And thank YOU for subscribing, reviewing and listening. Your reviews have been working! But.. even if you’ve reviewed us before, please continue to do so, so that word will continue to spread and we will all be able to reach & help even more people! You can always reach me at peter@shankman.com or @petershankman on all of the socials. You can also find us at @FasterThanNormal on all of the socials. 21:14- Faster Than Normal Podcast info & credits As always, leave us a comment below and please drop us a review on iTunes and of course, subscribe to the podcast if you haven’t already! The more reviews we get, the more people we can reach. Help us to show the world that ADHD is a gift, not a curse! Know of anyone you think should be on the FTN podcast? Shoot us a note, we’d love to hear!
After weeks of talking about exercising, I finally got moving. I'll give you the ugly details and tell you about two of the people who have been inspiring me to get fit (one real, one not). And we'll explore a crucial question: How important is exercising in your efforts to lose weight? Email: loseitpodcast@gmail.com Twitter: @loseitpodcast SOURCES Why you shouldn't exercise to lose weight, explained with 60+ studies, Vox.com, updated October 31, 2017: https://www.vox.com/2016/4/28/11518804/weight-loss-exercise-myth-burn-calories National Institutes of Health, Healthy Body Weight Planner: https://www.niddk.nih.gov/health-information/weight-management/body-weight-planner?dkrd=hispt0903 National Weight Control Registry, Research Findings: http://www.nwcr.ws/Research/default.htm
Kevin Klatt, Ph.D and RD2Be, joins me on the show to talk about the science of weight loss, and how diets repeatedly fail (to both stand the test of time, and result in sustainable body changes). At one point, Kevin added himself, and his story, to the National Weight Control Registry. More recently, he wrote an article for the impressive online SELF Weight Issue, titled "Why Weight Loss Diets Fail". We talk about it all—including random diet culture moments from the depths of history. This episode is in partnership with Jennifer McGurk's NEW online course for dietitians looking to start, or continue building, a private practice focused on the intuitive eating philosophies. Check out the course: Pursuing Private Practice—Intuitive Eating Edition Other things mentioned: Why Weight Loss Diets Fail in the SELF Weight Issue One example of the parallels between diet culture and some religious beliefs (there are a lot of things we could link here; if you're curious, do a quick search and keep reading!) The IE-HAES Debate Tweet Nutrition Wonk (Kevin's n=2 podcast co-host) Kevin Klatt, Ph.D @kcklatt
| About this Episode | What is the deal with intermittent fasting? Is it unhealthy to deprive your body for long periods of time, or can it be a helpful tool for weight management? On this episode of Spot On!, we discuss if intermittent fasting should be used and in what contexts. We are joined by the amazing Dr. James Hill, co-founder of the National Weight Control Registry and of America on the Move. Enjoy this episode of Spot On! and don't forget to subscribe and like our Facebook page! Thank you for listening! www.facebook.com/SpotOnDrJSB/ www.instagram.com/joansalgeblake/ twitter.com/joansalgeblake --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Today on this episode, I'm joined by Jennifer Espinosa-Goswami as she shares more about her journey to becoming weightless! Jenn Espinosa-Goswami is a former fat girl turned product-free health coach who helps working moms achieve body bliss. A member of the National Weight Control Registry, her 100-pound weight loss story has been featured on Women's Health, Prevention, Reader's Digest, First for Women magazine, and Fox. When not presenting motivational presentations to brands such as Target, Wells Fargo and TOPS in Minneapolis, she blogs at www.weightlesschronicles.comabout a simple recipe to body bliss without joining a gym or counting anything. Jennifer is a wife and mother to two beautiful daughters. You may find her dancing in her living room with her girls, training for her next marathon, or enjoying a bean burrito. In this episode, you will learn about: How Jennifer's grandma passing away led her to decide to make a change in her health and lose 100 lbs. The question Jennifer asked herself each day that motivated her to make one small change at a time and change her health forever How she chose to shed her "fat girl" mentality and embrace a new identity 4 Steps Jennifer uses to help her clients and audience become "weightless" and experience lasting changes in their health Details on her Breakfast Blue Print Freebie and Weightloss Breakthrough Session How you can get connected with Jennifer Get the full blog post here and the resources mentioned below: http://www.madewell345.com/2019/02/13/the-journey-to-becoming-weightless Jennifer's Resources: Website Facebook Page Facebook Group Pinterest Breakfast Blue Print Weightloss Breakthrough Session Brianna's Resources: Healthy Body Facebook Community Healthy Body Free Resource Library Healthy Body Academy FB Page, Instagram, Twitter, Pinterest Made Well doTERRA Essential Oils Facebook Community --- Send in a voice message: https://anchor.fm/madewell345/message Support this podcast: https://anchor.fm/madewell345/support
The doctors who have successfully guided participants in ABC’s Extreme Weight Loss & The Biggest Loser series share their insights on Moments with Marianne.Dr. Holly Wyatt earned her medical degree from Baylor College of Medicine in Houston, Texas, and completed her internal medicine and endocrinology training at the University of Colorado. She has been involved in the field of obesity, weight management and metabolism her entire career and personally struggled with her weight and maintaining a reduced healthy body weight earlier in her life.Dr. James Hill is an internationally recognized leader in weight management. He has a Ph.D. from the University of New Hampshire in physiological psychology. Dr. Hill has spent the past 35 years conducting research to understand why obesity develops and how it can be prevented and treated. He was a co-founder of America On the Move and a co-founder of the National Weight Control Registry.
In this episode, we explore the million dollar question: How do we lose weight AND keep it off? For the answer, we take a look at the Weight Control Registry, a database of thousands of individuals who’ve successfully maintained significant weight loss for over a year. What do they do to achieve such long-term success? Listen in for the answer.Topics covered:Fork vs Feet: Is diet or exercise more important for weight loss?How much exercise is recommended for weight loss?What do the weight loss champions in the National Weight Control Registry do to maintain weight loss long-term?LinksNational Weight Control RegistryCanadian Physical Activity Guidelines (CSEP)LinksScientific evidence for plant-based eating and weight management (ACLM)Meal frequency and timing with Hana KahleovaMeal frequency and timing are associated with changes in body mass index in Adventist Health Study 2 (Journal of Nutrition)
Everett shares some research he discovered from the National Weight Control Registry (www.nwcr.ws/research). He offers his insights and helps inspire you to get more out of your workout? He explains how 1 hour is a solid target to hit for your workouts. How can you immediately increase the intensity of your workouts even without changing the exercises? Tune in to find out! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
This week Laura's joined by Fiona Willer, HAES dietitian + PhD researcher, director of Health Not Diets + author of The Non Diet Approach Guidebook for Dietitians. They take a deep dive into the current evidence within the weight science arena, pulling it apart to figure out what we can learn from it + improvements that need to be made in research + clinical practice going forward. In this episode they discuss: ✨ The historical inaccuracy of the paleo diet using Fiona's archeological knowledge ✨ Unpacking the evidence in weight science + how it's so important that we read it critically ✨ What "statistical unicorns" are + the problems w/ the National Weight Control Registry ✨ Weight bias in the context of Tess Holiday's Cosmo cover + why the term 'weight bias' is probably not very accurate ✨ Nuggets of wisdom for what to do if you know that diets don't work but your doctor tells you to lose weight ... again Show Notes {Fi on Insta | Twitter} {Book in for Discovery Call w/ Jess} {PRE-ORDER MY BOOK!! on Amazon | Waterstones | Foyles - I'll share international links when they become available!} {Raising Intuitive Eaters Workshop} {Health, Not Diets website} {Unpacking Weight Science} {How to Respond When the Doctor Body Shames You + HCP card} {Critique of the National Weight Control Registry} {Combined Impact of Health Behaviours and Mortality study} {Follow us on Insta!}
Dr. Christopher Case takes an in-depth look into recent research data from The National Weight Control Registry and what it means for medical professionals and treating obesity.
