A calorie isn’t always a calorie. Eating 100 calories of high fructose corn syrup, for example, can have a different effect on your body than eating 100 calories of broccoli. The trick for sustained weight loss is to ditch the foods that are packed with calories but don’t make you feel full (like candy) and replace them with foods that fill you up without being loaded with calories (like vegetables).
Working with a lifestyle medicine professional can also help you manage expectations, set reasonable goals and respond to your body’s changes if weight loss is a goal of yours. You may also want to consider whether a nutritionist is right for you. The team at the Northwestern Medicine Center for Lifestyle Medicine specializes in setting achievable goals ranging from comprehensive weight-loss treatment and management for overweight and obese adults and educational strategies that promote weight loss to risk factor reduction and tools to improve physical activity and encourage healthy eating.

This diet was most likely not developed by nutrition experts. One web site that offers the diet includes this warning: “Neither the staff nor management of 3 Day Diets are experienced, licensed, or knowledgeable to judge or recommend the validity or safety of this diet. We do not necessarily endorse this diet and recommend that before trying this or any other diet to consult a physician or licensed medical practitioner. Use at your own risk.”
In other words? “Drinking makes you more likely to eat sh*t,” Dr. Seltzer says, referring to drunk foods. At the same time, he stops short of asking patients to quit alcohol cold-turkey to lose weight. Plus, research suggests you don’t have to, as long as your intake is moderate—i.e., less than about a drink a day. “If you drink a glass of wine every night and notice you eat more afterward, eat less early to account for this,” he says. “Or, if you’re drinking four glasses of wine a week, drink three instead so you’ll won’t feel such a big difference.”
There are many weight loss retreats across the world but what makes our weight loss retreat program work is the extra support, services and mature staff who know how to take care of you to meet your goals. We'll also help create a take-home plan specific to you, that will allow you to continue your health and fitness goals in a realistic and sustainable way.
Start each morning with a sunrise stretch, cooking class or medical lecture and finish the day with Tai Chi, a stress management class or a night out in South Beach. This Miami resort, surrounded by 650 acres of gardens, fountains and water features, focuses on “real world training” so that guests can apply what they’ve learned at home. The health facility features an indoor track, two restaurants that offer gourmet meals (think Maine lobster and wild mushroom risotto), pools, five golf courses, a spa, and a tennis court. Take advantage of the resort’s personal training sessions, counseling and educational courses as well. The all-inclusive resort offers a one-week (starting at $3,600) and two-week program (starting at $6,200).
High-intensity interval training (HIIT) is a great belly-blasting option for those who already feel comfortable in the gym because it helps you drop fatty tissue and build muscle simultaneously. “High-intensity interval training is when you perform an exercise at or close to your maximum ability for a short period of time and then take a brief respite and do it again. HIIT should usually be done on a 2:1 interval, meaning if you did an exercise for one minute, you rest for 30 seconds and then repeat,” explains Dr. Alex Tauberg, DC, CSCS, EMR in 50 Ways to Shrink Your Belly. To use HIIT to shrink your belly, do workouts that engage your core such as abdominal crunches or bridges. “By performing core workouts using a HIIT plan, you can burn calories and build muscle at the same time,” Alex adds. “This can be a great way to flatten that stomach when you don’t have too much time to work out.”
In this diet-induced weight-loss trial, higher baseline plasma PFAS concentrations were associated with a greater weight regain, especially in women, possibly explained by a slower regression of RMR levels. These data illustrate a potential novel pathway through which PFASs interfere with human body weight regulation and metabolism. The possible impact of environmental chemicals on the obesity epidemic therefore deserves attention.
But don't worry: Most of the research does not suggest a need to slash meat, dairy, or fish from your diet. In fact, the best results typically appear to come from diets that combine high amounts of vegetables with healthy sources of protein, which can include seafood, eggs, and meat. Eating plans like these include the popular Mediterranean diet and MIND diet.
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.
When it’s doing its job properly, inflammation in the body helps fight off infection. But in people who are overweight or obese, inflammation can get out of control, which increases insulin resistance as well as your risk for heart disease, cancer, arthritis, and even Alzheimer’s disease. “Excess body fat, especially when it’s located around the abdomen, is strongly linked to inflammation,” Dr. Webster says. Adipose fat tissue releases inflammation-causing molecules, but the markers of inflammation go down with even a 5 or 10 percent reduction in body weight, she says. Eat more of these 15 superfoods that can help you lose weight.
Hilton Head Health is recognized as a world leader in destination weight loss and wellness resorts. Our community of supportive dieticians, psychologists, wellness educators, fitness trainers, chefs and spa therapists draws upon H3’s decades of experience to create personalized medically based weight loss programs that will help you achieve real results and set you on a path towards sustained health and wellness.

