Meal prepping takes a few hours a week, but it's worth it: By getting your meals ready ahead of time, you won't be so tempted to order your go-to Chinese takeout when you're tired and hungry after work. "When you plan an entire week of dinner in advance, you're way less likely to go off course and indulge in foods that aren't good for you," says Pamela Salzman, a certified holistic health expert and cooking instructor. And since you planned things out, you'll actually get the protein, fruit, and veggies your body needs — and you'll lose weight in the process.
“You need a combination of both weight training and cardio to get fat off your body,” Mike Duffy, CPT, tells us in 17 Easy Ways to Get Rid of Back Fat, adding, “Cardio alone will only train one type of muscle fiber and you’ll only be building one part of your fat-burning furnace. I see many people doing tons of cardio every day and not lifting weights. They never change the way they look.”
Berries are more than just morsels of sweetness that you can toss on yogurt or work into a smoothie; they can help you lose weight, too! Raspberries pack more fiber and liquid than most other fruits, which boosts satiety. They’re a rich source of ketones, antioxidants that can make you slimmer by incinerating stored fat cells. And like other berries, raspberries are loaded with polyphenols, powerful natural chemicals that have been shown to decrease the formation of fat cells and eliminate abdominal fat. Not to be outdone, research suggests blueberries can also help blast away stubborn belly fat by engaging your get-lean genes. After a 90-day trial, University of Michigan researchers discovered rats that were fed a blueberry-enriched diet showed significantly reduced belly fat compared to those who skipped the berries.
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“They may be small, but these sweet-tasting fruits contain a hefty amount of actinidin, a natural enzyme unique to kiwifruit that aids in digestion by breaking down protein in the body. Kiwifruit also contains prebiotic fiber, which primes the gut for healthy digestion,” Scritchfield says. “Research indicates that a daily serving of green kiwifruit helps increase bowel movements. So, cut in half, scoop with a spoon, and pop into your mouth like nature’s Tums (SunGold kiwis, with a yellow flesh and tropical taste, offer three times the vitamin C of oranges and as much potassium as a medium banana).”
You can blame biology for your sweet tooth. We’re hardwired to have a preference for sweets, and this drive is universal and begins early on, according to research on the subject. Sugar makes food taste good, so food companies add it to everything from breads to soups to salad dressings to cereals, yogurts and more. This adds up to way too much sugar!
Getting clear about why you want to lose weight will provide you with the fuel to keep going when your resolve starts to weaken (as—let’s be honest—it inevitably will). “I’d encourage those who are thinking of getting healthier to take some time to reflect and journal about what matters most,” Shirley Mast, R.N., B.S.N., and Take Shape For Life Health Coach, tells SELF.
Head to San Diego, CA for a comprehensive health assessment at Lifewellness Institute (seriously, it takes 5.5 hours and basically eliminates the need for your annual checkups), then hop in the complimentary transportation that jets you off to Rancho La Puerta in Tecate, Mexico. Once there, you'll choose a holistic program to follow throughout your stay based on those test results, so you can really zero in on what your body needs to reboot (stress management levels, energy, or an inflammation rebalance, for example). With tons of farm-to-table cuisine—you'll head out to the fields before taking part in cooking classes–plenty of workout options, and rejuvenating spa treatments, there's no way you won't leave feeling refreshed.
Yep, I second the other comment here. HS wrestlers (also, many other grappling sport athletes) aren’t given the full 24 hours to recover from depletion. Some sports have mat-side weigh-ins. Others are just given a few hours after weigh-in to replenish. For these sports, athletes are best served focusing on year-round nutrition strategies, ones that help them stay at a weight very close to the weight they’d like to compete at.
Low-T often goes undiagnosed and untreated because the symptoms of Low-T are similar to those caused by other medical conditions. Among men with Low-T, only half to two-thirds report symptoms. A simple blood test can determine if symptoms such as decreased energy levels, sleep problems, increased body fat, and depression are a result of low testosterone.
