We’ve covered several big
concepts so far in the past few posts on stubborn fat loss. You might not think they’re big, but assessing the kinds of food you eat and how much, addressing nutrient insufficiencies and digestive efficiency, optimizing thyroid function, and getting out of your comfort zone and into your discomfort zone can go a long way toward getting
your body to finally start releasing some of the excess adipose tissue it’s so
desperately clinging to.
But what happens when you’ve
already done all that, and the weight still
won’t budge? You’re at the point where you honestly don’t know what else to
do. Your diet’s better than ever. You’re pushing yourself hard, physically.
You’re getting many hours of deep, restorative sleep every night. Your
bloodwork looks great. You’re off most of—or maybe even all of—your meds, and your doctor is thrilled. Everything’s peachy!
Except, that is, for your belly, your chin, your upper arms, your hips, your
thighs, or your backside, all of which are exactly the same size as when you
started putting things into high gear.
WHAT GIVES?!
Well, when it seems like there’s
really nothing left to do, there are,
in fact, a few more things to try. We’ve gotten all of the big things out of
the way, so now, let’s look at the little things. To be honest, I don’t think
these are huge roadblocks for weight
loss, but who can really say? If you’re really, truly, doing everything else
and the weight still isn’t moving, then it’s worth looking into these issues to
see if they’re standing in your way. Again, I don’t think these are anyone’s primary obstacles to fat loss, but when
you have well and truly exhausted all
other possibilities, and you’re still
struggling, then quizás, quizás, quizás…
Dairy
Barring digestive issues with
lactose or casein, most people do just fine on dairy. Cheese, butter, heavy
cream, sour cream, cream cheese, and other high-fat dairy products are pretty
standard on LCHF diets, and some people can’t imagine their diet without them.
But that doesn’t mean they work well for everyone.
Even if you have no known sensitivity or intolerance to dairy, for some people, dairy can hold up fat loss.
If you consume large (or even not-so-large) amounts of dairy, and you’re
struggling with fat loss, it’s worth cutting it out for a few weeks and seeing
what happens. I suspect the products that are almost all fat—specifically,
butter, ghee, and heavy cream—are less problematic than cheese, yogurt, sour
cream, etc. So if you don’t want to give it up completely, I’d ditch everything but those three things and give it
a go.
I won’t bore you with the
details on why dairy gets in the way
for some people. To be honest, I don’t understand it 100%, myself, but I
suspect it has at least something to
do with IGF-1 and
other factors that make dairy somewhat insulinogenic and stimulating of tissue growth (anabolism). Again, some people do
just fine on dairy, some don’t. And if you’re at your wit’s end with weight
loss, maybe you’re one of the latter.
If you don’t experience any
symptoms of digestive distress from dairy, there are other things that can tip
you off that dairy might not be your BFF. They include acne; sinus/bronchial
congestion (wetness, mucus) [in fact, there may be a link between dairy
sensitivity and asthma]; and the interesting one that seems to affect me: a general feeling of “pudginess.” I
can eat some dairy, but I notice that
if I overdo it, I feel sort of “squishy.” Bigger than usual. I’m not sure why
this is. It’s not a gain of body fat; really, it’s more a subjective feeling of
being…well, again, “pudgy” is the best word I can find to describe it. I have
no digestive issues from dairy. Just that weird feeling of “largeness.”
Plus, let’s not forget that
dairy (well, milk, to be specific) is
the only food we know for certain is intended to make mammals grow larger. It
turns newborn, small mammals into larger mammals, and does so rather quickly. I
am not suggesting this is a reason for all
adult humans to avoid dairy. (And I won’t even bother with the silly vegan
notion that humans are the only animals who continue to consume dairy after
weaning. Given the opportunity, other animals consume it plenty. Believe me,
I’ve worked on farms. Plus, there’s all those other things humans do that no other animals do. I don’t know about
you, but I kind of like books, and
clothing, and chocolate.) I am only suggesting that, for people who are
specifically struggling with fat loss, kicking dairy—and its inherent tissue
growth signals—to the curb for a while might be a good experiment.
