2

votes

Struggling with ifasting. :( Suggestions?

Answered on August 19, 2014
Created July 22, 2010 at 3:46 PM

Quick history: 45 y/o female - been low carb 3 1/2 years and Lacto Paleo 2 1/2 years. I'm dedicated and have never cheated.

I was morbidly obese prior to going low carb and have lost 150lbs since. I still need to lose 20 lbs!

Problem: I used to be able to eat what I wanted (that was Paleo) and lose weight but my weight loss stalled. I am currently trying Intermittant Fasting and failing miserably. I need some tips!

I started with 13-15 hour fasts daily and was comfortable with that but it didn't help weight loss at all. Someone then suggested that I needed to fast longer, so I upped it to 19 + hours; restricting my eating to within 5 hours. Now I'm bloody miserable. I get so hungry around noon that I can't work or concentrate on anything. I have NEVER been hungry on Paleo before.

The worst part is that when I do break my fast I gorge myself. Having been a typical fat SAD slug I am a champion eater. I seem to have lost my ability to eat intuitively (when I'm hungry and stop when I'm satiated). I eat way way more food than i need or want during my 5 hour window and it's the same mindless fat-chick face-stuffing that I used to do back in the unhealthy days. Again, I have NEVER before had this inclination on Paleo.

Help! I never gain weight on Paleo (eating like I want) but I DO need to lose this 20 freakin' lbs! I feel like IF is the answer but I can't seem to get it tweaked.

Thank you for any suggestions!

(PS: I currently cannot exercise. I have damaged menisci in both knees and bad arthritis. I've strained my left knee and am currently hobbling about like House. I cannot do crossfit or burpees or even walk far. :( )

83d6a06c93bb3490dbca339cbbb63385

(526)

on October 17, 2010
at 08:14 AM

To make this work you will need to eat conscientiously. Slow down when you eat. Hunger can drive one to stuff his face, but you are a conscious, rational being so you can overcome the innate drive. Just relax, fix yourself what would otherwise look like a perfectly adequate plate of food, and just take your time to eat it slowly while NOT watching TV or on the Internet. Then wait about 10-15 minutes before you go eat more if you really need to. Drink a large glass of water after you finish. Just take it easy.

1a8020e101199de55c1b3b726f342321

(1973)

on July 26, 2010
at 03:29 AM

Drew, I like to read papers on pubmed on topics of interest. Here are two that Martin linked on the subject. http://www.ncbi.nlm.nih.gov/pubmed/8843749 http://www.ncbi.nlm.nih.gov/pubmed/15733074

Af842c68e3d07fa0e35b4274f3acaeec

on July 24, 2010
at 10:40 PM

Chris - where are you getting your info from? This is what I've heard from listening to Robb Wolf's podcasts, and I would be interested in hearing other sources of info.

4b97e3bb2ee4a9588783f5d56d687da1

(22913)

on July 24, 2010
at 08:17 PM

Ambi is as well, IF increases weight loss all else being equal Only reason not to IF while pursuing weight loss is stress

8e75344356f4a455185ee52da0b90bf2

on July 23, 2010
at 07:46 PM

I'm suspecting perimenopause is not helping as well! I just recently gave in and saw a doctor about my left knee and told him all the problems I've been having (insomnia, no weight loss, etc) and he's having me tested for everything including hypothyroid. Perhaps that will answer some of my questions!

62ed65f3596aa2f62fa1d58a0c09f8c3

(20807)

on July 23, 2010
at 03:01 AM

Just be glad you did find it. Most will not. You accomplished something that most others in the same position will not. I agree with the others who suggested to lay off the fasting for now, rebalance your eating, and then take stock of the situation. ONe thing that has been working for me is getting in the habit of eating just a tad less at meals. Take just a bit less food to work, pick out slightly smaller steaks, etc. That may be a better tactic. SNeak off the calories a few at a time. Meanwhile, main focus probably should be other health aspects that sound more impt than the 20#s.

