Saturday, February 29, 2020

Patients apathetic about losing weight, say GPs

Doctors say they are failing to cut through to overweight patients with the message that obesity can lead to major health problems, with very few prepared to do anything about it.

Australian Medical Association Queensland President Dr Dilip Dhupelia said the overwhelming majority of their doctors said their advice was not being heeded and patients lacked the craving to tackle their weight issues.

"Nearly 90 per cent of doctors said their patients were not prepared to change their diet or exercise, even when they were aware of the health dangers of being overweight or obese. Clearly we are losing the battle of the bulge," he said.

"We are very surprised that GPs are actually seeing an increase in obesity rates in Queensland and the apathy of patients who know what the risks of obesity are but are not prepared to do anything about it."

The latest figures provided by AMAQ show that 66 per cent of adults and 25 per cent of children are overweight or obese.

It's a five per cent increase across the board from 2007-08.

"We relate it to the easier availability of fast food, more time on activities that are sedentary, such as screen time and social media, and less participation in sports and activities," he said.

Obesity was also generational and there was less likelihood of a child being obese if their parents lived healthy lifestyles.

"If a parent adopts healthy eating, exercises regularly, is of normal weight and doesn't smoke, and drinks within required limits then there is the likelihood that their children will not be obese," he said

The AMAQ raised concerns about the inaction of patients as part of Obesity Awareness Week which begins on Monday.

Anyone who is obese or concerned about their weight should see their local GP for a health check and create a plan to shed kilos.

Weight loss of 21 stone gives Bangor man new lease of life

The heaviest Phil Kayes weighed was 37 stone. He had been living on takeaways, crisps and chocolate.

"It was a very, very small social circle. I was struggling to walk anywhere and I couldn't drive," he said.

He knew it had to change. Now, he's lost 21 stone (133.4kg) in less than three years and the transformation has changed his life, from his wardrobe to his relationships.

Video journalist: Eimear Flanagan

Friday, February 28, 2020

The Carnivore Diet Might Help You Lose Weight, But Is It Healthy?

For meat lovers, typical diets can seem like such a drag (load up on veggies, opt for healthy fats, limit big juicy steaks and bacon). But if Joe Rogan is to be believed, you can chow down on all the steak and bacon of your dreams and still lose weight.

The approach is called the carnivore diet, and the comedian recently gave it a 30-day go in January, reporting that the all-meat, all-the-time regime helped him drop 12 pounds, improve a chronic skin condition, and feel more energetic (it also gave him explosive diarrhea for the first two weeks, but he seemed to be okay with that in the long run).

The only problem? Dietitians are skeptical about the diet's total lack of evidence-based results and laser focus on a single food group, especially one that should typically be eaten in moderation compared to its fruit and vegetable counterparts.

The doctor-slash-athlete who originally pioneered the diet and wrote a book about it—an orthopedic surgeon named Shawn Baker—was embroiled in some controversy back in 2017: The state medical board of New Mexico, where he was practicing at the time, revoked his medical license due to concerns about his "incompetence to practice."

But the controversy over Baker's license isn't really the point (his license was reinstated in February 2019 after an investigation). The point is whether it's healthy or beneficial in any way to toss out your leafy greens and stock your fridge with cuts of meat. So, let's dig in...metaphorically speaking.

What does the carnivore diet entail?

Get a load of this, bacon lovers: People on the carnivore diet eat only meat and animal products, and avoid all plant foods.

"I call this a mono diet, which means you're basically eating one food," says Abby Langer, RD, a Toronto-based dietitian and writer. "It's meat, eggs, and coffee. Some people will eat dairy, but most believe that the lactose in milk makes it off-limits, because that's sugar. No plant foods are allowed, which means you can't eat any grains, nuts, seeds, beans, fruits, or vegetables."

And there are no specific guidelines about how much meat you can or should eat per day on the diet, according to Amy Gorin, RDN, owner of Amy Gorin Nutrition in the New York City area. (In 2018, Baker himself admitted to eating four pounds of meat per day.) There are also no guidelines about macronutrients, though most proponents of the diet seem to recommend getting the majority of calories from fat, not protein, which means choosing fattier cuts of meat.

Because there's very little information available on the diet, it also hasn't been studied yet—meaning most of its health claims and testimonials come from personal blogs and social media accounts. And before you think going carnivore is just another spin on the keto diet, think again. "Whether or not the carnivore diet would put you in ketosis really depends on the specific breakdown of what you're eating," explains Gorin. "Eating too much protein with too little fat may make it difficult to stay in ketosis."

It's a fine balance, basically, and the carnivore diet is not a shortcut for keto. (Sorry.)

So, what do you even eat on the carnivore diet?

Meat, right?! (Duh.) Except you're also allowed eggs and other animal products, as well as shrimp. The diet recommends choosing fatty, ruminant meat from cows, elk, and deer. "I want to be clear that it is under no circumstances healthy to eat an all-meat diet," says Gorin. "But [if you're looking for] healthier meat and animal options, those would be lean proteins such as salmon and chicken breast."

Either way, everyone seems to be in agreement that processed meats (like sausage) are not the best choice here. Instead, you should choose to eat:

  • Ground beef and turkey, cuts of pork, steak, chicken breasts or thighs, and omega-3 rich seafood like salmon, mackerel, and shrimp
  • Eggs
  • Some dairy and butter, like hard cheeses and heavy cream
  • Animal fats, like lard and ghee
  • What foods do you avoid on the carnivore diet?

    Since the carnivore diet allows for animal products besides meat, the list of foods to avoid isn't as simple as saying "anything that's not meat." Here's a breakdown of off-limit foods:

  • Fruits and vegetables (including starchy veggies like potatoes)
  • Whole and refined grains
  • Soft dairy like yogurt and skim milk
  • Beans, nuts, and seeds
  • Any kind of sugar or alcohol
  • What does eating the carnivore diet look like IRL?

