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When somebody loses weight, where does the fat go?

228 points| non_sequitur | 8 years ago |bmj.com

231 comments

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[+] mikeash|8 years ago|reply
For anyone coming straight to the comments looking for an answer to the question: it turns into CO2 (and a bit of water) and you breathe it out.

When you realize that you have to breathe out all the weight you lose, I think it gives you a bigger appreciation for how difficult weight loss can be.

[+] darrenf|8 years ago|reply
I've lost 16kg this year, which I attribute to 3 things:

1. being fairly strict with calorie intake - though I have gone over my limit a whole bunch of times

2. upping my running game - 80km+ most months

3. being diagnosed asthmatic (after 40 years of merely "you've got shitty lungs, sorry") and prescribed a morning+night inhaler

Dieting isn't new to me, I've been a fat bastard all my adult life. Previous attempts at losing weight have involved doing (1)+(2) and each time I lost weight and got faster. But with the diagnosis at the start of this year, and despite a higher calorie allowance, I've smashed my PBs at various distances - multiple times - and lost more weight (NB. because I started higher; I'm not at a record low, yet). So it seems pretty intuitive to me that "I'm better at breathing" has played a hell of a part.

[+] _jal|8 years ago|reply
Save the planet - sequester carbon in yourself!
[+] JoeAltmaier|8 years ago|reply
Exercise makes more sense! Breathing hard == losing weight!
[+] arikrak|8 years ago|reply
Meanwhile the reverse happens when a tree builds itself by pulling out carbon from the co2 in the air
[+] hammock|8 years ago|reply
Similarly, when a tree grows, where does most of the mass come from?

a) the soil

b) water

c) the air

d) other

[+] infogulch|8 years ago|reply
I was under the impression (admittedly I don't know from where) that the process of burning fat actually dehydrates you and that you need to drink extra water if you want to facilitate it.

But here you remind me that the process of burning hydrocarbons nets some water, making me question myself. Of course metabolizing body fat is more complex than that, so this doesn't disprove it, but now I'm wondering if anyone else has more concrete information.

[+] zappo2938|8 years ago|reply
I sometimes ask the deep philosophical question, why does a tree not sink into the ground it grows out of? It blows people's minds when I explain that the reason is because the tree is mostly water and CO2, a gas and a liquid coming from the sky.
[+] ransom1538|8 years ago|reply
"For anyone coming straight to the comments looking for an answer to the question: it turns into CO2 (and a bit of water) and you breathe it out."

That is why you weigh less when you wake up in the morning (pre-bathroom -/+ yes some sweat).

[+] maxerickson|8 years ago|reply
How much weight does a typical person breath out in a day though?

(if you figure ~2000 calories worth, it doesn't seem like the breathing weight out is so much the issue...)

[+] scotty79|8 years ago|reply
Thunderf00t had a great take on this showing why excercise is pretty much useless for weight loss.

You exhale same percentage of CO2 no matter how active you are so to burn more fat you have to make yourself breathe faster. You can do that with excercise which, if it's intense, can triple your rate of breathing. But if you do intensly excercise for an hour each day you just burn 26 hours of fat instead 24.

Not much of a difference. You can do much more with skipping some snacks or soda you ingest daily.

[+] xisbad|8 years ago|reply
So does that mean that sitting on the couch is more environmentally friendly than exercising?
[+] xhruso00|8 years ago|reply
Can I lose weight by breathing faster instead of excersizing?
[+] adekok|8 years ago|reply
2 pounds a day. That's how much CO2 you breath out, and the hard limit for weight loss.

You can lose more than that, (see boxers before a weigh-in), but that's all water loss, and is temporary. And, with a strong likelihood of death.

[+] fleitz|8 years ago|reply
You can also piss it out in the form of ketones.
[+] JshWright|8 years ago|reply
An interesting corollary to this is "Where do trees get their mass?"

Veritasium has a fun video demonstrating how unintuitive this is:

https://www.youtube.com/watch?v=2KZb2_vcNTg

[+] StavrosK|8 years ago|reply
I love that you used the word "unintuitive" rather than imply that people were uneducated for thinking it. Good way of thinking about knowledge.
[+] krallja|8 years ago|reply
Reminds me of the question “what are trees made of?”

(The answer to both questions is “mostly atmospheric CO2.”)

[+] k__|8 years ago|reply
Hehe, true.

I once saw a documentary about "big animals" in the past.

Like, why did we have giant spiders and insects while they have a rather simple respiratory system that doesn't scale very well.

Because: trees!

Somehow plants managed to create wood, which bound the C from CO2, but the rest of the biosphere didn't know what to make of the wood. So there were more and more trees and more and more C got removed from the atmosphere. A much bigger part of the atmosphere was O2 and so the insects could grow bigger.

But in the end the fungi figured out how to make short work of wood and in turn released much of the C again into the atmosphere as CO2, so the animals shrunk again.

[+] DoodleBuggy|8 years ago|reply
The TLDR:

> Physical activity as a weight loss strategy is, therefore, easily foiled by relatively small quantities of excess food.

> Our calculations show that the lungs are the primary excretory organ for fat. Losing weight requires unlocking the carbon stored in fat cells, thus reinforcing that often heard refrain of “eat less, move more.”

