VLCDs are doctor-supervised diets lasting several weeks. The meals are nutritionally balanced, but expensive -- people can end up spending thousands of dollars over time. VLCDs safely produce a loss of 15% to 25% of body weight in 12 weeks. That's for those who finish the program: 25% to half of people don't complete the program. Weight returns when the diet is stopped and happens rapidly; some experts say its best to take a more sustainable approach to weight loss comparable to that of regular diets.

before and after weight loss 40 years old


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.
If you have a big celebration or date coming up, you might think it makes sense to “save” your calories for when it’s time to let loose, but this technique is rarely effective and could actually be hindering your ability to lose weight. “Although this makes sense in theory—consuming fewer calories total per day—it rarely works out as cleanly as we like,” Lisa Hayim spelled out for us in The 30 Worst Diet Mistakes You’re Making. “By the time you get to the date, and have a drink or two, the feelings of extreme hunger rush in, and you’re grabbing for whatever you can get your hands on, which is usually foods high in calories and fat. You’re so hungry, you may even end up consuming more than a day’s worth of calories in one sitting! Plus, with alcohol in your system, your body is less able to efficiently metabolize the calories,” explains Hayim. “Instead, consume normal meals throughout the day, arrive at your date cool, calm, and collected, and enjoy your cocktail and eat responsibly.”
BodyHoliday’s “Stronger Me” Retreat is a comprehensive weight loss program based on a combination of fitness activities, calorie-controlled cuisine, education, relaxation and fun.  BodyHoliday starts your program before you even arrive, with a consultation with its resident nutritionist/dietician, who devises your meal plan based on your health and weight goals, and once you arrive, you’ll be immersed in a activities from fitness to cooking classes.  The retreat includes a good measure of education to equip you with the knowledge and tools you’ll need to continue your new healthy lifestyle when you return home.
Ok so it’s not quite as terrifying as we’d first thought (no, it doesn’t actually choke you if you eat too much!). This contraption sits around your neck and by monitoring vibrations in your throat with a clever sensor, it can send an alert to you phone which buzzes if you go over your daily, or even the wrong kind of food. The WearSens, a metal ring developed by engineers in LA, has been tested on 30 people so far who all say it does work.

Services offered: There is almost no diet, fitness, or weight loss service that is not offered at The BodyHoliday. The resort offers quality nutrition services, Ayurvedic diet and wellness services, expert fitness training, and an extensive line-up of activities including sailing, swimming, bootcamp, hiking, paddle board, spinning, stretching, tennis, combat fitness, water volleyball, archery, and much much more. A full spa is also available.
The degree to which exercise aids weight loss is open to debate, but the benefits go way beyond burning calories. Exercise can increase your metabolism and improve your outlook—and it’s something you can benefit from right now. Go for a walk, stretch, move around and you’ll have more energy and motivation to tackle the other steps in your weight-loss program.

We all know that nuts are a great healthy snack but often people get scared by the fact that too many can be bad news - when to stop?!? Well the American Pistachio Growers say that 37 pistachios are the equivalent of LESS THAN 100 calories! Plus nuts like almonds are high in fibre, which helps you feel satisfied in between meals. We don't need another excuse...

old women big belly


A retreat joins like-minded people open to share their journeys and learning about yours. Practicing exercises, learning and experiencing new things together for several days or even weeks creates a foundation for friendship hard to topple in a busy everyday life environment. You might even end up supporting each other and sharing progress back home.
This resort is tailored specifically for women in need of a mind, body, and soul rejuvenation. Through its variety of programs, Green Mountain emphasizes a non-diet approach and aims to instill a new way of thinking into its guests. The resort, which houses only 40 to 45 women at a time, has earned a spot on SpaFinder’s readers’ choice list of Best Weight Loss for Women for nine consecutive years. Most of its programs are based off of a four-week curriculum, but guests can choose to stay one week at a time. The facility’s 12-week “Train Your Brain” program ($25,000 for triple accommodation) is also available for women in need of a more intense program. Guests can add on targeted tracks for extra support with issues such as binge eating, Polycystic Ovary Syndrome, diabetes and more.

reasons for weight gain after 40


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Learning to understand and embrace who you are is the crucial foundation of the work you’ll do at Green Mountain at Fox Run. And where better to find yourself than in the beautiful green mountains of Vermont? Nestled on a hill overlooking Okemo Mountain and the Green Mountain Forest, Green Mountain at Fox Run operates out of a former ski and corporate retreat. Set on 26 tranquil wooded acres, this peaceful location features an informally-appointed facility with simple classrooms, well-equipped physical activity rooms, a spacious, homey dining room, and a comfy living room where you can curl up and watch a movie, or share your life story with new friends.
“The weight starting coming off,” she says. “I remember I lost 9 lbs. my first week. After I had lost 100 lbs., I started trying more adventurous exercise. I became fascinated by fitness and seeing what new things I could accomplish with my body. I do things that I never dreamed were possible like running races, lifting heavy weights, and completing a sprint triathlon.” 
before and after weight loss 40 years old

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.
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!
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.

