Data were adjusted for age, sex, race, education, smoking, alcohol consumption, physical activity, menopausal status (women only), hormone replacement therapy (women only), dietary intervention group, baseline free T3 and free T4 levels, and baseline RMR. LS, least-square; PFAS, perfluoroalkyl substance; PFDA, perfluorodecanoic acid; PFHxS, perfluorohexanesulfonic acid; PFNA, perfluorononanoic acid; PFOA, perfluorooctanoic acid; PFOS, perfluorooctanesulfonic acid; RMR, resting metabolic rate; T3, triiodothyronine; T4, thyroxine.
losing weight in my 40s

Eat slowly and you’ll eat less . . . put your knife and fork down between mouthfuls, sip water with your meals and take smaller bites. It takes a while for your body to recognise that it’s had enough food - the slower you can eat, the less you’ll want. Don’t feel like you have to ‘clean your plate’ especially when you’re eating restaurant-sized portions.


The baseline portion sizes of our snacks and meals have ballooned over the past 40 years. The average size of many of our foods — including fast food, sit-down meals, and even items from the grocery store — has grown by as much as 138% since the 1970s, according to data from the American Journal of Public Health, the Journal of Nutrition, and the Journal of the American Medical Association
5. Start with one small change. "I realized that a lot of sugar and calories that I consumed came from drinks, so I challenged myself to drink only water—no sugary drinks!—for 30 days. After just one successful week, I decided to add another challenge: to cut back on the carbs I was eating. When I did eat bread, I switched to wheat bread and when I wanted rice, I used brown rice."
More than 400 genes have been linked to obesity and weight gain and they can affect appetite, metabolism, cravings and body-fat distribution. The exact degree to which you can be genetically predisposed to weight gain or obesity is unclear, but genes have been associated with difficulty losing weight even as you increase physical activity or low-calorie diets. Much like weight management on the whole, addressing a genetic predisposition for obesity is much easier from a preventative standpoint than a reactionary one.
Some scientists subscribe to the idea that your body has a set weight point and all of the above – your metabolism, hormones, brain – will adjust to maintain that weight. The theory goes that people can have naturally higher or lower set weights than others and genetics, aging, history of weight loss and other hormonal shifts can all impact your set weight. Moreover, set points can rise but very rarely do they lower. Similarly, they are much easier to maintain – because your body wants to – than reduce, which is why maintaining a healthy weight is easier than losing weight.
Carb crazy? Consider this: Refined carbohydrates, such as bread, potatoes and rice, create a surge in insulin that in turn drives down your resting metabolic rate, explains Aronne. "It's important to keep carbohydrates in your diet, but really focus on fruits, vegetables and whole grains, which have less of an effect on insulin levels," he explains. And when buying whole-grain breads and cereals, make sure the first ingredient listed is whole wheat, whole oat or cracked wheat.
In our pilot study evaluating the within-person stability of PFAS concentrations, intra-class correlation coefficients (ICCs) between concentrations in 2 blood samples collected 1–2 years apart from 58 participants in the Nurses’ Health Study II demonstrated excellent reproducibility of PFAS concentrations in blood: the ICCs were 0.91 for PFOS, 0.90 for PFOA, 0.94 for PFHxS, 0.87 for PFNA, and 0.82 for PFDA (all P < 0.001).

When eating out or picking up a quick lunch on your break, ask for any sauce or dressing on the side. Though these emulsions often add flavor to a dish, they’re also frequently packed with empty calories, added sugar, and a whole host of other unhealthy stuff that makes shedding pounds that much harder. For example, just one three-tablespoon serving of Panera Bread’s Greek dressing has 230 calories. 3.5 grams of saturated fat, and 310 milligrams of sodium. By asking for the sauce or dressing on the side, you have more control over how much of it you eat, and you could easily save yourself a few hundred calories.


Fitness Director Jeff Ford evaluates guests on the way in, testing your strength, flexibility, and balance. You also get a scan that reveals not just your weight, but how much muscle and fat you have. At the end, maybe you "only" lost two pounds, but you gained one pound of muscle and lost three pounds of fat, which means your body is closer to becoming a fat-burning machine.

Good news for carb lovers: Scientists discovered an easy way to slim down any bowl of rice by as much as 60 percent! And the best part is that you don’t need a fancy lab or a PhD. to make the slimmed-down dish. Here’s how to whip it up: Add a teaspoon of coconut oil and a half cup of non-fortified white rice to a pot of boiling water. Cook it for about 40 minutes, stick it in the refrigerator for 12 hours and enjoy the rice either cold or reheated. How does such a simple cooking hack—that adds fat, no less—slash calories? When the rice begins to cool, its glucose molecules form tight bonds called “resistant starch.” This type of starch, as the name implies, is resistant to digestion, meaning that the body is not able to absorb as many calories or as much of the glucose (a nutrient that’s stored as fat if it’s not burned off) from each molecule. While you may be hesitant to add the oft-vilified oil to your pot, it actually plays an integral role in the process. As the rice cooks, the fat molecules find their way into the rice and act as an additional digestion barrier. Best of all, the research team found that reheating the rice didn’t change the levels of resistant starch (as it does with pasta and potatoes), deeming this calorie-slashing cooking hack safe for leftovers, too.

how to lose weight at 44


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