Part 1 — this post — details exactly how top fighters like Georges St. Pierre rapidly lose 20-30 pounds for “weigh-ins.” To refine the method, Nate performed this on himself, losing 20 pounds in 5 days. The unique part: Dr. Berardi and team measured key variables throughout the entire process, including the last “rehydration” phase. As Berardi put it:
Finally decided to venture out for a run? Snack on some beets before you hit the pavement. A study published in the Journal of the Academy of Nutrition and Dietetics found that runners who ate baked beets before a 5K race ran 5 percent faster. Researchers suspect this is because beets are high in nitrates, a natural chemical that increases endurance and lowers blood pressure.
Not eating enough fiber may be a major reason women are getting fatter and flabbier. To ditch the fat and show off firm, beautiful abs, you need to eat at least 25 grams of fiber daily, says leading fiber researcher David J.A. Jenkins, M.D., Ph.D., D.Sc., professor of nutrition at the University of Toronto, and a member of the National Academy of Sciences (NAS) Food and Nutrition Board. Fiber, which is the indigestible part of fruits, vegetables and whole-grain foods, helps you achieve flat abs for three reasons:
Even if you manage to meet your goal, it probably won’t be sustainable: “The amount of restriction required will make you so hungry that you’ll eat everything in sight—it’s survival instinct,” Dr. Seltzer says. What’s more, your body will be less prepared to burn the foods you binge on, since calorie restriction gradually slows your metabolism, he adds.
Jump Start is just amazing. Jump Start has developed an effective program that allows you to juice fast comfortably or eat healthy while achieving amazing weight loss results. I personally lost almost 10 lbs in 6 days. I was completely satisfied and have recommended Jump Start already to my friends and family and would recommend it whether in Costa Rica or in NY to anyone. I would definitely work with Jump Start again." Perhaps a Jump Start in Texas?"
The seven-day weight loss program is just $500 above your package and includes sustainable weight loss strategies; the first-hand experience in nutritious dining and meal preparation; encouragement to become more active; medical advice and support; guidance in establishing healthy habits; supportive setting; and personalized take-home plan for sustainable weight loss. You're also encouraged to take advantage of all the fun and activity that Canyon Ranch has to offer, everything from yoga and meditation classes to its exciting High Ropes Challenge Course and much more.
Suspect you have a sluggish metabolism? You might have hypothyroidism, or an underactive thyroid gland, which afflicts about 25 percent of American women — many of whom don't know they have the condition, according to the American Association of Clinical Endocrinologists. "The thyroid gland controls your body's metabolism, so one of the first signs that it may be off is an inability to lose weight," explains Pamela Peeke, M.D., professor of medicine at the University of Maryland and author of Fight Fat After Forty. Your doctor can determine if you're suffering from hypothyroidism by running a blood test. If you do have an underactive thyroid, you'll be treated with a synthetic thyroid supplement, which you will need to take for the rest of your life (it will return your metabolism to normal, so it should be easier to drop unwanted pounds).
It's a one-time investment you'll never regret. Here's why: Strength training builds lean muscle tissue, which burns more calories — at work or at rest — 24 hours a day, seven days a week. The more lean muscle you have, the faster you'll slim down. How do you start strength training? Try some push-ups or a few squats or lunges. Use your free weights to perform simple bicep curls or tricep pulls right in your home or office. Do these exercises three to four times per week, and you'll soon see a rapid improvement in your physique.
As far as spices go, saffron is one of the most expensive ones around, but it’s also a substance that preliminary research suggests can contribute to weight loss. According to a study published in the journal Antioxidants saffron extract may inhibit weight gain in a number of ways similar to how antioxidants function. The research suggests the colorful spice could decrease calorie intake by blocking dietary fat digestion, act as an antioxidant and suppress inflammation, suppress food intake by increasing satiety, and enhance glucose and lipid metabolism. Though scientists aren’t totally sure what makes saffron so weight loss friendly, they suspect it has something to do with crocetin and crocin—two antioxidant-rich compounds found in saffron that give it its distinct color.
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.
Are you considering a visit to a weight loss resort? Many smart dieters begin their journey away from home to get a clean break from the habits and lifestyle practices that led to weight gain in the first place. It's a smart approach if you can afford the luxury, but a visit to a health spa is not cheap, so it's smart to do your homework before you decide where to go.