weight loss over 40 before and after


Working with a lifestyle medicine professional can also help you manage expectations, set reasonable goals and respond to your body’s changes if weight loss is a goal of yours. You may also want to consider whether a nutritionist is right for you. The team at the Northwestern Medicine Center for Lifestyle Medicine specializes in setting achievable goals ranging from comprehensive weight-loss treatment and management for overweight and obese adults and educational strategies that promote weight loss to risk factor reduction and tools to improve physical activity and encourage healthy eating.
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.
Weight loss tips # 1: Drink at least eight, 8-ounce glasses of water per day. Beverages with little or no calories, caffeine or sodium, including herbal tea, are best. Avoid regular soft drinks and soups with lots of sodium. If you are eating plenty of water-rich foods such as fruits, vegetables and low-sodium soups, you can get half of your water requirements from foods, according to a 1998 NAS Food and Nutrition Board report.
“If you have ever lost a substantial amount of weight then gained some back you probably have an idea of that devastating feeling of going backwards — I think those feelings were more painful at that time than when I was overweight,” Ruby wrote on Instagram, adding that it’s been helpful to practice mindfulness at this point in her journey. “I had to remember that a transformation is far deeper than physical.”  
Experts agree that being overweight or obese increases your risk for osteoarthritis, or wear and tear on your joints. “The more weight that’s on a joint, the more likely it is to wear down and be damaged,” Dr. Webster says. “For example, for every pound of excess weight, four additional pounds of pressure is exerted on our knees—so if someone is carrying around 20 pounds of excess weight, that’s an additional 80 pounds of stress on the knees.” Losing extra weight reduces the amount of pressure on your joints and lowers the risk of arthritis development. You can do it—check out the most inspirational weight-loss transformations of last year.

If you eat a carbohydrate-rich meal (lots of pasta, rice, bread, or French fries, for example), your body releases insulin to help with the influx of all this glucose into your blood. As well as regulating blood sugar levels, insulin does two things: It prevents your fat cells from releasing fat for the body to burn as fuel (because its priority is to burn off the glucose) and it creates more fat cells for storing everything that your body can’t burn off. The result is that you gain weight and your body now requires more fuel to burn, so you eat more. Since insulin only burns carbohydrates, you crave carbs and so begins a vicious cycle of consuming carbs and gaining weight. To lose weight, the reasoning goes, you need to break this cycle by reducing carbs.
If stone fruits aren’t your thing, peel a banana instead and watch your belly bloat disappear. A study in the journal Anaerobe found that women who ate a banana twice daily before meals for two months reduced belly bloat by 50 percent. Researchers believe this is because bananas are packed with potassium, which can reduce water retention. The yellow fruits are also a good source of fiber, which will keep you feeling full.

Jump up ^ Mann, T; Tomiyama, AJ; Westling, E; Lew, AM; Samuels, B; Chatman, J (April 2007). "Medicare's search for effective obesity treatments: diets are not the answer". The American Psychologist. 62 (3): 220–33. doi:10.1037/0003-066x.62.3.220. PMID 17469900. In sum, there is little support for the notion that diets ["severely restricting one’s calorie intake"] lead to lasting weight loss or health benefits.
The average American consumes 15.5 pounds of pasta each year—and most of it is the refined white stuff. What’s the trouble with that? This type of noodle is almost completely void of fiber and protein, two vital nutrients for weight loss. To boost the belly-filling fiber and hunger-busting protein in your meal, opt for a bean-based noodle like Banza Chickpea Shells (2 oz., 190 calories, 8 grams of fiber, 14 grams of protein) or Explore Asian Black Bean Low-Carb Pasta (2 oz., 180 calories, 12 grams of fiber, and 25 grams of protein). Alternatively, whip up a batch of zoodles, or spiralized veggie noodles with the help of these 21 Mouthwatering Spiralizer Recipes.
Good question…they actually do…and it’s a horrible idea! During the hours leading up to a fight, while an athlete is depleting water and glycogen, exercise should be kept to a minimum. Not only does the athlete need to recover from a hard training camp (thus, taper off exercise) so they can perform during their fight, they need to prevent excess stress. Cutting weight is pretty stressful as it is.

Great question, Cain. The cumulative stress of training for a competition and then cutting 10-20 pounds certainly does compromise the immune system. (So does competition itself, for a few hours after the event). Then, when you stuff hundreds of people in an arena or auditorium, all sharing their bacteria and viruses with those compromised immune systems…so getting a cold is the very common. All big athletic events are like this: marathons, tournaments, etc.


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.
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.
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.
Whole foods include fruits, vegetables, beans, nuts, seeds, whole grains, eggs, seafood, chicken and so on. Food philosophies may differ around which of these foods to emphasize, but that’s okay, since the evidence shows that there isn’t a single best way to lose weight. The goal is to select an approach that feels sustainable to you. If you can easily live without pasta, perhaps a low-carb method centered around veggies and quality proteins, like seafood, chicken, and lean beef would be a good fit. Vegans and vegetarians can lose weight by choosing fruits, vegetables, whole grains and plant proteins. Nut lovers may do well shedding pounds with a Mediterranean-style menu. Whatever diet appeals to your appetite and way of life, focusing on whole foods is something that all plans promote.
Stress may contribute to abdominal fat, according to several studies, including a recent one at the University of California, San Francisco. "When you're stressed, hormones like cortisol stimulate your appetite, slow your metabolism down and encourage fat storage inside your abdomen," explains Shawn Talbott, Ph.D., director of the Nutrition Clinic at the University of Utah. So what's a frazzled girl to do? "Find an activity that reduces stress for you, whether it's listening to soothing music or taking yoga, and do it daily," advises Talbott.
Nutritionist, Emma Wight-Boycott says: “Skipping meals is disastrous for weight loss! It has a three-pronged impact - firstly it causes blood sugar imbalance which makes us crave sugar or carbohydrates within 2 hours of our regular meal time. Secondly it makes our bodies burn muscle, not fat, for energy. Finally the body has its own 'food clock' (like a body clock for time) that regulates our metabolism and this becomes sleepy or sluggish when it is out of routine (think shift workers or jet lag)."

