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How to Eat Out and Lose 50 Pounds a Year (or Gain!)

(First published in The Huffington Post)

(The author is a psychotherapist who lost 140 lbs. when he developed his methods, and he’s kept it off for over 30 years. Read about his method in his book at the right, or listen to his audiobook, free sample provided here.)

Consider these selections when dining out for a day:

Breakfast: Egg McMuffin and coffee at McDonalds.
Lunch: Cheeseburger and Diet Coke at McDonald’s.
Dinner: Filet Mignon, grilled vegetables and garlic mashed at Outback.

This would add up to about 1,200 calories. If you are a woman 5’6” with average activity habits (a metabolic rate of about 2000), you’ll lose about 50 pounds a year eating like that consistently!

However, consider what would happen if you weren’t paying attention and made some slight changes:

  1. Sausage Biscuit with egg and an OJ instead of the Egg McMuffin and coffee.
  2. Quarter Pounder with cheese and a regular Coke instead of Cheeseburger and Diet Coke.
  3. New York Strip, chopped salad and loaded mashed instead of the filet, grilled veggies and garlic mashed.

They look and feel almost the same, but with the second example, you’d be at 2,700 calories and gaining 50 pounds a year instead of losing them!

For a population facing an exploding obesity epidemic, the world of fast food, restaurants and convenience food is a minefield, with caloric nuclear bombs everywhere you turn. It’s a miracle we all aren’t over 600 pounds.

Consider this: Did you know that you could gain 100 extra pounds (!!) in four years by overeating as little as one latte per day? It’s true! If you are out of balance, over your metabolic rate consistently by 250 calories per day (an average latte), you’ll gain 25 pounds a year, or 100 pounds in four!

The science is in. Our body burns calories each moment we are alive, awake or asleep. Our organs, muscles and cells metabolize fuel each second we live and breathe. There’s no mystery in knowing why we gain or lose weight. It’s a matter of the energy or calorie balance. Eat 3,500 more calories than you burn and you store them as fat and gain a pound.

Most of my clients who are obese first got that way by being only a little out of balance, creeping up on the scale 10 pounds per year. That amounts to eating only 100 calories more per day than you need, the number of calories in an apple or banana! How can you avoid eating too many calories, and way more than 100, with the way we eat in this country?

When you think about it, with the way food is pushed at us, it’s a miracle that we aren’t all morbidly obese (70 percent of us are now clinically obese). A Big Mac is 563 calories. A Cinnabon Classic Roll is 879. How hard do you think it is to go over a 2,000-calorie budget when breakfast at Denny’s can be 1,000 calories and lunch at McDonald’s can easily be 1400 or more? One of the shrimp dishes at Ruby Tuesdays is 1,475 calories! They have a salad that’s over 1,100!

So how is that 30 percent of us are not overweight, and some don’t even have to try to stay slim?

This is a more startling observation than the obesity epidemic: Many people maintain the same weight, year-in and year-out, without even trying. I find that miraculous. Think about it. A person who burns 2,000 calories per day burns 730,000 in normal activities through the year and consumes 730,000 to fuel that activity. To gain or lose a pound it would be because they were off by no more than 3,500 calories in an entire year! That averages about 10 calories per day! How could a person match their consumption to their utilization that closely by accident, without even trying?

The answer, of course, is that there must be some sort of inner process going on, like unconscious programming, that tells them how much to eat and when to stop so that they end up eating only enough to meet their needs. Dietitians have always told me this and that I should listen to my body. I tried that, but all I ever heard was, “I need something to eat” and “more, more!” If such a self-limiting thing ever existed in me, that programming was deleted long ago, probably by a combination of conditioning, all the food nuttiness in my environment, and 25 years of yo-yo dieting, gaining it all back and more after each attempt.

How to attain and maintain a proper weight automatically even when eating out.

