3

votes

Medical Student's Paleo Problems

Answered on August 19, 2014
Created April 16, 2011 at 5:32 PM

I've been pretty much a chronic "dieter" for the past couple of years. I'm of Northern European descent. I've gone from 301 lbs (height 6'4) to 221 lbs using a strictly low calorie diet and ingesting a lot of caffeine, and unfortunately, smoking tobacco. This was back in college where I spent quite a bit of time walking to class and around campus as well so I didn't really add in any extra exercise. When I graduated, I ballooned back up to 270 mostly because of poor food choices and quitting smoking (almost 10 months now).

Prior to discovering paleo, I had gone down to 249 using a semi-low-calorie diet and eating purely natural/organic food (but including grains). Reading about paleo piqued my interest and I decided to give it a try because it seemed along the lines of what I was already doing (the organic/natural part) but, I guess, healthier. After beginning paleo on February 2nd, my weight has fluctuated between 247 and 252 constantly, and has essentially plateaued.

Now, the problem is that I really don't have time to cook or follow any strict exercise regime because I am now currently a second year medical student and have board exams coming up in June. I spend at least 10-12 hours everyday sitting and studying. I try to walk around my apartment for around 30 minutes a day to get some sort of exercise but that's pretty much the max. I also consume a whole lot of caffeine through coffee, tea, diet energy drinks, and diet soda and I cannot give this up or afford to go through caffeine withdrawal at this time.

My average mealplan in a day looks like:

Breakfast: 2 Cage-free omega-3 Eggs w/ nitrate-free organic chicken sausage or nitrate-free pork bacon, tomatoes, onions, and various spices. I usually have coffee with breakfast, often black, but sometimes with a little bit of coconut milk and stevia. I also take my fish oil supplement around this time. When I'm not feeling like eggs, I have some eggplant and zucchini doused in olive oil.

Lunch: Lately, it's been around 3 servings of organic, nitrate-free beef meatballs w/ spices and sundried tomatoes. But I also sometimes have a spinach salad with whatever I have around at the time. Chipotle salad bowl loaded with chicken and guac is a mainstay in this section as well.

Dinner: This one varies the most as I feel that I don't have enough time to cook. It's usually a few organic, nitrate-free beef hot dogs, some frozen chicken breast (that I have breaded in almond meal and spice mix before frying and then baking), buffalo wings (1 carb), with some asparagus or other vegetable. Though, I have in the past, made coconut curry and various cauliflower-based stir frys. I use organic coconut oil whenever I fry anything (and on that note, what is a good dairy-free substitute for coconut oil frying when you just don't feel like that coconut flavor.) A rotisserie chicken from whole foods with some whole foods egg salad also works in a pinch. On weekends, I'll have a few glasses of red wine at night to relax post-meal.

Snacks: This will usually be a handful of macadamia nuts (due to low omega-6 content) or sometimes sunflower seeds or almonds. Hard-boiled eggs are also a constant snack, and from time-to-time I have indulged in dates, figs, and larabars.

The only "non-paleo" items that I have consumed during this time was grass-fed cheese (though, the jury is still out on that one and dairy in general), half and half, and sour cream (from chipotle), and a bit of BBQ sauce that came in a restaurant-ordered pulled-pork meal.

I'm not really sure about the calorie content that I'm eating per day, but from years of calorie counting, I could probably ballpark it to around 2000 calories on an average day. So now I'm here looking for advice as to what to do because my patience for paleo is wearing thin when it doesn't seem to be working. Now I know that steady exercise, and occasional heavy-lifting/sprinting is an important part of this regime, but other than the daily walking, I really cannot afford to be distracted from my studies or feel more tired/sore than usual at this time. To reiterate, I steadily lost weight following a non-paleo diet without any change in exercise prior to this and the weight loss only stopped when I switched to paleo.

Should I stop paleo and go back to my old way of eating until I have time to fully dedicate to the regime (which practically may be never or at least not for years in my field) or is there any other advice that you guys can give me?

91219405abedbfd400ce00dea242a00f

(1044)

on April 22, 2011
at 01:46 AM

That Sous Vide sounds awesome and definitely something I'll look into as soon as boards are over. Thanks, that was a great post. In terms of school, I actually am a chronic procrastinator (study week before test) by nature and need to shove in all the information in long sessions to learn anything. When it comes to boards studying, it's nothing like medical school exams (or at least mine). All of the topics learned over two years are smashed together, and you pretty much have to know everything to know anything if that makes sense. Glad to see there's so many future/current paleo doctors.

Be1dbd31e4a3fccd4394494aa5db256d

(17969)

on April 20, 2011
at 12:32 AM

I can't wait to hear about it eventually. It seems like a lot of people are going for avoiding specific diseases, curing diseases and having sweet abs, someone talking about longevity will be most welcome.

Af95a641572aad3fa408cb9226c3ccdb

(30)

on April 18, 2011
at 09:39 PM

Another part of my success at some point was to use the Leangains/Eat.Stop.Eat. process while doing paleo to bust through some of my toughest plateaus. It works, although I'd say that I was a tad more tired in that program than normal. But it's a great way to change things up.

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on April 18, 2011
at 08:55 PM

it helps many pathways out.....but the key measure is what is the epigenetic effect. And that is one answer.......does it lengthen or shorten telomeres. On the 27th of this month I will be attending a conference about this very issue with many of the researchers there. Should be enlightening.

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on April 18, 2011
at 02:35 PM

Very few get out of a surgical residency in my day without it costing a pound of our flesh. Things have changed recently with new resident rules

Af95a641572aad3fa408cb9226c3ccdb

(30)

on April 18, 2011
at 01:12 PM

I started off with the Sous Vide Supreme, loved it, works great. It's $399. I built one for $100ish dollars, and it's a bit larger using a nesco roaster. It looks a little "hood" but it works and it fits my nickle and dime budget. $400 is worth it though if you don't like DIY projects. I didn't clarify that by picking up last-call meat you save a wicked bunch of money as well. Usually $1-4/per pound depending on the cut. I can spend $40-50 a week on meat, and an equal amount in cooking goods and feed 2ppl some pretty awesome meals. Cooking the baked chicken breast got old real fast.