The POUNDS Lost study, a 2-year randomized clinical trial, was designed to compare the effects of 4 energy-reduced diets with different macronutrient (i.e., fat, protein, and carbohydrate) compositions on body weight, as previously described [37]. At baseline, 811 overweight and obese men and women aged 30–70 years were randomly assigned to 1 of 4 diets that consisted of different compositions of similar foods and met the guidelines for cardiovascular health. Eighty percent of the participants (n = 645) completed the trial. Each participant’s caloric prescription for the 2-year period represented a deficit of 750 kcal per day from baseline, as calculated from each individual’s resting energy expenditure and activity level [37]. All participants had normal thyroid function at study baseline [38]. The main findings of this trial were that most of the weight loss was observed in the first 6 months, followed by a gradual weight regain through to 24 months, and that the weight changes (both weight loss and weight regain) did not differ significantly between the diet groups [37].


The Canyon Ranch weight loss program is also available in Tucson.   Like Lenox, an all-inclusive program is offered, and you’ll meet one-on-one with caring professionals – including physicians, life management therapists, nutritionists, exercise physiologists and more. Together you’ll develop a personalized plan for long-term, sustainable weight loss, better health and a more balanced and fulfilling life, which is a bit different from other weight loss resorts.

The oldest destination spa in North America, which opened to guests in 1940 (you had to bring your own tent), is ideal for action bunnies. Fly to San Diego and drive across the Mexican border into the foothills of Mount Kuchumaa. An incredible landscape awaits: 4,000 acres of stunning private grounds filled with trailing African daisies and roaming butterflies. Days start with early-morning hikes followed by energy healing sessions, which help reset the central nervous system. Food is healthy but abundant, and suppers are four-course affairs where you are encouraged to bond with other guests. It seems almost everyone has visited more than five times, which really does say something. The ranch isn't cutting-edge, but deserves a place in the roll-call of the world's best destination spas because it rests in one of the most beautiful pockets of our planet.
Lifehouse Spa & Hotel focuses on alternative health care with laboratory analysis to identify issues contributing to weight concerns, including nutritional deficits and food intolerance. Treatments range from naturopathy and kinesiology to acupuncture, and a resident spiritual guru is on hand to guide meditation. Programs focus on healthy aging, locally sourced fine dining, and juice cleansing.  There are “Fast and Lean” programs for a quick start on a new wellness commitment, structured Detox Retreats, as well as bespoke retreats to target what you most want and need.
High-intensity circuit training is similar, only it incorporates resistance training, too. The principle: Do a strength exercise like a squat repeating the motion for a certain amount of time, rest, and then do another strength move. It’s different than traditional resistance training because the rest periods are shorter—usually less than 30 seconds—and the exercises chosen work large muscle groups in order to raise your heart rate. “Our approach combines aerobic and resistance training into a single exercise bout,” write the paper’s authors, Brett Klika, CSCS, and Chris Jordan, CSCS, CPT, in Health and Fitness Journal.
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.
“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.” 

You know that hitting the recommended five to nine daily servings of fruits and veggies can make it easier to slim down, but that doesn’t make it any easier to accomplish. A simple way to make it happen? Buy a fruit bowl. You’re more likely to grab fruits and veggies over less-healthy options if they’re ready to eat and in plain sight. Katie Cavuto MS, RD, the dietitian for the Philadelphia Phillies and Flyers, suggests keeping washed and prepared veggies like cucumbers, peppers, sugar snap peas, and carrots in the front of the fridge so they aren’t overlooked. Bananas, apples, pears, and oranges fare well as sweet snacks and should be kept on the counter where everyone can see them.
I don’t follow UFC much (ie, at all), so bear with me. While I consider “pain tolerance” a trainable skill (which this process obviously requires), is there any concern that this method may take something away from a true combat skill competition? A fighter who has a more effective big-small-big protocol but an inferior skill set could definitely gain a huge advantage as mentioned. Dr. Berardi and multiple posters have mentioned ringside weigh-ins for other similar sports to discourage cuts like this (I’m assuming), does UFC have any issue with the practice? They’ve obviously been in place for years and years without any tragedies (I think?), so is it an “If it’s not broken, don’t fix it” sort of deal?
People tend to find one workout routine and stick to it but it’s important to switch things up every now and then, especially in terms of cardio. Instead of simply running or walking, try to vary your speeds as you go. Researchers at Ohio State University found that walking at varying speeds can burn up to 20 percent more calories compared to maintaining a steady pace, so get moving!
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:
Napping may be an easy way to catch up on some missed shut-eye, but dozing off in the middle of the day does nothing to aid weight loss. In fact, research has found that people burn fewer calories when they sleep during the day and log their waking hours after the sun’s gone down. To come to this finding, researchers at the University of Colorado at Boulder studied 14 healthy adults for six days. For two days, study participants slept at night and stayed awake during the day, then they reversed their routines to mimic the schedules of night owls. When participants slept during the day, researchers found that they burned 52 to 59 fewer calories than they did while catching their Zzzs in the evening—likely because the schedule messed with their circadian rhythm, the body’s internal clock that plays a major role in metabolism function. If your circadian rhythm is out of whack, a separate study by University of Colorado Boulder researchers suggested spending a weekend in the wilderness to get it back on track.
For our Aussie friends, we have tons of things happening on your side of the world. The health scene is thriving in Australia right now, so you will be able to find a luxurious weight loss spa down unda. Many retreat centers will automatically include daily yoga classes or exercise classes, as well as a healthy meal plan. It's just up to you what kinds of activities you're most interested in. Take a look at what kind of wellness holidays are happening in Australia right now. Or, if you're fresh out of luck, then take a look around southeast Asia for super cheap and super luxurious wellness getaways.
Try to get 7-8 hours of sleep every night. A recent study from Case Western Reserve University found that, on average, women who sleep for 5 hours or less per night are 32 percent more likely to gain weight and 15 percent more likely to be obese than those who get at least 7 hours. If stress is keepig you up at night, try these 10 simple tips to reduce stress.
This award-winning spa believes self-discovery is the path to a balanced life and offers more than 90 different activities and classes to honor this belief. Guests can sign up for the healthy living workshops, which focus on topics from grief to relationships and everything in between or the integrative wellness classes. As for exercise, the resort offers “Latin Splash,” where guests water dance to Latin music, a high intensity circuit class, meditation, body conditioning and much more. Throughout each day, participants are encouraged to take a dip in one of the swimming pools, test out the climbing wall or Zipline, hit some balls at one of the two tennis courts and chill out in one of the Zen desert gardens.

