Quick way to get the weight going down!!
Replies
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I'm not going to get into this but I did want to point out that those with pre-diabetes can definitely have issues losing weight and it's not necessarily CICO for them.
When I first met my best friend she weighed nearly 300 pounds at 5'1". She and I went on a diet together (I'm 5'3" and had about 10 pounds to lose.) We were eating practically the same diet and walking together on our breaks at work. She and I were losing weight at about the same pace which shouldn't have been happening given how much more she had to lose than I did. So we switched to a low sugar/carb, high fat, high protein diet. Not only did I lose weight faster but over the next year she lost 130 pounds. Diabetes runs in her family, so she'll always need to be a bit careful about how she eats.0 -
I didn't read all the threads about Paleo or whatever. If I repeat anyone else I agree with them! Losing weight quickly is not an optimal way to diet. Slow and steady wins the race. Tweek your diet/exercise until it does work for you. This might take some time. You didn't gain weight overnight and you need to give yourself some time to take it back off!0
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The only exception to the calorie deficit rule is a medical condition. Otherwise, you WILL lost weight at a deficit.People really need to stop telling everyone it's a simple deficit. Yes, for a lot of people, this works; however, there is no need to make people feel stupid or like they must be doing something wrong just because a deficit isn't working for them. It IS more complicated for some people than it is for others. I would weigh a LOT less if a deficit worked for me, but when I eat at TDEE - 15/20%, I get nowhere.
Are you weighing your food? If you're decently healthy and have no conditions (Diabetes, PCOS, Insulin Resistance, etc.) that would restrict your weight loss, you may be eating more than you think you are. I personally used to eat less than I thought I was, and then wonder why I was constantly hungry and binging at night. I once passed out thinking I'd eaten around 9 oz of chicken all day, when really I'd only had around 2-3. A LOT of people are the opposite, though, so make sure you're counting your calories correctly.
As for the deficit, if it's not working for you, you're not alone. Certain conditions may prevent a deficit from being the only diet-change necessary. I personally have PCOS and have to net significantly under my calorie goal in order to lose weight. I also try to stick to a high-fat, mod-protein, low-carb (and by low, I mean around 30g per meal, not 30g per day) diet. Sometimes, when there are conditions such as these, Macros matter A LOT. PCOS comes with insulin resistance, so carbs and sugars are not my friends.
Good luck losing! Just remember that everyone's body is different, and it's a process figuring out what works for you. Not everyone responds so quickly to a caloric deficit.0 -
Everyone has a different macro distribution that works best for their body. That doesn't mean your friend is special -- it means that her body is not your body. It also doesn't discount CICO. If she eats low sugar/carb, high fat, high protein at a surplus, she'll still gain weight.I'm not going to get into this but I did want to point out that those with pre-diabetes can definitely have issues losing weight and it's not necessarily CICO for them.
When I first met my best friend she weighed nearly 300 pounds at 5'1". She and I went on a diet together (I'm 5'3" and had about 10 pounds to lose.) We were eating practically the same diet and walking together on our breaks at work. She and I were losing weight at about the same pace which shouldn't have been happening given how much more she had to lose than I did. So we switched to a low sugar/carb, high fat, high protein diet. Not only did I lose weight faster but over the next year she lost 130 pounds. Diabetes runs in her family, so she'll always need to be a bit careful about how she eats.0 -
Eating at a deficit is the one truth about losing weight. Granted that medical problems can impede weight loss, it's pretty darned rare. Your deficit may need to be adjusted but, still, all it takes to lose weight is to eat less calories than you burn.People really need to stop telling everyone it's a simple deficit. Yes, for a lot of people, this works; however, there is no need to make people feel stupid or like they must be doing something wrong just because a deficit isn't working for them. It IS more complicated for some people than it is for others. I would weigh a LOT less if a deficit worked for me, but when I eat at TDEE - 15/20%, I get nowhere.
