As noted above, our bike racer study (Phinney 1983) involved 9 lean men locked up while eating a precisely controlled ketogenic diet for 4 weeks.  In addition to daily weights, three methods were used to determine changes in body composition.  As a group, these subjects lost 1 kg of body weight in the first week of the ketogenic diet, all of which was attributable to reduced muscle glycogen stores (which were directly measured).  After that, their weights were stable for the next 3 weeks.  Unfortunately in this study we did not have the opportunity to measure metabolic rate, but based on our body composition data, anything over a 3% increase in energy expenditure associated with the ketogenic diet would have shown up as non-water associated weight loss (by implication, a loss of body fat).   Clearly these 9 men did not demonstrate an obvious increase in body fat loss in the first 4 weeks of keto-adaptation.

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Our focus for March 2019 will be eating more plant-based, whole foods. Lots of fruits, vegetables, nuts, unrefined whole grain foods, seeds, beans, plant-based meat substitutes, etc. Do you have to go completely Vegan or completely cut out meat for this challenge? NO! It's up to you to decide just how meatless you want to go.  Join us! Goals for … [Read More...]
It's easy to overdo it when you're eating something delicious — and that's why it's good to focus on foods that will force you to slow down. "Slowing down can help you check in with your hunger levels. For that reason, I love snacking on 100-calorie packs of in-shell pistachios," Gorin says. "Shelling the pistachios helps you slow down your snacking, and the shells leave a visual cue to remind you of how much you've eaten. Because you're more in tune with what's gone into your mouth, you may be less likely to have extra servings." In one preliminary study, people snacking on in-shell pistachios ate 41% less calories than those who ate the shelled version.

Attend a weight loss camp. Sometimes sticking with an exercise routine and diet plan is too challenging. Old habits and daily routines will steer you back to your old foods and activities at every turn. To combat this, many people enroll in residential weight loss programs that remove them from their daily lives. Sometimes called fitness retreats, these programs come in dozens of different styles, and are available for youth, adults and seniors.[12] You should always make sure before attending, that your weight loss camp of choice is equipped to safely handle your age and health specific needs.[13]


In high school, my body didn’t seem to go through many changes. As far as exercise goes, I stuck with track and field and figure skating. I never exercised outside of whatever practice I was going to during the week. As far as nutrition goes, I had a lot of the same habits as middle school but developed quite a few new unhealthy habits.  Once I could drive and spend late nights with friends, my nutrition was crap. I remember stopping at QT (the best gas station in existence) on the way to every shift to work and getting a drink and snack or candy. I remember meeting friends late at night at whatever fast food joint. I remember ice cream multiple days of week in the summer, snacking after school before dinner, and snacking again before bed. One positive choice I made as a high schooler was when I vowed never to eat fast food meat again (I had to read the book “Fast Food Nation” in an English class and was disgusted about the fast food meat industry and have never missed it since). As far as body image goes, again, I remember feeling overweight and embarrassed, but also being muscular because of figure skating. Again, like middle school, really solid and supportive friends surrounded me so I never felt isolated or disliked because of my weight. However, I would say in middle and high school I never felt confident in my body or loved the way I felt or looked. 
This is my first time to your blog, I found it when googling “Instant Pot Weight loss”. Reading your story, it was like reading my own biography, seriously its scary lol. I am so glad you have found a healthy balance. I struggle working as a nurse with crazy shift hours, a hubby working crazy shift hours and a toddler (who eats healthier than I do thanks to gerber organic food pouches – meanwhile i’m polishing off the bag of krispy kreme kruellers haha), – I HATE cooking/meal planning. My struggle is real with needing stupid easy but healthy recipes. Your story is inspiring because I feel like we could be soul sisters haha and I have hope that i can learn to cook and eat better not only for myself but for my hubby and baby.
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.

It takes a lot of guts to share a story like this, but I truly believe you will inspire so many people by doing so. You are beautiful, then and now. It is very hard to share our lives on a blog because so many people see this “picture perfect” life and think they can’t relate. To share our real life experiences, along with the beautiful rooms and decor give people a chance to truly relate that they too can have a beautiful space- and that they too can get off the couch and take their life into their hands and do what it takes to lose that 10 or 100 lbs. Like your friend said, you are an inspiration- and I am happy to follow along on your journey!
Hi Ashley! Lol! I love that we could be soul sisters! Both my sister and my brother-in-law are nurses and those nursing hours are just insane…and adding a toddler to the mix makes for a crazy schedule, I’m sure! So for stupid easy but healthy recipes, I highly recommend Once A Month Meals (https://onceamonthmeals.com/?ref=soveryblessed). They have Instant Pot plans and so many of them are just dump and go recipes (and lots of other easy, healthy non-IP meals, too). And honestly? For me, frozen vegetables are a lifesaver. If I’m putting energy into cooking a main dish, I don’t want to put much time into prepping sides too, so my freezer always has a ton of steamer bags of various veggies. Also, one pot/one pan/one skillet meals are awesome. I love throwing potatoes, baby carrots (no chopping necessary), and smoked turkey sausage onto a sheet pan with a little bit of oil and garlic & herb seasoning and roasting it all. The less I have to think, the better! I’m so glad my story could give you a little inspiration. If I can do it, you absolutely can too. Thanks so much for your comment!
So, we’ve scoured the internet, researched hundreds of blogs, and of all the incredible women we came across, these 35 inspirational blogs stood out the most. Not just because they’ve been through a weight loss transformation of their own, but because they have completely changed the way they see themselves throughout the process, the impact they have on their audience, and the fact that they are truly badass women who have a purpose, a message, and the vulnerability to lay it out on the line, in hopes that their journey will help just one person on theirs.
Practicing mindful eating can be really helpful if you’re an emotional eater. Check in with yourself to see if you’re actually hungry or just avoiding that assignment that’s hanging over your head. If you’re going to eat, sit down and give your food your full attention. No eating out of the bag, either. If you’re going to snack on some chips, but them in a bowl so you can see how much you’re eating. That might help curb your cravings.
Sometimes, to whip your body into shape, you have to get a little nutty. While nuts are high in fat, it’s that very fat that makes them such powerful weapons in the war against a ballooning belly. In fact, research from Reina Sofia University Hospital reveals that study participants who consumed a diet rich in monounsaturated fats, like those in nuts, over a 28-day period gained less belly fat than their saturated fat-consuming counterparts while improving their insulin sensitivity.