Dr. James O. Hill is a Professor of Pediatrics & Medicine, and Director of the Colorado Nutrition Obesity Research Center. Dr. Hill’s research examines factors that contribute to obesity and factors that are important in reducing obesity. He is a co-founder of the National Weight Control Registry and co-author of the book State of Slim: Fix Your Metabolism and Drop 20 Pounds in 8 Weeks on the Colorado Diet. Dr. Hill shares his insight and learnings from his work, along with the newly published research study: The Beef WISE Study: Beef’s Role in Weight Improvement, Satisfaction, and Energy. This research was conducted at the University of Colorado and adds to the growing body of evidence demonstrating lean beef can contribute to a healthy weight loss diet. Funding for this research was provided by a grant from the National Heart, Lung and Blood Institute, the National Center for Research Resources and the National Institute of Diabetes and Digestive and Kidney Diseases, Colorado Nutrition Obesity Research Center, and the Beef Checkoff. For the full show notes and resources visit www.SoundBitesRD.com
Artist Ann Rea, talks about her experiences with anxiety/depression and how running and art are therapeutic. Go-to, real-food dietitian, Serena Marie, RD, and Kari discuss the scale—how to interpret the scale's reading, why to take body measurements to track your progress, and how to view and approach the scale healthfully. Kari also shares some of her experiences with being a former Weight Watchers facilitator and how to deal with the scale. Finally, Kari shares some information about San Francisco trail running. Featured Guest and Runner of the Week: Ann Rea Ann Rea first caught Kari's attention when she was featured in an interview by Alex Blumberg (from This American Life and Planet Money) during a podcast class. Ann shares how, why, and why she started running. She suffered from severe anxiety, depression, and insomnia for ten or fifteen years. She took the traditional route of seeing a therapist, anti-anxiety medication, anti-depressants, sleeping pills, and every time she would go to her appointments, she was told about new medications. She found she had no passion or interest in her occupations at the time (cubicle Hell). Her psychiatrist said that based on her medical history, she would probably always suffer. She asked for a protocol to wean herself off of her medications, but her doctor didn't agree. She tried to wean herself off, but that didn't go well (think Emergency Room). At the time in Sacramento, CA, no one suggested exercise to help with her anxiety and depression, but she started walking anyway, hoping that would help. One day as she was walking, she sprang into a run and started running. When she moved to San Francisco to be a full-time artist and to build her business, she knew that she'd have to manage her stress if she was going to achieve her goals. Ann started running even more consistently. If she had had a psychiatrist, such as Dr. John Ratey, things might have turned out differently. Ann talks about neurofeedback, and she's become familiar with Dr. George Pratt, who is a noted performance psychologist whose latest book is Code to Joy: The Four-Step Solution to Unlocking Your Natural State of Happiness. Kari says that medicine can be magical, but she also likes integrative medicine. Ann runs every Sunday morning with her friend Felix, who is a renowned psychic medium in San Francisco. Ann worked with disaster relief, and she had to find a way to balance the reality of having to react quickly and finish up cases per day. Listen to her “The Artist's American Life” interview with NPR's Alex Blumberg. She had the opportunity to see an amazing cross section of the United States and a real perspective of what disaster is. The good news is that everybody can recover. Physical things don't matter as much as your health. To get herself out the door and start walking at first, she made small promises to herself. For example, when she was working full-time and selling her art on the side, she was often tired, so she'd get herself up on Saturday morning, get ready for a run, and get out the door. If she didn't feel up to a run, she'd turn back around. Jim Rohn said, “We are the average of the five people we spend the most time with,” so Ann was very clear in “firing” certain friends and be her own best friend. The act of being your own best friend means that you don't tolerate certain behaviors, and you look for people who build you up, and you do the same for them. She improved her diet as well, and running became her meditation. Ann talks about running in the middle of the day. It helps her shift from the left brain to the right brain. She chats about the Making Art Making Money semester.She's also launching a new website called com and has ArtistsWhoThrive.com. Move things from the “dream” category to the “plan” category. She took some a course on how to write a business plan at a small business development center to start her own art business. She was always very interested in marketing. She talks about running in Golden Gate Park, along Land's End, and the Presidio of San Francisco. Her goal is to enjoy her runs, break a sweat, and clear the cobwebs in her head. She paints contemporary landscapes and works in oil and charcoal. Her subject is color and light, and she was mentored by Wayne Thiebaud. You don't need to be an artist to be inspired. Ann shares a story about several years ago when she was working as a project management consultant. Two of her co-workers had Stage 4 cancer, and she gained a new perspective on life. Fear is just an illusion that is not going away, so stare it down and run through it. She mentions a book called Uncertainty: Turning Fear and Doubt into Fuel for Brilliance by Jonathan Fields. Please find a doctor that you feel comfortable with and who is integrative if you're having any mental challenges. Every body is different, and we evolve. So at the end of the day, you're responsible for your happiness. Don't forget to join the TRLS e-mail list by going to