Dr. J offers his irreverent, slightly irrelevant, but possibly useful opinions on health and fitness. A Florida surgeon and fitness freak with a black belt in karate, he runs 50 miles a week and flies a Cherokee Arrow 200.
Two very close friends of mine just celebrated the birth of a very cute baby girl.
The pregnancy went to term without any problems and the delivery — as most are, even in an experienced doctor’s eyes — was miraculous!
The mother’s weight gain for this blessed event was well within the recommended limits for a fit, healthy, normal-weight woman.
You might say in her case, eating for two was sufficient to bring an 8-pound healthy baby into the world.
In the realm of obesity, however, eating for two takes on a whole different dimension.
With the current prevalence of obese individuals, I’m sure each and every one of us has seen people who are at least twice the size they should be to be healthy. Every study which has looked into this condition supports the reason for this is that people are consuming too much food.
If a person eats enough for two people with his or her present activity level, they will be the size of two people.
Many of these obese individuals have attempted to lose weight multiple times in their lives without sustained success. Because of this, it is not uncommon for people to believe that they are not able to lose weight.
There are many reasons, other than the obvious too much food, too little activity, that have been postulated for these weight loss failures such as thyroid problems, fat genes, viruses, a too slow metabolism and so forth. Even with these conditions, the study conclusions are always that with medical treatment, an appropriate diet, and adequate exercise, these barriers to weight loss can be overcome.
Our body size is a balance between the energy we take in and the energy we expend. It may be common for people who attempt to lose weight to have difficulty because they do not take this reality into account. As we lose weight, what was once enough of a decrease in food intake to allow this loss to occur no longer is sufficient because at our lower body weight maintenance requires fewer calories.
Whenever I’ve seen examples where obese people keep track of the amount of food they consume, the volume is quite excessive.
Ever medical reason can be treated. Every genetic weakness can be adapted to. Every metabolism can be improved. Every realistic obese person will admit that they eat too much for them to be the normal size of one person.
If a person who is obese wants to change this, he or she needs to eat for one.
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