People who get enough sleep tend to weigh less than those who don't. Additionally, researchers found that well-rested dieters lost more fat than those who were sleep deprived, who lost more muscle. "Whenever I don't sleep enough, I'm ravenous the next day," says Weil. To keep her hunger in check and help her maintain her slim figure, she tries to get at least 8 hours of sleep every night.

I have read your article and i was just wondering if you had any tips on how to stay motivated to lose weight? oh and also how to kick soft drinks aside (my biggest issue) I have tried soooo many times to lose weight and it seems i cant even lose one pound. I also have noone to really support me either. I just want to lose weight for myself not for anyone else and need some advice!
Hi Joan… Thank you so much for your very thoughtful and loving reply – I am in tears… It’s really freeing to read what you wrote- about not going at this new plan so aggressively. I was reading other blogs about being so strict with everything right off the bat. I think that this is why many fail & go back to their old eating habits – they feel that they can’t maintain it – it’s too hard. Having done that Nutrimost plan – this Keto way is so much more flexible, and satisfying (love that butter). This is a entirely different way of eating, really a new way of life. We obviously LOVED those starches & sweets & relied on them much too much, or we wouldn’t be where we were. But – I also feel better already – without that logy, starchy fog, after 3 days. I will keep your reply as my inspiration, because it was written with compassion, for a complete stranger – me! It’s going to be a bit challenging, because I eat out a lot with my lady friends & church girls. It has taken me over a year to begin to come to terms with my husband’s passing, from being his much loved wife, a role I cherished so much, to suddenly being single & alone again. I am going for grief counseling thru a church group of wonderful gals, and I feel that this new way of eating is another piece of the puzzle God has given me, to give me a new purpose in life. I never thought I would say something like this. When I lost my beloved husband, I wanted to die with him. I never contemplated suicide but did not want to go on without him. He truly was my soul mate, my Prince Charming.. I don’t know how the afterlife works, but if the Lord allows, my wonderful husband is watching out for me – like he always did, cheering me on with all his love & support.
If you need inspiration, look no further! Sean is a fabulous weight-loss blogger who has lost 200 pounds! His blog follows his journey toward "improved health and fitness, one sport, goal, and day at a time." Sean's goal is to lose 225 pounds through eating healthy foods and exercise. I love his approach to weight loss. Sean writes: "It’s taken me years to put this weight on so I guess I’ve always just known it was going to take time and motivation to get it off. I also wasn’t looking for a quick fix…instead I wanted to find a permanent and intelligent way to live and be healthy while still enjoying life along the way."
Hi Adam, I was searching for a source that would help me lose 40 pounds in two months and pretty much you had a similar story to me. I find it so hard and frustrating finding a diet that works for me and I weigh 195. I’m a singer and a performer and its really uncomfortable with all this weight on me and I need to lose 40 pounds by the summer of july. I sincerely need help and from what I see, I feel you can help. If you can please email me it’ll be well appreciated.
the perfect post for me to read today as I try to get back on track starting this week. I have a goal in mind but I’m not good with strict,regimented routines. I do better with smart/sensible/common sense choices – ie dont eat processed foods, portion control, stay away from fried/sugary foods etc. So glad I read this post, perfect motivation for a monday morning!
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I’ve lost 27 pounds in 6 months. I have plateaued at this weight for nearly 2 months. I have hypothyroidism. I take levothyroxine and provostatin for cholesterol. I eat chicken, fish and fresh vegetables. I limit red meat. I eat no dairy except cream in my coffee. I use mayo and butter sparingly. I have lost an inch off my waist since I have plateaued so I’m looking for alternatives to help weight loss progress. Thanks in advance.
Consider reducing the volume of added fat to test the effect on your weight. Just be sure to notice any changes in hunger as you experiment. If you find yourself hungry, you’ve reduced your fat intake a bit too much. If your hunger remains unchanged, you’ve either found just the right amount or you can experiment with further reducing your fat intake.
It is possible to do more in less time — at least when it comes to your workouts. By incorporating interval training — that means bursts of high-intensity moves — you’ll give your metabolism a huge boost, says Glenn Gaesser, Ph.D., director of the Kinesiology Program at the University of Virginia and author of The Spark. If you usually jog at a consistent pace, try adding a 30-second to one-minute sprint every five minutes, or, if you’re on a treadmill, change up the incline for one-minute intervals.
While you may be tempted to eat as few calories as possible to lose weight more quickly, as mentioned above, it’s important that you don’t cut more than 1,000 calories from your daily diet or eat fewer than 1,200 calories a day — even if that means your energy deficit is smaller than 1,000 calories. Eat too little and you’ll slow down your metabolism and put yourself on track to regain the weight — often with a few extra pounds.
First, eliminate or seriously cut back on the fake foods. When possible, choose real foods instead. Among weight loss tips, this one is absolutely essential. That means an apple instead of apple juice, orange slices instead of something orange-flavored. If you’re craving something, skip the no-fat version that will likely leave you wanting more, and instead measure out a serving instead so you can enjoy the food without going nuts.
Lose fat with high-intensity interval training (HIIT). If you're trying to lose weight fast, HIIT training can super-charge your metabolism for upwards of 24 hours after exercising.[27] This means your body will continue burning calories long after you've ended your workout. HIIT burns more calories in less time than steady-state cardio. In one study, researchers looked at two groups, one running for 30 to 60 minutes three times per week, the other doing four to six 30-second treadmill sprints, resting for four to six minutes between each sprint. After six weeks, it was found that the group doing HIIT training lost more weight.[28]
Sure, you can lose weight quickly. There are plenty of fad diets that work to shed pounds rapidly -- while leaving you feeling hungry and deprived. But what good is losing weight only to regain it? To keep pounds off permanently, it's best to lose weight slowly. And many experts say you can do that without going on a "diet." Instead, the key is making simple tweaks to your lifestyle.
From January through May, it looked very similar to previous months and years. With my little spurts of doing okay and thinking about my choices more, I maybe lost a few pounds in the semester, but nothing that made me look or feel different. It was when I graduated college in May of 2016 that I recommitted to a healthy lifestyle, specifically nutrition and fitness. I was all in.
How much fiber should I eat per day? Most Americans eat less fiber than the USDA daily recommendations suggest. This article looks at the guidelines for fiber intake in men, women, and children. We also talk about how fiber can help with weight loss, and discuss how much fiber is too much. Learn about good sources of dietary fiber and a handy meal plan. Read now
Fibrous foods are as close to a “miracle belly flattening pill” as we have. Fruits, vegetables, and whole grains, particularly those high in soluble fiber, have been proven to reduce fat around your midsection. In addition, these foods fill you up so you eat less, flattening your stomach over time. Try one of these 5 easy ways to turn off your fat genes and keep the weight off for good.
Not only does strength training tone your body and help to prevent injuries, but it also increases your metabolism for days after the fact, meaning you'll burn more calories even after the workout is finished. To supplement her cardio training, Goetke started lifting weights. "It totally transformed my body," she says. The extra calorie burn will help the pounds melt right off of you.
The healthiest way to lose weight quickly combines a healthy and nutritious diet, proper hydration, and a moderate and varied exercise routine. If you use a fad diet or other rapid weight loss technique to drop a few pounds very quickly, switch after a few days or weeks to a long-term weight loss plan that promotes healthier weight loss to protect your health and promote sustainable weight loss.
Have you ever noticed that a couple hours after a big greasy (yet delicious) meal you feel hungry again? That’s because you have not turned off your hunger receptors, and as soon as your body starts to process that food your brain will start up again with “we need nourishment”… because you guessed it, that carton of kung-pow did not give you nourishment, just a full belly. Next time go for more veggies, you’ll stay fuller longer and thus eat fewer calories.
The best way to get rid of belly fat is a combination of strength training and cardio. The cardio will help burn fat from all over your body, including your belly, while the strength training will help you build more muscle, which burns more calories at rest than fat does. For weight loss, aim to fit in at least 300 minutes of cardio per week and at least two strength-training sessions.
1) The amount of fat your body can burn is limited to about 2 pounds per week. With this in mind, it is realistic to set a goal of losing 10 pounds of fat in 5 weeks. Or even 20 pounds in 3 months - provided you adjust your weight loss diet and workout routine for the plateau periods. But you have to make sure that you absolutely follow a smart, well-structured plan.
‘Do it for a couple of minutes in bed and you’ll actually be able to wind down and fall asleep more easily. But it’s a skill, so it requires a commitment to practice it, as with anything. Think of it a bit like dating – the first time you do it it’s terrible, it’s uncomfortable, nobody knows what they’re doing, but the more dates you go on the better it gets.
When you're at your heaviest, it can be intimidating to step into a gym and begin running or lifting among the spandex-clad. Working out in your own space is also simply easier to schedule—you can lift weights while the baby naps or first thing in the morning without dragging yourself out the door. "I bought an exercise bike so I can work out whenever I want," says Sarah DeArmond, who lost 100 pounds.

