• southsamurai@sh.itjust.works
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    7 days ago

    Well, kinda.

    The problem is that it isn’t a 1:1 thing.

    Hormones, insulin sensitivity, neurotransmitters, gut biome, muscle mass, brain activity, there’s a shit ton of factors that go into exactly what that break point is. Worse, that break point isn’t even 100% stable. People like to think it is, but it isn’t it can change as often as daily, and at the lower end of that point, a deficit is extremely difficult for patients to maintain healthily.

    And yes, it is sometimes less healthy to eat less than it is to carry some extra fat. It’s not like vitamin supplementation is ideal, even when you know for a fact that what they’re swallowing is mostly bioavailable.

    And, frankly, that bullshit of “enough energy on your body to not eat…” is utter bullshit. Starvation does jack shit for a bariatric patient, period. No, the energy burned absolutely is not enough to maintain a healthy body and metabolism for days. I don’t know where people got that idea, but it is malarkey.

    I strongly urge people to go and consult with a specialist if they’re having trouble reducing their body fat. It is not wise to believe the random internet stupidity that can’t be bothered to stay up to date on a subject before prattling on. Fuck, I haven’t even worked in two decades, and I’m more up to date than random assholes, and I know I’m behind current bleeding edge in that specific field.

    Fuck, I swear, people’s blind fucking cruelty trying to feel superior is disgusting. Fucking h lf assed sound bite garbage.

    Thermodynamics my hairy asshole. People aren’t fucking furnaces, they aren’t a closed system.

    • Tar_Alcaran@sh.itjust.works
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      6 days ago

      The statement “Weightloss is calories in, calories out” is rather like “running a marathon is just running 100 meters and repeating it 420 more times”. It’s entirely true, but it’s reductive beyond uselessness. Yes, if you burn more calories than you eat, you will always lose weight. And if you run 421, 100m stretches you’ve done a marathon. And both of those pieces of advice are completely useless to anyone trying to do it, and they can possibly even make things worse.

      Managing satiety, breaking patterns, learning recipes that work for you, finding comfort without food, learning to say no to your immediate friends and family, dealing with binging, rewarding yourself without food, and many maaaaany other things are the tools people need to lose weight.

      Calorie counting is useful and foundational, but you like my therapist used to say: “you can’t live in a foundation”. But, without a good foundation, you can’t build a house either. If you switch your 5000 calorie fastfood diet for 5000 calories of fruit and vegetables, you’re not going to lose weight.

      • kernelle@lemmy.dbzer0.com
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        6 days ago

        It’s almost like the human body is a biological nuance that’s different for everyone. We all learned about “a varied diet”, “an active lifestyle”, and “weightloss is calories in vs calories out”.

        The nuance is always that these things mean widely different things from person to person.

        • Fleur_@aussie.zone
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          6 days ago

          Absolutely. What we need is a broad statement that is always true for everyone and helps everyone conceptually understand the fundamentals of weight loss. Something like… “eat less do more.” Yeah! That’s it! Surely such an inarguable, well meaning statement wouldn’t lead to an absolute shit show that makes a mockery of the human miracle of language and communication.

      • EndlessNightmare@reddthat.com
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        5 days ago

        Managing satiety, breaking patterns, learning recipes that work for you, finding comfort without food, learning to say no to your immediate friends and family, dealing with binging, rewarding yourself without food, and many maaaaany other things are the tools people need to lose weight.

        Yeah, it’s not the what (e.g. CICO), it’s the how.

    • AbsolutelyClawless@piefed.social
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      6 days ago

      You can’t convince some people. Just look at people with thyroid issues. Their diet and exercise level can remain the same and yet once the illness starts affecting their bodies, they start gaining weight. There’s a reason support groups are full of people asking how to lose this suddenly gained weight.

      • southsamurai@sh.itjust.works
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        6 days ago

        Exactly! I had so many patients that would have sudden weight swings after some kind of medical issue, even when their diet was well within healthy caloric intake, and (even worse imo) would have suffered other medical issues had they dropped enough intake to reach their new break point.

        It isn’t like it’s even rare to have one of the dozen plus major medical issues that can cause fat gain well beyond what diet can counter. Hell, host having enough stress can make it very difficult to maintain a healthy diet and still reach one’s break point because of how cortisol influences metabolism. And that’s without some underlying cortisol disorder. An individual disorder or disease might be rare, but taken together, it starts making up a m Large chunk of the population.

    • Fleur_@aussie.zone
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      6 days ago

      Right… Well guess I’m actually dead right now since I haven’t eaten in a couple days.

        • Fleur_@aussie.zone
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          6 days ago

          True dat. I’m not one to double check if what I’m drinking is piss by skulling the glass, I admit that.