GLP-1 calorie reduction
Hi Heather, I have listened to your GLP-1 podcasts and have a question. I'm 61 years old, short at 5'2" and have 20 stubborn pounds that don't seem to want to come off. I eat 1200 calories and lose about a pound per month on that. If someone like me went on a GLP-1 medicine, would the ultimate result simply be that that it would reduce my appetite below the 1200 calories? If so, would that even be a good thing? I'd hate to have to eat below 1200 calories for the rest of my life to maintain weight lost on a GLP-1. Or does GLP-1 work in a way that it would simply speed up my weight loss on the 1,200 calories I'm currently eating? Thanks, MJ
Skipping Meals on GLP1
I am on Wegovy and have NO appetite.. I hear you say the importance of getting 30g of protein at each meal… however if I’m not hungry at breakfast… should I really be forcing myself to eat? Do I force myself to eat even though I don’t feel the need or can I just skip breakfast?
Too powerful urges
Hello Heather, thank you for everything you do, you're amazing. I have been bingeing for about a year to the point of bingeing every evening. 3 weeks ago, I started my own paper pencil journal and the bingeing diminished. I now binge 2 or 3 times a week. Here is my question : when I binge, the habit loop is so strong that I don't have the ability to say no. I've tried to put post it to wait 10 minutes but in the moment, I just don't care. What would you recommend I do to be able to dismiss those urges. Thank you
Reverse Dieting
Hi Heather, I have a topic request/suggestion: have you ever done an episode on reverse dieting? I've listened to a lot of older episodes and don't recall you having covered this. I think sometimes women can unknowingly tank their metabolisms by undereating over the long term. Do you ever recommend "reverse dieting" to help people get out of that hole, or do you think they can restore a more normal metabolic rate just by eating an adequate amount food without any specific strategy to "refeed" or reverse diet? You have so much experience helping people lose weight. I'd love to get your perspective on this. Thank you!
Any plans for a PPJ (Paper Pencil Journal) App?
Hi Heather, I’ve been listening to the show for nearly two years now, and with your help, I’ve lost almost 20 pounds in a steady, sustainable manner! Thank you so much for all you do. My question is about the Paper Pencil Journal. I love the mindful practice of planning my meals each day, but I find it difficult to follow my plan throughout the day unless I also pre-log calories. I think this is because I can’t bring my journal with me everywhere throughout the day and so pre-logging in my calorie app is the only way I can remember what I planned to eat that day. Short of just bringing my PPJ around with me all day, I’m wondering how you or others using the PPJ system might keep track of what you planned in your PPJ without pre-logging. Do you just remember? Or take pictures/write a note on your phone? I want to get to the point where I can log calories the next day as you’ve suggested, but I don’t think I can get there until I figure out how to quickly and easily digitize my PPJ to bring along with me on my phone. Relatedly, do you have any plans to ever create a digital version of the PPJ online or as an app? I’d definitely pay for that! Thanks for your help! - Rani
Conferences
I am a busy academic physician and mom of three (2,2,5 years). I lost 60 pounds after having my son, having always been overweight or dieting before that, and was able to stay stable. Until I got pregnant with twins and moved across the country/ graduated from fellowship and got a new job. I’m on ozempic and working on my habits (which is how I lost and maintained last time, before finding your podcast). Slow steady change is definitely the way to go for me- I have lost 20 pounds and am working on my daily life. But I struggle with going to conferences- which I do every month to two months. I love the scientific content- but noticed last time that by the third or fourth day, all of my best laid plans were going out the window. I was getting less sleep than usual, out of my element, and I think a huge part of it was that I was socially exhausted. I needed alone time and to relax/ recharge. You’ve given some great advice about bringing food, choosing general types of food (one plate of apps etc), but I’m wondering if you have some good suggestions for this social exhaustion/ overstimulation issue. I’m thinking I need to change my priorities and emphasize sleep and some alone time- but find that I’m struggling balancing my needs with the needs of my job. Thanks for all you do and your consistent support of those working to improve their lives.
