5 Things I Would Never Do as a Weight Loss Doctor

[@chestrockwell7306]

It’s good to see a doctor not being bribed!! Healthy food choices will save you

[@margotaylor6157]

Yes !!!! In a world where lash is king it is quite refreshing

[@AS-uy9gn]

A person needs a life style change (food, rest, exercise) to lose weight and keep extra weight off. Quick fixes/diets don't work because once you're done then you go back to the same eating style that got you fat in the first place.

[@dr.mimibee2895]

5 Things NOT to do for Weight Loss: 1) Liposuction 2) Crash Diets low cal diets 3) HCG injections 4) Fat Burners 5) Exercise w/o changing your eating habits.

[@Justherechat]

What does fat burners mean like the mechanics you put on your self to help you?

[@dsb_training]

​@@Justherechatcaffeine beverages and random assorted herbs. They don't create a caloric deficit, they just have the ability to give you energy and potentially reduce hunger.

[@maxsmart8954]

Take berberine. It’s natural and over the counter. No doctor necessary.

[@dr.mimibee2895]

@caleighhh5935 they referred to them as over the counter pills or supplements you take to increase fat metabolism or expend energy, impair fat absorption, increase weight loss, increase fat oxidation during exercise, or somehow cause long-term adaptations that promote fat metabolism. The natural fat burners like Cayenne Pepper pill are natural; therefore, they are less threatening to your body. Some are too harsh because certain manufacturers put excessive amounts of caffeine and unnatural chemicals in them, and it can be an overload on your heart.

[@dr.mimibee2895]

@@Justherechat The ones you wear around your waist are perfectly fine. This video was referring to things you ingest.

[@Spalife-everyday]

I don’t think I’ve ever witnessed this level of honesty from a Dr in relation to weight loss. I think I see a halo over his head 😇

[@bethfraser7518]

Yes. It's hard to know what's crap and what's real anymore! I've discovered Dr. Ben Bickman who's got great videos and he shares the receipts where he gets his info. I find his sources credible and info very helpful!

[@queent3343]

Hmm. My doc is pretty honest about it.

[@Theultrazombiekiller]

My wife went from 235, height of 5'3", to 155 in 16 months doing sustainable weightloss through cutting all fried food, fast food, and processed foods, and eating lean proteins, fruits, veggies, and whole grains at every meal. She also exercise her hobby rather than a temporary thing. She goes to a cross fit class twice a week, a yoga class once a week, and runs two 5Ks a week now. She has ran two half marathons and is training for a full marathon. She still ate about 2,000 calories a day while loosing weight. You do not have to do a crash diet, or a diet at all. Just eat clean and exercise hard.

[@angiegmailcomperkins]

Thank you for the great Tips I appreciate you being honest and straightforward and congratulations 👏 to your wife because it's not easy but if you want results you have to be clean and consistent 💕

[@nancpanc1]

​@@angiegmailcomperkinsI'm around your wife's stats maybe a few pounds heavier. I box and lift and can tell you right now my body hasn't changed in months because I can't seem to get my diet down. I only drink water coffee. I only eat out once on the weekends and I don't keep any snacks or anything in the house. The struggle is real.

[@crystalmasters8582]

Love this!

[@KJB0001]

Crazy that you cut out FauxFrankenFoods and ate REAL food and dropped to a normal weight, but like the doc said "exercise hard" isnt truly necessary - it builds muscle if done correctly which helps convert glucose to glycogen, but not necessary

[@Slugfestandsnails]

Yes! This is called eating to live. WHO the hell buys “diet plans” super dumb

[@LB42389]

Thank you!! Number 5 is the hardest to get patients to realize! You cannot and will not out run/walk an incredibly poor diet.

[@WendyPendy26]

This is the truth. I have been excersising for yrs and didn't move the scale. Feb of 2023 I decided to couple IF with high protein diet with the same excersise and I was shocked at my 18lb loss for the yr. YES..your eating habits has to change!

[@fenrisodessa]

Yes true, but even if you doesn't lose weight, you lose fat and gain muscle isnt'it

[@m33265]

@@WendyPendy26 Its because enough protein do 2 things. Repairs body, including homones and enzymes and have big thermic effect. So if you eat protein, 25 pct of energy in this protein must be taken from other body source, if you have right now glucose above gluconeogenesis baseline (4-5 grams of glucose in whole body), this glucose will be used to burn this protein. If you have insulin resistance, most obese people have, your body cant reach to fat for energy, so eating protein can make you low in energy, because burning this fat, only one source for your body is gluconeogenesis production, so good idea right now is start giving your body some fat, to be used as energy source for burning this protein. If you have not insulin resistance, your body can take energy from your fat storage whenever it needs. But in this case, you will not be obese. Obesity equals high blood sugar or high insulin getting rid of this high glucose not belonging to your body. People know exactly how much glucose needs right know, makes by gluconeogenesis perfect amount fo you. So only way to lean body is some form of keto diet, but with fats instead of carbs as energy source. Much energy dense source, full of vitamins / minerals. Processed carbs are empty calories leading to malnutrition, second part of obesity.

[@Cervin_Suisse]

@@WendyPendy26 go low carbs and you will lose 18 lbs in 2 months, not one year.