Close the Kitchen at Night. Establish a time when you will stop eating so you won't give in to the late-night munchies or mindless snacking while watching television. "Have a cup of tea, suck on a piece of hard candy or enjoy a small bowl of light ice cream or frozen yogurt if you want something sweet after dinner, but then brush your teeth so you will be less likely to eat or drink anything else," suggests Elaine Magee, MPH, RD, WebMD's "Recipe Doctor" and the author of Comfort Food Makeovers.


About: Sara’s blog is a healthy blend of family and her faith in God, combined with valuable insight on how to find health and happiness and reduce stress. And trust us, she’s someone that knows. About a decade ago, Sara was 100 pounds overweight and miserable. She started journaling and found an affinity for running and competing (even though she’s not particularly athletic). Today, Sara shares her passion for helping other women find balance and tips on losing weight the same way she did.
Hi Adam, im a 23 year old mother of a 10 month old daughter.. I am still breast feeding, so I wasnt sure if I should cut all my carbs out. I lost 20 pounds while pregnant but gained 40 after… I want to be more fit, or skinny, or healthier to be able to run around with my daughter bevore she starts to walk. As well as having a higher self esteem about me will hopefully make my daughger look up to me, and when she is older know that she is beautiful no matter what. Its harder for me to stick to a certain schedule. Since when she eats I do the dishes, or when shes sleeping if she sleeps I try to get a quick shower in, or eat what ever is the quickest. And since I am in an apartment I cant make too much noise or else I will wake her up please help… I am willing to do anything for my daughter. If you could email that would be greatly appreciated.
And while the weight room can be intimidating for women, pumping iron is key to getting a toned and fit physique. Don’t worry, lifting heavy weights won’t make you bulky — you just don’t have the testosterone to build the size of a man. Lifting will improve your posture, make your arms, core and lower body more shapely and boost your metabolism by building muscle. Resistance training also helps you hold onto muscle that you naturally lose as you age.
Try this interval-training trick on the elliptical trainer: Ride for 30 seconds as fast as you can, then immediately reverse your direction and ride for 30 additional seconds just as fast in the opposite direction. Rest 60 seconds, and repeat. The force of stopping your momentum, as well as going from a dead stop to full speed twice in the same interval, will give your fat-burning efforts a massive boost, says Alwyn Cosgrove, C.S.C.S.

In proofreading this I decided to add a little side note. This is MY personal story and personal experience with anxiety medication. Maybe it just isn’t for me, maybe it just wasn’t the right one or maybe I just had a bad experience. Whatever the case may be, I completely understand that everyone has different situations and different stories. For me, anxiety was induced by our life situation and was something that I have been able to since manage on my own. But I completely understand and acknowledge that this might not be the case for everyone and I completely respect that.

Interesting. I’m on my first weight loss journey ever in my life, so everything is brand new to me. But I lost 30 pounds in the first 3 months when going low carb. I mean it just MELTED! However the goal is 40 pounds (10 pounds to go). This last month, weight loss has stalled. What’s interesting is that it’s stalled at precisely the weight I was previously at in my 20’s. So it’s like some sort of “metabolic memory.” I was convinced that it was a plateau — I’ve never heard of a “stable period” or anything. So I guess I’ll keep trucking and see if it picks up again. It’s very stubborn, considering I’ve doubled my workout time since the slowdown.

