[HN Gopher] South Asian people undergo type 2 diabetes remission...
___________________________________________________________________
South Asian people undergo type 2 diabetes remission with low
calorie diets
Author : PaulHoule
Score : 128 points
Date : 2022-11-27 17:08 UTC (5 hours ago)
(HTM) web link (medicalxpress.com)
(TXT) w3m dump (medicalxpress.com)
| chrisgd wrote:
| I read a transcript of an endocrinologist suggesting intermittent
| fasting (don't eat after 6 and wait as long as you can before
| your first meal - start with 10am and keep pushing back as long
| as you can). Then eat only veggies for your first meal, then
| veggies and a deck of cards serving of meat for dinner.
|
| Honestly, it sounds very difficult, but the doctor seemed very
| confident that this works. I have started trying this (not T2,
| but need to lose weight)
|
| Anecdotally, a lot of people have suggested keto and low-carb
| diets having been successful for them.
|
| The source was Tegus (https://www.tegus.com/) which my company
| had a free trial.
| bitwize wrote:
| C-f fasting
|
| You never disappoint, Hackernews.
| adrian_b wrote:
| When losing weight, it is important to continue to eat a normal
| amount of proteins, essential fatty acids, vitamins and
| minerals.
|
| Only either the carbohydrates or the (non-essential) fats or
| both must be reduced. It does not matter which of them is
| reduced, as long as the total calorie amount is restricted
| enough. It may matter only due to personal preferences, which
| may make one variant or the other easier to support.
|
| One must use some digital scales for measuring the weight every
| day at precisely the same moment, because the weight varies
| during a day by much more than the difference between 2
| successive days. An appropriate rate of losing weight is
| between 100 grams and 200 grams per day, e.g. about 1 kg per
| week. If the measurements show another rate, then the amount of
| daily food must be increased or decreased until the rate is in
| range.
|
| Regardless with which diet you start, if you adjust the amount
| of carbohydrates and fat according to the daily weight
| measurements, in a week or so you will converge to the right
| amount of daily food. However, this requires to measure by mass
| or by volume all the food eaten. Those who do not succeed to
| lose weight fail because they either do not measure what they
| eat or they cannot abstain from eating more than what they have
| planned to eat.
|
| Losing the weight is the easier part. More important is to plan
| a diet for after reaching the target weight, a diet that will
| keep the weight constant, i.e. which must still be calorie-
| restricted, but at a normal level, and which must be appealing
| enough, so that one would never be tempted to eat again in the
| way that caused the overweight in the beginning.
| fock wrote:
| > One must use some digital scales for measuring the weight
| every day at precisely the same moment, because the weight
| varies during a day by much more than the difference between
| 2 successive days.
|
| or just do a moving average over some days. Works better.
| ramraj07 wrote:
| The consensus from the most sensible people is, do the diet you
| can stick to, in the end just eat less. That's most important.
| theduder99 wrote:
| yep, same deal with exercise. Doesn't matter how, I just
| wanted some type of movement that I could get into the habit
| of. Tried a bunch of different activities but was not able to
| form a habit until I got a rowing machine and even then I
| still have days where I don't want to use it :)
| balls187 wrote:
| For those days, find something less, like light stretching,
| outdoor walk, skipping rope etc.
| imwillofficial wrote:
| My Candy diet isn't having the results I desire. It is,
| however, delicious.
| chrisgd wrote:
| Not sure I agree
| yazaddaruvala wrote:
| > Then eat only veggies for your first meal, then veggies and a
| deck of cards serving of meat for dinner.
|
| > lot of people have suggested keto and low-carb diets
|
| Just always remember: while rice, pasta and bread are
| vegetarian they are not vegetables.
| panabee wrote:
| 1. the conclusions were based on 25 adults. is this a valid
| sample size?
|
| 2. why is liver fat a driver for diabetes? the article and the
| paper don't address this.
| wrycoder wrote:
| Isn't this obvious?
| yjftsjthsd-h wrote:
| Why would it be obvious? For that matter, since I'm out of the
| loop, what's the mechanism for losing fat to improve insulin
| control?
| chasebank wrote:
| I thought this was common knowledge. Type 2 diabetes is 100%
| reversible through diet.
| Retric wrote:
| Early Type 2 is generally reversible through diet, but
| untreated you can suffer irreversible harm.