4b97e3bb2ee4a9588783f5d56d687da1

(22913)

on July 23, 2010
at 01:24 AM

It's hard if you're not fat adapted, you can't jump from protein/carb over to IF without transition Start out delaying breakfast, then skip it, then delay lunch then you're there

4b97e3bb2ee4a9588783f5d56d687da1

(22913)

on July 23, 2010
at 01:22 AM

I do the same as you, he's right add fat and dynamic changes

E91c7030cac0156b339c878afb5a9517

(225)

on July 22, 2010
at 07:45 PM

Yes there are many benefits to IF. I was referring to just the weight loss aspect.

E91c7030cac0156b339c878afb5a9517

(225)

on July 22, 2010
at 07:45 PM

Yes there are many benefits to IF. I was referring to just the weight loss aspect.

100fd85230060e754fc13394eee6d6f1

(18706)

on July 22, 2010
at 07:00 PM

The thing about liver glycogen running out is not relevant if you already eat very low carb.

100fd85230060e754fc13394eee6d6f1

(18706)

on July 22, 2010
at 06:55 PM

There *is* something magic about IF, actually. Studies have shown benefits even when total calories are unchanged.

100fd85230060e754fc13394eee6d6f1

(18706)

on July 22, 2010
at 06:53 PM

How long have you been stalled?

Ae011d9f1c8654ea66854ca2a977c397

(1165)

on July 22, 2010
at 06:07 PM

I tried Martin's approach for the past three days. Every day I got light headed, felt sick, and even after I ate was highly on edge for the rest of the day (jump when a car honked its horn). Im beginning to think IF isnt for everyone.

1a8020e101199de55c1b3b726f342321

(1973)

on July 22, 2010
at 05:53 PM

Even if glycogen is depleted at 16 hours (which it isn't), gluconeogensis will not inhibit your fat loss. Martin's cited some research to suggest ~30 hours is the dropoff point because you start burning intramuscular fat at a high rate at that point.

1a8020e101199de55c1b3b726f342321

(1973)

on July 22, 2010
at 05:51 PM

Blue, what you just described here sounds somewhat similar to rabbit starvation, try adding some fats?

1a8020e101199de55c1b3b726f342321

(1973)

on July 22, 2010
at 05:50 PM

Blue, I personally find it very difficult to IF without eating a lot of saturated fat. Organic valley butter, sour cream, goats cheese, etc are all staples in my diet.

8e75344356f4a455185ee52da0b90bf2

on July 22, 2010
at 05:42 PM

Chris, I eat mostly meat with some crucifeous veg. I don't eat nuts or seeds or fruit or nightshades at all and am currently not eating dairy, either. Sal, unfortunately I've tried to swim. Just paddling about in the local lake w/ my kids, my knees will be like cantelopes in the morning.

8e75344356f4a455185ee52da0b90bf2

on July 22, 2010
at 05:39 PM

Beleive it or not, I'm eating 1800-2000 calories in 5 hours, easy. I should be a professional eater. *grimace* I will never lose any weight unless I can drop it back down to 1500-1600

8e75344356f4a455185ee52da0b90bf2

on July 22, 2010
at 05:37 PM

Drew (above) said the same thing. Perhaps that's my problem. Tried too long a fast, too quickly.

8e75344356f4a455185ee52da0b90bf2

on July 22, 2010
at 05:36 PM

i actually am not eating any dairy right now. Just meat and eggs and non-nightshade veg. And I'll confess that my sleep sucks and my stress levels are sky high.

8e75344356f4a455185ee52da0b90bf2

on July 22, 2010
at 05:34 PM

I also think that my whole body is wonkey from the years on SAD. I wish i could have learned about Paleo when I was 23 insteadof 43. :( I know for sure that my weak and painful knees are a direct result of my obesity.

