Live data from Hacker News

What I learned from reading over 100 weight loss studies

intentapp.com

51–60 of 194 posts

Re: What I learned from reading over 100 weight loss studies

#51
Over a decade ago I DIY'd going from 225 to ~165 and have kept it off.

The main success factor in my opinion was becoming single and staying single, as well as restructuring my life in general, especially how/who I socialize with.

It's pretty easy to do what's right for you when you go solo.

The process isn't really different than a drug addict trying to go clean and avoid relapse. It's all about the friends and environment, you have to change it all.

Re: What I learned from reading over 100 weight loss studies

#52
Amphetamines were popularly used to suppress appetite in the mid-20th century, but addiction and abuse proved disastrous.

He glosses over amphetamines. They are highly effective at weight loss. So much so that ADHD patients have the stereotypical "Adderall skinniness" after 1-2 years of use. Addiction is a problem with stimulants, but psychiatrist routinely assess for addiction in the ADHD population. Why not prescribe Adderall for weight loss and similarly monitor those patients?

Which is better? A BMI of 40+ or a BMI of 25 and taking a daily stimulant?

The FDA agrees with the latter in at least one case. In 2015, the FDA approved the amphetamine lisdexamfetamine (brand name Vyvanse) for the treatment of binge-eating disorder.

Re: What I learned from reading over 100 weight loss studies

#53

I feel like this article neglects the most important thing, which is sustainability. I've recently come across the idea of fasting for weight loss. Turns out most people can safely fast (eat nothing, only drink water that is) for many days, sometimes as long as 40 days if they are overweight. Switching to a diet of eating minimally processed food afterwards - which is what we're used to from an evolutionary standpoin…

I remember seeing an article about a long term study of former participants of the show "The Biggest Loser." If I recall, almost all of them had gained the weight back and due to the extreme caloric restrictions they had placed on themselves during their time on the show the reduced their base metabolic rate significantly.

Re: What I learned from reading over 100 weight loss studies

#54
post #40

Earlier quoted context omitted.

The hardest part of dieting is realising that in order to keep it off, you will have to continue like that forever. In the back of your mind, you want to think that the diet is temporary. Once you have lost the weight, you can go back to eating all the great tasting foods that you ate before. True success is the acceptance that, no, your life will be worse in very real ways. You will no longer be able to just eat whe…

True success is the acceptance that, no, your life will be worse in very real ways. You will no longer be able to just eat whenever you feel like it. You will no longer be able to eat until you are full, ever again. None of these things are true. With a good diet and exercise, you will feel better and be happier, with way more energy. That makes your life better, not worse. As another commenter mentioned, abstaining…

> None of these things are true. With a good diet and exercise, you will feel better and be happier, with way more energy. That makes your life better, not worse.

I never said your life won’t be better overall. I said it will be worse in real ways.

Eating pizza, Soda and so on are awesome. There is a reason these foods are popular. No amount of pretending is going to make that not true, and a life where you could eat them with no downsides would be better.

Re: What I learned from reading over 100 weight loss studies

#55
post #16

The weight loss is not really what matters. anybody can lose weight. with a little education you can do it. the problem is doing it in a sustainable way and to actually keep it off. the hardest part about weight loss is keeping it off. you have limited will power and unless you are willing to change the way you live your efforts are in vain. Sure it may make you feel good about yourself and your journey but it's doom…

> if you are not willing to adjust your lifestyle and consistently make the better choices when it comes to diet you will fail. This statement applies to anything in life you want to get better at.

If there's a pattern that I've noticed amongst the people in my life who struggle with their weight is that they all have an emotional relationship with food. They eat not to serve their metabolic needs but to serve their emotional needs. They say they are counting their calories, but they aren't being honest with themselves about it. They can't make clear headed diet decisions because their feelings are so wrapped up in the act of eating.

Re: What I learned from reading over 100 weight loss studies

#56

Amphetamines were popularly used to suppress appetite in the mid-20th century, but addiction and abuse proved disastrous. He glosses over amphetamines. They are highly effective at weight loss. So much so that ADHD patients have the stereotypical "Adderall skinniness" after 1-2 years of use. Addiction is a problem with stimulants, but psychiatrist routinely assess for addiction in the ADHD population. Why not prescri…

I have lost kilos post raves just from not being inclined to eat for days afterwards, but even just a dexie leaves me feeling scattered and non functional the day after. I assume you adjust to ongoing rather than occasional usage?

Re: What I learned from reading over 100 weight loss studies

#57
post #16

The weight loss is not really what matters. anybody can lose weight. with a little education you can do it. the problem is doing it in a sustainable way and to actually keep it off. the hardest part about weight loss is keeping it off. you have limited will power and unless you are willing to change the way you live your efforts are in vain. Sure it may make you feel good about yourself and your journey but it's doom…

Disappointing that the 100 studies neglected long term success so much that the author didn't have much to say about it after reading them all

Re: What I learned from reading over 100 weight loss studies

#58
post #6

Earlier quoted context omitted.

Those are both very short term studies. The only critical factor in weight loss is how much people weigh in the long term as in 5+ years. “20% of overweight individuals are successful at long-term weight loss when defined as losing at least 10% of initial body weight and maintaining the loss for at least 1 y.” Things get much worse in terms of 5+ year weight loss.

I imagine very few people stick to a diet for 5 years, partly because they're not fun, and partly because many are unhealthy when done long term. Also, many health professionals recommended a max of 500 calorie deficit, which would mean ~50 pounds of weight loss in a year. When would you need to follow a diet for 5 years if most people can reach their goal weight in 1-2 years? Once people reach their goal weight, the…

Fat burns calories.

Generally, to maintain X pounds of weight loss you must consume ~10X fewer calories every day. In order to more quickly reach a new weight most people exceed that difference, but they can’t go back to old eating habits without regaining their original weight.

PS: Metabolism and exercise have real impact, but you can easily out eat any reasonable exercise plan.

Re: What I learned from reading over 100 weight loss studies

#59
post #16

The weight loss is not really what matters. anybody can lose weight. with a little education you can do it. the problem is doing it in a sustainable way and to actually keep it off. the hardest part about weight loss is keeping it off. you have limited will power and unless you are willing to change the way you live your efforts are in vain. Sure it may make you feel good about yourself and your journey but it's doom…

The common theme for many people who succeed in losing weight and keeping it off through making a sustained lifestyle change seems to be some form of "hitting bottom" experience. Sort of like the experience that some drug addicts go through before getting sober (although food isn't really addictive in the same way). For some it's a health scare like a heart attack or diabetes diagnosis. For others it's an embarrassing social incident like being unable to fit into an airline seat.

But that's all anecdotal. It wouldn't be practical to codify "hitting bottom" experiences in a clinical study since they're so individualized.

Re: What I learned from reading over 100 weight loss studies

#60
post #58

Earlier quoted context omitted.

I imagine very few people stick to a diet for 5 years, partly because they're not fun, and partly because many are unhealthy when done long term. Also, many health professionals recommended a max of 500 calorie deficit, which would mean ~50 pounds of weight loss in a year. When would you need to follow a diet for 5 years if most people can reach their goal weight in 1-2 years? Once people reach their goal weight, the…

Fat burns calories. Generally, to maintain X pounds of weight loss you must consume ~10X fewer calories every day. In order to more quickly reach a new weight most people exceed that difference, but they can’t go back to old eating habits without regaining their original weight. PS: Metabolism and exercise have real impact, but you can easily out eat any reasonable exercise plan.

  Fat burns calories.
Only brown fat (BAT) does, and humans have very little.
Post reply on HN