"Eat less, move more." If anyone isn't aware of that by now, I don't know what to say.

[+] DanBC|8 years ago|reply
the eating less part is more important (for weight loss) than the moving more part, especially because people doing exercise for weight loss often overestimate how many calories the exercise is burning, and underestimate how many calories are in food.
[+] Anderkent|8 years ago|reply
Because the problem with weight loss is not losing weight, it's losing weight while staying productive / not feeling like shit.

And that is more complicated than 'eat less, move more'.

[+] s0rce|8 years ago|reply
Why is CO2 the correct answer, the answer should be energy/heat + CO2 + H2O? The "burning" of fat in oxygen to CO2 and H2O is exothermic.
[+] Xophmeister|8 years ago|reply
TFA does say "energy/heat + CO2 + H2O", but most of the output in terms of mass -- which is what one is interested in when it comes to losing weight -- is carbon dioxide.
[+] zimbu668|8 years ago|reply
From the abstract: "Most people believed that fat is converted to energy or heat, which violates the law of conservation of mass."
[+] ZeWaren|8 years ago|reply
It's pretty obvious when you do long fasts. Every time I fast for more than I week, I lose several kilos doing nothing, not going to the bathroom even once except to pee.
[+] DoodleBuggy|8 years ago|reply
What is your intake during the fast? Bone broth? Water? Electrolytes?
[+] dugluak|8 years ago|reply
a kid asked me a similar question years ago - when you delete a file from the computer, where does it go?
[+] gnu8|8 years ago|reply
Most computers have a fan that blows the discarded bits out of the CPU. Some of them are built fanless though so the bits just radiate away...
[+] y4mi|8 years ago|reply
how is that similar, considering that a deleted file just get deregistered in the catalog and not actually deleted?
[+] beefman|8 years ago|reply
Related is Feynman's comment on where trees come from: Most people think they grow out of the Earth, but they really grow out of the air.
[+] corpMaverick|8 years ago|reply
I am confused by this...

> We suspect this misconception is caused by the “energy in/energy out” mantra and the focus on energy production in university biochemistry courses.

I understand from the article that chemistry (Which I can't understand) tells you that it is converted on CO2.

But still. Clearly I can move because I have energy that I acquire from food. How is this wrong ?

[+] wyufro|8 years ago|reply
Their point, which I agree is fairly unclear, is that the fat is not converted to energy, it's converted to CO₂ and water. That conversion releases energy, which you then use to move, but the total mass of the process is constant (conserved).
[+] sampo|8 years ago|reply
Well, at 37.7 MJ/kg energy content in fat and E=mc², 4.2 micrograms of the mass of that 10 kg does disappear.
[+] dandare|8 years ago|reply
> Most people believed that fat is converted to energy or heat, which violates the law of conservation of mass. We suspect this misconception is caused by the “energy in/energy out” mantra...

I would not call it a misconception but simplification. Otherwise it is a very surprising article.

[+] pwinnski|8 years ago|reply
Observations from Figure 1, "Responses of a sample of doctors, dieticians, and personal trainers to the question “When somebody loses weight, where does it go?”"

0 doctors were willing to admit they didn't know.

0 dieticians thought sweat was involved.

Those results seem unsurprising.

Only dieticians correctly answered CO2.

[+] arkades|8 years ago|reply
Overstating the case about “0 dietitians ... only dietitians.” It looks as though about 2 people thought sweat was involved, and only 1 dietician answered co2. Pretty much everyone answered “heat.”

The question itself is shit, too, which is what happens when you dont have survey epidemiologists eyeball your questions. In “losing weight,” you’re doing a number of things - chucking the actual carbons (mass), and removing the potential energy stored as carbon-carbon bonds (heat). Given the widespread colloquialism of “losing weight,” people failing to interpret it as regarding the removal of carbons specifically isn’t unreasonable.

Sweat and urine are also correct answers, for that matter. Some of the carbon is used to create bicarbon and carbonic acids, via co2, which are lost in urine and sweat. Whether you want to count that as co2 or not is an argument about semantics - it goes through co2, but isn’t lost -as- co2. Of course, from the perspective of “it’s all breathed out as the result of perfect oxidation,” it’s wrong... but why let biology get in the way of undergraduate chemistry, right?

This isn’t a reflection on docs, PTs, or dietitians. This is GIGO.

[+] eeZah7Ux|8 years ago|reply
I'm pretty aghast at the ignorance of the survey participants and how they failed to admit it.

From doctors, this should not happen.

[+] yodon|8 years ago|reply
At the risk of crossing the streams here... “wait! HN must be listening to the Microphone on my phone because I talked with my son about this exact topic 36 hours ago and now it’s in my HN feed!”

Yes, that’s a joke, but it’s also a completely factual statement (except for the Microphone thing) and a good reminder that with enough page views even extremely low probability events will happen with great frequency and predictability to someone in your audience (you just can’t predict to whom they will happen)

[+] scottmcdot|8 years ago|reply
After the reaction between adipose triglyceride and oxygen, do we wee out the water or sweat it out?
[+] s0rce|8 years ago|reply
It is "burned" basically the same as if you lit it on fire, it converts to CO2 and H2O.