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Lost 90lbs, 120lbs, then 150lbs....now fatter than ever! Is there really hope for those over 400lbs?

ChefMader
ChefMader Posts: 5 Member
I've lost 90lbs, 120lbs, then 150lbs (+many +/- 30lbs, 40lbs) - all with diet and exercise over the years. (I'm 48 years old). Now I'm fatter than I've ever been in my life.

Now I'm pushing 50 years old, and just recently diagnosed with heart ischemia. Ive been back at it, knowing this might be my very last attempt and I have to succeed over the long-term bcuz my life depends on it.

I'm doing the KETO diet because I've never tried it before and I heard it helps with hunger - and I lost about 5lbs the first week. Then...my weight is stalling already....and creeping up a pound even though I'm not cheating on it.

I watch my 600lb life and can identify with those people. I'm always always hungry. There is never a time I"m not hungry - even just after eating. I wonder if some people are just physiologically Buildt different.

THE DEBATE:
Is there really hope for long-term weight loss for those of us over 400lbs without weight loss surgery? No matter how many times I do it, I always gain it back and then a little more.

Replies

  • DFW_Tom
    DFW_Tom Posts: 38 Member
    ChefMader, sure there is hope. At 65, and morbidly obese, I finally realized I was just not able to eat most carbohydrates. Low glycemic index or low glycemic load carbs are only slightly better. I'd eat because it was time to eat, even though I wasn't hungry sometimes, but a normal meal for an American (with plenty of carbs) would find me starving right after I ate. Sometimes for hours. So I would eat more until I was sated or snack here and there until the next meal. Seemed I was always hungry and sleepy right after eating. Most people never experience that overpowering craving to fill that need and think people like you and me just lack willpower.

    After cutting my carb intake drastically for only a couple of months, I began to sense (what I think) jdsass82 mentioned in #2 of her things to think about. What I had thought was hunger after a meal was really carb cravings. I don't know if that is because I have metabolic syndrome, or insulin resistance, or leptin resistance, hypothyroid or something else. My doctor, who I see regularly, just kept prescribing hypertension meds telling me to exercise more and eat less. All I know is that by staying away from sugars, most breads, potatoes, grains and almost all fruits I no longer experience that "need to eat NOW" sensation that I had no control over. The times I sense hunger now don't really seem to be much of a hunger and is much, much easier to just ignore until the next feeding. YMMV

    I don't think I will ever be able to go back to many of the foods that were once foundations of my diet. The trade off is worth it for me. I've read that carb sensitivity can be reduced over time. I've tried reintroducing things like bananas and oatmeal (steel cut) with a handful of blue berries back into my diet, but they still bring back those cravings. You'll just need to try different foods to see what your system works with the best. True Keto is very strict. Logging macros and making sure you get enough of the right micronutrients are a must do. Every day. Every meal. Moderate increase in movement pays off big time. I don't want to doomsday you, but you are approaching that part of your life where the weight you have always been able to support is going to be too much for your body and you will lose the mobility you need to stay healthy. Please don't think you can "work off weight". Increased movement will keep your basal metabolic rate up and light lifting will help to maintain muscle mass.

    Good luck and health to you.
  • Cheesy567
    Cheesy567 Posts: 1,186 Member
    edited May 21
    Interesting that you put your personal story up for debate.

    “Diet and exercise” and fad diets didn’t work for me, either. Sustainable weight loss didn’t come until I worked on a mindset shift and started with a habit-based focus. I learned how to maintain my weight, first and foremost, and how to stop regaining. Lose 30 pounds in a year, go into maintenance for a month or two or six, then lose again. Stop the regain part of the cycle. The podcast “HalfSize Me” really spells it out best.

    Yes, some of us are “built” physiologically different and become morbidly obese. Yes, there are non-surgical ways to approach it. Yes, surgery is one tool available, but it isn’t a fix-all, either.
  • Hiawassee88
    Hiawassee88 Posts: 21,088 Member
    @ChefMader

    All of those days and months of hard work are still there. Standing. Counting.

    Every day that you add, consecutive or single days, minutes...matter. You just need to go back and recapture yourself. It's not about being perfect but changing habits little by little. Every time you met an emotional/mental and physical goal of not letting food control your life...you were sliding into a better quality of life and health.

    Don't hesitate. Get right back in the groove. If you kept a diary or journal, go back and pick up that momentum and inspiration. When you were moderating your portions, you must have felt a personal high from that peace of mind. A high from your success.

