More than half of the attendees at In:spa are repeat visitors thanks to a realistic, holistic approach to wellness. Cal Reiet, a fantastically smart 15-bedroom manor house, provides the perfect base. Programmes are a mix of combined activities (HIIT workouts, a 10km coastal hike, yoga) and more tailored, emotionally nourishing sessions (nutrition advice and massages). It's not particularly flexible, but relinquishing decision-making for a week is hugely relaxing, as is exercising in such lovely surroundings. At the heart of the experience is the food, a menu of mainly vegetarian dishes such as seed bread slathered in almond butter and avocado, turmeric and pea salad. It's a programme that will keep making you feel better, even long after you have left.

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.


Believe it or not, weight loss isn’t just about exercising and eating right; research suggests what motivates you to get in shape can play a role in your success. A 2014 study in the journal Body Image looked at 321 college-age women and found that long-term, those who exercised primarily for appearance-based reasons had a harder time sticking to their fitness plans than those who worked out to maintain their health. In other words, stop envying those fit models on Instagram and instead remember that you and your loved ones are the people who really benefit when you slim down.

The comparisons between participants included in the current analysis and those excluded were evaluated by the Student’s t test for normally distributed variables, the Wilcoxon rank-sum test for skewed variables, and the chi-squared test for categorical variables. The associations between baseline PFASs and changes in body weight and RMR during the period of weight loss (first 6 months) or weight regain (6–24 months) were examined using linear regression. The least-square means of changes in body weight (at 6, 12, 18, and 24 months) and RMR (at 6 and 24 months) according to tertiles of baseline PFAS concentrations were calculated. In addition, the relationship between PFASs and other potential mediators including thyroid hormones and leptin were further evaluated using linear regression. Covariates considered in multivariate adjustments included baseline age (continuous), sex, race, educational attainment (high school or less, some college, or college graduate or beyond), smoking status (never, former, or current smoker), alcohol consumption (continuous), physical activity (continuous), the 4 diet groups, and baseline BMI (or baseline RMR for the analysis of RMR change). Moreover, menopausal status and hormone replacement therapy (women only) were also entered into the model in a sensitivity analysis. To test the linear trend of the associations of baseline PFAS concentrations with changes in body weight and RMR, we assigned a median value to each tertile of PFAS concentration and treated it as a continuous variable. We also tested the linear trend using the PFAS concentrations as continuous variables (log10-transformed). In an exploratory analysis, factor analysis was used to explore the potential exposure patterns of PFASs.


The primary strength of the current study is that the cause of weight changes was well characterized. Unlike previous observational studies in which reasons for weight changes were usually unknown, this weight-loss trial applied energy restriction to induce the weight changes. Moreover, repeated measurements of body weight, RMR, thyroid hormones, leptin, and other metabolic biomarkers allowed documentation of longitudinal associations between PFAS exposures and changes in these parameters during the weight-loss and weight regain periods.
Savor the finest fresh and healthy food at Hilton Head Health. Our executive chef’s love for food and nutrition shines through in True Restaurant’s multi-ethnic, locally sourced cuisine. Thoughtfully prepared meals and snacks served at True are the foundation of our weight loss and wellness programs. No matter your path or individual dietary needs, eating at True is truly a pleasure.

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