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Thread: Help for a Morbidly Obese Friend page 4

  1. #31
    sra1984's Avatar
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    Quote Originally Posted by Warmbear View Post
    He needs to have knowledge not a recipe to follow.
    This is absolutely true- as someone who had (and still has) as lot of weight to lose, ideally, the knowledge part is key. The more I learn about how my pre-insulin resistant body works, the more sense it makes to me to be eating the paleo/primal way. Some books, or maybe even this blog would probably be very helpful- especially if he is somewhere on the diabetes spectrum (which it sounds like he is). In the end, the knowledge is just going to help him wrap his head around what he needs to be doing and keeping those actions consistent.

    As for justifying eating fat to him, it is going to be hard to avoid all fats if he is eating real food, and I do think real food is the key. You can't develop good habits if you are avoiding real food. Encourage him to eat real food and he will eat some degree of fat, and in all likelihood it won't be in a bad way.
    Stephanie
    "The only person you are destined to become is the person you decide to be."- Ralph Waldo Emerson

  2. #32
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    Hey MuuMuu, I just want to congratulate you.
    Last edited by mjahrens; 10-29-2013 at 07:56 AM. Reason: added name

  3. #33
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    Quote Originally Posted by MuuMuu View Post
    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. to be doing. I do go up an down lots of hills though.
    Congrats!!!
    -Ryan Mercer my blog and Genco Peptides my small biz

  4. #34
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    Quote Originally Posted by SalubriousU View Post
    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 :/

    How Fasting Aids Weight Loss | Mark's Daily Apple
    If that sounds harsh or even unrealistic, consider the story of the Scotsman. Back in 1965, an obese Scotsman of 27 years and 456 pounds came to the Department of Medicine in Dundee, Scotland, with a problem. He needed to lose weight. A (1/8 of a) ton of it. The doctors suggested maybe not eating for a few days could help. It was just an offhand recommendation, but our Scotsman (known only as “AB”) really took to it. He stayed at the hospital for several days, taking only water and vitamin pills while undergoing observation to ensure nothing went wrong. When his time was up, he continued the fast back at home, returning to the hospital only for regular monitoring. After a week, he was down five pounds and feeling good. His vitals checked out, blood pressure was normal, and though he had lower blood sugar than most men, he didn’t seem particularly impaired by it. The experiment continued… for 382 days.

    Yes, AB fasted for 382 days, drinking only water and taking vitamin, potassium, and sodium supplements. All told, he lost 276 pounds, reaching his target weight of 180 pounds and maintaining the bulk of his weight loss. Over the five following years of observation, AB regained just sixteen pounds


    Not necessarily:
    How Fasting Aids Weight Loss | Mark's Daily Apple
    -Ryan Mercer my blog and Genco Peptides my small biz

  5. #35
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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!!!
    There is nothing you can do for him. He got into this mess by eating too much of the wrong foods and not enough exercise.

    He must give up all bread, and anything made from wheat. He must stop eating sugar filled donuts, pastries, candy, and anything else loaded with sugars & starch. He must go on a strict 1,500 calorie a day Paleo Diet and exercise as best he can.
    IMO, He is just not going to follow this strict advice. Stomach surgery is not the answer, either. His stomach will just grow back as he stuffs it full of food. He is a food addict and this addiction is extremely difficult to control.

    Grizz

  6. #36
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    Quote Originally Posted by Blacksmith View Post
    Ok. Cliffhanger there. What happened to the guy?
    Look up a few replies.
    -Ryan Mercer my blog and Genco Peptides my small biz

  7. #37
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    Quote Originally Posted by Grizz View Post
    There is nothing you can do for him. He got into this mess by eating too much of the wrong foods and not enough exercise.

    ...

    He is a food addict and this addiction is extremely difficult to control.

    Grizz
    Dude, you don't even know this guy! I used to think like this until I learnt about what carbs can really do to some people. I even assumed this of an overweight colleague at work until I learnt that she goes to the gym 4 times a week and thinks she's being relatively healthy by following conventional wisdom and a low-fat diet. She has said she knows she's "doing something wrong" but doesn't know what. She wants to lose weight, but no-one's told her she eats too many carbs. Personally I don't dare, cos she's never asked me directly and I don't want to offend by coming straight out and suggesting she needs it.
    Last edited by MightyWindmill; 10-29-2013 at 10:21 AM.

  8. #38
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    Completely agree with giving up sugar/grains, but 1500 cal starvation is unnecessarily strict and probably unsustainable. I did fine eating twice that much, and I wasn't as heavy to begin with.

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    6' 2" | Age: 42 | SW: 341 | CW: 198 | GW: 180?

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  9. #39
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    A hundred pounds ago, I gave up wheat due to digestive problems, and lost about 30 lbs in a month. I honestly didn't even notice that I'd lost weight at first - I was that heavy, and I was too ashamed to step on the scale. It wasn't until a doctor's visit made me that I realized I'd actually, for the first time in my adult life, lost weight instead of gaining it.

    That momentum encouraged me enough to give up sugared sodas, starbucks, and junk food, and that dropped me another 30 in a pretty short span of time. That's when I discovered the whole paleo/primal movement, and really got strict with things like legumes, rice, white potatoes, looking at my macros, etc. That took me down the most recent 40. I still have over 100 to go.

    My point is, this doesn't have to be all or nothing. Change doesn't have to be complete, and it doesn't have to happen overnight. Some of the stuff I'm reading in this thread is just scary - regimentation, deprivation, etc. Both of which he's probably already tried with no success, on other plans.

    At his weight, making even a small change will probably show results, and results tend to be motivating. If you can talk him into dropping just wheat and soda for a month, to see what happens - that's worthwhile. It doesn't take too much away at first, so it's not terribly intimidating. It also teaches him at a slow pace how to say "no" to himself - this was a huge deal for me, the understanding that I could actually say "no" when I wanted something, and nothing bad happened. It's something I still struggle with, though it's easier than it used to be.

    No offense to anyone here, but if you haven't been huge, you don't really understand the baseline mentality it creates in some of us. There's a mix of hopelessness (because you've tried everything you could think of, all your life, and nothing has ever worked) and fear (when you want something, you don't just want it; you feel like you need it, like you can't live without it, and like not-having it will be misery. You wig out.) Both of those things have to change before even the primal/paleo lifestyle can do its work.

    For me, the best way to change it was gradually. Try cutting out one thing for 30 days and just *see* - you haven't lost anything if it doesn't help. Say "no" to yourself about this one thing, every chance you get, until your willpower gets stronger - like learning the use of a muscle you never knew you had.

    If I'd come here and heard that I had to immediately cut wheat, sugar, junk food of all kinds, rice, legumes, and white potatoes, and measure all my food, and stick to a strict 1500 cal a day diet, and walk constantly, I would have felt crushed. Yes, it might be the fastest way to get down to a healthy weight; but you might as well tell someone like old-me to cut off a leg. That's a pretty fast way to lose weight, too. And about as easy.

  10. #40
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    Great post merry. I was 6 months in before I found mda, and my early adaptations were things like stripping the breading off Wendy's chicken nuggets. Even with official PB, it's never about perfection...gradual, sustainable change is the key.

    Sent from my SCH-I545 using Marks Daily Apple Forum mobile app
    6' 2" | Age: 42 | SW: 341 | CW: 198 | GW: 180?

    “Life can only be understood backwards, but it must be lived forwards.”
    ― Søren Kierkegaard

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