Started eating clean keto for metabolic health and my many medical conditions in Feb. 2022. To date I have put my AIHA and type 2 diabetes in remission, improved eyes and liver function, been taken off a blood pressure pill and the weight loss just came along for the ride. Lost 61 pounds and 7 inches off my waist. Dr. Cywes, you have educated and encouraged me with your information and no-nonsense (no BS) style. I now know that if I mess up, I know how to fix it. A lifetime of obesity is far too long. Yesterday my doctor said I was no longer morbidly or just plain obese. I am overweight. I am celebrating being overweight and congratulating myself for my success. I thank you from my heart for being here.
I am a ketogenic bariatric patient and have had great results! All of my health markers are excellent now! A1C of 4.9. BMI from 67 to 29! Living my best life now.
i went from 585 lbs at 61yrs old to 205lbs in 21/2 yrs . i am off all meds for diabetes and heart and colesterol .my method was to eat whole foods reduced carbs , and a 42/6 fasting schedule. I`ve went from a 88" waist to 38" and my A1c went from 11.3 to 4.3 .i excersize daily w/ a mtn bike and planet fitness gym visits 3 days a week. i have no issues with fasting and in fact , quite enjoy how i feel when not eating.. To this day still eat only every other day .if i wasnt poor , and had health insurance , i would have 20 llbs of skin removed and be at my ideal weight of 185lbs
Your weight loss is unbelievable! I expect your will see reduced loose skin as your body adjusts to such a rapid loss, especially with your consistent fasting. You might try a few extended fasts, with adequate refeeding in between, since autophagy peaks at 72 hours fasting. Thank you for sharing. It is inspiring. I know I need to fast, and this is spurring me on.
I agree with another poster that if you do a few 3 day fasts - maybe just once a week- your body will metabolize a lot of the skin thru autophagy. I do 22:3 and OMAD all the time and have no problem with the 72 hours at all. Good luck and congrats on changing your lifestyle!!
It was suggested that I have bariatric surgery. I refused. It took some time but I learned about the proper human diet. I've lost about 90 lbs, reversed my insulin resistance (last A1c was 4.8), reversed my sleep apnea, and a bunch of other benefits. I'm so grateful to learn a much better way to eat.
I had a friend who always talked about getting gastric bypass surgery. Finally she was able to get it and was very excited. She was sure that it would enable her to lose 160 lbs. She lost weight in the beginning, but after she had healed, it looked to me as if she was not following the guidelines on how to eat. I saw her about 3 years after the surgery, and she didn't look much different from before the surgery. She said that she had lost about 80 lbs, then regained 50 lbs. So, in the end, she went from about 310 to about 280 and has some side effects from the gastric bypass. The problem was that she expected the procedure to do all the work, and didn't follow the instructions she was given. In the meantime, I had been about 50 lbs overweight, lost it all, and have maintained that weight loss for years. No surgery, just a ketogenic diet.
I was always on the thin side but my poor baby sister struggled with weight all her life.☹️ My sister had stomach stapling when it first arrived on the scene. Lost 100 lbs and regained it. Had the newer type procedure (lap band?) in the 90’s and lost another 100 lbs snd kept it off-but all this stress on the body blew out her adrenals. She had to shoot herself with the needed chemicals and was always going unconscious and always ended in ambulance to ER. Died in 2004 at age 50. 😢😢😢
@@AndreaShink Thank you. She suffered a lot with being overweight. 😢I was blessed to have normal weight most all my life, but felt horrible how she suffered with those surgeries. Survivor guilt too I suppose. She regretted her decisions to do the surgeries. I do understand they have come a long ways by here in 2022. I just pray all contemplating are looking hard at it before jumping into it.
I think for me what worked was addressing the carb/sugar addiction first and then I found the weight came off. 2.5 years later I'm still thriving on carnivore, diabetes still in remission, and still losing sizes (losing mass not lbs) forever grateful for you Dr. Cywes. ❤
100% agree with everything you just said and I say this as an RN of 23 years who has been in the primary care setting since 2011 doing diabetes management for patients. Prior to that was an ICU RN for MANY years (also took care of post-bariatric patients)......ER RN prior to that. This guy is GOLD.
10 years post Lap Band, and enjoy a keto/carnivore lifestyle. I am happy, healthy and no longer have debilitating social anxiety. Best decision of my life.
I love your content!! Love that you encourage incorporating CBT techniques to support a holistic/lifestyle change. Wondering if there are any books or resources on CBT specifically that you’ve found helpful. If so, could you please share the info? Thanks in advance!!
I used to be able to easily lose weight through calorie reduction. Now that I am post menopause I'm lucky if I can drop 5 pounds. Even fasting really didn't make much of an impact. The struggle is real.
I’m not going to blast you at all. I’ve done keto for 4 years and it works for me. You have taught me that I am not a carb addict, and I am sure that I am not because I have been truly addicted to nicotine and seen people close to me be unable to sustain keto. I would say that we are culturally addicted to mono therapies. Always looking for THE ONE answer - so thank you for this video which shares your big picture medical view. 😊
I ❤ this Doctor for all he does to help people with his knowledge. I am a carb addict it is such a struggle to stay in control. I am so grateful for your help, advice and motivation.🙏
I've been watching you since late 2020, I weighed over 166kg, since then with Keto and ADHD medication 3 years later, I'm 118kg, I play sports intensely and I've gained way better understanding of my body. Thank you for all the knowledge you shared... I hope I could make it up for you in the future.
I've been considering ADHD medication as part of my metabolic health plan too, I'll discuss it with my Dr next visit. (I had ADHD as I was a 28 week prem baby and have a mitochondrial disorder from that)
Hello Dr Rob. I have been on the carnivore lifestyle for about 3 weeks and have been cutting all the sugar and starches out of my life. I feel wonderful and have lost almost 10 pounds so far. I appreciate all the pearls of wisdom in your videos. Now the only bingeing I do is watching your videos and applying what is helpful to me. I appreciate your tough but honest attitude that carbs are an addiction that can't be bartered with. A few years ago I went on keto and lost 60 pounds. Then after negotiating with myself I let the same old foods creep into my diet. Now my lifestyle is to not negotiate and keep control letting the saturated fats and vitamins be the only medicine I put inside myself. Thanks again to you and your family and staff. You are point of focus and the rest are your co workers and support staff . I wish peace good health and blessings for the future. Soon we will get revelations that will make our future wonderful giving us potential that we could never imagined before..
Thank you for this. I have been on hundreds of "diets" all my life and as a mono-therapy they all failed. It was only until I started to learn that I am addicted to carbs --and bingeing on them- that I started to have some success. I have never been obese enough for surgery but well on my way. I also am one of those people who have been deluded with good health because all my metabolic markers are within normal numbers. With a keto-carnivore lifestyle, coaching to help me understand my addiction and lack of emotional management I have lost 80 pounds and have kept the weight off for 2 years. I have about 40lbs more to go but I am no longer obsessed and stressed with calorie intake and weight loss as I am with getting healthy and understanding my behaviors.
You are so right,I have had my gastric sleeve for 12yrs,,best thing I have ever done for Myself!!!thank you for your truth here,,I have to always have a healthy or unhealthy relationship with food as you know to this day 12years of food adjustments and education,,as I am still a obese person in my fit and slim body,,that reminds me every day to be grateful for,,,🎉again thank you 🙏
I had sleeve surgery and I’ve been successful for 3 years. I was considering that diabetic shot… because I thought several modalities would help me stay successful. I fast, I eat keto, and I’ve had sleeve surgery soo all that’s left is this shot… I never want to be fat again. Thank you for always helping me and confirming how I was feeling. Even the comment on addiction thinking, because lets face it- I’m an addict 💁🏻♀️
I recently had VSG. My doctor had an honest talk with me, just as you had an honest talk on this video. I knew all of the things I was headed for and after being diagnosed with an incisional hernia, knew that at 265 lbs, I needed to lose weight before hernia surgery. After the initial liquid phase, the diet I will be transitioning to will be a keto diet. Of course the patient info doesn't say that because they know they will be vilified for using the K word. Thank you Dr. Cywes. I have been watching your channel for several months. It took me a long time to reach the decision and after listening to your honest assessment, I am know I made the right choice.
I've used Keto/Ketovore (evolving) and have lost 54 pounds. T2D "resolved". What I added was weight lifting (I didn't add this until my body wanted to move). I have a supportive gym and network I'm competing with the app to see how I do week to week. I've gotten a Dexa Scan to see what I need to work on; strengths & weaknesses. My challenge is my asthma. But, I find if I give myself rest breaks to let my lungs and heart calm down during my workouts I do really well. Compete against yourself set your goals and do your best work.
In my experience, losing more than a few pounds requires overcoming ALL of the body's defenses: 1) Carnivore is the best kind of low carb because meat and eggs have most of the nutrition we need. 2) Hiking/Rucking is better than gym. Put some water bottles in a pack and go walk in the woods. You get sunshine, distant horizon (good for your eyesight), and a long walk. Add weight and hills for as much challenge as you like. Walking is one of the few ways to counteract excess cortisol. 3) If that is not enough, then Mounjaro is brilliant.
You do, what you gotta do, in other words. This is the difference between someone, who actually treats (difficult) patients and someone, who is just selling you their method or product.
I did loose 200lbs from the roux en y bypass 15 years ago. (Didnt look very healthy though). Unfortunately gained alot back. Relost the weight with a keto to carnivore diet. Kept it off for 6 years now!!!! But Unfortunately I've had 2 bowel obstructions from my bypass. Both were emergency surgeries bc of vascular involvement. So yes bypass worked temporarily, but I had 2 horrible surgeries because of it. I wish I would have known about the miracle carnivore lifestyle 15 years ago 😒
I did pretty strict carnivore for about 30 days and discovered my appetite became greatly reduced. I reintroduced other foods, mostly fruits and berries, and my appetite remains greatly reduced. Weight is coming off slowly now, which I think is much better than rapid. My eating habits are entirely different now. No desire to go back to high carb diet. Thanks for the advice, Doc. It sounds like it is just like my alcoholism. I won't go back as long as I remember what it was like.