8e75344356f4a455185ee52da0b90bf2

on July 22, 2010
at 05:30 PM

The food I eat is totally Paleo. as a matter of fact, I seem to crave meat after these longer fasts so the last few day's meals have been chichen and beef, turkey and pork, today it was pork roast and chicken. I think what bugs me is that I'll suddenly realise that I've eaten not till I'm satiated, not till I'm full, but till I'm almost sick - it's like there's a switch in my brain that fails to turn on. It brings back VERY bad memories of my SAD fat chick days when I could eat a whole large pizza plus breadsticks plus a huge soda ... without even realising I was doing it. :(

2b8c327d1296a96ad64cdadc7dffa72d

on July 22, 2010
at 05:24 PM

Blue - based on what you've said, try swimming as has been suggested, do seated weight lifting (or exercise bands) for strength. then dump the dairy for 30 days. Go strict paleo for those same 30 days with the modification of eating DIFFERENT PREPARATIONS of the food you're eating. Plateaus are good. Your body needs to adjust so you have less likelihood of reversion to poorer habits. 20 pounds after losing 150 is NOTHING! I suggest you stop concentrating on it and get more/better sleep, strict paleo for at least 30 days, check your hydration levels and look into your hormone levels.

B4aa2df25a6bf17d22556667ff896170

(851)

on July 22, 2010
at 05:05 PM

can u swim? excellent form of exercise with very little impact

1a8020e101199de55c1b3b726f342321

(1973)

on July 22, 2010
at 04:37 PM

Can you give us an idea of some of the meals you are eating prior to entering the fast?

Af842c68e3d07fa0e35b4274f3acaeec

on July 22, 2010
at 04:30 PM

Also, you shouldn't even be thinking about IF until you have your stress levels controlled, good sleep, and other stressors in order, otherwise, it can be detrimental to weight loss.

0dc1d63c3d5975f5115f535c6a90c9dd

(2283)

on July 22, 2010
at 04:01 PM

check out 180degreehealth.com this website helped me when I was having problems with paleo and stalling. i also IF

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13 Answers

3
6eb2812b40855ba64508cbf2dc48f1b6

(2119)

on July 24, 2010
at 05:24 PM

Congrats on your huge weight loss!

Your story is very familiar to me based on what I've seen on low-carb forums. Low-carber loses a huge quantity of weight, but can't get last bit off (depending on the size of the person and where they started, this can be from 15-40 lbs.). They buckle down harder - drop dairy and nuts and eventually start to restrict calories too. Their weight moves sideways. They add more exercise...nothing works. Eventually they cut artificial sweeteners, and they are less hungry...but their weight still won't budge. A few try Eat-Stop-Eat or Alternate Day Dieting too.

Seriously - go look at lowcarbfriends.com or forum.lowcarber.org and read the "challenge" threads on zero carb or Atkins '72. You'll see the same story unfolding over weeks or months. The vast majority of these people are female, but I don't know if this happens to men or not.

Last year, I had been reading a lot of the Rosedale/Bernstein/Gedgaudas/Optimal Diet stuff recommending "adequate" protein and lots of fat. That just FLAT OUT does not work for me. I found the same problems with satiety and hunger when I buckled down and went lower carb, lower protein (.8 per kg of bodyweight) and higher fat.

After years of low-carbing, I got to the point where I could eat fat endlessly, and my hunger would not shut off until I'd eaten way too much. I tried adding more fat (to keep protein and carbs low), and I wound up eating more calories - I got up to 185g of fat a day, easy. This causes me to gain prodigious amounts of weight.

I re-read The Paleo Diet recently, and believe me, there's fruit in his meal plans and a lot more protein than I remembered (25-30% of dietary calories)

What I do not have and maybe never have had is metabolic syndrome. I started adding the carbs back in with a BG meter to test my a.m. fasting numbers and one and two hour post-prandials.

http://heartscanblog.blogspot.com/2010/07/to-lose-weight-prick-your-finger.html has some guidelines for what post prandial sugars should be - he's very conservative. Some people feel that 125 an hour after eating is fine. I get numbers around 95-100 one hour after eating a meal that includes 30g of fruit or yams. Non-paleo carbs do not work the same way for me. Corn in particular gives me very high sugars (140 ish) with the same gram amount of carbs, so you won't react to all foods the same way either.

But maybe consider not pushing it harder - take a bit of a diet break and maintain for a while.

3
1c4ada15ca0635582c77dbd9b1317dbf

(2614)

on July 22, 2010
at 04:01 PM

First of all - credit where it's due - well done. Losing 150 pounds is outstanding. Seriously - well done.