The secret to permanent weight loss is in creating new programming — habits you can live with and enjoy that will produce the weight control you want — habits that will become automatic. It’s like getting addicted to gratifying undereating instead of overeating. For this to happen, these conditions must be met:

The plan must allow the foods you want to eat for the rest of your life. You need to learn how to eat, not diet. It does no good to lose weight by denying yourself what you know you’ll eat in the future. All you’ll do is gain it back and then some, when you go back to what you like.

The plan must be a pattern of eating that achieves the caloric values needed for the desired weight. Believe me, there is a way to create a behavior pattern that includes the food you like and hits the right caloric targets at the same time.

There must be a method of behavioral training employed to install these habits so that they become the new preferred and unconscious behavior. One of the keys to behavior therapy is simply repetitions of meals that are sensually satisfying and hit the caloric target. Other keys, besides positive reinforcement, are mental imaging and cognitive restructuring. It’s a matter of using behavioral science instead of simple will power.

Suck it up

For years while I was overweight and obese, I kept looking for ways to lose weight that were easy. I avoided anything that sounded hard, and paying attention to the calories sounded hard. Or, I’d look for ways to get someone else to do the work and make me successful. I had lost faith in myself. Avoiding doing the work myself just made me gain more weight as the years and failed attempts dragged on.

I get clients who think learning to control their weight should not be as much work as learning to pass tests for professional jobs or getting good at a sport or music. That’s a big mistake. You’ll never be successful with weight control until you decide controlling your weight is your first priority and you’re willing to work harder to develop that ability than the effort you make to grow professionally or highly skilled in sports or the arts.

Quit being mad that it’s not easy for you like it’s easy for those people I talked about who maintain the right weight without even trying. If you are like me, you are one of the people who seem to gain weight naturally and have failed to succeed many times. You need to accept that you’ll never be like them.

However, I think it’s better to be like us. All living things have the ability to learn and change. You have within you the power to get better. There is within you an incredible mechanism that helped you learn to speak and use a vocabulary of thousands of words. That was in you even before you knew who you were. You have within you the power to heal wounds and broken bones and get better when you are sick. That’s not your will power, but another kind of power at your disposal when you don’t lose the faith that it’s there (like I did for a while). I think it’s better to be like us than those people who never had the problem. We can solve this problem and when we do, we have a strength, knowledge and wisdom that they may never know.

Get started

All restaurant chains with 20 or more units must now post the caloric values in what they serve. Most have that info on their website too. Restaurants who want our business will provide that info even if they don’t have 20 units.

We need to be like the formerly obese people, now successful in weight control, who are studied by the National Weight Control Registry. They do not put anything in their mouths without knowing the caloric value. Eating without knowing the caloric cost is like charging up stuff you like at the mall without looking at the price tags. With either practice, disaster is the result.

So, start by getting to know the amount of calories that you are putting in your body. When you recover from the initial shock, you’ll be ready for the next step, which is to plan ahead. All formerly obese people who have become successful, plan ahead. They don’t eat spontaneously or wait until they are at the table with the menu of all those tempting things. They know ahead of time what they are going to order, and with the menus on the websites these days, it’s much easier than it was years ago.

That will get you started in the right direction. You can switch from my example of eating out to gain 50 pounds a year to losing 50 pounds this year. Believe me, it’s worth it!

How to Lose Weight and Still Eat Everything You Like.

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Most people think you have to deny yourself your favorite foods and stick to a rigid diet to lose weight. On the contrary, the key to learning how to lose weight permanently is learning how to eat and enjoy everything you like in the right way, not making yourself go without. You even learn how to “splurge” on the weekend without gaining weight. This is not only possible, but is absolutely necessary if you want to lose weight permanently.

(The author is a psychotherapist who lost 140 lbs. when he developed his methods,  and he’s kept it off for over 30 years. Read about his method in his book at the right, or listen to his audiobook, free sample provided here.)

