How long have you been in a deficit? Long periods of deficit can lower your metabolic rate. Might look into refeeds/diet breaks.HereKittyKitty said:
View: https://youtu.be/8HVdLMnr40M?si=S-ISshxcVQ2nB7uR
我做错了什么？
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View: https://youtu.be/8HVdLMnr40M?si=S-ISshxcVQ2nB7uR
A long time. I don't regularly break my dietary habits. A few times/year. Maybe I need to do that more often? That stresses me out. I probably need to see my RD again to reset.
I was dx with T2 in 2019 and had WLS 5y ago to reverse it, which it did. I lost more than half my weight. Gained 25# from nadir and want to get a little below my nadir. I am obsessive about my diet.
Edited for spelling
I was dx with T2 in 2019 and had WLS 5y ago to reverse it, which it did. I lost more than half my weight. Gained 25# from nadir and want to get a little below my nadir. I am obsessive about my diet.
Edited for spelling
So then what?Vash_ said:
I guess I really do need to see my RD.Vash_ said:
患有2型糖尿病、做过减肥手术，并且体重只有以前的一半，这些因素很大程度上解释了为什么在如此低的卡路里摄入量下，体重却基本保持不变。关于长期代谢适应减肥的研究并不多，但低代谢率确实有可能在大幅减肥后持续数年甚至永久存在。不过，这对你的情况并没有太大帮助。HereKittyKitty said:
哦！好的。谢谢你提醒我。indolent said:
我一生中的大部分时间都是高体重指数（HWP）选手，也是一名游泳大师赛选手。创伤对人的影响非常可怕。lessthanhalf said:
嗯……每周进行4-5天的有氧运动和力量训练， 每天却只摄入900卡路里？tubby said:
我们甚至都不需要讨论“饥饿模式”的问题了。 对于这样的运动量来说，摄入量实在太低了 。身体总会在某个时候开始储存能量。
而且，并非所有人都会出现人们通常认为的严重节食引起的“持续寒冷和疲惫”等症状。
如果GLP抑制食欲到她只能吃下900卡路里，这很可能表明她 目前的剂量过高了。
I mean the body can perform some pretty amazing adaptations, but it's not magic.Jfrick11 said:
I'm not a huge fan of using calories as the ultimate yardstick to measure food intake, but I'll concede that as calorie intake drops far enough, there are certain thermodynamic realities that hormonal control systems simply cannot overcome and calories will rule.
If OP is still able to communicate in coherent sentences and get by without wearing a thick sweater to stay warm indoors, that suggests their body still has additional energy conserving levers it hasn't pulled yet.
At the same time, I believe OP, as I've known other highly-experienced folks in the extreme extreme diet space who have found themselves in similar pickles before. And there are certainty unique medical disorders like lipedema (which I'm not suggesting the OP has mind you, just bringing up as an example), in which something has happened in which the body either can't or won't unlock what appears to be stored fat.
So while true that not everyone on a very-low calorie diet will experiencing shivering, extreme fatigue, or mental incoherence, I just have a really hard time believing that OP has both stalled under those conditions AND done so without the body having to unlock any of the extreme adaptations that I listed.
I think we might be over theorizing this a bit.tubby said:I mean the body can perform some pretty amazing adaptations, but it's not magic.
I'm not a huge fan of using calories as the ultimate yardstick to measure food intake, but I'll concede that as calorie intake drops far enough, there are certain thermodynamic realities that hormonal control systems simply cannot overcome and calories will rule.
If OP is still able to communicate in coherent sentences and get by without wearing a thick sweater to stay warm indoors, that suggests their body still has additional energy conserving levers it hasn't pulled yet.
At the same time, I believe OP, as I've known other highly-experienced folks in the extreme extreme diet space who have found themselves in similar pickles before. And there are certainty unique medical disorders like lipedema (which I'm not suggesting the OP has mind you, just bringing up as an example), in which something has happened in which the body either can't or won't unlock what appears to be stored fat.
So while true that not everyone on a very-low calorie diet will experiencing shivering, extreme fatigue, or mental incoherence, I just have a really hard time believing that OP has both stalled under those conditions AND done so without the body having to unlock any of the extreme adaptations that I listed.
900 calories a day while doing cardio and resistance training 4–5 days a week is simply very low energy intake.
You don’t have to be shivering in a sweater or unable to form sentences for the body to start conserving energy. Sometimes the “adaptation” just shows up as a stall.
If the medication is suppressing appetite to the point that 900 calories is all that fits, that’s usually a pretty good sign it's higher than needed, especially when someone is close to goal.
You're looking at this backwards. The stall isn't the adaptation technique. The stall is the result of the adaptation technique. If the body is forced to cope with CI of 900 calories paired with an active lifestyle it may adapt in certain ways (e.g. extreme cold or limiting other key processes). The body doesn't simply invoke magic and say "CO is 900 now with no trade offs in functionality." The body has to find a way to drive CO down to 900 calories (while maintaining a physically active lifestyle) and the only way to do that is to give up some functionality.Jfrick11 said:
I’m not saying the body doesn’t reduce energy expenditure somehow. I’m saying those adaptations aren’t always dramatic or obvious.tubby said:
A lot of the time it’s subtle reductions in NEAT, hormonal shifts, and improved metabolic efficiency that people don’t consciously notice.... and the result can absolutely be a stall.
Either way, 900 calories with that activity level is still extremely low , and if that’s all someone can eat because appetite is suppressed, it’s fair to question whether the dose is simply too high right now.
谢谢大家的回复。我已经留言给我的注册营养师预约了。看看她有什么建议吧。
我很乐意减少剂量！
我很乐意减少剂量！
Vash_ said:
谢谢你的视频！我很喜欢里面的内容。我一直在进行“再喂养”饮食法，自己却浑然不知……
我的每日总能量消耗（TDEE）维持热量大约是2700卡路里，我周一到周五（MF）每天摄入大约1800卡路里，然后周六和周日我没有记录饮食，所以不太清楚具体摄入量，但我估计大概在2500到3000卡路里之间，周六摄入量更高一些。这让我可以继续在限制热量的情况下进行周一到周五的饮食，因为我知道之后还有几天可以额外摄入一些热量。希望这样能避免我的新陈代谢崩溃，而不是连续7天只摄入2200卡路里。我也没有发抖或者思维混乱，虽然我的同事们可能不这么认为
，但这又是另一个问题了。- Status
