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Irene Rubaum-Keller

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The Truth About Obesity, Weight Loss, And Fad Diets

Posted: 12/28/09 03:31 PM ET

Sometimes I get mad and the keys start flying. This is one of those times! I just read a blog by an M.D. who is going to lay out the secrets and steps to cure obesity and diabetes. It's more exciting if we number the steps and make it seem like a secret that only that one expert knows. STOP!

All these teasers to cure obesity lead to one place, and one place only: eat healthy, whole, unprocessed foods and move more. THE END! Your body counts calories. That is how it determines what you weigh. If you feed it fruits, vegetables, whole grains, healthy fats (in small quantities) and lean protein you will be healthy but not necessarily thin. If you eat less calories than you burn, you will lose weight. It is very hard to be healthy and eat less than you burn if you eat a lot of processed foods, high fat foods and/or fast food. It is even hard to be thin and healthy if you eat out a lot. Have you seen the calorie counts on restaurant menus? I suggest you start asking for them and looking at what you are being served.

To determine how many calories you need per day: women take your weight and multiply it by 10 (men use 12) and that will give you the calories you need to maintain that weight without exercise. So, for example, I weigh 130 lbs. I get 1,300 calories per day (without exercise) to maintain 130 lbs. If I exercise I can take in more and still weigh 130 lbs. It is really very basic and simple.

The best selling diet books out right now want to make you think there is another way. Why? Because you want another way and those books sell. I Can Make You Thin is one of the best selling diet books. The title alone probably sells this book because it implies that he can do it for you. Very attractive indeed. The Four Day Diet is also a bestseller. Eat Right For Your Type says if you eat certain foods based on your blood type, you will be thin. I think you get my message. There is no easy way. No one can do it for you and it takes a lot longer than four days to lose weight, unless you only have a few ounces to lose.

So, if you want to be thin and healthy, you can do it. Eat well, exercise, pay attention to your calories and give it time. It's worth it!

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Sometimes I get mad and the keys start flying. This is one of those times! I just read a blog by an M.D. who is going to lay out the secrets and steps to cure obesity and diabetes. It's more exciti...
Sometimes I get mad and the keys start flying. This is one of those times! I just read a blog by an M.D. who is going to lay out the secrets and steps to cure obesity and diabetes. It's more exciti...
 
 
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04:35 PM on 01/04/2010
It's absolutely true of course and sounds so simple, eat less, eat foods as close to their natural state as possible and move more. But the problem is sticking to it and changing the habit of a lifetime, especially on your own. The psychological aspect is the most important to make the changes for life. Joining a group of like-minded people is one of the most successful ways to make those changes through shared experience and support. The first step to long term weight loss may be learning which foods are best for satisfying your appetite and changing eating patterns. But the real key to long term success is emotional and psychological change. Irene, have you heard of Slimming World, the British weight loss organisation that has made group support ,rather than calorie counting or dieting, the foundation of its approach? It's eating plan encourages people to fill up on everyday foods like pasta, lean meat, fish, eggs, fruit and vegetables. It'd be good to hear your opinion.
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mikeymanl3
Analyst extraordinaire
10:56 AM on 12/31/2009
I used to weigh in at 275 lbs. Being nearly 6'5" meant I did carry better than most, but I still had an impressive belly. I am now at 190lbs and around 10% body fat, but I didn't use any real diet. I did change some of my eating habits, and engaged in moderate to intensive exercise. To me, it was about simple math and chemistry...Burn more than you take in, and make sure the fuel is clean, so to speak.
My routine typically is moderate to heavy exercise every other day, and rest on the off days. Some may need and like to try for every day, but I usually end up getting too thin if I do( I was at 172 lbs at one point and couldn't eat enough to maintain weight)
As far as food goes, the more crap and preservatives there are, the worse it is for you. I could go on at length, but I think y'all get the general idea.
Diets for the most part, are temporary fixes that lack sustainability and may give you gains (or losses as it were) but unless it is a *lifestyle* of good eating partnered with exercise, one will gain the weight back and become frustrated and give up. The secret is that there is no secret.
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
02:26 PM on 12/31/2009
Hi Mikeymanl3, Thank you for weighing in. You get it for sure. No secret just healthy eating and exercise. I bet you feel much better and look better than you did before. Congrats! Happy New Year to you.
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walteradamson
Cloud, social, mobile things.
01:46 AM on 12/31/2009
I agree and have recently commented along exactly these lines to HP posts "Why I Recommend Organic Foods To My Weight Loss Patients" and "The Diabesity Epidemic Part I: How Diabetes And Obesity Are Ravaging America Today". I only know about weight loss because I was diagnosed with Type 2 diabetes and had to critically examine my already healthy food plan. I read a lot and googled all over and came to the conclusion that one fundamental was "calories in = calories out", exactly as you said. I cut out a few remaining potentially suspect food items and learnt what worked from my blood glucose response side. Then I set out to eat 20% less and exercise 20% more. That drew off 7kg over a year, and then I refined things from there in both diet and exercise.