Are you weighing your food? If you're decently healthy and have no conditions (Diabetes, PCOS, Insulin Resistance, etc.) that would restrict your weight loss, you may be eating more than you think you are. I personally used to eat less than I thought I was, and then wonder why I was constantly hungry and binging at night. I once passed out thinking I'd eaten around 9 oz of chicken all day, when really I'd only had around 2-3. A LOT of people are the opposite, though, so make sure you're counting your calories correctly.
As for the deficit, if it's not working for you, you're not alone. Certain conditions may prevent a deficit from being the only diet-change necessary. I personally have PCOS and have to net significantly under my calorie goal in order to lose weight. I also try to stick to a high-fat, mod-protein, low-carb (and by low, I mean around 30g per meal, not 30g per day) diet. Sometimes, when there are conditions such as these, Macros matter A LOT. PCOS comes with insulin resistance, so carbs and sugars are not my friends.
Good luck losing! Just remember that everyone's body is different, and it's a process figuring out what works for you. Not everyone responds so quickly to a caloric deficit.
The type of food you eat has nothing to do with losing weight. You can eat twinkies all day while staying at a deficit and you will lose weight. You might not feel very well, but you'd still lose.
Look at my ticker. I've lost 42 pounds the foods I like, and this includes foods that I'd cut out in earlier diets because I had labeled them as "fattening". I have been successfully maintaining.
I agree it is as simple as a deficet...simple not easy.
As for medical conditions yes they exist but it doesn't change the deficet calculation it just means you have to be more diligent on your logging and intake etc.
As well my ticker (and a lot of tickers here) eat what we want in smaller portions and lose weight using CICO.
No where do people try and make others feel stupid or that they are doing something wrong because a deficet isn't working for them...truth is they are not working the deficet....
Not true. I do eat over my calorie goals every once in awhile, but almost NEVER over my TDEE (even if I claim to be sedentary, though my work involves around 4-8 hours of constant walking around). Even with water, I gain weight like nothing if I net 2000 or even 1800. I have to be eating the right foods or eating less than 1000 calories to lose weight. How is the DEFICIT working? It's not that simple.
And yes, I weigh all my food. I use a HRM to calculate exercise burns, and eat back less than half of my exercise calories. Most days, my calories in add up to less than 1800, with my net somewhere between 800-1200. I still can't lose much weight unless I actually count macros and cut back on certain things. I never said I cut out anything completely, I just eat it in smaller portion sizes according to IIFYM while still maintaining a decently large deficit.
I'm not going to get into a long CICO debate with you (and I definitely agree with the sentiment that sticking to macros with a caloric surplus isn't helpful unless you're bulking), but just realize how you make those of us who this doesn't work for feel. I constantly feel like I'm doing something wrong when I look at the forums and wonder why the same thing that works for you guys doesn't work for me, and then I have to remember that my body and your body and anyone else's body are not identical, and what works for you may very well NOT work for me. Everybody's bodies are different.0 -
The only exception to the calorie deficit rule is a medical condition. Otherwise, you WILL lost weight at a deficit.People really need to stop telling everyone it's a simple deficit. Yes, for a lot of people, this works; however, there is no need to make people feel stupid or like they must be doing something wrong just because a deficit isn't working for them. It IS more complicated for some people than it is for others. I would weigh a LOT less if a deficit worked for me, but when I eat at TDEE - 15/20%, I get nowhere.
Are you weighing your food? If you're decently healthy and have no conditions (Diabetes, PCOS, Insulin Resistance, etc.) that would restrict your weight loss, you may be eating more than you think you are. I personally used to eat less than I thought I was, and then wonder why I was constantly hungry and binging at night. I once passed out thinking I'd eaten around 9 oz of chicken all day, when really I'd only had around 2-3. A LOT of people are the opposite, though, so make sure you're counting your calories correctly.
