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Scooped by Seth Bilazarian, MD
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Fat Chance or Fat Choice? | Review of Fat Chance: The bitter truth about sugar

Fat Chance or Fat Choice? | Review of Fat Chance: The bitter truth about sugar | Heart and Vascular Health | Scoop.it

We see many examples of people who have never really engaged with behaviour change and many who have tried hard but failed to achieve any meaningful outcome. So, how do we encourage real, life-changing and long-lasting behaviour change in our patients? When faced with many disappointments, can it even work?

Lustig spends most of the first half of the book explaining why behaviour change alone is so difficult. Our bodies have multiple adaptations to protect our body weight and we do not relinquish it without a fight. This battle is waged day by day in our guts (gut hormones) and our brains (leptin) making sustained weight loss incredibly difficult. Lustig clearly believes that individual behaviour change, while important, is inadequate to fully tackle the global obesity epidemic. Orchestrating this disaster, according to Lustig, is a food environment which has changed dramatically over the last 50 years in the Western World, in parallel to the rise in obesity, and Lustig argues that tackling this aspect of our culture should be a greater concern.

Seth Bilazarian, MD's insight:

My patients' food environments are the biggest impediment to successful lifestyle modification adn weitght loss.

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Steve Kingsley's curator insight, October 1, 2013 8:41 PM

Yes, it's much more than changing one's diet - it really is about changing one's life style.

Scooped by Seth Bilazarian, MD
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Addicted to ... Food?

Addicted to ... Food? | Heart and Vascular Health | Scoop.it

A study of 12 men found that glycemic load—distinct from calories or sweetness—can alter brain function and promote overeating. Is there such a thing as food addiction? A study using brain imaging suggests that high-glycemic foods may trigger the same brain mechanism as substance abuse.

Seth Bilazarian, MD's insight:

The benefit of the diets which reduce sugar and carbohydrates such as Glycemic Index, Atkins, South Beach, Belly Fat Cure are in part due to the reduced sugar effect on the brain.

From the article: 

This study narrows the difference to one variable only—the glycemic load—and indicates that this factor, distinct from calories or sweetness, can alter brain function and promote overeating. “These findings suggest that limiting high-glycemic index carbohydrates like white bread and potatoes could help obese individuals reduce cravings and control the urge to overeat,

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RISE - The Multi-Media Magazine's curator insight, July 22, 2013 9:35 AM

Read more like this at http://on.fb.me/16FKXNW

shelbylaneMD's curator insight, August 18, 2013 11:53 AM

Addiction and dopamine.  "these foods contain chemical compounds that stimulate the brain's secretion of opiate-like, "feel-good" chemicals like dopamine, which drive our cravings for them....."