Despite the common perception that you need to drop pounds slowly in order to maintain your weight loss, the exact opposite is true. In fact, you’re more than five times as likely to succeed in your long-term weight-loss goals if you start out of the gate by dropping pounds rapidly, according to a 2010 study in the International Journal of Behavioral Medicine. To set yourself up for weight loss success, make sure you focus on diet and exercise.
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.

If you just can’t shake those belly-bloating sugar cravings, try tyrosine—a building block of protein. It has been shown to prevent that yearning for the sweet stuff by encouraging the brain to release dopamine and another neurotransmitter, norepinephrine. In other words, eating more tyrosine (which can be found in eggs, spirulina, certain cheeses such as Parmesan, Gruyère, Swiss, and Romano, milk, sesame seeds, beef, and bacon) helps fend off those harmful sugar cravings that make your belly fat.


Yeah, we just told you to pump iron, but you also need to eat it. "If you don't have enough of this mineral, your body can't get enough oxygen to your cells, which slows down your metabolism," explains Samantha Heller, R.D., a nutritionist at the New York University Medical Center. Most multivitamins contain around 18 mg (the RDA for adults); you can also get your fill by eating three to four daily servings of foods rich in iron, such as lean red meat, chicken, fortified cereal, and soy nuts. If you're feeling symptoms like fatigue and weakness, ask your doctor to test you for anemia (it's a simple blood test) at your next physical.
Cheese isn’t traditionally thought of as something you consume to encourage weight management, but calcium-rich Parmesan, when eaten in moderation, can help stave off sugar cravings that can easily lead to weight gain. How does that work, you ask? The native Italian cheese contains the amino acid tyrosine (remember that?) which has been shown to encourage the brain to release dopamine without any unhealthy insulin spikes. What’s more? The combination of calcium and protein present in dairy products such as Parmesan has been found to increase thermogenesis—the body’s core temperature—and thus boost your metabolism.
You'll learn and experience Mindful Eating, a practice that helps you better understand why you choose to eat along with guided training and nutritional support. We have included acupuncture and spa therapies to promote your bodies natural ability to detoxify. When compared to other resorts, our Utah weight loss retreats include more individual testing and personalized attention – plus our special ingredient: adventure.
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.
There’s some truth to the old adage that breakfast is the “most important meal of the day,” and if you’re looking to blast belly fat, what you eat at the start of each day can make all the difference. According to a study from the University of Missouri-Columbia, a high-fiber, high-protein breakfast may be the most important investment you can make for your waistline. The study showed that eating breakfast triggered women’s brains to release dopamine, a feel-good chemical that helps to control impulses. In other words, eating a balanced breakfast decreases your chances of reaching for that 3 p.m. candy bar and keeps your belly slim.
As she worked to get back into a postpartum fitness routine, Cloutier discovered Zumba, and fell in love with group fitness classes. Three weeks after her first class, she became a certified trainer, and started teaching classes. By 2013, the demand had gotten so large that she opened her own fitness studio, and now runs it along with her full-time job. 
“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).” 

In a 2014 study in the journal Public Health Nutrition, people were asked to report their food intake over the course of two days. Those who ate at a restaurant during that time took in an average of 200 calories per day more than those who prepared all their own meals, and those who ate in sit-down restaurants actually consumed slightly more calories than those who ordered from fast-food joints. When dining out, people also consumed more saturated fat, sugar, and sodium, so eating at home where you can prepare food in a healthier way is obviously the better choice.
20. Vanden Heuvel JP, Thompson JT, Frame SR, Gillies PJ. Differential activation of nuclear receptors by perfluorinated fatty acid analogs and natural fatty acids: a comparison of human, mouse, and rat peroxisome proliferator-activated receptor-alpha, -beta, and -gamma, liver X receptor-beta, and retinoid X receptor-alpha. Toxicol Sci. 2006;92:476–89. pmid:16731579
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.
Ananda Spa in the Himalayas is located in the region that gave birth to Ayurveda, the science of identifying and correcting the imbalance in  bio energies of the body. The Weight Management Program addresses the physical and emotional challenges associated with weight loss and weight maintenance and is based on the best of both Western and Ayurvedic treatments.
As part of an eight-year study that included nearly 50,000 women, Harvard researchers tracked what happened when people either slashed their intake of sweetened drinks or started consuming more of them. Not surprisingly, the participants who raised their sugary-drink intake gained weight and increased their risk of developing Type 2 diabetes. In fact, the more people's sweet-drink intake increased, the more weight they gained and the more their disease risk went up.
Thanks for the question here…when we say each gram of carbs holds on to 2.7g of water, that’s a little different than your protein question. Essentially what we’re saying is that for every gram of carbohydrate stored in the muscle, for example, 2.7 grams of water are literally bound up in that carbohydrate molecule. Likewise, when each gram of carb is depleted from the body, 2.7 grams of water are lost. So it’s simply a body weight issue. Lose 200 grams of carbohydrate from the body through exercise and a low carb diet, and close to 600 grams of water disappear too. Combined, that’s almost 2 pounds of weight lost. Cool, huh?