From everything I've read around the diabetes and weight loss social media these fundamentals often seem to get lost. I've observed that making things more complicated often confuses and immobilises people, resulting in either no sustained action or busted expectations. As for all the fad diets, book peddlers, and "milk-haters" these people just seem to prey on the fear of people who need more basic advice.

The biggest single issue I have picked up on that stops people doing this sumple stuff is that they find it very hard to stop eating sugary stuff. The addictions play out. That is a real problem and I don't have any advice about that.
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
10:53 AM on 12/31/2009
Excellent comment! Thank you Walteradamson. I'm so glad you have found what is working for you. I have written extensively on the addiction component to eating and it is very real and hard to deal with. However, what you find is that when you stop eating those foods you are addicted to, after a short while the cravings cease, you begin to feel better and as more time passes those foods lose their appeal. Keep up the great work!
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walteradamson
Cloud, social, mobile things.
09:51 PM on 12/31/2009
This is kind of trivial but one thing I found did help when hunger or an addiction strikes is to drink a large glass of water. For me that meant a glass large enough to almost make me gag on the volume of water. That put a stop to wanting to eat anything for a while.
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Carachama
I'm not apt to follow blindly the lead of others
10:55 PM on 12/30/2009
Thanks for the article. I had tried numerous fad diets over the years, but I did not have success until I treated eating like an addiction, and began to count calories and move more. It didn't require severe caloric restriction or trips to the gym. I simply began to walk more and eat healthy foods. Most importantly, I think, was getting rid of artificial sweeteners. As soon as I cut out the diet sodas, I found I wasn't nearly as hungry anymore. It has not been a speedy process, but I lost 50 pounds since May and hope to lose 20 more over the next 6 months or more. I am in no hurry, but I know that the healthy choices I have adopted will eventually get me there.
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
10:54 AM on 12/31/2009
Hi Carachama, You have the right attitude to not only get where you want to go, but to stay there once you get there. Excellent!
07:46 PM on 12/30/2009
Kim - I actually have done the hcg and, it is not a fad at all. Your friend who only lost 13lbs in 6 weeks actually lost much more slowly than what is expected. HCG is a hormone produced by women during pregnancy. It is produced in case the woman doesn't eat enough, in which case, the body can burn the stored fat. When you take the hcg, it does take away your appetite b/c you are being flooded with calories from the fat you are burning and it is a very restricted, low calorie diet and, at the end, your metabolism is reset so that you no longer have weight issues (as long as you eat well). I don't understand why it isn't more mainstream bc, if followed correctly, it can change your life. There is a patented product called Releana, that needs to be prescribed by a doctor, that is a sublinguql form of hcg. This is in no way a fad diet. Without taking the Releana I would not have been able to lose any weight due to being pre-diabetic (due to chronic stress). I lost 30 lbs in about 7 weeks. It's quite incredible and you feel great while you're doing it. But you have to be serious about it and willing to follow it to a T.
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Kim Stagliano
Author All I Can Handle I'm No Mother Teresa A Lif
02:03 PM on 12/30/2009
Hi, Irene. I have a family member who went on an old diet that involves 500 calories a day and shots of HCG - a hormone that's supposed to make you feel less hungry. She lost a sum total of 13 pounds in 6 weeks. She did this through a doctor - I can't image the cost per pound lost. I'm sure it was steep. I gather this diet started in the 1950s and has made a comeback. I think her eating is stress related.

