I only lose weight if I starve myself!!

[Nowanextraone]

Hi everyone, I am 40 years old and have been working hard to lose weight.
I started off on Ozempic but now can't can't hold of it.

Anyway, during the first 6 weeks of ozempic I hardly ate and lost over 1 stone very quickly.

Now I can't get hold of it, I have been using my fitness pal and 100% stuck to my calories and I just don't lose weight. If I go for the odd meal out, I put on 3lbs and then it takes me a week to get it off again, and I just don't ever lose.

I guess its better than gaining it, but seriously, I'm so miserable.

I am 13 stone 13 so still have alot of weight to lose (I'm 5 foot 5). I stick religiously to 1500 calories a day and don't add any extra on for exercise.

I am going away in 6 weeks and really thought I'd be down another stone.

Is it my age?! When I only eat 800/900 calories a day, it falls off me. But that's not sustainable. Mind you, I'd be willing to do it if I have to

Like all of these people he's taken a kernel of truth, jazzed it up and made a profitable business out of it.

Like all of these people he's taken a kernel of truth, jazzed it up and made a profitable business out of it.

Yes, that is exactly how scientists / academics work. Funny how none of his colleagues have called him out as a charlatan.

What are your qualifications in this area?

Let us know what you decide to do, @Nowanextraone, and how well it works.

Please proceed carefully with any option due to your T1 diabetes.

And you are Professor who exactly?

I am part of the twin study they he heads up. He researches vast and variable things in twins, not just gut microbiomes and diet.
Maybe you could join his team and teach him a thing or two, explain to him how his science is flawed 🤔

Thank you 😊
I'm going to start with literally weighing and calorie counting everything. I was definitely out with my cereal....!
I'm on the artifical pancreas software for my T1 which is amazing.
I'm also going shopping tonight and going for r
'Real food'. I've recently finished the book 'ultra processed people' which is terrifying and has made me think. I do eat alot of real food but also alot of processed.

Cereal !! 😁 You should see my kids faces if I weigh out 30grams

Cereal isn't really that calorific unless you get the stupid ones like frosties. I usually have 60g of Aldi version of wheetos or 4 weetabix, 150ml skimmed milk and a scoop of protein powder and it's around 400 calories.

True it’s not that calorific unless you’ve been trying to lose weight thinking your breakfast is 150 cals when it was actually 350 cals

I expect it is similar to mine this morning 🤣🤣🤣

Obesity is complicated and is a combination of many factors: physics, endocrinology, biochemistry, neuroscience, sociology and environmental health.

This is the reason why calories in calories out doesn't work, and why starving yourself doesn't work.

Despite him being described as a 'quack' on this this thread by a misinformed and uneducated poster, I would advise you read The Obesity Code by Dr Jason Fung.

He's an actual doctor who has investigated and treated obesity for decades, and explains the issues surrounding insulin resistance and obesity really well.

@ZellyFitzgerald despite me saying that I am a clinical nutritionist who works solely on metabolic syndrome patients I’ve been told on this thread that I am wrong about the fact that where your calories come from matters, is wrong. A calorie is a calorie 🥴

LMNT and Zelly. I'm fascinated in all this. I have bene T1 since I was a baby. I am SO insulin resistant and on huge quantities of insulin. I assume this will impact things?
I am also on a huge dose of levothyroxine. I read that book 'why we eat too much' recently which blew my mind. I've also read Ultra Processed People. A

Yes you can become insulin resistant as a type 1 diabetic. Keto works so well for Type 1. How many units are you on?

Dr Ian Lake has excellent resources on his website. He’s an NHS GP with Type 1 and he keeps it under control with keto.

I have Hashimoto’s and take 100mcg of levothyroxine daily and have managed to lose and keep off 8 stone with keto.

The type of work I do is Ketogenic Metabolic Therapy, basically a medical nutrition intervention. I work with people who have metabolic syndrome or risk factors for metabolic diseases like cancer, Alzheimer’s and heart disease for prevention. I’m not in the UK though.