84666a86108dee8d11cbbc85b6382083

(2399)

on April 18, 2011
at 12:48 PM

Which (type/manufacturer)Sous Vide are you using, MGC ?

Cab7e4ef73c5d7d7a77e1c3d7f5773a1

(7304)

on April 18, 2011
at 12:15 AM

Sure, he'll have to tinker and see what works. I think we agree, even if we're not suggesting the same things.

47a42b6be94caf700fce9509e38bb6a4

(9647)

on April 17, 2011
at 10:57 PM

But I think that in this case Alex probably isn't overeating: he says he's eating only about 2000 calories a day, and that's not really all that much for someone his size. (See RG73's answer and comments after.) So he might need to eat *more* .....

47a42b6be94caf700fce9509e38bb6a4

(9647)

on April 17, 2011
at 10:56 PM

But I think that in case Alex probably *isn't* overeating: he says he's eating only about 2000 calories a day, and that's not really all that much for someone his size. (See RG73's answer and comments after.) So he might even need to eat more ...

47a42b6be94caf700fce9509e38bb6a4

(9647)

on April 17, 2011
at 10:53 PM

I voted you back up Mari even though I'm pretty much one of the fanatical endorsers of the Taubes line around here; you know, that of course you're going to be eating less and burning more if you're losing weight (by definition more or less), but that doesn't mean that you can always manipulate it that way. But for some people it really does come down to that. Like Sherpamelissa's threads, for example: http://paleohacks.com/questions/24087/can-you-listen-to-your-body-or-is-your-satiety-meter-broken http://paleohacks.com/questions/15420/do-you-believe-in-calories-in-calories-out-for-weight-loss

C33e8c236e72d67c4b6c028401d23cce

(1884)

on April 17, 2011
at 02:41 PM

The stress issue is a very good point. All that cortisol must wreak havoc on your entire endocrine system. Perhaps looking at paleo-oriented soldiers deployed overseas and how they deal with the situation would be a better guide than me sitting in my living room. After all, nobody dies if I misplace a colon. :)

A727956fa3f943057c4edb08ad9e864e

(4183)

on April 17, 2011
at 12:10 PM

Upvoted for 'almond gallery'. LOL! Although maybe macadamia gallery would be lower in n6. :)

Cab7e4ef73c5d7d7a77e1c3d7f5773a1

(7304)

on April 17, 2011
at 11:41 AM

At some point they obviously do. Are they the most important thing? No, they're probably not. But when people have trouble losing weight on paleo, oftentimes they're eating the right foods, just too much of them. I don't think calories need to meticulously tracked and restricted to lose weight, but getting a ballpark and a daily estimate can definitely help weight loss.

Be1dbd31e4a3fccd4394494aa5db256d

(17969)

on April 17, 2011
at 06:31 AM

Paleo eating might only cover a few of them like the main biochemical conditions that need to take place, but if you look at something like Mark Sisson's Primal Blueprint, it is an entire lifestyle complete with dietary guidelines and covers far more of it. They are having their annual "Primalcon" event and it looks intense, man I wish I could be there. Next year, maybe. Also that's awesome about Jimmy Moore. I gotta say that Chris Chresser will be hard to follow, he was awfully brilliant, although I have read much of him and only tidbits here and there of Dr. K, so far.

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on April 17, 2011
at 02:44 AM

Alex huge issue is stress.....any doc will tell you medical training setsnyou up to be ill. No sleep mixed with high stress.....still don't know how I made it through ten post grad years of extra training for neurosurgery. Psycho for sure

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on April 17, 2011
at 02:42 AM

Big thumbs down to this......calories don't matter

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on April 17, 2011
at 02:41 AM

Nice answer........plus one!

06d21b99c58283ce575e36c4ecd4a458

(9948)

on April 17, 2011
at 12:26 AM

Looking forward to Jimmy's podcast with you. The 26th is the day he will release the interview? To live a long life is a story for a blog. There are fifteen variables one has to consider about a healthy long life span. Paleo hit about four of them. The rest matter too. Paul Jaminet has asked me to write himsomething up for his blog and I need to get that done this week. Mar 23 Hope the first blog entry will cover the 15 variables for a long life.

74d0407ca99061cab2512ed83683b498

(788)

on April 16, 2011
at 11:58 PM

Seems like Alex is doing a pretty good job of trying to heal himself in spite of being under significant stress -- kudos to you, Alex. People's bodies and metabolisms are curious things. We may feel like we have all the answers, but losing weight is extremely challenging, and it's harder for some people than others for reasons no one really understands. I choose my health care providers based on their ability to have a respectful dialogue and on their familiarity with current scientific thought. How someone's body looks is not an indication of either factor.

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on April 16, 2011
at 11:37 PM

On may 26th Jimmy Moore is going to have me on his podcast. We talk about leptin quite a bit.....among my philosophy on how I approach medicine now. It's very apropos for what we are speaking of here.

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on April 16, 2011
at 11:34 PM

Dexter five years ago I would have answered like this med student just did.......I used to be that doc. Then my mind and body became congruent to my practice and I became a better doctor.....more satisfied and patients loved the change.......a doctor will never reach professional nirvana until they become congruent. I also don't seek advice from docs who are medical or surgical savants.....I want a doc to refer to who understands the mind and body all matter

06d21b99c58283ce575e36c4ecd4a458

(9948)

on April 16, 2011
at 11:29 PM

http://www.keto.org/summary.htm I do like this Keto article.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 11:19 PM

Dexter, that's exactly why I posted, because the results are not what I would have expected with the way things are. I'm not trying to waste anyone's time by lying about what I eat and I've tried to be as honest as possible. I have a fairly decent basis of how metabolism works (through my school studies). I was looking for some outside-of-the-box ideas, maybe Vitamin D supplementation or otherwise. I guess I will try eating whole30 for a month and see if that changes anything, and if not maybe try a purely ketogenic diet after my exams are through.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on April 16, 2011
at 11:09 PM

Switch to a truly ketogenic diet and live off of ketones for a month. You will lose weight and you will discover new found energy. I know I operate far more efficiently when I delibertly slip into ketosis...both in athletic performance and mind performance. Great discussion!