As to your problem, I think if you fast for long periods then feel miserable and stuff yourself, perhaps you're taking it too far. You don't say in your question, but I wonder if you have gone from not fasting to fasting a lot too quickly? It took my body a long time (about four months) to get used to the 40 hour fast I do once a week (dinner Sunday to lunch Tuesday), but now it's fine. It was a real struggle initially. And what's wrong with stuffing your face, as long as it's paleo? That's natural - your body is recognising it has gone a long time without food. If you really don't want to do that, you could do what some people do and eat multiple meals in the window - may stop you eating a lot if you know you can eat again in 90 minutes.

I stressed in another question how the last bit of weight always comes off slowly. The last 20 pounds could take years I would guess. So you may just need to give it a bit more time, and perhaps if and when you can exercise again, that will help a bit.

8e75344356f4a455185ee52da0b90bf2

on July 22, 2010
at 05:30 PM

The food I eat is totally Paleo. as a matter of fact, I seem to crave meat after these longer fasts so the last few day's meals have been chichen and beef, turkey and pork, today it was pork roast and chicken. I think what bugs me is that I'll suddenly realise that I've eaten not till I'm satiated, not till I'm full, but till I'm almost sick - it's like there's a switch in my brain that fails to turn on. It brings back VERY bad memories of my SAD fat chick days when I could eat a whole large pizza plus breadsticks plus a huge soda ... without even realising I was doing it. :(

4b97e3bb2ee4a9588783f5d56d687da1

(22913)

on July 23, 2010
at 01:22 AM

I do the same as you, he's right add fat and dynamic changes

1a8020e101199de55c1b3b726f342321

(1973)

on July 22, 2010
at 05:51 PM

Blue, what you just described here sounds somewhat similar to rabbit starvation, try adding some fats?

2
F38f19b6ec74b2c6bf49531fe5dae567

on July 22, 2010
at 04:58 PM

You need to shorten your fasting period back down to 14 hours. This is what Martin from Leangains suggests for women because, for some reason, women do not fare as well on longer fasts.

8e75344356f4a455185ee52da0b90bf2

on July 22, 2010
at 05:37 PM

Drew (above) said the same thing. Perhaps that's my problem. Tried too long a fast, too quickly.

4b97e3bb2ee4a9588783f5d56d687da1

(22913)

on July 23, 2010
at 01:24 AM

It's hard if you're not fat adapted, you can't jump from protein/carb over to IF without transition Start out delaying breakfast, then skip it, then delay lunch then you're there

Ae011d9f1c8654ea66854ca2a977c397

(1165)

on July 22, 2010
at 06:07 PM

I tried Martin's approach for the past three days. Every day I got light headed, felt sick, and even after I ate was highly on edge for the rest of the day (jump when a car honked its horn). Im beginning to think IF isnt for everyone.

2
62ed65f3596aa2f62fa1d58a0c09f8c3

(20807)

on July 22, 2010
at 04:25 PM

Kudos to you for getting rid of 150 pounds naturally! You must be so proud of your new self! IME, a lot of people have trouble with the last few pounds. I sometimes wonder if that is from long term damage from an unbalanced system. I have also had people tell me it is very hard to get rid of the last bit without good exercise. Anyway, it sounds like to me that you are fasting too long. Fasting does not yield weight loss in everyone. It may not be the way to lose more weight for you, although it may long term help you regain insulin sensitivity.

I totally understand that you are probably super eager to lose that last bit of weight. We all want to be able to show off what we have accomplished! Just keep in mind, it may not be a simple or fast process. My advice would be to dial back on the fasting to levels that are more comfortable for you and do not illicit binging. This is a diet for life, so you have plenty of time to work on the last few pounds. DOn't let those last few pounds discourage you! Often, the body needs time to get used to the new regime and the last few pounds come off very very slowly. See if you can do some light exercise with your uppper body. Exercise helps with mental state as well as hormonal balance. I don' t know your exact diet, but maybe elimination of diary or nut intake or cheese might help. I have heard many say that cheese, nuts, and diary are stallers for many.