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!
Then comes lunch. Today at lunch I had vegetable soup, salad, and a small cup of turkey chili with broccoli mixed in. (That's one of the tricks I've learned here—adding veggies is an easy way to bulk up food so I feel like I'm eating more.) After lunch I take a 15-minute "thermal walk" or bike ride. These are short bursts of activity to keep my metabolism active and burning fat after eating.
For the first month, I did the Hilton Head Health's LoseWell program, which is a very structured program—there's less choice and more guidance, my dieting training wheels, so to speak. I met with a group of other people looking to lose weight, and we ate pre-planned meals and did our prescribed workouts together. In between, I went to classes about the basics of nutrition and fitness, trying to learn everything I could about this new lifestyle.
Exposure to light at night doesn’t just interrupt your chances of a great night’s rest, it may also result in weight gain, according to a new study published in the American Journal of Epidemiology. As crazy as it may seem, study subjects who slept in the darkest rooms were 21 percent less likely to be obese than those sleeping in the lightest rooms. The takeaway here is a simple one: Turn off the TV and toss your nightlight.
You may think hand sanitizer will zap germs and prevent you from getting sick, but it could also be making you fat. The germ-killing substance contains triclosan, which researchers have found to be an “obesogen,” meaning it could cause weight gain by disrupting your body’s hormones. A study published in the journal PLOS One found that people who had detectable levels of triclosan in their bodies were associated with a 0.9-point increase in their BMIs. Word to the wise for germaphobes looking to lose weight: Rely on good ol’ soap and water instead.
I have lost 20 lbs. with the help of the Fit Body Weight Loss Program in about 8 weeks. I even lost weight while I was on vacation! I went from a very tight size 12 to a very comfortable size 10. I started at 162 lbs. and now am happy to say I’m at 142 lbs. I feel better about myself (especially being able to fit in clothes I haven’t been able to wear for awhile), have more energy and know that I look better. Best of all, most of the tummy is gone! Thank you Fit Body for your coaching and continued support!
People tend to find one workout routine and stick to it but it’s important to switch things up every now and then, especially in terms of cardio. Instead of simply running or walking, try to vary your speeds as you go. Researchers at Ohio State University found that walking at varying speeds can burn up to 20 percent more calories compared to maintaining a steady pace, so get moving!
The least intrusive weight loss methods, and those most often recommended, are adjustments to eating patterns and increased physical activity, generally in the form of exercise. The World Health Organization recommended that people combine a reduction of processed foods high in saturated fats, sugar and salt[10] and caloric content of the diet with an increase in physical activity.[11] 

We know this can be a bit of a tall order when you're working long hours but trying to eat at least 2 meals a day at home will work wonders for your waistline. Logistically you don't have the time or effort to knock something healthy up in the office kitchen, so unless you're super organised you will often go to snack stores for your food. So if you try to eat a healthy and satisfying breakfast and dinner at home you're less likely to snack through the day at your desk or when you get home late at night.

New Life Hiking Spa in Vermont has been helping clients lose pounds and maintain a healthy weight for the last 40 years. Their non-clinical approach uses mountains, clean air and lush greenery instead of an indoor gym, plus wholesome natural food instead of a diet. To assist with a healthy lifestyle following a weight loss retreat New Life offers nutrition and wellness workshops and individual counseling.   
Some popular beliefs attached to weight loss have been shown to either have less effect on weight loss as commonly believed or are actively unhealthy. According to Harvard Health, the idea of metabolism being the "key to weight" is "part truth and part myth" as while metabolism does affect weight loss, external forces such as diet and exercise have an equal effect.[43] They also commented that the idea of changing one's rate of metabolism is under debate.[43] Diet plans in fitness magazines are also often believed to be effective, but may actually be harmful by limiting the daily intake of important calories and nutrients which can be detrimental depending on the person and are even capable of driving individuals away from weight loss.[44]
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.
Have trouble eating reasonably sized portions? Try dimming the lights and cueing up some soft music. According to a study published in Psychological Reports, soft lighting and music lead noshers to eat less and enjoy their food more. That’s what we call a win-win. Looking for the perfect date night dish? Check out these 35 Healthy Crockpot Recipes.
If you just can’t shake those belly-bloating sugar cravings, try tyrosine—a building block of protein. It has been shown to prevent that yearning for the sweet stuff by encouraging the brain to release dopamine and another neurotransmitter, norepinephrine. In other words, eating more tyrosine (which can be found in eggs, spirulina, certain cheeses such as Parmesan, Gruyère, Swiss, and Romano, milk, sesame seeds, beef, and bacon) helps fend off those harmful sugar cravings that make your belly fat.
Hey I am actually doing this right now and I’m on the tuesday and noticed I’m not peeing anywhere near as much as I was on the monday. Everything I’m eating is just spinach, brocolli, chicken, eggs and a protein shake.I looked at the protein shake contents and that attributes to eating 687mg sodium 19.3g sugar with all the other food. The protein shake ends up having like 15g of sugar. This is way too much isnt it, is this absorbing alot of water therefore not making me expel said water.
“I wish people knew that almond milk is no nutritional match to cow’s milk. In addition to being a great source of calcium and potassium, a cup of cow’s milk has eight grams of protein, which is about the same as a whole egg. Almond milk has only 1.5 grams of protein and can have added sugar when people buy the flavored or sweetened versions. Protein is important for making us feel full and energized longer, and that’s key for being able to have a productive weekday morning,” Libby Mills, MS, RDN, LDN, Spokesperson for the Academy of Nutrition and Dietetics tells us in 22 Top Weight Loss Tips, According to Nutritionists.
Izzy says: "If you are struggling to prepare meals that fit into your calorie allowance, most nutritionists are in agreement that portion controlled, calorie counted meals are an effective and convenient solution. You can find a number of options in your supermarket, or a delivered diet service like Diet Chef can do all the hard work for you – allowing you to still tuck into curries and pasta, whilst adding your own fruit and vegetables on the side."