06d21b99c58283ce575e36c4ecd4a458

(9948)

on April 16, 2011
at 11:06 PM

Switch to a truly ketogenic diet and live off of ketones for a month. You will lose weight and you will discover new found energy. We have to stop here. Good discussion.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on April 16, 2011
at 11:05 PM

If you are almost never hungry, why do you eat? You are saying you have enough leptin circulating and that supresses your hunger hormone ghrelin. IF all this is true and you go into caloric deficit, eat only when you are hungry. You are still overweight even though you are almost never hungry. Something is not ringing true. Somewhere you are sabatoging your diet. And sugar free mayo probably has some sort of artificial sweetner that still triggers and insulin response. I hope once boards are over, you will discover what mechanism is sabatoging your weight.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on April 16, 2011
at 10:50 PM

From Marks Daily Apple has A Primal Primer: Leptin http://www.marksdailyapple.com/leptin/ "But why are so many people so overweight? Why don’t overweight people respond to all that circulating leptin and curb their food intake? And if they’re overfeeding, why isn’t the resultant leptin increase having an effect. They shouldn’t be hungry, but they are. There’s a disconnect, a disruption of the leptin pathway. Something is causing the leptin receptors in the hypothalamus to down regulate (leptin resistance), or something is blocking the leptin from reaching the receptors."

9f9fa49265e03ddd2bf2bba5477a556b

(3184)

on April 16, 2011
at 10:33 PM

I know you don't have time to read the papers now, but there is good evidence that decreasing n-6 rather than matching n-6 ratio with increased n-3 is less inflammatory. An excess of PUFAs is not a good thing ever. I'm guessing your two biggest blocks though are just stress and probably lack of sleep. Those will lock up any weight loss (and I don't need to explain the mechanisms there). I meant to add that you should also try setting up a stand up study area--sitting also slows your metabolism. Sisson has an article on this, as does Olivia Judson in the NYT last year. Helps me.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on April 16, 2011
at 10:19 PM

My point is you should not have to have heart surgery if the physician you went to was an advocate of paleo and lived the lifestyle and practiced preventive care. I follow http://heartwire.org and every now and then, they report on a renound cardiac physician researcher surgeon member who died of a coronary artery event. In all cases that I have seen in over a year, the deceased was under 65 years old. Physician heal thyself first and then do no harm.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 09:57 PM

Oh, well if you're specifically talking about physicians treating diet problems, then I agree with you; but if I was having heart surgery I wouldn't care whether my physician was lean or fat as long as he had a good track record.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on April 16, 2011
at 09:51 PM

And I think those brilliant diagnosticians/caretakers are dumb the way they take care of their brains and their bodys. I dare say those brilliant ones had about an hour of nutrition classes 30 years ago and have not kept up with the times. Dr K has said he gets asked all the time about "this Paleo thing" by other physicians that have tried everything else on their patients and then come looking for help.If you don't take care of your own body, how can you take care of others correctly. Those brilliants basically fix long term diet problems with pills and surgery with no thought to prevention.

E0b0d94cebef8ed2371d02ec2ecb5461

(94)

on April 16, 2011
at 09:40 PM

Decreasing omega 6 intake is more important than inflating omega 3 to correct your ratio. Eat more beef, less chicken.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 09:13 PM

As I replied to Dr. K above, I've always read that the cardinal sign of leptin-resistance is hunger. I almost never feel hungry.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 09:10 PM

The sausages are also nitrate-free, and from organic chicken. The buffalo wings need to go as well but its also rare and more of in a pinch.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 09:09 PM

Thanks for that response, Dexter. It's kind of hard to keep up with all the differing opinion, however. Generally, Whole Foods Rotisserie Chicken and Chipotle meals are often seen as acceptable in the paleo community. The Hot Dogs I buy are grass-fed beef, nitrate-free from Applegate Farms. The BBQ sauce was a one-off. The Egg Salad had organic sugar-free mayo. As I stated, the lara bars, dates, and figs are a rare treat. But yes, those are obviously not helping and should be cut out. The diet soda and energy drinks definitely need to go and I will be starting that as soon as exams finish.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 09:04 PM

Thanks for the link, Dexter. That's cheaper than I found. However, I'm not going to agree with you on "fat doctors". Health does not often correlate to intelligence and you'd be surprised by how many physicians still smoke and abuse alcohol but are brilliant diagnosticians/caretakers. Doctors are human too. Judging your physician on appearance or personal habits rather than achievement or credibility is poor judgement, in my opinion.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on April 16, 2011
at 09:00 PM

Your diet of lara bars, dates, figs, diet energy drinks, diet soda, buffalo wings always has sugar in/on them, sausages always have some form of "OSE" sugar, hot dogs have sugar, Chipotle chain cooks their meat in soy oil, BBQ sauces always have sugar, rotisserie chicken is pumped full of unpronounceable additives as well as sugar, egg salad always has neolithic mayo in it. All of these items are spiking your insulin. Being overweight has made you leptin resistant and your body will not release the stored fat until you totally give up the neolithic agents. In fact it will cause you to add fat.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 08:57 PM

I am a male, and I am 6 feet 4 inches tall. I know that I am not eating much at all (though it feels like a lot satiety-wise), and definitely much less than on SAD but for some reason I can lose weight eating much less with grains included than I can without grains, or so it seems?

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 08:55 PM

According to various calculators, my BMR is 2450.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 08:51 PM

Thank you, this is exactly the kind of response that I was looking for. I would definitely say that I feel like I have more mental clarity than before I started eating paleo, and going back to the carb-induced brain fog isn't really what I want to do at this point. I really don't know how I could possibly eat more than 2000 calories at this point as I already have almost no will to eat at meal time and mostly eat for energy/upkeep. This is my main concern for the absence of weight loss. As far as the chicken goes, it's more available and I try to keep my omega ratio 1.5:1 with fish oil.

Cab7e4ef73c5d7d7a77e1c3d7f5773a1

(7304)

on April 16, 2011
at 08:51 PM

Are you a male or female? I was thinking female with the calories, but if you're a male you're really not eating much at all.

Be1dbd31e4a3fccd4394494aa5db256d

(17969)

on April 16, 2011
at 08:41 PM

Sweet, ordered my copy. I think I get the general idea and some of the implications but it's always good to have a book full of goodies.