Also, you have some other serious issues with torn muscles and whatnot so healthwise, those may be your biggest issues right now anyway and may deserve more of your attention. Now may be a good time for you to get used to your new eating style and learn to listen to what your body needs. Looks into the food you are eating and think of ways to make them more balanced nutritionally. I have to work on that a lot myself because I long ago lost most of my natural instincts about when to eat and when to stop. I thank carbs for that. Large amounts of extra weight are a major health problem but now sounds like you have lost most of that and are fine tuning. Now is a time to look at your overall physical and mental health and work on the whole package. THere is no race to the finish line on this one because the process never ends. -Eva

8e75344356f4a455185ee52da0b90bf2

on July 22, 2010
at 05:34 PM

I also think that my whole body is wonkey from the years on SAD. I wish i could have learned about Paleo when I was 23 insteadof 43. :( I know for sure that my weak and painful knees are a direct result of my obesity.

62ed65f3596aa2f62fa1d58a0c09f8c3

(20807)

on July 23, 2010
at 03:01 AM

Just be glad you did find it. Most will not. You accomplished something that most others in the same position will not. I agree with the others who suggested to lay off the fasting for now, rebalance your eating, and then take stock of the situation. ONe thing that has been working for me is getting in the habit of eating just a tad less at meals. Take just a bit less food to work, pick out slightly smaller steaks, etc. That may be a better tactic. SNeak off the calories a few at a time. Meanwhile, main focus probably should be other health aspects that sound more impt than the 20#s.

1
917ff5187f7a57abc4f3ff721d3b961c

on November 06, 2011
at 11:47 AM

Hi! I was just looking through this site and found your question. It was posted awhile ago, so I don't know if you are still receiving the answers. I am an obesity specialist who uses primal diet for permanent weight maintenance in my patients. Here's what I would say to you about the last 20 pounds.

In my practice, it is rare that someone achieves exactly the loss they envisioned. This leads to unhappiness at the end of the diet phase. But truly, there is no reason to be unhappy. I believe that people who have been overweight and then lose are "denser" after weight loss and therefore weigh more on the scale. This could easily be because they made millions of new fat cells during weight gain. These cells likely empty during loss, but they do not disintegrate. Think of them as collapsed down. The tissue that supports these cells is still there as well. When you get on the scale, you weigh more or have stubborn areas that remain. On the positive side, you may be in the size of clothes you desire or have good measurements.

If you try to force weight loss at this point, it is likely going to come out of muscle. You will wind up with the Bill Clinton look: he's a dedicated vegan and looks to me like he has cachexia (muscle wasting).

You've done a remarkable thing, but no bodily results are perfect. If you learn to be happy with comfortably maintaining, you may trend downward over time. Or you may not. Such is life! Congratulations on your most amazing and worthwhile achievement.

Dr. Barbara Berkeley www.refusetoregain.com

1
E35e3d76547b18096a59c90029e7e107

(15613)

on July 24, 2010
at 06:34 PM

On the question of being really hungry during the eating window and eating more than you would ordinarily, it could be the same problem described by Spencer in another question. There I suggest that it might simply be taking longer than the duration of a meal for his body to respond and feel sated by the calories. This could be especially extreme after a long fast where you build up 1600 calories of hunger, eat 1600 calories, but then eat again within a couple of hours because all of this food hasn't been digested/registered by the body. " The same thing, theoretically, wouldn't occur where you're eating regular meals and so only ever getting slightly hungry and intaking small numbers of calories constantly. This seems to tally with what you say:

I think what bugs me is that I'll suddenly realise that I've eaten not till I'm satiated, not till I'm full, but till I'm almost sick - it's like there's a switch in my brain that fails to turn on.

Presumably not eating for many hours makes you especially hungry (even if it's only hungry for the right amount of calories), there's just more scope to move from 'satiated' to 'more than full' if you're trying to eat a day's calories within a few meals. It's possible that if you ate your day's meal (of as much food as you think is acceptable) as soon as you broke your fast, then waited 3+ hours that you would feel satiated and with no further desire to eat. Alternatively you might feel genuinely hungry and you'd only find out through trial and error whether this was a genuine need for nutrition. Either way, it wouldn't be "mindless" eating if you fasted, ate and waited to see.

