Saturday, August 25, 2012

Working Through a Stall

Jane Anyone started a low-carb diet about six months ago. She is 5'6" tall and 35 years old. When she started her diet, she weighed 250 pounds with a BMI of 40.3 (obese).

After six months of fairly steady weight loss, she is 200 pounds and she stalled. After thirty days she is frustrated and asks you for help to figure out why her low-carb diet isn't working anymore.

You ask to see what she's eating and she tells you it is the same as she's eaten since she started and she provides the following framework for you to look at:

Breakfast
4 large eggs
3 slices bacon
1 ounce cheese
1 tablespoon of butter to cook eggs
1/8 (wedge) of honeydew or canteloupe
2 cups of coffee with 4 ounces heavy cream

Lunch
6 cooked ounces of meat (usually a buger)
Topped with 2 sllces bacon & 1 ounce of cheese
1 tablespoon of ketchup (if a burger)
6 cherry tomatoes with 2 tablespoons mayo
1/2 avocado
16 ounce fresh brewed iced tea with 1 wedge lemon

Dinner
8 cooked ounces of meat
1 cup of cooked vegetables
2 tablespoons of butter on vegetables
1/2 cup blueberries or strawberries with 2 ounces heavy cream
16 ounce fresh brewed iced tea with 1 lemon wedge

In addition she drinks 32 ounces of plain water, takes a multivitamin, fish oil and vitamin D. She isn't sedentary, instead she would be considered "light" activity as her level of exercise.

Keep in mind, this is how she has eaten since she started her diet and lost 50 pounds, that is until she stalled recently. Now she's frustrated.

What would you advise and why?

In one week, I will share with you what I advised and what happened after the changes I suggested were followed.

8 comments:

  1. Anonymous7:43 PM

    Too much fruit and dairy, she's getting too many carbs. I'd tell her to eliminate the dairy and skip the fruit.

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  2. Anonymous7:47 PM

    She should do a planned cheat to trick her body that she's not starving and eat whatever she wants for a day, pizza, cake, cookies, whatever. Then go right back to what she is eating and she will lose weight again. Sometimes you just need to shake things up!

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  3. Anonymous12:04 AM

    There's simply too much food in each sitting - as she's lost weight she needs slightly less as she goes along to maintain the 'difference' so that she continues to lose. Without changing her diet as she's lost weight, her body has reached a new equilibrium point. Her diet must be re-evaluated to come up with better combination for he current weight while considering here target weight. In other words, cut out an egg or two, early, probably the bacon at lunch, and 1/2 the butter and cream at dinner, and it'd help. ;)

    K Fox

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  4. Anonymous7:17 AM

    She's lost 50 pounds so she needs fewer calories. Cut back on the cream, meat and eggs a little.

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  5. Jane Anyone10:37 AM

    I'm Jane Anyone, so I won't say what she suggested, but will say it worked and I got to my goal of 150 pounds!

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  6. Too much food and perhaps too much dairy - for her. But if the calories remained the same and she was eating a high carb, low fat SAD diet, she'd be gaining weight.

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  7. Anonymous4:58 PM

    Eating way too much!

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  8. Cut carbs down to 30 Total.
    Then lower total calories/fat but KEEP FROM GETTING HUNGRY

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