‘Do it for a couple of minutes in bed and you’ll actually be able to wind down and fall asleep more easily. But it’s a skill, so it requires a commitment to practice it, as with anything. Think of it a bit like dating – the first time you do it it’s terrible, it’s uncomfortable, nobody knows what they’re doing, but the more dates you go on the better it gets.
If you get enough protein and fat, your total calorie intake should take care of itself. Because you feel full, you won't binge on a can of Pringles and blow your calorie count for the day. The remaining 45 percent of calories in our plan comes from carbohydrates — enough to give your palate a full range of tastes and your body a combination of fast- and slow-burning fuel.
Eat polyunsaturated fats. While saturated fat leads to the body's retention of visceral fat, causing abdominal girth and excessive weight gain, studies have shown that a diet high in polyunsaturated fat helps promote the production of muscle mass instead of body fat.[7] Polyunsaturated fats can also help reduce cholesterol levels in the body, lowering the risk of stroke and heart disease.[8] Sources of polyunsaturated fats include:[9]
I loved your article. It gave me hope because I’m three weeks on Keto and lost almost 9 pounds but I know that it was just water (I’m morbidly obese so I had A LOT of water). I’m far from believing “magic” will happen but I just kind of hoped to be one of those lucky keto people with whoosh weight loss effect yet, just my luck, looks like I’m not going to be one of those… But reading your article reminded me about all the damage in my body from whole life of unhealthy lifestyle and… yeah. Patience. That’s what I need in my keto, more patience 🙂 Thanks for giving me abut of that!
This is my first time to your blog, I found it when googling “Instant Pot Weight loss”. Reading your story, it was like reading my own biography, seriously its scary lol. I am so glad you have found a healthy balance. I struggle working as a nurse with crazy shift hours, a hubby working crazy shift hours and a toddler (who eats healthier than I do thanks to gerber organic food pouches – meanwhile i’m polishing off the bag of krispy kreme kruellers haha), – I HATE cooking/meal planning. My struggle is real with needing stupid easy but healthy recipes. Your story is inspiring because I feel like we could be soul sisters haha and I have hope that i can learn to cook and eat better not only for myself but for my hubby and baby.

Do it better: Short bursts of intense activity burn more calories—and up to 36% more fat, according to a study published in the Journal of Applied Physiology. Strolling around the mall or a park for an hour works off about 150 calories; pick up the pace 1 minute out of every 5 to burn over one-third more calories (try a similar method if you bike). Swimmers can switch from freestyle or breaststroke to a more challenging crawl every few laps, or just go a little faster. Give these quick calorie-burning interval workouts a try.
Want a flatter stomach in two seconds? Stand up straight! Slouching emphasizes belly rolls but straightening your spine elongates your whole body, making you look taller and sleeker. Want to go even flatter for a picture? Use the old modeling trick and arch your back slightly—this will pull your skin tighter across your stomach while moving it farther away from the camera, making it look slightly smaller. Yeah, it’s a temporary fix but good posture offers many health benefits beyond looking good.
There don't appear to be lot of safety concerns with green tea or caffeine as long as they're used in moderation, but they can cause some side effects, such as nervousness and irregular heartbeat, with an intake of more than 400 milligrams per day of caffeine. Stick to brewed green tea, because the green tea extract can cause abdominal discomfort and potential liver damage.
Any weight loss that occurs because of these programs is almost always connected to a dramatic reduction in calories, not magical properties of the program itself. However, sudden and dramatic dietary changes can cause losses in muscle mass and general fatigue, as well as more serious complications such as disrupted gut bacteria, deficiencies in vital micronutrients, and even organ damage.[12]
Thus these observed 2% and 4% increases in energy expenditure on the ketogenic diet underestimate the true metabolic effects of a well-formulated ketogenic diet. From the short-term perspective of a month or two, whether this is 75 Calories per day or 300 Calories per day, the added effects on weight loss would not be spectacular.  But from the longer term view, a sustained daily increase in energy expenditure of 200 Calories would translate to 20 lbs of adipose either lost or not gained.

Although going as low as 1200 calories per day may not be suitable for some people we believe that for the average woman it should not create any problems (provided of course that you are not pregnant or suffering from any disease or disorder). Phases 2 and 3 are according to safety guidelines and the overall instructions provided in the 17 day diet book do not engage any health risks. The calorie cycling is indeed a way to kick start your metabolism and since each phase is only 17 days it does not create any other side effects.
About: Going through a divorce can do nasty things to a person — it can cause weight gain, low self-esteem, job changes, you name it. It certainly was a downward spiral for Emma, who went through the ringer before meeting (and getting engaged) to her current fiancé — but along the way she learned how to find the joy in life and learn to love herself. Emma decided to start a blog as a way to bring her newfound positivity to others. Her outlook on healthy living and eating, fitness and weight loss is charged with positivity. She’s a glass-half-full kind of person, and reading her blog can make you one too.
Hi Joan… I am new to Keto, but have tried low carb diets in the past, Also am hypothyroid, and post menopausal, have battled weight all my life. In 2014, I did the Nutrimost weight loss system, very very limited calories & foods, for 40 days, then more foods are added in. all kinds of “tests” thru electronic testing & diet drops from a blue bottle, & various other drops in water. I did lose 60 lbs, and was able to keep it off for 2 yrs. Then in July 2016 – my beloved husband of 34 yrs passed away suddenly, and I was put into a tailspin of intense grief, where I still remain.
i started eating Keto on Monday, 12/4/17, for weight loss purposes.Need to lose 1/2 my weight to get to my goal weight, so i know its going to be a long journey. Reading this article helped me focus my head on different things than just the number on the scale. i especially liked the way you said that if you didnt see a change on the scale, you just thought that your body was doing something more important. im going to trust the journey and get to my goal eventually!
So finally, let’s discuss if there really is a ‘metabolic advantage’ to nutritional ketosis, meaning that the body burns more energy per day at any set level of physical activity compared to when a non-ketogenic diet is consumed.  The simple answer is that we still don’t know the answer for sure.  But we do know enough to get a rough idea how much of a metabolic inefficiency might be associated with nutritional ketosis.

A 2012 study also showed that people on a low-carb diet burned 300 more calories a day – while resting! According to one of the Harvard professors behind the study this advantage “would equal the number of calories typically burned in an hour of moderate-intensity physical activity”. Imagine that: an entire bonus hour of exercise every day, without actually exercising. A later, even larger and more carefully conducted study confirmed the effect, with different groups of people on low-carb diets burning an average of between 200 and almost 500 extra calories per day.

