First, as women near midlife, their ratio of fat to body weight increases rapidly. Second, many women see that new fat mostly around their bellies. This is “visceral fat” and it can change the entire shape of your midsection. Visceral fat cells are like miniature endocrine organs that are especially active, setting off inflammation and increasing insulin resistance. Third, visceral fat gets a huge boost from lifestyle issues like depression and stress, poor sleep, smoking (proven to increase belly fat ), irritability, and drinking fructose-sweetened beverages (leads to more visceral fat and decreases insulin sensitivity).
The Biggest Loser program has come under attack with recent revelations that its amazing, as-seen-on-TV results are both pharmaceutically assisted and likely to reverse. Living proof that the medical community’s understanding of weight loss is still evolving: The diet still stands in third place on US News’ & World Report’s list for Best Fast Weight Loss.

Many women fall short in their protein intake, according to Precision Nutrition, but getting enough protein can actually help you shed pounds. Protein takes more energy to digest than carbs or fats, so including more of it in your diet actually boosts your metabolism. And protein also provides nutritional support for your workouts, so you can build sleek, lean muscle tissue to get a toned appearance.
Pace around your office while talking on the phone or run into the bank to cash your check instead of using the drive-thru. When researchers at the Mayo Clinic fed a group of volunteers an extra 1,000 calories a day over the course of eight weeks, they found sedentary individuals gained eight times more weight than those who fidgeted a lot during the day.
These are very convenient if you don't have the time, energy or ability to plan for and prepare meals. A prepackaged food program gives you a no-hassle, no-brainer approach to dieting, but the best come at a cost. Even the least expensive prepackaged plans cost more than just buying your own food, and it can be difficult to find out the true cost until you actually commit. Still, if you can afford it, you get a nutritionally balanced, calorie-controlled eating plan with lots of support and no additional tools needed -- except a microwave oven, which are covered in a separate report.
Sometimes, you might need an external motivator—like a race or a competition—to keep you on track. After a slow start to her slimdown, Maribel Contreras decided to sign up for a 12-week body transformation contest at her gym. She swapped out her fast-food trips for healthy homemade meals and revved up her workouts, which ultimately helped her win the competition. She now maintains a 77-pounds-lighter frame. 
Want to lose that belly fat? In your dreams! Seriously, though: a good night’s sleep is one of the best ways to get rid of that extra fat around your waist for good. Among the 60,000 women participating in the Nurses’ Health Study, those who snoozed for fewer than five hours a night were at the greatest risk of becoming obese and gaining 30 or more pounds over the course of the 16-year study period when compared to those who slept for seven or more hours.

Interested in following a more historical approach to eating? The Primal Blueprint is similar to the Paleo diet, which has roots in how our long-ago ancestors supposedly ate. This plan ditches grain, sugars, and processed foods while focusing on clean eating with plenty of protein (both animal- and plant-based), lots of vegetables, fruits, and healthy fats. The Primal Blueprint acknowledges other health factors too, advocating for lots of low-intensity activity, some high-intensity exercise, strength training, and plenty of sleep.
Once you’ve completed your weight-loss plan comes the hardest part of all – maintaining your weight. Hopefully, during the course of your weight-loss plan, you’ve not only acquired some useful diet tools and exercise ideas, but you’ve also met with other people trying to achieve similar goals. Use those tools and support group to help you keep the pounds from piling back on.

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.

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A new player in the weight loss program space, Noom packs a lot of behavioral psychology into one sophisticated app. It aims to help you identify and break bad habits, and have some fun doing it. The powerful app echoes Weight Watchers’ successful community approach, but outleagues that program in terms of learning resources. While it’s the more expensive of our two favorite programs, it’s the richer when it comes to virtual experience — with personalized lessons, tasks, and support that made us look forward to opening up the app.
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.

A diet that’s low in fat and carbohydrates can improve artery function, according to a 2012 study by Johns Hopkins researchers. After six months, those on the low-carb diet had lost more weight, and at a faster pace. But in both groups, when weight was lost—and especially when belly fat shrank—the arteries were able to expand better, allowing blood to travel more freely. The study shows that you don’t have to cut out all dietary fat to shrink belly fat. For heart health, simply losing weight and exercising seems to be key. 
As a result, about four in 10 Americans are obese -- that’s a whopping 93.3 million adults -- which increases their risk of heart disease, stroke, type 2 diabetes, certain cancers and early mortality, and cost the country $147 billion in medical costs in 2008, according to the CDC. Nearly 80% of American adults are also not getting enough aerobic and muscle-strengthening activity, which is linked to about $117 billion in annual health care costs and 10% of premature mortality, according to the U.S. Department of Health and Human Services.
When you restrict your caloric intake, or cut out specific food groups, you do run the risk of having nutritional deficiencies, especially when it comes to micronutrients. Cutting out fatty foods, for example, could have the inadvertent effect of causing your omega-3 fatty acid intake to plummet, which could increase your long-term risk for cardiovascular disease (8).

Every time you complete 10 reps on the rowing machine, lift the handles straight up over your head—without bending your elbows—for two consecutive repetitions before returning to normal rowing form. This works your shoulders and back harder, as well as your legs, since they have to produce more power to give you the momentum to perform the move, says McGarr.

It’s pretty common for men to pack some extra poundage around their midsection. In fact, the average man is about 24lbs heavier today than men in 1960, according to stats from The State of Obesity—and the figures are rising. We’ve seen slimmer days, but don’t think this is a grim sentence, dooming you to eternal chubbiness. There are dozens, if not hundreds, of ways for you to burn belly fat—fast.

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Some of us no longer have the strong joints we had as teenagers. Jogging is out of the question and walking doesn’t cut it. The good news is elliptical trainers provide an intense, low impact cardio workout. In fact, a 145-lb. person can burn about 300 calories in 30 minutes on an elliptical trainer. That’s about as many calories as running burns, but without the joint wear-and-tear.
Some diet plans, such as the MIND diet and the DASH diet, are meant to focus on certain areas of health — and weight loss may be a bonus. Others are created with weight loss as a primary goal. “It is important to remember that we are all very unique individuals,” says Kyle. “We all have different states of health and different lifestyles, which could affect what diet plan is best for us. That means that you should not be considering what is working for your friends or family members — and instead should pay attention to what works for you individually.”
That’s because strength training helps you build muscle, which will replace body fat. In fact, strength training is one of the few activities you can do to spike the amount of calories you burn, even after you’re done with your workout. Bonus: When your metabolic rate becomes faster due to muscle growth, you’ll have a little more wiggle room in your diet if that’s something you struggle with, says Dr. Cheskin.
Even tiny changes in thyroid function can meddle with the way your body processes food for fuel because thyroid hormones affect metabolism and how your body deals with weight. When thyroid hormone levels drop too low, you can start gaining weight. You may also have other symptoms that don’t seem connected — low energy, feeling cold a lot, skin issues or hair loss.
Avoid fad diets. It's never a good idea to trade meals for shakes or to give up a food group in the hope that you'll lose weight — we all need a variety of foods to get the nutrients we need to stay healthy. Avoid diet pills (even the over-the-counter or herbal variety). They can be dangerous to your health; besides, there's no evidence that they help keep weight off over the long term.
Have Protein at Every Meal and Snack. Adding a source of lean or low-fat protein to each meal and snack will help keep you feeling full longer so you're less likely to overeat. Try low-fat yogurt, small portion of nuts, peanut butter, eggs, beans, or lean meats. Experts also recommend eating small, frequent meals and snacks (every 3-4 hours), to keep your blood sugar levels steady and to avoid overindulging.
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