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This article was originally published in Cycling Weekly's print edition as part of the long-running MY FITNESS CHALLENGE series.

"Theres a lot of gatekeeping in cycling, a lot of If you dont look like a typical cyclist, youre not welcome on our group ride and If you cant keep up, theres no place for you, Marley Blonsky paints a damning picture of a cycling scene awash with judgement and petty rules. But it doesnt have to be that way. The 36-year-old knows that change is possible because for the past five years she has been blazing a trail for plus-sized riders.

Blonsky grew up in Dallas, Texas and has fond childhood memories of long, joy-filled days pedalling around her local neighbourhood. After college, she moved to Seattle, Washington for work, and cycling took a back seat. My life was fairly sedentary right through my 20s, she says, but after getting divorced [in 2013] I moved to a part of Seattle where driving a car just didnt make sense.

Blonsky bought a bike and within a few weeks had not only embraced the convenience of commuting but was also riding for fun at weekends and had even begun planning bike-packing adventures. It was at this point she began hitting barriers. I didnt have a rain jacket or cycling kit that fitted me. As I hit more and more of these frustration points, I was thinking, Im not the only fat person out here this must affect others too.

Five years ago, Blonsky attended a cycling inclusivity conference encompassing equality, racial justice and gender identity and noticed a striking omission. No one was talking about size inclusion, says Blonsky, but on the last day there was an opportunity to highlight what was missing from the conversation. She stood up and spelled it out. Size inclusion: there are bigger people who ride bikes. Were breaking bicycles, breaking spokes, we dont have the kit we need. It was a light bulb moment.

Increasingly alert to the plight of other larger riders, Blonsky stumbled upon an Instagram post by Kailey Kornhauser, who was touring Alaska and lamenting not having a rain jacket. I knew straight away, I needed to talk to this person, remembers Blonsky. She contacted Kornhauser and together they began making plans. We put together a workshop and started delivering it to bike shops and advocacy clubs. When Covid-19 hit, it meant the workshop had to go online, which proved fortuitous, as it was alighted on by film-maker Zeppelin Zeerip, who spotted an opportunity. He pitched a film to Shimano, telling our story, and they went for it! says Blonsky. The resulting film All Bodies on Bikes has been viewed more than 250k times on YouTube since going live last year.

For the industry, being more inclusive is not just ethical it makes good business sense too. The average clothing size of a woman in the US is 18, says Blonsky, so putting aside conversations about fitness or health or whatever, youre leaving billions of dollars on the table by not meeting this populations needs. There is still much work to do, and the campaigning duo continue to petition bike brands to expand their ranges, be transparent about weight limits and offer modifications for larger riders.

(Image credit: Marley Blonsky)

Blonsky is aware of the health and performance case for losing weight, but it is a discussion that she consciously avoids. We all have different size bodies for different reasons, she says. What we eat and how much we exercise is just one element of it. Nobody owes anybody else their health its a uniquely personal thing. Her position is that it ought not matter whether someone is riding to lose weight, to get fit or just to have fun, since were all equally deserving of the right to ride beginning with equal access to bikes and kit that are comfortable and safe.

Blonsky frequently uses the word fat, and I wonder whether this a deliberate attempt to reclaim the term. For me, its just a neutral descriptor, she says. Im fat, Im blonde, I wear glasses. When you take the power away from [the word fat], nobody can use it as an insult. When I call myself fat, Im saying: Im OK with it, Im not trying to change who I am.

The All Bodies on Bikes community is growing fast: its Facebook group has over 8,000 members and new chapters are being launched across the US. Blonskys self-confidence and evident comfort in her own skin as well as on her bike rightly challenges preconceptions about body image in cycling. No one really gets to pick their body, she reminds us. We get what we get and work within those constraints. What are the practical things all cyclists can do to make cycling that little bit more welcoming and inclusive? Just be kinder both to themselves and to people they encounter, says Blonsky. A friendly smile or wave on a ride can go a long way.

Clothing brand Fat Lad at the Back (FLAB) was founded by Lynn Bye and her husband Richard 10 years ago. Lynn reflects on a decade supplying kit to larger riders

In 2014 we appeared on Dragons Den and dragon Kelly Hoppen said our brand name was morally wrong. This confirmed something we had already suspected: that when people have an issue with our brand name, it says more about their attitude to fat. Fat Lad at the Back was [co-founder] Richards nickname, and for us it has never had negative connotations.

As a culture, we need to change our attitude towards weight and size, and focus more on health. Fat does not mean lazy. Fat people, many of whom are superfit, are treated incredibly badly by society. Fat-ism is the last bastion of the troll. We now export to over 80 countries, and we have 50,000 members on Facebook. Our brand is a conversation-starter; we call it sophisti-kitsch and dont take ourselves too seriously.

The FLAB sportive, in Yorkshire, takes place on 6 May.

The full version of this article was published in the 16 March 2023 print edition ofCycling Weeklymagazine.Subscribe online and get the magazine delivered to your door every week. (opens in new tab)

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'I'm fat and I'm OK with that': The size-inclusion campaigner ... - CyclingWeekly

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People may find it difficult to lose excess weight for many reasons, including lifestyle and mental factors. Other reasons may be hormonal factors such as menopause or changes in body composition as a person ages.