    You choose. You decide. You can pick that momentum right back UP. Close your eyes and remember how you felt after 150 lbs were gone. Really imagine it. You've been on food jag. Ahhh, what the heck, I am going to eat it all state of mind. Now, you're going to tighten your portions up and rein it all back in. You can put an end to these curve balls and reaching out to others is a good first step.
  • ilsesl1
    ilsesl1 Posts: 5 Member
    Try the Beck Diet Solution. It's not a diet but a way to change your thinking.
  • DFW_Tom
    DFW_Tom Posts: 38 Member
    JaysFan82 wrote: »
    I just hit 50 pounds today. Yeah baby!!!

    Outstanding!
  • SaintGiff
    SaintGiff Posts: 3,673 Member
    edited May 27
    Yes. And I believe you have finally hit upon the best way for you with going keto. Just do it the right way. I am going to get a lot of push back here but I am old and do not care about the hive mind...

    Eat keto. Try your very best to eat as close to paleo with it as you can. Just... eat healthy foods. Do not sweat the calories, macros etc right now. You have plenty of weight to lose and just developing good eating habits is way more important right now than weighing and measuring stuff. Eat only foods that are good for you.

    There is a lot of evidence that for people with a lot of weight to lose any sort of aggressive calorie restriction leads to short term success and long term failure. What's worse is that with each cycle the restriction has to be more aggressive to attain the same results. Break that cycle by just eating healthy foods.

    Move as much as you can. I am not going to sit here and tell you to watch some YouTube channel or that you have to do this exact program. Just move as much as you can. You know your body and realistically you may not be in a place where jumping into an actual workout program is the right decision. But moving always is. Walk. Park at the end of the parking lot when you go somewhere and walk to the door. Take the stairs when you can. Just every little thing. It is not about how many calories you burn walking from the furthest away parking space. It is about developing the habit of movement. It is about changing your thought process on things like simply walking into the store. First you make a point of parking at the far end of the lot. Then you just park wherever because it no longer matters where you park. Just like the food. Eat healthy foods. At some point, a hundred or maybe two hundred pounds from now, you start to think about weighing and measuring. For now just develop the habit of healthy foods. Eating too much roasted chicken or too much asparagus is not going to make you gain fat. Just.... only eat things that are good for you.

    Stay out of the keto and paleo groups. Just avoid them. They all start with good intentions and end up plagued by idiots with ever evolving purity tests. "You're not really keto if you eat X" "You're not really keto unless you pee on this strip of paper and it turns blue" No thank you. Do not think in tribal terms. This is about you, ok? It is not about some chuckle head on the internet who thinks you need to rise to their definition of whatever. Given the situation you laid out in your original post, this is not about a program or a diet. Not right now. Right now it has to be about just forming habits.
  • threewins
    threewins Posts: 1,111 Member
    edited May 27
    Can you lose weight when you're very heavy? Unfortunately the odds are not in your favour. This link gives real world data on who is losing weight https://www.healthline.com/health-news/obese-people-have-slim-chance-of-obtaining-normal-body-weight-071615#A-Call-for-a-Better-Weight-Loss-Approach

    I see this not so much as a weight loss problem but rather a "I have a major problem in my life, can I fix it?" type of issue. Typically, the answer is "only if you want to fix it hard enough".

    There are lots of little things you can do which can reduce food's effect on you. Here's 3 I can think of but there's 30 or so:
    Stop eating sugary food

    There are at least 8 (I made a list a while back) types of hunger signals, when you are feeling hungry, try to identify which of those 8 you are feeling - for example there's a difference between appetite and hunger. Eat a meal and walk into a supermarket, you're probably feeling appetite signals rather than hunger.

    When at home, make food unavailable visually. This is one of my issues. If I see food, I often want to eat it. Not visible? I don't want to eat it.
  • ninerbuff
    ninerbuff Posts: 46,318 Member
    There's always hope. But habitual behavior is what will dictate whether you lose and/or regain. So many heavy people revert back to old habits after a little success believing they deserve it. But here to tell you that your health doesn't negotiate. If you don't change, your body will let you down.

    A.C.E. Certified Personal and Group Fitness Trainer
    IDEA Fitness member
    Kickboxing Certified Instructor
    Been in fitness for 30 years and have studied kinesiology and nutrition

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  • jcu888
    jcu888 Posts: 1 Member
    I know how you feel. Been there, done that. Lost plenty weight on a diet then went back to eating "normally"

    Like me, I think that you need a program to change your way of life, rather than serial dieting. I am currently 30 pounds down using Noom and I can honestly say for the first time in my life I understand why I have failed to maintain weight loss in the past. This time the weight will stay off when I reach target. I understand that I will have to keep monitoring AFTER I reach my goal weight. I now understand that my "normal" way of eating was the problem and I have to put it behind me permanently.

    Noom is not just a diet, it is a psychology program to understand why you eat in the way that you do and how to change it.

    Even before I reach my goal, I am planning a maintenance program to keep it off!