I was overweight and obese my entire life, well over 300 pounds at times and a miserable failure at diets and weight loss plans. I had given up more times than you can count. Fortunately, I kept looking for an answer and at the age of thirty-three, I finally learned how to lose weight for good and lost 140 pounds at a pretty fast clip. I’ve kept the weight off pretty easily for over thirty years now, and I eat everything I like. I don’t eat diet food and I don’t exercise like a health nut. I’m a Licensed Counselor now, I’ve helped thousands to succeed like I have, and I’ve written a popular and respected book about it, The Anderson Methodavailable in paperback, Kindle, and audiobook.

The truth is that there are no “bad” foods or “bad” calories. Managed healthfully, they are all good! I eat everything I like, and I’ve learned how to lose weight while going out to dinner, to parties, on vacation and how to have drinks and desserts and still lose weight pretty quickly. Here’s why and how it works:

If, over a month’s period of time, you’ve eaten fewer calories than you’ve burned in normal activities, regardless of what you’ve eaten and when you’ve eaten it, you’ll lose weight. You’ll lose weight even if you’ve eaten all your favorite foods, even if they are the things that the “diet experts” say you can’t eat.

If you’ve been listening to diet nonsense on TV, in the magazines and at lunch, you may be skeptical of this, but this is science. It’s easy to verify at any university or college. Your body doesn’t operate on a 24 hour schedule. A five foot four inch woman needs an average of approximately 1400 to 1800 calories per day, depending on the individual, and will not gain weight if she doesn’t exceed that. However, if she has habits where she averages that most of the time, and exceeds it only occasionally, which is very easy, she’ll get overweight and constantly gain weight! If you’re a normal American, this has probably been happening to you.

Instead of thinking of it as a 1800 calorie per day daily budget, think 12,600 calories per week. If you keep your weekdays at 1200, you’d have to eat more than 3800 calories per day on the weekends to gain weight! Keeping your weekdays austere gives you the ability to fit in anything without going “over budget”. A piece of cake is about 350 calories. A glass of wine is about 100. A normal serving of lasagna is about 500. If you think you can’t fit those things in on a day with a budget of 1800, we need to talk about that.

However, getting these new habits in place isn’t a matter of “will power” or “just making up your mind”. There is a scientific method in how to lose weight and keep it off, but it is not so much the science of nutrition as it is the science of psychology and behavioral medicine. Will power and self discipline were never within my grasp before I discovered the methods I teach my clients, the methods of Behavioral Medicine I call Therapeutic Psychogenics.

Reprogramming habits is the result of using these therapeutic techniques, methods of behavioral therapy. Once the habits are in place, we get a different result. We become and stay the weight we want to be. You’ve seen other people do it, those people who seem to eat just like you or worse and stay slim. You can do it too! Now, we eat only our favorite foods. We waste no calories on mediocre food. Our “diet” can include every kind of meat, potatoes, pasta, sauce, wine, drinks and even desserts that you can think of, as long as they are good enough for the calories they “cost”. We deny ourselves nothing.

There is a proven way to “reprogram” your habits so the calories come out right and it becomes automatic and habitual, even easy to maintain for many. Learning how to lose weight permanently is not impossible. It’s just work, and not hard work at that.

You don’t have to live a miserable life of diet food and torturous exercise to solve your weight problem. In fact, permanent weight loss is the result of learning a more pleasurable way of living that includes some of your most cherished foods and activities, a way that becomes habitual and normal for you. You can even become one of those infuriating people who seem to eat all the wrong things and “have no problem”. Read my book and you’ll truly find out how to lose weight.

The Anderson Method’s Methods Are Scientifically Studied And Confirmed Effective.

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Academia is catching up with The Anderson Method. My methods, developed and refined over the last 30 years are now getting recognized as effective in studies that refer to my ideas as “Acceptance-Based Behavioral Treatment” and “Standard Behavioral Treatment”, calling them the “Gold Standard” in weight loss treatment and something now even better.

Read the article in PsychCentral.

