I just read your piece on weight loss rated rapid vs slow and steady. I am a veteran with decades of experience. I have successfully lost 143 pounds in 2001 with what is known as the vlcd program. I spent from March 31,2001 until November of 2001 with 700 calories average daily intake. I came out at a healthy weight but not mentally prepared to deal with the aftermath of a completely morphed body image. I could not wrap my brain around what had transpired in 6 short months. I still saw the 333 pound woman when I looked in the mirror. I still caught myself looking in the plus sized clothing section. There are as many factors that cause morbid obesity as there are programs offering the “cure”
Morbid obesity is associated with a series of diseases, or comorbidities, including coronary heart disease (CHD), high blood pressure, stroke, type 2 diabetes, abnormal blood fats, metabolic syndrome, cancer, osteoarthritis, sleep apnea, obesity hypoventilation syndrome (OHS), reproductive problems, and gallstones. In order to reduce the risk of developing or aggravating one of these conditions and improving the patients’ quality of life, rapid weight loss may be medically advised. 

Like protein, fiber slows the rate at which your body plows through carb calories so you feel full for longer and maintain steadier blood sugar levels, one reason why research consistently links fiber intake to weight loss. That means fibrous whole grain bread tends to be a better choice than white bread and also explains why fruits, which contain fiber and valuable vitamins in addition to sugar, beat straight-up candy every time.
“You can’t just say, ‘I want to lose weight…someday.’ It’s that kind of loose talk, without a fence or guideline, that discourages you from getting started and prevents you from succeeding. The way I did it was by tying it to an upcoming event in my life. I never focused on a number and I didn’t set out to lose a certain number of pounds per week or overall. I merely found a target date a year away and I proclaimed to myself that I’d be in better shape by then. — Maria Menounos, author of  The Everygirl’s Guide to Diet and Fitness, on how she lost 40 pounds
When it comes to cravings, protein drinks and bars may also help cure your need for sugar, says Juge. He recommends mixing a flavored protein powder in a blender with as much ice as possible, so it'll taste more like a milkshake. Day Five's protein shake includes a cup of berries, which will also help with sugar cravings. Once or twice per week, Juge adds, you can have a low-sugar, high-protein bar. The newest varieties taste more like candy bars, with state-of-the-art sweetening techniques.
Aim to get at least seven hours of sleep each night. Try going to bed and waking up at the same time each day. Get these seven tips for the best sleep ever! Why? Ever notice how you start to crave donuts and drive-thru breakfasts when you’re exhausted? When you don’t get enough sleep, your hormones are thrown out of balance. Running on no sleep can actually drive up the hormones that make you want to eat, while pushing down the hormones that signal for fullness—and that’s a recipe for weight gain. When you’re well-rested, it’s much easier to make healthy decisions and stay on track.
Starchy veggies (like potatoes) and processed whole grains (like whole-wheat bread) are foods I’d normally recommend eating in moderation, since they provide plenty of nutrients, fiber, and healthy carbs. However, high-carb foods aren’t your best friend when you’re looking to drop water weight. Essentially, when your body stores excess carbs, it stores them with water. So replacing carb-heavy foods with non-starchy veggies that still provide filling fiber without as much water retention is the way to go. For a week before your event, you can swap out the starchy carbs for more non-starchy vegetables to lose some water weight. (These are 10 things experts wish you knew about water weight.)
A sprinkling of cinnamon could be all that’s standing in the way of you and those washboard abs. The sweet spice helps to regulate soaring blood sugar levels by stimulating insulin production. There is some evidence to suggest that cinnamon extract also makes fat cells more responsive to insulin, which means they’re much less likely to hold on to excess energy, and far more likely to burn existing fat stores instead.
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