| oaktrout wrote:
| Simply put fat worsens insulin resistance. The mechanism is
| complex, basically fat causes inflammation that causes cells
| to not respond appropriately to insulin. This leads to
| elevated blood glucose and all the effects of diabetes.
| Remove the fat, decrease inflammation, improve insulin
| resistance.
| JPLeRouzic wrote:
| > _Isn't this obvious?_
|
| Please consider wondering why no doctors/scientist know how to
| heal people with diabetes. Do they miss something obvious?
| Vt71fcAqt7 wrote:
| While not exactly obvious, this has been known for a while
| now. It even became the position statement of the American
| College of Lifestyle Medicine to restrict calories as a way
| to induce remission:
|
| > _Studies with therapeutic dosing typically used very low
| energy diets (600-1100 kcal /day) with a weighted mean
| remission rate of 49.4%, while studies with subtherapeutic
| dosing typically used more moderate caloric restrictions
| (reducing energy intake by 500-600 kcal/day) and the weighted
| mean remission rate was 6.9%. Conclusions. Remission should
| be the clinical goal in T2D treatment, using properly dosed
| intensive lifestyle interventions as a primary component of
| medical care for T2D patients._[0]
|
| So while not exactly _obvious,_ it isn 't true that "no
| doctors/scientist know how to heal people with diabetes." The
| real issue is that people with DMT2 _generaly_ will not
| accept low calorie diets. But those that do have a high rate
| of remission and almost all have improved symptoms and
| decreased progressions.
|
| Edit: I should note that obviously the American College of
| _Lifestyle_ Medicine would advocate for this. My point is
| that there is sufficient liturature to back this up.
|
| [0]Type 2 Diabetes Remission and Lifestyle Medicine: A
| Position Statement From the American College of Lifestyle
| Medicine (2020) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC
| 7692017/?report...
| PuppyTailWags wrote:
| Wait, how long are people expected to be on 600-1100
| kcal/day? Just for a little worse than a coin flip? That
| sounds really miserable. Isn't that basically a crash diet
| and no one stfus about not doing those because they can
| mess you up long term?
|
| I'm really confused how T2D are special such that crash
| dieting doesn't mess them up further and put them further
| in a hole. They're already messed up because of the T2D,
| aren't they?
| Vt71fcAqt7 wrote:
| VLCDs are very safe, much safer than say all the co-
| morbidities of obesity. The important thing is to chose
| the right things to eat for those few calories. It also
| assumes a sedantary office lifestyle with only minimal
| exercise. If you work out or run you will need more. With
| these caveats it is safe and effective and works for
| obesity, type-2 diabetes and some metabolism problems.
|
| It really is that simple. The first law of thermodynamics
| doesn't go away so simply. Combine that with the
| evolutionary preassure that favors those who can save and
| expend energy and this all makes perfect sense. For
| example, increased insulin sensitivity on a low calorie
| diet makes sense evolutionarily. The only drawback is
| that muscle will be consumed as well. The amount varries
| by person, diet and exercise but it is minimal with a
| high protien diet. So say eating 500 kcal of chicken
| brest everyday and the rest of the calories spilt between
| carbs and lipids would be a good way to do this diet.
|
| "Crash diets" _do_ work as long as you do it for a few
| months. People generaly do a few days and then start
| binging >200 TDEE. Obviously that won't work:
|
| > _The active stage is characterized by a very low-
| calorie diet (600-800 kcal /day), low in carbohydrates (<
| 50 g daily from vegetables) and lipids (only 10 g of
| olive oil per day). The amount of high-biological-value
| proteins ranged between 0.8 and 1.2 g per each Kg of
| ideal body weight in order to preserve lean mass and to
| meet the minimal daily body requirements. This stage is
| further divided in 3 ketogenic phases: in phase 1, the
| patients eat high-biological-value protein preparations
| five times a day, along with vegetables with low glycemic
| index. In phase 2, one of the protein servings is
| replaced by natural proteins such as meat/egg/fish either
| at lunch or at dinner. In the phase 3, a second serve of
| the natural protein low in fat replaced the second serve
| of biological protein preparation. Being a very low
| caloric nutritional pattern, it is recommended to
| supplement patients with micronutrients (vitamins, such
| as complex B vitamins, vitamin C and E, minerals,
| including potassium, sodium, magnesium, calcium; and
| omega-3 fatty acids) according to international
| recommendations. This active stage is kept until the
| patient loses most of weight loss target, about 80%.
