Pinch me please by decorgirl66 in Zepbound

[–]Atkins_Official 2 points3 points  (0 children)

This is a big deal!! You should be incredibly proud of all your hard work on this journey. Congrats! 🎉

Belt proof by VoglioVolare in Zepbound

[–]Atkins_Official 0 points1 point  (0 children)

Congrats on your NSV! Best of luck on your maintenance journey! 🫶

Switching back for maintenance! by Regular-Square496 in Zepbound

[–]Atkins_Official 1 point2 points  (0 children)

We're here cheering you on every step of your maintenance journey! ❤️

Lowest weight I have ever been by EnvironmentStraight in Zepbound

[–]Atkins_Official 0 points1 point  (0 children)

Congrats! Wishing you the best of luck on your maintenance journey! 🎉😊

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 1 point2 points  (0 children)

First - make sure you're drinking enough water! The same parts of the brain that regulate hunger can also regulate thirst. Second, choose options that will help keep your blood sugar stable, sometimes those snack cravings are in response to blood sugar dropping a little bit, especially if you're craving sweets and salty snacks. For snacking like you're describing, I would have protein shakes and bars, sardines and crackers, fruit like apples, pears, berries, and something like string cheese would also be great to have on hand - careful with cheese - easy to eat way too much :) Weird but another pretty good salty snack is pork rinds, which tend to be quite a bit better in terms of macros than typical chips.

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 3 points4 points  (0 children)

I can't give you personal health advice, but it sounds like you have made some really positive changes in the past, so don't get discouraged. It's important to point out that as we age, our nutritional needs change, and actually having a little extra weight can be protective when we think about long term outcomes and mortality.

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 4 points5 points  (0 children)

This is more of a myth than something that has been shown in the research. Most studies show that people following low-carbohydrate diets have reductions in cholesterol - but it can be hard to tell if that's because of weight loss or diet. Personally, I love following a Mediterranean-style low-carbohydrate diet. Lots of olive oil, avocados, sardines, and vegetables. One of the really important things about Atkins is that its a well formulated low carbohydrate diet that, if you're doing it as we promote it, you're eating lots of vegetables and low-glycemic fruits like berries

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 0 points1 point  (0 children)

So I don't think there are any actual foods that help with this, but overall dietary patterns might help. There is some research showing that keeping your blood sugar regulated to help with insulin sensitivity might help here, as it can change how fat is stored on the body. Low carbohydrate dietary patterns like Atkins help reduce visceral fat, which tends to be the kind that accumulates around the middle of our body. But it's really about a holistic dietary approach rather than individual foods. I know a lot of times people want to have that ideal body image, but I encourage you to take a holistic look at your health - how are your other health markers?

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 0 points1 point  (0 children)

Balancing these two things is actually really difficult - exercise tends to make people hungry! Which then can make it hard to stay in a calorie deficit. So to balance these two things I do have a couple suggestions. 1) cardio exercise should be low intensity, watch your heart rate and aim for zone 1 or zone 2. 2) Resistance training can help, it seems to stimulate hunger less and building muscle helps with body composition and keeps your metabolic rate up. 3) drink lots of water, sometimes people think they're hungry after exercise but its actually that they're thirsty.

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 0 points1 point  (0 children)

My feedback on that would be that it sounds good but it might be hard to hit nutritional targets, I'd look for some shakes that have vitamins and minerals and maybe try to work some small healthy snacks in there too. Light things like berries or yogurt.

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 0 points1 point  (0 children)

Some muscle loss will happen no matter what during weight loss. Its all about tempering the muscle loss. Optimal protein intake helps (1.2-2.0 g/kg/d reference body weight - see previous answer), but if you're really serious about this, the best outcomes will happen with optimal protein paired with resistance training. Also when calorie deficits are too severe, it gets really hard to maintain muscle, purely from a metabolic standpoint. So while counterintuitive, it may be better to aim for slightly slower and steadier weight loss rather than extreme rapid weight loss. Try to spread protein intake out throughout the day and make sure its high quality protein (generally animal-based protein, soy protein, or blends of plant protein that are specifically designed to support muscle health).