There is no one size fits all solution for weight loss. Regular physical activity and following a healthy, balanced diet almost always play a role. However, managing medical and mental health conditions can also affect a persons weight.

This article examines the reasons it may be difficult for someone to lose weight. It also discusses the research on managing weight at different ages and possible barriers to weight loss. Finally, it provides weight-loss tips and answers some frequently asked questions.

Research from 2018 shows that throughout adulthood, there is a natural increase in body fat up to the eighth decade of life, after which it decreases. The body typically redistributes fat to the middle area, increasing waist size. There is also generally a gradual loss of muscle mass.

It is important to manage these natural changes, as older adults with obesity are at a higher risk of conditions such as heart disease and diabetes and experiencing falls and reduced quality of life. Research from 2017 indicates that weight loss and improved fitness in older adults can improve overall function and health.

A 2019 review of older adults experiences of weight management found that the following barriers to losing weight were apparent:

However, the researchers note that due to the study population, the findings do not reflect the views of nonwhite ethnic groups in which attitudes toward weight and aging may differ.

Body composition changes as we age, and our weight gradually increases from a young age to about 75 years old. There is an increase in overall adiposity and fat, as well as a decrease in lean muscle mass.

After age 30, people may have more responsibilities and work commitments that can prevent them from being physically active. They may also rely more on processed foods if they are busy or stressed. These factors can make it more challenging to maintain a moderate weight.

While aging comes with increased body fat and sometimes weight, there are additional reasons that people who were assigned female at birth may find it difficult to lose weight after the age of 40.

One reason is that the menopausal transition most often begins between the ages of 4555.

A 2021 review notes that over 43% of menopausal women have obesity, and the reasons are multifactorial. It explains that during menopause, there is an increase in fat mass and a decrease in lean muscle mass. Additionally, medications doctors prescribe to manage the hormonal and physical changes of menopause, such as hormone replacement and antidepressants, have been shown to promote weight gain.

According to the review, 20% of females gain at least 10 pounds during menopause. This may be due to hormonal changes but appears to be also related to increasing age and decreasing energy expenditure.

Learn more about menopause.

Losing weight after age 60 may be more challenging if someone is less physically active. For example, a person may have retired from work or have health conditions that limit their activity or ability to exercise.

In addition, older adults generally have lower calorie needs but similar or even increased nutrient needs compared to younger adults. Therefore, they may need to adjust their eating habits to manage their weight as they age.

Energy deficit is the key component for weight loss. An energy deficit is when someone burns more calories than they are consuming.

A 2021 review explains that the calories-in, calories-out model for weight loss has focused on eating less and moving more. However, the review advises that energy intake and expenditure are dynamic metabolic processes, and the body may make adaptations that resist weight loss.

Additionally, a review from 2018 notes that conventional low calorie diets recommend a calorie deficit of 500750 calories a day by limiting calories to 1,2001,500 daily for females and 1,5001,800 for people assigned male at birth.

Various weight-loss diets may limit fats or carbohydrates or use meal replacements. However, while some sources say that the macronutrient content of a diet is important, the review states that longer-term studies have yet to verify this.

The review concludes that while there is no single strategy for weight loss, the most effective eating plan is one that someone can maintain in the long term to avoid regaining the weight they may lose. It is also important that an eating plan is nutritionally adequate, safe, and affordable.

An individual can speak with a healthcare professional or dietitian for more information on healthy and balanced eating plans.

Read about weight loss meal plans.

Experts advise that people may initially lose more weight when they start a weight loss plan, but as their body adjusts, people frequently experience a weight loss plateau. This is a time when a persons weight loss may seem to become stagnant.

This may be due to the body having a set point that it levels out to and metabolic reactions that lead to decreased energy expenditure and increased hunger. A weight loss plateau can also be an important recovery period for a persons body.

It can be a time when the body is readjusting hormone levels or its metabolic rate. It can also mean the body needs time to increase or regain any lost lean muscle mass.

An individual can work with a healthcare professional to find the most effective way of overcoming a weight loss plateau.

Read more about weight loss plateaus.

Daniel Bubnis, MS, NASM-CPT, NASE Level II-CSS, reviewed the following common questions about weight loss:

There are many reasons why weight loss can affect a person mentally. One reason is that they may be expecting too much too quickly. When those results do not happen, it makes them feel discouraged. Symptoms such as fatigue or sleeplessness can also make weight loss more difficult. In addition, high stress levels can influence a persons mental and physical health and affect weight loss.

Everyone is different. For some people, weight loss may take longer due to medical conditions, overall health, and mental health. If an individual has concerns about their weight loss, they can speak with a healthcare professional for guidance.

Weight loss may become more difficult as someone ages or during menopause. Many factors influence weight loss, including sleep, stress, and physical or mental health.

The most effective eating plan is one that someone can maintain and is nutritionally adequate. Eating a diet rich in vegetables and lean protein and avoiding late-night eating are strategies a person can try.

It is important for people to combine a healthy eating plan and regular physical activity for weight loss. An individual can seek support from a healthcare professional if they find it difficult to lose weight.

