Click here for Calories part I, part II, part III, part IV, part V, part VI, part VII, part VIII, part IX, and part X.
So, here again is our conventional Caloric Reduction model of obesity. It turns out that part of eating too much was entirely hormonally mediated and not personal choice at all (gluttony). It turns out that eating less does NOT cause weight loss, and eating more does not cause weight gain. At least not permanently. For further proof, we turn to the fascinating case of Sam Feltham.
His diet can be found here. A total of 5,794 calories per day with a macronutrient breakdown of Carbohydrate 10%, Fat 53%, and Protein 37%.
According to standard calorie calculations, he figures that he should have gained 7.3kg of fat (yellow line in graph above). Actual weight gain, however, was 1.3kg.
What is even more interesting (as if that is possible!) is his waist measurements. From a baseline of 79.5cm he dropped 3 cm from his waist which means that even as he gained some weight, much of that is lean mass.
As you can see from the pictures, an excess of calories is simply not sufficient to produce fat gain. Things are far, far, far more nuanced that a simple scale of Calories In vs Calories Out.
There are those who argue that Sam simply has a fast metabolism and no matter what he eats, he will not gain weight. Is that true?
What would happen if Sam were to abandon the LCHF diet? Instead, it would be interesting to see what would happen if he ate 5,000 calories of a standard ‘American Diabetes Association’ style ‘balanced’ diet with a high level of carbohydrate intake.
What you get is the absolutely brilliant 21-day, 5,000 calorie Carb Challenge. Over 21 days, he would eat 5,793 calories/day of ‘fake’ foods – mostly refined grains and sugars. His diet plan is here. The macronutrient breakdown is 64% carbs, 22% fat, 14% protein. Interestingly this is not too much different than what most nutritional ‘authorities’ recommend for us. So, for the same amount of calories, would he gain or lose weight?
As you can see, his weight gain almost exact mirrors that predicted by the calorie formula – 7.1kg (15.6 lb) weight gain. Waist increased 9.25 cm.
Look at the pictures! Holy double chin, Batman. After only 21 days, the guy is starting to get some love handles, too. This is what you get when you listen to the nutritional ‘authorities’ on obesity.
It is very clear that there is something much more complicated than simple caloric reduction. For the same amount of total caloric increase, one diet – a low carb, high fat, natural foods diet – produced fat loss (waist size decrease).
On the other hand, a standard high carb American Heart Association style diet produced a 15 pound weight gain! So there is something more than calories at work here.
If we abandon the CRaP model and calories entirely, then we can focus on the pertinent question. What causes weight gain? What is the aetiology of obesity? Not calorie counts for sure.
We have seen that the body has a certain body set weight. If you try to go above the weight, the body tries to bring it down. If you try to go below that weight, the body tries to bring it up. So, we can see that the most important question is this: What controls the Body Set Weight?
The only way we can successfully lose weight is to lower the BSW. And we can only do that if we understand what is controlling the body weight ‘thermostat’.
Put it this way. Suppose you set your thermostat in your house to 30C which is very hot and unbearable. In order to cool your house, you now bring in an air conditioner. This cools the house a bit, but then your thermostat turns on the furnace so that the A/C and the furnace are constantly fighting each other.
That is how we currently approach weight loss. We cut calories but we ignore the BSW. You try to lose weight, your body tries to regain the weight. We get hungry and our metabolism starts to shut down.
Wouldn’t it be much, much easier to set the thermostat to 21C – a comfortable temperature, rather than constantly fighting with ourselves? The reason diets are so hard is that we are constantly fighting our own body. So now here is our challenge… we need to figure out “What controls the Body Set Weight?”
That is the next topic we address in the upcoming series “Hormonal Obesity I“.
Begin here with Calories I
Click here to watch the entire lecture: The Aetiology of Obesity – A New Hope
By The Fasting Method
For many health reasons, losing weight is important. It can improve your blood sugars, blood pressure and metabolic health, lowering your risk of heart disease, stroke and cancer. But it’s not easy. That’s where we can help.
By Jason Fung, MD
Jason Fung, M.D., is a Toronto-based nephrologist (kidney specialist) and a world leading expert in intermittent fasting and low-carb diets.