I use the same "model" of carb addiction as alcoholism...and find abstinence is the key to serenity. The other model comes from hubby's heart surgeon - sugar is the poison. I had to abstain alcohol over 30 years ago due to heart problems so carbs became my "drug of choice". Worked on low carb diet, some fasting, then keto, now near-carnivore. At 78 I have good control around foods, even church potlucks, never any drugs, still jogging and very active and healthy.
Thank you for your excellent information. I could not agree more. I had Roux en Y gastric bypass surgery almost 19 years ago. I lost 100 pounds and I believe it saved my life - not only physically (hypertension at 42 years old), but psychologically too. I've kept off 70 pounds, but those last 30 have been my albatross since menopause. Now I'm following a ketogenic lifestyle and am back to within 15 pounds of my lowest weight. I am a firm believer in the doing whatever it takes to get the weight off. Monotherapy worked for a time, but ultimately I needed to add keto to address my carbohydrate addiction and get those last 30 pounds off. Plus I feel fantastic. I am sixty-one years old and have no hypertension, no diabetes, no chronic health issues whatsoever. BMI currently 27, with 15 pounds left to lose. I certainly would not be saying those things had I not had the surgery.
Great information Dr. Cywes. And I couldn’t agree more. You’re looking for somebody who skill level is at the top of the chart and has a bedside manner to make you feel comfortable then this is your doctor don’t wait book your appointment.
I am new here loving it. I am very fat but started this month exercising and weight lifting and low carb I am not really wanting surgery but we shall see were this exercise lifestyle change leads.
Hi Tommy bear.. in another video I saw of Dr C.. he said exercise was not a weight loss strategy.. it was good and worthwhile but not for losing weight.. for me it helps me stay on track. but for weight loss.. Fasting is the way to go.. to pull out of the pantry.. your fat stores.. I find 3-4 days is about right for me.. Good luck!
I've had a lapband for 14 years and I'm back to square one. Now I have to include keto diet and fasting. Was offered ozempic by endocrinologist but declined because it wouldn't have helped me long term. Needed to look at food differently, about inflammation, about stress, about sleep and at nearly 70 year old female, it's time l learned.
@@reklovjj been there, done that. I don't want drugs. I want to understand my body, hormones, microbiome, nutrigenome, yadda yadda. Getting all those tests now and have been told that the tests show I would respond better to anti inflammatory mediterranean diet more so than keto. I have to build up my gut bacteria with prebiotics, resistant starches, eat bananas, yoghurt among other things, use olive oil mainly and begin my day with protein. I haven't gained any weight by adding back carbs so something is working. I haven't included sweets and still use keto if I'm craving something sweet, or just eat a banana.
I’m not sure I agree that Ketogenic diets fail if it’s mono therapeutic. I still believe that ketogenic diets work as long as the person sticks with it. And I think that a reason people do not stick with it, is because they don’t find a version that they can sustain.
I reduced my BMI from 40 to 27 with keto, but then lost my stride and bounced for a couple of years around 30. This year I refreshed my diet, added Ozempic and CBT, and am currently at normal BMI of 24. Multitherapy FTW!
I'm glad I found your channel. I did keto a couple years ago and lost weight. Disabled vet, blood work was bad Dr said, have me a statin. I'm bad at taking medication, so I don't. I've struggled to figure out how to eat to help me lose some weight and be able to move with less pain. Had back surgery last year and I'm hurting again, so I need to do something it I'm looking at another. I gained since the first, second recovery will be longer. Ugly cycle and I'm just trying to something because this messes with my already shaky mental health. Thank you
@@holistic_holidaze6469 gave me, I don't take them. Really the only pills I take are mental health stuff because I've cold turkey those before. I'm not scared to stop taking than I am too take. But yes, you are correct. It made it worse because I freaked out thinking I was doing something wrong and started down the veggie rabbit hole
Thank you for your service. I am living safe and free because of so many brave men and women like yourself who I will never be able to thank. Your service matters to me, your injury matters to me, you matter to me. May God richly bless you with a clear path to improved health and a purposeful life ❤️🙏🇺🇲❤️
20+yrs RNY: not alot of "after-care". This is only a TOOL, took me along time to figure THAT out. BUT, absolutely needed the tool AT THE TIME!! 20+yrs later, nutritional issues are very very, very real. On my keto journey to heal, only 4mos in, hoping I'm not to late ♡♡
My RNY was in 2001, been ketovore now for 3 years now. Relost 50#, skin is bueatful I have just hit 50 years old, now dealing with menapose, started following Dr. Bright, to add in a stick of butter a day not quite there yet. Only issues is low iron, had multiple infusions, started wearing an iron patch found on Amazon, works no infusions. Hair doesn't grow at all wish that would change. Good luck, keep going it is a lot of mind work.
monotherapy fails? no, it stops working b/c u stop doing it, for all the things mentioned before surgery. If you stay on whole food keto or esp whole food carnivore it won't fail. It failed b/c it was "unsustainable" (what a sad excuse), the fault lies with the person, not the diet. If you can do something for a week you can do it your whole life. I would add in phy activity esp frequent and progressive weightlifting, that will set carnivore on turbo. But here are the secrets that stop carni+lifting/walking from making you lose 100-200 pounds in a year: 1. you keep shitty food in the house - get rid of it**** 2. you keep shitty friends/family around - get rid of them**** 3. you stay around food temptations at work/free time - get away from them 4. you talk with people who say you can't do it 5. you overanalyze how to eat/lift instead of just doing it 6. you keep putting it off for tomorrow 7. when you fall off the wagon, you set the wagon on fire and drive it off the road instead of getting back on 8. you don't make time for it - do exercise first thing you do when you wake up, and prepare all your meals in advance. Trust me. 9. You add in some other obstacle yourself or give yourself some other excuse to not do it. 10. You aren't patient for results when you plateau*********************** Good luck.
Thank you for saying it… 98% of keto diets fail. It’s been true in my life, I lost 50 pounds and then I gained 70. My brother also gained more than he lost too. Because we did a ‘diet’ instead of treating our obesity and sustainably changing our lifestyle. I fully believe that low carb/keto is the healthiest way for anyone to eat but I needed this video.. just because a way of eating seems like the holy grail, it doesn’t mean that it will fix what made a person obese in the first place. Thank you again, Dr. C for the uncomfortable truths 🙏
Interesting video. At first I essentially rejected it because I'm not in the target audience. However with a quick Google search one can find that bariatric surgery lengthens life expectancy. Obesity is a big cause of early deaths. So I sense the caring from the good doctor in his emphatic declaration that one should not avoid surgery if it's appropriate to their circumstances. And I think that makes sense. Multimodal therapy works best for many things and challenges that we face. I learned something from this video.
I have some family and friends that had the surgery, they are all gaining back all the weight they lost. Thankfully not all the weight back. The reasons as you mention, they should have attempted keto(or at least low carb, etc.) along with the surgery. That may have been better for them. Personally I don’t think surgery is the answer for me. I’ve lost weight, I am stalled. I think I need more to reduce some calories, not so low as ASD since that never worked for me and work to getting my carbs lower than 10g a day. Thank you for all your lessons, I learn so much.
The various weight loss interventions certainly have their place and what works for one person may not work for another. Surely, it's treating individuals holistically, within the life circumstance in which they find themselves that is most important - whether that be physical or psychological support?
I feel ensuring proper gut health is step one before any meds/surgeries based on my experience. I've had good successes before my current gut issues w bone broth/juice fasting, going back on that to aid in dropping 10+ pounds in next 3 weeks
This reminds me of all the skinny people (wo have never been even close to being fat) going around saying that losing weight is easy and fat people are lazy. And then those people feel judged and are ashamed to do the thing that might actually help them. (I'm also fat but thanks to the carnivore diet I'm now really close to a healthy BMI. I would have never guessed last year where I would be now!) Edited to add: Carnivore was not the diet I started with but is the one I started almost 6 months ago and stuck with it. I've been doing intermittent fasting for 7 months. All in all, been on a weight loss journey for some 10 months now. And,yes,I also accepted that I'm addicted to carbs. And there's still more. So I believe that monotherapy is not enough. Unless you're not addicted and are healthy and just want to lose a few pounds.
In my opinion, based on my journey, i have gained weight and lost weight, 40 lbs each time. On this occasion i am on the weight loss journey again and have another 20 lbs to go. The difference on this occasion is my knowledge of the effect of sugar and carbs with insulin. I didn't know this before so although this change of nutrition is a mono solution i will have a better attitude about sugar and carbs after my weight loss. Had i not learnt about sugar and carb addiction then i would probably put that weight back on.
I have been on this journey to health/weight loss for a lifetime! You have taught me so much, just when I thought I had all my emotional support in place for my carb addiction and had been free of sugar-flour-sweeteners-alcohol for over one year, was 30lbs to my goal, my mom got very ill & suddenly died. Once again, I slipped badly and did not stop despite feeling badly & regained 40lbs! I am back on track, my labs are great, but the weight does not budge- my BMI is 38? Is this about just getting my mind back on track? Not about surgery as your focus is in this video - which made me think maybe I had to look at that? Help!!!
i had a sleeve surgery performed 10 years ago and have gained back to 200 lbs. (i was 368 before surgery). I have been prescribed the GLP-1 to lose back down. I'm only 3 weeks in, but the shots have changed my thoughts about food, alcohol, etc. I would not be disappointed to be on a low dose of this for life.
Thank you so much for this video I was gestational diabetic, with both pregnancies have been pre-diabetic ever since although when I eat strict carnivore keto, I can lower my blood sugar numbers but yet I am still 100 pounds overweight. I lost 14 pounds when I started keto and have not lost any more weight Feeling like a total failure to be completely honest, I was looking at ozempic My doctor did prescribe it, but my insurance even though it’s private, I have it through work anthem Blue Cross denied it which now I realize it’s not the end of the world, especially because it is only a temporary fix, I had always looked down on bariatric surgery because I thought it was also just a temporary fix and have seen people regain weight but I do realize that it is because they did not have proper counseling and understanding that they need to treat the carb addiction obesity just isn’t the weight. It’s a mindset as well. ❤ so appreciative of your honesty. You are changing lives 😊
My dr has suggest bariatric surgery a number of times over the past few years. I have a number of friends who had different types of bariatric surgeries - and all but 2 gained all their weight back. One who didn't gain it back ended up getting very ill, extremely thin, and continues to have gall bladder issues. I do have an aversion to the surgeries for me. My food addiction is a heart issue. Until that is dealt with, I think I will always gain it back. Recently, I went on bio identical hormones.They helped tremendously and I lost 24 lbs in 4 months (also did intermittent fasting and a keto diet). As soon as I was off them, the weight crept back on. I'm back where I started.