Alcohol
If you don’t drink, then
obviously, alcohol isn’t messing with your fat loss. But if you do imbibe—particularly if you do so on a
regular basis—you might consider abstaining for a while. I don’t think a glass
of wine or a scotch & soda once a week is going to hold up progress too
much—especially if we’re talking about a significant amount of weight to
lose—but again, you just never know. If tossing one back is a regular
habit for you, then yes, see what happens if you become a teetotaler for a
month or three.
When clients ask me about
alcohol, I explain that hard liquor (rum, vodka, whiskey, gin, etc.) is actually very low in carbohydrates; it’s the juice and
sweet mixers the liquor is added to
that are problematic. Wine (both red and white)
and light beer have only a few grams of carbs per serving, so they’re not so
bad. I’m guessing that if you’re struggling with fat loss on a LCHF diet, you
are not habitually combining alcohol
with juice or sugary mixers. But even if you’re just drinking it straight-up,
maybe it’s just not helping you get where you want to go.
Remember: if alcohol is
inside the body, that’s the fuel the body will use first. When you consume
alcohol, alcohol takes precedence over fat and
carbs as fuel. (The body will still use some
fat and carbs; remember, there’s nothing binary about this.) BUT: generally
speaking, alcohol puts the oxidation of fatty acids (“burning fat”) on hold.
Of course, as soon as the alcohol has been metabolized, you’ll go right back to
running on fat, like a good little LCHF-er. Alcohol “kicks you out of ketosis”
only temporarily. It’s not like it
takes five days to get back to your fat-burning beast-ness. That being said, if
you think alcohol might be getting in the way of your fat loss, take it out of
the equation for a while. (BTW: I have a rant planned on the “it kicked me out
of ketosis” thing. People, please, please, stop saying this.)
Mark Sisson, who is generally
a fan of enjoying life and indulging strategically, gave up his beloved red wine not long ago. Obviously, he doesn’t have a lick of fat on him, but
he experienced some other positive outcomes after adjusting to his alcohol-free
existence. Maybe you’ve got some nagging, unresolved symptoms (aside from the
stubborn body fat) that you don’t even realize
are connected to alcohol consumption. If you really, really want that fat to go bye-bye, it’s worth ditching the booze
for a bit.
Omega-6-heavy Vegetable Oils
It’s hard for me to come down
very hard on vegetable oils. On one hand, I know that the methods by which
they’re produced are awfully funky, and since it’s darn near impossible to wrench gallons and gallons of oil out of foods that aren’t all that fatty, such as corn and
soybeans, we, as a species, are probably not well-equipped to handle large
amounts of these in our diet. But on the other hand, way back before I knew
much about the differences between specific types of fatty acids—back when I
focused on carbs, and only carbs, I
ate lots of vegetable oil, and I lost
weight just fine. I wasn’t cooking with soy, corn, or canola oils, but I used
regular ol’ store-bought salad dressings, mayonnaise, tuna in soy oil, etc.
Back then, I wasn’t concerned with the type of oil I was eating: if it was fat,
it was fine; if it was starchy carbs, not so fine.
Now, however, I understand
the pro-inflammatory and just plain bad effects
of consuming too much n-6 in relation to n-3. Plenty of people do just great on a LCHF diet
eating the cheapest, most bargain-basement low-carb foods they can find – most
of which include soy, corn, cottonseed, and other “vegetable” oils. (Since when
is cotton a vegetable, anyway?) But just like with dairy, and just like with
alcohol, maybe you’re not one of them. Maybe your body just doesn’t do so well with them.