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Weight loss: Barriers, aging, and how it works - Medical News Today

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Managing weight can be challenging for individuals with diabetes, but its a critical aspect of maintaining overall health and blood sugar control. This article will provide helpful tips for losing weight if you have diabetes, emphasizing a balanced and sustainable approach.

Consult a Healthcare Professional:Before starting any weight loss journey, consult your healthcare professional or a registered dietitian. They can help you develop a personalized meal plan and set realistic weight loss goals that align with your unique needs and circumstances.

Focus on Balanced Nutrition:Adopt a balanced diet that includes a variety of nutrient-dense foods, such as fruits, vegetables, whole grains, lean proteins, and healthy fats. Pay close attention to portion sizes and opt for high-fiber foods that can help regulate blood sugar levels and promote feelings of fullness.

Monitor Carbohydrate Intake:Carbohydrates can have a significant impact on blood sugar levels. Its crucial for individuals with diabetes to monitor their carbohydrate intake and choose healthier options such as whole grains, legumes, and non-starchy vegetables.

Prioritize Regular Physical Activity:Incorporate regular physical activity into your routine, aiming for at least 150 minutes of moderate-intensity aerobic exercise per week, along with strength training exercises twice a week. Physical activity helps improve insulin sensitivity, manage blood sugar levels, and support weight loss.

Set Realistic Goals:When trying to lose weight, its essential to set realistic and achievable goals. Aim for a gradual weight loss of about 1 to 2 pounds per week, which is more sustainable and less likely to negatively impact blood sugar control.

Seek Support:Losing weight can be challenging, so its crucial to have a strong support network. This could include friends, family, healthcare professionals, or even online communities and support groups. Sharing your experiences and goals with others can help you stay motivated and accountable.

Monitor Your Progress:Regularly track your progress, including changes in weight, blood sugar levels, and overall well-being. This information can help you and your healthcare team make necessary adjustments to your diet, exercise, and medication regimen to ensure optimal results.

Losing weight as a diabetic requires a balanced and individualized approach, focusing on proper nutrition, regular physical activity, and close monitoring of progress. By consulting with healthcare professionals and setting realistic goals, individuals with diabetes can achieve a healthier weight and improve their overall health.

Obesity is a complex condition that can be challenging to manage. In addition to lifestyle changes, such as diet and exercise, some individuals may benefit from long-term pharmaceutical intervention to help with weight loss. Here are some considerations regarding the use of weight loss medications for long-term management of obesity.Efficacy and Safety: Weight loss medications have varying degrees of efficacy and safety profiles. Its important to discuss the potential benefits and risks of long-term use of weight loss medications with a qualified healthcare provider, such as a physician or a registered dietitian. They can evaluate your individual health status, medical history, and weight loss goals to determine the most appropriate treatment plan for you.

Lifestyle Changes: Weight loss medications should be used in conjunction with healthy lifestyle changes, including a balanced diet and regular physical activity. Medications alone are not a magic solution and are most effective when combined with lifestyle changes for long-term weight management.

Monitoring and Follow-Up: Long-term use of weight loss medications may require ongoing monitoring and follow-up appointments with your healthcare provider. Regular check-ins can help track your progress, assess the effectiveness of the medication, and address any potential side effects or concerns.

Potential Side Effects: Like any medication, weight loss medications may have potential side effects. Its important to be aware of the possible side effects associated with the specific medication you are taking and report any unusual symptoms or adverse effects to your healthcare provider.

Individualized Treatment Plan: The most effective treatment plan for obesity may vary depending on individual factors, such as age, overall health, and medical history. A personalized and individualized approach, in consultation with a qualified healthcare provider, is essential to ensure the best outcomes.

Compliance and Adherence: Long-term use of weight loss medications requires compliance and adherence to the prescribed treatment plan. Its important to follow the prescribed dosage and instructions for use, and communicate any concerns or challenges with your healthcare provider to optimize the effectiveness of the medication.

Monitoring Mental Health: Some weight loss medications may have an impact on mental health, including mood changes or risk of depression. Its important to be aware of these potential effects and communicate any changes in mental health to your healthcare provider for appropriate management.

Lifestyle Factors: Lifestyle factors, such as stress, sleep, and emotional eating, can impact weight management outcomes. Addressing these factors and developing healthy coping strategies is crucial for long-term success in managing obesity, even with the use of weight loss medications.

In conclusion, long-term pharmaceutical intervention with weight loss medications can be a helpful tool in managing obesity, but it should be used in conjunction with healthy lifestyle changes and under the guidance of a qualified healthcare provider. Monitoring for potential side effects, compliance with the treatment plan, individualized approach, and addressing lifestyle factors are important considerations for long-term use of weight loss medications in the management of obesity. Regular communication with your healthcare provider is crucial for optimizing outcomes and ensuring safe and effective use of weight loss medications.

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Tips for Losing Weight as a Diabetic: A Balanced Approach - Diabetes In Control

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Over the past few years, everyone has been talking about weight loss drugs. Although these injections aren't for everyone, it seems every other person who thinks about dieting also wants an easier solution and ends up switching over to these treatments.

It's been repeatedly discussed why these injections aren't exactly a panacea and why they aren't suitable for everyone. However, a recent study has found they might have a surprising and disturbing side effect.