Will being on the ketogenic diet eventually resolve insulin resistance? If you do take a GLP1 and continue with keto do you still have the rebound weight gain when you stop with the GLP1?
Very interesting information. I have been trying g for years and never had anything really work for me. I to did the Ozempic fad I didn't lose any weight so I stopped I luckily didn't gain any weight once stopped injection. I am going to try the Carnivore lifestyle and see how I go.
So is my access visceral fat "causing" me to be insulin resistant? Or, did the visceral fat get deposited due to me being insulin resistance over time?
Dr Cywes! My question or comment is: can a 22 yr old Roux-en-Y surgery be reversed? In the last few years I discovered the keto/carnivore lifestyle and have had great success! All my markers are great, down to a size 10 (from 24W)! My problem is that between the smaller stomach and bypassed intestines I find it EXTREMELY difficult to get enough food in daily let alone the FAT that I need we believe for help! Living in a constant state of malnutrition due to malabsorption is also very concerning to me? I just turned 60….. can I get this reversed???
In 8 months, I personally lost 30 kg of weight without losing any muscle and strength. Losing fat is incredibly easy if you know what your doing. When I lose fat, my diet is high protein, high fat and very low carb. This worked great for me. I do strength and lactic acid training, and I also do cardio 2x a week (1x HIIT and 1x steady state). If there is one advice I can give to anyone struggling to lose fat, then it is to AVOID CARBS! This keeps insulin low and improves insulin sensitivity. Eat high protein and healthy fats, especially MCTs. It is also important to include a high-carb day 1x a week to keep your energy and metabolism high and replenish depleted glycogen stores during a low carb diet. This is in my opinion the best and fastest way to lose fat without losing any muscle and strength.
@@ianstuart5660 Posted this 3 months ago and he didn’t 🙂 Anyway, the carb replenish day is crucial for many metabolic processes in your body during a high fat - low carb diet and also makes it more sustainable.
I know a handful of people who have all had surgery to lose weight and they have all gained significant weight back to a greater or lesser extent over time. The majority of these people used the surgery as an excuse not to work on themselves and their relationship with food, especially carbohydrates.
I would highly recommend viewers watch as a back-up to Dr Cwyes weightloss videos, a bloke by the name of "Bob Briggs" who did videos of his own personal weightloss journey back in 2016. Apparently he stopped because of all the negative feedback he was getting.
The placebo effect is real! If a doctor I trusted told me that taking a certain pill would help me lose weight (a sugar pill, not real medicine) but would cause hair loss I would be bald by Tuesday!!
My mother had her stomach stapled in her 40's and lost a lot of weight (over 150 lbs). She gradually gained it all back (poor eating habits). Then, in her 60's the staples in her stomach tore and they decided to go in and re-staple her stomach. She dropped weight so fast that her liver failed. Within 9 months she was dead. I've always wondered if she went into surgery with an already fatty liver that just couldn't handle losing weight that fast?
It is a must that i do something- all of those fears you mentioned being imposed on us are quite overwhelming. I feel like i'm damned if i do and damnwd if i don't. I feel stuck in a state of paralysis in the need of weight loss for serious health issues. I listened, i need guidance, referral, references. Im ready , please help.
Had lap band in ‘02, put up with vomiting and dehydration for 7 years, didn’t loose any weight, ended up with a hernia and damage to lining of stomach needing nexium daily just to feel comfortable. Doctor took it out, said I must have been vitamising chocolate , I wasn’t at all. Could only eat a tiny bit of pureed vegetables , no bread, no meat, no rice, no heavy foods anyway I had it out. Been struggling with non alcoholic chirosis of my liver, and insulin resistance , so went off wheat and sugar, lost 22 kilos, liver now normal and no insulin resistance, but, I can’t loose any more weigh at all. Still obese, with hashimos and lymphoedema in limbs, very painful. I’m as active as I can be as I suffer with arthritis and scoliosis and over 70, haven’t heard of the balloon , sounds less invasive. I fast at least 16 hours a day. No longer get hungry, don’t know why I’m even writing to you, but I believe in you. I’m very fussy about what I eat, always have been. Food doesn’t do anything for me. It’s only a survival thing. I’ve never tried alcohol, or smoked, dull really. Is it worth investigating the balloon, as I don’t eat much. I think diets don’t work. I believe my earlier days yo yo dieting has ruined my ability to get to a healthy weight. When you are old, nobody cares. Drs say cut down on food. I haven’t eaten today and it’s 6 pm, how much can I cut down on. Yesterday I had a boiled egg. I look like I eat all day long, but don’t. Thanks for your frank videos, and I know you struggle with weight, it’s a life ruining struggle for many . I also have asbestos plaques in my lungs plus asthma, and half a lung damaged through pneumonia years ago. But other than that I’m fine, and my husbands full time caregiver. I Live in Australia. Thankyou. I like to follow your channel. Would love a update on your baby’s progress.
I don't know many of post-surgery patient's that stay healthy, especially men. Most seem unhealthy, or gain weight back. Cutting the body up harms the soul energy.
I can't do keto at all my pcos symptoms go crazy, I get brain fog, depression and bad breath! I try to do low carb as much as possible without getting too much constipation
Six years ago I was introduced to the Ketogenic way of eating. It has changed my life! Over the last two years, my weight-loss has slowed but still reducing. My PHP prescribed Trulicity however, did not see the results the drug promised. I am considering bariatric surgery but am fearful of the possible negative outcomes. What would be the best bariatric surgery for a normal healthy lifestyle after bariatric surgery?? Thanks in advance for your suggestion! Appreciate your content! Be safe and God bless!
My frustration is despite my efforts with intermittent fasting low carb not full keto my weight loss stalls and seems to take a while to kickstart again , my partner is on ozempic he's type two diabetic and the lowest weight he's ever been ,but I would not consider medication for weight loss.
Dr. Cywes, I wish I could come to see you and my insurance cover it. I live in Texas (outside of San Antonio). I went into the bariatric program at the VA, but the psychiatrist would not clear me due to suicidal history. I've been doing ketovore 4 months now with NO weight loss. I'm at my wits end. 4 years ago when I was diagnosed Pre-diabetic, I went keto, lost 38 pounds in 7 months, reversed the diagnosis, then fell off the wagon due to stress. I've gained 28 pounds back. I am now under immense stress. Thank you so much for your videos.
Try intermittent fasting. You can start by just not eating after dinner, and waiting as long as possible the next day before you eat. For example, stop eating at 7pm and don't have another meal until 11am. My husband was suddenly able to break a long stall and start losing weight when he made that change.
@@NYNC88 I've been doing that the past four weeks as well. 19 hours every day and a couple of times 24 hours, still no weight loss. I stop at 6, and don't eat until at least 2 pm or later the next day, some times one meal a day,
@@lauriejenkshale3371 Sometimes it takes a while for the body to start losing weight. I took a medication years ago that caused weight gain. Even after I stopped it, I couldn't lose weight. It seemed to have changed my metabolism. The good news is that after a few years, the weight loss started again.
Dr Cywes, If you happen to read this I have a likely tested theory as to those numerous cases of long term no or extremely low carb dieters with creeping up BG and A1C with an almost complete lack of a glucose stimulated pulstal insulin response. Please reply if you would be interested in me forwarding my researched findings. I believe based on your video about it that you are on the correct track in line with what I have found. On to the topic at hand...... I fully agree that mono therapies have the by far highest failure rate and negative side effects and dangers. With that said lets review what you have just said. You specifically stated all monotherpaies have high failure rates and/or many have long term side effects. This includes all those surgical interventions. Now looking at poly therapy approaches what was the key part that all of your listed choices had to achieve the higher success rates? You stated treating the obesity, or more plainly, treating the true cause of what got you there and keeps you there. This part is largely education and psychological. Much like treating addiction...yes? Given that there are basically 4 parts to treating over all obesity and the metabolic disorders and diseases etc that accompany it. 1: something that physically alters your nutrient energy intake. Diet, Surgery, Pharmaceuticals 2: Education of all the areas of these sections listed. 3: Therapy .... just meaning psychological education 4: Physical Activity I guess we can add one more 5. Long Term Support Now given these unless you are in immediate threat of loss of of life, extreme irreparable physical damage, or the like....... Surgical options,which currently, in this , is not fixing some defect of development or injury. These surgeries are not repairing something. They are changing what is considered normally developed anatomy. Any of those surgical choices minus B-bypass can also be achieved thru diet and fasting. Lap band, as just one example, is to reduce the size of the intial stomach volume. The same can be achieved thru diet of nutritional dense foods thus lower volume and fasting which will shrink stomache volume. Just as huge food volumes increased stomach volume so can chronic reductions in the same vain. The same can be true of all the other surgical choices outside the caveates I already mentioned for the extremes which, unfortunately, are all to common place these days. My point is the issue is not with number 1 choices but in not including numbers 2-5 in amounts needed tailored to the individuals needs. Given that you always want if possible to choose the least invasive strategy. Altering nondefective physical anatomy certainly is the extreme. When it comes down to it the mental component is always the failure point for any reasonably sustainable approach. So yes I agree surgical is a needed option but its used way tooften as a crutch to quick fix so to avoid discomfort and hard work. Anything that is easier to achieve is also equally easier to let go of or lose. My point is you are a surgeon you have a clear and understandable bias. Its undeniable as its not even a choice. Its scientific its why double blind etc studies are used. Fact is there needs to ve hardship and serious effort otherwise it will never be kept. For 90% number one should be teaching how to eat. Correctly called diet but unfirtunately the word "diet" has been turned into a meaning of a temporary change to eating habits versus its true meaning of how you eat throughout your life. If you have 2-4 then diet will work so unless there is a true e treme situation it should be the first course of action in that category. In fact I would go as far as to say those with all tge otger 2-5 that fail at diet for number 1 or at min diet combi ed with temporary/transitory use of pharmaceuticals will have a very high rate of failure even with the surgical options. Lets face it. Its why G-bypass is so popular. It creates a permanent (minus surgical restoration)malnorishion state along with extreme stomach volune reduction. A person has to make extreme effort to over power these and many still do. Which I guess is the point. Again the failure is the mental component and given that all number 1 will fail if it's not successfully addressed. If it is addressed than any of the number 1s will be sucessful. Again I am in full aggreement that there are cases for surgical options but the pint is its the most e treme option and shoukd be reserved for only those extreme cases. It should never be used because the person just wants easy and quick. That perspective almost always leads to failure.
