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Thread: Help for a Morbidly Obese Friend page 2

  1. #11
    Leida's Avatar
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    Ask your friend what he can make work and what is his past history. Did he became morbidly obese on a diet of artificial and fast foods or home-cooked basically fine food but eaten to excess?

    He might benefit from a period of protein shakes to disengage food and pleasure, and let go of the hyper-palatable artificial flavors (that's if his shakes are not fake chocolate).

    Then he can learn to eat again, with fresh primal food. To me, a clean up of the diet from anything that he did not cook himself is essential. Imo, people who are that heavy do not need a drama, they need to be a baby again, and recover the innocence from pizzas and donuts. Learning to shop for ingredients and cook everything you eat is something that a person must do to lose weight imo. I have seen so many people who fail again, and again, and again because they simply won't cook and will not retrain their completely corrupted taste-buds.

    But in the end... whatever he does, being supportive and being their when the cravings strike is probably the best thing you can do.

    Good luck to your friend.
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  2. #12
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    Primal, high fat (65% of cals), 75g carbs or so, eat to satiety, consolidate meals and/or IF if lack of hunger is conducive to it, supplement mg/k/d3/b complex, start walking like a mofo, add hills when you can & do it every day while fasted if possible. That got me from 340+ & borderline T2D to 198 with normalized blood work inside 2 years.

    If it starts working, hunger should drop thru the floor and weight should come off steadily. Ignore all forum hacks and the peat-more-carbs drumbeat unless/until you plateau for a prolonged period.

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  3. #13
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    Hey I lurk almost exclusively (in fact I forgot my log in, it's probably been a year since I posted...) but in February 2012 I hit a high weight of 518 and today I weigh 191. I'm shooting for 160. Sometimes I get all caught up in these hacks and Peat and potatoes and all that but really what I've done is combined calorie restriction and meticulous weighing and measuring of my food and tracking what I eat and group support and accountability (yes I go to the dreaded Weight Watchers sorry all) with basic Primal Blueprint eating.

    Really recently I started feeling crappy, still losing but hair coming out, periods stopped, less energy. I had been doing about 50-100 grams carbs daily most days around the midpoint almost all in veggies and maybe a cup of berries or piece of fruit a day. I read Perfect Health Diet and a bunch of crap here and there online and upped my carbs to 150mg a day of starch and fruit and I'm seeing how it goes. My TSH is normal but T3 and T4 low blah blah very typical stuff for calorie and carb restriction. My HDL did go from 18 to 74 though with total staying right around 190 what it was before so that's cool.

    Also I walk and hike. Like a lot, but that's about it. My knees say I will never sprint or run. I haven't gotten into any kind of weight lifting/HIIT blah blah that I'm surely supposed to be doing. I do go up an down lots of hills though.

    All I can say is in my experience one has to devote the same amt. of energy and attention one used to apply to binging and obtaining junk food (because really you don't get super morbidly obese unless you eat a whole lot) as you do to losing the weight. It takes a lot of focus and determination and it's a frustrating process and also unearths a lot of emotional issues.

  4. #14
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    Quote Originally Posted by cantare View Post

    If it starts working, hunger should drop thru the floor and weight should come off steadily. Ignore all forum hacks and the peat-more-carbs drumbeat unless/until you plateau for a prolonged period.

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    +1 on every word.
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  5. #15
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    February 2012 I hit a high weight of 518 and today I weigh 191. I'm shooting for 160.
    Wow, awesome achievement!

    I think the hardest thing about weightloss is that it must be self motivated and a commitment to a lifestyle change. The eating is relatively simple. But changing your lifestyle is hard. All the sudden, you can't go have beers and regular "celebrations" you have to turn down a lot of food. Plus find time to be active.

    I think the best help you can be is the healthy friend. Offer to invite your friend over for a paleo meal or walk regularly. I found it incredibly isolating at first because all my "social" stuff was centered on drinking/pizza/drinking/go to bar/pizza. So much of our lives are built around junk food. THEN you start getting the message "oh live a little!" and if you give in, you can derail. I ended up joining Crossfit and it is so nice to socialize somewhere with no food or drink pressure.

    It doesn't work if you don't change your lifestyle, and I think part of our lifestyle is built by friends and family.When your friends and family are sedentary and eat crap, it's that much harder to stay the course.

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  6. #16
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    Thanks for all the responses!!

    My only question that I am struggling to explain to him is at 400+ pounds, how I can properly describe to him more eat more fat when he obviously has plenty stored.

    I understand how elevated insulin levels hinder the bodies ability to release stored triglycerides from fat cells, but how does the extra fat in his diet actually help him in this process?