I am so excited for the results I’m seeing with the Fit Body Weight Loss program! In less than three weeks I’m already down 17 pounds! All my friends, family and co-workers are noticing. My “skinny pants” now fit very loose. I’m a busy single mom, singer and own my own business and was I still able to easily fit the Fit Body program into my work and life schedule. I’m still working towards my goal, but I know I will be there soon! The Fit Body Weight Loss Program really works and best of all I am eating healthy, my skin is glowing with vitality and my energy has really increased! I feel great and everyone seems to notice my transformation! Bottom line, this program works and it can help you transform your life easily, quickly and without starving, no crazy workouts or risky surgery! If I can do it, so can you!
People come from all over the world to experience a week, a month, or longer at our fitness resort. People come to get in better shape, to get a kick start towards a weight loss goal, and/or to relax by the pool, fish in the streams, detox, stop smoking, and gather with family and friends. Boasting a beautiful property at a Natural Bridge, affordable rates, and southern hospitality, our health spa has something for everyone.  
It makes sense that decreasing your risk of life-threatening conditions would lead to a longer life. “A 5 percent loss can lower your risk of diabetes, heart disease, and cancer, so yes, it may indeed extend your life,” Sass says. Dr. Webster agrees that losing even a small amount of weight can improve overall health, though official reports haven’t confirm this. “Although 5 percent weight loss improves health and decreases the risk factors for serious diseases, we do not know if this will translate into an increase in lifespan, because that study has never been done,” Dr. Klein says. The reverse, though, has been shown: Those with a high BMI have a greater overall mortality risk. In any case, if you’re looking to feel better both inside and out, it doesn’t take a major weight transformation—just a few pounds will do. Find out how much your life expectancy goes down for every two pounds you gain.
(CONFRONT YOUR FEARS) A friend reminded me of this recently and as he did I remembered a fear. It was fresh and still made my skin prickle with anticipation even though it started many years ago. It feels like yesterday and I’m sure you have those moments too, the ones that never left you even though you shoved them away for a long time. It starts with the 6th grade physical fitness tests. They were the worst things ever except for the talented few that got the bright blue patches. These tests traumatized me. Mostly, the timed mile. Even though we were children it was expected that we run it and everyone did- except me. There wasn't much kindness or compassion in the process and once I realized that, it was something that I dreaded, avoided and ultimately feared. It’s so easy to take ourselves out of even trying when there’s no encouragement to try. When your gym clothes don’t fit right and you’re afraid of the attention that coming in last place will bring you. Year after year this test happened and year after year I walked it & then cried, faked being sick and then ultimately stopped showing up. I’ve never run a mile without stopping and it’s always been on my list of things I want to do but didn’t know if I would. But I want to now. No matter how long it takes me and for no one else other than myself. And now, after being here I would rather try and fail than not try at all. Now’s the time to tackle the fears, all of them no matter how small or how big. So one day I started by asking my trainer if we could work on learning how to run in between strength training. My voice raised and I stumbled over my words and I felt self-conscious again like that chubby little 6th grader in too tight of gym shorts. I was nervous putting this out into the world. He said absolutely and then the next day we did. Just like that. He took me through some movements to work on my stride and made me feel like this was something that I could do. And step by step it was. Only 45 seconds this time, but 45 seconds closer to my goal and each step we take towards our goals away from our fears count. Not always the end result matters most, but the time it takes to jog there.
Chances are you haven’t heard of lignans, but the plant compounds found in sesame and flax seeds been shown to play a crucial role in helping you stay slim and keep weight off. In a 2015 study, women who consumed high levels of lignans tended to weigh less and gain less weight over time when compared to women who didn’t consume these compounds in high amounts.
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.
In addition to researching avocado oil, the folks over at Penn State University conducted some research involving canola oil as well and discovered it can also stimulate weight loss. More specifically, researchers found that after one month of adhering to diets that included canola oil, participants had a quarter-pound less belly fat than they did before the diet. They also found that the weight lost from the mid-section did not redistribute elsewhere in the body. Like peanuts and avocados, canola oil’s belly-blasting abilities are thought to be a result of the monounsaturated fats it contains.
Even if you fill up on produce, lean proteins, and whole grains, according to British Journal of Nutrition findings, when you think about the quality of your diet, you’re likely forgetting about all the unhealthy food that also finds its way to your mouth. People tend to exaggerate the good foods they eat and underestimate the bad stuff, says study author, Kentaro Murakami, PhD of Japan’s University of Shiga Prefecture. While it’s not necessarily intentional, it’s likely one of the reasons why it’s so hard for people to lose weight. For example, you might grab a handful of candy at a co-worker’s desk or a sample at the mall and then forget about it altogether. Our advice: To get a more accurate overview of your diet, keep a detailed food journal on your phone—yes, that means you should include that food court sample, too. Whether you snap photos or keep a written log is totally up to you—both tactics will work. The more food records dieters kept over the course of 30 months, the more weight they lost, a study in the American Journal of Preventive Medicine found.