77877f762c40637911396daa19b53094

(78467)

on April 16, 2011
at 08:19 PM

I am constantly varying my posture: 30 minutes seated, 30 minutes standing, 30 kneeling, etc. I am always implementing postural permutations. As to the standing and varicose veins, Dudley, would one 'do right'(reference to rocky and bullwinkle show) to stand only for a certain period, ie. to limit total time per time spent standing and/or to move around(shake the legs as they say in the military)? Advice?

2f54dbe892ec89b12d1db686568e885a

(919)

on April 16, 2011
at 08:13 PM

what about varicose veins with all the standing

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on April 16, 2011
at 08:04 PM

Totally agree dex......if you're not treating yourself well you are of no use to others. Your facade will give you away

06d21b99c58283ce575e36c4ecd4a458

(9948)

on April 16, 2011
at 07:28 PM

If you are going to be a doctor advising patients on health issues and maybe nutrition and proper eating habits, then you need to present yourself as a healthy guy. I would never go to a doctor that is overweight by 50 pounds. Sends the wrong message.

Medium avatar

(5639)

on April 16, 2011
at 07:27 PM

Artificial sweeteners are ALWAYS a problem, whether you lost weight or not is irrelevant. Cut them out and see how you feel. You might feel crappy for a few days, or even a week, or until you cut back on coffee too, but I guarantee you will feel markedly better if you stop drinking that sludge.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on April 16, 2011
at 07:10 PM

You can get Mastering Leptin at http://www.abebooks.com/servlet/SearchResults?sts=t&tn=mastering+leptin&x=65&y=13 for 4 bucks used delivered.

Bb1ba0d71083ceaecd3a3b405a977454

(891)

on April 16, 2011
at 06:53 PM

You don't have to do it for the entire 12 hours. You can do it for part of the time and sit the rest. You can also do what Seth Roberts does and alternating standing on one leg then the other. I do this too. As for worrying about calories, I wouldn't (and don't); just simplify things (as it seems you have done) and eat when you are hungry and not when you aren't and just make sure the food choices are high quality (which it seems like you have done).

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 06:51 PM

I know artificial sweeteners aren't good for you (and I do plan to cut this out eventually), but I also do not think that this is the problem in my case. I did not give up diet soda or artificial sweeteners when I was eating a low calorie non-paleo diet and still lost a great deal of weight.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 06:49 PM

I actually have checked out one of those standing desks before and I'm not really sure that I'd be able to stand for 12 hours straight without it distracting from my studying. Though, I would be willing to try it.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 06:48 PM

I completely agree with this and this is how I was losing weight on a non-paleo diet. I took in less calories than I put out. It was that simple. This is much harder for me to do on paleo as the food options are quite limited (in my case) and I'm not really sure when I'm eating enough as I'm never really hungry in the first place. I guess I could combine counting calories with paleo and try to keep it at 1400/day as I have before with non-paleo, but I'm not sure if that's a good idea energy and health-wise.

Bb1ba0d71083ceaecd3a3b405a977454

(891)

on April 16, 2011
at 06:45 PM

This is just what I was thinking when reading the post. I made a stand-up workstation at my office because I find it uncomfortable to sit for long periods. It was easy to do. Check out the picks here: http://sturdyblog.blogspot.com/2011/04/stand-up.html When I am at home and marking exams, I try to stand at our island to mark.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 06:45 PM

I agree that its a process and my goal is optimal health over weight loss. But when weight loss is a promised and expected result of going paleo, it is frightening to be in the minority that does not lose weight. I have to wonder if I'm doing something wrong, have some metabolic dysfunction or if I'm just not suited to paleo for one reason or another.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 06:41 PM

Thanks for linking to that resource; definitely has a lot of good stuff to check out.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 06:37 PM

I guess I should have also added that I almost NEVER feel hungry and have been doing IF (16 hours between dinner and breakfast) as well. If leptin insensitivity was my problem, would that not manifest itself as hunger? I will pick up the book (I definitely trust your recommendation) and read it as it's fairly cheap and couldn't hurt just for the information itself (I'm fairly interested in nutrition), but I'm wondering why you think that I "need" it?

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on April 16, 2011
at 06:04 PM

Buy mastering leptin ......you need it

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11 Answers

5
9f9fa49265e03ddd2bf2bba5477a556b

(3184)

on April 16, 2011
at 08:03 PM

You have boards coming up, which means pretty much screw everything else. Now I've managed to not only switch over to "paleo" during my first year, but stick with it. But I don't need to tell you that sometimes, notably around exam time, it goes out the window. We gotta suck down ridiculous amounts of caffeine to make up for our already ridiculously down regulated adenosine receptors. At some point we have to give up getting enough sleep and at some point we have to deal with the cortisol and all the other crappy stress that comes with medical school. You're pretty much at the finish line.

That all said, you've got what, 6 weeks before boards? You should be done with classes now. So all you have to do each day is get in the requisite 12 hours of studying. So that leaves 8 hours to sleep and 4 hours to do the other things, like cooking and working out. Thus, you ought to be able to cook more, and you ought to be able to get in an hour of exercise. The thing that strikes me about your diet is that it seems kind of starvation like for a guy your size (2000 calories at 250 lbs? That is probably like 40% of BMR or something). And it is really heavy on the chicken (e.g. omega 6 rich). More good fats, less chicken.

You can just say to hell with it until after boards, or you can stop making excuses and just get disciplined with it now. There's a few crossfitting, paleo eating folks in my class. We find the time. It can be done. There are paleo eating residents. There are 3rd and 4th year rotation students who keep disciplined with the diet and exercise. It can be done.

That all said, boards are the most important thing right now. Period. End of story. Whatever it takes for you to rock the boards is the first priority. You know this. I found my studying got better with better diet and more exercise, but you know what works best for you now (I hope). Own the boards and then get everything else in order...you should get a little time there before rotations start.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 08:55 PM

According to various calculators, my BMR is 2450.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 08:51 PM

Thank you, this is exactly the kind of response that I was looking for. I would definitely say that I feel like I have more mental clarity than before I started eating paleo, and going back to the carb-induced brain fog isn't really what I want to do at this point. I really don't know how I could possibly eat more than 2000 calories at this point as I already have almost no will to eat at meal time and mostly eat for energy/upkeep. This is my main concern for the absence of weight loss. As far as the chicken goes, it's more available and I try to keep my omega ratio 1.5:1 with fish oil.

