Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Effective weight loss requires personal honesty. “Make sure any changes you will make are realistic for you and your lifestyle,” Maxine Yeung, M.S., R.D., C.D.N., NASM-CPT and founder of The Wellness Whisk, tells SELF. That means don’t plan on cooking a healthy meal every night if you hate spending time in front of the stove. Instead, you might commit to cooking two nights each week and ordering in from a restaurant with healthy options the rest of the time.
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Though it’s hardly realistic to keep people from moving north, there’s evidence to suggest that those living in northern latitudes may need to be a bit more careful about their gut health than the rest of us. A study in the journal Biology Letters found that living in northern latitudes encourages the growth of Firmicutes microbes, which have been linked to weight gain while decreasing the number of microbes linked with slim body types called Bacteroidetes. Generally speaking, the research showed that the number of Firmicutes increases with latitude and the number of Bacteroidetes decreases with latitude. To help ensure a healthy gut no matter where you reside, make sure your diet includes fermented and probiotic-rich foods, both of which encourage the growth of healthy gut bacteria.
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To investigate the associations of baseline PFASs with baseline values of and changes in other metabolic parameters (including glucose, lipids, thyroid hormones, and leptin), Spearman correlation coefficients (rs) were calculated with adjustment for the potential confounders mentioned above. Stratified analysis was also conducted according to sex, and a likelihood ratio test was performed to test for potential interactions. In sensitivity analyses, body weight or RMR at 6 months (or changes during the first 6 months), instead of the baseline value, was included in the multivariate models when examining the associations between baseline PFASs and changes in body weight or RMR during the period of 6–24 months. We also stratified the analyses by dietary intervention group. In addition, to account for the correlations between measurements on the same individuals, linear mixed-effects models were also used to examine the associations between baseline PFAS concentrations and weight regain (weight measurements at 6, 12, 18, and 24 months), with an unstructured covariance matrix. To assess confounding patterns, in another sensitivity analysis, the covariates were entered into the model in a stepwise manner. In an exploratory analysis, we also examined the associations of PFAS exposures with the gene expression profile in adipose tissue (S1 Text).
“Tahini is an oft-forgotten option for nut and seed butters, but it sits front and center in my fridge because it delivers major creaminess to sauces and smoothies and packs a powerful flavor punch,” says Willow Jarosh MS, RD co-owner of C&J Nutrition. “Although some advise against eating the spread because of its high omega 3:6 ratio, the super high intake of omega-6s in the average American’s diet isn’t due to things like tahini—it’s mostly from not eating a variety of fats or consuming the majority of fats from fried foods and packaged snacks. As long as you’re also eating foods rich in omega-3s, your end-of-day ratio should be nothing to worry about. Plus, tahini is loaded with tons of healthy nutrients like copper, which helps maintain anti-inflammatory and antioxidant responses in the body. It also provides six percent of the day’s calcium in just one tablespoon.”
Once you start to feel the effects of all these positive benefits, the result will be a healthier lifestyle you can stick to for the long term. “Many people tell me that when they feel happier, they want to sustain that feeling, so it just makes sense to choose habits that support it, like reaching for water instead of soda, taking the stairs rather than the elevator, and snacking on fruit and almonds in place of cookies,” Sass says. “External thoughts, like ‘I should do that,’ become internally driven choices that just feel right.” Focusing on the positive changes to your health rather than the number on the scale, Sass says, will likely make you feel more excited about other healthy behaviors, like drinking more water and eating more veggies. Make these 50 easy ways to lose weight naturally part of your routine.
We all know that we should be doing about 30 minutes of exercise a day but none of us really give walking the credit that it deserves. But in a study conducted by the University of Glasgow, after testing 10 obese women walking 20 minutes per day, they proved that a small amount of walking per day increased feelings of fullness and reduced appetite as much as a light meal.
Green Mountain at Fox Run offers health and weight loss retreats for women only, which range from specialty weekends to 1-2-3-4 week programs, as well as extensive online resources, including recipes, tips, forum support, and complimentary webinars on a variety of topics ranging from mindfulness to binge eating. The panel of experts take particular care with young women to guide them to wellness at critical stages in their lives.
Sure, trampolines are built for kids, but as an adult, using one for rebounding is a great way to flatten your tummy and get rid of excess fat. “Not only is it a great cardio workout (which is the first step to tightening up your midsection) but it makes your core work like crazy so you are getting the cardio plus the toning: everything you need for a tight tummy!” explains Hope Pedraza, a Certified Personal Trainer through American College of Sports Medicine in 50 Ways to Shrink Your Belly. To get a comprehensive workout using a mini trampoline, Pedraza suggests jumping, lifting your knees up high, twisting, adding some light weights to move around while you’re jumping, and moving in all directions in different planes.