My client with developmental disabilities was "guided" by his family to have bariatric surgery. With little behavior support or aftercare any weight loss was short lived. He probably had binge-eating disorder as well as serious carb addiction. Since I started working with him two years ago he has lost 60 pounds and is gradually getting active. His disability makes him very resistant to suggestions (he hears severe criticism) and very succeptible to junk food consumption (ADHD--Dopamine addict). I am wondering if his gut biome needs support from so many years of junk food (plus antibiotics for skin issues).
A question please. I hope that you answer. :-). I've been using your idea of a coffee for a bridge to good effect. However, just came across another keto practitioner who says that coffee raises blood sugar levels due to caffeine and will make me want to snack later on. Would love to hear your thoughts on this. Watching from Australia. thank you.
@@robertcywes2966 I’ve tried everything. Sleep hygiene. 3 lots of prescription sleeping pills from my doctor including temazepam. Nothing works 😩. I’m insulin sensitive at under 3. About 30 lbs heavier than I’d like.
How to get multimodal therapy done right? Keto worked to get off the 150 I've lost but I still find myself binge eating once in a while and then i gain some back, but then lise again once I go back to eating on plan. I fight the binge and carb addiction daily. I am fighting it now even. It's the first and only thing that has ever worked for me. I was 306 pounds and now 156 and I lost 150 but gained some when I binge the last time and I can't get back to 150 and I need to be less than that even. I am 60, and 5'2 and I should be under 140 and I did it once, but then gained some when I tried to maintain with keto. Gained and haven't been able to lose it again. I wish I didn't care. My friend and sister think I am skinny and to them I am. I have much fat on my body and no muscle.
Gosh you have done well I am thrilled that you are so close to your goal. I have a few things to share about my journey I struggled to get to my goal even today I look at my body how can people say I am skinny and my mind is saying that my toes and thighs are fat hard to believe that I used to wear size 44 and now size 6 and have maintained that loss for the first time in my life I am less than half the woman I used to be . I fluctuate between 110 to 116 when I weighed 140 I took intermittent fasting seriously did omad for months eating to satiety then 2mad in a four hour eating window occasionally three meals a day in an eight hour window occasionally no meals my longest fasting so far was 40 hours . I can’t say to you do what I do and your problems with be solved .i laugh now when I look at my legs and see imperfections I have changed my mind they are my small fat deposits for the hard times that my body can survive on to feed my brain. Since cutting out sugar and processed crap and making lifestyle changes getting out into the sun gardening building structures boxes for compost and raised garden beds using a push mower and a push scoop to clean the driveway I am doing pretty good for a seventy some year old lady. Who now likes the sneaky exercises that I get from doing things that I used to hire people to do.. so my advice is to experiment find out what works for you and May you find that like me you are living the best years of your life and eating your own personal healthy diet .I wish you all that is best🎉❤🎉live long and prosper
I did the HCG diet. Of course I lost weight. But after 40 days I cycled off of it then waited and did it again. Lost another 40 lbs. Went to try one more time and had a family emergency, abruptly stopped it, and started having uncontrollable hunger even sleepwalking/ driving to McDonald's. I am not kidding, I had no idea. My wife confronted me about it. I went from 220lb to 300lb in just 6 months. It was awful.
Surely Dr Cywes, the PSYCHOLOGY, the self- control, self-discipline of cutting carbs is the best solution. I disagree with meds & bariatric surgery being the way to deal with obesity. Because that’s the get out of jail not-free way? And I missed the count of ‘four ways’? Keto, carb-restriction, exercise, self-discipline. And… howzit from South Africa. I’m going for a bike ride now and then I’ll make an omelette with grilled bacon for a late breakfast! And then chicken breasts & salad for dinner. Thanks for making me think.
This episode answers a lot of my questions. Due to my Medicare coverage, I need to find skilled doctor / surgeon/ psychiatrist in NE, who I can trust, includes me in the problem solving process, and does not try to prove my truth, wrong, to prove they are right. I really hope that made sense. I don’t know how to ask for the right help.
@@robertcywes2966 Thrivent Action Team has $250 seed money. I want to use it to spend the word about phone # 988, Mental Health Crisis line, and to learn the pro’s and con’s about it, so when it comes up in legislation, we have way’s to fix the con’s and make sure we learn people’s needs for #988. I hope all this make since, I use “Talk To Text” a lot..,,so sometimes it doesn’t come out right in a text. Notes on the subject: Land of misfits by Lora Zick Call for help, how many times do you have to put your self in harm, to figure out the puzzle. So many pieces. You get the whole picture tucked neatly in your book. Thinking you’re whole, only to fine yourself back in the land of misfits. Call for help , How many games do you have to play, to find out they changed the rules to win. You search for a team of experts, only to find out there are to many players, and you’re standing alone back in the land of misfits. Is anyone listening! I’ve lost my voice! Who’s going to call for help in the land of misfits? We might look broken, but you soon will find out, we are strong and resilient! 💪🧠💖 All we need is a little human kindness! ☺️ Remember you are Strong and Resilient This moment's Temporary This Too Shall Pass! Good or Bad, it’s a chapter to our life story! Learn the pro’s and con’s of phone number #988 and help make it right! link.chtbl.com/CallForHelp The girl who played Amy on “Big Bang Theory”, and host’s “Jeopardy”, in real life has her PhD in neurology. Listen to a great episode on Mayim Bialik’s Breakdown Podcast ( th-cam.com/video/u97IY5ZddJo/w-d-xo.html ) with Robin Williams’s son, Zak Williams. Under description you will also find a link to listen to 5 episodes to “ Call For Help “ .
I had gastric bypass surgery called The Rue & Y back in 1999. It was the most horrible thing that ever happened to me. I weighed 450 lb never had a period got down to 200 lb in the periods would not stop therefore I had to have a complete hysterectomy and I went from 200 lb up to 300 lb and I haven't been able to lose weight ever since. I've had so many hernia surgeries I can't even count them anymore. I had to have my gallbladder removed I lost all my hair my skin was horrible I mean I take so many vitamins I smell like a vitamin so when you suggest gastric bypass I warn people no don't go that route cut back on what you eat stop eating all junk food just eat healthy things and do everything in moderation and you will lose weight
Is there an age restriction for surgery? I have a son that is currently on a glp1… he is 15 soon to be 16. Weight is 235… he has stretch marks and eczema so bad.. he is an addict to carbohydrates…
I tried a combination of ketovore and intermitent fasting. It works fin with me, cause it allows 1-2 glasses of red dry wine with the meal. For longer term and better results, I had to lose the wine :))
I Need Help PLEASE.. I’m 52 years old and I’ve had a heart attack and a 4 way bypass. I’m very overweight 5’6’’ tall at 240lbs. I eat Keto but it’s just not Working. I don’t want to Die from this.
Started eating clean keto for metabolic health and my many medical conditions in Feb. 2022. To date I have put my AIHA and type 2 diabetes in remission, improved eyes and liver function, been taken off a blood pressure pill and the weight loss just came along for the ride. Lost 61 pounds and 7 inches off my waist. Dr. Cywes, you have educated and encouraged me with your information and no-nonsense (no BS) style. I now know that if I mess up, I know how to fix it. A lifetime of obesity is far too long. Yesterday my doctor said I was no longer morbidly or just plain obese. I am overweight. I am celebrating being overweight and congratulating myself for my success. I thank you from my heart for being here.
Next step is to achieve a lower body fat %… u can do it
WHO CARES pal
@@michaelwachtel2933lots of people
@@michaelwachtel2933 WE CARE!
@michaelwachtel2933 I care. It is very motivating to see others success when others are starting their journey
I am a ketogenic bariatric patient and have had great results! All of my health markers are excellent now! A1C of 4.9. BMI from 67 to 29! Living my best life now.
Congratulations!! Well done!!
Congrats
@@robertcywes2966 Thanks. Love your content! Keep up the great work! ❤️
Congratulations 🎉 You're doing great!
How long ago was your surgery and what type of surgery did you have?
i went from 585 lbs at 61yrs old to 205lbs in 21/2 yrs . i am off all meds for diabetes and heart and colesterol .my method was to eat whole foods reduced carbs , and a 42/6 fasting schedule. I`ve went from a 88" waist to 38" and my A1c went from 11.3 to 4.3 .i excersize daily w/ a mtn bike and planet fitness gym visits 3 days a week. i have no issues with fasting and in fact , quite enjoy how i feel when not eating.. To this day still eat only every other day .if i wasnt poor , and had health insurance , i would have 20 llbs of skin removed and be at my ideal weight of 185lbs
Congratulations on your progress. Just goes to prove, you do not need surgery.
Your weight loss is unbelievable! I expect your will see reduced loose skin as your body adjusts to such a rapid loss, especially with your consistent fasting. You might try a few extended fasts, with adequate refeeding in between, since autophagy peaks at 72 hours fasting. Thank you for sharing. It is inspiring. I know I need to fast, and this is spurring me on.
WOW thats great
I agree with another poster that if you do a few 3 day fasts - maybe just once a week- your body will metabolize a lot of the skin thru autophagy. I do 22:3 and OMAD all the time and have no problem with the 72 hours at all. Good luck and congrats on changing your lifestyle!!
I think some burn units will take your skin. Can not hurt to seek them out.
It was suggested that I have bariatric surgery. I refused. It took some time but I learned about the proper human diet. I've lost about 90 lbs, reversed my insulin resistance (last A1c was 4.8), reversed my sleep apnea, and a bunch of other benefits. I'm so grateful to learn a much better way to eat.
Excellent. Prove u don't need surgery
Congratulations.
@@robertcywes2966 A little education goes a long way.
