Do you have trouble losing weight? Or would you like to lose faster? Get ready for weight loss without hunger. Our conventional ideas about weight loss — eat less, move more — require a lot of willpower. Counting calories, exercising for hours every day and trying to ignore your hunger? Eventually people often give up. An excessive focus on counting calories has certainly not done much to reverse our current obesity epidemic. The bottom line? Calories are not the only things that count in weight loss. Your weight is also hormonally regulated. Are you ready?
Weight loss can be achieved through a variety of modalities, but long-term maintenance of lost weight is much more challenging. Obesity interventions typically result in early rapid weight loss followed by a weight plateau and progressive regain. This review describes our current understanding of the biological, behavioral, and environmental factors driving this near-ubiquitous body weight trajectory and the implications for long-term weight management. Treatment of obesity requires ongoing clinical attention and weight maintenance-specific counseling to support sustainable healthful behaviors and positive weight regulation. Robert is a 47 year old patient who initially weighed pounds. He lost 85 pounds three years ago by carefully following your guidance to decrease his caloric intake to calories per day and exercise six days weekly. Today he comes in for his annual physical examination.
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