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.
“Stop focusing on calories and start focusing on the quality of the foods you eat. High-quality diet options are natural, whole, minimally processed foods, like vegetables, fruits, nuts or seeds that offer a lot more nutritional value in the form of vitamins, minerals, healthy fats and fiber. These foods help tame hunger naturally and nourish our cells at the deepest level so that we aren’t left with constant cravings. — Michelle Loy, MPH, MS, CSSD, Registered Dietitian Nutritionist and owner of Go Wellness in Orange County, California

7. Egert S, Baxheinrich A, Lee-Barkey YH, Tschoepe D, Wahrburg U, Stratmann B. Effects of an energy-restricted diet rich in plant-derived alpha-linolenic acid on systemic inflammation and endothelial function in overweight-to-obese patients with metabolic syndrome traits. Br J Nutr. 2014;112(8):1315–22. doi: 10.1017/S0007114514002001. [PubMed] [Cross Ref]
One easy trick if you're a pasta fan is to swap out white pasta for the wonderfully named courgetti (spaghetti made from spiralizing courgette). You’ll hardly notice the difference when you’re eating it, but you’ll be fuller for longer despite consuming fewer calories. When you consume fewer calories, your body can go to your fat reserves for energy, rather than just burning off the food you’ve eaten.  
Sure, there's your one friend who swears by the Taco Cleanse. And that other friend who ate nothing but broccoli soup for a month and dropped 20 pounds, found the love of her life, and got promoted at work. But before you start blending 80 stalks of broccoli into a cup or crunching your way through a crate of tacos, check out which diets are backed by science. Because don't you want to try one that will do the trick for you?
“Sweet potatoes are a great source of dietary fiber, which helps to reduce blood sugar and insulin spikes, ultimately reducing belly fat,” explains Shana Maleeff a dietitian and fitness professional in New York City. Maleeff suggests substituting a sweet potato for potato salad, potato chips, or mashed potatoes at BBQs to save hundreds of calories. (We also love this recipe for mashed roasted sweet potatoes).

We’ve said it before and we’ll say it again: fat is your friend! To be more specific, healthy fats will be your weight loss friends. Consider adding extra virgin olive oil to your diet and you might see the scale start to tip in your favor. One Journal of Women’s Health study discovered that an EVOO-enriched diet helped participants lose more weight than those on a low-fat diet. Like peanuts and avocados, extra virgin olive oil’s belly-blasting abilities are thought to be a result of the monounsaturated fats it contains.
Apples contain pectin, an ingredient that naturally slows digestion and encourages feelings of fullness. Studies show that eating a whole apple with your meal (as opposed to apple juice or applesauce) is a natural appetite suppressant, helping you consume fewer overall calories without feeling deprived. Sass likes using shredded apple in slaws and stir-fry, or mixing them into burger patties to add moisture. 

While there is a link between high caffeine intake and weight loss, a cup of green tea has only about 40mg of caffeine, that's about one-third the amount that's in a cup of coffee. Similarly, it takes at least five cups of green tea to get enough EGCG to impact your metabolism. Even if you did manage to get a significant dose of caffeine and EGCG by chugging green tea all day long, you'd probably wind up with a massive case of the jitters.

Prior to WL, an ambulatory run-in period was imposed for each subject to insure stabilization of body weight (± 2 kg during 4 weeks). During the body weight stabilization, a three-day food dietary record was used to determine an individual’s daily food and beverage consumption to estimate their total daily caloric intake (2 weekdays and 1 weekend day). The subjects were randomly divided (according to age, gender and BMI) into two groups (rapid WL and slow WL). Rapid WL and slow WL, based on the lost weight (at least 5 %), were defined over a period of 5 weeks and 15 weeks, respectively (18). The prescribed calorie-restricted diet contained 15% protein, 30% to 35% fat, and 50% to 55% carbohydrate, on average, in order to provide WL. In general, the meal plans included 3 main meals (breakfast, lunch, and dinner) and three snacks (mid-morning, mid-afternoon, and bedtime), and low saturation and trans fats, cholesterol, salt (sodium), and added sugars. All diets were designed according to Dietary Guidelines for Americans, 2010 (21). Low-calorie diets produced an energy deficit of 500 to 750 and 1000 to 1500 kcal per day for slow and rapid WL, respectively. At the end of the study, anthropometric and biochemical assessments were conducted on the individuals (18 individuals in rapid WL and 18 individuals in slow WL), who reached the desired WL. All subjects provided their written informed consent, and the study protocol was approved by the ethics committee of Jundishapur University of Medical Sciences (Act No. IR.AJUMS.REC.1394.212).