[@WendyPendy26]

@@Cervin_Suisse NO Thank you. I would rather stick to a regimen that I can sustain for decades. I am not going to fool myself that I can be low carb for life. I am losing weight slow and steady. I am in no rush. Makes no sense to lose 18 lbs in 2 months only to gain 20 lbs back in a month. 🙄🙄

[@gettingslim186]

I agree the most with number 5!! I saw the scale move when I changed my eating habits

[@stephanieclark5338]

I respect you as a doctor and I appreciate your concern for your patients. I can see that you truly care. In my experience after I had my 3rd child in October 2010. In January of 2011, 3 months after giving birth I started using the HCG injections along with the 500 calorie diet which is basically starvation! 😬Although in saying that, from January 2011 to June 2011, I lost a total of 70 lbs. I gained 60lbs during my pregnancy but still lost 70 lbs. After I discontinued the injections, I added more calories to my diet including lean meat, vegetables of any kind and all of the fruit that I could get my hands on. After a month of adding more calories to my diet I got on the scales and had continued losing more weight! That blew me away because my bodies metabolism went through the roof and I continued losing even more weight. I actually lost 9 more lbs. At that point I thought I was way to skinny and added more food to my diet to regain those 9 lbs. I don’t know all of the Science behind it, but with my experience, I lost more weight than I anticipated and felt wonderful! I have fibromyalgia and the diet took away my pain! I kept my weight off for 5 years. After those 5 years I went through a period where I couldn’t sleep! I was hospitalized with insomnia and was on seroquel in order to sleep! It took 2 years suffering with insomnia for the doctors to finally prescribe this medication!! I was so thankful to finally sleep again. Here’s the bad part! After taking seroquel for 3 months, I gained 50lbs. At the present time I am 40 lbs overweight but I CANNOT live without my sleep meds! Seroquel messes with the hunger center of your brain and let me tell you. I would wake up in the middle of the night and devour anything that I could get my hands on!! 😩In 2019 I had to fight that hunger for months which was almost impossible. I started taking HCG again and lost 30 lbs. Fighting through the night time hunger while on HCG was horrible, but I did lose 30lbs before vacation. Right after vacation, I gained every bit of my weight back. When I ate whatever I wanted during vacation, it was impossible for me to get back on the HCG. Not because it didn’t work for me, I was just simply burnt out trying to eat the same food again!! Now here in 2022, I don’t even know where to start.

[@alliegator187]

hCG worked wonders for me too. I lost 40 lbs in my first month. That was in 2008. I just ordered hCG online the other day and started my first injection today.

[@alfanoministries]

I was never on HCG, but used drops

[@lpace2111]

​@@alliegator187Greetings how were you able to order it online

[@petergriffiinbirdistheword]

You are absolutely right and vary rarely have I seen a channel provide information I agree with. 👍 I lost over 159lb about 20 years ago. Good luck everyone.

[@a2isha]

How did you do it? I've been overweight since I was a kid and I've spent my entire adult life trying to shake it off😢

[@Cervin_Suisse]

@@a2isha What do you eat ?

[@a2isha]

@Cervin_Suisse I've done every diet, I was vegetarian 13 years, vegan, 2 years raw vegan, also high fat low carb, low carb high fat 😅...do alot of fasting wich is the best thing.... trying now to eat high protein now since it's so popular...also no matter what my lifestyle is , I don't consume products with corn syrup, aspartame or dyes....I also try to buy organic as much as i can afford to so I can be "healthy". I prepare alot of things myself and do not buy junk. So I believe I am very far away from the standard American diet.You wont see any of the big brands of snacks and junk food ever in my house, but when I was a kid I drank tons of soda and ate heaps of fast food. I have not gotten rid of my fat from my childhood, but I also haven't gained that much more fat as an adult who tries to be healthy. I know my body is very sensitive, and the chemicals in American food reaped havoc on my body😔. Childhood obesity is no joke, our diet should be medicine not poison.

[@Lite_Guide]

Now that is REAL TALK...!!! Kudos to the Doc☆☆☆

[@AsMr-km6ex]

Ive been eating healthily for years, about 1500 kcal a day. Been sedentary for 1.5 years after an injury. 2 weeks ago I started 30 mins of exercise a day. I am rapidly toning up and my body already looks leaner when I look down and in clothes. You can just see it/ feel it in yourself. Wish I’d not been scared to do it sooner but it’s a journey, am grateful to have started

[@aellalee4767]

Yay!!! I love seeing someone speaking out that exercising isn't the only way to lose weight. How food works with the body is so weird and specific. I've seen people eat the same amount of food but different effects on myself and others, and I've studied nutrition a bit (actual university courses).

[@gusarmstrong563]

I lost 110 pounds by cutting out all sugar and most carbs. I cannot exercise and the weight came off in less than 18 months ago. That was 1 1/2 years ago and the weight has not come back.

[@purplerider2362]

Same. I’ve been scared if it coming back. But it hasn’t as long as I don’t over eat

[@gusarmstrong563]

@@purplerider2362, even with all the garbage that's in our food, overeating is one of the reasons we put on weight.

[@diggingmystyle]

congrats!

[@grummelameise]

@@gusarmstrong563 yeah, so why do we overeat. what a mystry this is

[@m33265]

@@grummelameise Its not mystery, processed junk foods are engineered to gain weight. Add carbs and salt together, remove fat and you have recipe for obesity. Eat fats and proteins (fatty beef steak) and you will loose weight very quickly. Find some natural occuring food full of carbs. If there are some, only in part of the year, not all day long every day. If its on shelf in store doesnt mean you can eat it.

[@chriswhite318]

#5 is key. Muscle is made in the gym. Abs are made in the kitchen.

[@MrAurang]

😂😂😂

[@shelfcloud487]

But if you have more muscle you burn more calories.

