Earlier quoted context omitted.
How come that you think this?
Cause I just lost 48lbs without using any willpower: https://exfatloss.substack.com/p/losing-43lbs-in-144-days-on...
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Excess weight, obesity more deadly than previously believed
71–80 of 151 posts
Re: Excess weight, obesity more deadly than previously believed
#72For those struggling, controlling your diet is the single most effective thing you can do to make progress on obesity. Much easier to say no to a 300 cal donut than to run 30 minutes. Cutting out the daily donut for two weeks is about a pound of fat. Maybe we need a “just say no” to junk food campaign like we had in the 90s. Lean meat, tofu, tempeh, seitan, veggies, low calorie sauces, limited fruits, protein smoothi…
Studies don't really support that. They show that rapid weight loss is more effective, but slightly worse for body composition. And slower weight loss is of course the opposite. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5702468/
+1 for the rapid fat loss. It's just that we don't even really know how to do one or the other reliably :)
Re: Excess weight, obesity more deadly than previously believed
#73Earlier quoted context omitted.
Cause I just lost 48lbs without using any willpower: https://exfatloss.substack.com/p/losing-43lbs-in-144-days-on...
Give yourself some credit, you show a lot of evidence of willpower to try and execute things. If you are able to do 30 days of just about anything, you are better than most. ------- To emphasize: the real point is the meta-framework of experiments. Formulate a hypothesis, design a 30-day experiment, test it. I’ve probably done dozens of these over the years. Here are some examples from the last few years: 30 days of…
Ha, thanks :)
But I had that "willpower" for decades and didn't lose much weight. Certainly "pushing harder" didn't change anything.
And then flicking one little switch made it super easy with no willpower involved. So I just don't see how the willpower is related to losing fat.
Re: Excess weight, obesity more deadly than previously believed
#74Earlier quoted context omitted.
I don't try to adjust my food intake. Instead I adjust my exercise upwards if I gain a few pounds.
This approach his its limits. I used to run, climb, do boxing... eat whatever i felt like eating. But traumas do accumulate. 10 km a day becomes impossible. Joints, spine, heart - everything has limits. Counting calories isn't that hard and it works by the very definition of energy.
> Counting calories isn't that hard and it works by the very definition of energy.
It doesn't "work" unless your definition of "work" is "lost a few pounds of water weight over a few weeks." Certainly does not work when going from obese to normal weight.
Re: Excess weight, obesity more deadly than previously believed
#75For those struggling, controlling your diet is the single most effective thing you can do to make progress on obesity. Much easier to say no to a 300 cal donut than to run 30 minutes. Cutting out the daily donut for two weeks is about a pound of fat. Maybe we need a “just say no” to junk food campaign like we had in the 90s. Lean meat, tofu, tempeh, seitan, veggies, low calorie sauces, limited fruits, protein smoothi…
> Cutting out the daily donut for two weeks is about a pound of fat.
For many people, no it's not. Becuse their metabolism just decreases by the exact same amount they cut calories. They cut out the daily donut, and they find themselves fidgeting less and wearing a sweater because they're suddenly a little chilly a lot of the day. And the scale doesn't budge.
For many people, losing weight is a whole lot more complex than reducing by x calories per day. Getting your body to burn fat rather than slow its metabolism can be maddeningly difficult.
Re: Excess weight, obesity more deadly than previously believed
#76Earlier quoted context omitted.
It seems that they also make you lose tons of lean mass. Normal diets you lose 25% of the lost weight in lean, these seem more like 40%. https://peterattiamd.com/the-downside-of-glp-1-receptor-agon...
“Lean mass loss was 2.6% versus 10.9%. Those on tirzepatide had about a threefold greater reduction in fat mass than lean mass, resulting in an overall improvement in body composition. Fat mass as a proportion of overall body mass decreased from 46.8% to 44.7% with placebo, compared with 46.2% to 38.5% with tirzepatide. Similarly, lean mass as a proportion of body mass increased from 50.7% to 52.4% with placebo, comp…
Yea, their overall composition still improved of course, because they lost more than 50% in fat. But they lost more lean mass than people who lose that weight in other ways, is my understanding.
Re: Excess weight, obesity more deadly than previously believed
#77The health effects of obesity are well advertised yet people continue to eat a lot. You see it on social media: people dining out with friends at restaurants with large plates of food, huge Superbowl parties, etc. evidently these people are not concerned. There are three ways of looking at this: these people are obvious to the risk, do not care, or the risks of obesity or being overweight are overblown. If the NYTs c…
You're getting the causation reversed. These people are overeating because they're obese, not the other way around.
Re: Excess weight, obesity more deadly than previously believed
#78The health effects of obesity are well advertised yet people continue to eat a lot. You see it on social media: people dining out with friends at restaurants with large plates of food, huge Superbowl parties, etc. evidently these people are not concerned. There are three ways of looking at this: these people are obvious to the risk, do not care, or the risks of obesity or being overweight are overblown. If the NYTs c…
This is a joke, right?
Indulging in a Superbowl party or birthday dinner will not make you obese.
Overeating or eating poorly over a long period of time will.
Cooking can be a great way to have healthy tasty food affordably
Re: Excess weight, obesity more deadly than previously believed
#79Earlier quoted context omitted.
> Because it is. As you yourself allude to later... No its not. Its nowhere near demonized as it should be. > It clearly is not. I suspect the only people who believe that are the folks 'born on third base' as it were. It's a failure of self control. > Some people? The vast majority of people are overweight. Anyone who isn't fit & trim has no business commenting on anyone else's bad habits and moral failings. None. G…
> It's a failure of self control. Disagree. The root cause of the problem is that you can't apply to more willpower if you don't know how to actually fix it, and we don't. There are currently 0 known methods to lose fat sustainably. Yea, you can starve yourself for a few weeks in a thousand ways, but none of them lead to lasting fat loss. Neither does any kind of exercise. We need to find the true root cause, or this…
There aren’t any exercise (in whatever amount) that lead to fat loss? Sounds like massive cope.
It’s extremely obvious that doing something like running every day (if it leads to a calorie deficit) will make you lose fat.
Re: Excess weight, obesity more deadly than previously believed
#80Earlier quoted context omitted.
Ozempic and Wegovy. https://www.nytimes.com/2023/01/31/opinion/ozempic-weight-lo... https://archive.is/rnTGB https://www.npr.org/sections/health-shots/2023/01/30/1152039...
I wouldn't try these until they've been studied further: https://peterattiamd.com/the-downside-of-glp-1-receptor-agon...
From the linked article:
>Among these patients, lean mass accounted for approximately 39% of total weight loss – substantially higher than ideal. In a substudy of 178 patients from the SUSTAIN 8 trial on semaglutide as a diabetes treatment, the average proportion of lean mass loss was nearly identical at 40%, despite lower doses and less total weight loss than in the STEP 1 trial. [...]
Or in other words, 60% of the weight loss was in fat. The article paints this as concerning, but doesn't provide justification why. Sure, it'd be better to have 0% lean body mass loss, but how does 40% stack compared to calorie deficit diets? The mechanism of action behind the drugs is to cause you to eat less, and if the side effects are consistent with eating less, I don't see why people should be extra concerned.