And maybe things change,
depending on other circumstances. For
example, back when I was doing great with plenty of cheap-o veg oils in my
diet, there were a lot of other things in my life that were pretty frikkin’
awesome. My lifestyle, schedule, sense of purpose and fulfillment were
completely different from what they are now, so perhaps, things that suit us in certain situations don’t suit us as well in other situations. Oh, that kooky
human body…gets me every time! ;-)
I wrote a while back about
overdosing on mayonnaise. And not fancy-schmancy Primal avocado oil mayo, but regular ol’ soy oil-laden Hellmann’s. My body—as
determined by looking and/or feeling heavier—does not like this. Unfortunately, there is a confounding factor here. I
love mayonnaise. So much so, that I
don’t keep it in the house anymore, because, well, I can’t be trusted with it. I
generally don’t stick to a 1-Tbsp serving of mayo and put the jar back in the
fridge. Oh, no. No, no, no, no, no. I
buy a one-way ticket on the express train to mayo-town. So I can’t say whether
it’s the n-6, itself, that makes me feel pudgy, or if it’s the overdose on it. I guess I could
experiment with olive oil or butter: eat a ton of it on a regular basis for a
while, and see how I feel. But I don’t see myself doing that anytime soon. And
the fact is, the “gross” feeling came after I overindulged in the Primal mayo,
too. So it probably wasn’t the n-6, but rather, the glut of that amount of any type of fat, too much, too often.
(There is, however, research suggesting there is something uniquely fattening and metabolically damaging about soybean oil…at
least, in mice.)
Even speaking as someone
who’s written about the gnarly effects of an n-6/n-3 imbalance, I think n-6 gets a bad rap. I’ve come across people
who are genuinely scared of the 6/3 ratio in pecans, hazelnuts, almonds, and
Brazil nuts—never mind that these are all predominantly mono-unsaturated, so even if they do have a high 6-to-3 ratio, the total amount of n-6 is actually small. And I encourage people to do
the best they can. If someone’s not about to make all their condiments from
scratch, but they want to give LCHF a go, I’d rather they use regular ol’
supermarket ranch dressing (1-2g carb/serving) than, say, raspberry
vinaigrette, (8-11g carbs). And remember: omega-6 linoleic acid is an essential fatty acid. We do need some in
order to survive and be healthy. The thing is, thanks to the modern food
supply, we don’t have to intentionally seek it out. It’s already everywhere.
(Even in our beloved grassfed meat, because it belongs there. [Along with a little bit of 3, of course.]) Most of
us would do well to be aware of how much of it we’re eating, but we don’t need
to drive ourselves crazy to rid ourselves of it completely.
Aaaaand, all that being
said—that “most people” don’t need to avoid vegetable oils like the
plague—maybe you, dear reader, are not “most people,” and the unique and
special snowflake that you are does not do so well on vegetable oils. If you
are currently using a lot of n-6-heavy food items, consider cutting way back
for a while and see how things go. It is ridiculously easy to make homemade
dressings and sauces. (Or get yourself a copy of this book.) If you’re looking for olive oils you can trust to really be olive oil, and not cut with cheaper oils—i.e., the exact ones you’re trying to avoid—check out Villa Capelli
or Kasandrinos.
(I have no affiliate relationship with either company, but people whose
work I like do. If you want to buy good olive oil, why not throw them a couple
cents in the process? Use checkout code “Vinnie” [no quotes] for 10% off your
order from Villa Capelli. They're sold out of most of the smaller bottles, but I'm told more will be coming soon, if you don't want to order the huge 3L tin.)
Organic / Grass-fed /
Added-hormone-free Foods
I have made it clear time and
again on this blog that I am not a food purist. I believe in people doing the
best they can, within what is realistic for their budget and logistics. Not
everyone can afford to eat the best-of-the-best 100% of the time. Not everyone
has the space for a second freezer to hold a whole hog or quarter beef, and some
people really do have to choose between paying the rent and either getting a
grass-fed sirloin steak or sticking with the 80/20 ground beef on sale at the
supermarket for $2.99/pound. (Even though great food from small, local farms isn’t as expensive as we usually think.)
Back when I was eating lots
of vegetable oil-laden foods, I was also consuming 100% cheap-o other foods. There was a stretch of time
in there when I was unemployed. I got all of my food from either the regular
supermarket or a local ethnic market that had insanely low prices on meat,
eggs, and produce. At that time, I could get a dozen eggs for 99 cents, and
pretty nice looking steaks, pork chops, and chicken for not much more than
that. Not a grass-fed thing in sight. Nothing organic, nothing pastured,
nothing free-range. Conventional all the way. And you know what? I looked and
felt great, and bloodwork showed that the inside was doing just as well as the
outside.
