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sdfhbdf | 12 days ago
The calories in/out model isn't wrong exactly, but it's so reductionist that it becomes misleading in practice. It omits hormonal responses (insulin, leptin, ghrelin), the thermic effect differences between macronutrients (your body burns 20-30% of protein calories just processing them vs 0-5% for fat), gut microbiome composition, sleep quality, stress hormones, meal timing, and individual metabolic variation. Two people eating identical calorie counts can have very different outcomes. Telling someone "just eat less and accept the hunger" without any of that context can set them up for a miserable yo-yo cycle - or worse, a disordered relationship with food.
topocite|12 days ago
We have been telling people for decades now to be worried that they might harm themselves by too much restriction and it is just wrong. What is harmful is being over weight. What is harmful is then confusing people that they are somehow going to lose weight without much restriction or being hungry.
This also scales really bad with age because as you age the CNS recovery gets worse and worse compared to muscle recovery.
At 55, there is simply no way for me to lose weight other than being hungry. It is impossible to recover from the amount of exercise that would be needed. The reality is that no one needs to worry about too much restriction until they are down to around 12% or so body fat. The fact a person's bodyfat % is never mentioned in this is exemplary of how bad the standard advise is.
Most people have too much leptin and leptin resistance. Then those same people get the same bad advise over and over to not restrict too much because you don't want to be like an anorexic or extreme athlete and have too low of leptin. Of course, ignoring that the anorexic and extreme athlete are going to have incredibly low bodyfat percentages.
tsimionescu|12 days ago
For example, I don't feel satisfied with my meal if I don't feel slightly full. So, what has worked for me is to generally have a single large meal per day, in which I will typically eat whatever I've been really craving since my last meal. In some days that might be steak and brocolli, in other days it might be a McDonald's meal, or some cake. When I get cravings, it's far easier for me to defer them to tomorrow's meal than it would be to just stop eating junk food entirely, or to eat half a burger and two fries from the bag. The exact opposite might be true for other people, and you won't really know until you've tried for yourself.
One thing I will note - I think one of the concerns of the poster you are replying to with focusing too much on enduring hunger is that it might lead some people to develop anorexia, which is indeed a huge problem, even when the person is really overweight (since their anorexia will not just go away once they've lost that extra weight, it will keep going until they get dangerously malnourished).
tsimionescu|12 days ago
My point was instead that whatever effort you can spend on weight loss is better spent on managing your diet than increasing your level of activity (though I should also say that fitness is important beyond weight loss). Even when I said you can reduce 800 Cal of food, that doesn't mean "just skip a meal" (though that is also a valid strategy for some people). It can also mean "eat different kinds of food".
However, I do strongly believe that for any weight loss at a significant pace (say, 1kg/month or faster), and assuming it's not just a correction after a short stint of overeating (as in, it's more than losing 1-2kg you put on over Christmas) - then some feeling of hunger is inevitable. Losing long-term accumulated weight is going against your body's "wishes" (especially in the lipostat model, where your body has a set fat% equilibrium that it seeks to maintain), and hunger is an inevitable response to that. How much hunger you will feel can be controlled by better food choices and so on, but you will have to also get used to feeling some level of hunger.