Friends are helpful not only because they can double as workout buddies or help hold you accountable for appropriate diet and exercise, but also because they’re a surefire way to combat gut-growing feelings of loneliness. A study in the journal Hormones and Behavior found that those who feel lonely experience greater circulating levels of the appetite-stimulating hormone ghrelin after they eat, causing them to feel hungrier sooner. Over time, folks who are perennially lonely simply take in more calories than those with stronger social support networks, so be sure to fit time with pals into your busy schedule.
Sitting pretty in British Columbia, Canada, this boot camp vacation is a mountain-lovers dream thanks to stunning views, a wide variety of trails, and abundance of natural hot springs (eh hem, it's also the only mountain-based weight loss program in North America). Not only will you get to do daily hiking, yoga, and a slew of other fitness classes, but Mountain Trek guests also receive a personalized program of massage therapy, detox treatments, and nutrition classes all catered to your specific needs. In other words, if you're looking to stoke your metabolism, there's a fitness, food, and health class for that. Not enough? After you've been a guest once, there's the option to participate in their Adventure Trek program, which takes guests on an international adventure. The locations vary by year, but so far they've covered six to eight miles daily in Japan, the Amalfi Coast, and Bhutan. Passports ready? Check.
Losing a little bit of weight can help you conceive if you’re looking to have a baby. “Women with BMIs [body mass index, or ratio of height to weight] greater than 27 are at increased risk of abnormal periods and infertility,” says Jane van Dis, MD, chair of the Bakersfield Memorial obstetrics and gynecology department and medical director of business development for Ob Hospitalist Group. “Studies show women with elevated BMIs are at increased risk for insulin resistance, which can then lead to increased testosterone circulating in the body.” This can cause polycystic ovarian syndrome (PCOS), in which ovulation doesn’t occur regularly. But losing just 10 to 15 pounds can help bring your periods back to normal. Here’s how to lose weight if you have PCOS.
Fighting constantly with your S.O.? It’s time to address your issues head-on. "Research has shown that cortisol, the hormone that's released during stressful activity, is linked to fat storage,” says Gina Guddet, couples counselor and co-author of Love Metabolism. “And poor communication between couples is the most common type of stress that you tend to experience."
My son was competing nationally and had to cut almost 20 pounds in 2 days… and he had to wrestle 3 hours after weigh in… (he had two classes to wrestle in 175 or 200 – he though he was 185 and just needed 10 pounds but when he stepped on the scale Wednesday night (friday weigh in) he was 192. He spent a lot of time in the hot tub and ate chicken and broccoli and made weight – then he drank too much too fast and ate two peanut butter, honey and banana sandwhiches… but couldn’t really recover in time… he lost his first match, won his next 4, but getting into the losers column means you wrestle almost every 25 minutes and he couldn’t gain back the stamina… suggestions when you don’t have 24 hours? I think he did pretty good on the cutting weight part (he could have drank more water earlier in the week) but gaining it back along with his energy never really happened – he was done within 24 hours of weigh in…
Why a top-pick? Many weight loss retreats develop their programs around a specific exercise schedule and predetermined nutritional goals. At Kripalu, participants spend more time delving into why they eat and what they can do to make healthier choices. Dieters don't go home with a specific meal plan to follow, but they have the opportunity to connect with others so that they can continue to build on the foundation that they establish at Kripalu.
before and after 40 pounds

