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Lipidking
Posted February 13, 2010
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I am a Lipidologist. This book brought together material I was familiar with and made them unite into a cogent and brilliant view of obesity that has crystalized my thoughts on the issue. Thank you Gina Kolata.
Personal experience.
I was 280 pounds. I had exercised daily for two years and continued to gain weight as I started taking insulin.
I lost 80 pounds with the 3 hour diet by Jorge Cruise.
I have since gained back 50 pounds despite increasing my exercise to more than 2 hours a day.
I have faithfully continued to eat every three hours and feel I have much more control over my eating than i ever did.
Why did I gain weight. At 200 pounds I was cold all the time. I am 5 feet 11 inches. I am supposed to be 170 pounds. My waist was 40 inches.
I could not lose more weight despite exercise and continued diet.
I was in a semi-starvation state.
I am still off insulin and I documented the details of this history in my book, The Tubby Theory from Topeka.
Despite gaining back weight i continue to have a Hgb a1c <7.0 and my LDL-P is < 800 and my CIMT atheroma has not progressed.
NCEP guidelines advising weight loss and exercise first is a futile exercise. Focus on the message STATINS and develop a more aggressive plan to prevent Sudden Death by finding Subclinical atherosclerosis.
As per p 188 in Rethinking Thin by Gina Kolata, people do have some control over weight. Research shows that individuals have a range of weights, often spanning as much as 20 to 30 pounds.
On 2/17/2006 I weighed 283 pounds. It is now 4 years later and I am at the lower range at 250 pounds. I did it with two hours of exercise a day.
This is probably the best I can hope for as I am no longer in a semi-starvation state. I have regained a great deal of muscle.
I still try to keep my calories to less than 2,000 a day but for every day I did not, my body took full advantage of it to get me back to 250 pounds.
WHEN THE DOCTOR SAYS LOSE WEIGHT AND EXERCISE IT IS HEARD AS BLAH, BLAH, BLAH by the patient.
THE PATIENT IS NOT FOOLED BY THIS EMPTY ADVICE.
However when you show a patient his Calcium score or his CIMT > 50% risk; you can tell him something new and something he has heard of before.
Therapeutic Lifestyle changes should be dropped from the new NCEP guidelines.
It is pointless to state the obvious, especially when the obvious is not evidence based.
Is there a diet that leads to permanent weight loss. Answer: No.
The guidelines need to focus on what we can do cheaply and easily.
Enduracin is a niacin that is safe at 1,000 mg.
Simvasatin is generic statin that has the best evidence based backing.
CIMT and CAC are available and can identify patients with disease at an early stage.
This is the focus of a guideline that is easy for everyone to understand.
I don't want to hear about the Framingham Risk score ever again. NO ONE USES IT AND IT UNDERESTIMATES RISK.
I don't ever want to hear a cardiologist talk about diet and exercise again. NO ONE KNOWS HOW TO GET THEIR PATIENTS TO LOSE WEIGHT
Anyone who disagrees with the above should read: Rethinking Thin by Gina Kolata.
References;
Albert J Stunkark is quoted as saying "there is no fat person's eating behavior.'
Ancel Keys had men of normal weight go on a weight loss diet. Their metabolism slowed by 40%. They became fixated on food. They act like people from the WWII concentration camps.
Jules Hirsch found the obese had numerous and huge fat cells. People who lost 100 pounds look like someone who was never fat but they are different. By every measurement they seemed liked people who were starving.
There were a few people in Dr Hirsc1 out of 1 people found this review helpful.
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Anonymous
Posted July 2, 2008
Everything we thought we knew...
This book is an easy, fascinating read. Well documented. It shows us clearly how much we are ignoring what the scientific realities of dieting and our bodies may be, in favor of maintaining our misconceptions. It is uncomfortable to realize that societal beliefs and the diet industry may be determining our ideas about what our and other people¿s bodies should look like rather than facts. It is even more uncomfortable to realize that we are judging other people¿s behaviors and looks on something that may be no more controllable than the color of their skin. That we encourage them to try for something that is virtually unobtainable and not even in their best health interest! If you think that it is a scientific fact that being over-weight in itself makes you at higher risk for an early death, read this book and ¿rethink¿. You will come away with a new perspective about health and looks. As usual, just when we think we have some answers, we find out we are still like the blind men trying to determine what an elephant looks like.
1 out of 1 people found this review helpful.
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Anonymous
Posted August 2, 2007
A must read for professionals and the general public
As a therapist working in the field of compulsive/emotional eating for over 30 years, I cannot praise this book enough. Although well-researched and evidence-based, it's a lively read with some very personal, heartbreaking stories. Having authored two books on eating myself ''The Rules of 'Normal' Eating' and 'The Food and Feelings Workbook'' and treated hundreds of clients, I found that this book still had the power to change the way I view weight and eating. I only wish we could get the public to understand how complex the subject is.
1 out of 1 people found this review helpful.
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