[@feMARIE614]

What about intermittent fasting?? My cousin and my boyfriend is so against me doing it but it works for me. Matter a fact it’s the ONLY thing that’s been working for me. I do the 23:1 fasting (not eating for 23 hours and then eat within the 1 hour). It’s been working for me but they claim I’m starving myself.. idk if I should stop?

[@chilover9154]

Intermittent fasting works great! I lost abt 75lbs doing it! Ur family needs to research it and become educated on the benefits of it! Good luck on ur journey! ☺

[@Cervin_Suisse]

Your BF is probably against it because it will affect him(I typed that before I read you did 23:1). Selfish behaviour. Intermittent fasting is a good option, however if you eat junk, high carb foods during that hour it defeats the purpose. 23:1 is very drastic though, I don't think it is (socially)sustainable in the long run. I personally do 18:6 but I eat only two times during the feeding time and nothing in between.

[@PashkaTLT]

I did see good results when I started running (without changing my diet).

[@EdieG1]

You will see results at the start of a dramatic change to exercise habits but the body will normalise overtime even if you continue rigorously exercising. It’s not actually even a debate. It’s been solidly prove that the people with some of the most strenuous jobs (coal mining) vs sedentary office workers were metabolising at the same rate regardless of calories burned. The body compensates by limiting other functions. Also most of the research that recommends exercise over diet was funded by fast food corporations, particularly Coca-Cola.

[@crasshag]

@EdieG1 : My body disagrees with you.

[@EdieG1]

@@crasshag It’s not me that it’s disagreeing with 😂 It’s the independent scientific research . I suggest you take it up with Herman Ponzer et al (Pontzer H. “Energy constraint as a novel mechanism linking exercised and health”, Physiology, 2018) or Ebersole KE, Dugas et al, (Obesity 2018:16), or Luke A, et al (“Energy expenditure does not predict weight change..” American Journal of Clinical Nutrition, 2009) or Durston-Arvizu et al (Constrained total energy expenditure and metabolic adaptation in to physical activity in adult humans, Current Biology 2016) When you get through those I can send you some more titles of relevant peer reviewed articles. Enjoy!

[@yungjung8853]

Yes exercise won’t change the scale much, but building muscle will change your body’s composition if calorie intake remains the same. While this will not change the scale much, it will change your body fat percentage.

[@DrMcGowanMD]

Completely agree. Exercise is amazing for body composition, shape, conditioning, mood, etc. Preserving lean mass, via resistance training, is essential when losing weight and I recommend it to all my patients. But nutrition is still the key to losing weight!

[@tinaspice]

When I hit a hold of my diet I noticed a big difference in my weight loss. The struggle and temptation is everywhere and I ended up doing a kitchen cabinet purge (donated anything unopened the rest went to family)to aid in resetting my eating habits.

[@Jessica_PMHNP]

I wish I heard this or talked to someone that was honest before I had botched lipo on my thighs! They totally took advantage of me after I gained weight from a prior surgery. I'm almost 2 years post-op now and I have weirder looking loose skin and indentations where he removed too much fat. I am back to my goal weight but now left disfigured and worse then before! They gave me my money back minus the physician fee but still doesn't fix this. I just had my first treatment of Sentient Sculpt and I'm praying this helps fix this!

[@GoliathCarCulture]

I been taking vitamins, staying away from sugar, sodas, eating small portions, exercising for years, and playing sports nonstop, but nothing works. I still have a lot of belly stubborn fat, and the only thing I bern considering is liposuction.

[@LFC-Adrian]

Check your thyroid levels. Might be what's causing ur body to have slow metabolism. That was my issue.

[@itssolo8531]

Obvious but make sure you're actually counting your steps and tracking every single calorie, it's not that much work at all and makes your tasks realistic accomplishments

[@Cervin_Suisse]

staying away from sugar, sodas ? How about breads, pasta, cereals, fruits, fruit juices and so many other sources of carbs ? Did you cut those out ?

[@DreX-8810]

What is your advice on loosing weight while on Depakote ER?

[@Msleelee9487]

How do you feel about the weight loss patches I’m doing lifestyle changes in my diet but weight is not budging I did bring my A1C down a little bit still needs to come down a few more points I need the weight to come off workouts not working 🤷‍♀️ I haven’t given up but I want to

[@DrMcGowanMD]

Thanks for the question! There are no proven weight loss patches, and most are a gimmick and will be a waste of money! See my comments in this article: honehealth.com/edge/weight-loss-patches/?srsltid=AfmBOorxcov1QrFJODBYUUDC3WZ5plhxvgmed9ZSu8Vm9gGQN-_CR-nk

[@theGODofHellhounds]

I personally started a very rough weight loss diet and I went down hard on the calories mostly to adjust my appetite to eat and get satisfied with less. I have lost 50 lbs in two months because of it and I am now eating 800 to 1000 calories a day and I do a moderate amount of cardio to keep myself active. I feel way better now and I am even sleeping better since this diet also cured my acid reflux. My goal is to go down 125 lbs total.

[@Cervin_Suisse]

You talk only about caloric intake, what do you eat ?

[@rosea2350]

Thoughts on intermittent fasting?

[@stormbear3365]

I lost alot of weight from taking Ozempic. I have type 2 diabetes. Sometimes it kills my appetite so well I force myself to eat. Which is mind-blowing. Usually drinking a meal supplement. I worry about going into diabetic shock. But Ozempic totally balanced my A1C and my blood sugar levels are normal when I test during the day. All my fat is settling around my waist though. So can I take Obvi Collagen to burn only the tummy fat?