Over the 3 month period, my visceral fat area (VFA) dropped to 60.2 from 88.1, (with percentage body fat falling to 14.5 % from 19.1%), reflecting a healthier measurement and reduced cardiac risk. My skeletal or lean muscle mass remained constant at 92 pounds, in light of continued fat loss, reflecting the success of my workout regimen.  My body fat mass dropped to 27 pounds reflecting a decrease in visceral fat, while total body water (TBW) increased by nearly 3%, reflecting a focus on hydration.
Meatless Monday is more than just an alliteration; it’s an easy way to drop a few pounds. Numerous studies have shown that those who eat the least amount of meat are less likely to be obese, have lower BMIs, and lower body fat levels. Though it’s perfectly fine to eat meat a few times a week, these high-protein foods tend to fill you up before you can work your way over to the veggies, which possess fat-fighting, waist-trimming powers. Try spotlighting just greens and healthy grains in your meals a few times a month.
Think of sweet potatoes as nature’s dessert. Not only do they satisfy your sweet tooth, these taters digest slowly and keep you feeling fuller for longer thanks to their satiating fiber. They’re also brimming with carotenoids, antioxidants that stabilize blood-sugar levels and lower insulin resistance—which prevent calories from being converted into fat.
I have lost 20 lbs. with the help of the Fit Body Weight Loss Program in about 8 weeks. I even lost weight while I was on vacation! I went from a very tight size 12 to a very comfortable size 10. I started at 162 lbs. and now am happy to say I’m at 142 lbs. I feel better about myself (especially being able to fit in clothes I haven’t been able to wear for awhile), have more energy and know that I look better. Best of all, most of the tummy is gone! Thank you Fit Body for your coaching and continued support!
One Body helps you understand the critical question of how and why you may have gained weight, and then clearly lays out a plan to help you lose weight long term. You will be given a low carb, high protein diet and regimen, that will help shed pounds week after week. Many One Body patients lose up to 15-20 pounds the first month* and up to 2-5 pounds per week thereafter.
Thanks to an increased interest in food and food trends, recipe videos are likely dominating your social media feeds. And their constant presence could be hindering your weight loss goals, especially since many of the brief clips spotlight unhealthy dishes and sweets. “The internet and social media sites are basically making you fat,” Lisa Hayim, MS, RD, and founder of The WellNecessities, told us in The 30 Worst Flat Belly Mistakes Women Make. “If it isn’t 25 ways to eat tater tots then it’s [another] national [something] day. The internet has made it basically impossible to stay away from cravings and indulgences. These are not excuses to eat unhealthy food.” Next time you see one of these videos, scroll quickly past. Or better yet, unfollow the page completely, and follow Eat This, Not That! on Facebook for healthier videos and more slimming tips.
To help combat the negative impact of artificial light, try working close to a window. Researchers have discovered that those who sit near a window tend to be healthier than those who don’t. Per a study in the Journal of Clinical Sleep Medicine, workers near a window got 46 more minutes of sleep a night on average, which is beneficial to weight loss, while workers who weren’t near a window had more sleep disturbances. Additional research has shown that those exposed to natural light during the workweek tended to be more inspired to get outside and exercise.
New Life Hiking Spa in Vermont has been helping clients lose pounds and maintain a healthy weight for the last 40 years. Their non-clinical approach uses mountains, clean air and lush greenery instead of an indoor gym, plus wholesome natural food instead of a diet. To assist with a healthy lifestyle following a weight loss retreat New Life offers nutrition and wellness workshops and individual counseling.   
Low body weight and rapid unintentional weight loss are highly predictive of mortality and morbidity in the elderly population. Weight loss is frequently reported in elderly patients. Acute and chronic diseases are leading causes of involuntary weight loss. Whereas physical disease probably accounts for a majority of cases of involuntary weight loss, psychiatric disorders such as dementia and depression also may result in severe nutritional deficiencies. Additional physiological, psychological, and social factors may affect food intake and body weight. Changes in body composition include loss of height and lean body mass and lower basal metabolic rate. Energy requirements decrease because of the lower basal metabolic rate and reduced physical activity. These low energy requirements make it more difficult for the elderly to obtain adequate amounts of required nutrients. Food intake regulation, taste, and olfactory sensitivity may be altered. As 50% of Americans have lost all of their teeth by age 65, chewing problems are often present. Other factors that contribute to poor nutritional status include alterations in the gastrointestinal tract, functional disabilities, lowered socioeconomic status, and social isolation. Finally, because of the increase in both physical and psychiatric disease, the elderly are major users of prescription drugs. Drug/nutrient interactions can result in anorexia and weight loss. The findings indicate that factors causing unintentional weight loss are highly interrelated and difficult to separate. Health care professionals must monitor body weight in elderly persons and carefully evaluate any cases of rapid, unintentional weight loss to prevent further deterioration of health status.
Antoine de Saint-Exupéry once said, “A goal without a plan is just a wish.” You can wish for your 30something body back, but without strong goals and plans, it may not happen. Now more than ever, you need to focus on meal planning so you don’t rely on going out to eat all the time. I see this in a lot of my patients who are 50 and older. They don’t cook as much because their kids have grown up and moved out. Plan ahead by chopping fresh veggies on the weekend, making soups you can freeze, and having healthy convenient food options (like frozen quinoa, vegetables, and wild salmon burgers) ready in a pinch.
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.
Losing a little bit of weight can help you conceive if you’re looking to have a baby. “Women with BMIs [body mass index, or ratio of height to weight] greater than 27 are at increased risk of abnormal periods and infertility,” says Jane van Dis, MD, chair of the Bakersfield Memorial obstetrics and gynecology department and medical director of business development for Ob Hospitalist Group. “Studies show women with elevated BMIs are at increased risk for insulin resistance, which can then lead to increased testosterone circulating in the body.” This can cause polycystic ovarian syndrome (PCOS), in which ovulation doesn’t occur regularly. But losing just 10 to 15 pounds can help bring your periods back to normal. Here’s how to lose weight if you have PCOS.

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.
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.
I’ve done this cut 2 times so far works great I dropped 17 pounds one time gaining 14 back in about 18 hours on my test cut before I dropped the weight class and I dropped from 147-127 the the last time and gained back 18lbs in 18 hours I struggled making weight the last time though spent an entire day at the sauna should I be working out while cutting if so how much trying to get this down to a perfect science cause I will be UFC champion so I would really appreciate the help!! Thx!
Thailand brings you affordable programs in a market that can otherwise be quite pricey. The tropical fruits, like in Bali, make detoxing seem easy. Check into a weight loss spa in Koh Samui to relax into spa treatments as you work toward your weight-loss goals. Plus, the endless beaches and turquoise blue water make you forget that you’re actually on a mission while there.  

There’s healthy belly bacteria, and then there’s bad belly bacteria, which studies indicate overweight people have more of in their gut. To keep the fat-causing bugs at bay, you need to eat a variety of foods that support their healthy counterparts—the kind found in the bellies of slim people. Examples of probiotic-rich foods that help you lose weight by aiding digestion include kimchi, kombucha, bone broth, and kefir.

female weight loss
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