Before you start the meal plan, make a pot of the Veggie Soup. Make 2 servings of Overnight Oats, so they can soak in the fridge. It’s also super helpful to prep your veggie snacks—make 4 bags filled with baby carrots and sugar snap peas, and 3 bags filled with broccoli and cauliflower, for alternate days. And if you really want to get ahead, you could also grill the chicken breasts and cook the quinoa and brown rice in advance.

Is there anything avocados can't do? This creamy superfood (loaded with monounsaturated fats, potassium, magnesium, folate, and vitamins C and E) has been linked to improved vision, good heart health, and a reduced risk of certain cancers. And avocados can also help whittle your middle: according to one study, people who regularly consume them weigh less and have smaller waists than those who do not. Another study found that women who eat half an avocado at lunchtime might experience reduced food cravings later in the day.
Coconut oil is having a moment right now: it can be used as a butter or olive oil substitute in everything from baked goods to salad dressing, and can even be used as an alternative to milk in lattes (yes, really). Sass is a fan of the heart-healthy oil whipped into smoothies, and you can also use it to sauté veggies, sear fish, or as an olive oil replacement in soups and stews. (It's also a must-add to your beauty routine, and makes a wonderful natural moisturizer for skin and hair.)
The point at which unexplained weight loss becomes a medical concern is not exact. But many doctors agree that a medical evaluation is called for if you lose more than 5 percent of your weight in six months to a year, especially if you're an older adult. For example, a 5 percent weight loss in someone who is 160 pounds (72 kilograms) is 8 pounds (3.6 kilograms). In someone who is 200 pounds (90 kilograms), it's 10 pounds (4.5 kilograms).
Eating regular meals is essential. Experts agree that you should go no longer than 4 to 5 hours between meals. Otherwise, intense hunger can trigger a binge. Some experts believe dieters have better control if they eat several mini-meals throughout the day. Choose the meal pattern that works best in your lifestyle, but make sure to eat at least three meals per day.

“There are many diet plans on the market today that promote good health,” says Emily Kyle, RDN, who is in private practice in Rochester, New York. “The key is finding one that does not cause you stress or agony.” Ask yourself questions such as: Would the diet guidelines make you happy? Anxious? Stressed? Are you able to follow them long term? “Factors such as enjoyment, flexibility, and longevity should be strongly considered,” adds Kyle.