Which is why it doesn’t work long term.

Lots to research. I take on average 120 u of insulin a day and I'm on 275mg of thyroxine. Mad

Nowanextraone

Yes high levels of insulin cause weight gain. Also, persistently high levels of insulin cause insulin resistance, so you end up needing more and more to get the same effect.

It's such a complicated issue, and I would recommend reading the research surrounding it, it's a revelation.

Quality of food and when you eat is vitally important. The calories in calories out theory is far too simplistic. 1000 calories of Haribo will affect your body in a very different way than 1000 calories of salmon.

LMNT

I appreciated your posts.

Unfortunately I have found that the 'Calories in Calories out' camp don't want to listen to anyone who goes against this, even professionals dealing with it on a daily basis.

If calories in calories out was truly the answer, then no one would be overweight 🤔

You can complicate it all you like with blood sugar, glycogen, insulin whatever you want. It's always more calories out than in and it always will be.

@Vegetus - this is actually really bad advice.

No one would disagree with your last statement and no one will ever say calorie counting is an exact science because it isn't. But 1000 calories of only haribo a day would result in fat loss, it wouldn't be a healthy way to do it but it would work all the same.

You can't break the laws of thermodynamics.

When you eat has been disproven in countless studies it is energy balance alone. It doesn't matter when you eat. You're not a gremlin.

If calories in calories out was truly the answer, then no one would be overweight 🤔

What on earth makes you think that? The way the majority of people live the western world is designed to expend as little energy as possible and hyper palatable calorie dense food is everywhere. Again I won't deny for some it's harder to be a healthy weight than others and as pointed out there's many reasons for this.

Obesity isn't always a choice but to remain obese is.

Vegetus

The 1000 calorie of Haribo will result in weight loss but will also result in hyperinsulinemia which over time will make you fat. The point I was trying to make was that 1000 calories of refined sugar is very different to eating 1000 calories of quality protein. Your body responds in different ways and produces different levels of hormones depending on what you eat. Not all calories are equal.

Timing of eating is important as is the length of time between meals. You need enough time between raising your blood sugar and in turn your insulin levels when you eat and letting them return to normal before the next meal so you don't end up in a persistently hyperinsulinemic state.

I do this daily (granted for animals) as I run weight loss and diabetic clinics for cats and dogs. An understanding of the effects of insulin and other hormones on the body is imperative in understanding weight loss and unfortunately many people without an understanding of anatomy and physiology think in terms which are too simplistic.

Also, remaining obese isn't a choice if you are insulin resistant.

Again I won't deny for some it's harder to be a healthy weight than others and as pointed out there's many reasons for this.

So it’s not the law of thermodynamics then? If CICO was correct then it would be the same for everyone, wouldn’t it. All we’d have to do is calculate how much energy we used and eat the same number of calories. Weight maintenance would be simple!

The problem with people who believe in CICO is that they liken the body to a car, but ignore the fact that, unlike a car, the body will adapt its performance to how much fuel it has. It is much, much more complicated than the law of thermodynamics.

@Vegetus you’re talking about thermodynamics but you don’t “burn” calories. The human body transforms what you eat into adenosine triphosphate.

Energy is transformed and cannot be destroyed. Calories in calories out is massively flawed because of the complexity of human metabolism.

We don’t only have calories out, we also have calories stored. This is what you’re missing.

Energy Balance = Energy in – Energy out + Energy stored (as fat or glycogen) + energy wasted (as ketones).

Whether we burn calories as energy or whether it goes towards fat storage is tightly controlled by hormones.

As we eat, calories go in. Calories go out as basal metabolism (organs, heat production, etc) and exercise. Fat can go into storage or it can go out of storage.

At one point I was really overweight.. I kept telling the doctor I was eating much and they didn't believe me 😂 turned out it was a medication I was on.. once I came off it, the weight flew off.

I often have times where I would plateau for a month. Patience is key. I think this is where you fat vs muscle ratio is on par so body is happy. It begrudges changing it.

I mean wasn't eating much! Predictive text 😭