As for the deficit, if it's not working for you, you're not alone. Certain conditions may prevent a deficit from being the only diet-change necessary. I personally have PCOS and have to net significantly under my calorie goal in order to lose weight. I also try to stick to a high-fat, mod-protein, low-carb (and by low, I mean around 30g per meal, not 30g per day) diet. Sometimes, when there are conditions such as these, Macros matter A LOT. PCOS comes with insulin resistance, so carbs and sugars are not my friends.
Good luck losing! Just remember that everyone's body is different, and it's a process figuring out what works for you. Not everyone responds so quickly to a caloric deficit.
Okay, cool. Never said you wouldn't. I ACTUALLY said that if the OP was healthy with no underlying conditions, then he/she is probably counting wrong. I'm pretty sure that's not saying the whole deficit concept is BS.0 -
That's very little food for your current weight, especially if you're working out. When I was 200lbs I was trying to get about 1600 net a day, eating most of my exercise calories landed me at eating nearly 2000 cals a day on workout days. You will find it a lot harder to maintain a healthy lifestyle on so little energy.
Also this:
http://www.myfitnesspal.com/topics/show/1080242-a-guide-to-get-you-started-on-your-path-to-sexypants
Because this is a thread about someone wanting to know how to get their weight doing down, not about whether they may or may not have some schrodinger's medical condition.0 -
You need more than just a calorie deficit, otherwise I would weigh about 10 grams by now.
WHAT you eat is more important. I actually found that I stalled when cutting calories too much, then lost again when I upped my calories to a smaller deficit.
Cut out carbs, especially over processed crap, watch your protein and don't have too much of it based on your activity level and eat plenty of good fats (from meat and dairy mainly) to see your weight come off.
You could also be retaining water due to dehydration so drink plenty of water!0 -
You need more than just a calorie deficit, otherwise I would weigh about 10 grams by now.
WHAT you eat is more important. I actually found that I stalled when cutting calories too much, then lost again when I upped my calories to a smaller deficit.
Cut out carbs, especially over processed crap, watch your protein and don't have too much of it based on your activity level and eat plenty of good fats (from meat and dairy mainly) to see your weight come off.
You could also be retaining water due to dehydration so drink plenty of water!
You do not *need* to cut carbs, a 40,30,30 (c,p,f) split is perfectly fine for an active person.0 -
How much water do you drink? The last time I lost a lot of weight I had more success when I made sure to drink a lot of it.
THIS!! :drinker: Bottoms up!0 -
You need more than just a calorie deficit, otherwise I would weigh about 10 grams by now.
WHAT you eat is more important. I actually found that I stalled when cutting calories too much, then lost again when I upped my calories to a smaller deficit.
Cut out carbs, especially over processed crap, watch your protein and don't have too much of it based on your activity level and eat plenty of good fats (from meat and dairy mainly) to see your weight come off.
You could also be retaining water due to dehydration so drink plenty of water!
You do not *need* to cut carbs, a 40,30,30 (c,p,f) split is perfectly fine for an active person.
My Macro is 5,25,75 (c,p,f) and it works just great! My calorie deficit is only 12% so I am not starving at all especially with all that tasty, filling fat! 0 -
People really need to stop telling everyone it's a simple deficit. Yes, for a lot of people, this works; however, there is no need to make people feel stupid or like they must be doing something wrong just because a deficit isn't working for them. It IS more complicated for some people than it is for others. I would weigh a LOT less if a deficit worked for me, but when I eat at TDEE - 15/20%, I get nowhere.
Are you weighing your food? If you're decently healthy and have no conditions (Diabetes, PCOS, Insulin Resistance, etc.) that would restrict your weight loss, you may be eating more than you think you are. I personally used to eat less than I thought I was, and then wonder why I was constantly hungry and binging at night. I once passed out thinking I'd eaten around 9 oz of chicken all day, when really I'd only had around 2-3. A LOT of people are the opposite, though, so make sure you're counting your calories correctly.
