I’m Donating a Kidney to my brother

Those that know me, know that for the last couple of years ive been trying to donate a kidney to my older brother.

Hes been on dialysis for around 5 years now. I lost 80kg to be able to do this, and have gone through rigourous testing. I’ve had to battle a retarded genetics Dr amoung lots of other things.

So finally now 3 years later, its happening. I head up to Auckland on monday, where we will try and sort out WHO is paying for the hotel. Talk about battling govt departments. They have booked somewhere for partner and kids to stay but cant agree whos going to pay for it. So unsure if we even have a place to stay monday night.

Tuesday 19th I go into hospital. Weds 20th at 7am they take me away to surgery, 3 hours later i come back with 1 less kidney, and hopefully alive. Then they take my brother into surgery, and 3 hours later he comes back with 3 kidneys (they dont remove his other 2, just give him an extra).

Friday I should be able to checkout of hospital, and then i get to hang around for another week in Auckland being somewhat bored and healing.

Im planning on doing the Harbour Bridge walk over if Im up to it. Debating if ill take the bike, or walk it (depends on if the kids go). Walking is good for recovery from surgery so encouraged. Thats probably the option ill go for.

Anyway, I may not update my website much in the next bit of time for that reason, but im taking my ipod and cell and i’ll be on twitter at http://twitter.com/velofille

Is it possible to not lose body fat because you’re eating too little?

Excellent article by Tom

Q: Tom, Is it possible to not lose body fat because you’re eating too little?

A: Yes and no. This gets a little complicated so let me explain both sides.

Part one of my answer: I say NO, because if you are in a calorie deficit you WILL lose weight.

We all hear stories of the dieter who claims to be eating 800 calories a day or some starvation diet level of intake and yet is not losing fat. Like the mythical unicorn, such an animal does not exist. Every time you take a person like that and put them in a hospital research center or metabolic ward where their food can be counted, weighed, measured and almost literally “spoon fed” to them, a calorie deficit always produces weight loss.

There are no exceptions, except possibly in rare diseases or mutations. Even then I think metabolic or hormonal defects or diseases merely lead to energy imbalance via increases in appetite, decreases in energy expenditure or changes in energy partitioning. So at the end of the day it’s STILL calories in versus calories out. In other words, NO – it’s NOT your thyroid (unless you’ve got a confirmed diagnosis as such…and then guess what… it’s STILL calories in vs calories out, you’re just not burning as many as someone should at your height and weight).

One famous study that was published in the New England Journal of Medicine years ago proved this point rather dramatically. After studying obese people – selected specifically because they swore they were eating less than 1200 calories but could not lose weight – Steven Lichtman and his colleages at St. Luke’s Roosevent Hospital in New York came to the following conclusion:

“The failure of some obese subjects to lose weight while eating a diet they report as low in calories is due to an energy intake substantially higher than reported and an overestimation of physical activity, not to an abnormality in thermogenesis.”

That’s right – the so-called “diet-resistant” subjects were eating more than they thought and moving less than they thought. This was probably the single best study ever published that debunks the “I’m in a calorie deficit but I can’t lose weight” myth: The lesson contained here is so important,

I did a full write-up on this research paper for my inner circle members:

The Real Reason For “Diet Resistance” And Weight Loss Plateaus:
Study Reveals The Shocking Truth

(burn the fat inner circle members only)

You can read the study abstract on Pub Med (US National Library of Medicine) for free: http://www.ncbi.nlm.nih.gov/pubmed/1454084

Part two of my answer, YES, because:

1) Energy intake increases. Eating too little causes major, sometimes almost irresistible increases in appetite. With hunger raging out of control, you lose your deficit by overeating. this happens in many ways, such as giving in to cravings, binge eating, eating more on weekends or simply being inconsistent, so some days you’re on your prescribed 1600 calories a day or whatever is your target amount, but on others you are taking in 2200, 2500, 3000 etc and you don’t realize it or remember it. The overeating days wipe out the deficit days.

2) Metabolism decreases due to smaller body mass. Any time at all when you are losing weight, your metabolism is slowly decreasing due to your reduced body mass. The smaller and lighter you get, especially if there is a large drop in skeletal muscle mass, the fewer calories you need. So your calorie deficit slowly shrinks over time as your diet progresses. As a result, your weight loss slows down even though you haven’t changed how much you eat.

