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They sound miserable, though, is what I'm saying. How are VLCD people expected to do any sort of fitness or do any sort of mentally taxing labor if they're hung

They sound miserable, though, is what I'm saying. How are VLCD people expected to do any sort of fitness or do any sort of mentally taxing labor if they're hungry and running on little nutrition basically all of the time for months? That seems totally unreasonable unless we send obese people to some kind of clinic like we do for addicts, and then how do they adapt back into the real world? Are there any actual studies of people doing this long-term and how this affects their bodies? I was always told crash diets fuck you up for years. How can this be true and also people are apparently starving for months and that's totally fine? EDIT: Wait, is my understanding is that you have to starve for up to 4 months for a worse-than-coinflip chance at diabetes? Do we know if it stays off for 5 years? 10 years? Do you have to coinflip again? What happens if it doesn't work?

uberduper 4y ago
> I was always told crash diets fuck you up for years. How can this be true and also people are apparently starving for months and that's totally fine? It is not true.
- JPLeRouzic 4y ago
  > It is not true. Many people experience that and scientists/doctors agree. In addition there is a risk of higher mortality. https://journals.physiology.org/doi/full/10.1152/physiol.00002.2021 https://journals.physiology.org/doi/full/10.1152/physiol.000... "Many men and women in the United States diet to lose BW; however, most regain the weight they lost after the diet ends (73). Dr. Kelly D. Brownell coined the term “yo-yo dieting” to reflect BW fluctuations during repeated cycles of diet-induced weight loss and BW gain after the diet is terminated (74). Approximately 20–55% of women and 18–34% of men report weight cycling (75–77). What remains unclear is the impact of weight cycling on cardiovascular health. Several large studies, including the Honolulu Heart Program (78), the Framingham Heart Study (79), and >9,500 participants in a Treating to New Targets trial (80), have shown a strong correlation between BW fluctuation and rate of cardiovascular events that are independent of traditional cardiovascular risk factors. A recent meta-analysis of >440,000 participants from 23 studies showed that BW cycling was associated with a 1.4-fold higher relative risk of mortality due to all causes and to cardiovascular disease. The meta-analysis also revealed that BW cycling was associated with 1.4-fold and 1.5-fold higher relative risk of hypertension and CVD morbidity, respectively"
  - Vt71fcAqt7 4y ago
    What that means is that if you crash diet and then eat at the exessive rate again your body won't be able to handle it. Eating at the excesive rate is already a risk for cardiovascular health. What the user here said is that "crash diets fuck you up for years" which is not true. There is a refeeding stage that is necessary after weight loss is completed. And even then one should never return to overeating. To give an extreme parallel, when heroin adicts recover, if they go back they will die much faster becasue their dosage needed for a hit is almost as high it was at the peak but their liver is not strong enough because it shrunk durring their recovery as it wasn't abused as much.
  - wrycoder 4y ago
    Keeping the weight off requires a permanent change in diet, away from refined carbs. Especially avoid refined carbs combined with fat, e.g. corn chips along with soft drinks. In my case, what works is a low glycemic diet.

uberduper 4y ago

> I was always told crash diets fuck you up for years. How can this be true and also people are apparently starving for months and that's totally fine? It is not true.

JPLeRouzic 4y ago
> It is not true. Many people experience that and scientists/doctors agree. In addition there is a risk of higher mortality. https://journals.physiology.org/doi/full/10.1152/physiol.00002.2021 https://journals.physiology.org/doi/full/10.1152/physiol.000... "Many men and women in the United States diet to lose BW; however, most regain the weight they lost after the diet ends (73). Dr. Kelly D. Brownell coined the term “yo-yo dieting” to reflect BW fluctuations during repeated cycles of diet-induced weight loss and BW gain after the diet is terminated (74). Approximately 20–55% of women and 18–34% of men report weight cycling (75–77). What remains unclear is the impact of weight cycling on cardiovascular health. Several large studies, including the Honolulu Heart Program (78), the Framingham Heart Study (79), and >9,500 participants in a Treating to New Targets trial (80), have shown a strong correlation between BW fluctuation and rate of cardiovascular events that are independent of traditional cardiovascular risk factors. A recent meta-analysis of >440,000 participants from 23 studies showed that BW cycling was associated with a 1.4-fold higher relative risk of mortality due to all causes and to cardiovascular disease. The meta-analysis also revealed that BW cycling was associated with 1.4-fold and 1.5-fold higher relative risk of hypertension and CVD morbidity, respectively"
- Vt71fcAqt7 4y ago
  What that means is that if you crash diet and then eat at the exessive rate again your body won't be able to handle it. Eating at the excesive rate is already a risk for cardiovascular health. What the user here said is that "crash diets fuck you up for years" which is not true. There is a refeeding stage that is necessary after weight loss is completed. And even then one should never return to overeating. To give an extreme parallel, when heroin adicts recover, if they go back they will die much faster becasue their dosage needed for a hit is almost as high it was at the peak but their liver is not strong enough because it shrunk durring their recovery as it wasn't abused as much.
- wrycoder 4y ago
  Keeping the weight off requires a permanent change in diet, away from refined carbs. Especially avoid refined carbs combined with fat, e.g. corn chips along with soft drinks. In my case, what works is a low glycemic diet.