Diet Q & A
WLR's dietitian Juliette Kellow answers your diet and nutrition
questions and gives her advice for dieting and healthy weight loss.
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Dietitian's Q & A
MEDICAL CONDITIONS AND ADVICE
Q: Last year I was ill with Glandular Fever and wasn’t able to
exercise. As a result I gained almost 2 stone. Now I’m better and
I’ve joined WLR to help me shift the weight but is there anything I
should watch out for to prevent a recurrence?
A: Gaining weight when you’re ill and less active than normal is
a common problem. But it’s great that you’re now feeling better and
are ready to tackle the pounds you’ve put on. WLR will provide you
with a daily calorie allowance to help you lose weight at your
chosen rate and providing you stick to this, you shouldn’t have any
problems shifting those pounds.
Getting tired and run down can increase the chance of having a
recurrence so it’s really important to keep your energy levels high
and to avoid overdoing it when it comes to exercise. In particular,
because a virus causes Glandular Fever, it’s especially important to
keep your immune system in tip top condition. This means you should
eat a balanced, healthy diet that’s packed with a variety of
nutrient-rich foods. In particular, fruit and veg are packed with
immune-boosting vitamin C and plant compounds called phytochemicals
so make sure you eat plenty of these foods. Meanwhile, foods such as
chicken, fish, lean red meat and low-fat dairy products are good
sources of zinc, a mineral that’s important for the healthy
functioning of the immune system. Fortunately, all these foods are
also low in fat and so are good choices to help you lose weight,
too.
NO WEIGHT LOSS
Q: I’ve joined WLR as a last resort so I hope you can help me. I’ve
been running, swimming or cycling every day and eating healthily for
the last four months but have only lost half a stone. It’s starting
to get me down as I still have 2½ stone to go. Will WLR really help
me lose weight even though I’m already eating sensibly and
exercising so much?
A: First things first, although your weight loss has been slow,
you should still congratulate yourself on the fact you’ve lost half
a stone – and while it might not sound much, at your current rate,
you would lose 1½st in a year. As you’ve been doing so much
exercise, you might also find you’ve lost inches as you’ve built
muscle and toned up – and this is just as important as what the
scales say.
Fortunately, I think WLR can help you to speed up your weight
loss. To lose 1lb of fat, you need to ‘lose’ 3,500 calories. This
might sound a lot, but if you want to lose 1lb a week, it’s as
simple as ‘losing’ 500 calories a day. Obviously if you want to lose
2lb a week, you need to double this and ‘lose’ 1,000 calories a day.
Based on your current weight loss of half a stone in four months,
you’ve been lowering your calorie intake by, on average, just 200
calories a day. In other words, although you’ve been eating
healthily, you’ve only cut your calorie intake slightly with the
result that you’ve only lost a small amount of weight.
WLR can certainly help you lose up 2lb a week and will set you a
daily calorie allowance to achieve this. Providing you stick to this
recommended calorie intake, you will start to see the pounds
shifting more quickly. As your diet is already healthy, cutting
those extra calories will probably be as simple as cutting your
portion sizes slightly. Remember, even healthy starchy foods like
wholemeal bread, potatoes, brown rice, wholewheat pasta and
wholegrain cereals still contain calories, as do protein-rich foods
like chicken, fish, lean meat and low-fat dairy products. As a
guideline, fill half your plate with veggies, a quarter with carb-rich
foods and the remaining quarter with protein-rich foods.
Finally, it’s worth pointing out that your body can get used to a
certain level and type of activity, so you may want to push yourself
harder to get even better results. For example, you might find you
can encourage your body to burn more fat by running or cycling the
same distance in a shorter time, swimming an extra couple of lengths
or simply trying some new activities, whether that’s dancing, gym
work or aerobics classes.
ALTERNATIVE TREATMENTS
Q: Despite weighing almost 13 stone, I’m a really fussy eater and
don’t like many typical ‘diet’ foods such as fruit, veg, rice, pasta
or cottage cheese. This makes it really difficult for me to follow a
diet, although I do like using WLR as I can still eat what I like. A
friend has suggested that being hypnotised may help me to like
healthier foods and lose weight though. Is this true?
