The notion that abdominal obesity is the most dangerous kind isn't new. Back in the 1940s, the French physician Jean Vague observed that some obese patients had normal blood chemistry, while some moderately overweight patients showed serious abnormalities that predisposed them to heart disease or diabetes. Almost always, the latter patients carried their fat around their middles. And, almost always, they were men.
Bottom line:  While there might be a ‘metabolic advantage’ to a ketogenic diet over one containing a fair amount of carbohydrate, on average the difference is small.  This does not explain why some people seem to lose weight relatively easily when carbs are restricted, which may be due to inter-individual variation. However the common observation of significant and sustained weight loss over months and years (Hallberg et al, 2018) is more likely a result of the benefits of nutritional ketosis on fuel flow, appetite, and cravings; as well as the reduced inflammation that is triggered by modest levels of beta-hydroxybutyrate. Clearly humans following a long-term ketogenic diet can eventually remain weight stable by adjusting fat intake to balance daily fat use for fuel.  For those wishing to lose weight additional rather than remain weight stable, one’s goal should be to reduce dietary fat intake down to the margin of satiety (just enough, but not too much) and avoid or limit non-satiating energy sources such as alcohol.
Although I am not tiny or super duper in shape, I feel that I am finally at a comfortable and healthy weight that I can maintain while being busy and always on the go. My routine over the last year has been to try and eat fairly healthy during the week and then cheat a little on the weekends. If I splurge at one meal, I try and drink a healthy shake or a plate of veggies at the next to “make up for” the last meal. As I said before this is NOT health advice, just how I maintain my weight without counting every calorie. I am  not one of those people with a crazy metabolism who can eat whatever they want so I have to be conscious about it all the time. Boo to any of you who are that way. I am forever jealous. One thing that has really helped me to start losing some again recently has been an alkaline diet. I honestly FEEL so much better too!
I have been following the slow-carb diet for nearly 3 weeks with no significant weight loss. I will admit I have made a few tweaks to fit my lifestyle. I go to the gym at 5:30am and do not have time or the desire to eat a big breakfast before going. So I normally make a whey protien shake with water and about 1/4 cup frozen berries (I know fruit is a no-no) when I get home from the gym at 7. I then eat breakfast – eggs, black beans and spinach at 10. Lunch is either a salad with beans or slice of deli turkey or chili. I have not eaten any grains, sweets etc… I do use milk in my coffee instead of heavy cream. Why is heavy cream a better choice? I do have a glass of red wine at night and an occasional serving of sugar free gelatin. I take a spin class 2-3 days a week and run 20 miles per week as I am training for a Ragnar Relay.
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I am not a “medicine person” AT ALL. Still to this day, I avoid it like the plague. Yet I had been thrust, by our own doing, into this busy, crazy, stressful world so quickly that I didn’t know how to cope. And literally within months, I had gained 60lbs. And that 60 was on top of the weight I had already gained from just “playing” a little too hard. Not partying or drinking or anything, just indulging, traveling and being so busy that fast food was my best friend. By the end of 2006, I topped off around 200lbs. Yes, not the easiest thing to write on a public blog. So here’s the proof…
Keeping a toothbrush handy can do more than polish up that smile (and counter the effects of all that belly-slimming garlic); brushing your teeth throughout the day can also help you ditch that belly fat fast. A study conducted a sample of over 14,000 participants found that brushing after every meal was linked to lower weight. That minty toothpaste flavor not only clashes with virtually every food, brushing may also trigger a Pavlovian response that tells your brain the kitchen’s closed.
Aim to get at least seven hours of sleep each night. Try going to bed and waking up at the same time each day. Get these seven tips for the best sleep ever! Why? Ever notice how you start to crave donuts and drive-thru breakfasts when you’re exhausted? When you don’t get enough sleep, your hormones are thrown out of balance. Running on no sleep can actually drive up the hormones that make you want to eat, while pushing down the hormones that signal for fullness—and that’s a recipe for weight gain. When you’re well-rested, it’s much easier to make healthy decisions and stay on track.
When you’re eating to deal with your emotions, like anxiety, stress or unhappiness, you’re likely not reaching for carrot sticks and blueberries, but carbohydrates, processed foods and even alcohol. Those calories eventually add up and, at the same time, you’re avoiding learning how to deal with difficult emotions and situations. It’s pretty much a lose-lose situation.
Carb crazy? Consider this: Refined carbohydrates, such as bread, potatoes and rice, create a surge in insulin that in turn drives down your resting metabolic rate, explains Aronne. "It's important to keep carbohydrates in your diet, but really focus on fruits, vegetables and whole grains, which have less of an effect on insulin levels," he explains. And when buying whole-grain breads and cereals, make sure the first ingredient listed is whole wheat, whole oat or cracked wheat.
I am not one to read blogs, but I stumbled upon yours and just read your entire story (and many of your other posts). I am nearly in tears at how inspiring you are! You have such an amazing outlook at the entire weight loss journey. I have struggled my entire life with my weight and I am so glad that you gave me a different way to look at it. It isn’t about a true end goal, but a complete lifestyle change. So from the bottom of my heart, I want to say thank you! You have impacted me and my mindset in a positive way! I pray that your fitness lifestyle continues to inspire those that cross paths with you!

“I lost 85 pounds between the ages of 39 1/2 and 41, and have kept it off for more than a decade. Part of how I did it was by saying ‘no’ to what I call No-Longer-Nourishing Commitments. I was working too many hours, which left me with little time or energy for working out or making healthy food. By saying no to some projects, I was able to devote more attention to preparing better food and moving my body. It also gave me more nourishing time with friends and family, which made junk food become less of a go-to comfort.” —Deb Thompson, 53, certified Integral Master Coach
Once keto-adapted, people consistently report that the intensity of their hunger and cravings is diminished; (Boden 2005, Mckenzie 2017) and that the daily swings in energy and mood they experienced on a high carb intake are reduced, if not banished.  These problems tend to be replaced with a consistent sense of energy and mental alertness as long as a well-formulated ketogenic lifestyle is followed (Volek & Phinney 2012).
Andie is a healthy recipe developer and New York Times best-selling author. She shares some of her most delectable food ideas on her blog. She’ll tell you right up front: She believes in balancing health and happiness. And it was through that balance that she lost 135 pounds — a journey that can also be found in her memoir, “It Was Me All Along.” Visit the blog.
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