Happy New Year.
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
05:24 PM on 12/30/2009
Hi Kim, Wow, that is really extreme! It makes sense that she would lose that much as she was probably down about 7,000 calories a week from what she was eating before. That would equal 2 pounds a week. It is smarter to strive to practice being the weight you want to be, on a daily basis, so that once you get there you just continue doing what you are already doing in order to stay there. You can't keep doing 500 calories a day. Happy New Year to you too and best of luck to your family member!
12:53 PM on 12/30/2009
Eat a balanced diet of what you need to eat and exercise more....so simple. Yet the industries of Big Food, Health Care, and Diet Products & Publications all have a clear financial incentive to produce as many obese and unhealthy people as possible. And they are winning.
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
05:25 PM on 12/30/2009
Yes, Box500 it looks that way but we are fighting back. Thank you for your comment!
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KIVPossum
Moldova Marsupial
03:42 AM on 12/31/2009
Bingo. The key to controlling weight is eat properly and not overeat. But our system is geared to oversell food, oversell health care, and now with a nation of obese we have a wonderful market for diet products - food, literature, exercise equipment. Add in the obesity-is-not-your-fault products and gluttony becomes a major part of our economy
12:26 PM on 12/30/2009
I just read your blog about cortisol (that you included in a response to a reader) and wanted to comment about it because, to be honest, I really think you have oversimplified the problem and possible solutions.....and, the way it relates to weight gain. I have suffered from chronic stress for most of my life. Of course I didn't know this because, up until recently, stress was never considered to be as big a problem as it is by the medical community. But, you didn't mention that you need to be tested properly to find out your cortisol levels (most doctors, if they even do a test, don't even test properly they give you blood tests instead of saliva - which is much more accurate). And, as a woman, there are a number of other factors that can cause major weight problems, along with high cortisol levels, that also need to be addressed - like our progesterone levels, adrenal fatigue, and vitamin D3 deficiency - which can all contribute to high sugar levels which can cause obesity (without overeating) and the inability to lose weight. I put on a great deal of weight in a very short period of time because of all of these factors - all stemming from chronic stress over a period of years......So, I really wish you could have included that there are many instances where the solution is more complicated, and offer direction on where to seek help. I had to research it myself.
05:04 PM on 12/30/2009
This is very true. It's almost impossible to find a Dr than can help with the things you mentioned.

It took me over a decade, and this place figured it out-

http://www.holtorfmed.com/
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
05:26 PM on 12/30/2009
Thanks for your comment dgmg. I'm glad you found the answers you were looking for!
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Joseph Sperrazza
Technologist, Colorado
09:32 AM on 12/30/2009
Thank you for the superb article. As you said, the theory is simple, yet so often ignored by the "diet experts": eat less (but well), and exercise more. Preparing your own meals is an important element - not only do you save money, but you know (and can control) the ingredients (read the labels of prepared foods sometime - you'll be surprised at not just the amount of chemicals and preservatives, but at the sugary, fat-laden ingredients).
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
10:29 AM on 12/30/2009
You're welcome Joseph! Thanks for your comment.
09:10 AM on 12/30/2009
So true. It's very simple. If you eat healthy food and portions and keep physically active, there's no way you won't lose weight. But I feel obesity is caused by an addiction to processed foods and simple carbs and needs to be treated on a psychological level as well, just like any other addiction. And people need to be educated about food, become conscious about what they're actually ingesting, learn to to read ingredient labels and stop to think for a moment about what stuff contains, what their body's supposed to do with it once it's been in their mouth.

I think, apart from the obvious (moving more and eating less) one of the best ways to lose weight is to commit to giving up two things: wheat and refined sugar - neither of which you need nutritionally. That's it. If you completely commit to not having those two things I guarantee you'll lose weight. You can still have rye and other grains for bread, and pasta comes in alternative forms such as brown rice, quinoa, millet and buckwheat. Delicious and it doesn't make you tired and bloated afterwards. Use honey instead sugar for tea etc and have a piece of fruit when you crave a sweet snack.
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
10:32 AM on 12/30/2009
Hi LolaP, Yes you are right about the addiction component for many obese people. I have written about that extensively. Here is a sample http://www.huffingtonpost.com/irene-rubaumkeller-/is-sugar-addictive_b_217115.html. In my private practice I work with people on the deeper issues, like the need for the addiction in the first place. It is a very complex issue for many. Thank you for your thoughtful comment.
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smilinggreenmom
07:54 AM on 12/30/2009
Well written indeed! It seems that there are just so many empty promises and quick-fix diets out there and I believe you are so right that really it is most important to eat healthy whole foods and eliminate the processed stuff! That is what our family has been doing for this previous year. We started a garden and we drink lots more water and take our Vidazorb probiotic every day to help us with digestion and absorbing these nutrients. Now our next goal is the "fitness" aspect. As parents, we naturally move around alot but I really want to make it more of a "routine workout"!!
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
10:33 AM on 12/30/2009
Thanks for commenting smilinggreenmom. Love your user name. You are setting a great example for your kids by doing what you are doing. They will benefit not just now but as adults as well. Keep up the great work!
10:54 AM on 12/29/2009
This is refreshing. If I see one more "marathoner" who has gained back tens of pounds...... Oprah is just one such example. It is really about slow and quiet change, not the ego having a parade.
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
12:48 PM on 12/29/2009
Yes you are 100% right skippyB. No one wants to hear that though.
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lostinNJ1
10:32 AM on 12/29/2009
I appreciate what you are saying. However, I wish you would have also mentioned the adverse effects of the stress response to our health. Chronic stress increases cortisol, which adversely affects our lipid profile (lowers HDL, increases LDL, etc), increases or decreases appetitie, increases abdominal obesity, decreases our metabolic rate (leading to more weight gain)etc. Good nutrition and exercise can help, but I think we also need to evaluate excess stressors in our own environment and address them when we are able. Part of the problem of living in our fear hyped society is worsening stress that is difficult to ignore and control.

