My lovely cat, 

      Layla 

 Yesterday, I was encouraged by a statement made by an Obesity Expert, who didn't mean it to be encouraging.  That statement was:

"...there are almost no limits
to short-term weight loss goals 
(anyone can starve themselves thin)... "
                 
There are unlimited ways to starve oneself. I just need to find one that works FOR ME.  Preferably one allowing me to take one or two bites of the piece of cake pictured here.

But, Starving?  Being hungry is bad enough, but what about "Starvation Mode"? 
 
There are a number of nutritional myths within the dieting world. One of the ones that I find most annoying is the Starvation Mode Myth.

It is true that if you don't eat for a long enough period of time, you could starve, meaning die from hunger. Today, starve is also used to describe less severe limitations on food, such as when you tell your friend, "I have to go to lunch now. I'm starving." This is a way of describing discomfort caused by hunger.

The term “starvation diet” is an example of extreme dieting, in which someone tries to cause weight-loss quickly by cutting calories to less than half of what they need. Taking in fewer calories overall typically results in weight loss, which causes the body to do what it can to conserve energy, and a starvation diet takes that concept to the extreme.

The Starvation Mode Myth goes like this:

"If you don't eat enough, you won't lose weight!"

Okay, so all I have to do to lose weight is ... eat more food!   Wow, isn't that awesome? If I stall out at 800 calories, I'll just go up to 1000. And if I stall at 1000, I'll go to 1200. If that doesn't work, how about 1500? 1800? 2000? Oh wait, when I ate 2000 calories, I weighed 270 pounds.
Okay, that's not going to work.

But what if I just don't go below the magic "1200" that "everyone" says "no one" should go below? That must be what they mean by "starvation mode," right? If I stay at 1200, I will lose weight but if I go below that, I won't.

The problem with this idea is that, if it were true, no one would die from starvation and obviously people do. Clearly, even if you eat what is obviously too few calories to be healthy, such as an anorexic does, you will continue to lose weight.

  So where did this idea -- that not eating enough calories makes you not lose weight -- come from?

It started with the famous Minnesota starvation study. Some normal-weighted men agreed to live on a compound where their exercise and diet was strictly controlled. For portions of the study, they were on a "starvation diet" which is defined as 50% of the calories your body needs to maintain its body weight.
The Mifflin formula charts say that a “normal” woman of my age, size, and activity level requires 1210 calories per day to maintain her body weight. My own detailed food journal records indicate that for the past several years, my weight has been creeping upward while eating an average of 1020 calories per day.

So, 50% less than that would be:
     for a “normal” woman – 605 calories daily 
          (which would be a 605 daily deficit allegedly causing 1 ¼ pound weekly fat loss )

     for me individually – a bit under 510 calories daily
          (which would be about a 510 daily deficit allegedly causing 1 pound weekly fat loss)

About 25 years ago, weighing about 220 lbs I went on a starvation diet for 6 months – a medically supervised liquid formula only diet of around 300-500 calories per day. I lost down to 145 lbs during that time. A 75 pound loss, averaging about 2 ½ lbs weekly.

About 22 years ago, weighing 270 lbs, I went on a starvation diet for a year plus, as a result of a RNY gastric bypass surgery for weight-loss. I was able to eat only about 300-600 calories per day, and lost down to 160 lbs during that time. A 110 pound loss, averaging about 2 ½ lbs weekly.

So, during my lifetime, I’ve been on at least two long-term starvation diets. Yet I lost weight just fine during those periods -- better than fine, really. Most of the people on The Biggest Loser are also on starvation diets. They might eat a bit more than me but they also exercise strenuously 6-8 hours a day. So they are usually below 50% of their calorie expenditure for the day. They seem to lose weight quite well.

How can this be?!

The answer lies in what actually happened to the Minnesota guys when they were on their starvation diets.

Like most of us on a diet, their metabolisms did slow down. In fact, after they'd been on this diet for a while -- we're talking months, not days here -- their body fat percentage got to a point below what is considered minimal to live on (about 5% for a guy, 6% for a gal). At this point, their metabolism had slowed down as much as 40%. But -- and this is the important point for those of us on a diet -- they continued to lose weight. Even with that big of a slow down in their BMR (Basal Metabolic Rate), they were still operating at a great enough calorie deficit to lose.

If this is true with a 40% slow down, it's even more true when the slow down is somewhere in the 15 - 20% range, which is what happens with normal dieting.

WARNING MATH CONTENT AHEAD:

Take an individual who needs 2,000 calories per day to maintain their current weight. Assuming calorie expenditure remains the same, they will lose (approximately) as follows:

As you can see from the table, once you go below a certain calorie level, you aren't getting the weight loss you'd expect. This is because your BMR will go down more if you eat only 500 calories compared to eating 1500. But, as you can see, you are still losing more than if you were eating 1000 calories.

This is a lot different than the "no" weight loss that the "starvation mode" myth touts.

