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Anyone who has tried to lose a substantial amount of weight knows that the true challenge often lies in keeping those shed pounds from creeping back on. The good news is that weight regain is not a foregone conclusion — there are strategies you can use to make your weight loss permanent.

Metabolic adaptation 

Several factors impact your ability to keep weight off for good, says endocrinologist Bartolome Burguera, MD, PhD.  One of the main factors is your basic metabolic rate, or how many calories your body burns while at rest.

“You start losing weight and the basic metabolic rate goes down from 2,000 to 1,600, so unless you burn 400 more calories by exercising or you eat 400 calories less, you will not be able to continue to lose weight,” Dr. Burguera says.

The human brain is wired to protect the body from starvation, Dr. Burguera says. So when you decrease the amount of calories you consume, your brain’s natural reaction is to try to stop your body from losing more weight.  This is called metabolic adaptation.

A recent study followed the progress of contestants who lost a substantial amount of weight on a popular weight-loss reality television show. Researchers wanted to see if the contestants would be able to keep the pounds off.

At the beginning of the show, the contestants had normal metabolisms for their size. When the show ended, however, the contestants’ metabolisms had slowed dramatically. Their slimmed-down bodies were not burning enough calories to maintain their smaller sizes. This often happens at the end of an intense dieting period.

But the researchers were surprised to find that the contestants’ resting metabolic rates did not return to a normal rate even six years later.

As a result most of the contestants had re-gained weight — some of them gained back every pound that was lost on the show, and then some.

Keeping it off for good

Metabolic adaptation is important, but it’s merely one indicator of why it is so difficult for people to keep weight off, says Dr. Burguera. He did not take part in the study.

Anyone who is trying to lose weight will have better success if they treat their weight as a chronic health condition, and not a one-and-done approach, he says.

“We need to understand that obesity is a chronic disease. In order to treat a chronic condition, you have to offer chronic therapies,” Dr. Burguera says. “So trying to become very physically active, eat a very little amount of calories — that’s short term.  You cannot do that long term.”

Dr. Burguera recommends a five-pronged approach to lose weight for good:

  • Appetite control
  • Physical activity
  • Healthy diet
  • Stress management
  • Adequate sleep

SOURCE: https://health.clevelandclinic.org/2016/10/can-fight-weight-gain-weight-loss/

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Practice Policy Update Regarding COVID-19

Dear Patients:

Our patients, employees and family are our top priority at Long Island Spine Specialists, P.C.

We ask you to not visit any of our locations if you have symptoms such as fever, sneezing, coughing and possible shortness of breath.

Please cancel your appointment and re-schedule once you are feeling better and are no longer suffering with symptoms.

Only non-symptomatic patients will be seen. No exceptions.

Accompanying family members – including children – are asked to remain in the waiting area and will not be allowed to enter the exam rooms.

During this time of high concern regarding the spread of COVID-19 (Coronavirus) we are taking extra precautions to maintain the highest possible standards of safety and cleanliness. Please be advised that we are carefully following recommendations from both the CDC and WHO and are here to help guide you through this time if needed.

Some steps we are taking to keeping safe:

  1. We know how important cleanliness is and always maintain the highest standards of cleanliness. To further offer you peace of mind, we have increased the frequency of the cleaning of our office.
  2. Rest assured that hand washing is strictly followed. Hand sanitizer is available to all staff and patients.
  3. Additionally, if you have recently traveled to a country with high rates of the coronavirus or have been on a cruise, please reschedule your visit for at least 14 days from your return date. We will gladly accommodate your needs to reschedule. At that time, a telehealth interface can be arranged if necessary.

Find up-to-date and accurate information on the Centers for Disease Control and Prevention (CDC) website and feel free to reach out with questions.

- Your team at Long Island Spine Specialists, P.C.

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To learn more about Long Island Spine Specialists – and to discover how we can relieve your pain and help you find an improved quality of life – please contact our office today and schedule a consultation.

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