I don’t like to scare people
away from regular ol’ supermarket food. Again, if someone’s doing low-carb, if
the choice is between a bowl of spaghetti or a conventional pork chop, for the
love of all that’s holy, eat the pork
chop! I work at a local farm every week, and I absolutely trumpet the importance of supporting local producers who are raising food a certain
way. Even so, I don’t believe in “food shaming” and having a holier-than-thou
attitude toward people who source their food differently. (FYI, that actually
turns a lot of people off from trying
Paleo, because they think they have to
eat exclusively grass-fed, organic, etc., and various bloggers and “gurus” give
them the impression it’s not even worth trying if they don’t do that. I am pretty much the opposite of those people.)
BUT: just
like dairy, alcohol, and excessive n-6, maybe you, my dears, are more sensitive than others to the added
hormones, the antibiotics, the pesticides, and whatever else they use to mess
with animals and plants these days. It would be worth sourcing your food
differently for a few months, to see if that has any effect. If your budget is
especially tight and you have to prioritize where you spend the extra dollars
(or euros, pounds, pesos, or whatever), I would spend it on the animal foods:
meat, fat, dairy (if you’re still eating dairy) more than on the produce. If
you have a little extra for organic vegetables, go for it. But if you’re
limited, get the best beef, pork, poultry, seafood, and dairy you can afford
and don’t stress over your conventional broccoli and mushrooms.
Cosmetics, Beauty &
Self-Care Products
Now we come to an interesting
one:
“In a 2010 report on
environmental cancer risks, the President’s Cancer Panel (an expert committee
that monitors the country’s cancer program) wrote: ‘The entire U.S. population
is exposed on a daily basis to numerous agricultural chemicals. … Many of these chemicals have known or
suspected carcinogenic or endocrine-disrupting properties.’ Endocrine
disruptors can block or mimic the action of hormones, even at low doses.
‘Endocrine effects aren’t sufficiently factored into the EPA
pesticide-tolerance levels,’ Crupain says. ‘And there’s concern they could
cause reproductive disorders; birth defects; and breast, prostate, and other
hormone-related cancers.’” (Source.
Emphasis added.)
This excerpt refers to
agricultural chemicals, but I suspect the same is applicable to
endocrine-disrupting ingredients in personal care products, such as lotions, makeup,
perfume/cologne, shampoo, laundry detergent, cleaning sprays, and more. I wrote
in a previous post about the potential thyroid-disrupting effects of fluoride. I
explained that I’m not all that concerned about fluoride toothpaste, since we
brush our teeth and then spit it out. I feel the same way about soap, shampoo,
and conditioner. These are things we use on our skin and hair, but which we
typically wash away quickly. (Even if you leave conditioner on your hair for a
few minutes before rinsing it off, you do
rinse it off.)
What I am concerned about are the products we spread or spray on our skin,
with the goal of either having them be absorbed (like lotion), or remain in
place, in contact with our skin, but which will eventually be absorbed anyway
(like perfume, foundation, lipstick, concealer/cover-up, aftershave, etc.). People
who are real sticklers for all-natural skincare products say to “never put
anything on your skin that you wouldn’t eat.” I used to think this was pushing
things a little far, but when you really think about it, there may be something
to it. After all, our skin does eat.
We do absorb things through our skin.
(If we didn’t, there would be no nicotine patches, birth-control patches, or
transdermal testosterone and progesterone creams.) I wrote about this a while back. Give that post a read. I promise, it’s way shorter than my usual. Bottom line:
if a cosmetic product specifically says that it’s not a food, and that you should not
eat it, why would it be perfectly safe to have it enter your body via your
skin? It’s just another way to get it inside you. Give that some thought the next time
you look at the long list of unpronounceable ingredients in your favorite
flowery-smelling lotion and slather it all over your arms and legs, which many
of you probably do on a daily basis.
You can check out the Environmental Working Group’s Skin Deep Cosmetics Database to see how they rate your
favorite brand-name products and some of the weird ingredients they contain.