Another frontrunner on the U.S. News and World Report 2016 list (it came in at number two in the weight loss category), the HMR Weight Management program is used in over 200 medical facilities around the U.S. Dieters embark on two phases, the first centered around HMR's products (meals, shakes, snacks) and the second transitioning towards a sustainable plan emphasizing fruits, vegetables, lean proteins, and whole grains.
Notes: Defrost the shrimp under cool running water and pat dry. In a nonstick pan over medium-high heat, toss the shrimp with a little all-natural cooking spray, and cook until bright pink, tightly furled, and warmed through. Chop and steam the carrots and broccoli until tender-crisp, about 5 minutes for the carrots, 3 minutes for the broccoli. Drizzle everything with the teriyaki sauce and sprinkle with the sesame seeds.
It sounds silly, but switching which hand you eat with can save you calories, and help boost weight loss. “It takes 15 minutes for your brain to realize that you’re full,” celebrity personal trainer Jay Cardiello told us in our article 40 Weight Loss Tips for Over 40. “To give your mind time to catch up to your mouth, simply switch your fork to non-dominate hand. It may be frustrating, but it’s a simple and unnoticeable way to curb overeating and lose weight.”
Putting aside all the complicated, scientific reasons to exercise, exercise offers benefits that dieting just can’t. Exercise allows you to boost your metabolism and turn your body into a fat blasting furnace. Exercise builds muscle in the places you want, improves body shape and gives you a firm, toned body. Dieting, on the other hand, doesn’t promise a firm body – you can lose weight dieting and still be jiggly! And of course, in conjunction with diet, exercise speeds up the whole weight loss process, and who doesn’t want that?
This creamy treat may help turn up the fat burn. Research suggests that people who get more calcium and vitamin D as part of a weight loss plan shed more fat than those who don’t. So, look for a vitamin D-fortified yogurt, which serves up about 35% of all the calcium you need in a day. Top it with half a cup of raspberries for sweetness and 4 grams of fiber.
Loads of research demonstrates people who log everything they eat — especially those who log while they're eating — are more likely to lose weight and keep it off for the long-haul. Start tracking on an app like MyFitnessPal when the pounds start sneaking up on you. It'll help you stay accountable for what you've eaten. Plus, you can easily identify some other areas of your daily eats that could use a little improvement when it's written out in front of you.
Sleeping for more than five hours a night might seem like a luxury for some, but it can have a serious impact on your overall health. Not getting the recommended 7-8 hours of shut-eye a night puts you at risk for fatigue the next day, which means you’re more likely to crave and snack on high-calorie comfort food. Try to go to bed sooner so you can get a little more sleep, which will help you eat less. And to blast fat even faster, don’t miss these essential 55 Ways to Boost Your Metabolism.
Why this easy fitness plan works: The duration of the workout makes it easier to tolerate and more likely that you'll stick to the plan. And even though the workouts are short, you are still burning substantial calories in a short period of time. Done properly three times per day, you can burn up to 300 - 500 calories. If you do this easy workout around mealtime, you'll probably also shorten the amount of time you spend eating which will help you to decrease the amount of food you want to consume.
Notes: Defrost the shrimp under cool running water and pat dry. In a nonstick pan over medium-high heat, toss the shrimp with a little all-natural cooking spray, and cook until bright pink, tightly furled, and warmed through. Chop and steam the carrots and broccoli until tender-crisp, about 5 minutes for the carrots, 3 minutes for the broccoli. Drizzle everything with the teriyaki sauce and sprinkle with the sesame seeds.
Before you start the meal plan, make a pot of the Veggie Soup. Make 2 servings of Overnight Oats, so they can soak in the fridge. It’s also super helpful to prep your veggie snacks—make 4 bags filled with baby carrots and sugar snap peas, and 3 bags filled with broccoli and cauliflower, for alternate days. And if you really want to get ahead, you could also grill the chicken breasts and cook the quinoa and brown rice in advance.

Even at large doses, the effect of green tea for weight loss is minimal. For example, in a study published in the journal Clinical Nutrition in 2016, overweight women took either a daily dose of about 1,350 mg of green tea extract in supplement form (the equivalent of roughly 15 cups of green tea) or a placebo for 12 weeks. Though the green tea group dropped an average of 2.4 pounds, the women taking the placebo lost 4.4 pounds.

Kim, S. J., de Souza, R. J., Choo, V. L., Ha, V., Cozma, A. I., Chiavaroli, L., . . . Sievenpiper, J. L. (2016, May). Effects of dietary pulse consumption on body weight: A systematic review and meta-analysis of randomized controlled trials. The American Journal of Clinical Nutrition, 103(5), 1213–1223. Retrieved from http://ajcn.nutrition.org/content/103/5/1213.long