The study in question, published in the peer-reviewed academic journal Diabetes Care, discovered a link between the long-term use of these treatments and one's risk of developing thyroid cancer. The study notes that people who used the drugs for one to three years were 58% more likely to develop thyroid cancer.

Thyroid cancers are considered relatively mild. It develops very slowly and sometimes doesn't cause any symptoms at all and only gets diagnosed randomly as part of neck imaging tests.

Common symptoms are hoarseness for no apparent reason that doesn't go away after a few weeks, as well as difficulty breathing or swallowing.

The current weight loss drugs on the market are sold as a treatment for obesity and have been used for years to treat diabetes. Researchers at the University of Montpellier in Vermont examined type 2 diabetes patients who were treated with these drugs between 2006-2018.

They found that yes, there was indeed a higher likelihood of developing thyroid cancer.

However, this is just one study. What's most likely ot happen is that it will add an additional routine test for people who take these drugs need to undergo.

Currently, weight loss drug treatment patients need to get their liver, diabetes levels, kidneys, cholesterol and electrolytes examined every three-four months. Currently, though, that doesn't include testing the thyroid.

Regardless, experts cautioned that these drugs should only be used when the benefits outweigh the risk, and even then the patient should see their doctor regularly.

However, it should also be noted that aside from a higher likelihood of developing thyroid cancer, these drugs have other side effects.

The most common ones that nearly all patients get are nausea, abdominal pain, diarrhea or constipation. However, these are mild and may even improve or disappear over time. Not only that, but they are dependent on the dosage, so the slower and more gradually your dosage increases, the less likely these will become severe.

There are other rare side effects that aren't dose-dependent, though. These include pancreatitis, which is an acute inflammation of the pancreas, and gallstone complications like cholecystitis, which is an acute inflammation of the gallbladder.

In Israel, there are two types of these drugs that are available for use. The first and older one is called Liraglutide, also known as Victoza or Saxenda. The second and newer one is called Semaglutide, also known as Ozempic.

These injections contain a synthetic hormone similar to a hormone our digestive system secretes after meals. This hormone, called GLP-1, links to specific receptors in the digestive system and brain, and has several effects.

Regarding the brain, it causes a decrease in appetite and a mental fixation on food. In the digestive system, it manages to stop the stomach from emptying as fast, which means the food stays in longer and you stay more satisfied from your food.

It also impacts the pancreas, which is responsible for secreting insulin for increased sugar levels, and the liver, which helps balance blood sugar levels.

Dr. Relly Reicher, a senior physician at the obesity and endoscopic bariatric unit at Sourasky Medical Center (Ichilov) in Tel Aviv, told Walla that medical treatment for obesity, including these drugs, can be prescribed to patients with a BMI of over 30 or over 27 if there are other obesity-related comorbidities.

"This isn't a technical matter. These have been the criteria to be included in clinical studies on obesity drug treatments for years," he said. "As part of these studies, thousands of patients were treated and monitored, which taught us about the drugs' effectiveness as well as the possible side effects and complications. There's no reliable and controlled information about the effect these drugs have on people with normal body weight and without underlying obesity-related conditions. Like any drug treatment, when the patient has no need for it, they are only left with the potential risks and side effects without any benefits."

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Weight loss drugs: Everyone wants them, but are they even safe? - The Jerusalem Post

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While many people with overweight or obesity are able to lose excess weight through lifestyle interventions such as diet and exercise, it has long been recognized that it is challenging for many to keep this weight off.

Obesity is considered an epidemic by the World Health Organization (WHO), as over 4 million people are dying, as a result, each year. It is believed a lot of these deaths could be avoided with weight loss. For example, a weight loss of 5-7% has been shown to prevent or delay the onset of type 2 diabetes.

Unfortunately, as many as 80% of those who have lost weight through diet and exercise regain all of the weight they originally lost. Historically this weight gain has been blamed on a lack of self-control or failure to adhere to weight maintenance regimes.

The latest research offers a new explanation: in individuals with obesity who have recently lost weight, a higher level of the hormone neurotensin could be linked to a better ability to maintain this weight loss.

Their findings have been published in the journal Metabolism.

One theory to explain why people experience rebound weight gain has been that of set-point weight, the idea that the body will return to a set weight despite weight loss or gain.

Dr. Mir Ali, bariatric surgeon and medical director of MemorialCare Surgical Weight Loss Center at Orange Coast Medical Center, Fountain Valley, C.A.explained to Medical News Today:

The theory of set point weight is there is weight that your body wants to remain close to (give or take 5-10lb); many factors including age, genetics, sex, medical conditions and activity level can affect this set point.

The mechanisms that might be behind this observation, are unclear, however.

Despite the rise in the number of people with obesity starting in the 1970s according to the WHO, the role of hormones in appetite regulation has only become apparent in recent decades. Ghrelin, a hormone that increases the drive to eat, was only isolated and identified in 1999. It is now known to regulate appetite, fat storage, and energy regulation. It also interacts with other hormones involved in fat storage and energy regulation such as insulin.

Previous research has shown that ghrelin levels tend to rise after weight loss following diet and exercise, and researchers have proposed this could be a cause of rebound weight gain. Conversely, levels of this hormone decrease after bariatric surgery, which has a lower rate of rebound weight gain than diet and exercise-based interventions.