Here’s the full text of the article:

New Weight Loss Approach Helps People Keep It Off
By Rick Nauert PhD

Losing weight is often not as difficult as maintaining the weight loss over time. A new study suggest a new behavioral treatment method can help people lose more weight and keep it off longer than traditional methods.

The new approach is called Acceptance-Based Behavioral Treatment (ABT), a strategy that links the weight loss effort to a larger personal value beyond weight loss for its own sake. This approach was found to help people adhere to diet and physical activity goals better than a traditional approach in a randomized clinical trial.

Traditional weight loss strategies or Standard Behavioral Treatment (SBT) classically encourage reduced caloric intake and increased physical activity.

The study was part of the well regarded Mind Your Health trial, and is one of the first of its kind. Investigators found that participants who received ABT (which includes all behavioral skills taught in SBT) lost 13.3 percent of their initial weight at one year, compared to 9.8 percent weight loss at one year for participants who received SBT only.

This difference represents a clinically significant 36 percent increase in weight lost for those in the ABT group. In addition, the likelihood of maintaining a 10 percent weight loss at 12 months was one-third greater for ABT with a rate of 64 percent versus 49 percent for ABT alone.

As Thomas Wadden, Ph.D., FTOS, and Robert Berkowitz, M.D., FTOS point out in their accompanying commentary, weight loss with ABT is among the largest ever reported in the behavioral treatment literature without use of an aggressive diet or medication.

“We’re excited to share this new proven therapy with the weight-loss community, and in fact this is one of the first rigorous, randomized clinical trials to show that an alternative treatment results in greater weight loss than the gold standard, traditional form of behavioral treatment” continued Forman.

The ABT sessions emphasized the following principles with the participants to achieve adherence to diet and exercise goals in order to lose weight. Principles include:

Choose goals derived from freely-chosen personal life values, such as living a long and healthy life or being a present, active grandparent.

Recognize that weight-control behaviors will inevitably produce discomfort (such as urges to eat, hunger, cravings, feelings of deprivation, and fatigue) and a reduction of pleasure (such as choosing a walk over watching TV or choosing an apple over ice cream).

Increase awareness of how cues impact eating and activity-related decision making.

In the study, 190 participants with overweight or obesity were randomly assigned to SBT alone, or ABT (which fused both behavioral skills from SBT with acceptance-based skills). Participants attended 25 treatment groups over a one-year period, which consisted of brief individual check-ins, skill presentations and a skill-building exercise.

All interventionists were doctoral-level clinicians with experience delivering behavioral weight loss treatments.

“These findings are a boon to clinicians, dietitians, and psychologists as they add a new dimension to behavioral therapy that can potentially help improve long-term outcomes for people with obesity,” said Steven Heymsfield, M.D., FTOS, a spokesperson for The Obesity Society.

“This study is one of the first of its kind, and offers promise of a new tool to add to the toolbox of treatments for overweight and obesity.”

This is the second study of ABT as part of the Mind Your Health trial, and it found an even more pronounced advantage from ABT than the first study. Forman offers several potential explanations, including the use of experienced clinicians and a revised ABT protocol that focuses on general willingness and accepting a loss in pleasure and less on coping with emotional distress, cravings and hunger.

“These are exciting findings for which I congratulate the authors,” said Wadden in an accompanying commentary.

“Like all new findings, they need to be replicated by other researchers before ABT can be considered a reliable means of increasing weight loss with SBT,” he added. Wadden noted that treatment comparison studies of different psychotherapies have shown that when researchers feel strongly that their therapy will work best, it can influence outcomes.

Therefore, Wadden believes future research should be conducted by therapists who did not develop ABT. Additionally, he said, “Future studies of ABT would be enriched by reporting on changes in depression, susceptibility to food cues and motivation for change in both the ABT and SBT groups.

Long-term follow-up after treatment would also be beneficial to determine if ABT improves weight-loss maintenance compared with SBT.”