    So...animal products all day, every day. How do you make that work? Here's a sample meal plan for a five-day week.

    Day 1

    Breakfast: Fried eggs and bacon

    Lunch: Salmon and pork chop

    Snack: Beef jerky and cheddar cheese

    Dinner: Grilled chicken thighs and mackerel

    Day 2

    Breakfast: Cheddar and sausage omelette

    Lunch: Tuna and beef tips

    Snack: Shrimp and turkey jerky

    Dinner: Roasted pork chop and bone broth

    Day 3

    Breakfast: Eggs scrambled with ground turkey

    Lunch: Salmon and lamb chop

    Snack: Sardines and bacon

    Dinner: Strip steak with bone broth

    Day 4

    Breakfast: Sardines and poached eggs

    Lunch: Grilled chicken thighs and shrimp

    Snack: Cheddar cheese and turkey burger

    Dinner: Sirloin and pork belly

    Day 5

    Breakfast: Grilled chicken thighs and bacon

    Lunch: Beef liver and ground beef

    Snack: Hard boiled egg and parmesan cheese

    Dinner: Ribeye with sardines

    Are there any legit health benefits to the carnivore diet?

    Some studies have found that high-protein, low-carb diets can help people lose weight. For example, an ongoing review of low-carb diets at NCBI suggests these diets can be responsible for lowering insulin resistance and helping with weight loss.

    But there's one huge difference here between this kind of diet (which includes keto) and the carnivore diet: You don't have to cut out all carbs. With keto, you're required to keep your carb count between 20 and 50 net grams per day; that still allows you to benefit from "good" carbs found in fruits, vegetables, and whole grains. The long-term effects of a totally carb-free diet haven't been well studied.

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    But what about those people who *have* lost weight on the carnivore diet?

    Here's the deal: Any time you eliminate major food groups from your diet (or in this case, pretty much all foods except meat), you're likely going to be eating less. Less food equals fewer calories consumed, and eating fewer calories than you need is how weight loss happens. Period.

    So, sure, you'll probably lose weight on the carnivore diet in the short-term. You'll have to say no to office snacks, birthday cake, and convenient on-the-go options like granola bars and trail mix.

    That said, experts caution that the diet is likely unsustainable, and any weight you lose will probably come back as soon as you start eating a variety of foods again. "There are much healthier ways to lose weight that include making lasting lifestyle changes," says Gorin. "It would be very difficult—and wouldn't be healthy—to maintain an all-meat diet."

    What about all of these claims that the carnivore diet cures chronic health problems?

    Bloggers and Instagrammers claim that, in addition to weight loss, the carnivore diet can cure a variety of ailments, from sinus and skin issues, to arthritis and depression (there are even #meatheals and #meatismedicine hashtags on Instagram).

    But again, those are all anecdotal claims—there are no actual studies on the carnivore diet, so it's impossible to say for sure what the health effects are, good or bad. "It could be the placebo effect, but it also could just be the result of weight loss," says Langer. "It literally has no logical explanation—it's not based in science at all."

    Langer also stresses that just because one person goes on the carnivore diet and has healthy blood vitals and reduced symptoms of a chronic condition, doesn't mean that this will be true for everyone.

    "Some people can eat more saturated fats and be okay, so that could be a reason their blood pressure and cholesterol are within the healthy range," she says. "They also may have neglected to mention that they've lost weight, which in itself will make your blood pressure and cholesterol go down. They also may just be lying."

    What are the cons of trying a carnivore diet?

    In case dietitians warning that it's not a good move wasn't enough, here are some other reasons you might want to avoid this mono-diet. First, it's a high-cholesterol, high-sodium diet; while the NCBI low-carb diet review cited above showed positive results, a 2018 study in The Lancet found that low-carb diets paired with high amounts of animal protein (versus plant-based protein) are associated with higher mortality rates. This may partly be due to the higher amounts of cholesterol and sodium found in animal-based sources of protein.

    With the carnivore diet, you're also sacrificing lots of nutrients, vitamins, minerals, and fiber. Look, protein is good for you—but it doesn't give you everything you need. "This diet is a horrible idea," says Gorin. "It cuts out important food groups, including fruits, vegetables, grains, and healthy fats."

    In fact, it could be downright dangerous for people with certain health issues. The high amounts of sodium and protein consumed may cause complications for people with chronic kidney disease, and eating too much saturated fat is a problem for people at risk of heart disease.

    So I definitely shouldn't try the carnivore diet, right?

    Yup, it's not a smart idea. "There's a reason [health experts] say to eat the rainbow," says Gorin. "You need a variety of foods for optimal health. These include fruits and vegetables, healthy fats like avocado and olives, and whole grains like quinoa and brown rice. You get so many important nutrients from these foods—from vitamins and minerals to antioxidants—that are important for good health."

    Langer agrees, as does, well, science. "You're essentially cutting out foods that have been proven to be good for you, and that have never proven to be harmful."

    She also points out that, in addition to important vitamins and minerals, plant food contains fiber, which has been proven to promote weight loss, weight maintenance, improved cholesterol, and a lower risk of heart disease and stroke.

    Plus, "fiber from plant foods are digested in the bowel by good bacteria...it improves gut health," says Langer. On the carnivore diet, you're missing out on all of these potential health benefits—and not only that, but you might start feeling pretty damn constipated from that lack of fiber.

    It's also worth pointing out that the USDA and the American Heart Association say the best diets are composed of mostly plant foods and limited amounts of saturated fat—a.k.a. the opposite of the carnivore diet.

    "The Dietary Guidelines advise limiting saturated fat to no more than 10 percent of total daily calories," explains Gorin. "Too much saturated fat can increase your cholesterol levels. So for a 2,000-calorie daily diet, you should get no more than 200 calories, or about 22 grams, of saturated fat."

