Palm of the Hand
- POSTED ON: Nov 29, 2017


The size of an adult woman’s palm is equal to somewhere between one-fourth and one-half cup depending on her basic frame size. 

Bariatric surgeon, Dr. Duc Vuong, says that his patients should always serve themselves only a very small portion of food, and that the entire amount of the food on their plate for their meal should be no larger than the palm of their hand. 

He makes an exception for salads consisting of ONLY green leafy vegetables, and says for a meal that consists of only raw leafy vegetables, the portion can be as large as the entire hand.  This recommendation is based on the fact that during the first 6 months or so after a person has Weight Loss Surgery, the stomach pouch will only stretch to about the size of the palm of the hand.

Dr. V talks about this in his Facebook videos.  He calls the rule, 2x2x1. The circumference of this food volume is the length of 4 fingers across the palm of the hand, and the height of the food volume is 1 finger. 


In his videos he demonstrates the concept of 2x2, by placing two fingers on one-half his palm, then two fingers on the other one-half of his palm.  Essentially, a “sleeve” gastric surgery results in a rectangular thin pouch (2x2), while a “RNY” gastric surgery results in about the same size square (2x2).

For a long time I’ve been working to eat very small food portions, and now I’m experimenting to see if I can tolerate eating meals that are only as large as the palm of my hand. 

This morning I found that two Splenda packages exactly fit the palm of my hand.  So I took some photos of the packages, my hand, my plate and my breakfast. 


Below is a photo of that process.

I learned that a portion of food the size of the palm of my hand
is even smaller than I previously believed.




Here's how a meal the size of my palm should look on my different size plates.


Why Diets Fail - The Salt/Water/Waste Issue
- POSTED ON: Jul 27, 2017


Whatever method one chooses
as a “Diet”…

including Diets that are called:

  • “Way-of-Eating”,
  • “Lifestyle-change”, or 
  • “Non-Diet”

this Truth always remains.



 When a body with excess fat consistently takes in LESS food
(meaning: calories within one or more of the three macronutrients)
THAN IT USES as energy, that body will access stored fat for energy.


The process of losing excess fat takes a long time.


Weight-loss diets ultimately fail approximately 95% of the time.  This means that most people fail to lose very much weight on any type of diet, and very few manage to maintain any long-term weight loss.

Losing weight and losing fat isn’t exactly the same thing. However most doctors, nutritionists, dietitians ... and the people who follow their advice ... don’t clearly distinguish the process of reducing body fat from the process of reducing body weight.

Most people sort of KNOW that body weight and body fat are different, and vaguely understand that the scale can register body weight higher due to “water gain”.

 To understand the difference between these two things, it is important to understand that there are two principal components of body weight. We can label these two: constant weight and variable weight.

  • The variable weight is a sum of all the digestive fluids inside the GI tract, the undigested foods already in the stomach and the small intestine, the stools inside the large intestine, and water, which can be safely lost with sweat, urine, and perspiration. These variable components of body weight normally represent between 7 and 30 pounds, depending on one’s original diet, one’s current weight, and one’s digestive health.

  • The constant weight is everything else — the remaining fluids, such as the blood plasma and lymph, the weight of one’s skin, bones, internal organs, muscles, and adipose tissue, or body fat. Of course, body fat is actually the only substance in the body one actually wants to get rid of.

  • Variable


Calorie Restriction = Calorie Restriction.
- POSTED ON: Jul 12, 2017

At the end of the day:
Calorie Restriction
equals
Calorie Restriction.


See the article below from Dr. Arya Sharma, who is one of the world’s top medical obesity specialists.

Dr. Sharma is highly respected by obesity researchers, health professionals. His opinions are based on many years of extensive obesity research as well as many years of practical experience with obese patients. 


Alternate Day Fasting Is No Better Than Any Other Fad Diet
                   by Dr. Arya Sharma,  July 11, 2017

It seems that every year someone else comes up with a diet that can supposedly conquer obesity and all other health problems of civilization.

