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Thanks for your response and taking the time to answer these questions. > basically the body fights hard against you as you try to lose weight by dieting Anec

Thanks for your response and taking the time to answer these questions. > basically the body fights hard against you as you try to lose weight by dieting Anecdotally I think many folks would agree. Any citations or references you could provide on this point would be greatly appreciated - I'm struggling to find any solid literature with the phrase "metabolic resistance" in the context of dietary changes. > So it's now industry-standard among obesity specialist doctors to see obesity as a "metabolic disease" which, for the vast majority of people, needs a medical approach which doesn't rely on willpower. I agree that the current standard of care is largely focused on prescription medication. Is there strong evidence supporting the claim that the majority of people need treatment that doesn't rely on willpower? I'm particularly interested in the well documented association between obesity and mental health [1], and I think Fella would be especially compelling if a holistic approach to treatment was offered. [1] The High Prevalence of Poor Physical Health and Unhealthy Lifestyle Behaviours in Individuals with Severe Mental Illness https://www.researchgate.net/profile/David-Scott-76/publication/51588172_The_High_Prevalence_of_Poor_Physical_Health_and_Unhealthy_Lifestyle_Behaviours_in_Individuals_with_Severe_Mental_Illness/links/00b4951d102b879e3f000000/The-High-Prevalence-of-Poor-Physical-Health-and-Unhealthy-Lifestyle-Behaviours-in-Individuals-with-Severe-Mental-Illness.pdf https://www.researchgate.net/profile/David-Scott-76/publicat...

lharries 5y ago
(Richie's co-founder here) You're spot on with the link between mental health and obesity and the need for a holistic approach. For many of the guys stress and anxiety will play a key part in their food habits. This is something that our coaches actively ask about and help manage if relevant. For other guys it might be sleep [1] or it might be macro-nutrients. The coaching will depend on the person and we make these changes supported by their medical team. > Anecdotally I think many folks would agree. Any citations or references you could provide on this point would be greatly appreciated - I'm struggling to find any solid literature with the phrase "metabolic resistance" in the context of dietary changes. "Long-term persistence of hormonal adaptations to weight loss" [2] and [3] are both interesting papers on this. With the summary being that weight loss results in prolonged changes in your hormones associated with increased appetite and thus weight regain. This results in a strong negative feedback cycle. [1] https://pubmed.ncbi.nlm.nih.gov/28164452/ https://pubmed.ncbi.nlm.nih.gov/28164452/ [2] https://pubmed.ncbi.nlm.nih.gov/22029981/ https://pubmed.ncbi.nlm.nih.gov/22029981/ [3] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764193/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764193/
- criticaltinker 5y ago
  Thank you for the excellent response and citations. I think you and Richie are on to something here - wishing you the best of luck.
  - lharries 5y ago
    Thank you! I enjoyed your great comments too

lharries 5y ago

(Richie's co-founder here) You're spot on with the link between mental health and obesity and the need for a holistic approach. For many of the guys stress and anxiety will play a key part in their food habits. This is something that our coaches actively ask about and help manage if relevant. For other guys it might be sleep [1] or it might be macro-nutrients. The coaching will depend on the person and we make these changes supported by their medical team. > Anecdotally I think many folks would agree. Any citations or references you could provide on this point would be greatly appreciated - I'm struggling to find any solid literature with the phrase "metabolic resistance" in the context of dietary changes. "Long-term persistence of hormonal adaptations to weight loss" [2] and [3] are both interesting papers on this. With the summary being that weight loss results in prolonged changes in your hormones associated with increased appetite and thus weight regain. This results in a strong negative feedback cycle. [1] https://pubmed.ncbi.nlm.nih.gov/28164452/ https://pubmed.ncbi.nlm.nih.gov/28164452/ [2] https://pubmed.ncbi.nlm.nih.gov/22029981/ https://pubmed.ncbi.nlm.nih.gov/22029981/ [3] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764193/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764193/

criticaltinker 5y ago
Thank you for the excellent response and citations. I think you and Richie are on to something here - wishing you the best of luck.
- lharries 5y ago
  Thank you! I enjoyed your great comments too