    Gorin also points out that, if you were following the carnivore diet—say, by having a few eggs and a few slices of bacon—you'd get more than half of that amount for breakfast alone. Technically, it's possible to eat meats lower in saturated fat, like skinless poultry, lean cuts of pork, and fish. But the carnivore diet recommends fattier cuts of meat (a.k.a. cuts high in saturated fat), because most of your calories on the diet should come from fat.

    "The claims of this diet are just so crazy," Langer says. "Its supporters are saying that vegetables are horrible, and that carbohydrates are toxic. None of this has ever been proven by science, and any studies they're citing are not credible."

    Langer also emphasizes the fact that the carnivore diet could really take a toll on your mental and emotional health, too. "You're going to be isolating yourself from social situations, and that's just not okay,'" she says. "Mental and physical health go hand-in-hand in terms of their impact on your health and your life."

    The bottom line: If you're looking to lose weight or improve your health, it's best to do it through sustainable lifestyle changes—not going HAM (literally) on meat or animal products.

    Christine Byrne Christine is a food writer and recipe developer in Durham, North Carolina. Sarah Bradley Sarah Bradley is a freelancer writer from Connecticut, where she lives with her husband and three sons.

    How metabolism works and why you can't speed it up to lose weight

    a person standing on a beach © iStock
  • The part of your metabolism that burns calories throughout the day is called your basal metabolic rate (BMR).
  • There's little you can do to speed up your BMR to lose weight.
  • In order to lose weight, you must consume fewer calories than you burn each day through a combination of diet, exercise, and BMR processes that are mostly out of your control.
  • As you age, your metabolism will slow down but studies show that staying active can help.
  • This article was medically reviewed by Mir Ali, MD, bariatric surgeon and medical director of MemorialCare Surgical Weight Loss Center at Orange Coast Medical Center.
  • Metabolism is the set of chemical reactions that break down the food we eat into energy and muscle.

    Though many people think that they will lose weight if they speed up their metabolism, this isn't necessarily true. Here's what you need to know about the complicated relationship between metabolism and weight-loss.

    Popular myths about metabolism and weight loss

    When people refer to metabolism being "fast" or "slow" what they are really referring to is a measure of Basal Metabolic Rate (BMR). BMR determines the number of passive calories that you burn - these are the calories that your body uses up while at rest.

    A popular misconception is that adding muscle will help you metabolize calories faster - and while this is partially true, muscles at rest actually burn very few calories. Most of the metabolizing energy you expend is through your brain, heart, kidneys, and other organs that are constantly at work keeping you alive and healthy.

    There is evidence that cardiovascular exercise can help boost your metabolism for a short period after you work out, but this effect only lasts for an hour or so and is not usually enough to cause significant weight loss.

    There's also the myth that eating certain foods will speed up your metabolism. But the reality is that even if certain foods can affect your BMR it's not nearly enough to make a noticeable difference in your weight. In order to lose weight, you must create a deficit between the calories you consume through food and the calories you burn through a combination of diet, physical activity, and passive metabolic processes that are largely out of your control.

    Genetics play a key role in your BMR

    The sad truth is that it's hard to change your BMR in any significant way. The fact that some people naturally have a faster BMR than others is largely due to genetics.

    A review, published in 2011 in Molecular Genetics and Metabolism, that examined 9 twin studies and 19 family studies found that metabolic syndrome - and some of the symptoms associated with it including obesity, high cholesterol, and insulin resistance - are common among families, suggesting a significant heritability factor.

    The exception to this rule comes up only for rare illnesses like Cushing's syndrome or hypothyroidism, which both slow metabolism.

    Aging and your BMR

    As you age, your metabolism becomes less efficient, or what we think of as "slowing down," says Heather Seid, a registered dietician and Bionutrition Program Manager at Columbia University.

    There are many reasons your metabolism slows down, including losing muscle mass and changes in your cells. But the main reason for metabolism change is that people become less active as they get older.

    Unfortunately, you can't completely stop your metabolism from slowing down as you age but exercise may give you a boost. Studies show that keeping active as you grow older can help curb a metabolism slowdown. 

    Video: 7 incredible results you'll get from walking 30 minutes a day (Courtesy: Prevention) 

    Click to expand

    UP NEXT

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    It's not a scary number!

  • Pandemic vs. epidemic: What sets them apart?

    In light of the novel coronavirus, what is the difference between a pandemic and an epidemic? Veuer's Lenneia Batiste explains.

  • Being sleepy at work may make your colleagues not want to talk to you

    Sleep deprivation may have consequences on not just your overall health or performance at work, but your social life too. Veuer's Johana Restrepo has more.

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    Thursday, February 27, 2020

    Deontay Wilder claims costume weight fatigued his legs in loss to Tyson Fury

    Chalk it up as an epic tale, or an epic fail, as to why Deontay Wilder turned in the worst performance of his professional career Saturday when he lost to Tyson Fury.

    The former WBC heavyweight champion said Monday the elaborate $60,000, all-black costume he wore as a tribute for Black History Month while walking to the ring was the reason why he came out flat at the MGM Grand Garden Arena in Las Vegas before losing to Fury in a seventh-round technical knockout.

    Wilder claimed the more than 40-pound armory fatigued his legs, which ultimately led to a lethargic showing that resulted in him being knocked down in the third and fifth rounds and taking a beating before his corner threw in the towel to save him from any potential life-threatening injuries.

    "He didn't hurt me at all, but the simple fact is ... that my uniform was way too heavy for me," Wilder first told Kevin Iole of Yahoo! Sports. "I didn't have no legs from the beginning of the fight. In the third round, my legs were just shot all the way through.... A lot of people were telling me, 'It looked like something was wrong with you.' Something was, but when you're in the ring, you have to bluff a lot of things. I tried my best to do so. I knew I didn't have the legs because of my uniform."

    In addition to the weight, Wilder's mask entirely covered his mouth and nose, restricting his breathing. It had red LED lights for eyes, reminiscent of the 1968 horror movie "The Devil Rides Out."

