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Dr. Jade Teta

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Want to Lose Fat? Count Your Hormones, Not Your Calories

Posted: 07/17/2012 8:44 am

Weight loss and fat loss are not the same thing. You can be burning calories and losing weight, but those calories and that weight may or may not be fat. In fact, the one-size-fits-all weight loss model of "eat less and exercise more" can result in muscle being lost as readily as fat.

The greatest health challenge of this century is the obesity epidemic. According to the 2008 National Health and Nutrition Examination Survey, close to 70 percent of Americans are overweight and over 30 percent are obese. And here is the bitter truth: The "eat less, exercise more" model of weight loss has not worked. The reason? Calories don't control metabolism, hormones do.

Eat less and what happens? You get hungry. Exercise more and what happens? You get hungry. Anyone who has ever "prepped" for a Thanksgiving dinner knows if you want to come hungry, a good strategy is to skip breakfast and lunch and make sure you exercise. The very thing we are telling people to do -- eat less and exercise more -- is making it far more likely they will do the reverse.

This is why a report in the April 2007 issue of The American Psychologist showed up to 66 percent of individuals following the caloric model of weight loss end up fatter two years later than they were when they started the diet. Any other model, in any other discipline, with a failure rate this high would have been discarded long ago and labeled as useless.

Stopping obesity means understanding hormones, not just calories. Hormones are the messengers that tell the body to burn fat or store fat, remain full or feel hungry, have cravings or not, enjoy balanced energy or feel fatigued. Hormones even impact your mood and motivation to exercise. You can think of hormones as analogous to computer software. They give the body instructions about what to do with the information it is exposed to.

So which is more important, calories or hormones? It is not a simple answer because calories impact hormones and hormones affect calories. The impact cutting calories has on hormones is recognizable and pronounced. The body slows its metabolic rate and sets into motion a host of compensatory reactions that make you hungry, crave calorie-rich foods, sap your energy and slow fat loss. A "calories-first" approach leaves you at the mercy of your metabolism and completely reliant on willpower. Anyone who has ever gone on a diet knows it is almost impossible to win a long-term battle of wills against your physiology.

A "hormones-first" approach is different. It reduces hunger, controls cravings, elevates energy, and increases metabolism, which all leads to an automatic reduction in calories without even trying. This is the perfect scenario for body change: A low-calorie diet in the context of balanced hormonal chemistry.

Perhaps you are still skeptical about the primacy of hormones over calories? If so, I have two questions for you: How many calories does sleep have? How about stress? Silly questions right? You can't eat sleep and you can't eat stress, but there is no denying that they dramatically impact how much you eat and what you crave to eat. They do this not because they are loaded with calories, but because of their negative impact on hormones.

So how do you switch your mindset so you can design a diet that takes a hormones-first approach? Here are five pointers to get you started.

1) Think fat loss, not weight loss.

There is more than one destination for a calorie. Decrease calories and you may lose fat, but you might lose muscle instead. Increase calories and perhaps you will gain fat, but you could alternatively gain muscle. The type of activity you do can determine which occurs. This is why weight training is so powerful in turning weight loss into fat loss. It is the only form of activity that pushes extra calories toward lean tissue growth.

2) Think of food as information, not fuel.

A doughnut and a chicken breast have the same number of calories, but one food will give sustained energy, decrease hunger and blunt cravings. The other will provide less consistent energy and speak more to your fat cells than your muscle. Quality of food matters.

3) Every action has a compensatory reaction.

Meals are not separate and distinct. What you eat -- or don't eat -- for breakfast will impact how much you eat and what you crave to eat for lunch, which will have the same impact on dinner. Your choices at one meal directly influence your decisions at the next meal, and this determines fat loss or fat gain. Don't eat less, eat smarter.

4) Shades of Gray

Nutrition is not black-and-white, but gray. There are individual reactions to food that may apply to one person but not another. The choice to have a diet Coke because it has zero calories may or may not be a wise choice for you. For you, this practice may cause cravings later, but for someone else it could kill the desire for sweet. The weight-loss model completely ignores individual reactions to food.