| Therefore, the ketogenic phases are variable in time
| depending on the individual and the weight loss target.
| The active stage generally lasts between 8 and 12 weeks
| in total._[0]
|
| [0] _The management of very low-calorie ketogenic diet in
| obesity outpatient clinic: a practical guide_ (2019)
|
| https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6820992/
| PuppyTailWags wrote:
| They sound miserable, though, is what I'm saying. How are
| VLCD people expected to do any sort of fitness or do any
| sort of mentally taxing labor if they're hungry and
| running on little nutrition basically all of the time for
| months? That seems totally unreasonable unless we send
| obese people to some kind of clinic like we do for
| addicts, and then how do they adapt back into the real
| world? Are there any actual studies of people doing this
| long-term and how this affects their bodies?
|
| I was always told crash diets fuck you up for years. How
| can this be true and also people are apparently starving
| for months and that's totally fine?
|
| EDIT: Wait, is my understanding is that you have to
| starve for up to 4 months for a worse-than-coinflip
| chance at diabetes? Do we know if it stays off for 5
| years? 10 years? Do you have to coinflip again? What
| happens if it doesn't work?
| ddorian43 wrote:
| Pretty easy to do it with low carb diets. See virtahealth
| that is FDA approved
| CyberDildonics wrote:
| Robert Lustig has been giving the same presentation for over
| a decade showing statistics that people who stop eating sugar
| can reverse their type 2 diabetes.
|
| https://www.youtube.com/watch?v=dBnniua6-oM
| oaktrout wrote:
| Most doctors know how to heal people with type 2 diabetes, at
| least if you catch it early enough. It is well known that if
| you lose weight and eat a healthy diet the insulin resistance
| is reversible (some others in this thread have provided
| citations showing this).
| abadger9 wrote:
| This happened to my grandmother! I frankly never believed it
| because we're taught one cannot go into remission, but one day in
| her 60s she no longer had to manager her diabetes.
| lizardactivist wrote:
| It always amazes me that all types of nutrition are folded into
| the single "calorie" in these discussions.
| nixcraft wrote:
| In South India, they have a carbohydrate-rich diet. So when you
| get hit badly with T2D, you switch to fish, limited brown/red
| rice, and veggies. In most cases, all of your medication stop if
| you maintain your weight and diet with exercise. Unfortunately,
| only some maintain a diet and healthy weight. Even 10 kg weight
| loss gives far better control for T2D.
| myshpa wrote:
| Low calorie diet is not the only way how to reverse diabetes. One
| can eat to satiety and lose weight & reverse diabetes at the same
| time.
|
| https://www.youtube.com/watch?v=tAiXvrIMIIE Neal Barnard, MD | A
| Nutritional Approach for Reversing Diabetes
|
| https://www.youtube.com/watch?v=lSwL73evUdA Diabetes Reversal and
| Weight-loss with Neal Barnard, M.D.
|
| https://www.youtube.com/watch?v=EpRrD58Ah3Q Evidence-Based Weight
| Loss: Dr. Michael Greger
|
| https://www.youtube.com/watch?v=7rNY7xKyGCQ How Not To Die : Dr.
| Michael Greger
| MuffinFlavored wrote:
| Eat to satiety while focusing on certain types of foods/drinks
| instead of others?
| knaik94 wrote:
| The amount of calories per day caught my attention, 850kcal/day
| with diet replacement products. I understand that with medical
| supervision, there is less risk of malnourishment or nutrients
| deficiencies.
|
| The general advice, even from my primary care physician, has been
| that anything less than 1200kcal/day is dangerous and is crash
| dieting. Looking around, I found this other study studying total
| diet replacement providing 810kcal/day as the sole food for 12
| weeks, showed significantly greater weight loss compared to
| standard counseling and modest energy restrictions. The
| difference in weight loss was measured at 12 months. (BMJ
| 2018;362:k3760 [1])
|
| 25 BMI, which the diabetes study used in addition to T2D, is not
| considered clinically obese in the US. 25 BMI is the line between
| clinically normal and overweight. I wonder if crash dieting is
| advised against on the assumption that most people will go back
| to unhealthy eating habits instead of changing their diet, and
| also become more likely to fall into binge-restrict cycles. It's
| easy to imagine that if someone is able to make meaningful
| changes, crash dieting is more effective than most other methods.