I had a friend who always talked about getting gastric bypass surgery. Finally she was able to get it and was very excited. She was sure that it would enable her to lose 160 lbs. She lost weight in the beginning, but after she had healed, it looked to me as if she was not following the guidelines on how to eat. I saw her about 3 years after the surgery, and she didn't look much different from before the surgery. She said that she had lost about 80 lbs, then regained 50 lbs. So, in the end, she went from about 310 to about 280 and has some side effects from the gastric bypass. The problem was that she expected the procedure to do all the work, and didn't follow the instructions she was given.
In the meantime, I had been about 50 lbs overweight, lost it all, and have maintained that weight loss for years. No surgery, just a ketogenic diet.
Exactly
I was always on the thin side but my poor baby sister struggled with weight all her life.☹️
My sister had stomach stapling when it first arrived on the scene. Lost 100 lbs and regained it. Had the newer type procedure (lap band?) in the 90’s and lost another 100 lbs snd kept it off-but all this stress on the body blew out her adrenals. She had to shoot herself with the needed chemicals and was always going unconscious and always ended in ambulance to ER. Died in 2004 at age 50. 😢😢😢
@@carolerichard5250 terribly sad... I'm sorry for her, and for you. :(
@@AndreaShink
Thank you. She suffered a lot with being overweight. 😢I was blessed to have normal weight most all my life, but felt horrible how she suffered with those surgeries. Survivor guilt too I suppose. She regretted her decisions to do the surgeries. I do understand they have come a long ways by here in 2022. I just pray all contemplating are looking hard at it before jumping into it.
@@carolerichard5250 Sorry for your loss!
I think for me what worked was addressing the carb/sugar addiction first and then I found the weight came off. 2.5 years later I'm still thriving on carnivore, diabetes still in remission, and still losing sizes (losing mass not lbs) forever grateful for you Dr. Cywes. ❤
@htownandi6263
how did you address your carb / sugar addiction?
100% agree with everything you just said and I say this as an RN of 23 years who has been in the primary care setting since 2011 doing diabetes management for patients. Prior to that was an ICU RN for MANY years (also took care of post-bariatric patients)......ER RN prior to that. This guy is GOLD.
10 years post Lap Band, and enjoy a keto/carnivore lifestyle. I am happy, healthy and no longer have debilitating social anxiety. Best decision of my life.
Excellent
I love your content!! Love that you encourage incorporating CBT techniques to support a holistic/lifestyle change. Wondering if there are any books or resources on CBT specifically that you’ve found helpful. If so, could you please share the info? Thanks in advance!!
¥ou are the sweetest man! What a wonderful message to put out there in the midsts of all the craziness about obesity and weight loss.
I used to be able to easily lose weight through calorie reduction. Now that I am post menopause I'm lucky if I can drop 5 pounds. Even fasting really didn't make much of an impact. The struggle is real.
I’m not going to blast you at all. I’ve done keto for 4 years and it works for me. You have taught me that I am not a carb addict, and I am sure that I am not because I have been truly addicted to nicotine and seen people close to me be unable to sustain keto. I would say that we are culturally addicted to mono therapies. Always looking for THE ONE answer - so thank you for this video which shares your big picture medical view. 😊
I ❤ this Doctor for all he does to help people with his knowledge.
I am a carb addict it is such a struggle to stay in control.
I am so grateful for your help, advice and motivation.🙏
I've been watching you since late 2020, I weighed over 166kg, since then with Keto and ADHD medication 3 years later, I'm 118kg, I play sports intensely and I've gained way better understanding of my body.
Thank you for all the knowledge you shared... I hope I could make it up for you in the future.
Brilliant result...well done
I've been considering ADHD medication as part of my metabolic health plan too, I'll discuss it with my Dr next visit. (I had ADHD as I was a 28 week prem baby and have a mitochondrial disorder from that)
Hello Dr Rob.
I have been on the carnivore lifestyle for about 3 weeks and have been cutting all the sugar and starches out of my life. I feel wonderful and have lost almost 10 pounds so far. I appreciate all the pearls of wisdom in your videos. Now the only bingeing I do is watching your videos and applying what is helpful to me. I appreciate your tough but honest attitude that carbs are an addiction that can't be bartered with. A few years ago I went on keto and lost 60 pounds. Then after negotiating with myself I let the same old foods creep into my diet. Now my lifestyle is to not negotiate and keep control letting the saturated fats and vitamins be the only medicine I put inside myself.
Thanks again to you and your family and staff. You are point of focus and the rest are your co workers and support staff . I wish peace good health and blessings for the future. Soon we will get revelations that will make our future wonderful giving us potential that we could never imagined before..
I love how you have a multi-prong approach and an understanding that not everyone requires the same thing.
You're work is benefiting so many around the world. So grateful doc
Thank you for this. I have been on hundreds of "diets" all my life and as a mono-therapy they all failed. It was only until I started to learn that I am addicted to carbs --and bingeing on them- that I started to have some success. I have never been obese enough for surgery but well on my way. I also am one of those people who have been deluded with good health because all my metabolic markers are within normal numbers. With a keto-carnivore lifestyle, coaching to help me understand my addiction and lack of emotional management I have lost 80 pounds and have kept the weight off for 2 years. I have about 40lbs more to go but I am no longer obsessed and stressed with calorie intake and weight loss as I am with getting healthy and understanding my behaviors.
You are so right,I have had my gastric sleeve for 12yrs,,best thing I have ever done for Myself!!!thank you for your truth here,,I have to always have a healthy or unhealthy relationship with food as you know to this day 12years of food adjustments and education,,as I am still a obese person in my fit and slim body,,that reminds me every day to be grateful for,,,🎉again thank you 🙏
I had sleeve surgery and I’ve been successful for 3 years. I was considering that diabetic shot… because I thought several modalities would help me stay successful. I fast, I eat keto, and I’ve had sleeve surgery soo all that’s left is this shot… I never want to be fat again. Thank you for always helping me and confirming how I was feeling. Even the comment on addiction thinking, because lets face it- I’m an addict 💁🏻♀️
Stay true...may not need the shot
Great video Dr. I’ve had great progress keto and abstinence from all sugar, flour, and substitutes. Your videos have helped me so much. Thank-you.
I recently had VSG. My doctor had an honest talk with me, just as you had an honest talk on this video. I knew all of the things I was headed for and after being diagnosed with an incisional hernia, knew that at 265 lbs, I needed to lose weight before hernia surgery. After the initial liquid phase, the diet I will be transitioning to will be a keto diet. Of course the patient info doesn't say that because they know they will be vilified for using the K word. Thank you Dr. Cywes. I have been watching your channel for several months. It took me a long time to reach the decision and after listening to your honest assessment, I am know I made the right choice.
I appreciate the straightforward talk about these things that you always provide.
Thank you for helping people. I do low carb . I have lost 50 pounds since January. I fast 18 _ 20 hours.
I've used Keto/Ketovore (evolving) and have lost 54 pounds. T2D "resolved". What I added was weight lifting (I didn't add this until my body wanted to move). I have a supportive gym and network I'm competing with the app to see how I do week to week. I've gotten a Dexa Scan to see what I need to work on; strengths & weaknesses. My challenge is my asthma. But, I find if I give myself rest breaks to let my lungs and heart calm down during my workouts I do really well. Compete against yourself set your goals and do your best work.
Excellent
In my experience, losing more than a few pounds requires overcoming ALL of the body's defenses:
1) Carnivore is the best kind of low carb because meat and eggs have most of the nutrition we need.
2) Hiking/Rucking is better than gym. Put some water bottles in a pack and go walk in the woods. You get sunshine, distant horizon (good for your eyesight), and a long walk. Add weight and hills for as much challenge as you like. Walking is one of the few ways to counteract excess cortisol.
3) If that is not enough, then Mounjaro is brilliant.
Well said
Excellent advice!
You do, what you gotta do, in other words. This is the difference between someone, who actually treats (difficult) patients and someone, who is just selling you their method or product.
I did loose 200lbs from the roux en y bypass 15 years ago. (Didnt look very healthy though). Unfortunately gained alot back. Relost the weight with a keto to carnivore diet. Kept it off for 6 years now!!!! But Unfortunately I've had 2 bowel obstructions from my bypass. Both were emergency surgeries bc of vascular involvement. So yes bypass worked temporarily, but I had 2 horrible surgeries because of it. I wish I would have known about the miracle carnivore lifestyle 15 years ago 😒
Thank you Dr Cywes for your dedication, hard work and empathy to helping us all. 🙏
I did pretty strict carnivore for about 30 days and discovered my appetite became greatly reduced. I reintroduced other foods, mostly fruits and berries, and my appetite remains greatly reduced. Weight is coming off slowly now, which I think is much better than rapid. My eating habits are entirely different now. No desire to go back to high carb diet. Thanks for the advice, Doc. It sounds like it is just like my alcoholism. I won't go back as long as I remember what it was like.
I use the same "model" of carb addiction as alcoholism...and find abstinence is the key to serenity. The other model comes from hubby's heart surgeon - sugar is the poison. I had to abstain alcohol over 30 years ago due to heart problems so carbs became my "drug of choice". Worked on low carb diet, some fasting, then keto, now near-carnivore. At 78 I have good control around foods, even church potlucks, never any drugs, still jogging and very active and healthy.
Thank you for your excellent information. I could not agree more. I had Roux en Y gastric bypass surgery almost 19 years ago. I lost 100 pounds and I believe it saved my life - not only physically (hypertension at 42 years old), but psychologically too. I've kept off 70 pounds, but those last 30 have been my albatross since menopause. Now I'm following a ketogenic lifestyle and am back to within 15 pounds of my lowest weight. I am a firm believer in the doing whatever it takes to get the weight off. Monotherapy worked for a time, but ultimately I needed to add keto to address my carbohydrate addiction and get those last 30 pounds off. Plus I feel fantastic. I am sixty-one years old and have no hypertension, no diabetes, no chronic health issues whatsoever. BMI currently 27, with 15 pounds left to lose. I certainly would not be saying those things had I not had the surgery.
Great information Dr. Cywes. And I couldn’t agree more. You’re looking for somebody who skill level is at the top of the chart and has a bedside manner to make you feel comfortable then this is your doctor don’t wait book your appointment.