The study and its accompanying commentary appear in Obesity, the scientific journal of The Obesity Society (TOS).

Source: The Obese Society

 

Is Obesity Acceptable?

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© OBESITY ACTION COALITION.
(First published in The Huffington Post)

Last week, an article in the Washington Post announced a new program of the Obesity Action Coalition (OAC) to fight obesity bias. They want the media to change from portraying obesity in a negative unflattering light, which they are known to do. They want the media to use more positive images when portraying obese people and the OAC is providing them with free stock images to use when showing obese people. The photo with this article is an example of one of these images. As OAC’s James Zervios points out, the headless bodies with plates of junk food often used in the media promote a false stereotype about overweight people that is abusive as well as untrue. Many overweight people are hard-working citizens who eat healthy foods and are attentive to their health needs. They are not fat, lazy and stupid, an image the media is used to promoting.

At the same time there is a fat-acceptance movement you may have heard of that also fights bias and discrimination against overweight people and promotes acceptance of the condition as well as the people who have it.

In the Washington Post article, Zervios maintains that “Obesity is a disease whose sufferers are no different from those afflicted with breast cancer or asthma”. This leads many to take the position that there is nothing that can be done about it, and that people who are overweight should accept it.

Is Obesity Something we should Accept?

I am a clinical member of both the Obesity Action Coalition and The Obesity Society, an association of health professionals that treat obesity and its related medical conditions. I am also a behavioral therapist who solved my own 25-year obesity problem and helps others to do the same.

While I am a staunch supporter of efforts to fight obesity bias and discrimination, I disagree completely with Zervios’s position that obesity is a disease no different from breast cancer and asthma. Obesity can be reversed. By adopting habits of eating less, obese people lose weight and lose the medical problems they have because of it. It is not a matter of “perhaps” it can change. It will change, no if’s and’s or but’s. Cancer and asthma have no similar guaranteed way to get rid of the condition.

While creating change in habitual and addictive behavior can be difficult and complex, it can be done. There is no guarantee that the person can easily change, but it can be done. Like it is with alcohol and drug abuse, when the behavior changes, the problems caused by the behavior resolve. In 30 years, I have never had a patient not lose weight when they are able to eat less.

I and thousands of my patients, clients and readers have reversed our obesity and the medical complications of it. Please don’t let people think that being overweight and sick with it is acceptable. Don’t let them think that getting better is beyond their control. They need not be ashamed or abused because of it, but they need not stay overweight either. There is a sure-fire way to reverse the condition, unlike cancer and asthma.

William Anderson is a Licensed Mental Health Counselor who specializes in weight loss, eating disorders and addictions. He solved his own long-time weight problem, losing 140 pounds 30 years ago and has kept it off since. He is the author of The Anderson Method.

Why are women losing the battle of the bulge?

BY ALLIE SHAH
Star Tribune (Minneapolis)

Frances Traphagan has been battling weight issues her whole life.

For years, the south Minneapolis mom struggled to balance work demands and motherhood. After every pregnancy, her weight problem grew. Her habit of eating on the run also tipped the scales in the wrong direction.

Finally, at 240 pounds, the 5-foot-3 Traphagan chose to have bariatric surgery at the Hennepin Bariatric Center and Obesity Program at Hennepin County Medical Center in downtown Minneapolis.

“It was my very last effort to try to lose weight,” she said.

She’d tried everything before that – from Weight Watchers to the Atkins diet to the grapefruit diet.

“I did have some success, but nothing was ever permanent,” she said.

After a national report this summer showed that women have surpassed men in obesity rates, doctors and obesity researchers are searching for answers to why women are struggling more than men.

For the first time, more than 40 percent of U.S. women are obese, according to the latest numbers from the Centers for Disease Control and Prevention.

The nation as a whole continues to struggle with obesity, with 35 percent of men considered obese. But while men’s obesity rates appear to have stabilized, women’s are still rising, the CDC report shows.