I’m not a huge stickler about
this stuff, but over the years, I have moved away from using a lot of beauty
products. I used to be a Bath & Body Works junkie. Now, I can’t imagine
spending tons of money on all that stuff. I mostly use coconut oil on my skin,
and a couple of other products, whose ingredients I can identify and
understand. (I especially like the lip balms and ointments for hardworking, chapped hands from Sap Bush Hollow Farm [owned by fantastic writer Shannon Hayes and family] –
made with lard, tallow, beeswax, and essential oils. That’s it! Nothing wacky. Badger is another brand I like very much.
Again, absolutely no affiliate relationships here. I make zero dollars if you buy anything from these places.)
Do I think the endocrine-disrupting
effects of common ingredients, such as parabens, phthalates, and others, are
the main cause of someone struggling
to lose stubborn body fat on a LCHF diet? No. I honestly don’t. BUT, again, if
you’ve tried everything else—and I do
mean everything—then what have you got to lose by chucking some of your beauty
& skincare products for a while?
When we hear about BPA, parabens, and other endocrine
disruptors, we usually think about sexual function. Specifically, we tend to
hear that these compounds might have estrogen-mimicking effects. But we have no
reason to assume they don’t also affect thyroid
function, or the function of any other gland or hormone that could potentially
affect weight loss, for that matter. Bottom
line: most of us don’t “need”
anywhere near as much of this stuff as we typically use on a daily basis. Maybe
you use absolutely none, in which case, no problem! But if you’re at your wit’s
end about fat loss, assess how much of this stuff you use. Are you a woman
whose bathroom sink or dresser is overflowing with a zillion bottles of
lotions, creams, serums, perfumes, and other things your skin eats every day?
Let your body breathe for a couple months.
If you honestly feel you must wear makeup, seek out brands that
contain ingredients you can identify. Yes, they’ll cost you four times as much
as the drugstore stuff, but instead of asking why they’re so expensive, ask
yourself why the drugstore stuff is so cheap.
As for skin, like I said, the coconut oil you probably already have in your house is one of the best things for dry skin.
Olive oil works great too, as does lard! (It’ll be greasy for a minute or two,
but it’ll sink in pretty quickly.) Add a drop or two of your favorite essential
oil if you want a nice aroma. (Also, if you think you “need” makeup, why? Is it
because of acne? Redness? Rosacea? I understand if you want to use makeup as a
quick-fix, and maybe even to boost your self-confidence in public. But
ultimately, the better solution is to find the underlying cause of the acne,
redness, and skin conditions, and fix that.)
Yes, I know: millions
(billions?) of people use tons of cheap cosmetics every day, and their bodies
are dynamite. Not a stitch of excess fat anywhere. Billions of people also
consume dairy (and gluten!!) with no problem. Billions of people don’t sleep
well, yet remain slim. Billions of people don’t follow low-carb diets and are
not overweight. So what? That’s them.
We’re not talking about them; we’re
talking about you. (And me.) If we
could do what everyone else does and not
be overweight, I wouldn’t be writing this, and you wouldn’t be reading it.
I'm out, yo!
Okay. I’m about out of steam now. I wish I had something profound to say to wrap up this post—and this series. The truth is, I’m ready to move on. I didn’t expect any of these posts to be as long as they turned out to be. I’m tired of talking about stubborn weight loss and am happy to get back to things I can write about with far more passion. There are lots of other things that can hold up fat loss, but I recommend working with a practitioner to find out what they might be, in your unique situation. Heavy metal burden? Clogged liver detox pathways? Unresolved inflammation? A need for probiotics? I’m not even going to touch those. I’m sorry. I’m just not feelin’ it.
I’ll sum up as best I can:
For most people, most of the
time, honestly and objectively
assessing the biggest and most impactful factors—carb intake, sleep, thyroid
(and estrogen), micronutrient status, insulin levels, and muscle mass—will
probably reveal the reasons for significant amounts of body fat that just won’t
budge. If, after those have been addressed, the weight still won’t move, then
you might want to explore some of the smaller things we covered here. (And now
that I think about it, dairy really isn’t that small. It’s pretty common for
dairy to stall people, actually.)
If you’ve done everything you
can think of—and not just for a few days here and there, but really given
things enough time to see if they have an effect or not, and you still want to
rip your hair out in frustration, another thing to think about is working with
a practitioner who can order some of the more advanced organic acid tests, hair
tissue mineral analysis, hormone panels, etc.—but be sure you work with someone
who knows how to interpret them.