|
| [1] https://www.bmj.com/content/362/bmj.k3760
| xboxnolifes wrote:
| > The general advice, even from my primary care physician, has
| been that anything less than 1200kcal/day is dangerous and is
| crash dieting.
|
| Wouldn't this advise need to keep in mind absolute height? BMI
| tracks the ratio between the height and weight, but it does
| nothing to tell the difference between a short thin person and
| a taller heavier (but same BMI) person. The latter which would
| need more calories than the former. I know people who eat ~400
| kcal less than me per day, because they are shorter and
| similarly thinner. Following that why wouldn't their crash diet
| threshold be sufficiently lower?
| maximus-decimus wrote:
| The argument I've heard is that the other nutriments needs
| (vitamins, minerals, etc) don't scale as much with height. So
| even a very short person would have a vitamins/mineral
| deficit on less than 1200KCal per day.
|
| How true is it? I don't know. But even then I don't see why
| they couldn't take multivitamins.
| throwaway09223 wrote:
| Many American diets are calorie/energy rich and nutrient
| poor. If you're eating 400 calories of healthy food you're
| probably getting several times the vitamins and minerals of
| the average American eating 2500 of fried, sugary food.
|
| It's probably a mistake to connect the two.
| dragontamer wrote:
| Beef is very nutrient rich.
|
| Yes, we Americans overeat beef / Hamburgers, but I don't
| think anyone eating burgers is at huge risk of
| malnutrition... as much as a risk of heart problems,
| diabetes, cholesterol, etc. etc.
|
| It turns out that a standard burger with beef, ketchup,
| lettuce, onion, and bread covers most of your macro, and
| even micro-nutrients. It also is way overboard on salt
| and fats, but... that's not the particular problem here.
|
| One of the bigger problems vegetarians have is finding a
| proper replacement of meat and all of the easy nutrients
| meat contains. All amino acids, various vitamins, iron,
| etc. etc. There's a fair amount of nutrients here.
|
| And even the worst McDonalds burger contains a variety of
| lettuce / onions / ketchup that covers few nutrients that
| beef is missing (ex: Ketchup has Vitamin A, Potatoes /
| Fries has Vitamin C).
| carlmr wrote:
| >And even the worst McDonalds burger contains a variety
| of lettuce / onions / ketchup that covers few nutrients
| that beef is missing (ex: Ketchup has Vitamin A, Potatoes
| / Fries has Vitamin C).
|
| The amount of lettuce, tomatoes and onions is so minimal
| I doubt it contributes to your vitamin intake in any
| useful manner. If you eat a salad you get 50x that amount
| of those vitamins.
| AmericanChopper wrote:
| You can supplement all your micronutrients with barely any
| impact on calories consumed, so this is going to depend
| specifically on what you're eating/supplementing.
| knaik94 wrote:
| My understanding is that 1200 kcal is independent of height
| or weight. I was told that the rough calculation was based on
| the lower estimate of basal metabolic rate and then
| subtracting a couple hundred kcal.
|
| We both come from a South Asian background and discussed how
| the number would change for a home cooked vegetarian diet
| which is more nutrient dense but low in protein, and I was
| told that would lower it below 1200, but he didn't feel
| comfortable recommending that diet unsupervised. He
| emphasized that I should decrease calories by removing carbs,
| then fats, then proteins. And that I should prioritize eating
| proteins above fats and carbs, especially if I planned on
| increasing the amount of exercise I did.
|
| I asked him if the 1200kcal was net or gross. For example if
| I did 2 hours of moderate exercise, should I eat back
| 400kcal+ to maintain a net 1200kcal. He didn't have an answer
| for me, other than saying, if I start to feel weak or
| lightheaded I should immediately stop exercising. I don't
| have pre-existing conditions related to blood glucose, but I
| imagine that would would change many of these guidelines. I
| was told to stay mindful of hydration.
|
| The stories I hear of fasted work outs is the reason I asked
| him about low calorie diets. My non professional intuition
| makes me believe that even intense cardio should be okay, but
| moderate or heavy resistance training should be avoided on a
| low calorie diet.
| sacnoradhq wrote:
| Evidence needed: define "dangerous" in terms of micromorts
| based on what BMR and demographics (i.e., age, BMI, FFMI,
| height, gender)?