E0b0d94cebef8ed2371d02ec2ecb5461

(94)

on April 16, 2011
at 09:40 PM

Decreasing omega 6 intake is more important than inflating omega 3 to correct your ratio. Eat more beef, less chicken.

9f9fa49265e03ddd2bf2bba5477a556b

(3184)

on April 16, 2011
at 10:33 PM

I know you don't have time to read the papers now, but there is good evidence that decreasing n-6 rather than matching n-6 ratio with increased n-3 is less inflammatory. An excess of PUFAs is not a good thing ever. I'm guessing your two biggest blocks though are just stress and probably lack of sleep. Those will lock up any weight loss (and I don't need to explain the mechanisms there). I meant to add that you should also try setting up a stand up study area--sitting also slows your metabolism. Sisson has an article on this, as does Olivia Judson in the NYT last year. Helps me.

4
77877f762c40637911396daa19b53094

(78467)

on April 16, 2011
at 06:10 PM

You should stand while you study to increase metabolic rate. Or sit on a recumbant cycle/stand in an elliptical-style machine or walk on a treadmill. Tape lectures(voice recorded) and listen while working out, etc. Your problem lies with energy balance and more must come out than in: watch your production not consumption, therein lies the problem.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 06:49 PM

I actually have checked out one of those standing desks before and I'm not really sure that I'd be able to stand for 12 hours straight without it distracting from my studying. Though, I would be willing to try it.

Bb1ba0d71083ceaecd3a3b405a977454

(891)

on April 16, 2011
at 06:53 PM

You don't have to do it for the entire 12 hours. You can do it for part of the time and sit the rest. You can also do what Seth Roberts does and alternating standing on one leg then the other. I do this too. As for worrying about calories, I wouldn't (and don't); just simplify things (as it seems you have done) and eat when you are hungry and not when you aren't and just make sure the food choices are high quality (which it seems like you have done).

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 06:48 PM

I completely agree with this and this is how I was losing weight on a non-paleo diet. I took in less calories than I put out. It was that simple. This is much harder for me to do on paleo as the food options are quite limited (in my case) and I'm not really sure when I'm eating enough as I'm never really hungry in the first place. I guess I could combine counting calories with paleo and try to keep it at 1400/day as I have before with non-paleo, but I'm not sure if that's a good idea energy and health-wise.

Bb1ba0d71083ceaecd3a3b405a977454

(891)

on April 16, 2011
at 06:45 PM

This is just what I was thinking when reading the post. I made a stand-up workstation at my office because I find it uncomfortable to sit for long periods. It was easy to do. Check out the picks here: http://sturdyblog.blogspot.com/2011/04/stand-up.html When I am at home and marking exams, I try to stand at our island to mark.

77877f762c40637911396daa19b53094

(78467)

on April 16, 2011
at 08:19 PM

I am constantly varying my posture: 30 minutes seated, 30 minutes standing, 30 kneeling, etc. I am always implementing postural permutations. As to the standing and varicose veins, Dudley, would one 'do right'(reference to rocky and bullwinkle show) to stand only for a certain period, ie. to limit total time per time spent standing and/or to move around(shake the legs as they say in the military)? Advice?

2f54dbe892ec89b12d1db686568e885a

(919)

on April 16, 2011
at 08:13 PM

what about varicose veins with all the standing

3
Af95a641572aad3fa408cb9226c3ccdb

(30)

on April 18, 2011
at 11:42 AM

We're like twins. I've been in your shoes more or less for the last 7 years of my life. I came from a nutritionally defunked home and never knew how to eat until I went to college. By the end of my freshman year and endless buffets, I was 6'1 and 310#. It's been the struggle of my life, and through different diets I have managed to fall below 200#, although it has peaked above that after stressful blocks of med school.

I'm only a first year, but I have always lived a stressful life through family or career. It's hard to make the choices of when to eat the right foods. I'm married to a woman who doesn't cook and also is a carb-o-holic. When I cook, I have to look at cooking 2 meals. It's a little stressful at dinner time.

Like you, I've been through so many diets I'm to go to guy for critiquing them for friends who try them. I guess that'll serve me well in the office when patients tell me what they're doing. But it's not something I like in my closet. I've finally found refuge in the paleo diet, and like it's mentioned above, it's a lifestyle now. Here's how I make it work with my life.

I live in a neighborhood away from the busy main street. Whether I'm studying at 10AM or 2AM, Every 45 minutes I go for a run to the stop sign and back. that's 3/4 of a mile. At first I was so winded getting back it took 10 minutes to focus again, but now, it's great. I can think about what I read, think about why I hate that class, or think about what I'm reading next. When I don't feel like running, I walk it, and it takes a little longer, but I feel just as good. And I say every 45 min, but through the day I still only get out 4-5 times max. I just have to have a goal or I'd only go once. Goals are key to getting through this (duh, you're in med school).

I'm fortunate enough to have saved enough money to build a mini-gym in my garage collected from craigslist sales. A bench, a bar, 250lbs, and 35lbs of dumbbells. I have a tiny lifting schedule that I crank out in 20min max 3x a week. Sometimes I miss it. This should only cost you $150 or less and a small footprint in a garage or bedroom. It's worth it when you've got a cramped life. 3rd and 4th year will be busy too.

Food - YOU MUST PREPARE FOOD AHEAD or you will fail. I take the longest break that I MUST CREATE on some day to dice the hell out of anything I might eat raw or need for cooking later. While my wife wont cook, she will shop for me. That saves an hour or so each week.

Cooking, I love to cook so it helps. But there are some paleo tricks. Have a love affair with your crockpot. If you're in med school and not using it, you're missing out. You can cook great meals in a crock pot that last 2-3 days. My next advice is crazy - google sous vide, watch a video, and then buy one. It's wicked steep, but I live like a king off that machine. It's like a $600 upfront investment to buy or ~$250 to build , I stop by the grocery store I pass 1-2 a week and clear out all of their discounted meat for the day and then drop it all in my sous vide for a day and I have prime rib, pork chops, insane chicken, and soft vegetables. Hell, I can toss in apples and pears on sale and have dessert. It's hard to explain here, but google it, read up on it, buy it, love it. Best money I ever blew my financial aid check on because I always have the protein I need 7 days a week. It's stupid simple. If you don't have the cash, make a sous vide for $150 + vacuum sealer. Google those plans, they work.