As for the deficit, if it's not working for you, you're not alone. Certain conditions may prevent a deficit from being the only diet-change necessary. I personally have PCOS and have to net significantly under my calorie goal in order to lose weight. I also try to stick to a high-fat, mod-protein, low-carb (and by low, I mean around 30g per meal, not 30g per day) diet. Sometimes, when there are conditions such as these, Macros matter A LOT. PCOS comes with insulin resistance, so carbs and sugars are not my friends.
Good luck losing! Just remember that everyone's body is different, and it's a process figuring out what works for you. Not everyone responds so quickly to a caloric deficit.
there are no special snowflakes, there are no special snowflakes, there are no special snowflakes…..keep repeating this every day because it is true …calorie deficit is what causes weight loss for everyone..
are you suggesting that OP can eat more then maintenance and lose?
I like you how you say calorie deficit does not work then go on to ask if OP weights food because he/she may be overestimating calories…if calorie deficit does not work for everyone, why would this even matter?
OP - you need to be consistent with your logging, and weigh/measure/log everything. Do you own a food scale? If no, then I highly suggest getting one….0 -
The only exception to the calorie deficit rule is a medical condition. Otherwise, you WILL lost weight at a deficit.People really need to stop telling everyone it's a simple deficit. Yes, for a lot of people, this works; however, there is no need to make people feel stupid or like they must be doing something wrong just because a deficit isn't working for them. It IS more complicated for some people than it is for others. I would weigh a LOT less if a deficit worked for me, but when I eat at TDEE - 15/20%, I get nowhere.
Are you weighing your food? If you're decently healthy and have no conditions (Diabetes, PCOS, Insulin Resistance, etc.) that would restrict your weight loss, you may be eating more than you think you are. I personally used to eat less than I thought I was, and then wonder why I was constantly hungry and binging at night. I once passed out thinking I'd eaten around 9 oz of chicken all day, when really I'd only had around 2-3. A LOT of people are the opposite, though, so make sure you're counting your calories correctly.
As for the deficit, if it's not working for you, you're not alone. Certain conditions may prevent a deficit from being the only diet-change necessary. I personally have PCOS and have to net significantly under my calorie goal in order to lose weight. I also try to stick to a high-fat, mod-protein, low-carb (and by low, I mean around 30g per meal, not 30g per day) diet. Sometimes, when there are conditions such as these, Macros matter A LOT. PCOS comes with insulin resistance, so carbs and sugars are not my friends.
Good luck losing! Just remember that everyone's body is different, and it's a process figuring out what works for you. Not everyone responds so quickly to a caloric deficit.
even with a medical condition you still need a negative energy balance to lose…so calorie deficit still applies...0 -
Yes, and no. Yess people people need to burn more calories than they consume as a general rule.
But, when you have faulty biological reactions taking place, that can considerably alter the balance of that equation. So, even though they're consuming at a considerable deficit, they won't see weight loss in the same manner, and sometimes at all. That's why vitamin deficiencies, certain medications and hormonal balances are so important. It's not just your straightforward CICO calculation when you have misfiring biochemical reactions. The body has considerable survival mechanisms for a reason.
It IS still your straightforward CICO. Of COURSE you have to take your personal faulty biological reactions into account, but it is in fact still straightforward CICO. Your "CO" level may be less than "usual" or "normal" due to your personal faulty biological reactions, but it is still CICO.
edit: or what ndj said0 -
You need more than just a calorie deficit, otherwise I would weigh about 10 grams by now.
WHAT you eat is more important. I actually found that I stalled when cutting calories too much, then lost again when I upped my calories to a smaller deficit.
Cut out carbs, especially over processed crap, watch your protein and don't have too much of it based on your activity level and eat plenty of good fats (from meat and dairy mainly) to see your weight come off.
You could also be retaining water due to dehydration so drink plenty of water!
cutting carbs has nothing to do with it…I get 30 to 33% of my cals from carbs and am down about seven pounds on this cut …
unless of course you have some kind of medical condition that would make one sensitive to carbs...0 -
Yes, and no. Yess people people need to burn more calories than they consume as a general rule.