Trans fats, which are typically found in processed foods with partially hydrogenated oils, should be avoided when buying, cooking, or ordering food because of the role they play in weight gain. As noted in the journal Obesity, these unhealthy substances have been found to pack on the belly fat in monkeys. As it turns out, they’re not great for humans either. “Trans fats cause inflammation in the body leading to insulin resistance and impairing the body’s ability to use glucose properly, resulting in excess fat storage around the belly,” says Tina Marinaccio, MS RD CPT in 50 Ways to Shrink Your Belly. Trans fats, which are created by partially hydrogenating vegetable oils, are beloved by manufacturers because they increase the shelf life of processed foods, but they are no friend to your waistline. “Trans fats may be lurking in any processed or fried food such as chips, baked goods, and even butter spreads,”Marinaccio warns.”To avoid them, check the ingredients for hydrogenated or partially hydrogenated oils.”
A study published in The Journal of Nutrition found that after just two weeks, those who sipped four to five cups of the green brew daily in addition to working out for 25 minutes lost more belly fat than those who didn’t sip. We can chalk up these favorable results to the tea’s catechins, a type of antioxidant that hinders the storage of belly fat and aids rapid weight loss.

One Body Weight Loss & Wellness Center is a non-surgical, medically supervised, weight loss clinic that offers a three phase–acute, maintenance, and support–weight management program utilizing appetite suppressants (both prescription and non-prescription), vitamin injections, and a high protein/low carbohydrate proprietary diet. We emphasize exercise and behavior modification for effective, long term weight loss.


While you might not think there’s a huge difference between eating a whole piece of fruit and drinking fruit juice, nutritionally speaking, the two entities are most definitely not one and the same. Whereas whole fruit contains naturally occuring sugars and fiber that can help counteract the bad effects of too much sweet stuff, fruit juice is often loaded with added sugar (such as high-fructose corn syrup) and no fiber to speak of. According to a study led by Harvard School of Public Health researchers, eating more whole fruits, particularly blueberries, grapes, and apples, was significantly associated with a lower risk of type 2 diabetes. On the other hand, a greater consumption of fruit juices was associated with a higher risk of type 2 diabetes. To get the fruit flavor without all the bad stuff, try stirring up a batch of fruity detox water instead.
A healthy diet and moderate exercise is the obvious answer. But the truth is that this is not all there is to it. Every body is different and every life is different. What works for me won’t work for you (maybe) and so the best ways to lose weight really depend on you, as a person. You already have an idea what works for you and what doesn’t, so definitely keep this in mind as you’re searching for a retreat.
The scientists ferried 20 overweight, middle-aged men by train and cable car to a research station perched 1,000 feet below the peak of Germany's highest mountain, Zugspitze. During the week-long stay, the men could eat and drink as much as they liked and were forbidden from any exercise other than leisurely strolls. The team measured the men's weight, metabolic rate, levels of hunger and satiety hormones before, during, and after their mountain retreat After a week up high, the subjects lost an average of 3 pounds. A month later, they were still 2 pounds lighter. The scientists' data showed this was likely because they ate about 730 calories less at high altitudes than they did at normal elevations. They may have felt less hungry, in part, because levels of leptin, the satiety hormone, surged during the stay, while grehlin, the hunger hormone, remained unchanged. Their metabolic rate also spiked, meaning they burned more calories than they usually did. A high-altitude weight loss strategy could be viable, though studies have shown peoples' appetites bounce back after about six months at high elevation, Leissner said. “If you could do intermittent periods for one week, then go down, and then go back up, this might actually be helpful.” 

Okay, we know this probably isn’t the most appealing idea. Especially if you are looking for the fastest way to lose weight, you want to get right to it and skip talking to anyone. But trust us — talking to someone before starting your weight loss regimen can be beneficial. As Prevention.com reveals, nutritionist have more knowledge on this subject than any diet book or infomercial.
However, if a HIIT workout or piling on muscle mass seems too daunting, simply move for two-ish minutes to whittle your waistline. Why, you ask? Research printed in the journal Physiological Reports showed that people who did five 30-second bursts of max-effort cycling, followed by four minutes of rest, burned 200 extra calories that day. If you incorporate this technique into your workout routine just a few times per month, you can burn thousands of additional calories per year. 