A: Many health experts believe hypnosis can help you do anything
from giving up smoking and beating phobias to improving your
performance at work and changing your eating habits – and there’s no
reason why it couldn’t help you.
Hypnosis works by turning off the conscious part of your mind and
freeing up the sub-conscious so that it becomes more receptive to
ideas. Hypnotherapy is often very successful in helping people to
lose weight and deal with food addictions as it helps them change
the way they view food and their eating habits.
Ultimately, being hypnotised could help you alter your attitude
towards food so that you start to eat more healthily and lose weight
as a result. The downside is that it can be quite expensive – from
£40 per hour upwards – and you often need more than one session. To
find a local practitioner, call The National Register of
Hypnotherapists and Psychotherapists on 01282 716839 or visit their
website at
www.nrhp.co.uk.
BODY FAT & COMPOSITION
Q: Despite losing almost 3 stone with the help of WLR, I still have
love handles that hang over the top of my jeans and look horrible. I
really want to get rid of them but no matter what I do, they’re
still there! Can you suggest anything?
A: Love handles are a common problem and one that many women
suffer with. You don’t mention whether you are now at your target
weight or whether you still have a little more to lose. But bear in
mind that love handles are simply excess fat, so sadly, the only way
you’ll get rid of them is to lose that excess fat – and this can be
hard.
To start with, women are genetically programmed to store fat
around their hips and bottom, which is why it’s harder to lose fat
from these areas. Next, it’s impossible to selectively lose fat from
just one area of your body – when you lose weight, you lose fat from
all over your body and sadly you can’t dictate from where you want
that fat to go. However, research shows that you tend to first lose
fat from your face, then bust, stomach and lastly your hips and
thighs. This may help to explain why, even though you’ve lost a
considerable amount of weight, you’re still left with love handles.
Assuming you haven’t reached your target weight yet, I suggest
you carry on with your reduced-calorie diet and combine it with
regular aerobic exercise such as running, swimming, fast walking or
cycling to help burn fat.
Finally, make sure your jeans fit you properly – wearing a size
too small for you is guaranteed to put even the tiniest love handles
on display!
ALLERGY & INTOLLERANCE
Q: I’ve joined WLR and lost a stone in around 10 weeks but I’ve
found it a real struggle and am not looking forward to shifting the
next one. My friend has suggested it might be because I have a
problem with wheat. Should I try a wheat-free diet and if so what
foods should I avoid?
A: First of all, congratulations on losing a stone. Although you
might have struggled you should feel proud of your achievement and
feel motivated to carry on.
With so much written about wheat-free diets, it’s easy to think
that an intolerance to wheat affects a large number of people. But
in fact, experts suggest that less than 0.1 percent of the
population suffer from it – and bearing in mind that you haven’t
mentioned any associated symptoms, I think it’s unlikely you’re one
of them.
A wheat intolerance is hard to diagnose as the symptoms are
varied and may include everything from bloating, fluid retention,
headaches and tiredness to irritable bowel syndrome, constipation
and diarrhoea. Support for the idea that weight gain – or at least
difficulty in losing weight – is also a symptom, stems mainly from
people who’ve followed a wheat-free diet and found they’ve lost
weight as a result. Unsurprisingly though, most experts believe that
any weight loss that occurs is due to a reduction in calories and
fat thanks to cutting out not just bread, pasta and many cereals,
but also biscuits, cakes, pastries, pizza, puddings and processed
foods such as battered fish or breaded chicken. In other words, if
you stop eating wheat, you also de-junk your diet and fill up on
healthier alternatives like fruit, veg, lean meat, fish and low-fat
dairy products.
If you really think you might have a wheat intolerance I suggest
you keep a food and symptoms diary to see if there’s any connection
with what you eat and any possible symptoms you’re suffering with
and then see your GP for a proper diagnosis.
