Question 1

Is spot reduction possible?

Accepted Answer

It isn't. Fat decreases across the whole body together, and which area shrinks first follows an order you were born with.

Question 2

Why does the weight come back (the yo-yo effect)?

Accepted Answer

No. When you lose weight, the body treats it as a crisis and changes to use less energy. Burning less than before on the same amount of food is the body's basic response.

Question 3

Why does the same diet give different results for different people?

Accepted Answer

Because the reason the weight went up is different for each person. If the same method is used for someone who gained from eating a lot and someone who gained despite eating little, the results are bound to differ.

Question 4

What can and can't an obesity gene test tell you?

Accepted Answer

It can be a reference. But the test results won't tell you "this person should lose weight this way." It's honest to say that up front.

Question 5

How do weight-loss injections and herbal medicine differ in where they act?

Accepted Answer

Where they act and how much evidence stands behind them are different. Weight-loss injections are drugs that mimic hormones that control appetite, and their effect has been confirmed in large clinical trials.

Question 6

While taking herbal medicine for weight loss, what changes should I watch for?

Accepted Answer

Heart palpitations and trouble sleeping are the first changes to watch for. Some of the herbs that suppress appetite also have those effects.

Question 7

Does herbal medicine make you gain weight?

Accepted Answer

Not all herbal medicines are the same. The direction depends on what it's prescribed for, and it isn't only about building up.

Question 8

In a body composition test, what should I look at before body weight?

Accepted Answer

Rather than the number on the scale, we look at which direction muscle mass and body fat each moved. Even if your weight stays the same, things may be changing for the better inside.

Question 9

How do you approach a tendency to binge when eating is hard to control?

Accepted Answer

Patients tell us that once they start eating, the bowl is empty in no time, and then regret sets in. They start their diet again the next day, but the same thing happens over and over.

Question 10

Why does a diet stop after just a few days?

Accepted Answer

Patients tell us they bought workout clothes, made a plan and even signed up, but quit within a few days. That has happened year after year.

Question 11

Do you treat weight gained from less activity together with swelling?

Accepted Answer

Patients tell us they gained weight as they went out less and spent more time at home. It overlaps with a period when both their sleeping and eating times got irregular.

Question 12

With a busy life, is there something to deal with before weight loss?

Accepted Answer

People come in hoping for something they can take easily. The first thing they tell us is that they're too busy to set aside time.

Question 13

When frequent drinking is hard to avoid, how do you set weight-loss goals?

Accepted Answer

Patients tell us that with repeated drinking get-togethers and late nights, mornings don't feel refreshing and they can't focus on work during the day. They talk about their body feeling heavy before they talk about weight.

Question 14

What should I be careful about when starting because of health checkup results?

Accepted Answer

People who had been coming to us for their back or shoulders bring up weight first after getting their checkup results. Before that, they were the ones saying, "I'll have to do it someday."

Question 15

How much does losing weight affect the load on the knees?

Accepted Answer

It helps. When you walk, the force on your knees is several times your body weight, so even a small drop in weight reduces the load on your knees by much more.

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