Dr. Maria Collazo-Clavell, an endocrinologist at the Mayo Clinic who works with overweight and obese patients, has been working in the obesity research field for 20 years. She said the recent findings give her pause about whether public health officials are taking the right approach to tackling obesity.

“All of that makes you question: Are you on the right track?” she said. “The data would say no.”

That so many women are obese is cause for alarm not only because of the increased health risks for them but also for those around them, Collazo-Clavell said.

“That’s kind of the tip of the iceberg,” she said. Women are often the primary caregivers in a family, and their eating and activity habits can influence their children and others in their family.

An example of that ripple effect: Collazo-Clavell is starting to see some of her previous patients’ children and is working with them to help manage their obesity.

It’s difficult to pinpoint what is causing women to struggle more with obesity than men, but doctors say there likely are many factors at play.

Women typically have two times in their lives when they are at risk of gaining significant amounts of weight: childbearing (during pregnancy and after giving birth) and menopause.

Collazo-Clavell hears from many new mothers that they find meal planning and preparation tough after giving birth. Also of concern, she notes that women as a group are going into pregnancy heavier than they were 20 years ago.

It makes it harder to manage a healthy pregnancy weight if they’re already overweight, she said.

An epidemic

One of the country’s leading health problems, obesity can lead to serious diseases, including diabetes and heart disease.

Body mass index (BMI) is calculated by dividing weight (in kilograms) by height squared (in centimeters). Anyone with a BMI of 25 or more is considered overweight, while those with a BMI of 30 or more are obese.

For example, a woman of average height in the U.S. (5 feet 4) would be classified as obese if she weighs at least 175 pounds. An average height American man (5 feet 9) who weighs 203 pounds or more would be considered obese.

Dr. Guilford Hartley is medical director of the Hennepin Bariatric Center and Obesity Program, where 100 surgeries for weight management are performed each year.

He sees many more female patients than men. Part of the reason, he said, is that women are more likely to seek medical treatment for a weight issue than men.

“In our culture, when a man’s overweight, nobody pays too much attention,” he said. “But we have such an emphasis on being thin for women that we’re culturally forcing women to be more concerned about their weight than men. The social pressure if you’re overweight and a woman is higher.”

Those seeking surgery often have struggled with a weight problem for a long time.

“Usually by the time I see them, most of them get here saying, ‘I’ve done this all my life. This is my sixth yo-yo,’” he said.

He found the recent CDC report on obesity rates concerning. “Up until these reports, it was looking as if the so-called obesity epidemic was kind of plateauing.”

In analyzing the new data, Hartley and Collazo-Clavell point to societal changes that have led people to become more sedentary.

“If you were a clerical person, 20 years ago you’d have to get up and put the piece of paper in the file cabinet. Now you never have to get up off your chair,” Hartley said. “We have engineered … physical activity out of our workplace and out of our home place.”

The prescription of “eat less and exercise more” does not address the kind of vigorous activity needed to tip the scales.

“When we tell them to exercise more, we mean get on a treadmill for an hour, three days a week,” he said. “And the kind of exercise that it takes to have a significant impact on weight is more like if you’re a hardscrabble farmer and you’re working up a sweat for eight hours a day just to put food on the table.”

Constant fight

It’s been 10 years since Traphagan had a surgical band wrapped around her stomach to make it smaller. The band makes it possible to consume only 1.5 cups of food at a time. But it’s still possible to overeat, she said, which is why she had to learn how to eat healthfully to control her weight.

Today, she has poached eggs instead of doughnuts for breakfast and drinks plenty of ice water throughout the day. She has maintained a healthy weight.

“It’s been real hard, though. It’s not easy,” she said.

“I got down to 155 pounds. My goal weight is 124. I’m still working on that, and I hope to achieve that this year.”

(This article first appeared in: http://www.bradenton.com/news/local/health-care/article95803902.html)