Not to be outdone, oolong tea—a Chinese beverage—can help those who drink it shed up to a pound per week. According to a study in the Chinese Journal of Integrative Medicine, participants who regularly sipped oolong tea lost six pounds over the course of six weeks. What’s more? The tea’s antioxidants are thought to remove harmful free radicals and improve bone health.
Sleeping for more than five hours a night might seem like a luxury for some, but it can have a serious impact on your overall health. Not getting the recommended 7-8 hours of shut-eye a night puts you at risk for fatigue the next day, which means you’re more likely to crave and snack on high-calorie comfort food. Try to go to bed sooner so you can get a little more sleep, which will help you eat less. And to blast fat even faster, don’t miss these essential 55 Ways to Boost Your Metabolism.
“For one, fiber-packed foods are a great way to fill up and control hunger, mange blood glucose levels, and promote gastrointestinal health,” says Katherine Zeratsky R.D.N., L.D., at the Mayo Clinic. “Fruits and veggies are rich in fiber and mostly water, which makes them heavy (your stomach feels weight) and keeps you fuller longer, while being low in calories,” she adds.
Need a midday snack? This combo offers protein, healthy fats, and fiber to fend off hunger. With about 160 calories for 50 of them, pistachios are one of the lowest-calorie nuts. Plus, they’re usually packaged in their shells, which can slow you down and keep you from munching mindlessly. The apple adds sweetness and crunch to your treat, along with 4 grams of fiber.
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”

Ceviche is a wonderful lean protein source found on many Mexican menus throughout the summer months, and it’s easy to make at home, says Sharon Richter, a registered dietitian in New York City. Depending on what type of fish is used, ceviche can range between 120-175 calories per serving. (And word has it that Lady Gaga fuels up on ceviche while on tour).
As for the health benefits of green tea, research does show that it may help protect against cardiovascular disease by preventing the oxidation of LDL cholesterol and reducing blood clotting. A meta-analysis of 13 randomized controlled trials, showed that it significantly lowered blood pressure, as well as LDL cholesterol and total cholesterol. So, adding a few cups of unsweetened green tea each day may be beneficial for heart health.
While the American College of Sports Medicine warns that women who eat less than 1,300 calories a day and men who eat less than 1,800 risk slowing down their metabolism over time. But a rev-up stage that only lasts two weeks is approved by doctors and isn’t as difficult as it seems. Our tester found the Mayo Clinic day pretty satisfying, and still had enough energy to hit the gym.
How many calories should I eat a day? A calorie is an amount of energy that a particular food provides. Consuming more calories than needed will result in weight gain, consuming too few will result in weight loss. How many calories a person should eat each day depends on a variety of factors, such as age, size, sex, activity levels, and general health. Read now

All meals are important, but breakfast is what helps you start your day on the right track. The best, heartiest breakfasts are ones that will fill you up, keep you satisfied, and stave off cravings later in the day. Aim to eat anywhere between 400 and 500 calories for your morning meal, and make sure you're including a source of lean protein plus filling fat (e.g., eggs, beans, unsweetened Greek yogurt, nuts, or nut butters) and fiber (veggies, fruit, or 100% whole grains). Starting your day with a blood sugar-stabilizing blend of nutrients will help you slim down without sacrifice.


“This is a great way of eating that I highly recommend to many clients, and I even model in my own life,” says Elizabeth Shaw, RDN, who is in private practice in San Diego and is the co-author of Fertility Foods Cookbook. “Since the premise of the diet is designed to help people who have high blood pressure, low-sodium foods are recommended. However, considering that most Americans exceed their daily sodium levels anyway, it’s not surprising that dietitians recommend this style of eating for treating many different conditions, such as heart disease and obesity.”
Mayo Clinic preventive medicine specialist Donald Hensrud, M.D., cautions that fast weight loss is usually the result of lifestyle changes that are unsustainable beyond the short term. You might be able to lose weight fast by going into diet and exercise overkill, but your body can't keep it up indefinitely — and since you haven't trained yourself to adapt to permanent lifestyle changes, you are much more likely to revert to your old habits and gain back all of that quickly lost weight.

A lot of the lost weight you experience on crash diets is actually the loss of water weight. You're not only losing the fat that you want to lose, it also means your body isn’t getting the water that it needs. Dehydration doesn’t just cause discomfort from fatigue, headaches, and constipation; if prolonged, it can lead to more-serious issues, like the formation of kidney stones or even impaired kidney function.
Skip the cream and sugar in your cup of joe, and opt for it black to help you lose weight fast. Black coffee has zero calories, and it can help you burn calories faster. According to a study published in the journal Physiology & Behavior, the average metabolic rate of people who drank caffeinated coffee was 16 percent higher than that of those who drank decaf.
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