"Sleep is a cornerstone of weight management because of the impact it has on your hormones that control how you burn fat, how you store fat, and how you're maintaining muscle. The better your hormone balance, the better your weight management. I work my butt off to get eight hours a night, but right now I'm at six—the show is murdering me! Even if I go to bed early my son wakes up."
But I've seen some women beat themselves up over a few extra pounds, even though this does little more than destroy their self-worth. Berating yourself will not help motivate you to control your weight and improve your health. So the next time those negative thoughts creep into your head, recognize them for what they are and replace them with positive ones.
About: Misty’s more than just a “fat girl,” as she puts it. So much more. Misty started blogging about her weight loss about four years ago after she experienced a pulmonary edema and several pulmonary embolisms following the birth of her fourth daughter — all caused by excessive fluids in her body and all nearly killing her. She also found out she has a blood disorder called Factor V Leiden, something she was born with. Since starting her original blog “I Am Not Just a Fat Girl,” Misty’s weight loss journey has had ups and downs, but ultimately she accepted her body and now blogs to inspire others who are looking to lose weight, too.
Lifestyle plays an even bigger role in belly fat — it's essential that you eat right and work to keep stress at bay, he explained. Of course, walking can help with both of these things, but together they're a factor in how much belly fat you're able to burn. "Too many things contribute to say just one thing will make losing belly fat easier," Goelzer said.
I found your story very inspiring! I am 57 years young and about 70 lbs overweight. I have been on some kind of a diet for most of my life. I would love to find a quick fix ,but I know it does not exist. With that being said, I love what you said about the help available to us from God, I never considered the spiritual component to weight loss. Thank you for sharing your story, I will be looking forward to your tips in my email.
I was doing so well, getting into a routine again and eating well, and then HURRICANE MICHAEL. I had to eat fast food (no fresh fruit and vegs) for almost a month. I just got my Instant Pot, and was able to buy fresh veggies and fruit again…I didn’t realize how much I’d miss them!! I’ve always loved fresh fruit and veggies (except avocados, mushrooms, cauliflower and strawberries and blueberries). But, I also love potatoes, rice, bread, chips – anything salty.

I’m 14 and I recently lost 7 pounds. I was first 133 and now I’m 126 lb.. I go to gym regularly after school Mon. – Thurs. and have an active after school activity on Fridays. I usually take the weekend off, and I’m planning Sunday is my cheat day. I want to loose 20 more pounds, or first, 6-10 pounds for the first two weeks. I don’t have any special food here in my country or have someone who knows how to make it. I’m fine with exercise, but I also have these cravings A LOT. I want to know what I should eat because I’m chubby and people make fun of me and I want to show them what I can do. I also want to be healthy. 🙂

I think another great thing about having a blog and being a part of the community of health blogs is how open people are with weight loss/gain. I’ve struggled with weight my whole life and never had a lot of people to talk to because people around me weren’t going through it or felt ashamed to admit guilt over gaining a few pounds or that they secretly knew all the over exercise was actually a bad thing. It can be very isolating and reading other people’s journeys is so wonderful. Thanks for sharing your story!
There's a reason you've been hearing so much about cutting meat out of your diet lately. It's not just great for your body, but also a quick way to shed some extra pounds. "Consider swapping a few meat-centric meals each week for ones centered around vegetarian proteins — or give a full-fledged vegetarian diet a try if that's of interest to you," Gorin says. "Research shows eating a vegetarian diet may boost and speed up weight loss, resulting in a loss of up to 10 pounds." Gorin recommends topping a salad or filling a veggie taco with vegetarian protein sources like pulses — which are beans, chickpeas, lentils, and dried peas — to give your weight loss a boost. One study found eating ¾ cup of pulses daily led to a loss of close to a pound over about six weeks, versus people not eating pulses daily.
"With all the different tips out there, it can be tricky to understand exactly which exercises work the best. HIIT is great for fat burning and will get your heart rate up, but I’d also recommend including strength (resistance) exercises too. Try lifting weights, using resistance bands or using the weight machines at the gym as these will increase your metabolism to help with weight loss, and increase your muscle strength. It’s important to mix-up your whole-body workouts so you don’t get bored."

Be realistic about the type of exercise you can do when starting a new program. If you are hoping to lose weight and keep it off, you will have to do more than a condensed fitness program. The best way to get into exercising is by picking exercises that you are actually going to do and, hopefully, enjoy. If you hate running, don’t make it your main form of exercise—you will need much more motivation each day than if you picked an exercise that you actually enjoy. Instead, try out different exercises until you find a few that you really love, like swimming, biking, or even Zumba.


But while many people want to target their belly fat, it's easier said than done. You can't spot-reduce fat from any specific place in your body. That's why endless crunches won't give you flat tummy. But you can lose weight overall, including from your belly, thanks to a combination of diet, exercise, and other lifestyle habits. Although every body is different and loses weight at a different speeds, personal trainer and dietitian Jim White, RD, ACSM, told POPSUGAR that you can see results in as little as two weeks.

About: The Failed Dieter is a newly-launched website from Jessica, who formerly was the owner of Jessica’s World, a personal blog she used to chronicle her weight loss journey. Now, her blog has morphed into so much more — a place where Jessica gives tips and recipes for stopping yo-yo dieting, and choosing to live healthy. Jessica lost 50 pounds making small lifestyle changes and giving up bad habits. Now her mission is to help you do the same.