In any case, as has been suggested, cutting back to a level of fasting you're comfortable with and then working your way upwards might be best, since your body might slowly adapt to longer fasts once it gets used to the idea that it's not starving.

1
699d8d5bb5d186c23c79aef4f7bf1145

on July 22, 2010
at 07:09 PM

Big ups to you for all you've accomplished with paleo! In my opinion there is nothing magical about IF. It is just a tool. It works for some, not so much for others. If a tool isn't working put it back in the toolbox. First things first, go back to eating the way you did that helped you lose the 150 lbs. If you stall again try going uber-strict paleo. Maybe even do a 30 day challenge (try whole 9 life they are a great resource for this). As far as exercise, don't try anything new until your eating is back in a happy place. Then just move. Ramp it up slowly until you begin to feel stronger. Then maybe try some more challenging exercise.

1
Af842c68e3d07fa0e35b4274f3acaeec

on July 22, 2010
at 04:29 PM

Many people struggle to lose those last few pounds that they want to lose until they take out dairy products, that might help. Also, Robb Wolf has said that there really isn't any benefit gained by going past 16 hours in fasts, because that's about the time when liver glycogen runs out and your body starts using body protein(muscle) to make glucose.

1a8020e101199de55c1b3b726f342321

(1973)

on July 22, 2010
at 05:53 PM

Even if glycogen is depleted at 16 hours (which it isn't), gluconeogensis will not inhibit your fat loss. Martin's cited some research to suggest ~30 hours is the dropoff point because you start burning intramuscular fat at a high rate at that point.

Af842c68e3d07fa0e35b4274f3acaeec

on July 22, 2010
at 04:30 PM

Also, you shouldn't even be thinking about IF until you have your stress levels controlled, good sleep, and other stressors in order, otherwise, it can be detrimental to weight loss.

100fd85230060e754fc13394eee6d6f1

(18706)

on July 22, 2010
at 07:00 PM

The thing about liver glycogen running out is not relevant if you already eat very low carb.

1a8020e101199de55c1b3b726f342321

(1973)

on July 26, 2010
at 03:29 AM

Drew, I like to read papers on pubmed on topics of interest. Here are two that Martin linked on the subject. http://www.ncbi.nlm.nih.gov/pubmed/8843749 http://www.ncbi.nlm.nih.gov/pubmed/15733074

8e75344356f4a455185ee52da0b90bf2

on July 22, 2010
at 05:36 PM

i actually am not eating any dairy right now. Just meat and eggs and non-nightshade veg. And I'll confess that my sleep sucks and my stress levels are sky high.

Af842c68e3d07fa0e35b4274f3acaeec

on July 24, 2010
at 10:40 PM

Chris - where are you getting your info from? This is what I've heard from listening to Robb Wolf's podcasts, and I would be interested in hearing other sources of info.

1
E91c7030cac0156b339c878afb5a9517

(225)

on July 22, 2010
at 04:13 PM

I'm doing a shorter fast 16-18 hrs and it took me 3 weeks for my body to adjust to the hunger. What helped me initially is drinking lots of water and tea. The tea sweetened with stevia tricks your body into thinking it's got some incoming calorie and the hunger pang goes away (no scientific proof here, just me rationalizing why my hunger pang goes away as quickly as it comes).

You didn't say how much you're eating within the feeding window. There's nothing magical about IF, your total calorie still matter.

You could benefit from going on a diet break(1 wk to 2 wks) eating at maintenance calorie, upping your carb a bit to restore hormone levels to baseline then resume with IF.

E91c7030cac0156b339c878afb5a9517

(225)

on July 22, 2010
at 07:45 PM

Yes there are many benefits to IF. I was referring to just the weight loss aspect.

8e75344356f4a455185ee52da0b90bf2

on July 22, 2010
at 05:39 PM

Beleive it or not, I'm eating 1800-2000 calories in 5 hours, easy. I should be a professional eater. *grimace* I will never lose any weight unless I can drop it back down to 1500-1600

E91c7030cac0156b339c878afb5a9517

(225)

on July 22, 2010
at 07:45 PM

Yes there are many benefits to IF. I was referring to just the weight loss aspect.