I personally had so much stress in my life that it was causing me significant problems with my appetite and made me eat way too much. It didn't matter that I generally ate a healthy diet. I was too worn out to even attempt exercise. So, I had to make major life changes, which has helped.
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
11:45 AM on 12/29/2009
Hi lostinNJ, I actually wrote this whole blog on that subject http://www.huffingtonpost.com/irene-rubaumkeller-/are-you-a-high-reactor-or_b_308831.html not long ago. You will find all that info. there. Thanks so much for your comment.
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lostinNJ1
01:32 PM on 12/29/2009
Thanks Irene! I just read the article. I am without a doubt a high reactor to stress, and I have been denigrated by others for this (I have a hard time hiding it, unfortunately). As I stated above, the only thing that worked for me was to change my life (quit my job/career); i.e. remove the major stressor. Now, after a while, I am able to exercise regularly, and I am losing the excess weight. and feeling better.
08:36 AM on 12/29/2009
While I agree with most of what you wrote - I'm an advocate of "clean eating," or whole, unprocessed foods - the maintenance calories you recommend are ridiculously low. 10x bodyweight are diet numbers for anyone, and low ones at that. I, for example, weigh 110 lbs; under your suggestion I would need to maintain at 1100 calories, which is practically a starvation diet. Most experts recommend you never go under 1200.

Most dieters undereat: sure, you'll lose weight if you eat 1200 calories a day, but why eat 1200 calories when you can lose weight at 1800? I think a better indicator of maintenance calories is the Harris-Benedict Formula, which accounts for activity level and basal metabolic rate. At 110 lbs, my BMR is over 1300 calories (your "maintenance" calories at 130 lbs), which means if I didn't get out of bed all day, I could maintain at that level. I think you'd be surprised how much you can eat and still lose weight; you just need to let your body adjust to the higher caloric intake.

I think dieters, particularly those with more to lose, are better off focusing on making healthy food choices and becoming familiar with portion sizes rather than obsessing over every little calorie.
09:35 AM on 12/29/2009
I looked up Harris-Benedict Formula and it only adjust metabolic rate for activity, nothing else. It still doesn't work if your endocrine system is not working optimally, so it's only for active people who don't have blood chemistry issues already.

I agree on the healthy food choices comment. I just eat fresh lean protein, eggs, walnuts, fresh grilled veggies, and salads-nothing processed. I would STILL have to decrease calories by multiplying about .7 or .8 if I simply counted calories.

Blood chemistry first, calories second.
04:33 PM on 12/29/2009
I agree, I weigh 120 lbs, have for years, and I eat probably 1700 calories a day, and I do get some exercise. That said, some days I eat a lot more, and some days I eat less. The day after Thanksgiving all I ate was a bowl of cereal (still too full).
05:39 AM on 12/29/2009
Calorie counting diets are a "fad" too, and the math behind them is often false.

I'm an engineer that had insulin resistance, some other problems. My metabolism pretty much stopped, like someone that was on a starvation diet (but I wasn't).

I have studied all the calorie counts I can find, and I have yet to find one that has a metabolism correction, or anyone that knows how to do it.

I find it hard to believe that everyone's metabolism is 100%. If it's not 100%, calorie calculations are false.

Metabolism can slow to as much as 40%, which means a 2,000 calorie answer is really 800.

Focus on blood chemistry, not calories. Then you will find the answers. I did and lost 120 lb.
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
12:53 PM on 12/29/2009
Hi ApolloniusofTyana, Quite the user name you have. The best way to determine your own "factor" is to keep really good food records for 6 weeks. We know that to lose a pound of fat the number of calories you need to deficit is 3,500. With that much data you can determine what number your body is using, i.e. if mine is a 10, yours might be an 8. There are certain conditions, like diabetes and hypothyroidism that can/will affect your metabolism. Thanks for your comment.
02:58 PM on 12/29/2009
Thanks..

I use this name because Apollonius of Tyana lived 2,000 years ago and healed the sick, cast out demons, and raised the dead... :)

I am in fact hypothyroid and would be diabetic if I didn't do something about it. That's why I study this in detail and noticed the error just about everyone makes in assuming metabolism is always 100%.

In fact, I'm pretty sure most people are not, and people with weight problems are probably all over the place, so the calculations people are passing around are wrong.

We hear all the time about diabetes getting worse, and you hear about syndrome X, metabolic syndrome, etc. All these people are going to get the wrong calculation for calories if they only use body weight. Sometimes the "number" (whatever it is) can be as low as 4 on a scale of 1 to 10. Just cutting calories is not going to solve the problem. (I learned this the hard way.)