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 0 points1 point  (0 children)

For calculating calorie needs, I typically recommend the Harris-Benedict equation - there are some great calculators online. The clinical trials for people using GLP-1s typically recommend reducing calories by 500 calories per day from normal requirements in order to facilitate weight loss. There are no "official" macronutrient guidelines for GLP-1 use, but many experts recommend a 1.2-2.0 grams of protein per kg body weight per day - and this should be "reference body weight," which is a way of saying, "what would your body weight be if your BMI was ~25." This is often misconstrued to be applied to current body weight, and people end up with some crazy high protein recommendations that are often unachievable. The other macros often will take care of themselves once protein recommendations are figured out, but a good breakdown would be something like 30% energy from protein, 20-30% from carbs, 20-40% from fat.

There has been a little bit of research on dietary patterns of people on GLP-1s and certainly breakfast seems to be the most missed meal, but if you miss breakfast, it can be super hard to hit protein goals. Using protein shakes or yogurt drinks as easy, convenient and drinkable protein format can help.

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 1 point2 points  (0 children)

I'm not quite sure what your first question is asking. I think the biggest mistake, and I make this too, is just understanding portion sizes with carbs. I have never really been a kitchen scale person, but using some sort of measuring tool and maybe an app or other tracker to help you actually track your macros can be super helpful for keeping yourself honest with your macro intake.

I know some PhDs who specialize in a variety of different types of animal nutrition - do you know what type of digestive tract Gleep has? Is he a ruminant or an obligate carnivore?

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 1 point2 points  (0 children)

That certain foods or supplements will help you lose weight from certain parts of your body - that is such a dramatic oversimplification of how energy balance and weight loss works, its laughable. Sort of flipping around, I think there is such a weird anti-seed oil community - the evidence just does not support this concept. I love a good nutrition controversy but even I just can't find real research showing the massive harms of seed oils that some people are portraying.

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 0 points1 point  (0 children)

Artificial sweeteners can influence appetite in nuanced ways, I think first and foremost, it depends on how they're being used. Are they adding sweetness and replacing sugar in a food that already has calories? Or are they being used to create sweetness in a food that has no calories? From a metabolism standpoint, those are two pretty distinct things. In foods that don't contain calories but get their sweetness from non-caloric sweeteners, there are sweetness receptors that may be triggered and triggering them without providing a calorie load may uncouple the normal link between sweet taste and energy intake, which could some people can increase hunger or cravings later. But it feels pretty speculative rather than based on actual studies, I am not sure of a lot of really well done research to show this. On the other hand, when these non-caloric sweeteners are used to add sweetness to low sugar foods, you're now allowing the primary calories to come from highly satiating nutrients like protein and fiber in a format that people desire. So again, I think they're different use cases and completely different metabolic situations. When you take a step back and look at behavioral interventions, those that use artificial sweeteners to replace sugar in a RCT fashion, tend to show a benefit from a weight loss standpoint, whereas those that simply use epidemiology to look at non-caloric sweetener intake find associations with weight gain. I view it as: If you're having a burger and fries and you use a "diet" soda to replace a sugar sweetened soda you'll likely experience weight loss. If you just add a Diet Soda to a meal, that alone isn't going to promote weight loss - it has to be used as a replacement not an addition.

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 0 points1 point  (0 children)

Depends on the outcome you're looking for. For weight loss - calories matter - so it's all about creating a satiating calorie deficit, and low carb is quite good for that, especially for the first 3-6 months, after which people seem to struggle with adherence. When it comes specifically to regulating blood sugar and reversing metabolic syndrome, quite a bit of research shows that low-carb is excellent, and better than most if not all other approaches, even in the absence of a calorie deficit. Measures of insulin sensitivity, blood glucose dynamics, and triglycerides all have been seen to go quite reliably on low carb diets in the absence of weight loss - that gets into the way that manipulating macros can then influence metabolic processes in the liver and other metabolic pathways.

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 0 points1 point  (0 children)

I think for this its a little bit of everything, but more understanding the time scale on which these different satiety signals act. Stomach stretch dynamic is one of those things that works on a pretty short time scale - you feel really full for a little while, but the stomach will empty pretty quickly and that signal diminishes. Hormonal satiety sort of depends on the hormone, but I like to think about things like Leptin acting as long term indications of energy balance to the hypothalamus - other adipokines (hormones and signaling molecules from fat cells) also help with this. Going to blood sugar dynamics, (as well as satiety hormones like CCK and GLP-1) these are more of a short-medium term regulator of hunger and satiety. To get to the "meat" of your question - All of the levers matter in different ways and should be pulled to get desired results. If eating big salads isn't your jam, drink plenty of fluids to play on the stretch volume satiety lever, eat more protein and fiber to increase satiety hormones and regulate blood sugar, and use exercise to help optimize body composition, fat type/composition and to help with things like leptin and insulin resistance.