The other important point to note about this study is that it was performed on normal-weighted men. When starvation studies have been done on the obese, they find that the impact of the starvation diet is much less. Our bodies have fat stores designed to get us through a famine (i.e., a diet) and when we have a famine (i.e., a diet), those fat stores get used. The drastic slowdown of the metabolism doesn't happen until those fat stores are largely gone -- which takes a lot longer for the obese than for those who only have to lose 10-25 pounds.
So why are we told not to go under 1200 calories a day, unless under a doctor's supervision?

First  that recommendation applies to average-to-large, normal-to-obese-size people.  Next, it's primarily because the more you reduce your intake, the harder it is to get the nutritients you need from food. If you are on a very low calorie diet, regular vitamin and mineral supplementation is a must because some deficiencies can kill you.

Another reason not to go below a certain calorie expenditure is that human beings are not machines and, unlike the guys in the Minnesota study, we aren't living on a compound with our activity and food strictly controlled. As a result, when we reduce our calories substantially, there is a tendency to subconsciously (or even consciously) reduce our calorie expenditure.
Exercise makes people feel more hungry, and it also makes them feel more tired. When you combine this with our tendency to under-report what we eat and over-report our exercise, and you can see how this can lead to great inaccuracies.

As an example, even if I choose not to eat more after spending a morning engaging in extensive exercise, my body still insists on resting for the remaining portion of that day which, for me, includes a long afternoon nap. Obviously this causes my day’s calorie expenditure to be lower than if would have been if I exercised without resting or taking a nap.

If I’m eating at a calorie deficit, I’d still lose weight, whether I exercise or not. But if I was only eating 500 calories for months at time, I wouldn’t feel much like exercising to begin with, plus I’d still be taking frequent naps. Less exercise and more napping would impact my weight loss because they would decrease my calorie expenditure.

 Eating more to lose weight is generally an ineffective diet strategy. While eating more over time might allow a “normal” person to exercise more, it simply means that as a result of this exercise, their rate of weight-loss or weight-gain won’t be as much as it otherwise would have been when the number of calories they eat goes up. While this might also cause them to be happier because they are more fit and feel healthier, the Bottom line is: Whatever total calorie number one’s individual body burns as survival energy …. eating LESS calories than that number is the only way anyone can achieve any kind of fat loss.

Long-term weight-loss maintenance involves the same issues, multiplied by infinity. 
  See, Running Down the Up Escalator.  

                     
Here's some interesting information.

Managing Weight Loss Expectations
          by Dr. Arya Sharma, M.D. Dr. Sharma's Obesity Notes

While there are almost no limits to short-term weight loss goals (anyone can starve themselves thin) – the reality of long-term weight loss is rather sobering.

While diet and exercise generally provide an average long-term (3-5 years) sustainable weight loss of about 3-5% of initial weight, even bariatric surgery patients tend on average to sustain a weight loss of only 20-30% of their initial weight.

Surgery, although much safer than generally thought, still bears a risk of complications and the question is how much risk patients are willing to assume if they really knew and understood how much weight they are likely to lose with surgery.

This was the subject of a study by Christina Wee and colleagues, published in JAMA Surgery, in which they examined weight loss expectations and willingness to accept risk among patients seeking bariatric surgery.

The researchers interviewed 650 patients interested in bariatric surgery at two bariatric centres in Boston.

On average, patients expected to lose as much as 38% of their weight after surgery and expressed disappointment if they did not lose at least 26%.

In fact, 40% of patients were unwilling to undergo a treatment that would result in only 20% weight loss.

Most patients (85%) accepted some risk of dying to undergo surgery, but the median acceptable risk was only 0.1%.

On the other hand, some patients (20%) appeared more desperate, willing to accept a risk of 10% or greater.

As one may expect, there were important gender differences in these findings: while women were more likely than men to be disappointed with a 20% weight loss, they were also less likely to accept a greater mortality risk.

An important finding for clinicians was that patients with lower quality-of-life scores and those who perceived needing to lose more than 10% and 20% of weight to achieve “any” health benefits were more likely to have unrealistic weight loss expectations.

This study not only shows that most patients seeking bariatric surgery have rather unrealistic weight loss expectations but also that a substantial number may well be be disappointed with their weight loss after surgery.

It is also evident that many patients believe that they need to lose a rather substantial amount of weight to derive “ANY” health benefits, when in reality even rather modest (and certainly the average 20-30% weight loss seen with surgery) carries substantial health benefits for patients. (Many patients would in fact benefit substantially if they simply stopped gaining weight).

I certainly wonder what educational efforts may be necessary to align expectations with the clinical reality of bariatric surgery and whether better managing expectations is likely to alter current practice?

None of this information is surprising to me.  I've both read it and witnessed it again and again.

Permanent weight-loss is so incredibly difficult.  Right now, even short-term weight loss feels impossible.  At present, I'd feel grateful to see any kind of weight-loss take me back down nearer to my goal weight. Weight-loss somehow has to occur in the first place, BEFORE it can become permanent.  After all, every weight-loss is short-term until it becomes permanent.

Most people will find this entire article discouraging, 
 However, to show where MY head is at ... right now, the following statement at the beginning of this article actually made me feel unexpectedly HOPEFUL.

"...there are almost no limits to short-term weight loss goals 
    (anyone can starve themselves thin)... "