How to add fiber to your diet comfortably - It's important to add fiber slowly but consistently to prevent gas. "Make higher-fiber choices throughout the day; don't have all your fiber in one bunch," Jenkins says. "This is particularly important with viscous fiber — a type of soluble fiber found in beans, oats and barley that also has the benefit of lowering blood cholesterol," he says.
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.
losing weight as you age

Gwyneth Paltrow made the headlines a few years ago when she revealed she was a devotee of this extremely strict diet. The main emphasis of the macrobiotic diet is wholegrains, these are supposed to make up 60% of all meals and the rest should be made up of mostly raw vegetables. It’s safe to say that the list of what you can’t eat is longer than the list of what you can eat. Say goodbye to anything and everything remotely fun or tasty, for example: Meat, processed foods, dairy products, eggs, sugar, poultry products and alcohol. Boring.


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.
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.
Now I'm starting my third month, and I have total control over my daily schedule. At this point, all the principles are ingrained and I understand what I need to do and why it's important, but I still have the support of the staff whenever I need it. I know that real life isn't going to be like a weight-loss resort, so this is the final step in preparing me for when I leaving here.
21. Keep it simple. "I take a minimalist approach to nutrition: My diet consists of lean protein (chicken breast, egg whites, ground turkey), complex carbs (quinoa, sweet potatoes, oatmeal), healthy fats (coconut oil, almonds, avocados), and leafy green veggies. I eat as clean as I can—locally-grown vegetables, organic when possible, and minimally-processed everything."
While you might not think there’s a huge difference between eating a whole piece of fruit and drinking fruit juice, nutritionally speaking, the two entities are most definitely not one and the same. Whereas whole fruit contains naturally occuring sugars and fiber that can help counteract the bad effects of too much sweet stuff, fruit juice is often loaded with added sugar (such as high-fructose corn syrup) and no fiber to speak of. According to a study led by Harvard School of Public Health researchers, eating more whole fruits, particularly blueberries, grapes, and apples, was significantly associated with a lower risk of type 2 diabetes. On the other hand, a greater consumption of fruit juices was associated with a higher risk of type 2 diabetes. To get the fruit flavor without all the bad stuff, try stirring up a batch of fruity detox water instead.
As you endeavor to lose weight, remember to be your own cheerleader. Practice self-care and reward yourself for building healthy habits. Above all, says Melton, “Don’t compare yourself to anyone else—even if that someone else is you (20 years ago, before you had kids and a career, etc.). Focus on looking forward and give yourself pep talks to stay motivated.”

The Cabbage Soup Diet works exactly as it sounds – you eat copious amounts of cabbage soup and not a lot else. Basically, the cabbage soup diet works because you are cutting down your calorie intake to near starvation levels. Some say that it is a complete waste of time because the sudden lack of food forces the body into starvation mode which slows down your metabolism and encourages your body to hang on to fat. 

“Fad diets and meal replacement shakes are not the answer to sustainable weight loss or better health. Sure, you can do something drastic to lose 20 pounds in a month, but chances are these actions aren’t sustainable. If you want to lose the weight and keep it off for good, target a weight loss of one to two pounds per week so you can truly see permanent, long-lasting results!” Kristen Carlucci Haase RD-N dished out in 22 Top Weight Loss Tips, According to Nutritionists.

what to eat in your 40s


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.

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!


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.

Escape from the busyness of life and find serenity (come on, you know it looks peaceful) in San Marcos, CA at Golden Door. With only 40 guests booked per week, you're guaranteed to get the undivided attention you deserve, and can cater your stay for the ultimate weight loss retreat. Enjoy daily morning hikes on the 20 miles of trails, followed by healthy eats you customize with a nutritionist, fun fitness classes, and sessions with a personal trainer, who works with you from day one to develop a program best fit for—you guessed it—you.


