Newcastle diabetes reversal diet

It's a medically supervised Very Low Calorie Diet (VLCD). The key phrase there is Medically Supervised (and the nutritional content is strictly controlled as all calories are provided in the form of soups and shakes). MFP does not support people doing self-monitored VLCDs; it does not object to them doing medically supervised ones.

It's interesting work, but not Nobel Prize worthy. And they haven't actually demonstrated that their VLCD protocol results in better maintenance of the lower weight than a less aggressive deficit would have.

ETA: The Nobel Prize comment is not an insult. The standard for a Nobel Prize is *incredibly* high.

Again, a doctor supervised VLCD for health reasons is a different thing than a self monitored one.

A four month VLCD at 319lbs ending at 242lbs (both points being in the obese range) is a heck of a lot different than a barely overweight person doing the same and ending within the normal weight range (and the effects on lean mass and adaptive thermogenesis are different too).

Your chances of gallstones and gallstone removal surgery are significantly higher than if you had lost that weight slower. Is gallstone surgery a good trade off for type 2DM? Quite possibly given your family and personal history. Or maybe not. But it certainly does not make it an appropriate trade off for someone else who is on the way to type 2 but has yet to tip over and who may have a different personal and family history and different health risk factors.

Type 2 seems to reverse quite often in the early stages with a large weight loss. It certainly reversed in my own case with a ~ 1.5lbs a week loss. Which is 1/5 the rate you lost at.

I don't know that we have data as of yet as to what 'fixes' people. At some point it was thought to be avoiding carbs to deal with insulin resistance. Yet weight loss seems to work at reversing independent of what type of food one eats (I ate 50%+ carbs, of which more than 40% were sugars).

While it is good that you are now healthier... get cracking at working on how you're going to maintain the health momentum you're on and how you're going to manage your diet and exercise moving forward.

Four months is a tiny blimp of time. And that's one of the downsides of extreme diets. What have you found out about yourself and your normal daily eating during this tiny sliver of time?

When you go out with friends next... what happens? Can you handle take-away better than you used to be able to? What happens when it gets busy at work, or your co-workers bring doughnuts? Or someone significant in your life disappoints or frustrates you?

Hopefully the Newcastle protocol has a... protocol on how to get off the VLCD and transition into a more normal long term and/or maintenance diet that will help you do so.

Best of luck.