Decision fatigue is real, and it could be hindering your ability to shed some pounds. A study published in Social Science and Medicine found those who have high levels of what’s called “skill discretion”—i.e., they exercise control by getting things done themselves—tended to have lower BMIs. In contrast, those who are constantly deciding on courses of action for others may eventually come down with decision fatigue and make ill-informed choices, such as ordering that piece of cheesecake for dessert.
The gleaming Espace Henri Chenot is a place to kick-start a lifelong, and in some cases life-saving, understanding of how to look after yourself. The Chenot method is rooted in the expulsion of toxins through cupping massages, mud therapy and hydroaromatherapy baths, as well as a diet of the tiniest, most exquisite morsels of food. Lunch is three beautiful courses: grilled baby-vegetable salad, black-rice spaghetti, baobab ice cream. A cherry-picked few are then invited into Henri Chenot's inner sanctum where he diagnoses ailments by simply peering at you over the rim of his glasses. Next on the schedule here is a DNA-testing machine so the team can delve even closer into the prevention of illness.
Of course, many guests—whom one program director described as type A’s, double A’s and triple A’s, even if they aren’t all super-fit—come for the results, not just the high. And we were pleased. One guest dropped nearly nine pounds his first week and ten his second. After one week, I’d taken off just about all the fat I'd put on after I was sidelined by an injury several months ago. My skin glowed, the dark circles under my eyes looked lighter, and I genuinely felt rested.
Don't get me wrong — exercising at any time is good for you. But evening activity may be particularly beneficial because many people's metabolism slows down toward the end of the day. Thirty minutes of aerobic activity before dinner increases your metabolic rate and may keep it elevated for another two or three hours, even after you've stopped moving. What that means for you: You're less likely to go back for seconds or thirds. Plus, it'll help you relax post meal so you won't be tempted by stress-induced grazing that can rack up calories, quickly.
One of the best new examples of a weight loss spa is Skyterra Wellness Retreat about an hour from Asheville, North Carolina. It's a small program that encourages longer stays (one to four weeks) where everyone eats the same delicious, healthy meals at communal tables. They exercise together, attend lectures together, even go into Asheville for a bit of chocolate and coffee at French Broad together!
Eliminate sodium in diet tips # 2: Choose fresh, natural foods over fast, commercial or packaged foods. Instead of ordering french fries (265 milligrams of sodium), have a baked potato (8 milligrams). Instead of a pickle (1,730 milligrams!), enjoy a fresh cucumber (6 milligrams). And beware of cured meats: Three ounces of ham packs in 1,009 milligrams of sodium, compared to just 48 milligrams for the same amount of roast pork. Soups are also notoriously high in sodium; some canned varieties contain more than 1,100 milligrams per cup. Read labels carefully and stick with low-sodium brands like Healthy Choice.
Other methods such as hydrostatic weighing (immersion), calipers, or even Bod Pod only measure fat and fat-free body mass, but are unable to arrive at the distribution of your fat and lean mass throughout your body. The advantage of DEXA scanning, is that is able to reliably distinguish between subcutaneous fat, (fat under the skin), and visceral body fat. While MRI and electron beam CT provide even greater accuracy and detail to evaluate visceral body fat, cost and availability limit their access for the general public.
Powell was overweight as a child, eating a diet full of processed foods and little water and vegetables. In college, Powell says she dramatically gained more weight. “I walked into my apartment, stared at my reflection in the mirror and asked, ‘Who is that?’ It was a defining moment for me,” says Powell, 38, who is now a holistic health practitioner and fitness trainer who has founded the company Black Girls Nutrition.
In a vicious cycle, lack of sleep could be making you fatter. On the other hand, you’ll get better shut-eye with weight loss. “In a study conducted at Johns Hopkins University School of Medicine, participants who had lost an average of 15 pounds show improvement in sleep quality,” Dr. Shane says. “In fact, a reduction in belly fat was the best predictor of improved sleep.” In addition, you’ll stop snoring as much—and snoring isn’t just an annoyance to your partner, but a mark of unhealthy sleep. “Snoring is in part caused by the amount of tissue around the neck,” Dr. Shane says. “When you lose weight, that reduces the amount of tissue in your neck, which can diminish snoring.”