🙂
I am new here loving it. I am very fat but started this month exercising and weight lifting and low carb I am not really wanting surgery but we shall see were this exercise lifestyle change leads.
Hi Tommy bear.. in another video I saw of Dr C.. he said exercise was not a weight loss strategy.. it was good and worthwhile but not for losing weight.. for me it helps me stay on track. but for weight loss.. Fasting is the way to go.. to pull out of the pantry.. your fat stores.. I find 3-4 days is about right for me.. Good luck!
If only it was common practice for people struggling. Thanks for all you do
I've had a lapband for 14 years and I'm back to square one. Now I have to include keto diet and fasting. Was offered ozempic by endocrinologist but declined because it wouldn't have helped me long term.
Needed to look at food differently, about inflammation, about stress, about sleep and at nearly 70 year old female, it's time l learned.
Change your doctor and/or go to a specialist; Ozempic and GLP drugs would help you greatly along your diet
@@reklovjj been there, done that. I don't want drugs. I want to understand my body, hormones, microbiome, nutrigenome, yadda yadda. Getting all those tests now and have been told that the tests show I would respond better to anti inflammatory mediterranean diet more so than keto.
I have to build up my gut bacteria with prebiotics, resistant starches, eat bananas, yoghurt among other things, use olive oil mainly and begin my day with protein. I haven't gained any weight by adding back carbs so something is working. I haven't included sweets and still use keto if I'm craving something sweet, or just eat a banana.
I’m not sure I agree that Ketogenic diets fail if it’s mono therapeutic. I still believe that ketogenic diets work as long as the person sticks with it. And I think that a reason people do not stick with it, is because they don’t find a version that they can sustain.
That's the point. 98% of people, even the most dedicated are unable to sustain. Subtract ur age from 100...That's how long
@@robertcywes2966 ahhh then I misunderstood the point. 🙂 thank you for your videos and sharing your information.
@@robertcywes2966 is there more to this sentence? “That’s how long …” How long what?
I reduced my BMI from 40 to 27 with keto, but then lost my stride and bounced for a couple of years around 30. This year I refreshed my diet, added Ozempic and CBT, and am currently at normal BMI of 24. Multitherapy FTW!
I'm glad I found your channel. I did keto a couple years ago and lost weight. Disabled vet, blood work was bad Dr said, have me a statin. I'm bad at taking medication, so I don't. I've struggled to figure out how to eat to help me lose some weight and be able to move with less pain. Had back surgery last year and I'm hurting again, so I need to do something it I'm looking at another. I gained since the first, second recovery will be longer. Ugly cycle and I'm just trying to something because this messes with my already shaky mental health. Thank you
so your cholesterol got higher cause of keto so he gave you a statin. Probably didn't need a statin and actually makes it worse on your health..
@@holistic_holidaze6469 gave me, I don't take them. Really the only pills I take are mental health stuff because I've cold turkey those before. I'm not scared to stop taking than I am too take. But yes, you are correct. It made it worse because I freaked out thinking I was doing something wrong and started down the veggie rabbit hole
Thank you for your service. I am living safe and free because of so many brave men and women like yourself who I will never be able to thank. Your service matters to me, your injury matters to me, you matter to me. May God richly bless you with a clear path to improved health and a purposeful life ❤️🙏🇺🇲❤️
@@michaels2208 The cholesterol problem is a fake problem. Don't care about it.
The good doctor tells it like it is , no "sugarcoating "!!!
20+yrs RNY: not alot of "after-care". This is only a TOOL, took me along time to figure THAT out. BUT, absolutely needed the tool AT THE TIME!! 20+yrs later, nutritional issues are very very, very real. On my keto journey to heal, only 4mos in, hoping I'm not to late ♡♡
Same here. RNY in 2005, lost 150 regained 150 and now lost 130 again following low carb real food/keto. Losing regain is possible!
My RNY was in 2001, been ketovore now for 3 years now. Relost 50#, skin is bueatful I have just hit 50 years old, now dealing with menapose, started following Dr. Bright, to add in a stick of butter a day not quite there yet. Only issues is low iron, had multiple infusions, started wearing an iron patch found on Amazon, works no infusions. Hair doesn't grow at all wish that would change. Good luck, keep going it is a lot of mind work.
Very nice plan for real results.
Nice lesson.
monotherapy fails? no, it stops working b/c u stop doing it, for all the things mentioned before surgery.
If you stay on whole food keto or esp whole food carnivore it won't fail. It failed b/c it was "unsustainable" (what a sad excuse), the fault lies with the person, not the diet. If you can do something for a week you can do it your whole life.
I would add in phy activity esp frequent and progressive weightlifting, that will set carnivore on turbo.
But here are the secrets that stop carni+lifting/walking from making you lose 100-200 pounds in a year:
1. you keep shitty food in the house - get rid of it****
2. you keep shitty friends/family around - get rid of them****
3. you stay around food temptations at work/free time - get away from them
4. you talk with people who say you can't do it
5. you overanalyze how to eat/lift instead of just doing it
6. you keep putting it off for tomorrow
7. when you fall off the wagon, you set the wagon on fire and drive it off the road instead of getting back on
8. you don't make time for it - do exercise first thing you do when you wake up, and prepare all your meals in advance. Trust me.
9. You add in some other obstacle yourself or give yourself some other excuse to not do it.
10. You aren't patient for results when you plateau***********************
Good luck.
Thank you for saying it… 98% of keto diets fail. It’s been true in my life, I lost 50 pounds and then I gained 70. My brother also gained more than he lost too. Because we did a ‘diet’ instead of treating our obesity and sustainably changing our lifestyle. I fully believe that low carb/keto is the healthiest way for anyone to eat but I needed this video.. just because a way of eating seems like the holy grail, it doesn’t mean that it will fix what made a person obese in the first place. Thank you again, Dr. C for the uncomfortable truths 🙏
The best thing is to go carnivore.
Interesting video. At first I essentially rejected it because I'm not in the target audience. However with a quick Google search one can find that bariatric surgery lengthens life expectancy. Obesity is a big cause of early deaths. So I sense the caring from the good doctor in his emphatic declaration that one should not avoid surgery if it's appropriate to their circumstances. And I think that makes sense. Multimodal therapy works best for many things and challenges that we face. I learned something from this video.
I have some family and friends that had the surgery, they are all gaining back all the weight they lost. Thankfully not all the weight back. The reasons as you mention, they should have attempted keto(or at least low carb, etc.) along with the surgery. That may have been better for them. Personally I don’t think surgery is the answer for me. I’ve lost weight, I am stalled. I think I need more to reduce some calories, not so low as ASD since that never worked for me and work to getting my carbs lower than 10g a day. Thank you for all your lessons, I learn so much.
Agreed, but keep all the options on the table. Use as needed
Have you considered carnivore?
Stop cheese you will be amazed🎉
The various weight loss interventions certainly have their place and what works for one person may not work for another. Surely, it's treating individuals holistically, within the life circumstance in which they find themselves that is most important - whether that be physical or psychological support?
I feel ensuring proper gut health is step one before any meds/surgeries based on my experience.
I've had good successes before my current gut issues w bone broth/juice fasting, going back on that to aid in dropping 10+ pounds in next 3 weeks
This reminds me of all the skinny people (wo have never been even close to being fat) going around saying that losing weight is easy and fat people are lazy. And then those people feel judged and are ashamed to do the thing that might actually help them. (I'm also fat but thanks to the carnivore diet I'm now really close to a healthy BMI. I would have never guessed last year where I would be now!)
Edited to add: Carnivore was not the diet I started with but is the one I started almost 6 months ago and stuck with it. I've been doing intermittent fasting for 7 months. All in all, been on a weight loss journey for some 10 months now. And,yes,I also accepted that I'm addicted to carbs. And there's still more. So I believe that monotherapy is not enough. Unless you're not addicted and are healthy and just want to lose a few pounds.
This is such an amazing channel. Thank you sir!
In my opinion, based on my journey, i have gained weight and lost weight, 40 lbs each time. On this occasion i am on the weight loss journey again and have another 20 lbs to go.
The difference on this occasion is my knowledge of the effect of sugar and carbs with insulin.
I didn't know this before so although this change of nutrition is a mono solution i will have a better attitude about sugar and carbs after my weight loss.
Had i not learnt about sugar and carb addiction then i would probably put that weight back on.
so good, no shaming. Making choices clear.
I have been on this journey to health/weight loss for a lifetime! You have taught me so much, just when I thought I had all my emotional support in place for my carb addiction and had been free of sugar-flour-sweeteners-alcohol for over one year, was 30lbs to my goal, my mom got very ill & suddenly died. Once again, I slipped badly and did not stop despite feeling badly & regained 40lbs! I am back on track, my labs are great, but the weight does not budge- my BMI is 38? Is this about just getting my mind back on track? Not about surgery as your focus is in this video - which made me think maybe I had to look at that? Help!!!
i had a sleeve surgery performed 10 years ago and have gained back to 200 lbs. (i was 368 before surgery). I have been prescribed the GLP-1 to lose back down. I'm only 3 weeks in, but the shots have changed my thoughts about food, alcohol, etc. I would not be disappointed to be on a low dose of this for life.
Thank you so much for this video I was gestational diabetic, with both pregnancies have been pre-diabetic ever since although when I eat strict carnivore keto, I can lower my blood sugar numbers but yet I am still 100 pounds overweight. I lost 14 pounds when I started keto and have not lost any more weight Feeling like a total failure to be completely honest, I was looking at ozempic My doctor did prescribe it, but my insurance even though it’s private, I have it through work anthem Blue Cross denied it which now I realize it’s not the end of the world, especially because it is only a temporary fix, I had always looked down on bariatric surgery because I thought it was also just a temporary fix and have seen people regain weight but I do realize that it is because they did not have proper counseling and understanding that they need to treat the carb addiction obesity just isn’t the weight. It’s a mindset as well. ❤ so appreciative of your honesty. You are changing lives 😊
You need to reduce your calories on keto, too. If you combine keto, calorie reduction, and intermittent fasting, the weight will start coming off.
@@vaska1999 thank you ♥️ I will give that a try
Thank you Dr Cywes.
My initial reaction is surgery is bad, but you are right given the context.
