The weight loss thread

I'm going to be walking with a limp tomorrow(today). We had no power in our area on Tuesday so I was sitting around twiddling my thumbs and decided to hit the gym instead of crawling back into bed... 18 tons of volume, which is a lot for me.

Have switch to unilateral lat work as I'm a bit twisted from sitting in a chair and typing for the last 2 decades and my one lat looks bigger than the other. I have a referral to a bio to go check it out.
 
I've never really battled with food noise/hunger. And I've been basically 100kg since high school. So I always find these info things interesting... why do some people stop at 100kg (like me) and others end up at 600pounds?
That's actually a really interesting question. I think it comes down to the fact that everyone's appetite regulation, genetics, metabolism and environment are different. Your body can eventually settle into a relatively stable weight, even if it's higher than ideal. For some people that 'settling point' might be 100 kg, while for others it can be much higher.

What you actually should ask is what is that weight costing you in terms of metabolic and long-term health?

If you fix the insulin resistance, you can reduce the long-term damage it causes, your future self will be very grateful.
 
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That's actually a really interesting question. I think it comes down to the fact that everyone's appetite regulation, genetics, metabolism and environment are different. Your body can eventually settle into a relatively stable weight, even if it's higher than ideal. For some people that 'settling point' might be 100 kg, while for others it can be much higher.
Yep... human physiology is complicated but also simple.

If you fix the insulin resistance, you can reduce the long-term damage it causes, your future self will be very grateful.
My current self is already grateful for the progress already made.

I was diagnosed with MASLD 2 years ago (confirmed via ultrasound). Life hit me with a sledgehammer: difficult pregnancy, son landed 2 months prem end 2019 (just before kakvid), he had quite a few medical issues and ops during, wife got really bad post partum depression, we left our church community (in many of them you basically "die" to everyone who was your friend for yeaaaars if you leave), business slumped. I ended up in a position where I was working 12/14 hours a day and in a depressed hole.

I managed to make some changes and find a new Dr that wasn't like "ag it's from the lekker lewe" and ja... it is what it is. My liver was stressed as a result, he was of the opinion that supplements are all a waste of time. I took my blood work to the new Dr and said "I looked up my data and I'm not happy with my previous Dr's lack of concern", we made some changes... I started sleeping better, going to the gym, eating less but more protein etc.

I've reduced my visceral fat quite a significant amount and I have more energy and am already looking better too.
 
Yep... human physiology is complicated but also simple.


My current self is already grateful for the progress already made.

I was diagnosed with MASLD 2 years ago (confirmed via ultrasound). Life hit me with a sledgehammer: difficult pregnancy, son landed 2 months prem end 2019 (just before kakvid), he had quite a few medical issues and ops during, wife got really bad post partum depression, we left our church community (in many of them you basically "die" to everyone who was your friend for yeaaaars if you leave), business slumped. I ended up in a position where I was working 12/14 hours a day and in a depressed hole.

I managed to make some changes and find a new Dr that wasn't like "ag it's from the lekker lewe" and ja... it is what it is. My liver was stressed as a result, he was of the opinion that supplements are all a waste of time. I took my blood work to the new Dr and said "I looked up my data and I'm not happy with my previous Dr's lack of concern", we made some changes... I started sleeping better, going to the gym, eating less but more protein etc.

I've reduced my visceral fat quite a significant amount and I have more energy and am already looking better too.
Sounds good, well done👍

Did the Doctor order a test to see if you had insulin resistance?
 
Sounds good, well done👍

Did the Doctor order a test to see if you had insulin resistance?
fasted glucose and fasted insulin. Glucose was towards the top of the range but still within, insulin was 8.9.
HOMA-IR score is 2.02 which is classified as mild insulin resistance. QUICKI INDEX was 0.343 which also indicates "mild".
 
you should get an Hb1ac test as well. It shows a long term trend of your blood sugar level.
 
Have you retested?
That was last month... so not since then.

My lipids were a wreck in 2024, CHOL:HDL RATIO was ... 9.6... but as of last month 3.4.
My liver was under stress with all elevated markers. All in the green now.

Effectively my entire system was screwed.

Everything is in the green now... so internally I'm already a bajillion percent better. The outside is starting to catch up too.
 
you should get an Hb1ac test as well. It shows a long term trend of your blood sugar level.
Yes, it is a good test.

But consider HbA1c can be normal even when someone has significant metabolic dysfunction.

For example, someone could have relatively normal fasting glucose and HbA1c but experience substantial glucose rises after meals. HbA1c averages those periods together, potentially making the overall number look reassuring.

Fasting insulin can be a useful indicator of insulin resistance. If your fasting insulin is elevated, particularly while your fasting glucose is still normal, it may indicate that your body is producing more insulin than necessary to keep your blood glucose under control.
 
My Hb1ac has always tested normal - but that's because I habitually low carb. So valid points.
 
That was last month... so not since then.

My lipids were a wreck in 2024, CHOL:HDL RATIO was ... 9.6... but as of last month 3.4.
My liver was under stress with all elevated markers. All in the green now.

Effectively my entire system was screwed.

Everything is in the green now... so internally I'm already a bajillion percent better. The outside is starting to catch up too.
Keep us updated, I'm sure all your markers will improve within a few months.
 
Keep us updated, I'm sure all your markers will improve within a few months.
Lipids are into proper "healthy" range now, so they can't really go much further green.
The liver markers can probably improve further as it sheds more fat.

In like 6 to 12 months I'm going to write a book about this journey. lol.

I even built my own unified health tracking/management platform... which I'm submitting to Google Africa AI Lab this month.
 
He’s promoting his business, details a page back. Post #952

I don’t really mind, there are many different views on weight loss.

What works for me, and is probably the healthier and easier option is to simply cut out sugar in all forms and cut alcohol consumption by half. And now that I’m used to it I’ll just keep doing it.

But for people that have tried repeatedly and failed I think drugs is a fair option. But there is certainly a chance of relapse if you don’t make some permanent changes.
true, the end goal is losing weight and keeping it off. How you get there is entirely up to the individual. I have met many people who had bariatric surgery and have managed to keep the weight off - lifestyle changes definitely play a huge role as well.
 
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