5) Forget what you weigh.

Gaining weight does not always mean gaining fat. What if you are gaining muscle instead? Realize that a pound of fat and muscle weigh the same, but muscle takes up less space on the body. You can look 130 pounds but weigh 150 pounds when you have developed a lean, muscular physique. Skinny and flabby is the look of weight loss. Lean and tight is the look of fat loss.

Always remember, you are as different on the inside chemically as you are on the outside physically. The weight-loss game is a one-size-fits-all approach to a completely individual practice. It's a game you can't win, because it is not built for you. Instead of being the weight-loss dieter, become the fat-loss detective. Spend the time to figure out your individual metabolic expression, psychological tendencies and personal preferences. Do that and it is not a matter of if you will change your body, but when.

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Weight loss and fat loss are not the same thing. You can be burning calories and losing weight, but those calories and that weight may or may not be fat. In fact, the one-size-fits-all weight loss mo...
Weight loss and fat loss are not the same thing. You can be burning calories and losing weight, but those calories and that weight may or may not be fat. In fact, the one-size-fits-all weight loss mo...
 
 
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06:07 AM on 09/07/2012
based on mentioning the importance of insulin as a fat regulating hormone, this article has nuances of carbohydrate restriction. It is great to finally see some proper fat loss advice in diet articles! Eat plenty of protein and fat and restrict carbs to under 100g per day and you will become leaner and more healthy. That's what the most rigorous studies and meta-analyses show!
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omsandi
11:57 PM on 08/16/2012
There are way too many factors in weight gain that make it much more complex than the simplistic (and myopic) view of calories in/calories out. Hormones is definitely a part of it, and yet still not the whole story. Stress, digestive issues, toxic overload, undernourishment, poor food choices that have nothing to do with calories, blood sugar issues, and even sleep deprivation are just some of the many factors we need to consider.
09:32 PM on 08/16/2012
I know this to be true by personal experience. I had been losing weight fairly well recently. Then with no change to nutrition or activity, (I train hard 5-6 days a week and eat a very structured meal program), I started gaining inches and pounds. I had bloodwork done, and my estrogen was well above range for a male (around 42 picograms/dL), and my tesosterone had plummeted to 314.

Anybody who says calorie in calorie out has never taken a medical physiology or an above 300 level nutrition class. . .
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12:45 PM on 08/18/2012
You sir are absolutely correct. Did you address your sudden hormone imbalance?
03:40 PM on 08/18/2012
Unfortunately, my Dr. wants me to increase my testosterone by 50% rather than put me on an aromatase inhibitor. We will see where I am after 4 weeks. If he still refuses to allow me to go on an AI, I may be looking for a new doctor that actually understands endocrinology. Additionally, I am looking into taking a low dose of phosphatidyl serine to help with my cortisol levels. I am still doing my homework on some of these drugs and their interactions.

I know that due to my obesity, I have the fuel to the fire syndrome. Elevated aromatase enzymes, higher negative feedback on GNRh, elevated cortisol, grhelin, and leptin. I am sure there is more going on, but right now my main concerns are the cortisol, the estrogen, and the testosterone. We will see what happens. I have changed the intensity of my workouts and pushed back to a plateua. I am also playing with my nutrition sources but keeping the calorie range is the same.