[@cloakster]

100% agree with all points *except* #5. While exercise *generally* does not move the scale needle much, there are exceptions. Cardio interval training, for instance. I lost 15 pounds from that awhile back. *But* there are issues… it’s pretty intense, and some ppl will find it unsustainable, aka not something they’re willing to do long-term (I myself was not able to do it long-term back then, but am strongly considering taking it up again). ‘Cuz if you’re only willing to do something *temporarily,* the weight-loss from doing it will obviously only be temporary as well. 😕

[@Cervin_Suisse]

Didn't to change your diet ?

[@OrkarIsberEstar]

im a licensed fat loss trainer and i can say from personal and my clients experience...yes you absolutely can loose weight with training because you 1) build up muscle which burns more calories passively when inactive and even more when active 2) you can tripple your daily caloric need without toomuch trouble if you do long light cardio sessions. And i doubt you eat tripple your need.

[@grummelameise]

only people that actually have the energy for this klind of stuff are your clients.

[@OrkarIsberEstar]

@@grummelameise im not saying its a bad idea to change your diet. Indeed your diet got you to your weight so changing it is a good idea. that said regular training makes most people change their diet by themselves cause they want to see more results from training and get their personal high score beat, so they start eating less crap and more healthy. The thing i take issue with is the very prominent idea that you cant outperform a bad diet. You absolutely can. Triathletes eat spaghetti carbonara and thick pizza cause they burn up to 9000 kcal on training days and need to eat that somehow. They are almost muckbangers. That said you dont need "the energy" for this either. All i did to loose 80 pounds was switching from watching tv and playing video games on the couch to do the same on a hometrainer....e voila. problem solved.

[@a2isha]

How much and how often should we train? I've been fat since childhood 😪 I have tried all the diets!! But haven't done a ton of workouts.... I was unfit even as a kid I couldn't run without losing my breath and turning red. Now I'd like to improve my strength even if it doesn't reshape my body, but l would be so happy if I could lose 2 or 3 inches from my belly 😢.should l do core exercises or cardio?

[@OrkarIsberEstar]

​@@a2isha ok so short answer: - if you build up muscle as in hypertrophy training, you will automaticly burn more calories at rest and with wahtever you do active so that helps to loose fat -all muscles are good but in special large ones so glutes, legs in general,somewhat chest, belly and back. not so much arms but why not. - cardio is great for health but for burning fat you should workoput at around 50-60% of your max heartrate so usually around 120-130 bpm, if you break a sweat but can still talk - its fine. i recommend low intensity but long workouts - an hour walking doesnt burna s mucha s an hour running but 2 hours walking beats an hour of running. that said be careful with your joints, if you are overweight it might be wiser to do cycling and swimming until you loose some weight and strengthen your leg ligaments. -weight loss also happens in the kitchen, try eating more vegetable, fruit and proteine and less bread, high processed foods (fast &junk food) - DONT do diets they usually suck. its better to change your habits a bit. dont go crazy, if you want chocolate and ice cream eat it just...eat less of it and enjoy. - try to not drink your calories so avoid milk, juices, sodas (unless they are zero sugar or low calory like 3-4 calories / 100ml is ok) - drink 3-4 litres of fluids a day, ideally green tea, ginger tea, peppermint, black tea , black coffee. - drink cold. your body needs 1calroy to heat up 1litre by 1 degree so you can burn about 100kcal a day just from drinking your drinks with some ice. - eat hot. and i mean spicy. chili, onions, pepper, curry - the hotter the more you burn while digesting. - weight loss is about being persistant. small changes really add up even if they dont look like much ion their own. walking tot he shop nstead of car, takign stairs instead of lift - it really adds up. -try to make your life you enjoy more active. ima gamer so i get a controller and play from a hometrainer. i also got a minio trainer for under the desk while at the office. heck youc an just stand instad of sitting when watching tv or walk in place.

[@a2isha]

@OrkarIsberEstar so to gain muscle do you think I MUST eat 100g protein per day? I weigh 190. Thanks. Also anything that will help my stomach specifically? The rest of my body is pretty good, all my fat is in the tummy. 😨

[@chilover9154]

In 2012 I lost 89lbs in 5 months doing the HCG injections! It worked great for me and took away my appetite! And I didnt do any exercise the whole time! ☺

[@MyFriendlyGiant]

Well done! Honestly, we're damned if we do and damned if we don't.

[@Cervin_Suisse]

And what was your weight history after you stopped the injections ? If you did that is...

[@Cervin_Suisse]

I wouldn't be proud of it if I were you. Not exactly an achievement

[@Cervin_Suisse]

Still no answer. Two months later... 😄

[@deevee8595]

Thanks doc!

[@ShootinTheBriez]

I never would have described my Medifast experience as a crash diet. I did the Medifast program years ago. It was a wonderful experience...and I wasnt starved. The program had Coach/nutritionist who tailored my program based on my body type, composition, activity level, and when I got back to advance activities we shifted from calorie counting to learn about balancing macros and they helped me with healthy snacking options. I did start off lower calorie, and lost 40lbs, but once my activity level advanced to HIIT with Orange Theory Fitness...low calories were not an option and they recognized that quickly. My Coach at Medifast helped me navigate a 3000 calorie higher protein nutrient dense diet and I continued to see inches just fall off, without weight change but great muscle tone. I say all this to say, with Medifast it really depends on nutritionist you see and how you advocate for your needs.