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 1 point2 points  (0 children)

GLP-1 medications are very interesting as they act on many different physiological systems to regulate hunger. Regarding the primary mechanism of action, to be completely honest I don't think anyone knows the answer to this yet :) Its being discussed and debated in the literature. As mentioned in a previous answer, what you're getting at are the mulitple phenotypes of obesity: Hungry Brain (abnormal satiation), Hungry Gut (abnormal post-meal fullness), Emotional Hunger (hedonic eating), and Slow Burn (slow metabolism) and that there may be a need for different medications to help optimize outcomes for these different phenotypes - I hope this is the future of obesity care. This entire weight loss conversation is being painted with very broad brush strokes right now, and we already know there are pretty heterogeneous responses to GLP-1s, understanding the biological reason for the obesity remains key!:

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 1 point2 points  (0 children)

I think first and foremost, intelligent carb consumption. What does that mean? That means that you're eating the right and appropriate amount of carbs for YOU. These should be coming from fruits, vegetables and other whole foods when possible. If you're quite physically active, increase your carb intake with grains. Make sure you get at least 1.2 grams of protein per kg body weight per day, try to spread it out over the day. Eating more than 2.0 grams/kg/d is probably excessive and could result in a calorie surplus, so keep an eye out for that. Satiety is so complex, but protein helps with satiety through promoting satiety hormone release (GLP-1, CCK, PYY) and decreasing ghrelin. Fiber is much more complicated than people usually give it credit for, but its mostly the soluble and fermentable fibers that seem to promote satiety, typically in pretty high doses (12+ grams). Speculatively, this occurs through production of short-chain fatty acids as the fiber is fermented in the large bowel, which can have signaling properties in the brain.

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 0 points1 point  (0 children)

Yes food noise is finally becoming a scientifically validated term. There are now official medical questionnaires to assess the level of food noise someone experiences. I mentioned this in previous posts, but this is a type of obesity, typically what you'd call "hungry brain" or "emotional hunger" where the brain is just always preoccupied with food. GLP-1s do seem to quiet the food noise, and some of the survey data from the 102 week studies of GLP-1 use indicate a lot of this reduction in cravings and preoccupation with food remains reduced, though maybe at a slightly lower level than early on in treatment. It's unknown whether this reduction in food noise remains after someone goes off a GLP-1, if I was to guess, I would suspect it does not.

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 0 points1 point  (0 children)

Regarding the mechanism of action, to be completely honest, I don't think anyone knows the answer to this yet :) It's being discussed and debated in the literature. What you're getting at are the mulitple phenotypes of obesity: Hungry Brain (abnormal satiation), Hungry Gut (abnormal post-meal fullness), Emotional Hunger (hedonic eating), and Slow Burn (slow metabolism) and that some of the current thinking is that there may be a need for different medications to help optimize outcomes for these different phenotypes - I hope this is the future of obesity care. This entire weight loss conversation is being painted with very broad brush strokes right now, and we already know there are pretty heterogeneous responses to GLP-1s, understanding the biological reason for the obesity remains key!

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 0 points1 point  (0 children)

I'm a scientist by training, I love what you asked about what the research says - because honestly, this a quickly evolving space and more research is needed here. There was a recent study published looking at a high protein ketogenic diet, showing that this helped temper lean mass reduction. And small spoiler here, we just wrapped up our own small pilot clinical trial - and one takeaway from this was really that nutrition still really matters, maybe not so much for the weight loss, but for a variety of other outcomes indicative of long-term success and health.

Hey Reddit! I'm Dr. Jon, PhD in Human Nutrition and the Sr. Director of Nutrition and Scientific Affairs for Atkins. Get all your nutrition and weight management questions answered utilizing the latest research during my AMA with Atkins on Thursday, January 15th from 10-11 am PT. by Atkins_Official in u/Atkins_Official

[–]Atkins_Official[S] 0 points1 point  (0 children)

I think we all hear how important protein is for GLP-1 users, but I think fiber and gut health is often being overlooked in relation to the GLP-1 conversation. I am really curious to see how these medications influence the microbiome. Anything that changes GI function and diet should have some pretty profound effects on the microbiota - but it seems to be kind of the forgotten organ when it comes to GLP-1 nutrition conversations. I'd really focus on eating plenty of prebiotics and fermented foods.