But, when you have faulty biological reactions taking place, that can considerably alter the balance of that equation. So, even though they're consuming at a considerable deficit, they won't see weight loss in the same manner, and sometimes at all. That's why vitamin deficiencies, certain medications and hormonal balances are so important. It's not just your straightforward CICO calculation when you have misfiring biochemical reactions. The body has considerable survival mechanisms for a reason.
It IS still your straightforward CICO. Of COURSE you have to take your personal faulty biological reactions into account, but it is in fact still straightforward CICO. Your "CO" level may be less than "usual" or "normal" due to your personal faulty biological reactions, but it is still CICO.
edit: or what ndj said
To expand on my thought, rather than edit again,
it's as plain and simple (note I didn't say EASY just simple) as consuming less than you output. You of course have to take your personal circumstances into account, but if you're not losing you're not in a true deficit. Your deficit may be different than what you can calculate online using a generic "one size mostly fits all" calculator, which is where trial and error and patience come in, but ultimately a deficit is what it takes. A larger than standard one maybe, a larger than calculated deficit, sure, that can happen. But you need to stop telling people it's NOT a matter of CICO. It's ALWAYS a matter of CICO. You have to figure out your own personal CICO ratio but IT IS ALWAYS ALWAYS ALWAYS ALWAYS CICO.0 -
just for fun I pulled this off a study that I had archived about calorie deficit and patients with diabetes….
This study demonstrates that short-term treatment with a very-low-calorie diet in both obese diabetic and nondiabetic subjects results in: (1) safe and effective weight loss associated with the normalization of elevated glucose and lipid levels, (2) a large individual variability in total nitrogen loss determined principally by the initial lean body mass, and (3) progressive increments in the contribution of fat to weight loss with stable caloric requirements and no evidence of a hypometabolic response.
http://diabetes.diabetesjournals.org/content/35/2/155.short
so yea, calorie deficit does work for obese diabetic people….0 -
I agree with CICO.
Calories in: easy to find using Mfp.
Calories out: that is the question. Because this sets the calories in needed.
For most a simple calculation will answer CO. So this is an easy process. To them congrats: set ci lower then co and you have a deficit.
The question is when CO is a ???? the calculations do not work what do you do. What test should you be looking for to help determine this?0 -
If the co is so easy to determine? A simple kiosk in the mall would provide the calorie need and obesity would be gone.0
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who said easy? Who in this entire thread said it's EASY? I saw plenty of "simple NOT EASY" answers though.
I and others have found our true TDEEs by tracking with excruciating, exacting consistency for 3-4 weeks then using the following formula to determine actual TDEE, and adjusting activity and CI based upon the answer to the equation.
The formula:
total gross calories eaten + (weight lost * 3500) / # of days
or if you gained in the time period, I THINK it would be
total gross calories eaten - (weight gained * 3500) / # of days (unsure on this one as 1) I'm horrid at math and 2) I haven't had the displeasure of having to figure out why I'm not losing, yet, thank goodness)0 -
If the co is so easy to determine? A simple kiosk in the mall would provide the calorie need and obesity would be gone.
its not easy ..it takes trial and error of eating at a certain level and weighing yourself for several weeks and then seeing what the numbers do ....then, as you lose more weight and drop more body fat it becomes even harder to get to a lower body fat% because your bodies natural reaction is to hold on to some body fat....0 -
^^ Totally agree with this! I do not have a thyroid..does that make me a special snowflake? Nope. Does it mean that I am having to use some trial and error to try to find out what my maintenance level is? Definately! Mine is much lower than all of the calculations say it should be.0
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There's no point in arguing with some of these people. They simply don't understand the complexity of the human body and the role that certain hormones and metabolic pathways come into to play with weight loss. They don't understand that a greater deficit can actually impede weight-loss due to the body's stress response. They don't understand that if you have malfunctioning glucose metabolism that will affect your calorie balance and the macros you need to eat to see results.
