I have seen many types of diets go in and out of fashion. Have any of them really helped people lose weight? Unless you are willing to do the work, it wont stay off. Now that Ozempic thing is happening, and people are aging significantly.
41 sats \ 5 replies \ @gmd 9 Oct
The answer is no. Most people join one of these cults, annoy all of their friends and family with their zealotry, lose an impressive amount of weight but then two years later are back to their starting weight or worse.
It’s hard to know how much of the euphoria is placebo. The best diet is just “less”, or the diet that you can stick to long term.
IMO life is too short to sacrifice carbs or meat in moderation. Ribeye is so good. Pasta is so good. You can do everything right and reduce your risk of X cancer but some minuscule percent but you probably die in a fluke car accident- I’ve seen it too often.
Everyone feels great until they hit 50s and 60s. For every guy on twitter selling their keto diet you hear case reports from cardiologists about guys on those diets with early MIs. It’s hard to know what is genetic or which diet is best/personalized for which populations.
There is no magic pill- enjoy life in moderation. They all rely on calorie deficit which is so hard over the long term when your body is used to excess- which is why these GLP1 drugs appear to work miracles on your cravings.
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The drugs may appear to work well, but I read an article somewhere about how they totally ruin your health when used for weight loss. I have to agree that there is no real magic pill. i also understand that seed oils are doing a lot of the “obesifying”. There is evidence that the real era of obesity didn’t start until the late seventies, along with heavy use of seed oils and the downgrading of traditional oils like animal fats.
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21 sats \ 0 replies \ @gmd 9 Oct
Hard to know what is doing the obesifying, probably some mix of sugars and toxic chemicals but given our capitalistic society and desire for freedom and free markets it is unlikely we can undo pandora's box there...
The main issue is you do lose muscle mass so it is important if you don't want to look emaciated to also do weight training. But even if you don't do weight training it's still far better than the poisonous side effects of being fat.
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Yes, everyones metabolism slows down. You just need to keep ahead of it. Life can still be enjoyed in moderation. Even excess at times, but then you have to go back to moderation. Hard work and discipline is what keeps you healthy.
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What are the negative side effects of weight loss or anti craving drugs?
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21 sats \ 0 replies \ @gmd 9 Oct
Mostly GI side effects- nausea, abdominal upset, vomiting, gastroparesis. A lot can be mediated by carefully titrating but certainly some people cannot tolerate it.
Just met an elderly vet at the pool with a bad knees who said he's lost 50 pounds and his a1c went from 11 (really really bad diabetes) to 6.5 (pre-diabetes range) in the past year.
There will always be anecdotes of people who do poorly but study after study (and real world results) are showing convincing evidence that these drugs are making huge impacts on a variety of indications- diabetes, obesity, CKD, heart failure, cardiovascular risk reduction... continues to show results almost too good to be true.
In the real world 90% of people simply don't have the will power to sustain weight loss. It's not because they are bad or lazy... we're humans with money problems, stress, families etc. It is simply hard to maintain dietary discipline and a calorie deficit for long periods of time.
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