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Weight Loss

The only ways to lose weight (without surgery or prescription medications) are:
1. Take in fewer calories,
2. Burn more calories, or
3. both.

All of the popular diet books, regardless of the "scientific" explanations they give, recommend menus that give you 1500-1800 calories or less per day, and for most people this means you will be taking in fewer calories. You can lose weight on any low-calorie diet, but ask yourself: Is this a way of eating I can follow for the rest of my life? (If not, you will regain the weight as soon as you go back to your old eating habits.) And, do the foods they tell me to eat supply all the nutrients my body needs? Most people can eliminate whole food groups for a short time without any harm, but eventually you may create deficiencies if you do not eat a wide variety of foods, with lots of fruits, vegetables, whole grains, beans, nuts and other seeds. Don't believe that you can make up for what's missing with pills: a lousy diet with supplements is a lousy diet.

The sensible way to lose weight is to eliminate the foods with little or no nutritional value beyond the concentrated calories they contain, particularly refined carbohydrates. My guidelines for diabetics apply for anyone who needs to lose weight, particularly if you store most of your weight in your belly. Avoid foods that raise insulin to high levels such as bakery products, pasta, and foods with added sugars. You should eat enough whole grains, beans, and vegetables to keep you full and satisfied. Eat root vegetables and fruits with other foods to blunt the rise in blood sugar that they may cause.

I do not recommend "counting calories" since you will not do that for the rest of your life, and the calorie count listed on a food may not be what YOUR body actually extracts from a particular food. For example, nuts have a large number of calories, but your body cannot break down the fats in nuts very efficiently, so many of the potential calories pass through undigested. You may find that you can eat lots of nuts and still lose weight. See Why Nuts Won't Make You Fat

When one person in a household needs to lose weight, the whole family should cooperate. Foods made with refined carbohydrates and added fats should be kept out of the house. Everyone will benefit from eating more vegetables, whole grains and beans.

Here's the eating pattern I recommend, while you are losing weight and for the rest of your life:

At least 5 Vegetables
At least 5 Fruits
Up to 8 servings of WHOLE grains (that means not ground into flour)
2 servings of seafood per week (I strongly recommend that you avoid meat from mammals)
Beans or legumes (no limit)
A few tablespoons nuts or seeds
A few tablespoons of olive oil (optional)
Up to 3 servings of dairy products (optional)
Minimal added sugars (none if diabetic or trying to lose weight)

*Note: Serving sizes are typically 1/2 cup of cooked foods and 1 cup of raw fruits or vegetables.

If you have had weight-loss surgery or are using prescription drugs for diabetes or weight loss, you will be given you specific diet recommendations; they should be very similar to the guidelines above. Check with your doctor.

For the most successful way I know of to lose weight and keep it off, see my recommendations on Intermittent fasting for weight loss and weight control

Checked 11/20/16

May 10th, 2013
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About the Author: Gabe Mirkin, MD

Sports medicine doctor, fitness guru and long-time radio host Gabe Mirkin, M.D., brings you news and tips for your healthful lifestyle. A practicing physician for more than 50 years and a radio talk show host for 25 years, Dr. Mirkin is a graduate of Harvard University and Baylor University College of Medicine. He is board-certified in four specialties: Sports Medicine, Allergy and Immunology, Pediatrics and Pediatric Immunology. The Dr. Mirkin Show, his call-in show on fitness and health, was syndicated in more than 120 cities. Read More
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