The interaction between ghrelin and leptin, a hormone that regulates satiety and energy regulation over the longer term, was discovered less than 20 years ago in 2004. Since then, leptin resistance has been found to exist in people with obesity, making them less sensitive to its appetite-quelling effects.

More recently, attention has turned to another hormone called neurotensin, and its potential role in weight gain after weight loss. This hormone is produced in the brain and gut. Previous research has shown that neurotensin levels increase after bariatric surgery, much like other hormones that regulate energy expenditure and appetite.

Dr. Gina Leinninger, associate professor of physiology at Michigan State University who researches the regulation of energy and its contribution to obesity in humans told MNT:

There has been growing interest in how neurotensin could modulate body weight. We knew from prior research that when animal models received neurotensin it could reduce their feeding and increase their locomotor activity dual behaviors that could support weight loss.

A group of researchers from Denmark has shown that in individuals who have recently lost weight, higher neurotensin levels after meals could be linked to how likely they are to maintain their weight. They also showed neurotensin levels decrease after weight loss in mice and people with obesity.

Researchers first put 9 obese mice on a calorie-restricted diet for 8 days and kept 8 obese mice on a normal diet to act as controls. After euthanizing the animals, the researchers took samples from four parts of the intestine the duodenum, jejunum, ileum, and proximal colonto look at the levels of neurotensin expressed in those areas.

The calorie-restricted diet in mice aimed to induce weight loss similar to that observed in the 8-week human study.

The researchers found the mice that had their food restricted had significantly reduced neurotensin concentrations in the jejunum part of the small intestine.

Next, researchers looked at the effect of a very low-calorie diet regime of around 800 calories a day for 8 weeks on a cohort of 42 obese patients. Participants lost an average of 12.3 kg following this intervention. At the end of this 8-week period, participants underwent testing to observe how their leptin, insulin, ghrelin, and neurotensin levels changed in the three hours after a meal.

Researchers then instructed this cohort to follow a calorie-restricted diet (600 calories less than their daily need), for a further 52 weeks.

To analyze the impact of hormones on weight loss maintenance, researchers analyzed findings for a subcohort of participants, from both groups, those who had lost over 3% weight during the maintenance period and those who had regained 5% or more of their initial weight loss.

They found that those who had initially shown a higher level of neurotensin in the three hours after a meal after the initial 8-week weight loss phase were more likely to have lost additional weight in the maintenance period.

Leptin, insulin, and ghrelin levels were not significantly different in either cohort.

The Metabolism paper is the first to link changes in circulating neurotensin to better/ sustained weight loss outcomes in humans, and suggest that (in the future), modulating the neurotensin system might be useful to help support and/or optimize weight loss. However, of course, there is much more to understand before that goal is achievable! Dr. Leinninger

Dr. Leinningers own research had been looking at which parts of the brain neurotensin affects, and if this plays a role in energy regulation and obesity. The next steps in research will center around that.

The next big questions are how neurotensin can control weight, and more specifically, where in the body it works. My lab has been exploring how and where in the brain neurotensin can modulate body weight and we have some good leads! she said.

Continued here:
Weight gain after losing weight: Researchers find hormonal link - Medical News Today

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Diet guru Michael Mosley has revealed the best foods that can boost the metabolism and improve weight loss. The health expert is credited with founding several rapid weight loss diets that focus on intermittent fasting, also called time restricted eating, as well as high fat and low carb eating plans.

Such eating plans include the Keto diet and he also endorses the Mediterranean diet that's full of good fats and lean proteins. According to his ethos, Mr Mosley recommends eating foods like avocados, nuts, olive oil, chicken, and oily fish like salmon and mackerel.

Michael has created the the Fast 800 and 5:2 diets which he says are "safe and effective" for both short and long term weight loss, the Express reports. But many rapid weight loss plans have been slammed as crash diets that are ineffective after an initial burst of weight loss.

Other diets that follow similar patterns have been described as crash diets that sees slimmers quickly regain any lost pounds. However, the former doctor has defended his Fast 800 as being successful in the short and long term.

The former doctor has taken the time to defend his rapid weight loss diets and explained what makes other crash diets ineffective. Here's what you need to know.

The Fast 800 Keto builds on two diet trends - intermittent fasting and calorie restrictions, and the high fat, low carb keto diet. So is this another crash diet?

Michael responded: "Well, it's a rapid weight loss diet, which is not the same thing. A crash diet is something slightly crazy, unplanned, not based on science, like the cabbage soup diet.

"Whereas this is rapid weight loss diet based on a great deal of science and a number of studies carried outhave show that rapid weight loss - if done properly - can be much more effective and sustainable than slow and steady.

A keto diet consuming more high fat foods as they can help the body burn excess stores and shrink waistlines. In terms of the keto element to the Fast 800 diet, Michael explained: "Keto diet has been around for more than 100 years.

"It's a diet, broadly speaking, where you're eating a very low carbohydrate diet, less than 50g a day. And it's relatively high fat, and when you're doing that your body switches from burning sugar to burning fat.