Thanks for asking!
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bnmarshall
01:52 PM on 07/22/2012
This does make some sense. I know many women (including myself) who were on different types of birth control and have had weight troubles
03:10 AM on 07/21/2012
I don't believe anything in this article! Because it's not written by a woman (no offense). Womens and Mens body's are not the same, so until guys have periods and pop out a baby then I maybe I'll believe this!!!
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trand1114
Invest in precious metals: BUY LEAD!
10:14 AM on 07/21/2012
Wait until you get older and more educated then you'll see the direct impact hormones play in part to regulate one's body in all aspects, not just the weight loss. Oh and by the way, I'm a woman.
09:21 PM on 08/16/2012
What kind of sense does that make? Are you saying that a man's lack of experience as being a woman nullifies his scientific observation of behaviors at a chemical level? Really?
02:20 AM on 08/19/2012
YES REALLY!!!
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Lori Woods
Widen your circle of compassion.
07:48 PM on 07/19/2012
I read the article as a skeptic, but it actually was quite common sensical on most points. But like many posters here have pointed out, it doesn't give us specifics. For that, I'm assuming we are supposed to buy his book.
01:24 PM on 07/19/2012
This was an excellent article! I've been trying to find the right words to explain what you said in #2 "Think of food as information, not fuel." That is just what I've been racking my own brain to say but just couldn't come up with! And as the body is really ALL INFORMATION since every cell is built of DNA which is like computer code, thinking of what we ingest as information as well is actually quite an accurate way of looking at it. And from there we can apply the computer geek's saying, "trash in, trash out". Thanks Dr. Teta! Myself and my clients will definitely benefit from this short article!
12:24 PM on 07/19/2012
I'd love to be able to "count my hormones", but I don't think even physicians have a lock on how to go about that. We know hormones play a huge role in weight, mood, and all that, but without suggestions on how to manage them, why bother bringing it up?

Focused meditation, CBT, the Power of Positive Thinking, the placebo effect, and other trick-yourself-into-feeling-good techniques work better than anything I've heard of so far. Not everyone can do it, but for those who can, weight loss is one area it can be applied to. Good luck, folks.
01:27 PM on 07/19/2012
A blood test can reveal your hormone levels very accurately. Testosterone levels are routinely checked with blood tests. This is the foundation of all of the "bioidentical hormone replacement offices popping up all over the country. This is also how they test bodybuilders, football players, baseball players, and most college level and above athletes. And it's cheap.
04:32 PM on 07/19/2012
I don't think that we know enough about the ins and outs of all the many hormones (and their fluctuations) to be able to use them therapeutically, particularly when it comes to weight loss and mood. Individual variance with birth control pills and estrogen replacement therapy has shown us just how much we don't know.

And you might have a physician who thinks you might benefit from a testosterone booster despite levels that test within normal limits, but mine does not. :-(
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BxGurl0813
What color is the sky in Opposite World?
01:55 PM on 07/18/2012
This would be a great article if we were all physiologists. Thanks for nothing.
01:30 PM on 07/19/2012
We know what the average person's hormone levels are at certain ages. For instance, testosterone in men has a normal range. If you fall out of that range, too low, you will feel and see the negative consequences. Returning the body to the normal, upper normal range through testosterone replacement therapy has improved untold tens of thousands, maybe millions of men's lives in the past several years. You don't need to be an expert. When you get your next wellness check-up ask for hormone levels testing when they take your blood for testing cholesterol, etc. If it's low, you will know and can do something about it. It's not all that complicated.
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BxGurl0813
What color is the sky in Opposite World?
03:58 PM on 07/19/2012
Thanks so much for missing my point entirely. You've been very helpful.
01:42 PM on 07/18/2012
The Good Stuff You Do Can’t Outrun the Bad Stuff

Prior to my surgery last year, almost to the day…. I was under the impression that as long as I balanced the good with the bad I would be fine. If I ate 20 chicken wings and a pitcher of beer for dinner I would go for a long run the next day. If I ate a big steak I would make sure I had a huge salad. The problem is that this approach does not work. If it did then my weight would not have gone from 200 to 235 pds in 5 years.

Let me put it this way. You cannot exercise your way out of chronic disease. Unless you are Michael Phelps, burning 10,000 calories a day, you will not be able to exercise off the calories you take in. To really lose weight and reach your ideal body size you have to eat the right foods. By eliminating Dairy & Animal Protein and avoiding Oil, you can drastically reduce the amount of fat you take in.
John Cloud had a great article in Time Magazine a few years ago, Why Exercise Won’t Make You Thin.

Full Post: http://wholefed.org/2012/03/14/the-good-stuff-you-do-cant-outrun-the-bad-stuff/

Ian Welch
WholeFed
03:55 PM on 07/18/2012
Oh lawd.. fat is not the reason people are fat. Eat below maintenance and you will lose weight, it's that simple.
04:46 AM on 07/19/2012
did you read the article?