    "I was only able to put it on [for the first time] the night before, but I didn't think it was going to be that heavy," Wilder said. "I wanted my tribute to be great for Black History Month. I wanted it to be good and I guess I put that before anything."

    Wilder did not attend the post-fight news conference Saturday because he needed seven stitches to close a cut inside his left ear. Wilder and his team declined comment to The Times on Monday, and multiple calls and messages to trainer Jay Deas and the designers of the costume, Cosmo Lombino and Donato Crowley of Cosmos Glamsquad in Los Angeles, were not returned.

    Lombino and Crowley have designed each of Wilder's last four elaborate ring walk costumes, much like they have for boxers Shawn Porter, Claressa Shields and Shaquille O'Neal for his deejaying gigs.

    Wilder (42-1-1, 41 KOs) said he will exercise his right to a rematch against Fury (30-0-1, 21 KOs). In the third fight, Fury will take 60% of the purse.

    Bob Arum of Top Rank told The Times that a third fight would most likely happen in October so that Fox and ESPN can leverage the NFL season in another co-promotion ahead of a mega fight. The bout would be in the United States, with the Raiders' new stadium a possible location.

    Before another fight, Wilder may look to replace his co-trainer Mark Breeland, a 1984 U.S. Olympics gold medal winner and two-time world champion, for throwing in the towel.

    "I am upset with Mark for the simple fact that we've talked about this many times and it's not emotional," Wilder said. "It is not an emotional thing, it's a principal thing. We've talked about this situation many, many years before this even happened. I said as a warrior, as a champion, as a leader, as a ruler, I want to go out on my shield.

    "So I told my team to never, ever, no matter what it may look like, to never throw the towel in with me because I'm a special kind. I still had five rounds left. No matter what it looked like, I was still in the fight."

    Wilder, an Olympics bronze medalist, said he was displeased with referee Kenny Bayless' performance because he did not catch Fury's rabbit punches.

    In the post-fight news conference, Deas said he didn't think Breeland should have thrown in the towel, even though Wilder was unsteady on his legs and fell to the canvas multiple times in addition to the official knockdowns.

    "Deontay is the kind of guy who is a go-out-on-his-shield kind of guy," Deas said. "He will tell you straight up, 'Don't throw the towel in.' He does not want that. And then you've always got to consider also that Deontay is a fearsome puncher. So that's always a difficult thing because he always has that shot to land a big shot and turn things around. So, that's what happened there. But Deontay is doing well and he'll be back. He'll be all the better for it."

    ___

    (c)2020 the Los Angeles Times

    Visit the Los Angeles Times at www.latimes.com

    Distributed by Tribune Content Agency, LLC.

    Jenna Jameson reveals highs, lows of keto weight loss journey: 'It's a marathon, not a sprint'

    Jenna Jameson wants her fans to know that results don't happen overnight.

    The former adult film star, who has been documenting her weight loss and keto diet journey with her fans, shared an honest and uplifting update this week.

    Jameson, 45, showed off her figure in a black, form-fitting dress on Instagram as she discussed how she's powered through recent changes in her body.

    JENNA JAMESON SHARES KETO TIPS IN 'BAYWATCH'-INSPIRED BATHING SUIT

    "Long awaited but quite anti climactic #keto update. I am losing slowly slowly. I'm now 14 lbs down but I've been fluctuating," Jameson wrote.

    "I think hormones are playing a huge part. I'm still breastfeeding and recently got my period back after 3 years. So I feel up and down, hot flashes galore and in need of all things salty," Jameson continued.

    "Moral of the story, give yourself grace, it's a marathon not a sprint! Love you guys #ketoweightloss"

    JENNA JAMESON SHARES KETO TIPS IN 'BAYWATCH'-INSPIRED BATHING SUIT

    The entertainer received a mix of criticism and praise in response to her update.

    One user commended Jameson for being a "fantastic mom, inspirational figure and successful business woman."

    "You've got this, just keep moving forward and don't pay any attention to those that make comments to bring you down or think they know you. We should all be encouraging each other!" another fan replied.

    Although some of Jameson's followers weren't as kind. When one ordered Jameson to "stop" breastfeeding, she hit back with a response in defense of her choices.

    "It's time for you to mind your own t**s," said the star.

    JENNA JAMESON GAINS 20 POUNDS AFTER DITCHING KETO DIET: 'I DECIDED TO LIVE MY BEST CARBY LIFE'

    Another user tried to tear Jameson down by reminding her of her former substance abuse.

    "You'll lose more weight faster if you stay away from alcohol, which turns to sugar," a fan commented, to which Jameson replied, "I've been sober for over 4 years, bro."

    In December, Jameson revealed she was returning to keto after gaining 20 pounds.

    "Confession. I've gained 20 pounds. Ugh. I decided to take a break from #keto and live my best carby life," she wrote on social media at the time.

    A month later, she showed off her flattering figure in a Baywatch-inspired red swimsuit.

    CLICK HERE TO GET THE FOX NEWS APP

    Jameson has been at the forefront of championing the benefits of the keto diet, which she started in March 2018 following the birth of her daughter Batel Lu in April 2017.

    Wednesday, February 26, 2020

    Treatment for hypotension in the first 24 postnatal hours and the risk of hearing loss among extremely low birth weight infants

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    de Hoog M, van Zanten BA, Hop WC, Overbosch E, Weisglas-Kuperus N, van den Anker JN. Newborn hearing screening: tobramycin and vancomycin are not risk factors for hearing loss. J Pediatr. 2003;142:41â€"6.

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  • Keto and Walking Helped This Man Lose Enough Weight to Donate a Kidney to His Brother

    Scott Morton was never concerned about his weight. He enjoyed life, went to the gym for leisurely walks on the treadmill, and admittedly made poor food and beverage choices.

    "After retiring in fall of 2016, it was a time for fun and exploring the U.S.," he tells Men's Health.

    Over time, Morton noticed his clothes fit tighter than normal, requiring him to size up or purchase button extenders to close shirt collars. But it wasn't until 2018, when the now 57-year-old retired engineer weighed 256 pounds, that he decided to make a change.