"It does that by converting your fat stores into something called ketone bodies, which your body and brain then use as fuel. It's become very popular as a way of losing and keeping off weight, and that is largely because when you go into a state of ketosis, that suppresses a hunger hormone called ghrelin so you stop feeling hungry and stop having cravings.

"The disadvantage is that you're on a very high fat diet, which lots of people don't want to do and it isn't healthy in the long term. So what I'm proposing is rather a shorter term solution, which is combined with intermittent fasting and it's a relatively low calorie as well as a low carb diet. And that means you can eat a reasonable amount of healthy protein and fats - I describe it as a Mediterranean style diet."

Michael said adults need around 60g of protein a day - more if you're looking to lose weight. If you aren't eating this amount, "your body will cannibalise your muscles and your metabolic rate will go down" which means it is harder to lose weight or weight creeps back on.

The expert told Australia's RN Breakfast with Patricia Karvela: "If you do a safe and effective rapid weight loss diet, two to three years down the road you'll keep most of that weight off.

"So the idea that rapid weight loss is crazy, is just not true. Do it properly, and it can be very effective in the short, medium and long term. Indeed the amount of weight you lose in the first four weeks of a diet is the best a predictor of how long you'll keep the weight off for."

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Michael Mosley explains the 'rapid weight loss diet' and foods that help slimming - Daily Record

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LeAnn Rimes marked her anniversary with husband Eddie Cibrian with an Instagram tribute video.

The singer shared a peek of her toned AF abs in a high-waisted bikini along with other shots of the couple over the years.

LeAnn is all about adaptable workouts that she can take on the road, like jumping rope.

Grab your tissue box. LeAnn Rimes just celebrated her 12-year anniversary with Eddie Cibrian, and she marked the occasion with the sweetest tribute video of all time.

In an Instagram post, LeAnn shared photos of the two of them as she counted back the years that they have been together and their ages in each one. The video starts with LeAnn looking super strong and happy while hanging on a boat with Eddie in a high-waisted bikini with toned abs. From there, the video counts back with photos of the two cuddling and kissing over the year.

The final shot is a total throwback: Its a picture of LeAnn and Eddie when she was 14 and he was 23.

12 years not a lot has changed, but the hair, she wrote in the caption. Happy anniversary to us @eddiecibrian. 12 years has FLOWN by so fast! our marriage, our love is one of the greatest gifts of this lifetime. im proud of us! People cheered them on in the comments. You both age like fine wine, or maybe a top tier TEQUILA, one said. Such a beautiful couple, another wrote.

LeAnn is so glowy and strong these days, and shes made it clear that she works hard to get super toned. A few weeks ago, she shared a video of herself at a drumboxing class, which is exactly what it sounds likea workout that involves drumming and boxing. Cut to a video of LeAnn and Eddie drumming and boxing, adding in things like squat jumps while drumming, following by throwing punches at a bag.

If youre looking for a new workout class that tests your brain as much as your body, go check out their page. we LOVE it here!! she wrote in the caption, before stressing that the post wasn't an ad.

Thats not ~all~ she does for fitness, though. LeAnn told Us Weekly that she loves jumping rope, especially on the road. I take a jump rope with me everywhere I go, so its easy to do and easy to do bodyweight workouts in my dressing room, she said. (In case youre not familiar with the perks of jumping rope, it can get your HR up fast.)

If she's not skipping, LeAnn previously told Womens Health that shell often jump on the trampoline for about 20 minutes in the morning, before working out with her trainer for about an hour. Talk about a cardio burst!

Of course, LeAnn travels a lot while she's on tour or on set, so she makes sure she is able to take her workouts on the road. In 2021, LeAnn shared a video in her Instagram Stories of herself squeezing in a dressing room workout that worked through a slew of moves. LeAnn got busy doing pushups with side twists, leg lifts with weight ball slams, tricep dips, and reverse squats with her foot on a chair.

On the food front, LeAnn told Womens Health that she just tries to find a healthy balance. She likes to kick her day off with Kimberly Snyders Glowing Green Smoothie, which has lots of chopped spinach, lettuce, celery, apple, pear, banana, and lemon juice. My body actually craves it, she said.

After a quick workout, LeAnn then says shell usually have leftovers from the night before for her lunch. Our leftovers range from mushroom and poblano tacos in almond flour tortillas, to smoky white bean and greens soup, to a delicious chicken and veggie stir fry, she said.

Dinner might be a bowl with cauliflower, lots of veggies, and marinated and baked tempeh or grilled chicken. Oh! And a glass of wine. LeAnn likes to nosh a little after dinner, too. "I am a bit of an after-dinner snacker," she said. "Barnana Dark Chocolate Banana Bites are my favorite treat, and I love an apple with a little peanut butter."

Overall, LeAnn just tries to do her best. Its all about balance, she said.

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Originally published April 24, 2023 at 10:13 AM

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LOSING weight and keeping it off could be a long-term cure for type 2 diabetes, a study suggests.

A UK trial was first to prove the illness can be put into remission by shifting the flab.

It has now found the effects last longer than five years in the most successful slimmers.

Out of 85 people in the study, 48 were in remission after two years and 11 were still diabetes-free after five, losing an average of 8.9kg each (1st6lbs).

More than four million Brits have the condition, which is often triggered by a lazy lifestyle and rubbish diet.

