Losing weight takes up more than willpower

Doctors often advise patients to lose weight, but that is easier said than done. If you've tried to lose the pounds and have a hard time, it's not just a matter of willpower.


"You are fighting the brain on multiple fronts," Dr. said. Megha Manek, a doctor at the Southern University School of Medicine. She works with patients who are trying to lose weight.

Patients such as Kathy Dauksza, who lost 50 pounds with a wellness program at the university.

"I was 57 years old and I could see that my weight would kill me faster than it would keep me alive, and I had a brief revelation that you are now," Dauksza said. "It is now like a piano box. And I wanted a better quality of life, so I opted for wellness over the piano box."

"Based on WHO statistics released in January 2019, obesity has reached epidemic proportions worldwide. We estimate that 2.8 million people die each year as a result of being overweight or obese," Dr. stated. Manek.

For patients whose weight puts them at risk for serious illnesses, losing weight is crucial.

In Illinois, 31 percent of adults are considered obese. This puts them at risk for health problems such as heart disease, type II diabetes and certain types of cancer.

But even if it is important, losing weight can be a difficult goal to achieve. That is partly due to your brain.

"Addictions and strong habits, they fundamentally change the chemistry and compounds of the reward system in the brain," said Dr. Mehul Trivedi, who studies neuroscience and behavior at the SIU School of Medicine.

When you repeatedly play a habit, he explained, those connections become stronger and stronger.

"You cannot cut a formed connection. You can create a new, competitive connection, but there will always be an old connection that was responsible for developing the bad habit," he said.

This can be especially challenging if people eat too much in response to emotions, such as stress, because those existing habits are so strongly developed in the brain.

But new research techniques that allow doctors to observe the brain in action show that new connections can become strong enough to compete with old habits.

"They show that the brain forms these new connections, rather than changing the connections that already existed based on the person developing the habit," Dr. explained. Trivedi.

Kathy says she needs to work on lists of things she can do instead of eating in response to stress or other emotions.

These include training, walking, drinking or making art.

"I mean, there are so many things to do other than food," she said.

Moreover, Dr. Manek notes that the brain is not resistant to weight loss and that resistance influences hormones that control hunger and fullness.

"There are hormones such as insulin and leptin that change with our weight loss and that makes us much hungry," she said. "The levels of ghrelin rise and that makes us extremely hungry. So all good hormones such as insulin and leptin go down, and our bad hormones such as ghrelin go up and that makes us want more to each other."

Leptin and ghrelin are both hormones that are involved in weight and appetite. Leptin helps the brain to signal that you are full and prevents your body from being hungry when it does not need energy. When you lose weight, the leptin levels fall into the body - and that can increase an appetite and difficulty in knowing when you're full.

Ghrelin, on the other hand, is the hormone that tells your brain when you should eat. When people lose weight, ghrelin can increase, which also leads to a higher appetite.

That doesn't mean you have to lose hope - programs like the one that Kathy participated in can help people get the tools they need to change their habits, despite brain resistance.

For Kathy, that meant training herself to challenge old habits and to align her behavior with her new way of thinking.

"How can I adjust my behavior to my new way of thinking?" She asked. "Sometimes I find myself stuck, about to act in an old way of thinking and something happens, a little revelation happens and I have to adapt and at that moment I really have to make a decision. Health or not health ? "




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