100fd85230060e754fc13394eee6d6f1

(18706)

on July 22, 2010
at 06:55 PM

There *is* something magic about IF, actually. Studies have shown benefits even when total calories are unchanged.

4b97e3bb2ee4a9588783f5d56d687da1

(22913)

on July 24, 2010
at 08:17 PM

Ambi is as well, IF increases weight loss all else being equal Only reason not to IF while pursuing weight loss is stress

0
917ff5187f7a57abc4f3ff721d3b961c

on November 06, 2011
at 11:48 AM

Hi! I was just looking through this site and found your question. It was posted awhile ago, so I don't know if you are still receiving the answers. I am an obesity specialist who uses primal diet for permanent weight maintenance in my patients. Here's what I would say to you about the last 20 pounds.

In my practice, it is rare that someone achieves exactly the loss they envisioned. This leads to unhappiness at the end of the diet phase. But truly, there is no reason to be unhappy. I believe that people who have been overweight and then lose are "denser" after weight loss and therefore weigh more on the scale. This could easily be because they made millions of new fat cells during weight gain. These cells likely empty during loss, but they do not disintegrate. Think of them as collapsed down. The tissue that supports these cells is still there as well. When you get on the scale, you weigh more or have stubborn areas that remain. On the positive side, you may be in the size of clothes you desire or have good measurements.

If you try to force weight loss at this point, it is likely going to come out of muscle. You will wind up with the Bill Clinton look: he's a dedicated vegan and looks to me like he has cachexia (muscle wasting).

You've done a remarkable thing, but no bodily results are perfect. If you learn to be happy with comfortably maintaining, you may trend downward over time. Or you may not. Such is life! Congratulations on your most amazing and worthwhile achievement.

Dr. Barbara Berkeley www.refusetoregain.com

0
77877f762c40637911396daa19b53094

(78467)

on July 23, 2010
at 04:51 PM

hi blue. i'm 45 as well, 5'3". i went from 143 in august of 09 to 129 in 3 months and have been stuck there ever since, so maybe i'm not one to give advice, except that our issues might be similar. i've been intermittent fasting all along, but i look at it as maintenance- it hasn't helped me lose more weight. arthur de vany thinks we should take a calcium supplement since he has found research by dr. robert lustig linking calcium intake with fat loss. i'm going to try to take calcium supplements since i don't feel i get enough calcium with the occasional yogurt and bone soup. my other issue is low ferritn (5) and having some nights where i can't get a good night's sleep because of feeling hot and cold. it maybe related to perimenopause. it doesn't happen every night, so i've recently started to keep a food/supplement/exercise journal. i mention this because you are also at that age. you might benefit from this kind of journal as well. i've only been at the journaling 4 days, so nothing conclusive yet. good luck to you and report back if you find something that works.

8e75344356f4a455185ee52da0b90bf2

on July 23, 2010
at 07:46 PM

I'm suspecting perimenopause is not helping as well! I just recently gave in and saw a doctor about my left knee and told him all the problems I've been having (insomnia, no weight loss, etc) and he's having me tested for everything including hypothyroid. Perhaps that will answer some of my questions!

0
9f6d38688a27533737225d1ad1630316

on July 22, 2010
at 07:16 PM

I concur with Drew's comment. Be very careful with fasting. I'm dealing with fairly serious adrenal fatigue, and I'm well nigh convinced that my long attempt at IF'ing contributed to this.

Fasting is not for everyone. I think there are probably a lot of other ways to try to tighten things up. I would try a "Whole30" a la the Whole 9 website. You don't want to smoke your adrenals. It makes weight loss really impossible.

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100fd85230060e754fc13394eee6d6f1

(18706)

on July 22, 2010
at 07:03 PM

I'm not sure if this would be worse for you or better, but you might try alternate day fasting. The total fast is longer, so this might be worse, but the the reprieve is longer, so maybe you would do fine if you were having a full day of eating ad libitum with no rush in between your fasts.

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