Without someone who understand what they mean,
numbers are just numbers. You might have to shell out some serious cash for
these types of tests. They’re not always covered by insurance. But if you
finally, finally get to the bottom of
your own personal mystery, it will be worth every penny. In fact, if you are in
the fortunate financial situation that money is no object, I would encourage
you to do those tests sooner, rather than later. Might as well see as soon as
possible if something odd is going on under your hood before spending time and
money chasing other windmills.
Remember:
Amy Berger, M.S., NTP, is not a physician and Tuit Nutrition, LLC, is not a
medical practice. The information contained on this site is not intended to
diagnose, treat, cure, or prevent any medical condition and is not to be used
as a substitute for the care and guidance of a physician. Links in this post
and all others may direct you to amazon.com, where I will receive a small
amount of the purchase price of any items you buy through my affiliate links.
Your statement about the body preferentially burning alcohol first made me think of something. The "pro-carbers" claim that we must NEED lots of carbs because the body will preferentially burn those first. Couldn't the same argument therefore be made for alcohol???
ReplyDeleteTee hee!
Thanks for this great series.
YES! As a matter of fact, I've written about this very thing! :) http://www.tuitnutrition.com/2015/04/FTF-Ketosis-Fragile.html
DeleteOne of the best posts I've read in a long time, and I love your writing style. So nice to find someone who doesn't push the expensive "purist" foods. As you say, we can't all afford that stuff! I'm officially a fan.
ReplyDeleteThanks! Glad you found me. :)
DeleteGreat work as usual Amy. :-)
ReplyDeleteGreat work Amy..Thanks
ReplyDeleteThanks so much Amy - great work as always, Just wanted to say about the whole skin care bit - the products you are now using are probably not tested on animals. A good thing! Animals don't need to suffer for us to feel pretty or clean. Bad karma
ReplyDeleteHi Amy, another nice series. There are a few items that I think are worth discussing. One is whether we have a realistic understanding of what a healthy weight is for our own body. Women in particular, how many of us wish we could be the "ideal" that is projected by media and advertising? Add to that any problems that may be a result of in-utero exposure to toxins, or genetics, that cause some people to have a much larger number of fat cells, or a metabolism that is skewed to fat storage, not to mention specific endocrine disorders that can only be treated by medical interventions.
ReplyDeleteYes, yes, and YES. Unrealistic expectations? Yes. Potentially being born *already* with altered physiology & metabolism? Yes. I've had inquiries from several women, looking to become clients (specifically for weight loss), whom I have actually politely declined to work with, because they were already either at a healthy weight, or actually a bit *underweight.* It's a jungle out there.
DeleteAmazing series...I wonder...would stopping nicotine replacement therapy "NiQuitin Mints" (4mg) also be a factor in slowness/altered metabolism? I stopped cold turkey two weeks ago as I had progressively 'upped' my daily intake to nine 'mints' per day!! I am menopausal and incredibly fearful of not metabolising as I should...or could with a ketogenic diet...One of the ingredients was acefultame K?...a 'fake' sugar...and I simply did not want to stay addicted to anything..but since it wasn't actually tobacco/cigarettes...I thought I was giving my metaabolism a 'boost', preventing Alzeimer's disease and accruing mental clarity?! Please tell me these things are as 'bad' as I imagine...'twill be that much easier to stay away from said substance?!
ReplyDeleteI don't know much about nicotine, except that it's an appetite suppressant for some people, right? So I can't say for sure what the effects of stopping would be. I think ace-k is probably fine, but my guess is the "mints" probably had some other fillers that might have had some starch. BUT, if I had to guess, that wouldn't be a roadblock to fat loss if you stopped taking them only 2 weeks ago -- and I'm assuming you've been unhappy with your rate of fat loss for a lot longer than that. So it's not like you quit these mints and *now*, all of a sudden, are not losing weight, is that right?
DeleteBe sure you're not skimping on protein, and not gorging on fat. Don't be scared into consuming too little protein and loading up on fat instead. A LOT of people make this error when their main goal is fat loss.