[@valerieodonnell6764]

I haven’t tried medifast but I did nutrisystem for a bit and the calories recommended for me lined up exactly with what was recommended by the tdee calculator. It’s not great long term as it’s processed food but it was a convenient way to get used to smaller more appropriate serving sizes. When people say it’s too low calorie It just makes me think they don’t know how it actually works.

[@AnneMB955]

Totally agree with all your pointers. 👍

[@vannamarie8430]

Liposuction was the one of the best decision I made in life besides working out regularly 💯

[@AlienSuperstar77]

I’ve heard a lot of doctors say they don’t recommend Lipo for weight loss not because it doesn’t help you to lose weight but because it could leave loose skin. They believed the intention of Lipo is to just help a problem area or two, I’m pro lipo lol

[@nailily]

Lipo is often not recommended because many people think it's permanent not realizing or acknowledging that many times obesity is a lifestyle issue such as having little to no exercise before and after lipo.

[@DrMcGowanMD]

Happy for you! Liposuction has a role. It’s just not an obesity treatment.

[@jackiemyers2773]

He said don't do it for weight loss. He didn't say don't do it.

[@IZLALE]

What if you have Lipedema which is a fat disorder that does not go away with exercise and improved nutrition. Would you still not recommended liposuction? Appreciate any guidance offered.

[@garyandrewranford]

95/5 This is the ratio of nutrition to exercise to get healthy and get into shape...❤

[@MM-bg7in]

I lost 140lb thru a sleeve surgery. I want to complete plastic surgery next year to remove my apron. Lipo is an option around the waist at the same time. In general, would you recommend lipo in this instance? Thanks.

[@sobluebedford]

Which lipotropic injection fall under the fat burners or hcg? And would you recommend mounjaro to someone without diabetes?

[@Jklmnopjkl]

You are right about the exercise, but exercise does create the correct mindset to keep going on whatever health initiatives you are working on

[@tealhearts5455]

Hi in 2yrs post Gastric sleeve. I have had a 14lb regain. Would you recommend a duodenal switch?

[@DrMcGowanMD]

It’s normal to have a bit of weight recurrence after 18 months. I wouldn’t jump right to a surgical conversion. Have you met with your bariatric team? They can help.

[@ss-rc8ct]

Had gained almost 25 kgs on an year course of ssri, im on a lifestyle change targeting to lose weight have lost 9, but with fhe heaviness sometimes its difficult and lazy, thinking of getting some kgs off like 10 kgs with lipo while continuing the wrkout and diet check. Will it be ok? Pls do suggest

[@AlethiaHines]

I'm a 60 yo disabled veteran with obesity, BMI 35 and chronic hypertension (150/95 my norm WITH meds) sometimes higher. I have chronic pain and had two back surgeries in 6 years. My primary doctor placed me in a fitness and nutrition program for 120 days which also includes prescription of Wegovy. I haven't started the meds yet but wanted to know what's your opinion of it and its implications?

[@N.C.-vj1pk]

Any advice for loose/stretched skin after giving birth? Im alrrady 9 years postpartum but never managed to get rid of it

[@jingwang2788]

I inherited some very strong thighs and would never be rid of them without lipo. Grateful for this procedure. We should respect each their own

[@JorviksWitcher]

Ive considered Liposuction because I can't get the weight off. It causes serious pain for me

[@lifeiswonderful22]

Exercise causes pain for everyone. That's how you know it's working.

[@Key_1111]

Lipo is for stubborn fat. For example, I've always had bigger arms. My whole life no matter how small I am. Once I get to my goal size I plan on getting lipo on my arms, for sure.

[@JorviksWitcher]

@@Key_1111 because of my PCOS the weight doesn't ever leave I work and work and work and I keep going back to the same wall of failure. It's frustrating to be 260lbs and never make it down past 240 for more than a few weeks and it's back.

[@JorviksWitcher]

@@lifeiswonderful22 pain to the point of fainting is not proof of exercise working .

[@lifeiswonderful22]

@@JorviksWitcher You don't have to work out THAT hard. Going for a walk is also exercise. You'll shouldn't be fainting from walking.

[@MM-pb6qh]

How do you feel about GLP 1s such as Ozempic?

[@Cervin_Suisse]

Last resort.

[@krisdeaglephotography4539]

Does liposuction not literally suck out the fat so therefore you have less fat cells? So it would take a significant amount of time to regain the cells? (I know the leftover cells can easily increase in size but due to them being less in number than before, it takes far more effort to get back to pre-procedure weight) You can’t lose fat cells once you gain them, only shrink them.

[@Cervin_Suisse]

It sound more sensible to me to change dietary habits and life style. Don't you think ?

[@krisdeaglephotography4539]

@@Cervin_Suisse Yes, although I am unaware that I suggested otherwise?

[@picklechews]

I’m at a complete standstill. Ever since I got my thyroid out 4 years ago I just can’t lose the weight I gained after getting on levothyroxine. I’ve always eaten like a bird, I have dairy sensitivity so I don’t have much of that and I got to the gym 3-4 days a week. My arms and legs are slimming down but my midsection is still the same. I don’t know what to do

[@aventurasconjenni]

Does lipotropic shots help to burn body fat faster together with low cal diet and weight lifting ?

[@masetadubar4220]

What are your thoughts on procedures like Emsculpt?

[@abdullah8359]

I used thrive fat burners and i lost 3 stone in weight.