Places like airports, drug stores, and even home-goods stores all sell food, but it's usually not very healthy. Instead of shopping until you feel famished then buying whatever unhealthy items are available near the checkout stand, plan ahead and pack a nutritious snack. Sliced apples and peanut butter, carrots and hummus, or Greek yogurt and nuts are all inexpensive and convenient options.
Why a top-pick? This comprehensive program is personalized for each guest to meet his or her specific needs. Each guest consults with the Wellness Manager before arrival and then connects again with him after the retreat. Guests bring home individualized nutrition and fitness programs as well as tools to guide mindful eating practices and skills to address roadblocks that typically interfere with long-term weight loss and weight maintenance.
Lie down with forearms on the floor and elbows beneath shoulders. Feet should be flexed with toes on the floor. Rise up on your toes so that only your forearms and toes touch the floor. Your body should be a few inches off the floor in a straight line. Bring belly button to spine by contracting your deep abdominal muscles and tightening your buttocks and upper body.
Every person has a different palate, a unique attitude toward food, and various likes and dislikes. That means you need to find a nutrition plan that works best for you. The phrase "healthy eating" gets thrown around a lot, but for many people, the changes needed to get there aren't as big as they think. It might just be replacing your usual snack for a healthier one, and fixing the one meal each day where you are most likely to overeat.
It’s insane what some will do to have a slight edge in a fight. The biggest example that comes to mind is Anthony Johnson. The dude would walk around at like ~230 lbs and fight in the 170 lb weight class. He would rag-doll guys because of the huge size advantage. Of course, he always had trouble making weight, but it’s still a huge advantage if you can do it properly.
Ken has been in the healthcare industry for over 10 yrs where he started first as a Registered nurse and later as a Family Nurse Practitioner. He obtained his BSN from The University of Texas Medical Branch in 2008 and later a Masters of science in Nursing at Walden University. He loves and is dedicated to his patients. While not working, Ken enjoys traveling and some gardening. Ken is excited to help patients who are trying to live healthier lives by losing weight and having a wellness regimen.
One weight loss counselor who offers the program said it's not the urine, but the hormone in it that takes off the pounds. “It's human chorionic gonadotropin,” said Iris McCarthy of Success Weight Loss Systems. She said hCG tricks your brain into thinking your body is pregnant. McCarthy said science has shown her hCG helps the body metabolize faster. “This will help you have patience to learn how to change your ways and change your relationship with food,” said McCarthy.
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You will likely lose weight on any diet if you eat less than 910 calories a day. But losing 10 pounds in 3 days is both unlikely and unhealthy. To lose just 1 pound of body fat, you need to reduce your daily calories by about 500 a day for a whole week. That’s giving up 3,500 calories over the course of 7 days. To lose 10 pounds in 3 days would mean decreasing your calorie intake by 35,000 calories in just 3 days! The Academy of Nutrition and Dietetics recommends a slow and steady weight loss of no more than 1/2 to 1 pound a week. Otherwise you are losing muscle and water, as well as weakening your bones. You also are much more likely to gain it all back.
Gastrointestinal disorders are another common cause of unexplained weight loss – in fact they are the most common non-cancerous cause of idiopathic weight loss. Possible gastrointestinal etiologies of unexplained weight loss include: celiac disease, peptic ulcer disease, inflammatory bowel disease (crohn's disease and ulcerative colitis), pancreatitis, gastritis, diarrhea and many other GI conditions.
In 1973, a registered dietitian named Thelma Wayler took over an empty dorm room at Vermont’s Green Mountain College, and quietly started a revolution. Like most visionaries, Thelma was way ahead of her time in realizing that diets and fads were not the key to ending struggles with eating and weight loss. So she started a different kind of self-care retreat for adult women that was based on science and freedom of choice: Green Mountain at Fox Run.
Even if you start slow, each bit of weight you lose will give you more energy to keep going. “Just a 5 percent drop in weight can help lower blood sugar levels and blood pressure and improve sleep quality, all of which increase energy,” Sass says. Because your body isn’t working as hard, you’ll have more resources to perform more healthy activities. And in a positive cycle, that first bit of extra energy will make changes you’re making stop seeming like such a chore. “When you have more energy, you’re more likely to feel motivated to be active and make healthier choices,” Sass says. Exercise itself has also been shown to boost energy levels. Check out these other incredible ways your body changes after just one workout.