When I first stared with Slimming World I started posting all of my meals on Instagram with the hashtag “slimmingworld”. This gained me more and more followers and support so it really spurred me on to lose more weight 🙂 As I became more confident I decided to start this blog. Being a web designer does make things slightly easier.. but there are plenty of free blogging websites out there. For anyone who enjoys writing in a diary it’s perfect.
Weight gain has been associated with excessive consumption of fats, (added) sugars, refined carbohydrates in general, and alcohol consumption.[citation needed] Depression, stress or boredom may also contribute to weight increase,[citation needed] and in these cases, individuals are advised to seek medical help. A 2010 study found that dieters who got a full night's sleep lost more than twice as much fat as sleep-deprived dieters.[5][6]
Want to lose eight pounds in a week?  Who wouldn't?  The problem is that fast weight loss is not the same as healthy weight loss. Rapid weight loss often includes muscle tissue, which is denser than fat and which helps burn calories. Losing muscle also slows down the body's metabolic rate so that it is more efficient at holding onto the calories you do take in.That causes people to gain all the weight they lost, and then some. American spas learned this the hard way. In the sixties, they started out as "fat farms," where women went to lose weight fast by eating 800 calories a day, exercising for hours, and obsessively measuring.
Eat six small meals a day to avoid blood-sugar spikes and minimize urges to binge. Try to schedule meals at the same time each day. If you feed yourself well throughout the day, you'll learn to understand when your body truly needs food. You can't starve yourself and expect to make good choices at the next meal. Need a few healthy lunch ideas? Check out these top food swaps from a nutritionist.
Few things are more discouraging to someone on a weight-loss plan than the oft-cited statistic that 95% of people who lose weight will regain it within a few years. The difficulty in sticking with a long-term weight-maintenance plan is one of the main reasons that weight-loss programs fail. To uncover clues to successful weight loss, researchers have been collecting information on people who have lost weight and successfully kept it off for many years. This project, known as the National Weight Control Registry (NWCR), records what these people did to achieve their goals.
Have you ever been shamed for your body? By others or even by yourself? I know the answer. I took photos with my dear friend @mckeelycreative before I came here on this journey and as I was scrolling through them I stopped at this one. My stomach. Hanging out. Right there. I knew right away it would be one of the pictures that never made it to the light of day but then I thought - you know what? That belly is a part of me no matter what. No matter how much weight I lose this is a moment in my life when I was happy and starting to make changes for myself. The beginning. It started in this body and this joyful belly laughing moment was a part of it. I’m celebrating it. I won’t be a better person with a flatter stomach. And that’s not the reason I’m here. I’ve always covered up when my shirt would slide up or my sides would stick out. I felt bashful that my soft rolling skin was coming out to see the light of day. In front of others. I once was getting a manicure and when I sat down in the tiny chair the back of my shirt lifted up and my sides stuck out. My nails were wet and I didn’t even try to adjust but the nail technician came over and did it for me and smiled and giggled and pulled my shirt down over my sides for me. She was embarrassed for me. I could tell. And I was embarrassed because she was. Never again. No shame. Let it out. All of it. Before you look at your next picture that you’re not happy with and shame yourself for your body and say how “fat” you look and feel, remember this belly, my belly. No matter how my body transforms in the future and how it’s changed over the last three months I want to be proud of me at all stages shapes and sizes. I will never shame her, the woman in this photo and her body. No matter how I grow and change. I won’t forget her. She was happy just as she was there and ready for a change. That’s why I’m posting this beautiful accident, a real moment among the other ones that are more polished and don’t show as much skin. A beautiful picture doesn’t have to be perfect. Celebrate all versions of ourselves and continue to be better because we want to be an deserve to be not just because of how we look❤️
We’ve already discussed how the color red may act as an appetite suppressant (hence the need for red dishes) but apparently that’s not the only color you should be taking note of as you prepare to eat. Per a recent study from Cornell University, diners actually serve themselves more food if the color of their food matches the color of their plate. In other words, if you’re eating from a white plate, you’re more likely to help yourself to more rice or pasta. Conversely, if your goal is to eat less, select plates that have high contrast with what you plan to serve for dinner.
In this 2-year randomized weight-loss trial, we found that higher baseline plasma PFAS concentrations were not associated with weight loss induced by energy restriction, but were significantly associated with a greater weight regain, primarily among women, during the follow-up period between 6 and 24 months. In addition, after multivariate adjustment, higher baseline PFAS levels were significantly associated with a greater decrease in RMR during the weight-loss period and a lower increase in RMR during the weight regain period.
Perfluoroalkyl substances (PFASs), especially perfluorooctanoic acid (PFOA) and perfluorooctanesulfonic acid (PFOS), have been identified as plausible endocrine disruptors with the potential to perturb weight regulation [9,11–14]. Evidence from animal studies has suggested that PFASs may be involved in altering energy metabolism and thyroid hormone homeostasis [15–17], likely through the activation of various transcriptional factors, such as the peroxisome proliferator-activated receptors (PPARs) [18–20]. However, given the species-specific toxicokinetics and tissue distribution of PFASs [18], extrapolation from animals to humans has yet to be supported. Although some human studies have examined the potential intergenerational effects of PFASs on body weight, the findings were somewhat inconsistent [21–27]. To our knowledge, no prospective study has explored the association between PFAS exposure and weight change in adults under controlled circumstances. Furthermore, it is largely unknown whether resting metabolic rate (RMR) or thyroid hormones, factors that can influence energy expenditure [28], might be also involved in the potential effects of PFASs on weight regulation [29,30].