[@lauragosnell2481]

I have never understood people who say you don’t lose weight from working out. I tired everything to lose weight after I gained a ton of weight from medication and menapause. In a year I’ve lost a total of 40 pounds by doing nothing but an hour a day on the peloton. I am 56 and I am still losing. Plus, I feel so much better.

[@aishwaryawagh9931]

Best teacher 🎉

[@DanK123]

Thank you for saying this, Doc. Most important - don't just go work out and expect much to happen. Sure it's good, but if you want to lose weight, you have to change your eating habits forever. Eat less calories and eat BETTER calories. Fill yourself up with better things. Unfortunately hunger still rears its head....and for those who can, Wegovy/Mounjaro/etc are doing amazing things, making us not feel like eating....makes us feel full. And not eating as much is what makes the difference.

[@DrMcGowanMD]

Well said!

[@mariemarie5564]

@@DrMcGowanMDwhere are u located are u In Newyork or could u recommend me to a doctor In Newyork plzz

[@mberryable]

God bless your heart ❤️ thanks so very much for being real

[@nyaatama8529]

Facts learned from exercise without changing my diet. Intense exercise without changing diet, caused me to eat less and have more energy. Probably all of the water I drank.

[@Cervin_Suisse]

Or the time you spent exercising rather than snacking ? :-)

[@nyaatama8529]

@Cervin_Suisse nope. 1 maybe 2 hours of exercise leaves 22 hours in a day. I never spent 2 straight hours eating and I work as a cook. So I spend no less time around food.

[@nyaatama8529]

@@Cervin_Suisse I spend 9 to 16 hours cooking 5 days a week, sometimes 6 or 7 days.

[@paulea2]

I needed to lose approximately 25 pounds and so far I’ve lost 15 pounds in a short amount of time just by stopping sugars and anything made out of flour. I measure and don’t have more than four or 5 ounces of protein at each of the three meals I have as much vegetable and tossed green salad at each meal. The only starch or grains I would have on occasion would be maybe 1-2 ounce of brown rice, oats, quinoa, amaranth, black or pinto beans, lentils, yam, or potato. If I absolutely have to have something sweet, I will have a Zevia beverage. Absolutely never have artificial sweeteners such as Splenda, Nutri sweet, aspartame, sucralose and the like; VERY UNHEALTHY-plus retains fluid, messes around with brain chemistry, even as well as G.I. health. Very bad. Simple sugars from one or two fruits per day is enough. I love red meat, but from quitting red meat one and a half years ago my LDL cholesterol went way down about 50 points and to me that’s worth it though I love red meat. I eat mostly poultry, seafood, and high-quality protein powder, as well as eggs and occasional Greek yogurt, and some cheese. I love pork chops once in a while, cooked with onions and peppers and mushrooms. Very occasionally, I will have a small amount of lentil pasta. It is so worth it having clothes fit better feel better and look better. fullofFaith.com It’s a free supportive program.

[@preciousstudio8404]

No matter what you choose, diet, exercise or meds. Weight loss is not easy. I recently shared my story on my channel, on how I lost 22 pounds in 5 weeks, which could be really helpful to anyone struggling with weight loss.

[@alisonshanahan1237]

I was put on a 1000 calorie a day diet by a dietitian. After the 6th week I finally lost 2 pounds. My doctor told me to stop the diet. I tried weight watchers and put on weight. Dropping the size of my dinner plate was the best way to lose weight. I eat from a small side plate now.

[@m33265]

Obesity is not only about calorie restriction, its about high dense complex foods and proper body nutrition. These high dense complex real foods (eggs, fatty read meat, beef tallow, fish, butter, bacon...) makes you more satisfied for longer time, so in fact you will eat less calories in the same time. Not as hunger making carbs. Complex foods means foods you dont need to supplement by something else. So make these foods 80 - 100 pct of your diet and you are winner. Possible malnutrititon caused by only calorie counting will not improve your health, because your body will not have nutrients to improve you overall health, hormones, enzymes, processes in your body. Your body can repair by itself (and loose weight) but must have enough micro and macro nutrients to do (repaired hormones etc.). Many people starts loosing weight on 3000 calories diet and more, some people must eat 6000 calories a day, but must eat foods not sky rocketing their insulin.

[@harukostigger-miller3592]

Then what do you recommend? Because I have tried several of the diets you mentioned. 🤔🤔🤔 🤷🏽‍♀️ 🤷🏽‍♀️ 🤷🏽‍♀️

[@Lovelyone1]

I used HCG and it was amazing. I used it under the supervision of a dietitian. And now I use a low dose GLP1 to keep the weight off.

[@dod2304]

That's right...exercise alone doesn't necessarily move the scale. But it's not only "good for your health" if he means your heart. Especially if you do things to strengthen your muscles. Muscle weighs more than fat, so you may have lost fat, but the muscle weight gain won't show you how much fat you've lost. More muscle means more calorie burning. All great things to help in better health including weight loss.

[@LynseyBarton-y2g]

I can’t shift my belly fat I was a size 12 in my 20s and mid 30s am nearly 40 and am like a size 18 and it’s upsetting me as I’ve never bin this big, I’ve tried gyms, them patches what you put on your stomach nothings working 😢 duno what to do and my energy levels are low have never got any energy at all

[@poojaharmalkar9319]

Does collsupping weight loss really works?

[@DrMcGowanMD]

Coolsculpting? No, that is a cosmetic treatment and does not impact weight.

[@panda594]

I'm 135 lbs, his father was very thin. I'm trying to help him. He's 22, very amazing man, but very low self esteem. He's almost 500 lbs.. kindest person.