My dr has suggest bariatric surgery a number of times over the past few years. I have a number of friends who had different types of bariatric surgeries - and all but 2 gained all their weight back. One who didn't gain it back ended up getting very ill, extremely thin, and continues to have gall bladder issues. I do have an aversion to the surgeries for me. My food addiction is a heart issue. Until that is dealt with, I think I will always gain it back. Recently, I went on bio identical hormones.They helped tremendously and I lost 24 lbs in 4 months (also did intermittent fasting and a keto diet). As soon as I was off them, the weight crept back on. I'm back where I started.
OMAD - 23hr fast per day - Keto 50g max carbs - 120 minute a day walk . . . . Lost 140lb in one year. . . . Proven method.
Will being on the ketogenic diet eventually resolve insulin resistance? If you do take a GLP1 and continue with keto do you still have the rebound weight gain when you stop with the GLP1?
Keto as a lifestyle not a diet preserves wt loss
No. Some see insulin suppression. Easy to fix
Very interesting information. I have been trying g for years and never had anything really work for me. I to did the Ozempic fad I didn't lose any weight so I stopped I luckily didn't gain any weight once stopped injection. I am going to try the Carnivore lifestyle and see how I go.
So is my access visceral fat "causing" me to be insulin resistant? Or, did the visceral fat get deposited due to me being insulin resistance over time?
Dr Cywes! My question or comment is: can a 22 yr old Roux-en-Y surgery be reversed? In the last few years I discovered the keto/carnivore lifestyle and have had great success! All my markers are great, down to a size 10 (from 24W)! My problem is that between the smaller stomach and bypassed intestines I find it EXTREMELY difficult to get enough food in daily let alone the FAT that I need we believe for help! Living in a constant state of malnutrition due to malabsorption is also very concerning to me? I just turned 60….. can I get this reversed???
I just got bariatric surgery and I am thrilled. What is your progressive diet for recovery from surgery
What will be the safest procedure for bariatric surgery I'm a diabetic I've been on Carnival 14 weeks lost 35 lb A1C is a 6.8 down from 8.9
Great video. Rich with information. Thanks 🎉
In 8 months, I personally lost 30 kg of weight without losing any muscle and strength. Losing fat is incredibly easy if you know what your doing. When I lose fat, my diet is high protein, high fat and very low carb. This worked great for me. I do strength and lactic acid training, and I also do cardio 2x a week (1x HIIT and 1x steady state). If there is one advice I can give to anyone struggling to lose fat, then it is to AVOID CARBS! This keeps insulin low and improves insulin sensitivity. Eat high protein and healthy fats, especially MCTs. It is also important to include a high-carb day 1x a week to keep your energy and metabolism high and replenish depleted glycogen stores during a low carb diet. This is in my opinion the best and fastest way to lose fat without losing any muscle and strength.
Very interesting about the carb replenish day. Wonder how Dr. Cywes would respond!
@@ianstuart5660 Posted this 3 months ago and he didn’t 🙂 Anyway, the carb replenish day is crucial for many metabolic processes in your body during a high fat - low carb diet and also makes it more sustainable.
I know a handful of people who have all had surgery to lose weight and they have all gained significant weight back to a greater or lesser extent over time. The majority of these people used the surgery as an excuse not to work on themselves and their relationship with food, especially carbohydrates.
Exactly
Combination of keto and 12 step program for my carb addiction.
I would highly recommend viewers watch as a back-up to Dr Cwyes weightloss videos, a bloke by the name of "Bob Briggs" who did videos of his own personal weightloss journey back in 2016.
Apparently he stopped because of all the negative feedback he was getting.
I loved Butter Bob, sad he quit. Whenever you do something that helps others there’s always such opposition
I believe you've posted this in at least a few threads.
@@njsongwriter No I haven't. Would it be a problem if I had?
The only feedback u shd listen to is the mirror....and my wife🙂
Thank you doc for the advice, very good motivating channel
My favourite doctor, Dr. Arnold, AKA Cywess Schwarzenegger.
The placebo effect is real! If a doctor I trusted told me that taking a certain pill would help me lose weight (a sugar pill, not real medicine) but would cause hair loss I would be bald by Tuesday!!
LOL!
My mother had her stomach stapled in her 40's and lost a lot of weight (over 150 lbs). She gradually gained it all back (poor eating habits). Then, in her 60's the staples in her stomach tore and they decided to go in and re-staple her stomach. She dropped weight so fast that her liver failed. Within 9 months she was dead. I've always wondered if she went into surgery with an already fatty liver that just couldn't handle losing weight that fast?
It is a must that i do something- all of those fears you mentioned being imposed on us are quite overwhelming. I feel like i'm damned if i do and damnwd if i don't. I feel stuck in a state of paralysis in the need of weight loss for serious health issues. I listened, i need guidance, referral, references. Im ready , please help.
Had lap band in ‘02, put up with vomiting and dehydration for 7 years, didn’t loose any weight, ended up with a hernia and damage to lining of stomach needing nexium daily just to feel comfortable. Doctor took it out, said I must have been vitamising chocolate , I wasn’t at all. Could only eat a tiny bit of pureed vegetables , no bread, no meat, no rice, no heavy foods anyway I had it out. Been struggling with non alcoholic chirosis of my liver, and insulin resistance , so went off wheat and sugar, lost 22 kilos, liver now normal and no insulin resistance, but, I can’t loose any more weigh at all. Still obese, with hashimos and lymphoedema in limbs, very painful. I’m as active as I can be as I suffer with arthritis and scoliosis and over 70, haven’t heard of the balloon , sounds less invasive. I fast at least 16 hours a day. No longer get hungry, don’t know why I’m even writing to you, but I believe in you. I’m very fussy about what I eat, always have been. Food doesn’t do anything for me. It’s only a survival thing. I’ve never tried alcohol, or smoked, dull really. Is it worth investigating the balloon, as I don’t eat much. I think diets don’t work. I believe my earlier days yo yo dieting has ruined my ability to get to a healthy weight. When you are old, nobody cares. Drs say cut down on food. I haven’t eaten today and it’s 6 pm, how much can I cut down on. Yesterday I had a boiled egg. I look like I eat all day long, but don’t. Thanks for your frank videos, and I know you struggle with weight, it’s a life ruining struggle for many . I also have asbestos plaques in my lungs plus asthma, and half a lung damaged through pneumonia years ago. But other than that I’m fine, and my husbands full time caregiver. I Live in Australia. Thankyou. I like to follow your channel. Would love a update on your baby’s progress.
Good luck getting the GLP-1's!!! If you do it's over $1300 a month!
There are ways...
I don't know many of post-surgery patient's that stay healthy, especially men. Most seem unhealthy, or gain weight back. Cutting the body up harms the soul energy.
I can't do keto at all my pcos symptoms go crazy, I get brain fog, depression and bad breath! I try to do low carb as much as possible without getting too much constipation
Six years ago I was introduced to the Ketogenic way of eating. It has changed my life! Over the last two years, my weight-loss has slowed but still reducing. My PHP prescribed Trulicity however, did not see the results the drug promised. I am considering bariatric surgery but am fearful of the possible negative outcomes. What would be the best bariatric surgery for a normal healthy lifestyle after bariatric surgery?? Thanks in advance for your suggestion! Appreciate your content! Be safe and God bless!
My frustration is despite my efforts with intermittent fasting low carb not full keto my weight loss stalls and seems to take a while to kickstart again , my partner is on ozempic he's type two diabetic and the lowest weight he's ever been ,but I would not consider medication for weight loss.
Dr. Cywes, I wish I could come to see you and my insurance cover it. I live in Texas (outside of San Antonio). I went into the bariatric program at the VA, but the psychiatrist would not clear me due to suicidal history. I've been doing ketovore 4 months now with NO weight loss. I'm at my wits end. 4 years ago when I was diagnosed Pre-diabetic, I went keto, lost 38 pounds in 7 months, reversed the diagnosis, then fell off the wagon due to stress. I've gained 28 pounds back. I am now under immense stress. Thank you so much for your videos.
Get outside to dissolve ur stress
Try intermittent fasting. You can start by just not eating after dinner, and waiting as long as possible the next day before you eat. For example, stop eating at 7pm and don't have another meal until 11am. My husband was suddenly able to break a long stall and start losing weight when he made that change.
@@NYNC88 I've been doing that the past four weeks as well. 19 hours every day and a couple of times 24 hours, still no weight loss. I stop at 6, and don't eat until at least 2 pm or later the next day, some times one meal a day,
@@robertcywes2966 I get out every day.
@@lauriejenkshale3371 Sometimes it takes a while for the body to start losing weight. I took a medication years ago that caused weight gain. Even after I stopped it, I couldn't lose weight. It seemed to have changed my metabolism. The good news is that after a few years, the weight loss started again.
Dr Cywes,
If you happen to read this I have a likely tested theory as to those numerous cases of long term no or extremely low carb dieters with creeping up BG and A1C with an almost complete lack of a glucose stimulated pulstal insulin response. Please reply if you would be interested in me forwarding my researched findings. I believe based on your video about it that you are on the correct track in line with what I have found.
On to the topic at hand......
I fully agree that mono therapies have the by far highest failure rate and negative side effects and dangers. With that said lets review what you have just said. You specifically stated all monotherpaies have high failure rates and/or many have long term side effects. This includes all those surgical interventions. Now looking at poly therapy approaches what was the key part that all of your listed choices had to achieve the higher success rates? You stated treating the obesity, or more plainly, treating the true cause of what got you there and keeps you there. This part is largely education and psychological. Much like treating addiction...yes? Given that there are basically 4 parts to treating over all obesity and the metabolic disorders and diseases etc that accompany it.
1: something that physically alters your nutrient energy intake. Diet, Surgery, Pharmaceuticals
2: Education of all the areas of these sections listed.
3: Therapy .... just meaning psychological education
4: Physical Activity
I guess we can add one more
5. Long Term Support
Now given these unless you are in immediate threat of loss of of life, extreme irreparable physical damage, or the like....... Surgical options,which currently, in this , is not fixing some defect of development or injury. These surgeries are not repairing something. They are changing what is considered normally developed anatomy. Any of those surgical choices minus B-bypass can also be achieved thru diet and fasting. Lap band, as just one example, is to reduce the size of the intial stomach volume. The same can be achieved thru diet of nutritional dense foods thus lower volume and fasting which will shrink stomache volume. Just as huge food volumes increased stomach volume so can chronic reductions in the same vain. The same can be true of all the other surgical choices outside the caveates I already mentioned for the extremes which, unfortunately, are all to common place these days.