Boards blow, and maybe the only thing I have on you is I started studying for them the second week of school so I could not spend 12-14 hours a day the month before them to take them. Who knows, I might be in the same boat in a year, but I hope not.

Here's a little med school wisdom I found early, and it's too late for you to enjoy, but it seems like there are other med school ppl here. There is most definitely a declining rate of return on studying. I'm about as type A as they come, and I would study study study study and get lets say a 87 on a test, when I realized what was getting neglected, I gave up 10 hours in the week and I might have gotten a 85, sometimes I could have gotten a 90, depends. The point is, I learned how to let go to find balance, and it paid off in my health and my grades. I'm not suggesting you gamble with the boards, these are the key to your (our) future, but I must recommend finding balance now and in the future. It really will pay off.

So, the moral of this rant - I'm not a role model, I still have flab in the middle. I have managed to find a way to make it work, but I have days that don't work because I havent been home in 36 hours and the vending machine is everything but paleo. I know that balance is a metaphor better related to chasing a speeding car down the highway on foot when you're in med school, but you can do it. And if I can help you anymore, hit me up.

Time for lab.

84666a86108dee8d11cbbc85b6382083

(2399)

on April 18, 2011
at 12:48 PM

Which (type/manufacturer)Sous Vide are you using, MGC ?

Af95a641572aad3fa408cb9226c3ccdb

(30)

on April 18, 2011
at 01:12 PM

I started off with the Sous Vide Supreme, loved it, works great. It's $399. I built one for $100ish dollars, and it's a bit larger using a nesco roaster. It looks a little "hood" but it works and it fits my nickle and dime budget. $400 is worth it though if you don't like DIY projects. I didn't clarify that by picking up last-call meat you save a wicked bunch of money as well. Usually $1-4/per pound depending on the cut. I can spend $40-50 a week on meat, and an equal amount in cooking goods and feed 2ppl some pretty awesome meals. Cooking the baked chicken breast got old real fast.

91219405abedbfd400ce00dea242a00f

(1044)

on April 22, 2011
at 01:46 AM

That Sous Vide sounds awesome and definitely something I'll look into as soon as boards are over. Thanks, that was a great post. In terms of school, I actually am a chronic procrastinator (study week before test) by nature and need to shove in all the information in long sessions to learn anything. When it comes to boards studying, it's nothing like medical school exams (or at least mine). All of the topics learned over two years are smashed together, and you pretty much have to know everything to know anything if that makes sense. Glad to see there's so many future/current paleo doctors.

3
C33e8c236e72d67c4b6c028401d23cce

(1884)

on April 17, 2011
at 12:21 AM

If you'll indulge me in a bit of respectful speculation, have you tried being too busy to eat?

I'm not a doctor, I'm a writer. And when deadlines are crashing down on me I don't have time to spend in the kitchen. Where Paleo has helped me immensely is that I can be hungry for hours with little-to-no discomfort or loss in performance. That combined with being busy means I can spend seven hours at a time typing away before getting up to eat something. At that point weight loss becomes a bit of a happy accident.

Now you need to be at your absolute mental peak pretty much all the time, so maybe you can't afford to be hungry at all, but it seems to me (as a bystander in the peanut gallery... or the almond gallery, if you will) that if your body does allow you to go without for a while, then saving your time to make one healthy meal a day might be better than three unhealthy ones.

Again, maybe this won't work for you now, or ever. Maybe you're just not wired that way, but I would not advise completely abandoning something that's worked for you just because you're busy. After all, residents don't exactly have a lot of free time either. What kind of diet will be sustainable for you then that isn't now?

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on April 17, 2011
at 02:44 AM

Alex huge issue is stress.....any doc will tell you medical training setsnyou up to be ill. No sleep mixed with high stress.....still don't know how I made it through ten post grad years of extra training for neurosurgery. Psycho for sure

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on April 18, 2011
at 02:35 PM

Very few get out of a surgical residency in my day without it costing a pound of our flesh. Things have changed recently with new resident rules

C33e8c236e72d67c4b6c028401d23cce

(1884)

on April 17, 2011
at 02:41 PM

The stress issue is a very good point. All that cortisol must wreak havoc on your entire endocrine system. Perhaps looking at paleo-oriented soldiers deployed overseas and how they deal with the situation would be a better guide than me sitting in my living room. After all, nobody dies if I misplace a colon. :)

A727956fa3f943057c4edb08ad9e864e

(4183)

on April 17, 2011
at 12:10 PM

Upvoted for 'almond gallery'. LOL! Although maybe macadamia gallery would be lower in n6. :)

3
5680f5060a62bb3790478473a5643afe

(290)

on April 16, 2011
at 06:04 PM

The Paleo diet is not a race it is a lifestyle. Weight loss like the process of going through medical school takes time. There is no real need to hurry for results because ultimately its about how you feel and thrive with overall great health. A lot of people who go on diets strive to look the part of a thin, stereotypically and socially acceptable image of a person BUT as there have been discussions about this, people can be rail thin but still have a higher fat percentage than a average-sized individual. Of all things, I feel that prepping for medical school would worry me more than seeing a number move on a scale. There are many wonderful websites and resources available for you to check out and take from their own experiences and incorporate it into your lifestyle. Go with how you're feeling and keep up the great work!

www.everydaypaleo.com http://thedomesticman.com/ http://nomnompaleo.com/ http://www.paleoplan.com/recipes/

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 09:10 PM

The sausages are also nitrate-free, and from organic chicken. The buffalo wings need to go as well but its also rare and more of in a pinch.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 06:45 PM

I agree that its a process and my goal is optimal health over weight loss. But when weight loss is a promised and expected result of going paleo, it is frightening to be in the minority that does not lose weight. I have to wonder if I'm doing something wrong, have some metabolic dysfunction or if I'm just not suited to paleo for one reason or another.