Though you may think skipping a meal such as breakfast will help you lose weight because you would be consuming fewer calories, numerous studies have actually shown that bailing on breakfast is bad for your waistline. Why, you ask? It turns out that skipping breakfast not only means you’ll likely consume more calories later in the day, but eating more calories in the later part of the day is a nightmare for metabolic circadian rhythms, which help keep your weight in check.
“I lost most of my weight (200 lbs.) in about 18 months so I have had to stay busy to keep it off,” he says. “I am extremely competitive and have an amazing network of friends and the From Fat To Finish Line (FFTFL) community. I like to join training groups and training clubs because of the friendships and accountability it creates. It would be easy for me to blow off a 10-mile run at 5:30 on a Friday morning, but I know I have two friends meeting me, who I would never let down.”
Pauline Potter, 47, became the Guinness World Record holder for heaviest woman last year when she weighed in at 700 pounds, but she's managed to lose nearly 100 pounds in the last year by rekindling her romance with her ex-husband Alex. Married for three years, they split in 2008 but reunited when he heard about her Guinness title. It didn't take long for them to land in bed together - repeatedly.
Sleep apnea, in which you actually stop breathing during sleep, is linked with being overweight or obese. “Sleep apnea is caused, in part, when extra tissue accumulates around the upper airway, which can change its shape and make the throat more likely to collapse during sleep,” says sleep expert Richard Shane, PhD, creator of the Sleep Easily method. In one study, 88 percent of people who lost 33 or more pounds were effectively cured. According to Harvard Medical School, losing just 10 percent of your body weight can drastically reduce sleep apnea symptoms—and in some cases, weight loss can even cure the condition. Don’t miss these other signs your weight gain means your health is in trouble.
As funny as it sounds, sleep deprivation may make you fat — and not just because you're susceptible to cases of the late-night munchies (although there's that too). There's tons of research that demonstrates getting less than the desired amount — about 7 hours — of sleep per night can slow down your metabolism. Plus, when you're awake for longer, you're naturally more likely to nosh. So don't skimp on your ZZZs, and you'll be rewarded with an extra edge when it comes to shedding pounds quickly.

PFASs are extensively used in many industrial and consumer products, including food packaging, paper and textile coatings, and non-stick cookware [31–34]. A recent study reported that the drinking water supplies for at least 6 million US citizens may exceed the US Environmental Protection Agency’s health advisory limit for lifetime exposure to PFOS and PFOA from drinking water [35]. In addition, these compounds are extremely stable in the environment and have a long elimination half-life in the human body [36], thus rendering PFASs a possible threat to human health. Due to the potential metabolic abnormalities associated with elevated PFAS levels, we aimed to examine the associations of PFAS exposure with changes in body weight and RMR in the well-designed and rigorously conducted POUNDS (Preventing Overweight Using Novel Dietary Strategies) Lost trial [37].

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