5 Reasons Your Diet May Not be Working | Dr. David Ball, MD Concierge Care
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5 Reasons Your Diet May Not be Working

Most people at some point in their life have tried a diet that worked initially only to find that it failed in the end.  We blame ourselves and wish we had more willpower.  The problem may not have been your willpower but the diet plan itself.

1.  Eating too few calories – In my experience as a practicing Internist, I find that eating too few calories in a motivated dieter is a common problem.  In general, once you restrict your calories below 1,000-1,200 you start losing significant muscle mass.  Your muscles are some of the most metabolically active tissue in your body.  Your goal should be to preserve and build as much muscle as possible through regular exercise and adequate nutrition.  Losing weight does require calorie restriction, and in the process some muscle will be lost.  Muscle loss can be limited, however, with a balanced diet of quality protein, carbohydrates, and fats.  The other problem with a severe calorie restricted diet is debilitating fatigue.  You have no stamina.  Your ability to mentally focus wanes and your ability to be engaged in meaningful ares of life becomes restricted.  Such fatigue becomes unsustainable over the long haul.

2.  Relying heavily on prepared foods –  Several studies have showed that eating prepared diet products such as calorie-limited frozen meals or diet shakes can help people lose weight initially.  I have used those successfully to help me get started.  The problem comes when we don’t eventually make the transition to “real foods.”  A sustainable diet plan requires that you learn how to prepare and chose “real foods.”

3.  Your diet is too bland – A tasteless boring diet works initially, but eventually you will grow sick of eating the same thing.  Part of the enjoyment of life comes from experiencing a variety of tastes and textures.  Limiting those simple pleasures only sets you up for failure.  Even if the a food has a high calorie content or has a lot of sugar, small amounts will not hurt you and can add to the pleasure of life.

4.  You are too tough on yourself – You don’t have to aim for perfection.  Foods are not either good or bad, or black and white.  There area shades of grey (not a reference to the recent popular book.)  Allow yourself some splurge room.  Hold to your diet 90% of the time.  My daughter and I went to Dairy Queen and ate small blizzards together.  I throughly enjoyed the ice cream and the time spent with my daughter.  Because my diet is good the rest of the week, that little splurge made no negative impact on my health and satisfied a simple craving that could have derailed my plan if I had not compromised.  Think in terms of choices not imperatives.

5.  You are following a dubious/fad diet – If it sounds to good to be true it usually is.  Fraudulent diets claim to cause rapid weight loss with very little effort.  They claim to cause focused weight loss in specific areas of the body.  (As an aside when you lose weight you lose fat from the entire body.  Your genetics will determine where you will see fat loss first and which areas will be more stubborn.  Some trends are common, for example, women tend to lose weight in the hips last and in men the love handle area tends to be last.  No diet or exercise program can target these areas.)  Beware of nutrition counselors that act as pushy salespeople trying to sale the latest diet pill, weight loss supplement, hormone blockers, etc.  Most of these programs promise unrealistic goals and have not actual maintenance plan.

 

Here’s to the Journey!

 

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(David W. Ball, MD, an Internal Medicine physician, founder of NuVitality Health – a wellness education company, and co-founder of Life Changing Fitness – where your goal is our mission)

David Ball
drdavid@drdavidball.com
7 Comments
  • Dorie Byrd
    Posted at 15:21h, 22 February

    Thanks, I needed that! I will be sharing it with my friends, too.

    I had a really great weight loss week, -4lbs. I even ate real food at lunch. I think those diet shakes are bad for me. (I am hungry in 3 hours and they give me digestion issues.) I am now 3lbs from a short term goal. I think it is because I relaxed my strict regiment and just lived life this week. This weekend I had two cookies too. This morning, the scale showed -1lb weight loss. (This surprised me, because I missed 2 workouts this week. hmmm. Maybe I don’t need to exercise every day. However, I just physically feel better if I do. No sore muscles to contend with and although tired, I have a much better attitude, especially with my family.)

    • David W. Ball, MD
      Posted at 16:56h, 22 February

      You are making good progress. I usually give myself a couple of days off a week from exercise so my body can recover.

      • Dorie Byrd
        Posted at 20:08h, 23 February

        You probably push yourself with more intensity than I do when working out. I just walk about 3 miles and lift a 2 lb barbell for two reps of 10.

        Love that picture of you and your wife. Very cute!

        • David W. Ball, MD
          Posted at 15:53h, 28 February

          Keep up the good work. She doesn’t like to get her picture taken so we have to catch her when she doesn’t expect it.

          • Dorie Byrd
            Posted at 15:15h, 29 February

            1 pound away from my short term goal of -20!

            Have a great week!

  • Dorie Byrd
    Posted at 21:07h, 04 March

    Making progress… met my short-term goal of losing 20 lbs. [So far -22.6]

    • David W. Ball, MD
      Posted at 10:25h, 08 March

      Good for you. Keep it up