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on April 17, 2011
at 02:41 AM

Nice answer........plus one!

06d21b99c58283ce575e36c4ecd4a458

(9948)

on April 16, 2011
at 09:00 PM

Your diet of lara bars, dates, figs, diet energy drinks, diet soda, buffalo wings always has sugar in/on them, sausages always have some form of "OSE" sugar, hot dogs have sugar, Chipotle chain cooks their meat in soy oil, BBQ sauces always have sugar, rotisserie chicken is pumped full of unpronounceable additives as well as sugar, egg salad always has neolithic mayo in it. All of these items are spiking your insulin. Being overweight has made you leptin resistant and your body will not release the stored fat until you totally give up the neolithic agents. In fact it will cause you to add fat.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 11:19 PM

Dexter, that's exactly why I posted, because the results are not what I would have expected with the way things are. I'm not trying to waste anyone's time by lying about what I eat and I've tried to be as honest as possible. I have a fairly decent basis of how metabolism works (through my school studies). I was looking for some outside-of-the-box ideas, maybe Vitamin D supplementation or otherwise. I guess I will try eating whole30 for a month and see if that changes anything, and if not maybe try a purely ketogenic diet after my exams are through.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 09:09 PM

Thanks for that response, Dexter. It's kind of hard to keep up with all the differing opinion, however. Generally, Whole Foods Rotisserie Chicken and Chipotle meals are often seen as acceptable in the paleo community. The Hot Dogs I buy are grass-fed beef, nitrate-free from Applegate Farms. The BBQ sauce was a one-off. The Egg Salad had organic sugar-free mayo. As I stated, the lara bars, dates, and figs are a rare treat. But yes, those are obviously not helping and should be cut out. The diet soda and energy drinks definitely need to go and I will be starting that as soon as exams finish.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 09:13 PM

As I replied to Dr. K above, I've always read that the cardinal sign of leptin-resistance is hunger. I almost never feel hungry.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on April 16, 2011
at 11:06 PM

Switch to a truly ketogenic diet and live off of ketones for a month. You will lose weight and you will discover new found energy. We have to stop here. Good discussion.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on April 16, 2011
at 11:05 PM

If you are almost never hungry, why do you eat? You are saying you have enough leptin circulating and that supresses your hunger hormone ghrelin. IF all this is true and you go into caloric deficit, eat only when you are hungry. You are still overweight even though you are almost never hungry. Something is not ringing true. Somewhere you are sabatoging your diet. And sugar free mayo probably has some sort of artificial sweetner that still triggers and insulin response. I hope once boards are over, you will discover what mechanism is sabatoging your weight.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on April 16, 2011
at 10:50 PM

From Marks Daily Apple has A Primal Primer: Leptin http://www.marksdailyapple.com/leptin/ "But why are so many people so overweight? Why don’t overweight people respond to all that circulating leptin and curb their food intake? And if they’re overfeeding, why isn’t the resultant leptin increase having an effect. They shouldn’t be hungry, but they are. There’s a disconnect, a disruption of the leptin pathway. Something is causing the leptin receptors in the hypothalamus to down regulate (leptin resistance), or something is blocking the leptin from reaching the receptors."

06d21b99c58283ce575e36c4ecd4a458

(9948)

on April 16, 2011
at 11:29 PM

http://www.keto.org/summary.htm I do like this Keto article.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on April 16, 2011
at 11:09 PM

Switch to a truly ketogenic diet and live off of ketones for a month. You will lose weight and you will discover new found energy. I know I operate far more efficiently when I delibertly slip into ketosis...both in athletic performance and mind performance. Great discussion!

2
637042e24e38a81dfc089ef55bed9d46

(826)

on April 16, 2011
at 06:40 PM

My husband was a heavy drinker of diet sodas for many years. We discovered that even artificial sweeteners were causing an insulin dump and subsequent inability to lose weight even while eating paleo. Once he stopped consuming artificial sweeteners he started dropping weight again.

Medium avatar

(5639)

on April 16, 2011
at 07:27 PM

Artificial sweeteners are ALWAYS a problem, whether you lost weight or not is irrelevant. Cut them out and see how you feel. You might feel crappy for a few days, or even a week, or until you cut back on coffee too, but I guarantee you will feel markedly better if you stop drinking that sludge.

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 06:51 PM

I know artificial sweeteners aren't good for you (and I do plan to cut this out eventually), but I also do not think that this is the problem in my case. I did not give up diet soda or artificial sweeteners when I was eating a low calorie non-paleo diet and still lost a great deal of weight.

2
Medium avatar

on April 16, 2011
at 05:55 PM

There's lots of doctors that do it. There's lots of poor students that do it. There's lots of moms that have no time on their hands that somehow manage to keep their whole families doing it. You can do it too. It all just comes down to better choices and self-control.

Check this out: http://paleohacks.com/questions/28585/meta-what-are-some-good-threads-for-people-who-are-new-to-the-site#axzz1Ji5GEUzj

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 06:41 PM

Thanks for linking to that resource; definitely has a lot of good stuff to check out.

1
Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on April 18, 2011
at 02:36 PM

I have that too.....use it four times a week

1
E35e3d76547b18096a59c90029e7e107

(15613)

on April 17, 2011
at 10:10 AM

Why would one expect a non-paleo diet to be preferable, either for your studies or weight loss? It's difficult to think of reasons why grains, vegetable oils, immoderate fructose, lactose or casein would be necessary for either of these goals. Eating a diet of meat, veg, fat and starch if you like, oughtn't to be too trying.

I think it's important to wonder why weight loss might stall on paleo diet. I don't think we can blame the paleoicity itself, for the above reason (it's difficult to see why the exclusion of non-paleo elements would cause you to stall). It's worth noting (and is evident from lots of questions even on here) that people reach a 'plateau' on almost every diet. I don't think that the fact that your weight loss has stalled is indicative of the relative inferiority of the paleo diet, even though you "steadily lost weight following a non-paleo diet...and the weight loss only stopped when [you] switched to paleo."