You already know that a perfect diet doesn't exist, but many of us still can't resist the urge to kick ourselves when we indulge, eat too much, or get thrown off course from restrictive diets. The problem: This only makes it more difficult, stressful, and downright impossible to lose weight. So rather than beating yourself up for eating foods you think you shouldn't, let it go. Treating yourself to about 200 calories worth of deliciousness each day — something that feels indulgent to you — can help you stay on track for the long-haul, so allow yourself to eat, breathe, and indulge. Food should be joyful, not agonizing!
Intentional weight loss is the loss of total body mass as a result of efforts to improve fitness and health, or to change appearance through slimming. Weight loss in individuals who are overweight or obese can reduce health risks, increase fitness, and may delay the onset of diabetes. It could reduce pain and increase movement in people with osteoarthritis of the knee. Weight loss can lead to a reduction in hypertension (high blood pressure), however whether this reduces hypertension-related harm is unclear.[not in citation given]
Yes this is a real thing. The tapeworm diet has got to be one of the most extreme, no, stupid concepts we’ve ever come across. It involves swallowing an actual worm (it would probably be in egg form, but it’s still disgusting), the tapeworm then wriggles around in your intestines interfering with your digestion process and eating up all your food, making it possible for you to consume more calories without putting on weight. This is not only a desperate diet technique, but it’s incredibly dangerous, with death being one of the possible side effects. Err, no thanks!
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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.
Using a layered approach is another great way to build a good veggie habit. For example, start with a food you already enjoy — say, pasta — and layer some veggies into your bowl. This can help you explore a new food with one you already love eating, and from there, you can try new ways to savor it. Take spinach, for instance. After trying it with pasta, you may want fold it into an omelet or another favorite food, or explore it on its own with different cooking techniques (sautéed or steamed) or different flavor additions (garlic or golden raisins). The possibilities are limitless!
“Repetition builds rhythm. Be boring. Most successful losers have just a couple of go-to breakfasts or snacks,” says registered dietitian Lauren Slayton. “Make an effort to pinpoint these for yourself. ‘Hmm, I’m starving what should I have?’ doesn’t often end well. You can change the rotation every few weeks, but pre-set meals or workouts on certain days will help tremendously.”
While overnight oats remain a healthy and trendy breakfast, there’s one healthy oatmeal trend that’s also making waves: Zoats! The funny-sounding name actually describes a very straightforward (but delicious) dish made from shredded fiber-filled zucchini, oatmeal, milk, spices and nutrient-packed add-ins such as nuts and fruit. We love how the dish makes it easy to add veggies to your morning meal—somewhere it’s rarely found. Another win: Adding zucchini to your oatmeal adds bulk to your breakfast bowl without the need for extra cereal, ultimately saving you calories.
Dieters already know to steer clear of sugary cocktails and stick to vodka sodas at happy hour. But nixing booze altogether for a few weeks at a time could really help you jumpstart your weight loss efforts. A Journal of the Academy of Nutrition and Dietetics study found that alcohol causes people to eat an additional 384 calories per day on average, likely because booze makes us more sensitive to food aromas and less likely to resist indulgent fare.
Just when you thought there were no more diets to try, here comes one of the strangest. The regimen involves a daily injection of urine. Sheryl Paloni lost 43 pounds and more than 30 inches in 5 months. That's when she heard about a very unorthodox, extreme weight loss program. The urine comes from pregnant women. Sheryl injected herself with it daily.
As far as sugar goes, high-fructose corn syrup is the worst of the lot. The man-made substance is a combination of corn syrup (which itself is 100 percent glucose) and pure fructose, making it a unique nightmare for your waistline. In one study, researchers fed subjects beverages sweetened with either glucose or fructose. Though both groups gained the same amount of weight over a two-month period, the fructose group gained its weight primarily as belly fat because of the way this type of sugar is processed in the liver. To avoid the belly-bloating HFCS trap, make sure you look at nutrition labels carefully and ditch the processed snacks and fruit drinks.