|
| There are risks to ponder about how critical (e.g., time vs.
| dangers) it is to get to a healthy weight. If someone
| dangerously obese maintains hydration, electrolytes, vitamins,
| and enough lipids to empty the gallbladder, getting to a low
| adipose tissue state, resetting insulin, ghrelin, and leptin
| sensitivities, and reducing the likelier risks of cancer(s)
| seems like a good tradeoff than either lap-band surgery or
| slow/plateau weight reductions.
|
| Intense hunger goes away after about 72-80 hours of
| "starvation", however brain fog and low energy dominate.
| Careful "starvation" dieting down to slightly underweight isn't
| something one can do without several months of spare time,
| ready access to healthcare, and immense self-control.
| Afterwards, self-control is absolutely required to avoid binge
| cycles.
|
| GLP-1 agonists are expensive but interesting crutches to get
| there slowly.
|
| It is likely that over millions of years of natural selection,
| the human body is far more tolerant of borderline starvation
| conditions than being stuffed with HFCS. Many types of cancers
| associated with Western diets are likely due to the human body
| becoming more hospitable, whereas chemotherapy and starvation
| add cellular stress that kills off malfunctioning cells. It's
| likely no accident whereas CHD, gout, diabetes, high
| cholesterol, and cancers are the consequent of unnatural diets
| and lifestyles.
| wincy wrote:
| Interesting, when I lost 80 pounds doing a ketogenic diet my
| appetite leveled off at exactly 1200 calories per day. I wasn't
| counting calories out of anything other than curiosity as I was
| losing weight anyway. Getting even lower would have been pretty
| difficult.
| mmmpop wrote:
| I did a lot of ketogenic diets when I was younger in an
| attempt to shed all of the weight that comes with being
| raised in Appalachia. It was my experience that it was a
| great kickstart to a weight-loss plan for someone who was at
| rock-bottom health and needed fast results while not feeling
| like you're starving.
|
| But I feel like it taught me to be bored with eating, and to
| establish a more healthy relationship with food. High-fat,
| mid-protein, low-carb sounds terrific for the first day or
| two but once you're two weeks in, you're so sick of it all
| that you'd just as soon drink some water and get back to
| whatever you're doing.
| wincy wrote:
| Well I mean it worked for me because if I eat sugar I end
| up consuming something on the order of 4000+ calories per
| day. Something about carbohydrates makes me absolutely
| ravenous for sugars.
|
| Also if I don't eat right as I feel hungry I'll feel as if
| someone has gut punched me. I get absurdly hungry.
| JamesianP wrote:
| Even artificial sweetener leads to craving carbs in my
| case.
|
| As for the "gut punch" though, sounds like gastritis or
| something. Unless you're being metaphorical. For me,
| water helps when I'm fasting and stomach pains start.
| matthewdgreen wrote:
| This feeling is so intense for me that I've come to
| believe it's something to do with the carbs and my gut
| microbiome changing. There's a 1-2 week delay between
| changing diets and having these hunger pains start/stop
| that makes this feel more credible to me than insulin
| response changes or diet boredom. But: one should not
| treat N=1 subjective experiences as having any real
| value.
| MuffinFlavored wrote:
| dumb question: how easy is it for the average person to go from
| an "American" diet high in addictive things like bad fats, corn
| syrups, processed foods, etc. etc. to a "clean" 1200kcal diet?
|
| I was under the impression it was like trying to fight drug
| addiction and the chances of you sustaining it and not
| relapsing/making up the missed calories later as near
| impossible for most once you've become addicted enough to
| things like Diet Coke, Chik-Fil-A, etc.
| browningstreet wrote:
| David Goggins lost 100 lbs in 3 months on an 800ish calorie
| diet. I'm not recommending that... but what you can accomplish
| when you own it versus doing it for other reasons is probably
| significant too. Especially for when the "diet" (or whatever
| word is preferred, a la "intervention") ends.
|
| I lost 60 lbs over a couple of years and set a state lifting
| record for my age group. I love what I do and kept the excess
| weight off. I got good at what I do and the intrinsic reward
| still burns, even though I'm not lifting for records anymore. I
| wake up every day ready to go hard for at least 50 minutes. It
| doesn't take me more time than that to stay in shape, but I do
| eat consistent with my goals.. which is the harder part.