My point is the issue is not with number 1 choices but in not including numbers 2-5 in amounts needed tailored to the individuals needs. Given that you always want if possible to choose the least invasive strategy. Altering nondefective physical anatomy certainly is the extreme. When it comes down to it the mental component is always the failure point for any reasonably sustainable approach. So yes I agree surgical is a needed option but its used way tooften as a crutch to quick fix so to avoid discomfort and hard work. Anything that is easier to achieve is also equally easier to let go of or lose.
My point is you are a surgeon you have a clear and understandable bias. Its undeniable as its not even a choice. Its scientific its why double blind etc studies are used. Fact is there needs to ve hardship and serious effort otherwise it will never be kept.
For 90% number one should be teaching how to eat. Correctly called diet but unfirtunately the word "diet" has been turned into a meaning of a temporary change to eating habits versus its true meaning of how you eat throughout your life.
If you have 2-4 then diet will work so unless there is a true e treme situation it should be the first course of action in that category. In fact I would go as far as to say those with all tge otger 2-5 that fail at diet for number 1 or at min diet combi ed with temporary/transitory use of pharmaceuticals will have a very high rate of failure even with the surgical options. Lets face it. Its why G-bypass is so popular. It creates a permanent (minus surgical restoration)malnorishion state along with extreme stomach volune reduction. A person has to make extreme effort to over power these and many still do. Which I guess is the point.
Again the failure is the mental component and given that all number 1 will fail if it's not successfully addressed. If it is addressed than any of the number 1s will be sucessful. Again I am in full aggreement that there are cases for surgical options but the pint is its the most e treme option and shoukd be reserved for only those extreme cases. It should never be used because the person just wants easy and quick. That perspective almost always leads to failure.
What is your strategie about weight gain?
Good stuff Doc!
My client with developmental disabilities was "guided" by his family to have bariatric surgery. With little behavior support or aftercare any weight loss was short lived. He probably had binge-eating disorder as well as serious carb addiction. Since I started working with him two years ago he has lost 60 pounds and is gradually getting active. His disability makes him very resistant to suggestions (he hears severe criticism) and very succeptible to junk food consumption (ADHD--Dopamine addict). I am wondering if his gut biome needs support from so many years of junk food (plus antibiotics for skin issues).
Interesting discussion... thank you...
A question please. I hope that you answer. :-). I've been using your idea of a coffee for a bridge to good effect. However, just came across another keto practitioner who says that coffee raises blood sugar levels due to caffeine and will make me want to snack later on. Would love to hear your thoughts on this. Watching from Australia. thank you.
Please could you do a video on improving sleep on keto. I’m lucky to get an hour before I’m awake again.
Will do
@@robertcywes2966 I’ve tried everything. Sleep hygiene. 3 lots of prescription sleeping pills from my doctor including temazepam. Nothing works 😩. I’m insulin sensitive at under 3. About 30 lbs heavier than I’d like.
Watch videos with Dr Elizabeth Bright. She recommends eating fat (butter) before bed for insomnia.
I've seen Dr. Cywes say to eat closer to bedtime will help. He doesn't agree with those that say it's to be avoided at all costs!
@@ianstuart5660 Tried that. Doesn’t make any difference.
How to get multimodal therapy done right? Keto worked to get off the 150 I've lost but I still find myself binge eating once in a while and then i gain some back, but then lise again once I go back to eating on plan.
I fight the binge and carb addiction daily. I am fighting it now even. It's the first and only thing that has ever worked for me.
I was 306 pounds and now 156 and I lost 150 but gained some when I binge the last time and I can't get back to 150 and I need to be less than that even.
I am 60, and 5'2 and I should be under 140 and I did it once, but then gained some when I tried to maintain with keto. Gained and haven't been able to lose it again.
I wish I didn't care. My friend and sister think I am skinny and to them I am. I have much fat on my body and no muscle.
Gosh you have done well I am thrilled that you are so close to your goal. I have a few things to share about my journey I struggled to get to my goal even today I look at my body how can people say I am skinny and my mind is saying that my toes and thighs are fat hard to believe that I used to wear size 44 and now size 6 and have maintained that loss for the first time in my life I am less than half the woman I used to be . I fluctuate between 110 to 116 when I weighed 140 I took intermittent fasting seriously did omad for months eating to satiety then 2mad in a four hour eating window occasionally three meals a day in an eight hour window occasionally no meals my longest fasting so far was 40 hours . I can’t say to you do what I do and your problems with be solved .i laugh now when I look at my legs and see imperfections I have changed my mind they are my small fat deposits for the hard times that my body can survive on to feed my brain. Since cutting out sugar and processed crap and making lifestyle changes getting out into the sun gardening building structures boxes for compost and raised garden beds using a push mower and a push scoop to clean the driveway I am doing pretty good for a seventy some year old lady. Who now likes the sneaky exercises that I get from doing things that I used to hire people to do.. so my advice is to experiment find out what works for you and May you find that like me you are living the best years of your life and eating your own personal healthy diet .I wish you all that is best🎉❤🎉live long and prosper
Normal is not a disease
@@robertcywes2966 it’s a word in the dictionary that doesn’t make sense when describing people 🤷🏼♀️😉
I did the HCG diet. Of course I lost weight. But after 40 days I cycled off of it then waited and did it again. Lost another 40 lbs. Went to try one more time and had a family emergency, abruptly stopped it, and started having uncontrollable hunger even sleepwalking/ driving to McDonald's. I am not kidding, I had no idea. My wife confronted me about it. I went from 220lb to 300lb in just 6 months. It was awful.
Hope you are on the right way again?
@@PeCo333 on carnivore now lost 70+ lbs
Thanks
@@michaelsamu7082 Well done!
Surely Dr Cywes, the PSYCHOLOGY, the self- control, self-discipline of cutting carbs is the best solution.
I disagree with meds & bariatric surgery being the way to deal with obesity. Because that’s the get out of jail not-free way?
And I missed the count of ‘four ways’?
Keto, carb-restriction, exercise, self-discipline.
And… howzit from South Africa.
I’m going for a bike ride now and then I’ll make an omelette with grilled bacon for a late breakfast! And then chicken breasts & salad for dinner.
Thanks for making me think.
Does not calorie restriction always result in a decrease in metabolism until it becomes ineffective?
Great video Rob
Hey Col....hope ur all doing well
I found out my dopamine levels were low and was leptin resistant. Both contribute to over eating/ snacking.
This episode answers a lot of my questions. Due to my Medicare coverage, I need to find skilled doctor / surgeon/ psychiatrist in NE, who I can trust, includes me in the problem solving process, and does not try to prove my truth, wrong, to prove they are right. I really hope that made sense. I don’t know how to ask for the right help.
Visit us in Flirida
@@robertcywes2966 Okay, when? Last time your secretary said, you’re appointments are over a year out and $300 an appointment. I need help now!
@@robertcywes2966 Thrivent Action Team has $250 seed money. I want to use it to spend the word about phone # 988, Mental Health Crisis line, and to learn the pro’s and con’s about it, so when it comes up in legislation, we have way’s to fix the con’s and make sure we learn people’s needs for #988.
I hope all this make since, I use “Talk To Text” a lot..,,so sometimes it doesn’t come out right in a text.
Notes on the subject:
Land of misfits by Lora Zick
Call for help, how many times do you have to put your self in harm, to figure out the puzzle. So many pieces.
You get the whole picture tucked neatly in your book. Thinking you’re whole, only to fine yourself back in the land of misfits.
Call for help , How many games do you have to play, to find out they changed the rules to win.
You search for a team of experts, only to find out there are to many players, and you’re standing alone back in the land of misfits.
Is anyone listening! I’ve lost my voice! Who’s going to call for help in the land of misfits?
We might look broken, but you soon will find out, we are strong and resilient! 💪🧠💖
All we need is a little human kindness! ☺️
Remember you are
Strong and Resilient
This moment's Temporary
This Too Shall Pass!
Good or Bad, it’s a chapter to our life story!
Learn the pro’s and con’s of phone number #988 and help make it right!
link.chtbl.com/CallForHelp
The girl who played Amy on “Big Bang Theory”, and host’s “Jeopardy”, in real life has her PhD in neurology. Listen to a great episode on Mayim Bialik’s Breakdown Podcast ( th-cam.com/video/u97IY5ZddJo/w-d-xo.html ) with Robin Williams’s son, Zak Williams. Under description you will also find a link to listen to 5 episodes to “ Call For Help “
.
@@lorazick7966 No offense intended. Just intently watch all of his content. All of the answers and methods and motivations are there for you!
I had gastric bypass surgery called The Rue & Y back in 1999. It was the most horrible thing that ever happened to me. I weighed 450 lb never had a period got down to 200 lb in the periods would not stop therefore I had to have a complete hysterectomy and I went from 200 lb up to 300 lb and I haven't been able to lose weight ever since. I've had so many hernia surgeries I can't even count them anymore. I had to have my gallbladder removed I lost all my hair my skin was horrible I mean I take so many vitamins I smell like a vitamin so when you suggest gastric bypass I warn people no don't go that route cut back on what you eat stop eating all junk food just eat healthy things and do everything in moderation and you will lose weight
What about muscle loss during extended fasting? Can it be prevented?
Not a major issue. Always regenerates
Is there an age restriction for surgery? I have a son that is currently on a glp1… he is 15 soon to be 16. Weight is 235… he has stretch marks and eczema so bad.. he is an addict to carbohydrates…
this was just the talk I was looking for. have been curious about the newer drugs out there to help
I tried a combination of ketovore and intermitent fasting. It works fin with me, cause it allows 1-2 glasses of red dry wine with the meal. For longer term and better results, I had to lose the wine :))
I Need Help PLEASE.. I’m 52 years old and I’ve had a heart attack and a 4 way bypass. I’m very overweight 5’6’’ tall at 240lbs. I eat Keto but it’s just not Working. I don’t want to Die from this.