They don't understand it, so they declare that doesn't exist. Luckily, reality is not dependent upon the limited understanding of such people.
In their reality, the world is flat.0 -
^ lol0
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There's no point in arguing with some of these people. They simply don't understand the complexity of the human body and the role that certain hormones and metabolic pathways come into to play with weight loss. They don't understand that a greater deficit can actually impede weight-loss due to the body's stress response. They don't understand that if you have malfunctioning glucose metabolism that will affect your calorie balance and the macros you need to eat to see results.
They don't understand it, so they declare that doesn't exist. Luckily, reality is not dependent upon the limited understanding of such people.
In their reality, the world is flat.
see previous study I posted stating that diabetics can lose weight with a low calorie deficit..0 -
Some of us are just really good at a lot of different things... Just sayin'.There's no point in arguing with some of these people. They simply don't understand the complexity of the human body and the role that certain hormones and metabolic pathways come into to play with weight loss. They don't understand that a greater deficit can actually impede weight-loss due to the body's stress response. They don't understand that if you have malfunctioning glucose metabolism that will affect your calorie balance and the macros you need to eat to see results.
They don't understand it, so they declare that doesn't exist. Luckily, reality is not dependent upon the limited understanding of such people.
In their reality, the world is flat.
see previous study I posted stating that diabetics can lose weight with a low calorie deficit..0 -
I wholeheartedly believe a calorie deficiency is the true method to healthy weight loss. There are people with all of the above health issues plus more in my social circle. Therefore, I truly understand their battle with weight loss. Yes, it is a challenge and I don’t think anyone is implying otherwise or implying the right combination of food along with the deficiency isn’t important. Nonetheless, they are still losing weight because they are eating at a calorie deficiency despite their medication. Yes, it took several trial and error sessions to achieve the correct balance of medication and diet, especially for my godmother who is taking 13 different medications. They just had to find a deficiency that worked for them. This is the reason MFP allow users to change the recommendations for macronutrients and micronutrients because some people will require different means to achieve the same goal.0
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I wholeheartedly believe a calorie deficiency is the true method to healthy weight loss. There are people with all of the above health issues plus more in my social circle. Therefore, I truly understand their battle with weight loss. Yes, it is a challenge and I don’t think anyone is implying otherwise or implying the right combination of food along with the deficiency isn’t important. Nonetheless, they are still losing weight because they are eating at a calorie deficiency despite their medication. Yes, it took several trial and error sessions to achieve the correct balance of medication and diet, especially for my godmother who is taking 13 different medications. They just had to find a deficiency that worked for them. This is the reason MFP allow users to change the recommendations for macronutrients and micronutrients because some people will require different means to achieve the same goal.
True, true. But, from what I've seen, the deficit argument isn't one where no deficit is important or necessary to some extent. It's more along the lines that a deficit may not necessarily equal weight loss depending on other factors, or affect weight loss considerably differently. Because if it was just about a deficit, then macros wouldn't matter and they do matter to a lot of people, for very good reason.
That essentially the straightforward CICO calculations require certain assumptions, and when those assumptions are no longer true, the balace of the equation shifts or there are extra factors the equation does not account for -- like when you see dramatically different weight loss for insulin sensitive and insulin resistant women based on different macros of diets that are calorically equivalent.
And the CICO purists will not acknowledge this or at least most of them don't seem to. Or they extrapolate into extreme, irrelevant arguments like "oh so you can create mass on a calorie deficit?" It's absurd.0 -
I wholeheartedly believe a calorie deficiency is the true method to healthy weight loss. There are people with all of the above health issues plus more in my social circle. Therefore, I truly understand their battle with weight loss. Yes, it is a challenge and I don’t think anyone is implying otherwise or implying the right combination of food along with the deficiency isn’t important. Nonetheless, they are still losing weight because they are eating at a calorie deficiency despite their medication. Yes, it took several trial and error sessions to achieve the correct balance of medication and diet, especially for my godmother who is taking 13 different medications. They just had to find a deficiency that worked for them. This is the reason MFP allow users to change the recommendations for macronutrients and micronutrients because some people will require different means to achieve the same goal.