Fiber is an indigestible carbohydrate from plant-based foods like bran flakes and strawberries that absorbs water and helps us eliminate waste as it travels through the digestive system. According to a review published in Journal of American College of Nutrition, fiber may increase satiety to keep you fuller longer and dietary fiber intake is associated with lower body weight. Mayo Clinic recommends that women should aim for at least 21 to 25 g of fiber a day, while men should aim for 30 to 38 g a day.
Numerous studies have supported this, such as a 2007 study published in the International Journal of Obesity, which concluded that aerobic exercise like brisk walking is essential for visceral fat reduction, and a past study published in Environmental Health and Preventative Medicine found that women who walked less than 7,500 steps a day had more belly fat than those who met or exceeded that goal.
Stop drinking sugary liquids. Sip on water, tea, black coffee or seltzer instead of soft drinks, juice energy drinks, flavored coffees, and martinis. Cutting calories with substitutions can be a lot easier than you might think. For example, a tall latte in the morning may pack 500 calories. Since a pound of body fat (lost or gained) is roughly equivalent to 3,500 calories, replacing that rich beverage with black coffee can help you lose a pound per week.[9]
You did a good job of evaluating the programs and explaining how they were chosen, but I think the government guidelines are just wrong. Having half of our calories come from carbs doesn’t seem right to me. The only diets I’ve had any luck with are low-carb. In fact, if I consume more than about 130g of carbs per day, my blood sugar goes into the pre-diabetes range.
Late night snacking is certainly not conducive to weight loss. So it is advisable to finish your dinner by 8 p.m. You can indulge in a cup of tea or frozen yoghurt if you need something sweet after dinner. But late night munching should be avoided as much as possible as whatever you eat gets stored in the body as fat. Brush your teeth after dinner to ensure that you do not indulge in snacking between 9 p.m. to 6 a.m.

Support your weight loss and exercise program by getting between 1.2 and 1.6 grams of protein per kilogram (or 0.55 and 0.73 grams per pound) of your body weight, recommends research published in the American Journal of Clinical Nutrition in 2013. For a 200-pound woman, this would suggest you aim for 110 to 146 grams of protein daily, split up among three to five meals.
A little garlic in your meals could mean a lot less weight around your middle. The results of a Korean study found that mice given a high-fat diet supplemented with garlic lost significantly more weight and abdominal fat than those who just ate fatty foods. Even better, they also improved their liver health, making it easier to stay healthy and burn off that excess fat in the long term. For more flavorful ways to make your food more enjoyable, turn to the 20 Spicy Recipes That Fire Up Your Metabolism and watch those pounds melt away.
About: The Failed Dieter is a newly-launched website from Jessica, who formerly was the owner of Jessica’s World, a personal blog she used to chronicle her weight loss journey. Now, her blog has morphed into so much more — a place where Jessica gives tips and recipes for stopping yo-yo dieting, and choosing to live healthy. Jessica lost 50 pounds making small lifestyle changes and giving up bad habits. Now her mission is to help you do the same.
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.
“Under normal conditions, humans absorb only about 80% of the nutrients from the food they eat,” says A. Roberto Frisancho, Ph.D., a weight-loss researcher at the University of Michigan. But, he says, when the body is deprived of nourishment, it becomes a super-efficient machine, pulling what nutrients it can from whatever food is consumed. Start eating again normally and your body may not catch up; instead it will continue to store food as fat.
Tina, that’s awesome. You said some things that rang true for me. At 53 years old, I was exercising plenty, but I love to eat! I was not good at portion control. personally I had to start intermittent fasting. I’ve lost ten lbs in the first few weeks, but have hit a plateau. What I am doing now is going more paleo, modified paleo. I also need to have more discipline in staying the course on exercising, which I love to do, but work often gets in the way. I came across a fitness /diet routine that is one of the most popular in the country , at the moment https://bit.ly/2LTeGBG, looks pretty good. Really it’s not rocket science, although we in the west make it hard. Eat whole foods in moderation, get enough rest, reduce stress, and exercise, not insanely, but regularly. Aerobics and some form of weight bearing exercise seems to be the best combination.
Well, I should begin on the child hood years.  As a child I was not over weight.  I was pretty active as a child, my weight didn’t go up till I hit puberty.  I guess all that candy and soda caught up with me.  However when I hit about 15, the weight came back off, I was a cheerleader in the fall, and I played softball in the spring,and did a lot of other activities in between.  Then when I hit 18 I really started to work out.  I kind of got obsessed, I was working out to Carol Alt’s VCR tapes (remember VHS tapes?) and I got into the best shape ever.  I am 5’11 and made it to 135 lbs, not too shabby.  However, I didn’t eat that much and felt horribly guilty when I did eat.  Not good!  Honestly I don’t know what happened after that, to why I stopped working out that is.  I guess that’s when I hit age 20.  The discovery of pizza, beer, bars, guys and friends.
Choose workouts that require your entire body to exert an effort. This way, you work every muscle group and burn calories with more muscles at one time, like multi-tasking with your exercise. For instance, combine a form of resistance training (try raising small dumbbells overhead as you work) with your arms while you jog or cycle with your legs.[4]
Lifestyle plays an even bigger role in belly fat — it's essential that you eat right and work to keep stress at bay, he explained. Of course, walking can help with both of these things, but together they're a factor in how much belly fat you're able to burn. "Too many things contribute to say just one thing will make losing belly fat easier," Goelzer said.
“My dad is like a food-pushing wizard, he’s always pulling stuff out of his pockets or showing up with delicious food,” says Mary Mock. While the family tradition of surprise sweets was fun, when it came time to lose weight, she knew she had to put a stop to all that temptation. “At first, he seemed hurt when I kept saying no but when I explained it was for my health, he got on board. Sometimes I still have to remind him though!” she says.
“Weighing myself every day helped me track my progress, but what helped the most was comparing myself to photos from before I lost the weight. It was like, 'Oh my goodness; I can't believe the difference from a 50-pound weight loss!' The most memorable moment was when I was out to dinner with a good friend, and he took a selfie of us. When I saw the picture, I was like, ‘Damn! I have lost weight!’ I put that picture next to one from a few months earlier and was so proud of my progress. Looking at those photos daily definitely served as motivation and helped me stick to a healthy lifestyle.” —Jennifer Carroll, 41
Sleeping for more than five hours a night might seem like a luxury for some, but it can have a serious impact on your overall health. Not getting the recommended 7-8 hours of shut-eye a night puts you at risk for fatigue the next day, which means you’re more likely to crave and snack on high-calorie comfort food. Try to go to bed sooner so you can get a little more sleep, which will help you eat less. And to blast fat even faster, don’t miss these essential ways to boost your metabolism.
I really needed this. Been on the keto woe for 4 weeks and haven’t really lost. I am feeling good and I haven’t had a hot flash since week 2!! I was having them at least once an hour! So, totally worth it even without the weight loss. Plus, I’ve had several people tell me that I’m looking really good. Only 4 pounds lost, and clothes are fitting the same, but will keto on and hope that I see a change in the scale. I have about 60 pounds to lose to get to a good weight for me. I’ve been keeping my carbs low, but haven’t really focused on macros, but will start fine-tuning them. Just wanted to get used to the very low carb woe before worrying about fine-tuning. Again, thank you so much for the encouraging article!
I am sorry for the loss of your Dad. He obviously was a wonderful man, to have had a daughter like you. I also was Daddy’s Girl, and miss him every day, too. Well – before I drown in my tears, I wanted to tell you that I have already ordered my Pink Himalayan salt, and some exercise bands. I will go out to the store to get Keto food, and get the starchy food out & in the downstairs freezer – maybe give it away to skinny friends! As far as eating out – I can get bacon & eggs at most places – many serve breakfast around the clock. I know that this Christmas – like most of us – I was surrounded by delicious tempting sweets, and felt compelled to eat as much as I could, after all – it was there. And I felt physically sick afterwards – but that didn’t stop me. I have to admit- I am a foodaholic. I hope that if there are other widows & other folks in emotional pain out there, who have also been taking comfort in “empty” food, but also hate what their grief & overeating has done, can try out this new way of eating – WHEN they are ready. Thanks again, and I thank God I found your blog. I will be hanging around & checking in with you from time to time!