therunninglifestyle.com/join today for special announcements! Serena Marie, RD Serena gets feisty about the scale this week and explains the science behind water weight associated with runners. When Kari was a Weight Watcher facilitator for seven years (2006–2012), she was trained to say, “If you're trying to lose weight, you should not get on the scale every day. If you're trying to maintain weight, then getting on the scale every day is OK.” Serena's take is that the National Weight Control Registry recommends to weigh frequently. This is good especially for someone who is tracking his or her weight to look at trends. This is a really important topic, because it drives Serena crazy as a dietitian, and it drives many of her clients crazy as well. She talks about why water weight is a real thing and explains the science behind it. There's an app called Happy Scale where you can track your weight daily, and it gives you an average so you can see the trends. Specifically for runners, they may be especially susceptible to the scale changing. When you run, it's an inflammatory process. We're creating oxidative stress in the body. The threshold of when that stress becomes overwhelming to the system will vary per person. We can train our bodies to adapt to high mileages, but there is going to be an immediate, acute, short-term effect of inflammation and stress to the body. When you run a marathon, you might find that you gain weight. A capillary leak happens, where you've caused stress to the body, and it makes your blood vessels leaky. When that happens, a protein responsible for keeping water in the right place leaks outside of the cells, which can cause water retention. During Serena's first marathon (as a senior in college), she gained weight. It's important to figure out what the right distance is for you and what makes your body feel good. Being injured, Kari now has a different perspective on how much she really wants to run and how much her body can take down the road. Serena is very interested in whether or not high-mileage running causes damage to the body. How do you measure and hold yourself accountable? Weight frequently, write down trends, take before/after pictures in the same lighting and clothing, and use a measuring tape to record progress—not by the number on the scale. Any negativity in the struggle to lose weight will knock you down. Gratitude Jar (Woot! Woot!) Serena is grateful for receiving e-mails from her clients when they tell her victories that they have had. One of her current male clients has a lot of weight to lose, and he's doing well with little changes in his life. Kari is grateful for a quote that has been her mantra for 2016: “Promise yourself To be so strong that nothing can disturb your peace of mind. To talk health, happiness, and prosperity to every person you meet. To make all your friends feel that there is something in them To look at the sunny side of everything and make your optimism come true. To think only the best, to work only for the best, and to expect only the best. To be just as enthusiastic about the success of others as you are about your own. To forget the mistakes of the past and press on to the greater achievements of the future. To wear a cheerful countenance at all times and give every living creature you meet a smile. To give so much time to the improvement of yourself that you have no time to criticize others. To be too large for worry, too noble for anger, too strong for fear, and too happy to permit the presence of trouble. To think well of yourself and to proclaim this fact to the world, not in loud words but great deeds. To live in faith that the whole world is on your side so long as you are true to the best that is in you.” —Cristian D. Larson, an American New Thought leader Kari also likes the following: “Eyes on your own plate.” ~ Serena Marie, RD “You don't need to carb load for your desk job.” ~ Serena Marie, RD “When you point the finger at someone else, you have four fingers pointing back at you.” During the Gratitude Jar segment next week, Kari will read a listener's e-mail. Shout out and thank you to Bethany and Alexis for meeting Kari in Phoenix, AZ! Next week, Kari talks with Ashley Reaver, RD, a registered dietitian, who specifically works with endurance athletes at Inside Tracker. Serena Marie, RD, chats about blood sugar and a product that might be able to help diabetics. The Delaware Marathon Festival in Wilmington, DE, will be on Saturday, May 7 (5K and kids race) along with a TRLS dinner meetup (details to come). Reach out to Kari to let her know if you can meet up! On Sunday, May 8, the marathon, half marathon, and the relay races take place. Kari will be the relay race finish line announcer. Contact: Ann Rea: Website: AnnRea.com Twitter: @annrea Facebook: /annreainc Serena Marie, RD: Website: www.SerenaMarieRD.com Facebook: /SerenaMarieRD Twitter: @SerenaMarieRD Instagram: SerenaMarieRD Kari Gormley: Facebook: The Running Lifestyle Show Twitter: @KariGormley Instagram: @KariGormley
Today’s episode focuses on "transformational" weight loss and the important, yet different, roles of diet and exercise in weight management. Today my guest is James O. Hill, Ph.D., the founding Executive Director of the Anschutz Health and Wellness Center at the University of Colorado Anschutz Medical Campus. One of America's foremost experts in weight management, he has spent over 25 years researching the causes of weight gain, adiposity, and obesity and how to prevent or treat these problems. He leads over 100 researchers studying obesity, has published over 500 scientific articles and lectures widely about weight management. He is a key developer of the America on the Move program and is well known as a co-founder of the National Weight Control Registry, which follows over 6000 people who have lost weight and kept it off permanently.Dr. Hill's work strives to give people, in simple terms, the basics of weight management and show how you can make simple changes in your lifestyle that dramatically change your body weight. You can read the full show notes here.
