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Dr. Atul Madan Explains The Difficulties of Losing Weight Just by Diet and Exercise
Date:5/12/2013

ard-of, even for those who have the lap band installed. Some have the lap band removed, though whether that's due to enough weight loss or not enough, hasn't been fully confirmed in current research. However, he notes, most of those who do have the lap band installed for more than two years experience an average of at least 50% weight loss, even with some patients experiencing weight regain.

Although later results from the Time study were more encouraging – an average of 30 pounds' weight loss – counseling and a normal diet were not enough to keep 12 pounds from creeping back on. The culprit, according to Time, was the dieter's own body: “a symphony of hormonal changes sends the body relentless signals to slow metabolism and increase the urge to eat, for at least a year after weight loss”. The drop in leptin levels, due to loss of fat, signals the body that it needs more energy, which results in a cycle of hunger pangs and even slower metabolism. The body turns to “fight or flight” mode because the body thinks that starvation is imminent, when mere weight loss is the goal.

This does not mean that those wanting weight loss are doomed to ride an endless cycle of weight loss and regain, says Dr. Madan. It may mean that the first year after trying to lose weight by diet and exercise will be extremely hard, as evidenced by the 16 people out of 50 that dropped out of the Australian study. What it does mean is what lap band patients often hear: the battle has just begun.

Diet and exercise aren't the enemy, but the body will put up a fight. According to the April 10, 2013 Fox News article (“How To Keep Weight Off”), the average woman in America adds on an extra pound per year after reaching age 40. (This may explain why so many lap band patients are women, says Dr. Madan.) After age 30, muscle tissues successively gives way to fat, and m
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