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ideally if you have a moderately overweight patient you'd do a genetic profile. Don't expect this in the US before a NHS system comes to be... genetic profiles are dangerous in a health care system based on profit
There is more
Diets will not be just calories.... but HOW you ingest them.. why current diets don't work. They are, for the most part, inducing famine conditions to the body...
I'll use myself as an example.. why I have not engaged in any starvation diet... over the last three and a half years (and I gamed to my peak due to medications, side effect)
It is not about 1500 calories, but spreading those calories across the day. As I said I sometimes graze, but I never, ever eat less than three meals in a day... my average is six small meals (which incidentally is also ideal for glucose control as that reduces spikes)
This will become the standard... and even near ideal BMI caloric consumption is under consideration, and in some cases ideal BMI caloric consumption, with people who have crashed dieted for many years... to try to get their bodies to change... and we have no clue just how much it will be able to change. Some fear the changes are near permanent. Me... I suspect we are less plastic than you think, but not as bad as some researchers believe... unless you have some very specific genes.
The undergoing theory is that this will trigger a sense that the body is in times of plenty and will naturally accelerate the metabolic rate.
This alone will allow people to either maintain or even loose weight in a more reasonable way, and not feeling hungry
This is the underlying theory of intuitive eating, and we have two major proponents of this in the popular literature.
We are also changing how we look at exercise
It is not just getting on my elliptical every day.
It is the sum total of what I do... why steps taken is so critical now, and the use of pedometers is increasing
But the days of starvation diets are pretty much over, for those who are readying the state of the art science
That also means the days of deprivation are over. So your lecture about sacrifice and pain.. are pretty much off the mark anymore
I'm not fighting my body, why I have yet to feel I am on a diet... and that will change much of the industry
I have not told people, you have an FTO gene, give up... but rather, work with your body, not against it. And use the state of the science, which goes against all we have been told for fifty years or so.
Hell, even WW is changing their outlook.... and their program is increasingly fitting this small meals \ snacks approach. Never mind they are still doing the starvation response, but give them a few years, They are usually about three to five years behind the power curve.
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