The soup and shake diet tells patients to stick to an 800 calorie a day plan for three months and found those who did so for that time then kept the weight off were free from symptoms five years later and no longer needed medication.

Tens of thousands of patients with type 2 diabetes will now be prescribed the diet on the NHS, costing 1,100 per patient under a new nationwide plan.

Dr Elizabeth Robertson, of Diabetes UK, hailed the pioneering research.

She said: For those who put type 2 diabetes into remission, it can be life-changing and offer a better chance of a healthier future.

For those that arent able to go into remission, losing weight can still lead to major health benefits, including reduced risk of heart attack and stroke.

The first phase of the trial, led by Glasgow and Newcastle universities, inspired the NHS soups and shakes diet which limits patients to 900 calories per day.

Losing weight can strip away fat from around the pancreas and liver, helping them to function properly and regain control of blood sugars.

Two thirds of Brits are overweight or obese meaning millions are at risk of type 2 diabetes.

Participants in the trial started on the NHS soups and shakes diet and got regular help from nurses and dietitians to get back to a healthy weight.

They were half as likely to end up in hospital because of their diabetes, compared to people who got no help.

The NHS spends 10 per cent of its budget on treating the illness and complications.

Trial chief Professor Mike Lean, from the University of Glasgow, said: Type 2 diabetes causes a range of progressive and life-shortening complications.

This trial has shown us that a substantial proportion of people can maintain sufficient weight loss to be free from the condition for up to five years.

The weight management intervention also reduced the need for blood pressure drugs.

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NHS soup and shake diet CAN reverse silent killer putting patients in remission for at least 5 YEA... - The US Sun

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Biden Signs Executive Order to Boost Compensation for Care Workers

President Joe Biden will sign an executive order on Tuesday addressing issues in child care and long-term care in the United States, according to The Hill. The order focuses on boosting compensation for care workers, supporting family caregivers, and expanding affordable care options through 50 directives to federal agencies. It also includes provisions to improve access to home-based care for veterans, increase pay and benefits for Head Start teachers and staff, and streamline processes for American Indian and Alaska Native communities to access child care.

Social media ads, which can include misinformation, have driven up the demand for weight loss drugs, according to CBS News. Although doctors have expressed concerns about inappropriate use and unreliable sources for the drug, regulatory systems have limited tools to curb misleading advertising from prescribers on social media. Simultaneously, pharmaceutical companies are leading campaigns to raise awareness of obesity without mentioning their drugs. Overseas regulators have also been active in auditing and removing some instances of unethical advertising.

AXA1125, an investigational metabolic modulator, has shown promising results in reducing physical and cognitive fatigue in patients with long COVID, according to researchers at the University of Oxford. The phase 2 pilot study included 41 adults with fatigue-dominant long COVID who received either AXA1125 or placebo orally for 4 weeks. AXA1125 was associated with a significant reduction in fatigue scores and improved mitochondrial health, suggesting potential therapeutic benefits for patients with long COVID, although further research is needed in larger trials.

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What We're Reading: Biden to Boost Care Worker Compensation ... - AJMC.com Managed Markets Network

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How To Get Rid Of WhiteheadsMoyo Studio - Getty Images

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Whiteheads are one of the most common forms of acne, but that doesnt make them any less annoying to deal with. While weve all seen TikTok videos swearing to have found holy grail products that rid away all acne, whiteheads are still a nuisance for most. Luckily, though, there are tons of options on how to prevent and treat whiteheads safely and effectively.

Whiteheads can develop on anyone's skin, but they are most commonly seen in people with oily or acne-prone skin, says Rahi Sarbaziha, MD, an integrative aesthetics specialist in Beverly Hills and the founder of Dr. Rahi. Hormonal changes during puberty, menstruation, and pregnancy can also increase the likelihood of developing whiteheads.

Meet Our Experts: Rahi Sarbaziha, MD, integrative aesthetics specialist in Beverly Hills and founder of Dr. Rahi, Geeta Yadav, MD, board-certified dermatologist and founder of FACET Dermatology, Kseniya Kobets, MD, dermatologist and director of cosmetic dermatology at Montefiore-Einstein Advanced Care

Okay, but how do you prevent and get rid of whiteheads once and for all? Glad you asked! It's important to remember that whiteheads are a common skin condition that can be managed with proper skin care and treatment, adds Dr. Sarbaziha. "Just be patient, because it may take a few weeks to see results."

Keep reading to see exactly what dermatologists recommend for getting rid of whiteheads and saying hello to clear, glassy skin.

Whiteheads are a type of acne known as a closed comedone, meaning that oil and/or dead skin has blocked a hair follicle or pore and created a closed bump on the skin and they can appear whitish or yellowish, says Geeta Yadav, MD, board-certified dermatologist and founder of FACET Dermatology. These pesky pimples are raised bumps on the skin, and they're typically found on the face, chest, and back.

Youre likely also familiar with their cousin, blackheads, which are the open comedones exposed to air and ultimately oxidized, which turns the clogged pore black, says Kseniya Kobets, MD, dermatologist and director of cosmetic dermatology at Montefiore-Einstein Advanced Care.