Experts typically recommend reducing your daily intake by about 300-500 calories per day below "maintenance level," or the amount you need to stay at your current weight. This decrease in calories converts to about 1/2 pound to a pound of weight loss per week. Although you may feel like you can "do more," slow, steady progress is much healthier—and easier to keep up.
Lose fat with high-intensity interval training (HIIT). If you're trying to lose weight fast, HIIT training can super-charge your metabolism for upwards of 24 hours after exercising.[27] This means your body will continue burning calories long after you've ended your workout. HIIT burns more calories in less time than steady-state cardio. In one study, researchers looked at two groups, one running for 30 to 60 minutes three times per week, the other doing four to six 30-second treadmill sprints, resting for four to six minutes between each sprint. After six weeks, it was found that the group doing HIIT training lost more weight.[28]
Like many other overweight and obese people, particularly women, you may have tried time and time again to lose weight with little to no success. You may feel discouraged and wonder what’s the point in even trying? While you’re not alone in these feelings and frustrations, there are some key weight loss tips involved in women’s weight loss you might not know about — and that could make all the difference.
There needs to be more people like you. I know too many people that give up soon after starting their quest to weight loss. What they do not seem to understand is that their expectations are being negatively influenced by the media promoting it. What I mean is, a number of the weight loss companies always show a male or a female with shredded bodies that imply that the customer will look the same way over night. The truth is, like Tony Horton said in his original P90X, “Rome was not built in a day and neither was your body”. People need to understand that true change will take weeks, months, and even years. A few years ago, I followed the original P90X program and was able to lose 25 pounds. I felt amazing, however, soon after I stopped the program, the weight came right back. In my personal situation, I may have lost the weigh too fast. I was eating small meals, but always seemed to feel hungry. I was depriving myself of what I liked, therefore when I stopped, all of my old eating habits came back. Your new technique is great and I hope more people read you post to inspire a healthier life style, thereby, helping to minimize the U.S. obesity problem. Thank you
I weigh 133 lbs and i’m 5’3. I’m 14 and I really want to lose weight.I have the same problem as Julia, (basically) I want to weigh around 120, it would really help. I need to get in shape quickly because people in my school keep calling me fat, and I want to prove them wrong. I don’t like exercise, just like Julia.I have tried everything, but I always give up on myself. I need to lose this weight, do have any idea how I could lose this weight fast without exercising that much?
Why does this popular plan work? For one thing, it pushes wildly healthy staples to the forefront (think: nuts, vegetables, fruit, olive oil). For another, it's simply delicious, thanks to it's focus on fresh, simply prepared dishes like grilled fish with lemon and whole wheat pita with hummus. Science agrees: One meta-review of 16 studies, found the eating M.O. helped those on it lose an average of 8.5 pounds.
For some, as little as one or two drinks can impact weight loss. Beyond just its contribution of calories, alcohol interferes with the digestion and utilization of other nutrients, including fat. If you’re hitting a weight plateau and drink alcohol, evaluate your alcohol intake. Consider the type and the volume of alcohol you’re consuming. The carbohydrates and calories can add up quickly, and not to mention, we sometimes tend to reach for food when drinking – whether hungry or not!
These are fantastic tips, and now that I’m in my thirties, and have just recently started exercising again, I am finding it’s harder to lose weight than I thought. I think the whole “not eating enough” aspect is my problem! I am definitely going to give it a try! Good for you for taking the steps to make healthy changes in your life, and cheers to continued success!
As with the 17 day diet the first 2 phases of the Dukan Diet do not fully comply with the suggested standards because they restrict certain food items from your daily diet and promote low calorie meals which are sometimes below the average. The 3rd and 4th stage though is according to standards and best practices. The list of healthy foods suggested by the Dukan Diet has the same characteristics as the foods suggested in the dietary guidelines.

Since insulin sensitivity is at its lowest in the final two weeks of the cycle, and carb intake is also at its lowest, exercise should be more anaerobic (this means hard and fast, really getting your heart pumping). It should be focused more on high-intensity interval training, with short bursts of high intensity work, either from brief sprint exercises or from weight lifting. This is an excellent way to sharpen insulin sensitivity while simultaneously burning fat, increasing muscle mass, and spending calories. It also helps the body stay healthy and as stress-free as possible during this time in which the body is gearing up to menstruate and the least capable of handling stress.
If you ever needed an excuse to eat more avocados, this is it. People tend to steer clear of healthy fats when they're trying to lose weight, but they might just be the solution. Studies show that by simply adding some avocado to your lunch every day, it'll fill you up enough that you won't be mindlessly munching on junk food later. "Slice one in half, sprinkle a little sea salt, and eat the inside with a spoon," says Alexandra Samit, a Be Well Health Coach at Dr. Frank Lipman's Eleven Eleven Wellness Center in NYC.
Avoiding salt doesn’t mean your food has to be bland. Experiment with using different herbs and spices. Try adding fresh cilantro and cumin to grilled fish, lemon and rosemary to chicken, or ginger and Chinese five spice to tempeh or beef. Pick up some spice blends from your local market to help add more spice to your life… just read the ingredients and make sure there’s no salt added.