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.
Gastrointestinal disorders are another common cause of unexplained weight loss – in fact they are the most common non-cancerous cause of idiopathic weight loss.[citation needed] 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.
Capri Palace is a beautifully equipped luxury hotel in Naples, Italy with a fully equipped luxury wellness spa with personalized programs and treatments.  The Mediterranean Diet program at Capri Palace was developed by an MD specialist in food science, immunology and aesthetic medicine. Participants in this program undergo clinical tests for ideal physical activity and personalized diet as well as integrated treatments that aid weight loss, detox, anti-aging and stress management.

If you find yourself craving something sweet during the day, ignore the impulse to eat a cookie and snack on a stone fruit instead. In addition to being more nutritious than a cookie, some stone fruits—plums, peaches, and nectarines—have been shown to help ward off weight gain. Studies by Texas AgriLife Research suggest the aforementioned fruits may help prevent metabolic syndrome, a fancy name for the combination of belly fat, high cholesterol, and insulin resistance.
If you want to lose weight fast, your best bets are Weight Watchers and the HMR Program, according to the health experts who rated the diets below for U.S. News. While these diets enable quick weight loss for those with a short-term goal – there's a strong chance you'll drop significant weight within the first 12 months – keep in mind that this is markedly different from long-term weight loss, which is more important for your health.
Wondering why it's so hard to lose that muffin top? There are so many environmental and personal factors that contribute to our putting on pounds and it's not enough to enroll in the latest fad diet or jog for half an hour every day to ensure weight loss. To successfully lose weight and keep it off you have to look at everything from your nutrition and fitness to your sleep habits and stress management. This may seem like a lot but Mountain Trek program can work for you.
Christy Brissette, MS, RD is one of North America's top dietitians and a leading nutrition and food communications expert. She is the President of 80 Twenty Nutrition, a nutrition and food media company. Her mission is to end food confusion and dieting once and for all. Christy appears on national TV and is interviewed for international magazines, radio and websites. She empowers her clients to look and feel their best with the healing power of healthy, delicious food. She helps clients achieve results through cutting-edge, creative and fun meal plans and recipes. You can still enjoy your favourite foods and have the body of your dreams!
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!

women and losing weight


“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.
Even if you’re stocking up on fruits and veggies, buying inorganic may be doing your body a disservice, thanks to the pesticides. “They have been shown to poison the mitochondria so it cannot burn fuel,” says Walter Crinnion, N.D., chairman of the environmental medicine department at Southwest College of Naturopathic Medicine in Phoenix in Weight Loss Tricks You Haven’t Tried. “Fuel that is not burned turns to fat.” If you’re worried about breaking your budget at Whole Foods, start by stocking up on these 17 Cheap Organic Foods You Must Buy.

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.
Losing weight is a lot more than calorie counting and doing endless amounts of exercise. Although these things help, in reality it's a little more complicated. If you're feeling stuck in a weight-loss rut there are plenty of expert tips and industry secrets to help you on your way. Whether you want to make your workouts work harder for you or find smarter ways of eating healthily, this list of 30 ways to slim down faster should help you toward your goal.
Stand with feet a little wider than shoulder-width apart. Hands should be out in front of you for balance. Slowly bend your legs and squat down until thighs are parallel to floor, or for an advanced move, go slightly lower than parallel. Keep your head up and look straight ahead. Pause at the bottom, then rise back up, straightening the legs completely and lifting the right leg out to the side for a count of two. Lower your right leg as you bend both legs into a squat.
Cutting weight under the watchful eye of an experienced coach is pretty normal for teenage grapplers/fighters. But take heed: trying to do this on your own without a coach can be extremely dangerous. Also, here’s something important to note: cutting weight gets easier each time you do it. So your first few cuts, you’re lucky to get 8-12 pounds. After years of cutting, that number goes way up. What we’ve posted here is a modest cut. I know some athletes who can do 35 pounds in a week!
When you start a new program that your body is not accustomed to, expect to be a little sore, tired, or both. Start at a comfortable pace. Going all out the first few times you exercise could leave you feeling so sore that you have to take the next week off. Spending four weeks on the couch instead of in the gym will put you right back at square one, which just plain sucks. 