|
| I personally think someone needs to really own their desired
| outcome and then there are many valid and healthy ways -- and
| even more "effective" ones -- to get there. Hard to measure
| "own" though. Measuring every different kind of modality is
| generally missing the point. We actually know how people get in
| shape and stay in shape. The problem is generally in the mind.
| lhl wrote:
| There's a long history of studies showing Low-Calorie Diets as
| being effective for reversing T2D. The late Sarah Hallberg wrote
| a narrative review that I liked a lot a couple years back (see
| section 3.2 for the part on LCDs):
| https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6520897/
|
| Hallberg SJ, Gershuni VM, Hazbun TL, Athinarayanan SJ. Reversing
| Type 2 Diabetes: A Narrative Review of the Evidence. Nutrients.
| 2019 Apr 1;11(4):766. doi: 10.3390/nu11040766. PMID: 30939855;
| PMCID: PMC6520897.
| seltzered_ wrote:
| https://www.ncl.ac.uk/magres/research/diabetes/reversal/#pub...
| "Reversing Type 2 Diabetes and ongoing remission" was in my
| bookmarks on this, there's a book written about it too.
| 0xcde4c3db wrote:
| > Furthermore, long-term achievement of diabetes remission,
| adherence to the diet, and weight loss maintenance after the
| diet remain a challenge. Studies have also suggested that
| physiological and metabolic adaptation of the body in response
| to caloric restriction may shift energy balance and hormonal
| regulation of weight toward weight regain after weight loss
| [67,68]. Thus, it is crucial that future studies are directed
| towards assessing the long-term sustainability of diabetes
| remission led by LCD and feasibility of this diet on the
| physiological adaptation and body composition changes.
|
| The basic problem, which has been unchanged for decades, is
| that hardly anyone actually follows the "proper" diet on a
| long-term basis without some kind of surgical or drug
| treatment. Despite weight loss being a massive industry and a
| very common goal, researchers routinely struggle to find study
| subjects who have maintained significant long-term weight loss
| without medical interventions, to the point that there's a
| special registry to keep track of such people for scientific
| purposes [1].
|
| [1] http://www.nwcr.ws/
| Vt71fcAqt7 wrote:
| Most people don't announce to scientists that they've lost
| weight. Lot's of people _do_ lose weight and stay that way,
| it 's just that there are even more who don't.
|
| Consider that the rate of obesity continues to increase in
| the US. This shows that people are simply eating more and
| doing less exercise. And of course those that are already
| obese are the least likley to consume healthy ammounts of
| food and exercise as needed.
|
| In other words, yes, the issue with overeating is in fact
| overeating. The only way to solve this problem for the whole
| population (as in, not for a single individual) is to change
| society and how it views unhealthy food. Off the top of my
| head, fast food advertisments should be made illegal. The
| entire point of those ads to get people to eat fast food.
| This single step could reduce obesity in the US by a
| noticable amount and requires no loss of freedom to any
| individual. A sugar tax or the like is a more extreme
| solution. But this idea is not unfounded:
|
| > _Sugar, rum, and tobacco are commodities which are nowhere
| necessaries of life, which are become objects of almost
| universal consumption, and which are therefore extremely
| proper subjects of taxation._
|
| -Adam Smith
|
| Book V: On the Revenue of the Sovereign or Commonwealth
| Chapter III: On Public Debts
|
| https://www.adamsmithworks.org/documents/chapter-iii-of-
| publ...
| kortilla wrote:
| > Off the top of my head, fast food advertisments should be
| made illegal
|
| This is ridiculous. Nearly everyone I know who is
| overweight eats hardly any fast food.
|
| What I do see is lots of snacking throughout the day on
| high carb things (chips, breads, etc) and just way too many
| calories due to large serving sizes in both regular "slow
| food" restaurants and meals made at home.
|
| Fast food meals if you skip the sugared soda tend to be
| closer to proper per meal calorie targets than sit down
| restaurants because of how cheap they are.
|
| At sit down restaurants the price is higher to support a
| wait staff and lower throughput so they compensate with
| ridiculously huge portions.
| hombre_fatal wrote:
| Apparently one major issue with fast food is the
| hyperpalatability.
|
| For example, when I visited my family in the states, I
| ate two double cheeseburgers at a fast food joint at
| 1000+ calories per burger, and I figured I could probably
| eat two more in that sitting without issue.
