Weight Plateaus are frightful, bothersome states of metabolic stagnation that occur smack dab in the middle of a successful weight loss plan. Even if expected, plateaus can cause discouragement, feelings of failure, and a desire to “give up.”
No, no need to give up. Let’s look at some game changers for those plateaus. At the bottom of this physiological storm is that of survival. In a plateau, the body is fighting to stay alive, lowering its metabolism to match the calories given to it. Yes, it defeats the purpose but the body is just trying to save its own life by this metabolic shift. The question(s) then become the following:
Plateau Interventions, What Should be in Your Toolbox???? Meal Plan Manipulations Keep the Food/Symptom Diary again if you are not still doing it. Sometimes, as the same old regimen is repeated, boredom slips in. Calories begin to creep back in, portion sizes aren’t watched like they used to be. Go back to the basics: weigh, measure and revisit portion sizes and food choices. Intermittent-Fasting Routine: For this plateau buster, the weight loss is facilitated by moving calories. For 2-3 days either a very low calorie diet (800 calories) or a fast can be chosen to throw the body’s expectations off. Do this for two days then go back on your meal plan for 3 days and then fast or follow a very low calorie diet on an every- other- day basis. There are various renditions of this manipulation. Now, hunger is still a problem with this type of plan unless your fasting days take you into ketosis. Not appropriate for diabetes. Fasting is associated with increased ghrelin and decreased obestatin in the blood circulation. Specifically these naughty hormones are ghrelin and obestatin. Both hormones play intricate roles in playing with our regulation of diet induced thermogenesis. Alternatively, one can increase calories while at the same time kicking up exercise intensity to 70-75% Maximum Heart Rate for one to two days and then drop down to 800 calories and then return to caloric weight loss plan. The idea is to fool your body’s metabolism to break the cycle. Calorie-Restricted Adequate Nutrition (CRAN): This meal plan, originally developed in life- extension research, was found to be effective at keeping the body lean and mean, but it is not practical to live on such small amounts of food with supplementation for extended periods of time. These human studies continue, but now the rage is to look for CRAN mimetics that make life more livable. However, short term use can blast a hole in a plateau! Macronutrient Manipulation: Take your meal plan and flip flop it. For example, low carbohydrate high protein for one month may be different than the high fiber low fat meal plan you may have been following. Some meals will be turned from a meat based to a vegetarian based or from a regular carbohydrate diet to a low glycemic carbohydrate, high protein diet. Again, your body is fooled for a bit. Then, don’t forget the little plateau “busters”: a) drink 8 oz. glass of water or sugar free beverage prior to a meal; b) achieve adequate hydration, but not too much – 1 ml per kcal or 8 glasses per day and consume high water foods such as melons, hot cereals; c) keep your sodium to the recommended level of 2,300 mg. sodium/day or higher if exercise requires it. Exercise and Lifestyle Change Your Workout Routine: Keep your metabolism guessing! Here are some guidelines creating new work-outs for your toolbox. Have fun with the following ideas! Redesign your old work -out program by changing one or more variables – frequency, intensity, duration. FREQUENCY: Change the number of times you do a work out per week. DURATION: Change the length of time you do a specific workout. INTENSITY: Increase your target heart rate for 20 minutes of the cardio portion of the routine. Use Video exercise programs to increase compliance. Try to get fresh air and walk daily! Remember to adjust your fluid and meal intake to the type of sports you are in – professional athlete vs. weekend warrior. Get in touch with your hunger signals again and what that feeling is like. Plan ahead for parties and social events. Thermogenic Aides or Where's The Pill? A pill is not our long-term answer. Short-term like in Breaking a Plateau, it is reasonable. And, our top contenders for Thermogenic Aides are: Green Tea: This herb has been used medicinally for a very long time. Studies have shown that green tea can help reduce obesity when consumed on a