Good news – I lost that 1 kilo again. Yeah! Without buying anything other than a library ticket go and look for info on food combining and natural hygiene. Also a 1980s book that is a way of life that worked for many is also extremely informative about what food groups are and what a food group actually is eg what proteins actually are and where to find them; how our body works in assimilating and getting rid of waste. I’ve pulled out my old copy of the book again and am having a go at the suggestion for dividing the day into 3 cycles : noon – 8 pm to eat; 8- 4 am for body to assimilate; 4-noon to get rid of waste. It depends on what you combine to eat together ie not carbs and proteins in same meal but you can have as much veg or salad with either. Not fruit – that’s for the morning and as much as you want till noon.
You can get results by following this program provided that you do it correctly and by the book. What many women like about this diet is the fact that is has a clear start and end points. You know from advance that you will enter a diet for 68 days. After that period you evaluate your results and decide the way forward. We did research into various forums and read the experiences of people who followed this diet and most of them did manage to lose weight and most importantly they manage to keep the weight off. Those that failed to do so did not follow the complete set of instructions but they tried a hybrid diet which at the end made them fail.
Squeezing in some refreshing lemon will not only help you drink more water; it also has detox benefits which are sure to help you lose weight fast. Lemons are rich in polyphenols, which are compounds that contain antioxidants. A study in the Journal of Clinical Biochemistry found that mice who were fed lemon polyphenols were less likely to gain weight and accumulate body fat.
Remember that it takes a 3500-calorie deficit to lose one pound of fat. That is, you have to either burn off 3500 calories through exercise or eat 3500 calories less than you burn in a week. Break this up into daily limits. To burn 3500 calories a week, you should aim to have a 500 calorie deficit every day. For example, you can exercise to burn 250 calories and cut 250 calories from your diet.
Drink water. Contrary to another popular misconception there is no specific amount of water you should ingest. Everyone has different needs based on genetics, activity level, the environment they live in etc. The key is to drink water until your pee looks like lemonade. If it looks like apple juice keep drinking. The reason this helps flatten your tummy is two fold: hydration can boost fat metabolism by up to 3% and drinking water flushes out excess bloat and water weight you might be holding on to.
Among the potential fat-burning substances, green tea may be among the better options. A review article published in Obesity Reviews in 2011 noted that although there isn't enough evidence to recommend most fat-burning supplements, green tea and caffeine have been shown to increase fat-burning. You may want to make green tea your beverage of choice. Not only is it calorie-free, but it also appears to enhance the belly fat loss brought on by exercise, according to a study published in the Journal of Nutrition in 2009. The combination of antioxidant substances called catechins and caffeine in the green tea may cause increased energy expenditure and fat-burning, according to a review article published in the Journal of Nutritional Biochemistry in 2011.
Secondly, you mention that it’s been “almost a week” and that you don’t see much difference. Losing weight shouldn’t be a short term approach. Is it possible to lose weight really quickly? Of course – I did it myself, but if you are weighing yourself everyday multiple times a day you’re going to drive yourself crazy. Be consistent – we weigh in Saturday mornings. Same time every week.
Salt, in moderation, is a good thing—the mineral is necessary for a healthy heart and brain. But too much salt and you’ll retain water, bloating up like a water balloon. Cutting salt is one of the primary ways to drop extra water weight (one reason you may see a big weight loss when starting a new diet!). Move the salt shaker off your table so you’ll get out of the habit of routinely salting all your food. Then if you taste your food and still really want salt you can still stand up and get some. For more weight loss benefits, add these fat-burning foods to your plate to help you lose weight.
Work your core. When many people think of core strengthening, they think of stomach crunches. Crunches are helpful for building abdominal muscles, but contrary to popular belief, crunches won't do much to lose the layer of fat stored in your belly, and can actually cause significant damage to the spine.[34] Instead, try a workout routine that strengthens your whole core, like yoga, or try abdominal presses and planking.[35]
About: Besides Nadia’s beautiful smile, it’s her philosophy on life that really drew us to her blog. Yes, Nadia is passionate about all things fitness and healthy eating, but she’s even more passionate about spreading the message that perfection is impossible and the key is to love yourself for who you are. That’s the kind of heart Nadia puts into each and every one of her posts as she strives to help people find their own version of happiness.

That’s because it theoretically causes a mild ketosis (yep, the basis of the keto diet), which is a fat-burning state that should make you feel less hungry. The key in being successful with a low-carb diet (especially if you’re used to a more high-carb lifestyle) is to compensate for those lost carbs with protein-rich foods, says Dr. Cheskin. That way, your volume of food stays the same, but you’re doing it healthfully rather than in a way that exacerbates your weight gain.
If you’re only getting a minimal amount of sleep each night, that leaves more time for you to snack and make otherwise unhealthy decisions that could affect your weight loss. Although it will vary from person to person on how much sleep you actually need to be most effective (and therefore make progress toward your weight loss goals), the ideal number is typically 7 or 8 hours, says Dr. Cheskin. (Struggling to get that shut-eye? This doctor-approved breathing exercise will help you fall asleep fast.)
"I use low-fat Greek yogurt in place of mayo in recipes, and it tastes great," says Krystal Sanders, who went from 185 pounds to 110 by coming up with healthy versions of her favorite restaurant foods. "It can also be used as a sour cream substitute." The possibilities are endless when it comes to this tasty staple, but you can start with these dessert recipes.

Out-of-whack hormones have all kinds of uncomfortable side effects and belly bloat is one of them. There’s a reason that bloating is one of the primary complaints women have during menopause! While you can’t turn back the clock and reclaim the hormone profile of your 20’s, you can make sure you’re within the normal range—something your doctor can check for you. In the meantime, eating right and exercising are natural ways to balance your hormones.


It can be harder to lose weight after menopause. In fact, many women gain an average of 5 pounds after menopause.5 Lower estrogen levels may play a role in weight gain after menopause. But weight gain may be caused by your metabolism slowing down as you age, less-healthful eating habits, and being less active. You also lose muscle mass as you age, so you use fewer calories.
Shelly of the World According to Eggface is remarkable for her 158-lb weight loss, which took her from morbidly obese to healthy and happy. But she's even more inspirational for being so open about something a lot of weight-loss bloggers tiptoe around: her gastric bypass surgery. Check out her A Day in My Pouch post to see what it's like eating after this type of weight-loss surgery.
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