"up to 66 percent of individuals following the caloric model of weight loss end up fatter two years later than they were when they started the diet. Any other model, in any other discipline, with a failure rate this high would have been discarded long ago and labeled as useless."
12:13 AM on 07/20/2012
Sorry bro. You need to read this article (and a lot more which are out there for the finding) again.

The "Calories in/Calories out" model isn't working anymore. There are too many other variables involved.
01:35 PM on 07/19/2012
If eliminating animal fat was the main factor, or even an important one, we wouldn't have the obesity epidemic we have in this country. EVERYTHING practically is low-fat these days, and millions of people have done really good jobs at avoiding excessive fat, and yet are still fat themselves. I'm consistently at 10% body fat myself, or less, and I eat eggs with yolks and bacon almost every morning. Anything I cook in a frying pan is cooked in lard that I render myself from pork roasts that I cook in the oven. The problem is NOT fats, it's sugar and wheat. Try an experiment, for 1 month cut out 100% of the fat from your diet, all of it, and see what happens to your physique. Then for another month just don't worry about fat at all but cut out all wheat products and refined sugar from your diet. Two experiments, two months and I guarantee you will be convinced by your own experience.
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Lori Woods
Widen your circle of compassion.
07:39 PM on 07/19/2012
What BS. "Everything practically is low-fat these days."??? What planet are you living on because in the one where I live, people eat fast food A LOT and that is full of fat!!!!!
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GroveGal10
chillin' on Biscayne Bay
03:08 PM on 07/21/2012
A Better America - I am 100% with you! I wrote a book with a heart surgeon who exposed the myth that fat caused heart disease and raised cholesterol. The problem is 30 years of indoctrination that low-fat, no-fat foods are the answer. That's programmed into people's minds from their doctors down to grocery stores stockpiling low-fat, heavily sugared products. Pharmaceutical companies make billions on statin drugs because, as the old science went, cholesterol has to be lowered to reduce heart disease. Even though vast amounts of science exits that prove these theories have been wrong since they began decades ago, food and statin manufacturers have all it takes to keep the old, erroneous theories in place. The human body was not intended to process manufactured foods filled with chemicals. Low-fat, no fat foods are manufactured. The result is inflammation which causes heart disease.
12:25 PM on 07/18/2012
The "eat less, exercise more" model of weight loss has not worked. The reason? People are not eating less and exercising more.
12:39 PM on 07/18/2012
They do follow it, just the other way around.
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Dr. Jade Teta
Integrative physician & Author The Metabolic Effec
05:58 PM on 07/18/2012
The overweight and obese have metabolisms that don’t behave the same as thin people. Telling them to eat less and exercise more is like telling someone with a broken leg to walk more and take their cast off. They simply can’t physically do it and if they tried, they would obviously make the issue worse. Those who repeat the mantra “eat less & exercise more” are demonstrating an incomplete understanding of human metabolism. A misunderstanding that is unfortunately held by the vast majority of experts in the medical field. A topic I will be dealing with extensively in this blog. Thanks for your interest and comment.
05:52 AM on 07/19/2012
Like you said in the article, nothing is black and white, so I think that not all obese people have a metabolism that explains why they are obese. Some people just eat to much of the wrong foods. And I think everyone can exercice! Maybe not all type of exercices, but phisical activity is "built" in us. How would we have survived so many thousands of years without motorized aids in our daily lives?
10:30 AM on 07/19/2012
Thanks for the response, but I still believe the vast majority of overweight and obese people would not be that way if they had been born into a society like it was 50 or 100 years ago when people ate less and exercised more ( not necessarily by choice) and there were a lot less obese people.
12:23 PM on 07/18/2012
I completely agree with the concept of working toward fitness and not weight loss, and have two comments:

1. As a young woman I am terrified of using hormonal birth control. Basically any gynecologist I've seen says the same thing, that the side effects of getting pregnant are worse that the side effects of birth control. I can't help but feel people (especially young women trying to lose weight) are not adequately educated or warned about the effects of hormones.

