QUICKLINKS AND VIEW OPITONS
The Truth I Finally Tell People
Sunday, February 24, 2013 10:00 am Email this article
When I get very obese patients, I focus on getting them to stop drinking sodas (diet or plain), sports drinks, energy drinks, Vitamin Water, Crystal Lite or any other American swindle to sell sweetened water. People in the battleship class are doing everything wrong, but if you try to get them to change everything at once, they won't come back. The problem must be approached in easy stages.
Once the patients are down to the cruiser class, you can work on the second step, getting them to stop snacking, stop grazing. They are intelligent human beings, not cows. If they are bored, I tell them, find something to do. If lonely, find someone to talk to. Look at art, read books, do an activity. Hell, I don't know how smart people are ever bored; there is so much to do! The fatter people are, the more limited they are in personality and general knowledge; so much of their life has been replaced by food. Don't buy food to snack on. Don't plan to snack. You can't eat what you didn't buy, and in a week or two you will stop thinking about snacking.
Now here is the truth I finally tell patients when they have reached the destroyer class. First, there is no shame and little harm in being a little overweight. Don't drive yourself crazy. BUT if you still want to be completely lean, reach your dream dress size, THEN you can't eat three full meals each day. American food is too big. Native-born French women, who are almost all lean, begin the day with a cup of coffee and a croissant. A little butter and jelly. Not much They go to work from 9-12. For two hours between 12 and 3 they have lunch, the main meal of the day, eaten with other people, often in public, with conversation. They get home late by American standards. Dinner is a small affair, eaten around 10. The French are on either a one-meal plan or a two-meal plan, depending on how big the dinner is. Between meals their insulin level drops to low levels allowing them to lose weight or at least not gain.
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