I think the most important changes though is the removal of the “white carbohydrates” and the sugary drinks. These and other highly processed and pre-packaged foods that have become our western culture staple is really what’s contributed to obesity and so many other health issues. Just getting that out of your diet and replacing it with natural, low-GI, high-fiber foods will melt the fat off quicker than you can imagine.
Even if you manage to meet your goal, it probably won’t be sustainable: “The amount of restriction required will make you so hungry that you’ll eat everything in sight—it’s survival instinct,” Dr. Seltzer says. What’s more, your body will be less prepared to burn the foods you binge on, since calorie restriction gradually slows your metabolism, he adds.
In the UK, up to 5% of the general population is underweight, but more than 10% of those with lung or gastrointestinal diseases and who have recently had surgery.[30] According to data in the UK using the Malnutrition Universal Screening Tool ('MUST'), which incorporates unintentional weight loss, more than 10% of the population over the age of 65 is at risk of malnutrition.[30] A high proportion (10-60%) of hospital patients are also at risk, along with a similar proportion in care homes.[30]

Finally, some chapters I have no problems with! Chapter 6 has some good advice on how to create and use a food diary, and not just to record what you're eating, but to find out what your bad habits are so you can start to recognize them and fix them. I'll be honest, I'm not even aware of the bad habits I have related to how I eat (not just what I eat) and this method is actually good advice on how to achieve it without shaming anyone or making assumptions and generalizations! Chapter 7 is all about stopping food cravings with some great advice. Chapter 8 provides some great advice of creating a physical activity habit (throwing the entire without working out part out the window, but hey, what's a little misleading advertising to get you to open the book. I mean, we already discovered that the whole title was a scam when the author promised to help you lose weight fast yet tells you not to lose weight fast). Chapter 9 provides some decent information about nutrition, though I think this is a far bigger topic than what could be covered in a short chapter of a book.


Real talk: It could take weeks or months to see the metabolic effects of exercise on the scale, and even then, building muscle, which is denser than body fat, could lead to weight gain. “Do what you like because it’s good for you,” Dr. Seltzer says, noting the way exercise is awesome for your heart, mental health, and more—and that not all measure of progress can be seen on the scale.

Over the past few years it has become clear that weight is an important health issue. Some people who need to lose weight for their health don't recognize it, while others who don't need to lose weight want to get thinner for cosmetic reasons. We understand that in some ways your weight is different from, for example, your cholesterol level or your blood pressure, because you can't see what these are by looking at someone. Many patients have had health care providers who approached their weight in a less-than-sensitive or helpful manner. Some patients may have had health care encounters in which they felt blamed, but not helped. Successful weight management is a long-term challenge.
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