[@mijuajua4820]

I will say a prayer & send positive vibes your way!

[@benhurj]

Look into semaglutide

[@MattyNelson-rs3ik]

Get down to why he has morbid obesity, he needs Therapy also.

[@Cervin_Suisse]

What does his diet consist of ? Huge amounts of carbohydrates I gather.

[@panda594]

Ironically, he doesn't "fit" that narrative you probably have in your mind. He works full time, and doesn't eat literally all day. There's no hidden food in his room and he's lost a little since this last post. We have started therapy, and are starting with a Bariatric specialist. We lost his dad when he was 10, he's had periods of major depression since then, and his weight fluctuates. He lost 210lbs before the pandemic, but, well...gained that back and then some. He's working on it again.

[@Mike-01234]

The only way I lost weight was 600-800 calories a day. I kept it off too I needed to see quick results, or I would just fall back into old eating habits. I never bought any program, or used any company supplied food. I just found I don't need to eat so much 1200 calories, or 2000 calories whatever you want to say it is way too much for me. I'm small person only 5.6 about 5.5 which is short for a man. I think that is where I always gone wrong listening to the so called "Experts". The end goal is weight loss I dropped 50 lbs. in the first 4 months about 10lbs a week. I'm not hungry or weak. The truth is humans lived on this planet long before doctors ever knew anything.

[@Cervin_Suisse]

The 1st thing to do is cut out all the junk food, sweets, high carbs food and most important stop snacking. 2 meals a day only if possible and NO FOOD in between.

[@alekshewwewa4356]

Realistically what’s the difference between eating 1500 a day of things with a lot of sodium, carbs, and sugar vs 1500 a day of greens, low carbs, and low sugars?

[@Cervin_Suisse]

Same input of calories, however carbs will surely move you into the category of people having metabolic issues. At same calorie amount low carb will not make you insulin resistant and make you pile up visceral fat.

[@victoriaashley5374]

Ever since I lost my full thyroid due to cancer I have been getting bigger and bigger each year. What type of foods should I be eating to loose weight. I've done everything there is

[@Fellowrser]

Oatmeal protein cherry juice

[@lydiakeene6421]

I did the HCG injections and “diet” years ago. I was so irritated all the time and I even remember my doctor asking me why am I on it and she’s pretty sure there’s no clinical reviews that it actually works. I did lose some weight, but that’s because I was in such a crazy deficit (500 cal per day). Miserable way to try and lose weight. I found eating healthy and just dropping alcohol from my diet helped me lose 70 lbs and get back down to my normal 145 lbs!

[@Cervin_Suisse]

Dropping alcohol was a great move, congrats ! So many more things can be given up too. Sweets, snacking on junk, eating between meals, etc... There is a pallet of possibilities really.

[@jess-od9en]

Is Semiglutide HCG or has hcg in it ? Just researching..

[@DrMcGowanMD]

No, they are completely different.

[@linfoley7457]

What is your opinion on the Ketogenic Diet. The real keto diet with less than 20 grams of carbs a day.

[@DrMcGowanMD]

It’s very challenging to sustain. I don’t usually recommend it for that reason. Some people can have longer term success so I’d always say to do what works for you. But for most, it’s just a diet that you can’t sustain.

[@Shirt103]

What about Lipotropic shots do these work ?

[@nothingtosay1599]

Can I use carnitine 1500 mg I am breastfeeding mother I buy it but I want some advice plz guys

[@joansmith1195]

Thank you for that valuable information.

[@MariaGomez-qv6zc]

What about semaglutamide injections?

[@francescaj.147]

I have been burning an extra 200 calories a day through exercise for about 13 months, which is 75,000 calories or just about a twenty pound deficit over a year. I’ve lost more like 10-12 pounds, but the first thing that the consistency with exercise helped with was stabilizing my weight. It took a solid six months before I really saw results. If you *only* added exercise, but you did religiously for long enough, you would see some weight loss, slowing down of gain, or stabilization. It’s math, but it’s a long term deal.

[@Cervin_Suisse]

Did you try changing the food you eat ? You might have seen the results in 3 weeks rather than 6 months. That's what I did I lost 40 lbs in 3-4 months.

[@graced.6711]

Your views on Tirzepatide, semaglutide?

[@DrMcGowanMD]

Great medications. There’s a reason they are hailed as game-changers. See my separate videos on this topic! There’s pros and cons, barriers to access, and many nuances. But they are the most effective weight loss meds ever and are offering real results for patients.

[@Cervin_Suisse]

@@DrMcGowanMD Yes and most of the time a life time slavery. USD 800 to 1200.-/month is not within reach of every one either.

[@teamofone1219]

What are your thoughts on metformin?

[@sergioortiz1839]

As a Christian I fast Friday sunset to Saturday sunset (Sabbath). After my first fast I lost a lot of weight and haven’t gained it back since. If you can’t handle a dry fast you can fast with only water!!!!

[@MattyNelson-rs3ik]

You as a Sabbath keeper should not fast on the Sabbath day..look it up..it's in the Bible

[@Cervin_Suisse]

Fasting in healthy but if people overeat or eat junk the rest of the time it is rather useless. I have seen people fast between sunrise and sunset then pig out and party all night. This defeats the purpose 100%

[@sj483]

What is hcg injection?

[@bemomhomemaking7602]

Thank you for the great advice!