I have always had an athlete’s physique until my sophomore year of college when I gained about 50 lbs. Since then I’ve tried everything to lose the weight only to fail… Until I started the Fit Body Weight Loss Program and the weight came off easily! I dropped 9 lbs in just the first week! I went from 203 lbs to 182 lbs and dropped from a tight size 16 to a size 12 in just a little over a month! I’m now wearing clothes that I haven’t been able to fit into for over 2 years and now they are even loose on me! This program really worked for me when nothing else did!
According to researchers, late sleepers—defined as those who wake up around 10:45 a.m.—consume 248 more calories during the day, as well as half as many fruits and vegetables and twice the amount fast food than those who set their alarm earlier. If these findings sound troubling to you night owls, try setting your alarm clock 15 minutes earlier each day until you’re getting out of bed at a more reasonable hour.
The Wisconsin native also struggled with health issues. In her early teens she was diagnosed with polycystic ovarian syndrome (PCOS) and sleep apnea. “It is extremely difficult to lose weight and maintain weight loss with PCOS,” says Stolfi, who hit her highest weight of 286 lbs. at age 18. “And the lack of good sleep caused me to be lethargic, which meant I didn’t have the energy to work out.”
“It can be easy for people to focus merely on what they are eating and on the weight loss progress,” says Mast. But sustainable weight loss relies on other factors as well. Mast emphasizes that finding a supportive community or one-on-one health coach is invaluable. Without a positive support system or the knowledge to develop a healthy eating plan, your weight loss is likely to stall. Speaking of which…
That’s one way the beautifully presented, animal-protein-centric food comes in. Of course, protein is excellent fuel, but the meal plan is also meant to prove that healthy choices don’t require deprivation. You can eat more or less like a normal American, red meat and all (though they accommodate vegetarians handily). Between the reasonably sized meals and copious snacks (to keep blood sugar even), I was never hungry, and occasionally doubted that it really added up to 1,200 calories a day (1,400 for men)—though the fat-measuring scale convinced many of us otherwise.
Why it's dangerous: Arsenic is highly toxic in its inorganic form and in high doses. According to the World Health Organization it can also cause health problems such as skin lesions and cancer when consumed through food or drinking water. The symptoms of arsenic poisoning include vomiting, nausea, diarrhoea, severe muscle cramping and even death. It's certainly not a substance you would want in medication.
After multivariate adjustment, including baseline RMR and dietary intervention group, baseline plasma PFAS concentrations, especially for PFOS and PFNA, were significantly associated with a greater decline in RMR during the weight-loss period (first 6 months) and a lower increase in RMR during the weight regain period (6–24 months). During the first 6 months, comparing the highest to the lowest tertiles, the least-square means (SEs) of RMR change were −45.4 (15.5) versus −5.0 (16.3) kcal/day for PFOS (Ptrend = 0.005) and −49.8 (15.9) versus −3.3 (16.1) kcal/day for PFNA (Ptrend = 0.002) (Model 3 in Table 4). During the period of 6–24 months, comparing the highest to the lowest tertiles, the least-square means (SEs) of RMR change were 0.9 (26.2) versus 94.6 (27.5) kcal/day for PFOS (Ptrend < 0.001); 12.7 (28.1) versus 69.3 (27.3) kcal/day for PFOA (Ptrend = 0.03); 24.6 (28.5) versus 81.5 (27.5) kcal/day for PFHxS (Ptrend = 0.03); 14.1 (27.7) versus 73.7 (27.6) kcal/day for PFNA (Ptrend = 0.02); and 23.1 (27.6) versus 66.5 (28.2) kcal/day for PFDA (Ptrend = 0.09) (Model 3 in Table 4). The results were similar when PFAS concentrations were treated as continuous variables (Table 4). When adjusting for RMR at 6 months (instead of RMR at baseline), the results maintained statistical significance. When changes in RMR or changes in thyroid hormones during the first 6 months were further adjusted for, the results remained largely unchanged. In the sex-stratified analysis, similar results were observed, although some associations did not reach statistical significance, possibly due to diminished power (S4 Table). No interaction between PFASs and sex on RMR changes was detected. The trajectory of changes in RMR among total participants according to tertiles of PFAS concentrations is shown in Fig 2. In addition, similar results were demonstrated when analyses were stratified by dietary intervention group.