2. Is there a better method other than BMI to calculate a healthy fitness level? Personally I am considered almost overweight on that scale, and yet I'm relatively active and fit size 4-6. Does that also skew statistics on studies regarding weight/health?
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trand1114
Invest in precious metals: BUY LEAD!
10:29 AM on 07/21/2012
I'm glad you mentioned part 2 in your post. The "funny" thing about the BMI calculation is that it doesn't factor in muscle mass which weighs more than fat so in that instance, it's not a reliable indicator of a healthy body weight in that instance. As far as the birth control methods, medicinally speaking, putting compounded ingredients of any kind in the body to alter its composition are by far worse than the nine months allotted time of pregnancy.
08:45 AM on 07/18/2012
essentially, eat less than what you expend for existence and you loose weight. Not rocket science. everything else is hokum pokum.
04:48 AM on 07/19/2012
again: per the article, 66% of those following this model end up fatter 2 years later. It's not sustainable.
01:43 PM on 07/19/2012
This is FAR TOO SIMPLISTIC. Have you read "Why We Get Fat"? There are millions of Americans who do just this, eat less, exercise more, and do not lose weight. There are others who eat massive amounts of calories (not junk) and stay super lean in spite of not following that simple rule. The body is a LOT more complicated than that....
07:50 PM on 07/19/2012
in the end it is caloric intake and your expenditure that determines the weight balance. all other stuff are gimmicks and or pharmaceutical snake oils, all other ( the zillions hormones, body types etc) are simply minutiae.. yes the mind has a lot to do with all of that, including the density of our foods, the activity level (not exercise) but general activity level such as walking, going up stairs, and other manual labor.. you want to blame the complicated body, hey be my guest but stop munching in between meals and move a bit more, it will do you good.
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Walrus Man
02:42 AM on 07/18/2012
People do not need to have high qualifications to learn that just by eating, exercising, and resting like PEOPLE is the best way of being healthy. There is a misconception and ignorance about calories, they are not evil, we, human beings are omnivorous and we can eat everything. Moderation when applied; is a magic word. (I know! you may be vegan, vegetarian or other). Obesity is a disease with physical and/or mental implications. My qualifications? show me that I'm wrong.
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James Martini
Your micro-bio is empty
08:11 AM on 07/20/2012
I think it's clear that part of the problem is that, as a culture, we don't know what it is to "eat, exercise, and rest like PEOPLE" anymore. In fact, I'd say that people are doing exactly as they are programmed to by evolution i.e seeking out calorie dense foods and conserving energy. Great strategies if your foods are raw plants and what you can catch but a very poor strategy if you can eat a day's worth of energy in a single trip from the couch to the fridge.
01:30 AM on 07/18/2012
I have not seen a single instance where credible advice for weight loss has included this message:

"...Anyone who has ever "prepped" for a Thanksgiving dinner knows if you want to come hungry, a good strategy is to skip breakfast and lunch and make sure you exercise. The very thing we are telling people to do -- eat less and exercise more -- is making it far more likely they will do the reverse...
"

Advice from credible source never tells people to skip breakfast and lunch, so your starting premise about "Anyone ..." and "The very thing *_WE_*..." is nonsense.
05:00 AM on 07/18/2012
I don't think you understood what the writer was saying.
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02:07 PM on 07/18/2012
you TOTALLY missed what he meant, not to mention, TOTALLY didn't read, I would guess, the part in the quote where he wrote "if you want to come hungry" (to Thanksgiving dinner)... The point was, if you happen to be one of those people that tries to prepare his/her appetite to engorge himself of all the turkey, dressing, pies, etc, then you know what his article is talking about when he says that when you diet (don't eat, eat a little/not enough, or eat much of the wrong stuff), no matter what = you get HUNGRY. Hormonally-balanced hunger is optimal (no muscle loss) to hormonally-imbalanced hunger (maybe some fat loss, but some muscle loss too).