    "The exact moment of my wake up call to lose the weight was immediately after being rejected to be a kidney donor for my brother," he says.

    Morton's brother, Jeff, required a new kidney due to complications from kidney disease. At the time, Morton had high glucose and blood pressure, making him ineligible to donate his own kidney. However, doctors said losing at least 28 pounds would improve Morton's health, and possibly allow him to become an organ donor.

    Jeff had been waiting for a suitable donor on the national registry and would need to begin dialysis if no one was found.

    "At first, it was mentally difficult to get over the idea that I let myself go and may have screwed up my chance to donate to my brother. I had nothing to lose by trying to re-qualify and everything to gain for him," he says.

    In September 2018, Morton changed lifestyle in order to help his brother. He began the high-fat, low-carb ketogenic diet to lose weight.

    "I set a goal of 1790 calories per day, [ate] very low carb, and increased exercise," he says. I used a Fitbit to track my works out at Life Time [Fitness] on the treadmill for usually one to two hours a day."

    Morton closely tracked calories and carb intake using MyFitness Pal and weighed himself daily. Immediately, he saw results. Although, adjusting to a diet was challenging for the first few weeks, Morton remained motivated. After three months, he lost 42 pounds. In January 2019, Morton received the good news that he could donate a kidney to his brother, and surgery was performed on January 29, 2019.

    Men's Health

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    "I'm so happy for my brother and his wife—now they can really enjoy their retirement," Morton says. "My motivator was to help my brother live, but this experience also helped me live a better life."

    Melissa Matthews Health Writer Melissa Matthews is the Health Writer at Men's Health, covering the latest in food, nutrition, and health.

    Tuesday, February 25, 2020

    7 shocking celebrity weight loss transformations

    Stars live under a microscope in the spotlight and are constantly criticized for their weight, so it's no wonder that some of them decide to shave a few pounds off -- be it for health benefits, in preparation for swimsuit season or any other reason.

    Here's a look at 7 shocking celebrity weight loss transformations:

    OZZY OSBOURNE TO PRESENT AT 2020 GRAMMYS AFTER SHARING PARKINSON'S DIAGNOSIS

    Rebel Wilson

    Rebel Wilson, star of "Pitch Perfect," is beginning to look fit perfect these days.

    After declaring 2020 her "year of health," the 39-year-old actress began a health and diet regimen that's provided great results.

    Wilson shared a photo of herself at the beginning of the year on the beach, just as she was beginning her weight loss journey.

    Wilson said she's "deliberately hydrating" and "trying to avoid the sugar and junk food."

    A few weeks later, Wilson's trainer shared a photo of the actress in all black athleticwear, as well as a video of her training with CrossFit ropes.

    Wilson's trainer, Jono Castano, revealed that she's been working out seven days a week, and it's definitely showing.

    GRAMMYS EMPLOYEE SLAMS OUSTED CEO'S CLAIMS, CALLS THEM 'REGRETTABLE', 'INEXCUSABLE'

    Jillian Michaels

    Jillian Michaels is best known for whipping people into shape on "The Biggest Loser," but she first had to whip herself into shape.

    The fitness guru recently took to Instagram to share a throwback photo, revealing her former weight.

    "Here's me at 5'0 tall and 175 lbs," she wrote in the caption. "If I can do it - anyone can. Share your story..."

    Of course, the 45-year-old trainer has slimmed down over the years, and is now an advocate for health and wellness.

    HARVEY WEINSTEIN 'SILENCE BREAKERS' SAY THEY 'STAND IN SOLIDARITY' WITH WOMEN TESTIFYING

    Jonah Hill

    Jonah Hill was always known as the chubby, funny guy, but in recent years, he's proven that's not always the case -- on screen and off.

    Jonah Hill in 2015. (Photo by Raymond Hall/GC Images via Getty)

    Hill started dropping weight between 2015 and 2016 and has continued to trim down since.

    Jonah Hill in 2019. (Photo by Gotham/GC Images via Getty)

    The 36-year-old actor is almost unrecognizable compared to his former self.

    Hill revealed on "The Tonight Show" in 2016 that he turned to "21 Jump Street" costar Channing Tatum for fitness tips, who simply recommended he eat healthier.

    WENDY WILLIAMS AND KEVIN HUNTER FINALIZE DIVORCE: REPORTS

    Adele

    The "Hello" singer has made headlines recently for showing off her dramatic transformation after she reportedly said she knew "she had to change something."

    A source told People that Adele's weight loss was inspired by her desire to be "the healthiest mom possible."

    In recent weeks, Adele, 31, was spotted on vacation with fellow Brits James Corden and Harry Styles, where some photos were snapped of her soaking up some sun on the beach, looking drastically different.

    British Singer Adele shows off her dramatic weight loss while pictured with Harry Styles and TV presenter James Corden on Holiday together in Anguilla. (Photo by Joe Brown/BackGrid)

    Looks like the Grammy winner is saying "hello" to a whole new lifestyle.

    DEMI LOVATO WILL PERFORM NEW SONG WRITTEN BEFORE OVERDOSE AT GRAMMY AWARDS: REPORT

    Christina Aguilera

    Christina Aguilera, 39, burst onto the music scene when she was around 20 years old, and since then she's received a great deal of criticism for her weight.

    Her weight has fluctuated over the years, rising and falling after the 2008 birth of her son Max.

    Christina Aguilera performs onstage at the 2011 American Music Awards. (Photo by Kevork Djansezian/Getty Images)

    However, in 2013, Christina Aguilera turned heads at the American Music Awards for her dramatic weight loss.

    Christina Aguilera at the 2013 American Music Awards. (Photo by Kurt Krieger/Corbis via Getty Images)

    When asked about her weight loss secret, Xtina told E! News "Laughter, happiness, breathing and I did some yoga."

    Sounds easy enough.