True, true. But, from what I've seen, the deficit argument isn't one where no deficit is important or necessary to some extent. It's more along the lines that a deficit may not necessarily equal weight loss depending on other factors, or affect weight loss considerably differently. Because if it was just about a deficit, then macros wouldn't matter and they do matter to a lot of people, for very good reason.
That essentially the straightforward CICO calculations require certain assumptions, and when those assumptions are no longer true, the balace of the equation shifts or there are extra factors the equation does not account for -- like when you see dramatically different weight loss for insulin sensitive and insulin resistant women based on different macros of diets that are calorically equivalent.
And the CICO purists will not acknowledge this or at least most of them don't seem to. Or they extrapolate into extreme, irrelevant arguments like "oh so you can create mass on a calorie deficit?" It's absurd.
by mass are you referring to muscle?
I don't think anyone is saying you can create mass in a deficit...
Look, at the end of the day you need an negative energy balance to lose weight. You claim to be such a genius, but you cannot seem to wrap your brain around that one simple concept...0 -
I wholeheartedly believe a calorie deficiency is the true method to healthy weight loss. There are people with all of the above health issues plus more in my social circle. Therefore, I truly understand their battle with weight loss. Yes, it is a challenge and I don’t think anyone is implying otherwise or implying the right combination of food along with the deficiency isn’t important. Nonetheless, they are still losing weight because they are eating at a calorie deficiency despite their medication. Yes, it took several trial and error sessions to achieve the correct balance of medication and diet, especially for my godmother who is taking 13 different medications. They just had to find a deficiency that worked for them. This is the reason MFP allow users to change the recommendations for macronutrients and micronutrients because some people will require different means to achieve the same goal.
True, true. But, from what I've seen, the deficit argument isn't one where no deficit is important or necessary to some extent. It's more along the lines that a deficit may not necessarily equal weight loss depending on other factors, or affect weight loss considerably differently. Because if it was just about a deficit, then macros wouldn't matter and they do matter to a lot of people, for very good reason.
That essentially the straightforward CICO calculations require certain assumptions, and when those assumptions are no longer true, the balace of the equation shifts or there are extra factors the equation does not account for -- like when you see dramatically different weight loss for insulin sensitive and insulin resistant women based on different macros of diets that are calorically equivalent.
And the CICO purists will not acknowledge this or at least most of them don't seem to. Or they extrapolate into extreme, irrelevant arguments like "oh so you can create mass on a calorie deficit?" It's absurd.
Even people who don’t have health problems have to achieve their deficiency different ways. For example, I don’t have any health problems but I need to drink water to maximize my weight loss efforts. I have experimented with this some many times so I know this is the way for me. The scale barely move if I don’t drink enough water. Other posters don’t need to drink water the way I do and they are losing just fine. It all boils down to the method that is healthy and works for the individual.
The balance of equation absolutely will shift when medical complications are involved but the underlying calorie deficiency still needs to exist. My godmother is limited to 105gm of carbs a day because of her insulin issue. Sometimes, she has to do less if her asthma is acting up really bad and her steroids have to be increased. On any given day, I eat twice that amount and both of us are losing weight. Our macros are way different. Usually, she eats more protein than me. Each person has to take stock in their own health and pursue a healthy plan that is best for them. This is the reason people should always consult with their doctors before starting any weight management plan. Yes, your primary doctor may be limited in weight loss knowledge but he or she could refer you to the proper nutritionist and dietitian who specialize in people in your situation. There isn’t a one size fit all weight management plan anywhere.0
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