Meet Catherine Gordon. She is an ACE Cetrified Personal Trainer, and a member of the National Weight Control Registry. In 2008 she overcame a lifetime of struggle with overweight and obesity by giving up sugar, and the foods that turn quickly to sugar in the body. Back when Catherine was in the middle of her obesity struggle, she searched high and low for stories of people who had lost fat for good, and she discovered Jimmy Moore's Livin' La Vida Low Carb Show, and Sean Croxton's Underground wellness. She found so much great inspiration and information there, that she decided to create a podcast too. Today she shares her story. http://sugarfreedom.com youtube.com/c/sugarfreedom
Guest James Hill, Ph.D., Founding Executive Director of the Anschutz Health and Wellness Center at the University of Colorado, co-founder of the National Weight Control Registry, and co-author of State of Slim, talks about healthy weight, and surprising factors influencing the number on the scaleJames O. Hill, Ph.D.
Established in 1994 by Rena Wing, PhD, from Brown Medical School and Jim Hill, PhD, from the University of Colorado, the National Weight Control Registry (NWCR) is the largest prospective investigation of long-term successful weight loss maintenance. NWCR is currently tracking more than 10,000 people who have successfully lost weight and kept it off. To be included in the database, individuals must be 18 years or older, have lost a minimum of 30 pounds, and have kept the weight off at least one year. Todd shares findings from NWCR that all of us can incorporate into our lives whether we want to lose weight, or simply maintain our current weight.
The Dr Fitness and the Fat Guy Radio show is your source for what's true and what's too good to be true in health and wellness. In today's Wellness Minute we analyze what behaviors work if you want to lose weight. By looking at what has worked for the people who are on the National Weight Control Registry (NWCR) we can see what works for them and what might work for you. Take a listen right now to hear Dr Fitness' tips. Dr Fitness and the Fat Guy's Wellness Minutes improve your health in 3 minutes a day or less. Now available on iTunes right herePlease check out our Doctor Fitness and the Fat Guy Blog for inspiration, education, motivation and more tips about losing weight and getting in shape. Also check out our brand new redesigned website to subscribe to our FREE weekly healthy living newsletter and enjoy all the benefits of our online diet and weight loss plan community. You can also email Dr. Adam Shafran there with your specific health, fitness, weight loss, wellness questions and he will personally answer each one. Promise!! Don’t forget to look us up on all your favorite Social Networking sites like: Facebook, MySpace, Friendster, Bebo, Self Growth, Imeem, Squidoo, Xanga and more. Please don’t keep us a secret, if you enjoy Dr Fitness and the Fat Guy please forward this on to a friend and put links to our website and show on blogs and message boards you enjoy. Thanks!
How would you like to lose some weight and more importantly, keep it off? That's probably a pretty dumb question since millions of Americans seem to constantly wrestle with the battle of the bulge. Today we welcome back one of the country's leading authorities on weight loss, Dr. Jim Hill, from the University of Colorado. He is the co-founder of The National Weight Control Registry and also the co-founder of the America On the Move program. He answers callers' questions and gives listeners the truth about what it takes to achieve and maintain a healthy weight. Dr. Hill takes calls.