In the meantime, I suggest you carry on using WLR to help you
shift anymore unwanted pounds.
MOTIVATION
Q: My best friend has asked me to be matron of honour for her
wedding in the summer. I’m really happy to be asked but am also
worried because I need to lose 2½ stone, especially as the other
bridesmaid’s are all thin. The trouble is, I really struggle to
stick to any diet and always give up after just a few weeks. Will
WLR be able to help?
A: The key to losing weight is wanting to do it badly enough and
finding the motivation to carry it through – and it sounds as though
you are struggling with this.
To start with, you need to ask yourself who you are losing weight
for. If the answer is ‘me’ you’ll find it easier. However, if your
best friend is nagging you to shape up in time for dress fittings or
your partner has suggested you lose a bit of weight, you’ll
constantly struggle, regardless of the diet you attempt to follow.
Furthermore, many people who struggle with motivation can’t see
any benefit to losing weight so I suggest you write a list of how
you would feel if you shifted that extra 2½ stone. This may include
anything from looking better in your jeans, not getting out of
breath on the dance floor, having more energy or feeling more
confident in your love life. Most people who lose weight say they
get far more out of life once they’re slim. In one study, for
example, successful slimmers said they were more energetic, felt
more confident, had a better mood, felt their health had improved,
got more attention from people and even felt they were better at
their job.
Surrounding yourself with a good support network may also help to
spur you on – and WLR can certainly help you with that. By going
into the chat room, you’ll meet plenty of like-minded people who all
want to lose weight. The advantage of this is that you’ll always be
able to find someone who has been through a difficult slimming patch
and has come out the other side. And this alone can be all that it
takes to keep you motivated and on track.
In the meantime, you may also find it helpful to enlist the help
and support of friends and family. Do you have a friend you could
exercise with? Could your partner also do with eating a more healthy
diet? Or could you encourage your work colleagues to do a fruit run
rather than a chocolate run every afternoon?
You’ll also find that once the weight starts to come off, the
compliments will start to flood in – and this will also help to keep
you motivated. Ultimately, providing you want to lose weight badly
enough and have plenty of support to help you along the way, you’ll
achieve your goal. Good luck!
SMOKING
Q: I’ve been a member of WLR for about six months and have almost
reached my target weight. However, I now really want to give up
smoking but am worried that I’ll start to put the weight back on.
What can I do to prevent this?
A: Congratulations on losing weight AND deciding to give up
smoking. Many people worry they’ll gain weight when they stop
smoking, but this isn’t automatically the case, especially if you
are forewarned of the potential pitfalls. To start with, you need to
be aware that taste buds normally come back to life when you quit
the weed, so food starts to taste nicer – and of course, this means
you’re likely to eat more. The easiest way to prevent this, is to
keep a careful watch on your portion sizes and make sure they’re not
gradually increasing.
It’s also important to avoid using food as a substitute for
cigarettes. Instead of putting a cigarette into their mouth, many
people automatically replace this with food when they give up.
Typical examples include munching a couple of packets of mints each
day, swapping a mid-morning coffee and cigarette for a coffee and
biscuits, finishing an evening meal with chocolate rather than a
smoke and eating crisps while watching TV rather than smoking. If
you’re aware of potential danger zones during the day, it will be
much easier for you to avoid picking up bad habits. If you want to
keep your mouth busy, sugar-free gum is a good option.
Finally, I suggest you continue to weigh yourself just once a
week. That way if you do gain a pound or two, you can immediately
take action rather than having to deal with a much bigger weight
problem later down the line. Good luck.
EATING OUT/HEALTHY CHOICES
Q: My friend has started buying organic foods and swears it’s helped
her lose weight. I’m struggling to shift my last stone. Can organic
food really help you to lose weight?
A: Choosing all things green alone is unlikely to shift unwanted
pounds. The term ‘organic’ refers only to the farming methods used
to produce a food and has nothing to do with its calorie, fat, salt
or sugar content. In fact, the Food Standards Agency says organic
food doesn’t significantly differ in terms of its nutrition content
to food produced conventionally. Sadly, this means organic
chocolate, cakes and biscuits contain just as many calories as their
non-organic counterparts, making them equally bad for waistlines!