With starvation, you always lose weight, but eventually you lose so much weight/body mass that you can reach energy balance at the same caloric intake you used to lose weight on. You might translate that as “I went into starvation mode” which wouldn’t be incorrect, but it would be more accurate to say that your calorie needs decreased.

3) Metabolism decreases due to adaptive thermogenesis. Eating too little also causes a starvation response (adaptive thermogenesis) where metabolic rate can decrease above and beyond what can be accounted for from the change in body mass (#2 above). This is “starvation response” in the truest sense. It does exist and it is well documented. However, the latest research says that the vast majority of the decrease in metabolism comes from reduced body mass. The adaptive component of the reduced metabolic rate is fairly small, perhaps 10% (ie, 220 calories for an average female with a 2200 TDEE). The result is when you don’t eat enough, your actual weight loss is less than predicted on paper, but weight loss doesn’t stop completely.

There is a BIG myth about starvation mode (adaptive thermogenesis) that implies that if you don’t eat enough, your metabolism will slow down so much that you stop losing weight. That can’t happen, it only appears that way because weight loss stops for other reasons. What happens is the math equation changes!

Energy balance is dynamic, so your weight loss slows down and eventually stops over time if you fail to adjust your calories and activity levels in real time each week. I teach a system for how to adjust calories and activity weekly using a feedback loop method in my Burn The Fat, Feed The Muscle program.

So what can be done to stop this metabolic slowdown caused by low calorie dieting and the dreaded fat loss plateau that follows? I recommend the following:

1) Lose weight slowly. Slow and steady wins in long term fat loss and maintenance every time. Rapid weight loss correlates strongly with weight relapse and loss of lean body mass. Aim for one to two pounds per week, or no more than 1% of total body weight (ie, 3 lbs per week if you weigh 300 lbs). For more info, read: The Two Pounds Per Week Rule and Faster Fat Loss

2) Use a higher energy flux program. If you are physically capable of exercise, then use weight training AND cardio to increase your energy expenditure, so you can still have a calorie deficit, but at a higher food intake (also known as a “high energy flux” program, or as we like to say in Burn The Fat, “eat more, burn more.”)

3) Use a conservative calorie deficit. You still need a calorie deficit to lose fat, but your best bet is to keep the deficit small. This helps you avoid triggering the starvation response, which includes the increased appetite and potential to binge that comes along with starvation diets. I recommend a 20% deficit below your maintenance calories (TDEE), a 30% deficit at most for those with high body fat.

4) Refeed. Increase your calories (re-feed) for a full day periodically (once a week or so if you are heavy, twice a week if you are already lean), to restimulate metabolism. On the higher calorie day, take your calories to maintenance or even 10, 15, 20% above maintenance and add the extra calories in the form of carbs (carb cycling). The leaner you get, and the longer you’ve been on reduced calories, the more important the re-feeds will be.

5) Take periodic diet breaks. Take 1 week off your calorie restricted diet approximately every 12 weeks or so. During this period, take your calories back up to maintenance, but continue to eat healthy, “clean” foods. Alternately, go into a muscle building phase if that is one of your goals. This will bring metabolism and regulatory hormones back up to normal and keep lean body mass stable.

As new research has emerged which helps clarify the complex nature of adaptive thermogenesis and neuroendocrine control of appetite, I have continued to update my information. What you have just read is the best quick explanation I can give based on the current scientific body of knowledge, plus what I know from many years of experience with both heavy and lean dieters – from the obese to the bodybuilding competitor.

There is much confusion about how your metabolism, hormones and appetite mechanisms are affected when you’re dieting, so this was really one of the most important questions anyone could have asked. If this didn’t click – I mean REALLY click – then please read my answer again because misunderstanding this stuff leads more people to remain frustrated and stuck at plateaus than anything else I can think of.

All done

Okay im pretty much done with the weight loss thing. Mostly into maintaining and no doubt dropping the last unimportant couple of kg. Im seriously into cycling which is awesome, My daughters are both now into cycling as well. This blog as a weight loss blog is pretty much dead but left here for anyone wanting to read it (for whatever reason)

My personal website is at http://wishes.debian.co.nz and of course being a geek i also have http://velofille.com which doesnt have a lot yet. The weight loss info is at http://weight-loss.co.nz which is a MUCH better website.

My new goals are to improve my cycling speed and endurance. I managed to make 18th on my last ride. I was in the first bunch for most of the way but hadnt ridden in 3 weeks so ended up cramping and dropping back in the last 10km.