Don’t let extra hours lounging in bed stand between you and a flatter belly. While getting enough sleep can help boost your metabolic rate, sleeping in may undo any benefit you’d enjoy from catching a few extra winks. One study reveals that late sleepers who snoozed past 10:45 in the morning ate nearly 250 more calories over the course of the day, despite eating half as many fruits and vegetables as their early bird counterparts. Even worse, they chowed down on more salty, sugary, and trans fat-laden fast food than those who woke up earlier. If you happen to head out of the house early, you’re in for an additional metabolic boost; researchers at Northwestern University have found that people exposed to just a short period of early morning sunlight had lower BMIs than their late-waking counterparts.
High blood sugar levels coupled with high blood ketones, on the other hand, will mean that you have a pathologically low level of insulin – something non-diabetics do not suffer from. This can lead to ketoacidosis – a potentially life-threatening condition. If this happens, you’ll need to inject more insulin; if you’re at all unsure of what to do, contact a medical professional. Coveting really high blood ketones for weight control is not worth the risk for type 1 diabetics.
The Volumetrics Diet (Est. $10), based upon the well-regarded book "The Ultimate Volumetrics Diet: Smart, Simple, Science-Based Strategies for Losing Weight and Keeping It Off" is a sensible, sustainable approach that draws rave reviews from experts and dieters. You swap high-density foods, which tend to have more calories, for lower-density foods like fruits, vegetables, soups and stews. This swap of foods with more bulk but fewer calories helps fill you up, thus eliminating one big problem with dieting: hunger. It's a top pick in most of our expert roundups, and its author, Barbara Rolls, is a leading researcher in the field of nutrition. Many other diets, most notably Jenny Craig (Est. $20 and up per month, plus food) (covered in our discussion of the best prepackaged diet plans) and Weight Watchers, have adopted, at least in part, the Volumetrics approach to meal planning to help keep hunger at bay.
Yasmine Farazian, a professor at an art and design college, can thank Rania Batayneh, M.P.H., author of The One One One Diet, for the easy rule of thumb that helped her shed 50 pounds: At each meal, she made sure to eat one carbohydrate, one protein, and one fat. Finally, Yasmine had the template for making a healthy, well-balanced meal that she needed. "I would have the bun, beef patty, and avocado," she says. "And if I wanted fries, I'd ask for lettuce instead of the bread."
While the American College of Sports Medicine warns that women who eat less than 1,300 calories a day and men who eat less than 1,800 risk slowing down their metabolism over time. But a rev-up stage that only lasts two weeks is approved by doctors and isn’t as difficult as it seems. Our tester found the Mayo Clinic day pretty satisfying, and still had enough energy to hit the gym.
"One of the hardest parts of losing weight is maintaining the lifestyle changes you’ve made. It’s difficult to stay motivated all the time, especially if you’ve slipped up along the way. But don’t let this affect your end goal. If you’re feeling particularly unmotivated, ask a friend to join you for your workout and then afterwards cook something healthy for dinner together."
Some people feel better supplementing the already active T3 (sometimes prepared from pig thyroid glands), as it can give a stronger effect than the T4 hormone, but its effect is often harder to control. Swedish healthcare rarely prescribes or offers such T3 treatment, as it often lacks advantages and may pose a risk when doses are high for an extended period of time.
It's not just what you eat that can make you pack on pounds—it's also how much. Before dropping 102 pounds, DeGennaro did not have a grip on proper serving sizes. "Sitting down to dinner with my husband and three kids, I'd scarf down mounds of pasta and endless rolls," she says. "Adjusting to smaller portions was tricky at first; I'd round out meals with extra veggies to keep from getting hungry."
If you’ve been eating fast food for years, get real about your approach: You’re probably not going to stick to an organic, gluten-free, paleo overhaul for very long. "You want to change as little as possible to create calorie deficit," says Dr. Seltzer, who insists the best way to support sustainable weight loss is to incorporate small changes into existing habits. So instead of giving up your daily BLT bagels in favor of an egg-white wrap, try ordering your sandwich on a lighter English muffin. Or say you eat a snack bar every afternoon: Swap your 300-calorie bar for a 150-calorie alternative. "Your brain will feel the same way about it, so you won’t feel deprived," he says.
However, if you’re already on medication and think it could be hampering weight loss efforts, speak with your doctor about your options. It may be possible to transition to a more natural option, like a natural form of birth control, coming up with a plan to transition off medication or simply trying an alternative that’s not known to cause weight gain.
If you're mostly sedentary (and let's face it—with 9-to-5 desk jobs being the norm, it's hard to avoid), you'll start to see noticeable results with just a slight increase in your activity level. Break up the hours in front of the computer by using your lunch break to move around. "I started walking for 45 minutes during my lunch break," says Melissa Leon, who ultimately dropped 53 pounds. "The area was super hilly, but feeling the burn in my butt and quads as I powered up those hills let me know I was making progress."
But just because belly fat comes off a bit more easily doesn’t make it less dangerous. In fact, it’s the exact opposite. “Belly fat is unfortunately the most dangerous location to store fat,” says Dr. Cheskin. Because belly fat—also known as visceral fat, or the deep abdominal fat that surrounds your organs—is more temporary, it’s more active in terms of circulating in the bloodstream. That means it’s likely to raise the amount of fat in your blood (known as blood lipid levels) and increase your blood sugar levels, which as a result raises your risk of heart disease and type 2 diabetes.
Say cheese! Adding some extra calcium to your diet could be the key to getting that flat stomach you’ve been dreaming about. Over just 12 months, researchers at the University of Tennessee, Knoxville found that obese female study subjects who upped their calcium intake shed 11 pounds of body fat without other major dietary modifications. To keep your calcium choices healthy, try mixing it up between dairy sources, calcium-rich leafy greens, fatty fish, nuts, and seeds.
If your favorite foods fall into the list of forbidden fruit, you’re even more likely to fall off the wagon. Giancoli gives the example of diets that cut out coffee: “It’s ridiculous. There’s a lot of research that coffee is fine. Coffee’s been redeemed.” The Mayo Clinic goes even further, saying: “Caffeine may slightly boost weight loss or prevent weight gain.”
You can’t skimp on sleep. Losing weight for good calls for a total lifestyle change -- and that includes getting more Zs. Missing the recommended seven to nine hours of shut-eye has been linked repeatedly with increased obesity rates. “When you don’t sleep enough, it certainly affects your brain,” explained Dr. Arad. “What we’ve learned is that people who don’t sleep well are making poor choices — eating more unhealthy diets, and they are obviously more fatigued, so they become less physically active.” In fact, people who sleep six hours or fewer per night on average consume about 300 extra calories the following day.
Weight Watchers, The Mayo Clinic Diet, and especially Noom provide a lot of behavior-based support to integrate these good habits. These include learning portions, logging food, and both giving and receiving external support. Nutrisystem doesn’t ask for any behavior changes save for subsisting almost entirely off their pre-packaged, pre-portioned meals.
Much has been made of the recently published results of the DIETFITS (Diet Intervention Examining the Factors Interacting with Treatment Success) study. Most of the headlines emphasized the fact that the two diets involved — low-fat and low-carb — ended up having the same results across almost all end points studied, from weight loss to lowering blood sugar and cholesterol.