However, if you’re thinking about eating more organic foods, it’s
likely you’re also thinking about improving the quality of your diet
– and this usually goes hand in hand with eating less processed,
fatty and sugary foods and more fresh foods, perhaps explaining why
your friend has lost weight.
As is always the case, the key to losing weight is to take in
fewer calories than your body needs with the result that it has to
use its fat reserves to meet energy requirements. This means if you
want to eat organically and lose weight, you still need to stick to
the daily calorie allowance set for you by WLR. And this means
low-fat dairy products, lean meat, poultry, wholegrain breads and
cereals, fruit and veg should be at the top of your shopping list
while crisps, chocolate and biscuits should remain off limits –
regardless of whether or not they’re produced organically.
Q: I get terrible cheese cravings around my time of the month and if
I’m not careful can eat far too much without noticing. What can I do
during the rest of the month to help balance this out, so it doesn’t
wreck my diet?
A: The easiest way is to ‘bank’ some of your calories in the
weeks prior to your cravings and then ‘spend’ them on cheese when
those cravings hit. Saving just 50 calories a day over three weeks
will give you 1,050 calories to splurge on cheese in the last week.
But be warned, that still doesn’t give you free licence to munch
your way through a large block of Cheddar. As you will already know,
most cheeses are very high in fat and so are packed with calories.
Even an extra 1,050 calories will only ‘buy’ you an extra 250g/9oz
Cheddar!
Fortunately, there are now many reduced-fat cheeses available –
but remember these are reduced-fat and not low fat so you still need
to limit how much you eat! Some varieties are also lower in calories
too. For example, Edam, Brie and Camembert are slightly lower in
calories than Cheddar. Meanwhile, Mozzarella, Goats’ cheese and Feta
are lower still, while cottage cheese is the lowest of them all.
In my experience, one particular danger zone for cheese lovers is
during cooking. It’s all too easy to frequently cut off a slither of
cheese and nibble on it while you’re preparing a meal – but these
‘little’ slithers can easily add up to more calories than the meal
itself! Get round this by dividing a large block of cheese into
individual 25g portions as soon as you buy it. That way you can
always be sure of the amount you’re actually eating. This also works
well for tubs of low-fat soft cheese – divide a 200g tub into eight
(simply draw lines along the top of the cheese) and a 300g tub in
12. That way each portion will weigh 25g.
Grating cheese can also make it go further, especially for
sandwiches, cheese on toast or to serve with crackers. Meanwhile,
buying a mature cheese will mean that you’ll get plenty of taste
without having to eat loads.
Check out the chart below to compare the calorie counts of
different varieties of cheese.
Cheese
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Calories per 100g
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Cheddar
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412
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Blue stilton
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411
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Double Gloucester
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404
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Red Leicester
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400
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Gorgonzola
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396
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Wensleydale
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279
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Caerphilly
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375
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Danish Blue
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347
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Edam
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333
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Brie
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319
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Camembert
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297
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Mozzarella
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289
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Reduced-fat Cheddar
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261
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Feta
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250
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Reduced-fat mozzarella
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143
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Plain cottage cheese
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98
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Reduced-fat cottage cheese
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78
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Q: I only ever drink diet cola and wonder what your views are on
including it as part of a healthy diet?
A: Moderation is the key when it comes to eating healthily and
losing weight. This means it’s fine to include diet drinks as part
of your diet, but you really shouldn’t be relying on them as your
only source of fluid.
To start with, diet cola contains caffeine, too much of which can
result in insomnia – and there’s plenty of evidence to suggest that
people who don’t get enough sleep are more likely to put on weight.
Diet cola is also potentially harmful to teeth. Even though it’s
free from sugar, it’s still very acidic and this acid can wear away
the tooth enamel, potentially leading to decay.