    Thanks again!!

  7. #17
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    Quote Originally Posted by CoachJames View Post
    Thanks for all the responses!!

    My only question that I am struggling to explain to him is at 400+ pounds, how I can properly describe to him more eat more fat when he obviously has plenty stored.

    I understand how elevated insulin levels hinder the bodies ability to release stored triglycerides from fat cells, but how does the extra fat in his diet actually help him in this process?

    Thanks again!!
    It really needs to be about what works for him. So if a high fat (not "extra" fat) diet doesn't specifically have something in it for him, there's no reason to do it. I personally find that it is a very effective treatment to reduce hunger. (Though, especially for someone that large, one then has to watch total calories because it can reduce hunger so much that you don't eat enough.)

    I thought of another great resource (on of these ladies has long-term WW'ers success- I met her in my WW'ers phase, which was hugely useful to me in learning a lot of things about myself and about successful weight loss techniques, though I no longer use the WW'ers system, free tip: the WW'ers forums for 100+ and 200+ losers are FANTASTIC and are free):
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  8. #18
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    Quote Originally Posted by CoachJames View Post
    Hello all,

    I have been a semi-lurker here for a while and I wanted to reach out to the forum because there are people on here much smarter than I regarding the subject matter below.

    I have a friend who is in his mid-40's who weighs approximately 450 pounds, and he has been asking me for advice on how to shed the extreme amount of extra weight he has accumulated.

    He is currently seeing a specialist who has prescribed an extreme caloric restriction diet with no fat and protein drinks as his only source of protein (The doctor does give him periodic shots of vit. b6 + b12) to jump start his weight loss program.

    The doctor has allowed him to eat small amounts fruits and vegetables. But, I have advised him to stay away from fruit due to the fructose and recommended raw vegetables for some sort of insulin control.

    I do not have his blood work, but from what he has told me he has somehow avoided being diagnosed by his doc. with t2 diabetes

    Do you guys have any advice/ articles to send my way?


    Thanks!!!
    Hmm... well, the Paleo Solution and the Primal Blueprint are obvious books to read. How about the Carb Sensitivity Program by Natasha Turner? That book actually got me started on my journey. I weight 340 when I started, I'm at 220 now.

  9. #19
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    Quote Originally Posted by picklepete View Post
    I dislike those kind of lopsided prescriptions because they don't teach maintenance so the only modes are draconian deprivation and SAD-as-usual.

    Purely unqualified advice but:
    In his shoes I would completely forget the total weight and just try to live as a person at his goal weight would. That means a weekly routine of shopping and cooking for complete nourishment--put another way, don't try to "lose 200#" or even "lose 10#" just cultivate a routine one can be proud of and reinforce permanent behaviors. IMO most obesity is at root a culture deficiency and things like refined protein shakes are just a daily reminder that he's defective--I'd rather see him rejoin the human race with our lovely soups, salads, steaks, and (small) desserts and let the energy balance shake itself out.
    I really like and resonate with this advice. I really dislike what his specialist is doing, personally. An extreme caloric deficit for someone his size is a recipe for losing weight and then regaining it later when he inevitably gets really hungry and sick of refined protein powder meals. Increasing activity levels in a way that is enjoyable for him. Maybe walking short distances or some swimming or ping pong or whatever sounds like fun to him is a much better prescription to push him into an energy deficit without affecting his metabolism/thyroid. At 450-pounds, he will be burning a ton of calories doing even short bursts of activity, which will go a long way. If he feels like something is drastic, it probably is. And like others have said, it must be sustainable or he is going to go through a lengthy struggle doing something he does not like with the possibility of gaining even more weight as a long-term result :/
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  10. #20
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    Quote Originally Posted by CoachJames View Post
    how does the extra fat in his diet actually help him in this process?
    Actually "extra" fat does not help but depending on how low-carb he goes he'll need a certain amount of fat to avoid ultra-low kcal. Also certain key foods like eggs, pastured butter, liver, salmon, coconut, & cocoa have all been associated with normalizing metabolism and appetite and they contain unavoidable fat.

    Quote Originally Posted by SalubriousU View Post
    An extreme caloric deficit for someone his size is a recipe for losing weight and then regaining it later when he inevitably gets really hungry and sick of refined protein powder meals.
    Exactly. Many commercial programs are just as devoid of nutrients as the fast food and snacks they're replacing--I have a coworker who keeps trying Nutrisystem but it's all fortified crackers and noodles, thickened mystery soups and the like with maybe 1-2 oz. of chicken or tuna.
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