I returned from Houston OMA conference on April 8, 2019
I went to an Obesity conference in Houston, the first weekend of April, 2019. I came back and my weight went up to 217.
When I want to get back down I have this restrictive diet but no hunger. 1800 calories.
I am 215 pounds and the BIA scale says my basal metabolic rate is 1765 calories.
This calculation does not take into account that I am REDUCED OBESE with a reduced resting metabolic rate. I feel cold all the time.
I am on Invokana so I lose 200 calories of glucose each day in urine.
Problem is this calculation does not take into account that I am a REDUCED OBESE with possibly 38% reduction in exercise metabolism. I try to walk 5,600 steps (3 miles) a day. For a lean person they burn 300 calories with walking. For me I burn only 186 calories a day.
As Yoni Freedhoff MD, Eric Westman MD and Columbia University sports Specialist taught me is that;
YOU CANNOT OUTRUN YOUR FORK.
I try to walk at least 5,000 steps a day to not be classified as sedentary.
10,000 is a good goal but difficult to reach each day. That would be I hour of walking for me.
Evidence shows that Alzheimer's patients need to exercise 150 minutes a week.
I walk 140 minutes a day but I go up and down the stairs quite a bit.
The Fitbit says my average calorie burn is 2,942.
For the reduced obese this is not true, as we have reduced exercise metabolism.
My BIA scale says for moderate exercise I burn 2654 calories.
For light exercise I burn 2471 calories.
Let's use the lowest number 2471.
Then lets add the 200 calories I lose from Invokana.
Thus I can eat 2,671 calories a day and maintain my weight.
On the Bon Vivant diet I often eat at least 2500 calories.
Ancel Keys starvation diet vs The Bon Vivant diet
On lower calories I have been down to 200 lbs.
That is where I want to be but I easily pop back up to 210 pounds.
I take solace that the quotes from Yoni's book The Diet Fix that concur with my book The Chronic Disease of Obesity
As Dr. Mike Rosenbaum said at the OMA conference.
There is a great deal of evidence that the set point plateau goes up and the body always tries to get back there with weight regain due to low leptin.
NO EVIDENCE that the set point can be lowered again.
Even at 215 pounds my body continues to get me back to 280 pounds with low metabolism and hunger.
I believe I handle my hunger with Belviq, Victoza, Metformin, and Caffeine.
Nothing I can do to speed up my resting or exercise metabolism.
Slide from Houston OMA meeting 2019 and Dr. Mike Rosenbaum.
Please compare water pounds and total lean pounds with the changes in weight changes.
Shows that weight doesn't tell you everything
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