Unfortunately, whiteheads are extremely common because theyre caused by inflammation, which could be triggered by acne-causing bacteria or excess oil production, says Dr. Yadav.

Open comedones, or whiteheads, are a result of abnormal collection of sebum (oil produced by sebaceous gland) and keratin (protein produced by the pore) in a pore under the skin, adds Dr. Kobets.

This can be predisposed by genetics or other factors like excess androgens (aka sex steroids or sex hormones) that impact activity of the oil gland and oil production in the skin, which is one contributing factor why adolescents start to breakout during puberty, she explains. There is also some evidence of low glycemic load diets, meaning diets low in sugar, being associated with lower incidence of acne, and a diet high in sugar and processed foods can exacerbate acne.

What you put on your skin also matters and may be causing whitehead breakouts, adds Dr. Kobets. Topical oils like coconut oil, shea butter, and Vaseline may also contribute to whiteheads and acne overtime, and heavy makeup, especially with dimethicone, can also clog pores.

First things first. To prevent whiteheads, always wash off *all* makeup completely with micellar water, followed by a second cleanse, says Dr. Kobets. This is especially important if you wear heavier makeup and foundation. Dr. Sarbaziha also recommends gently exfoliating to buff away dead skin and reduce the appearance of pores with the Goldfaden MDs Doctor Scrub.

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That said, you don't want to overwash your skin (even if you think its keeping it extra clean and oil free), because this may have the opposite effect, says Dr. Yadav. [Overwashing] can strip your skin of its natural oils and may cause your skin to produce even more oil to help restore nourishment, so I'd suggest gently cleansing with a micellar water as needed.

Its also best to avoid products with excess oils and dimethicone (a silicone-based polymer commonly used as a skin protectant in skincare and makeup), adds Dr. Kobets. These may feel dewy on the skin, but over time they may clog pores, especially in acne-prone individuals.

In the same vein, taming oil production is also key for whitehead prevention. I'd suggest using a skincare product that contains niacinamide, which can help regulate oil production, notes Dr. Yadav. Oil can be a favorite food of blemish-causing bacteria, so it's important to keep skin clean and balanced.

And last but certainly not least, retinol may be your new best friend. Retinol helps regulate oil and skin cell turnover, making it a skincare powerhouse because it treats both acne and signs of skin aging, says Dr. Yadav.

When you already have whiteheads, the above skincare prevention tips still apply, but there are plenty of additional options to get rid of the pesky bumps.

First of all, in my professional opinion, I do not recommend to strip acne skin of oils with harsh astringents, scrubs, and alcohols, says Dr. Kobets. Instead, we need to gently restore the skin barrier to restore balance, because by restoring the skin barrier dysfunction, it also preps the skin to tolerate more irritating acne-treatment regimens whether over the counter or prescribed by dermatologists.

The skin barrier is restored by using pH-balanced cleansers that wash off dirt and oils but replenish the skin with ceramides, explains Dr. Kobets. One of her personal favorites is the CeraVe Foaming Facial Cleanser "because it has a foaming action, but still has the protective ingredients of ceramides, hyaluronic acid, and niacinamide which is an antioxidant that reduces redness and pigmentation.

Topical retinoids are another go-to for fighting whiteheadsunless youre pregnant, says Dr. Kobets. Retinoids may help prevent or decrease comedonal acne by shrinking oil glands, and they also increase the turnover of the top layer of the skin, helping to clear out the clogged pores, she explains. Just make sure to apply sunscreen behind any retinoids.

Another great option for whitehead removal are benzoyl peroxide cleansers and topicals, says Dr. Kobets. If your skin is prone to dryness, try to use a product with a low concentration of the ingredient, around four percent.

Lastly, salicylic acid is also a must since it's a chemical exfoliant that works within the pore, rather than on the skin's surface, to break down dead skin cells and other buildup that leaves pores congested, says Dr. Yadav. Regularly using a salicylic acid product, can help get rid of whiteheads, keep pores clear, and act as an anti-inflammatory agent to help with post-inflammatory hyperpigmentation, adds Dr. Kobets.

If you experience whiteheads while pregnant (which is extremely common), Dr. Kobets suggests talking with your doctor about a prescription topical known as azelaic acid (Finacea), which can help with post-inflammatory hyperpigmentation.

While topicals may do the trick, sometimes thats not enough. If youre still battling whiteheads without success, check-in with your doc about prescription oral contraceptives and hormonal blockers which can be used to treat severe comedonal acne, adds Dr. Kobets.

Simply put, no. It is pretty much never okay to pop your own pimples, but if you must, only squeeze a whitehead if it is ready to burst, says Dr. Yadav. You will know if it's ready if gently pulling the surrounding skin away from the blemish causes it to expel its contents, but only do this with clean hands and do not use your fingernails or other tools.

And if the whitehead doesn't pop, leave it alone! You can speed things along by applying a warm compress to the pimple and this will help push the contents to the surface faster and help the whitehead drain naturally, explains Dr. Yadav. Whiteheads tend to easily resolve on their own, so just let them.

Not to mention, a small inconspicuous whitehead that was popped or squeezed can often result in a painful, inflamed red pustule that can lead to scarring, adds Dr. Sarbaziha.

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Originally published April 24, 2023 at 11:30 AM

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