In almost every case, the diet is based on some “new” insight into how our bodies function, or how our ancestors (read – hunters gatherers (never mind that they only lived to be 35) ate, or how modern foods are killing us (never mind that the average person has never lived longer than ever before), or how (insert remote population here) lives today with no chronic disease.

Throw in some scientific terms like “ketogenic”, “guten”, “anti-oxidant”, “fructose”, or “insulin”, add some level of restriction and unusual foods, and (most importantly) get celebrity endorsement and “testimonials” and you have a best-seller (and a successful speaking career) ready to go.

The problem is that, no matter what the “scientific” (sounding) theories suggest, there is little evidence that the enthusiastic promises of any of these hold up under the cold light of scientific study.


Therefore, I am not the least surprised that the same holds true for the much hyped “alternative-day fasting diet”, which supposedly is best for us, because it mimics how our pre-historic ancestors apparently made it to the ripe age of 35 without obesity and heart attacks.

Thus, a year-long randomized controlled study by John Trepanowski and colleagues, published in JAMA Internal Medicine, shows that alternate day fasting is evidently no better in producing superior adherence, weight loss, weight maintenance, or cardioprotection compared to good old daily calorie restriction (which also produces modest long-term results at best).
<...


Reality Bites
- POSTED ON: Jul 01, 2017

For obese or reduced-obese people, weight-loss or maintenance of weight-loss takes an ongoing Awareness of their eating Behaviors and the Results of those eating Behaviors.

It requires consistently following SOME METHOD of conscious eating Behavior that restricts calories to an amount which is the same-or-less as the amount used by that individual body....

....Together with a consistent and precise METHOD of measuring the ongoing weight Results of that eating Behavior. 


Here, the “rose” represents a thin or normal-sized body.

The “thorn” is restricted calorie eating (Behavior),
and a scale or other measuring tool (Result).


Obese or reduced-obese people who are not courageous enough to “grasp the thorn” need to abandon their desire for the “rose”, which is a thin or normal-sized body.




Reality, take it or leave it,

But I won’t be joining those who choose to spend their lives in the Forest waiting for the Unicorns to appear.

 

  

...


Is it a Plateau?
- POSTED ON: Jun 19, 2017



When we talk about plateaus we are talking about lack of WEIGHT loss, but the goal is really FAT loss.  Unfortunately, weight and fat loss don't coincide, especially at the beginning of a diet when the body’s water balance is altered by the smaller amounts of food or new foods that you are eating.

During the first few weeks of losing weight, a rapid drop is normal. In part, this is because when you cut calories, the body gets needed energy initially by releasing its stores of glycogen, a type of carbohydrate found in the muscles and liver. Glycogen is partly made of water, so when glycogen is burned for energy, it releases water, resulting in weight loss that's mostly water. This effect is only temporary.

Everyone wants, and hopes for, fast weight-loss. Unscrupulous “experts” … in books and advertising ... promise dieters more weight-loss than is possible.  It is only possible for the human body to lose a certain limited average amount of fat per week. 

Also the sharp decrease in weight that often happens during the first week or two of dieting raises false and unrealistic expectations that this fast initial weight-loss rate will continue throughout the following weeks.

It’s an unfortunate fact that the bodies of most women max out at an average of about 2 pounds of fat loss a week, and even this only happens with very active dieting. 

Below are calculator chart examples demonstrating this fact. So if you have 20 pounds of real fat to get rid of,  it will probably take at least 10 weeks, and it often takes 20 or 30 weeks for even a very successful dieter to lose 20 pounds of fat.

After dieting for a while, a woman’s weight can go up and down by 3 pounds between one day and the next ... because of changes in hydration and water balance, ... and for some women, menstrual cycle hormones make water change weight even more than this.

This daily change in water weight makes it genuinely hard to see the comparatively small loss of an ongoing one or two pounds of fat loss per week. 

There are many of methods of dieting … including low-calorie, low-fat, low-carb, high-fat, ketogenic, intermittent fasting (i.e. everything from fasting between meals to long-term fasting), whole foods, unprocessed foods, food exchanges, portion control etc. 
...


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