    CRITICS KNOCK NETFLIX FOR CHANGING DEFINITION OF 'VIEWS' TO BOOTS OWN NUMBERS

    Ethan Suplee

    Ethan Suplee is feeling proud these days.

    The 43-year-old actor dropped jaws recently after revealing his impressive weight loss.

    Ethan Suplee in 2002. (Photo by SGranitz/WireImage)

    You may remember Suplee as Louie in "Remember the Titans," but you probably wouldn't recognize him today.

    The actor took to Instagram to show off his weight loss.

    "This may be my favorite moment of the year in the gym, because it's empty," he captioned the photo. "2020 goal: all the abs. What are yours?"

    Honestly, it's a bit hard to believe he even needs to set fitness goals anymore.

    JESSICA SIMPSON SAYS SHE WAS 'FLOORED AND EMBARRASSED' WHEN JOHN MAYER CALLED 'SEXUAL NAPALM'

    Khloe Kardashian

    Khloe Kardashian is another star who has grown up in the spotlight, but being in a family full of models meant that her weight drew extra criticism.

    Kardashian began to work out to cope with the beginning of her lengthy divorce from Lamar Odom.

    TV personality Khloe Kardashian in 2012. (Photo by Barry King/FilmMagic via Getty)

    It wasn't long before the reality star began noticing a difference and pushed on, making a surprising transformation.

    Khloe Kardashian in 2015. (Photo by Daniel Knighton/FilmMagic via Getty)

    CLICK HERE TO GET THE FOX NEWS APP

    Kardashian, 35, would even go on to host a weight loss show called "Revenge Body," though the program and other weight loss products she's promoted have drawn criticism.

    Monday, February 24, 2020

    Four main barriers to weight loss maintenance? A quantitative analysis

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  • Sunday, February 23, 2020

    'I Joined A DietBet Challenge To Lose Weight—And I Lost 54 Lbs. And Build Strong Abs In The Process'

    From Women's Health

    My name is Jessica Ashwood (@fitnessnfoodwjess). I'm 27 years old, and I am a kindergarten teacher in Virginia. I joined an incentive-based weight-loss challenge to jumpstart my journey and ended up losing 54 pounds to date.

    I have struggled with my weight almost as long as I can remember. I spent much of my adolescent and teen years overweight. I remember being at a friend's house at around 10 years old, and my friend wanted us to weigh ourselves for fun. I weighed significantly more than her. But I didn't think anything of it until she said, "you weigh a lot."

    Throughout my high school years, my weight fluctuated up and down. I felt better about myself when my weight was lower; when it was on the higher end, my self-esteem was gone. I couldn't help but feel that way.

    I also never felt in control of my weight. In college, I started trying to work out and eat healthier, but the healthy habits never stuck for long, and I would jump right back into my old ways of eating and being stationary. After getting married in 2016 and starting my first teaching job after college, I started gaining weight at a rapid speed.

    When I was my highest weight ever in January 2018, I knew that I was only going to keep gaining if I didn't make a change.

    So that January, when I was 25, I decided to take control of my health. My choice to overhaul my lifestyle wasn't just about self-esteem, either. I felt tired all the time. I was depressed and using alcohol and food to soothe myself. I just felt crappy. I avoided looking in the mirror. I avoided having my picture taken.

    To motivate myself, I started a six-month DietBet challenge, which is an incentive-based weight-loss app and social network. Basically, you bet a certain amount of money that you can lose a percentage of your body weight in a specific timeframe. If you achieve your goal? You earn money. If you don't? You lose it. I hate wasting or losing money, so this helped me set myself up for success when I first started. The challenge I joined gave me six months to lose 10 percent of my body weight.

    When I first started the challenge, I just tried to eat stereotypically healthy—I'm talking salads, chicken, rice, broccoli, carrot sticks, etc. I did lose weight but found that my diet choices felt too restrictive.

    I then found out about macro counting, which was a game changer for me.

    Macro counting is kind of like a variation on calorie counting, where you track your protein, fat, and carbohydrate grams. When I started tracking macros, I began ensuring that I was giving my body what it needed to thrive. It helped me make sure I got the bang out of each calorie, so to speak, allowing me to stay in a calorie deficit without feeling hungry.

    I used iifym.com to find out my macros. I only used the free information and didn't pay a dime. I also used the MyFitnessPal app to track my food. I weighed my food with an $8 food scale I bought on Ama zon to ensure I was getting the correct portion sizes. After macro tracking for three to four months, I no longer need to weigh all of my food, as I could eventually eyeball portions.

    Now I focus on eating lots of protein and veggies and have everything else in moderation. And I don't avoid *any* foods. I love all kinds: pizza, pasta, ice cream, you name it. I do not believe you have to give up the foods you love to lose weight.

    Here's what I typically eat in a day:
  • Breakfast: I have half a chocolate drink by Powerful in my iced coffee while I work out. Then, when I get to school, I usually have egg whites, rotisserie chicken, or turkey meatballs, as well as broccoli and avocado. Or, sometimes I'll have blueberry or chocolate chip Kodiak Cakes and broccoli on the side.
  • Lunch: Pasta bake (whole-wheat rotini, ground turkey, marinara, broccoli, and mozzarella cheese); or rotisserie chicken (Costco's is my favorite), broccoli, and sweet potato.
  • Snacks: Cheese sticks, Greek yogurt, hard-boiled eggs, cooked veggies, raw veggies (like mini bell peppers, carrots, or celery), any fruit, or protein bars on occasion.
  • Dinner: I have whatever I want for dinner but in a different way than I used to. For example, if my husband and I want to have pizza, I will have one piece of pizza or two small pieces with veggies on the side. Other dinners include a taco bowl with seasoned ground turkey, brown rice, black beans, salsa, shredded cheese, half an avocado, spinach, and a few crushed up tortilla chip; beef stew; orzo cooked in chicken broth with roasted veggies and ground turkey topped with a little mozzarella cheese; or spaghetti and meat sauce made with ground turkey and broccoli.
  • Dessert: I try to keep my desserts to around 200 calories throughout the day. Sometimes I'll have two small pieces of candy at school and two at home, or I'll have a nice bowl of ice cream, whipped cream, and chocolate syrup.
  • I first started exercising regularly when I got hooked on group classes at the gym.