daily basis. I seems to work by increasing metabolism after eating. Green tea may also reduce appetite, fat absorption, and storage. To break a plateau, drink 6 0z of caffeinated green tea 3x per day until weight loss is established again. The chemicals responsible for green tea's effect on weight are primarily ECGC, catechins , and polyphenols. Green Tea should be respected as a known adjunct to reducing BMI, body weight, and body fat, reducing overall fat cell generation, decreased fat absorption, and suppressed appetite. Hot, Spicy Foods: Incorporate the use of hot chili peppers and turmeric in meals. These spices cause a slight sweating reaction and a greater response to the food, thus elevating thermogenesis. Resveratrol: Resveratrol has been on the market for many years and has been used medicinally for generations. Controversial human trials continue, but studies have shown that 150 mg of trans-resveratrol will cause weight loss in obese but not normal weight humans. Vitamin D/Calcium: Approximately 90% of our world’s population is deficient in vitamin D. Vitamin D is actually a hormone, and recent reports suggest that our rise in obesity is related, in part, to our lack of Vitamin D and calcium. Bitter Orange, p-Synephrine, Caffeine, Kola Nut: These nutrients/foods- all thermogenic teas-can be used alone or in combination to break the plateau. While controversy exists regarding the use of these products, used judiciously they are safer than weight loss drugs in general and pose few side effects when used as indicated. Vitamin C: Vitamin C is inversely related to body mass. Individuals replete vitamin C and oxidize 30% more fat during moderate exercise than those who are depleted. The dosage should be approximately 100 mg by food (preferably) or supplement. If you smoke, add 35 mg daily to this value. Transformation of our Mindset
In taking an Integrative and Functional Medicine Approach, we must look at our toolbox holistically. Approaching problems from many angles means utilizing the most neglected tools to meet our goals at all levels of the problem. Sources Al-salafi R, Irshad M, Abdulghani. Does green tea help to fight against obesity? An overview of the epidemiological reports. Austin Journal of Clinical Medicine. April, 2014. http://www.researchgate.net/profile/Md_Irshad2/publication/262201112_Does_Green_Tea_Help_to_Fight_against_Obesity_An_Overview_of_the_Epidemiological_Reports/links/54367faa0cf2dc341db352c7.pdf. Accessed 5/21/15. Bradford PG. Curcumin and obesity. Biofactors. 2013; 39 (1):78-87. http://onlinelibrary.wiley.com/enhanced/doi/10.1002/biof.1074 . Accessed 5/22/15. Johnstone A. Fasting for weight loss: an effective strategy or latest dieting trend? International Journal of Obesity. http://www.nature.com/ijo/journal/v39/n5/full/ijo2014214a.html Accessed 5/21/15. Lin L, Lee JH, Bongmba OYN . . . The suppression of ghrelin signaling mitigates age-associated thermogenic impairment. 2014. Aging.6 (12):1019 http://www.impactaging.com/papers/v6/n12/pdf/100706.pdf Assessed 5/21/15. Muceherjee A, Mukherjee S, Biswas J. Phytochemicals in obesity control. International Journal of Current Microbiology and Applied Sciences, 2015 4(4): 558-567 http://www.impactaging.com/papers/v6/n12/pdf/100706.pdf Accessed 5/22/15. Singh R. Significant improvement in obese, grade three male individual with nutrient dense low calorie, moderate to high protein diet. Advances in Obesity, Weight Management and Control2015. 2(2) http://medcraveonline.com/AOWMC/AOWMC-02-00013.pdf Accessed 5/22/15. Stohs SJ, Preuss HG, and Mohd Shara. A review of the human clinical studies involving citrus aurantium (Bitter Orange) Extract and its primary protoalkaloid p-synephrine. International Journal of Medical Sciences 9(7): 527-528. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3444973/ Accessed 5/22/15. Timmers S, Konings E, Bilet L, . . .Calorie restriction-like effects of 30 days of resveratrol supplementation on energy metabolism and metabolic profile in obese humans. Cell Metabolism. 14:612-622 http://www.sciencedirect.com/science/article/pii/S155041311100386X Accessed 5/21/15. Wang S, Moustaid-Moussa NM, Chen L.. Novel insights of dietary polyphenols and obesity. J of Nutr Biochemistry. (25): 1 http://www.sciencedirect.com/science/article/pii/S0955286313001617 Accessed 5/21/15. Adapted from the Weight-Loss Program, “Synergetics,” by Kathryn J. Shattler, M.S., RDN
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