Pauline Potter, 47, became the Guinness World Record holder for heaviest woman last year when she weighed in at 700 pounds, but she's managed to lose nearly 100 pounds in the last year by rekindling her romance with her ex-husband Alex. Married for three years, they split in 2008 but reunited when he heard about her Guinness title. It didn't take long for them to land in bed together - repeatedly.
To maximize weight loss, guests will eat a high-protein/low-carb Paleolithic-inspired diet, starting the day with a fresh juice and continuing with alkalizing raw fruit and vegetables and fresh seafood. The trip fee includes an in-depth personal training course in the guest's home country, three weeks in advance in order to prepare for the trip, and one week on return.
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.
There are plenty of exercise classes and time for walking (called "Vermonting") on an old logging trail. As you cycle through the program you have fewer lectures and more activity. The facility itself is a sixties-era motel that has been nicely remodeled–simple, comfortable and clean.  All-inclusive rates are $3,700 for the first week, single occupancy.

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.
Did you know that running for a straight hour on the treadmill is about three times LESS effective than just 15 minutes of interval training? If that isn't enough, the American College of Sports Medicine Annual Meeting says that doing just two weeks of high-intensity interval training will improve your aerobic fitness as much as about seven weeks of endurance training.
But perhaps the biggest change has been in my mindset. I’m learning that health is all about balance, which I’ve always known but to be here and live it has been eye opening and comforting seeing it firsthand. It’s so easy to fall into an "all or nothing" mindset, thinking that if I couldn't do everything perfectly then it wasn't worth trying or if I “messed up” then it wasn’t worth continuing on.
Considering that only 1 in 10 Americans meet their produce requirements, it’s pretty safe to say you need to eat more veggies. And no matter what food philosophy you subscribe to, veggies are a big part of the program. Vegetables have a lot going for them: They fill you up for very few calories, and they flood your body with the nutrients it needs to fight diseases, like heart disease, type 2 diabetes, and some cancers.
Stand with your feet hip-width apart. Take a big step forward with your right leg and lower your body until your right thigh is parallel to the ground. At the bottom of the move, both of your knees should form right angles. Press your body up with your right leg. Step back with the right leg to return to the starting position. Repeat, alternating legs.
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]
In a 2-year diet-induced weight-loss trial (the POUNDS Lost trial), we measured plasma concentrations of PFASs at baseline in 621 overweight and obese men and women and collected information on changes in body weight, resting metabolic rate (RMR), and other metabolic parameters during weight loss and weight regain over the 2 years the participants were on the study diet.
A study done at The Ohio State University in 2015 revealed that skipping meals actually causes weight gain. In the study, which was published in The Journal of Nutritional Biochemistry, mice were observed having a different number of meals each day. It was found that the mice that only ate one meal a day ended up gorging, and had more fat around their middles by the end of the study. Long story short: If losing weight quickly is your goal, you should be eating several small meals throughout the day. (Always on the go and too busy for multiple meals? Always have a healthy snacked packed.)
Have you ever noticed children take forever to eat? That’s a good thing. A 2015 study found when people took 30 seconds in between bites, they stopped eating when they were no longer hungry, so they saved calories and pounds. This example of more chewing and less weight gain has been proven in several studies. We tend to consume more food than necessary as we age because emotion and stress can take over. To combat this, I suggest going back to childhood habits by using smaller plates and chewing longer. A smaller plate will make a smaller portion of food seem bigger. Focusing on slowing down your eating will help fill you up without filling you out.
The Oaks at Ojai was founded by Sheila Cluff, a wellness visionary who created cardiovascular dance in the 1950s (later known as aerobics) and inspired Mel Zuckerman to open Canyon Ranch back in the '70s. It calls itself "America's best spa value" with affordable rates that include overnight accommodations, three delicious and calorie-conscious meals a day, your choice of 15 fitness classes per day, and evening entertainment and seminars.
Playing up your favorite body parts can boost your confidence and draw attention away from spots you want to minimize. Sculpting your shoulders, arms, chest, and back, for example, can help balance heavier hips so you look more proportionate. Plus, you'll be firmer all over. Celebrities do it all the time: These seven sets of sexy, toned legs are proof!

VLCDs are doctor-supervised diets lasting several weeks. The meals are nutritionally balanced, but expensive -- people can end up spending thousands of dollars over time. VLCDs safely produce a loss of 15% to 25% of body weight in 12 weeks. That's for those who finish the program: 25% to half of people don't complete the program. Weight returns when the diet is stopped and happens rapidly; some experts say its best to take a more sustainable approach to weight loss comparable to that of regular diets.

before and after weight loss 40 years old

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