    I knew if I just showed up and was told what to do during a workout, it would be easier for me. I mainly did Spin class and Body Pump (which is a strength training class with weights). Body Pump gave me the confidence I needed with weights to get on the main floor and work out solo. I worked out around five times a week doing the StairMaster and then weights.

    I got pregnant in July 2018 with my son, and after having a baby, I now work out at home. I work out for only 30 minutes, five to seven times a week. I barely do cardio—but when I do, I use my stationary bike. I also do strength training with my dumbbells, kettlebells, and resistance bands.

    I have found a lot of success with my 30-minute workouts. I am in better shape now than I was even at my fittest even before having my (now 11-month-old) son. I do strength training workouts I find on Instagram and use free resources from popular fitness Instagrammers. Whitney Simmons and her workouts are my favorite!

    Consistency was key for me. I still exercised and ate healthy even if I didn't feel like it.

    I also stopped giving up at the slightest disappointment. When I weighed myself and the scale told me I gained weight, I kept pushing forward. When I went overboard with my food, I went right back to being on track instead of falling into the trap of the all-or-nothing mentality.

    Eating finally feels effortless. I used to binge and eat everything in sight and then feel guilty. It was a constant thing for me. Now, I really enjoy what I eat and I give myself permission to have the foods I love in moderation. I still lose weight, but in a sustainable way that isn't me depriving myself.

    I used to hate working out, but now it's my therapy. I've never regretted a workout. I try to do a short workout before my baby wakes up almost every morning. It makes my day so much better! Once you see fitness and health as a lifestyle, you stop rushing the process because you get the whole "this is your whole life" mentality. It's true, this is the only life I get. I want to live a life that makes me feel happy and fulfilled.

    Over the years my weight has fluctuated between 156 and 178 pounds. In 11 months, I have lost 54 pounds. But it isn't about the scale number; it's about how I feel, now compared to back when I started.

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    'Chrisley Knows Best' star Savannah Chrisley gets candid on weight loss: 'It's about progress, not perfection'

    Savannah Chrisley isn't waiting for swimsuit season to flaunt her beach bod.

    The daughter of Todd Chrisley recently took to Instagram where she flaunted a sizzling snap of herself soaking up the sun in a black halter string bikini.

    The 22-year-old told Fox News that like country star Jason Aldean's wife Brittany Aldean, she decided to try the South Beach Diet a year ago to help meet her fitness goals.

    "It's about progress, not perfection," the "Chrisley Knows Best" star exclusively told Fox News. "South Beach Diet has given me control. It's taught me moderation, portion sizes and that a keto-friendly lifestyle works. I am so proud of how far I've come since this time last year and I feel better than ever."

    "I lost about 20 pounds and then gained about 10 pounds back due to muscle because I've been lifting weights," she added.

    JASON ALDEAN'S WIFE BRITTANY UNVEILS 17-POUND WEIGHT LOSS IN A SWIMSUIT: 'I FELT COMFORTABLE IN MY SKIN AGAIN'

    Savannah Chrisley said she struggled with low self-esteem before trying out a new regimen. (Photo courtesy of South Beach Diet)

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    In a statement to Fox News, the South Beach Diet ambassador admitted that she struggled with low self-esteem over the years.

    "For a long time, I compared myself to so many other people because I felt like I just didn't measure up," she explained. "I wasn't good enough. I kept hearing 'you're too big' or 'you're too skinny.' I have realized that if I am happy and I love me, then no one else's opinion matters. Loving yourself is the key to being fit, in my opinion."

    "My weight fluctuates and that's just called being a woman and loving food," she continued. "I believe that being healthy starts from the inside. Eating right helps my moods tremendously. If I'm feeding my body great food, then my moods and life will thrive. I want to be healthy for my family and my future children."

    Chrisley previously shared on social media: "I'm a normal young woman... I struggle with my weight at times... But you know what they say, summer bodies are made in the winter!"

    In June 2019, the reality TV personality told Us Weekly that she kept the number of the scale down in an unhealthy way when she competed in pageants. And then when she stopped, she gained weight and never felt quite content.

    MAXIM MEXICO COVER GIRL YOVANNA VENTURA RECALLS EARLY STRUGGLES TO BE ACCEPTED AS A MODEL: 'I HAD TO FIGHT'

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    "I've struggled with my body confidence," she told the outlet at the time. "Being on TV since I was 15, you have all these people on the outside giving you their opinions on what they think you look like or you need to eat or you don't need to eat and it truly wears on you."

    Chrisley said she ultimately decided to try the South Beach Diet in the hope of finally feeling good about herself.

    "I still have cheat days, cheat weekends and cheat meals," she said. "It's hard, but if you feel good about yourself, then no one else's opinion matters. My [dad] always told me, 'It's none of your business what someone else thinks of you.' So that's how I look at it."

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    "I feel like you have to remind yourself that it's not going to be easy, but it's going to be worth it in the end," she continued. "Five pounds heavier or five pounds less, it doesn't define who you are. That's been the hardest thing that I've had to come to terms with because being in the public eye there is a certain pressure to look a certain way, act a certain way and look like the models that you see on the runway, or on the cover of magazines."

    "Like I said, I'm still working on it every day, but I look at it and I'm like, you know what? I don't have to be that," she added.

    Saturday, February 22, 2020

    Study says herbal supplements may not be effective for weight loss

    If you’ve relied on taking herbal supplements to aid in weight loss, a recently published study has news for you.

    Researchers at the University of Sydney conducted the first worldwide study of herbal medicines for weight loss in nearly two decades. Their findings suggest there isn’t enough evidence to recommend present treatments.