I suggest you broaden the drinks you include in your diet,
perhaps starting with drinking more water. If you like fizzy drinks,
you could try sparkling water or soda water with a squeeze of fresh
lime.
Q: I don’t like water and as a result, usually
struggle to drink enough each day. Is it OK to use squash to make it
taste more interesting and should I include this as part of my daily
calorie intake?
A: It’s fine to add squash to water, but you do need to count the
calories. Undiluted squash can actually be quite high in calories
and sugar, so only use small amounts and get used to having a weak
fruit flavour. There are also plenty of sugar-free varieties of
squash available and these might be a better choice for you, both in
terms of losing weight and keeping your teeth free from decay. In
fact, most sugar-free squashes contain so few calories that you
don’t need to worry about adding them to your food diary. Finally,
don’t just stick to plain tap water. Sparkling water with a dash of
lime or lemon juice is really refreshing. Or try soda water for a
change.
Q: Most diets recommend including at least half a pint of skimmed
milk each day but dairy products don’t agree with me and cause
unpleasant side effects. Is it really so essential to include milk
and if so, are there any suitable alternatives?
Q: I have an intolerance to cows milk and so avoid
all dairy products. As a substitute, I use goat’s milk, cheese,
butter and yoghurt. For my food diary, I’ve been adding goat’s milk
as cow’s milk, goat’s cheese as Cheddar, goat’s yoghurt as cow’s
yoghurt and goat’s butter as butter. But really I have no idea how
they compare calorie wise. Can you shed any light?
A: WLR’s database actually includes quite a few unbranded and
branded goat’s milk products. Simply type in ‘goat’s milk’ and
you’ll find a range of milks, yoghurts and cheeses come up. In the
meantime, take a look at the chart below, which compares the fat and
calorie content of goat’s milk products with cow’s milk products.
You’ll see there’s little difference with the exception of cheese.
In fact, goat’s cheese or chevre, is a speciality in France and if
you like the taste, it’s a good option for slimmers as it contains
around half the fat and calories of most hard cheeses.
In the meantime, bear in mind that reduced-fat goat’s milk
products aren’t as widely available as standard dairy products.
However, semi-skimmed goat’s milk is sold in some places so opt for
this if you can.
Food
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Calories per 100g
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Fat per 100g
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Goat’s milk, whole
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60
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3.5
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Cow’s milk, whole
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66
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3.9
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Goat’s milk, semi-skimmed
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45
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1.7
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Cow’s milk, semi-skimmed
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46
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1.6
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Goat’s whole milk yoghurt
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63
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3.8
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Cow’s whole milk yoghurt
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79
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3
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Goat’s milk soft cheese
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198
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15.8
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Cheddar cheese
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412
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34.4
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Goat’s milk butter
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717
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81.1
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Cow’s milk butter
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737
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81.7
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Q: I reached my goal weight two years ago and have
kept it steady ever since. However, I feel fat if I have more than
1,500 calories. Is this bad?
A: Congratulations on reaching your target weight and maintaining
it for a couple of years. Your calorie intake from food and drink is
clearly matching the amount of calories you use up each day so it’s
important that you stop worrying about counting calories. I know it
can be daunting to suddenly start eating to your appetite rather
than counting the calories of every mouthful you have. But it really
is time for you to make this move.
Counting calories, especially when you don’t need to, can quickly
turn into an unhealthy obsession that takes away all the pleasure
you get from eating. As you feel guilty when you consume more than
1,500 calories, it sounds as though this has already happened to
some extent. Plus constantly analysing the calorie content of your
daily diet means you’re probably not thinking about the nutrients in
food that you need for good health such as protein, vitamins and
minerals.
It’s time for you to make it your mission to stop thinking about
food as a sole source of calories and instead start viewing meals as
a provider of nutrients that will give you plenty of energy, boost
your immune system, keep your skin looking great, keep your heart,
lungs, liver and digestive system healthy, and keep your bones
strong. It’s time to start celebrating your weight loss rather than
continuing to hide behind figures that you no longer need to worry
about.