[@AarnavRules]

Hi doctor what ur thoughts on Allurion

[@DrMcGowanMD]

There’s some potential advantage - with the “procedure-less” design, which may appeal to some people. And the deflation mechanism is quite interesting. We are still awaiting final results of the US pivotal studies, so that we have a full understanding of the safety and efficacy.

[@noneprovided5168]

What about naltrexone and bupropion

[@SeanHarbert]

What is your definition of healthy eating to lose weight?

[@lunarblack9379]

What is fitspresso?

[@r.g6170]

i have nothimg to reduce from my meals. they are healthy and i dont snack and i eat the amounts i should. nothing more nothing less. so exersize is all iv got to lose weight and you are telling me it wont work? someone please explain 😢

[@emii36363]

How could I change my diet without being too restrictive? I’ve tried keto last year but I was too restrictive which led to an eating disorder. I go to the gym but changing my diet is too hard. I only drink water and i don’t eat junk food but I eat too much bread. If I go one day without bread i start panicking pls help me 🥺

[@angele4890]

Your need for bread could mean you are missing a specific nutrient that you are trying to fill yourself with bread. You can try to get a blood panel for any deficiencies. You can also try eating healthier breads or replacing your bread with healthier carbs. Are you eating enough protein for your weight and height and activities? You can also try finding a dietician who can help you determine the best lifestyle for you if you need more help understanding your bodies needs. Hope you figure it out. ❤️

[@Kyimeoketo97]

I’m running everyday and walking for 1 week and I went from 122lbs to 118lbs, it’s not fast but it works

[@mlss1229]

What about the ozempic option?

[@richiesworld1]

Does lipo not suck out fat cells?🤔

[@valeriekennedy6495]

I believe he's right I appreciate the facts simply put listen ❤

[@elizabethheadid5996]

Doc so you're saying diet is the key. Healthy and lean meats, veggies, fruits? Thanks for the advice! Can you please do a video on the 5 things you would always recommend FOR weight loss? Thanks!❤

[@DrMcGowanMD]

5 things I WOULD do for weight loss. #doctor #5things #weightloss #obesity #weightlossjourney kzbin.infoZl_11tvp-28?feature=share

[@raymitchell9736]

All 100% Correct. I stopped eating processed foods, went more towards keto and carnivore-ish and the weight falls off. I'm told that it is insulin that caused my body to store fat, so I can confirm that it works for me, and I feel a lot healthier too. The caveat I give, is that "your milage might vary."

[@MoneyMuscleMastery38]

I know some trainer who dont ask to follow strict diet or change diet excpet junk food....and they have help to reduce fat effectively

[@Cervin_Suisse]

If you eat low card junk it will work ut is not healthy for your future health.

[@crasshag]

My bed ridden, disabled family member lost 400 pounds, most of it without exercise because he could not walk. He did not use the word obese. He used the word FAT. He lost weight because he quit eating like a fat man … that is, he quit overeating. He taught himself how to walk again ( uses a cain), though it’s very difficult. Initially he ate anything in reasonable proportion. The last of the weight came off when he switched to fish ( no red meats or chicken or pork), no processed foods and rarely any sweets. He does have milk, eggs, potatoes, pasta, a lot of salsa, ice cream and few times a month, no juices, ‘some’ dark bread occasionally. He eats like a King, is skinny, not that much fat hanging. He still calls himself a fat man.

[@Cervin_Suisse]

Potatoes, pasta, bread, ice cream... Al those have high carbohydrates content.

[@bbx8229]

Thank you ❤

[@debbysimon120]

What about gastric bypass, phentermine and ozempic?

[@Cervin_Suisse]

All ugly solution which should be last resorts. Wha't wrong with switching to a better diet, no snack in between meals, cut out soft drinks, and ... and... The possibilities are numerous.

[@drmoezawaung]

What is your take on alpha lipoic acid

[@rajeshshinde1064]

Sir what is side effect off phenq tablets sir for weight loss sir

[@njfuentesrespecter81]

That last one was the most important. I used to think I could outlift and out run my alcohol consumption and average diet. It took 10 years to realize it can’t be done. Whatever alcohol does to metabolism, it doesn’t seem to matter if your calories in are less than calories out. I got fatter by drinking vodka waters and only eating grilled chicken breast, tuna, and spinach. That’s about as lean as you can possibly get on the food side…no wasted calories. All protein and very low glycemic carbs. I still maintained, if not gained more fat. You have to cut out alcohol completely if you want real results.

[@wildrosetarot222]

What if I lose the 30 pounds I need to lose and then get lipo to fix the double chin?

[@yvonnedelaschelle1655]

Can you please comment on what DOES work for a postmenopausal woman 100 overweight with mobility limitations due to Degenerative Disc Disease and fused L-4 L-5?

[@bybbah]

Hi do keto diet or simply lower as much you SUGARIES and Carbs .I had no surgery I just refused, I changed my diet ,walk a cane, did PHYSICAL therapy. NOW BIG IMPROVEMENT, USE LESS CANE ,MORE MEDITATION, MORE WALKS,SERIOUS ON DIET ,LOW ITT.VERY GRATEFUL, VERY LOW TOLERABLE PAIN TO NO PAIN.REGAIN SLEEP.

[@Cervin_Suisse]

Low carb diet, intermittent fasting, 2 meals a day(once you are fat adapted), NO EATING IN BETWEEN MEALS, chase hidden sugars, NO soft drinks or alcohol, and... and... There are many possibilities. Just have to start.

[@authorkylaorinick850]

Agreed on all counts. Good health is a lifelong marathon, not a sprint!