So one wonders why you did suddenly stop losing weight. Aside from the fact that you may have plateaued naturally, or that you've stopped losing due to the extra stress, or that you switched from your apparently functional diet to paleo because of some other problem which is the real issue here, what might be the problem with your new diet? I note that you talk about your prior diet as "low calorie." There are a couple of other questions on here that follow the trend of people being on a calorie restricted or indirectly low calorie vegetarian diet, switching to paleo and deciding to drink glasses of heavy cream and eat the fattiest steaks they can find, like everybody else and finding that they stop losing weight. Certainly a diet that is just plain lower in calories might lead to more weight loss than a more calorific paleo diet (though paleo has other benefits). It might be that since going paleo you have added more calories and it may be that something about your new diet is leading to you consuming more calories. The sausages and meatballs, being processed, might well contain quite a lot of fat, relative to protein, and so be unsatiating, if you're relying on them for your protein requirements (I assume they don't contain any other unsavoury elements). It may be that if you're trying to eat some fatty paleo meat at every meal, then you're just eating more than you would eat for satiety, were you eating salads and muesli, or whatever it was you ate. If you just want to nibble on things while working (as I find very pleasant) then just eating some low calorie plant could plausibly be better than a more quintessentially paleo snack of hard boiled eggs.

As to the practicalities of eating paleo, while you can't cook, I'm not sure why cooking meat need be more time-consuming than cooking sausages and bacon or chicken breast breaded in almond meal and spice mix before frying and then baking. Just frying (or even microwaving) some ground beef, or sticking a huge joint of meat in the oven (3kg of beef = ~5 days meals sorted), sounds even less time consuming. I suppose if you were just eating raw oats and soy milk (as I did during a period of my student days), then that would be even easier than cooking paleo, but otherwise, there's no particular reason why you ought to switch to a non-paleo diet, until you can "fully dedicate to the regime."

Also a couple of quick suggestions: Maybe you could swap the sweetened caffeine beverages for just more tea/coffee/caffeine pills? Also what about intermittent fasting? Eating most of your calories in one big meal, or during a short couple of hour period seems very time efficient.

0
06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 09, 2011
at 11:15 PM

When you go to a hospital, do you feel you are in good hands and will you survive your hospital experience? Alex, see this question. Hoping you can add to the discussion. http://paleohacks.com/questions/37626/when-you-are-admitted-to-a-hospital-through-the-er-what-standard-of-care-do-you#axzz1LtOQXRIn

0
Cab7e4ef73c5d7d7a77e1c3d7f5773a1

(7304)

on April 16, 2011
at 07:35 PM

Unfortunately, weight loss often comes down to calories. They do count. Not as much as mainstream media would have us believe maybe, but they still matter. Since you're not moving much, 2000 calories may be too much. When I had knee surgery I was completely sedentary and ate about 1400 calories a day, but now that I am active again I'm eating 2500+ calories a day. I would try moving more and decreasing calories slightly. Cutting out snacks or eating only 2 meals a day would probably be a good way to do this.

Have you tried walking while studying? It sounds weird, but I've found it to be very effective. I use flashcards and walk around my house. It is my preferred way of studying now and I feel that I learn significantly quicker than before. It has evolutionary backing too because when you move to new places you need to create new neural connections. Increased blood flow can't hurt either. I got the idea from Seth Roberts, and he has a few posts on it on his blog. (I can't link, sorry, I'm on my phone).

I'd also suggest investing in a pedometer. It really provides motivation for walking by giving you a hard number as to the amount you've walked that day.

47a42b6be94caf700fce9509e38bb6a4

(9647)

on April 17, 2011
at 10:53 PM

I voted you back up Mari even though I'm pretty much one of the fanatical endorsers of the Taubes line around here; you know, that of course you're going to be eating less and burning more if you're losing weight (by definition more or less), but that doesn't mean that you can always manipulate it that way. But for some people it really does come down to that. Like Sherpamelissa's threads, for example: http://paleohacks.com/questions/24087/can-you-listen-to-your-body-or-is-your-satiety-meter-broken http://paleohacks.com/questions/15420/do-you-believe-in-calories-in-calories-out-for-weight-loss

47a42b6be94caf700fce9509e38bb6a4

(9647)

on April 17, 2011
at 10:57 PM

But I think that in this case Alex probably isn't overeating: he says he's eating only about 2000 calories a day, and that's not really all that much for someone his size. (See RG73's answer and comments after.) So he might need to eat *more* .....

47a42b6be94caf700fce9509e38bb6a4

(9647)

on April 17, 2011
at 10:56 PM

But I think that in case Alex probably *isn't* overeating: he says he's eating only about 2000 calories a day, and that's not really all that much for someone his size. (See RG73's answer and comments after.) So he might even need to eat more ...

91219405abedbfd400ce00dea242a00f

(1044)

on April 16, 2011
at 08:57 PM

I am a male, and I am 6 feet 4 inches tall. I know that I am not eating much at all (though it feels like a lot satiety-wise), and definitely much less than on SAD but for some reason I can lose weight eating much less with grains included than I can without grains, or so it seems?

Cab7e4ef73c5d7d7a77e1c3d7f5773a1

(7304)

on April 18, 2011
at 12:15 AM

Sure, he'll have to tinker and see what works. I think we agree, even if we're not suggesting the same things.

Cab7e4ef73c5d7d7a77e1c3d7f5773a1

(7304)

on April 17, 2011
at 11:41 AM

At some point they obviously do. Are they the most important thing? No, they're probably not. But when people have trouble losing weight on paleo, oftentimes they're eating the right foods, just too much of them. I don't think calories need to meticulously tracked and restricted to lose weight, but getting a ballpark and a daily estimate can definitely help weight loss.

Cab7e4ef73c5d7d7a77e1c3d7f5773a1

(7304)

on April 16, 2011
at 08:51 PM

Are you a male or female? I was thinking female with the calories, but if you're a male you're really not eating much at all.

Af95a641572aad3fa408cb9226c3ccdb

(30)

on April 18, 2011
at 09:39 PM

Another part of my success at some point was to use the Leangains/Eat.Stop.Eat. process while doing paleo to bust through some of my toughest plateaus. It works, although I'd say that I was a tad more tired in that program than normal. But it's a great way to change things up.

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on April 17, 2011
at 02:42 AM

Big thumbs down to this......calories don't matter

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