In the meantime, if you still find it difficult to let go of
calorie counting, you might find it helpful to talk to someone, who
will help you identify any fears or worries you have. To find a
counsellor in your local area log on to The British Association for
Counselling and Psychotherapy website at
www.bacp.co.uk
Q: I gave up smoking 3 months ago but am now at my heaviest weight
ever and have recently been diagnosed with high blood pressure.
Having yo-yo dieted for at least 18 years, I think my metabolism is
rather slow. Can you give me any advice to kick start it once
and for all?
Q: As a fat child I starved myself to be thin and went from a
size 16 to a size 8. I loved my new life but put on some weight to
see if it would make my boobs grow. Unfortunately, it got out of
control and I gained 2 stone. Now, at the age of 19, I’m fat again
and this time the weight won’t come off. I run 30 miles a week, do
loads of toning exercises, go to the gym four times a week and have
tried eating less, but nothing works. I don’t like leaving the house
anymore and haven’t been out since Christmas. Has starving myself in
the past made it impossible for me to lose weight now?
Q: I’m 52 year’s
old, 12st 6lb and 5ft 3in and over the years have been on many
diets. I’ve lost weight each time but then put it back on and more.
Now I’m finding it difficult to lose weight at all – the calorie
allowance on most diets allows me more than I eat to maintain my
weight, let alone lose any. Have I damaged my metabolic rate by
frequently dieting so that now I need to eat less and less in order
to avoid putting on weight, and if so, what’s the solution?
Q: I’ve done well so far but can’t get past 17 stone. I’m sticking
to the recommended 1,950 calories and am exercising every other day
at the gym, burning 800-1,000 calories according to the machines.
Should I change my exercise programme or alter my diet to start
losing weight again?
A: Reaching a weight loss plateau is a common complaint amongst
slimmers, with many finding their weight loss suddenly stops even
though they’re sticking to the same eating and exercising habits.
The good news is, this is usually only a temporary problem and the
weight soon starts to drop off again.
Related Question
The key is to be patient and to keep
motivated. Keep reminding yourself of your successes to date – that
might mean trying on an old item of clothing that’s now too big for
you, comparing pictures of yourself when you were bigger with ones
of yourself now or simply totting up how many pounds and inches
you’ve lost in total.
In the meantime, there are several things you can do to help get
those pounds shifting again. Start by checking your portion sizes.
Unless you’ve been constantly weighing out servings of foods like
cereals, rice, pasta, meat, poultry and fish, it’s likely these
portions have gradually increased in size – and this could be all
that’s keeping you at a plateau. For a couple of weeks return to
those habits you picked up when you first started your diet, such as
weighing out cereal rather than putting it straight into a bowl or
measuring 1tbsp dressing rather than pouring it onto salad straight
from the bottle. It’s these little changes that may well help you
start losing weight again.
You may also find it helpful to keep a notebook with you for a
week detailing every single mouthful you have each day. This way you
can be sure that your food diary is accurate. In the same way that
portions can increase over time, you might find you’ve allowed more
treats to creep into your diet which you’ve been forgetting to add
to your food diary, such as having the odd cake in the office,
treating yourself to a bar of chocolate once a week, nibbling on
sweets while you’re driving or pouring yourself a larger drink than
normal. You might be surprised to find that you’re actually having
more than 1,950 calories a day.
You might also find it helpful to shake up your exercise
programme a little. Your body needs to be continuously pushed in
order to burn fat and tone muscle so it’s important that you keep
pushing yourself harder at the gym. This might mean trying some
different cardiovascular machines, or upping the intensity of your
workout, such as walking for a longer distance in the same amount of
time. Why not ask whether one of the gym instructors can work with
you to vamp up your current programme?
Whatever you do, don’t give up now. You’ve done so well that it’s
really not worth letting this small setback undo all your hard work.
Good luck!
Q I’ve lost a couple of stone with WLR and am just
half a stone from my target. Now, all of a sudden I’ve stopped
losing weight, and nothing I do seems to work. What can I do to get
off this weight loss plateau?
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