    » RELATED: Study suggests drinking tea may make you live longer

    These findings come despite some herbal medicines showing statistically more weight loss than placebos. The weight loss was less than 5.5 pounds, meaning it’s not of clinical significance, according to a news release from the University of Sydney.

    “This finding suggests there is insufficient evidence to recommend any of these herbal medicines for the treatment of weight loss. Furthermore, many studies had poor research methods or reporting and even though most supplements appear safe for short-term consumption, they are expensive and are not going to provide a weight loss that is clinically meaningful,” said lead author Dr. Nick Fuller of the University of Sydney’s Boden Collaboration for Obesity, Nutrition, Exercise and Eating Disorders.

    Researchers conducted a systematic analysis and review published in the journal Diabetes, Obesity & Metabolism. The study reviewed the most recent global research for herbal medicines and weight loss by locating 54 randomized and controlled experiments that compared the effect of herbal medicines to placebo for weight loss in more than 4,000 participants.

    » RELATED: Beware: Mixing herbal products with medication could be dangerous

    Herbal medicines, or herbal supplements, are products that contain a plant or a combination of plants as the primary ingredient. Those aimed at weight loss can be composed of white kidney bean, green tea and African mango.

    According to the study’s authors, 1,000 weight loss dietary supplements were included on the Australian Register of Therapeutic Goods without evaluation of efficacy between 1996 and 2006. 

    “The problem with supplements is that unlike pharmaceutical drugs, clinical evidence is not required before they are made available to the public in supermarkets or chemists,” Fuller said.

    The supplements can be sold and marketed to the public with sponsors â€" defined as those who import, export or manufacture goods â€" required to have but not necessarily provide evidence backing their claims. Just 20% of new listings are annually audited to make sure the sponsors meet the requirement, the authors noted. 

    “The growth in the industry and popularity of these products highlights the importance of conducting more robust studies on the effectiveness and safety of these supplements for weight loss,” Fuller said.

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    Your subscription to the Atlanta Journal-Constitution funds in-depth reporting and investigations that keep you informed. Thank you for supporting real journalism.

    Friday, February 21, 2020

    Study: Big Breakfast Better for Weight Loss

    The body uses more than twice as much energy to digest breakfast than dinner, a finding that emphasizes the importance of breakfast for weight loss, scientists said.

    In 16 volunteers who spent 3 days in a lab under carefully monitored conditions, diet-induced thermogenesis (DIT) was 2.5 times higher in the morning after breakfast than in the evening after dinner (P<0.001), regardless of how large the meal was, Juliane Richter, PhD, of the University of Lübeck in Germany, and co-authors reported.

    Furthermore, study participants who ate a low-calorie breakfast reported increased feelings of hunger (P<0.001) and specifically cravings for sweets (P=0.007) later in the day, compared with participants who ate a high-calorie breakfast.

    "Our data show that the time of day of food intake makes a difference in humans' energy expenditure and metabolic responses to meals," the team wrote online in the Journal of Clinical Endocrinology & Metabolism. "These in-laboratory standardized experiments, which eliminated the possible influence of sleep disturbances and carbohydrate preloads, support the thesis that in terms of DIT, breakfast has a more efficient energetic value for our body than dinner."

    "Moreover," the researchers added, "our study expanded this knowledge by the insight that diurnal variations in DIT persist on hypocaloric meals. Thereby, our findings may contribute to elucidate a research issue that has been intensely discussed for years."

    Previous studies exploring this issue have reported mixed results, but these studies lacked standardized laboratory conditions, and their measurements may have been affected by the influence of physical activity, Richter and co-authors explained.

    Their new randomized crossover study included 16 healthy, normal-weight male volunteers (mean age of 23.6, mean body mass index of 22.5). During 3 days spent in a lab, participants consumed a predetermined low-calorie breakfast (11% of individual daily calorie requirement) and a high-calorie dinner (69%) in one condition and vice versa in the other.

    Under blinded conditions, the researchers measured DIT by indirect calorimetry. Parameters of glucose metabolism were also measured, and participants' hunger and appetite for sweets were rated on a visual analog scale.

    The researchers reported that food-induced increases in blood glucose and insulin were higher after dinner compared with breakfast. For example, glucose concentrations were 17% higher after a low-calorie dinner compared with a low-calorie breakfast (P<0.001), and insulin concentrations were 40% higher after a high-calorie dinner compared with a high-calorie breakfast (P=0.001).

    Asked for her perspective, Lauri Wright, PhD, of the University of North Florida in Jacksonville, who was not involved with the study, said the research provides new information about the first meal of the day: "We have long known that eating breakfast is important for health. Benefits include a healthier weight, keeping blood sugar steady, better concentration at school and work, and even heart health. This new study, though, shows that our body is 'rev-ed' up in the morning and has a better metabolic response to breakfast than other times of the day," she told MedPage Today via email.

    The study lends no support to the concept of intermittent fasting, a popular dietary practice that has received much attention lately, Wright added. "The study results actually contradict intermittent fasting. Translating this study's findings, the optimal pattern for health is a larger breakfast and a small dinner."

    A chief limitation of the study, Richter and co-authors said, was that the participants were all men, which had been done to avoid possible effects of the female hormone cycle on energy metabolism. Another limitation was a lack of analysis of the biological mechanisms underlying the results. "The underlying mechanisms of appetite regulation, hypothalamus–pituitary–adrenal axis activity, glucose metabolism, and postprandial energy turnover cannot be identified by our study because of the human experimental approach," the team wrote.

    "Overall, the diurnal variations in DIT, independent of the calorie content of the meals, imply that the time of food intake is important not only in the prevention of obesity but also in terms of diets for weight loss," the researchers concluded. "An extensive breakfast should therefore be preferred over large dinner meals to reduce the risk of metabolic diseases."

    Disclosures

    Richter and co-authors reported having no conflicts of interest.

    Wright reported having no conflicts of interest.

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