|
| In other words I ate 2000+ calories in a few minutes and
| could have kept going. Even one burger has more calories
| than I eat in a single meal.
|
| Meanwhile, I couldn't eat 15 medium sweet potatoes (1000
| calories) in one sitting.
| JamesianP wrote:
| But why would you do that? I think it's just calorie
| density and behavior. You might just as well have eaten a
| bucket of ice cream as fast as you could. I.e. before
| your rising blood sugar has a chance to stop you.
|
| Though I do think the public would be better off if they
| replaced the bread with lettuce or something. It seems
| like they're willing to do that anywhere I've gone.
| syliconadder wrote:
| It doesn't help that these calorie dense food are
| hyperengineered to trigger our hunger more. A personal
| prohibition seems to be the only way to tackle this.
| adrian_b wrote:
| Seeing that there are more than 10 thousand US people in that
| database, which is unlikely to be complete, I do not think
| that "hardly anyone" is the right term.
|
| Nevertheless, I agree that such people might be a very small
| part of those who lose weight.
|
| About 15 years ago, I have lost about one third of my initial
| body weight during almost a year, and then I have kept my
| desired weight until today, without any kind of medical
| treatment, either surgical or drug-based.
|
| Nevertheless it was not easy and it required a lot of thought
| and experiments with the diet, until I have learned how to
| control my weight, after many years during which I had
| believed that this is impossible. It also required completely
| dropping many bad habits, for example drinking commercial
| juices or eating commercial mixes of yogurt with fruits or
| eating various kinds of "breakfast cereals" or any other such
| commercial products containing an excessive amount of sugar.
| I have never eaten or drunk again any of the products that I
| have blacklisted, even if they were among those that I had
| eaten or drunk daily, for many years.
|
| I believe that most people are not introspective enough to
| succeed in changing so much their habits by themselves so
| they need some kind of external help. The main obstacles for
| weight control are psychological, not physiological, i.e.
| those who need to control their weight must learn somehow to
| love to eat food that is different from what they had been
| eating, because if they will ever revert to their old eating
| style, then they will certainly also revert to their previous
| weight.
| ravenstine wrote:
| Link to the actual published article:
| https://www.thelancet.com/action/showPdf?pii=S2772-3682%2822...
|
| What doesn't make sense to me is what this diet was actually
| composed of.
|
| > The programme induces weight loss with a period of formula low
| energy TDR, providing all essential nutrients in around 850 kcal/
| day, creating a sizable energy deficit and therefore substantial
| weight loss.
|
| Given that Counterweight Plus can be many things (judging by the
| website), I don't know what this study actually demonstrates.
| Maybe the weight loss and remission is associated with the lower
| energy intake, or it may be associated with whatever diet may
| have been eaten. What were the subject's diets before? We don't
| know. Correct me if I'm wrong, but I'm not sure we can tell.
| _JoRo wrote:
| ;TLDR: Anecdotally, I've found it easier to lose weight / harder
| to sustain weight after a few months of consistent exercise.
|
| Mostly unrelated to this article and perhaps naive, but I found
| it very difficult to gain weight (and even sustain my weight)
| about 2 months after starting a 5/6 day cardio routine.
|
| I started the routine walking at ~20 minute mile pace (3 mph) and
| just incrementing the speed by 0.1 mph each session. At the 2
| month mark I was ~8 minute mile (so about 7-8 miles a day).
|
| At this point I was probably burning an additional 750-1k
| calories a day from the running alone.
|
| Combined with a slightly less calorie dense diet and I was
| basically force feeding myself to try and maintain my weight.
|
| Background: Late 20s 5'11" Male ~180 lbs (obviously a more ideal
| situation)
| dpbriggs wrote:
| My parents, very much not South Asian, achieved the same thing as
| per their doctor's recommendation.
| oaktrout wrote:
| Yes, this has been shown in other populations already. I think
| the highlight of this study is that it worked in South Asians
| also, as some might question if genetics/ culture play a
| particular role. This adds to the evidence that weight loss
| works for diabetes in all ethnicities.
| PaulHoule wrote:
| It's worth checking that "obvious" advice works in different
| populations because it doesn't always.
|
| For instance African Americans have high blood pressure at an
| elevated rate and many of the medications that work well for
| other Americans don't work well for them. It's important that
| this population gets studies about treatments that work for
| them.
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