Fat is the common enemy, we all share, in modern society. Beach season is coming! We can’t live without it, as it is a necessary component of our health, yet we shun its existence at every glance. The issue of moderating weight gain, more specifically fat gain, is no longer thought to be as simple as “calories in, calories out.” Fat Chance by Robert Lustig addresses the full spectrum of how fat gain (a.k.a. obesity) is a combination of several factors: physics, biochemistry, endocrinology, neurology, psychology, social circles and environmental surroundings. The complexities around why we gain fat are far more complex than the weight loss industry would have you believe. That said, I want to give you my top take-a-way’s from this book:

Diet coupled with weight training works better for weight loss.

When you go on a diet to lose weight, do you know what you are losing? You lose some fat, but you’re actually losing more muscle unless you lift weights while you’re dieting in order to prevent muscle loss. Maintaining, and even adding muscle, is beneficial for weight loss because it improves your body’s ability to use incoming calories to fuel muscle instead of being stored as fat.

Our body seeks balance in order to maintain our current weight.

Therefore, a reduction in calories in an effort to lose weight will be unsuccessful as energy expenditure is reduced to meet the decreased energy intake. On a caloric deficit you will, at the onset begin to lose subcutaneous fat (the fat underneath the skin), however in a primal effort to save you from starvation, your body’s leptin (fullness hormone) levels will fall. This will create an overpowering sensation to reduce the activity of your metabolism and find something to eat. This is often why starvation diets do not work for very long—the body is looking to restore weight balance.

Evolutionarily, the metabolism of fat and carbohydrates developed separately.

We possess the ability to thrive on diets at opposite ends of the spectrum. The hunters ate fat, whereby the liver would beta-oxidize (the process by which fatty acids are broken down by the mitochondria) what it needed for its use and would then export any excess LDL to be taken up by the adipose tissue. Conversely, the gatherers ate carbohydrates (glucose) and upon absorption, the liver would extract what it needed. Insulin would clear the rest out of the bloodstream and drive it into the muscle for energy or adipose tissue for energy storage. Each system worked for the energy that came in, but when our modern diet combines these it is easy to get a caloric surplus.

Our entire society likes to consume both fats and carbohydrates at the same meal, for no other reason than it tastes good. Who doesn’t like steak and potatoes?! As food became more readily available, we began to overload both sides of our metabolic pathways with the breakdown of fat and the glycolysis of carbohydrates in the same meal. Both of these metabolic processes convert the food we eat into fuel for our mitochondria—the furnace that drives our metabolism—in the form of the compound acetyl-CoA. Our hypercaloric diet is wreaking havoc on the mitochondria as fuel is pouring in from both directions too fast to process efficiently. A single high-fat, high-carb meal is no problem but to keep this up for ten thousand meals in a row is most likely the cause of your creeping weight gain.

Alter your environment for systemic change.

The environment is what drives biochemistry—the hormones of insulin, ghrelin, PYY and cortisol—therefore, if you want to affect your weight you have to change the environment.

1. Get your insulin down to reduce your body fat and improve leptin resistance. You can do this by lifting weights to increase muscle mass, as well as by consuming whole foods that contain fiber.
2. Get your ghrelin down to reduce hunger. Start the day with a high protein (e.g., grass-fed meats) and fat (e.g., nuts or avocados) meal. This will reduce ghrelin and stabilize your blood sugar more than a meal consisting of high carbohydrates, so you will feel satiated longer and burn more calories just sitting. The protein has a higher thermic effect, than carbohydrates, which means that the body uses more energy to metabolize the protein we consume.
3. Get the PYY up to hasten your satiety. Putting food in our stomach lowers your ghrelin but doesn’t stop you from eating more. The signal for satiety, or the switch to turn off the meal is Peptide YY. Between the stomach and the PYY cells are a lengthy twenty-two feet of intestine. It takes time for the food to get there, so instead of shoveling the food down, practice patience. If you are still hungry at the end of the meal try waiting 20 minutes before going for seconds.
4. Get the stress down, to reduce your cortisol. Cortisol is your short-term friend by your long-term enemy. A stressful environment liberates stored glycogen, which in turn raises blood sugar that begins the cascade of insulin and eventual insulin resistance. Any bit of exercise will have a beneficial affect on your cortisol levels.

The moral of this story is that, there is way more to process of gaining and losing weight than those weight loss commercials would have you believe. If it were that easy, we would all be famous instagram models, however it is not. So don’t beat yourself up if you haven’t found the right process to get you where you want to be. It is out there and I’d be happy to help.