Stress Eating Science
Hi Heather, I am a podcast premium subscriber from the UK and your podcast has helped me so much, thank you! I have been listening to all of the episodes from the start and am over 200 episodes in now! Today I have been listening to an episode where you mentioned your type 1 diabetic niece was having an argument with her boyfriend and it set her glucose monitor off. You gave a short explanation on how the body reacts to stress, and subsequently can lead us to eat and make poor choices. Can you elaborate on this a little further please? This very much resonated with me! Between April and November last year, I lost about 40 pounds and I was doing so well. I have some issues and stress at home, meaning that I can be in control most of the day and then when I get home and the triggers start coming, I will almost mindlessly start making poor choices - grabbing little snacks, eating as I’m serving the kids food, not making what I had planned for dinner etc. I know emotional / stress eating comes up a lot - I just wondered if you could cover off some of that interesting science again and give me some tips on how to avoid this sabotage so I can continue on my journey as I have been stuck for months now (The good thing is I have maintained my weight loss so far because of the advice and information I get from you - I am not throwing the towel in like in previous attempts but my mindless eating fills my calorie deficit!) thank you for reading, sorry it’s long! From Heather S :)
Hello Heather I want to confirm if I heard correctly that our body can only utilize a certain amount of protein per meal so does that mean if I have 70g at one meal it wouldn’t count? I do have snack between meals if I’m hungry that is protein but if I don’t have 50+g of protein for dinner I tend to get hungry later in the evening
Talking to my ADULT daughter about her health/weight
A while back, your staff referred me AMA Episode 15 to address the following question, but it really didn't give me the information I was seeking. Because I've been a long time listener and subscriber, and because HSM has helped me so much over the years, I'd like to try again. Here's my question: ------------------------- Hello Heather ... My adult daughter, age 25, is quite overweight. She was an average weight child and teen, but the pounds started piling on as soon as she left the house. Her eating habits are horrendous. I am 100% sure I modeled healthy eating while she was growing up. Was I perfect? Of course not. But nothing like this. Her boyfriend is stick-thin, and his eating habits are also terrible. So I guess it's easy to see how and why this is happening. Of course I think my daughter is beautiful at any weight. But her birth-mother recently died of complications from diabetes. So I fear for her health. My daughter knows what healthy eating looks like. And she does try - sporadically. But I don't think she understands the importance of sustainable habits. I may have modeled healthy eating as she was growing up, but I never taught her how to do it herself. I'VE always done the planning -- the shopping -- the cooking. Apparently, modeling alone was only half the task. Thanks to you and HSM, I have a self-created strategy that has been working for me for several years. I'd like to point my daughter in your direction - such as the Half Size Me Academy and/or any of your videos. We have a wonderful mother-daughter relationship, but I've never dared to broach this on-so-delicate topic. What to say? I don't want my words to backfire! I would be so grateful if you could provide some tips or suggestions. Yes, I know nothing I say or do will be effective unless SHE wants to address her weight. But is there ANYTHING I can do to advocate for her present and future health??? Is my only option to sit back, say nothing, and hope for the best? Thank you Heather for all you do. In this age of misinformation and disinformation, you are a beacon of light. PS: PLEASE do not use my name on the podcast
Recommendation
Hi Heather. I love your podcast . I'd like to know if you have any recommendation for a program to stop binging. I've listened to some of your episodes where you interview Kathryn Hansen. My binges occur every 6-8 weeks so I'm not sure if I should go that path or if you would recommend anything else. I'm 44yo, I've lost a considerable amount of weight but after 2 years of consistent improvements I've turned to binging. Any advice is greatly appreciated.
To GLP-1 or not to GLP-1… that is the question 🤓
Hi Heather! I have followed you for several years and have recommended your podcast to so many people! You literally are making a huge difference! I have a question that I really need help on. I have about 20 pounds that really keep me from enjoying my clothes and always keep me constantly thinking about what I’m doing wrong, what I should be doing better… It’s a struggle all day long with the thoughts in my head. I’m really considering starting one of the GLP-1 meds… but I wanted to talk to you first. I know with starting weight loss medication that the minute you get off you’re probably going to gain the weight back because you haven’t learned to change your habits. At the same time , I’m not learning how to change my habits now because I can’t seem to stay in a calorie deficit for more than just a couple of days. I don’t want to be on medication and I really do just want to have a lifestyle where I can be healthy and make good choices but I can’t seem to get my brain on board. What are your thoughts on this? Would coaching help someone like me to get off these 20 pounds? I asked myself if this kind of weight loss would change my life and yes, I do believe it would. I believe that I would be able to exercise the way I want easier. I believe I would be able to wear some of the clothes that I absolutely love that I’ve kept just because I love them so much and I feel like I would be a lot more confident in myself and my career path. I know 20 pounds does not compare to losing 100 pounds does, but it definitely would make a difference for me personally. I would appreciate any help you would recommend with this. Thank you so much! Julie.
Calories vs macros
Hi Heather, I am 60 years old, short at 5'2", have 25 lbs to lose and have been trying to lose weight all year. I was maintaining on 1400 calories so I dropped to 1200 calories about 6 months ago but am still maintaining. I have tried switching to healthier food options, and also tried increasing my exercise level but still no results. I have been to the doctor and ruled out anything medical. I don't feel I can drop my calorie level anymore and still have the energy to get through my busy days. A friend told me I should try counting macros instead of just calories. I tend to get 70-80 gms of protein in per day, eat very lowfat but I do eat high carbs. She said I should stay at 1200 calories, but lower my carbs, increase to 120 gms of protein and also increase my fats a small amount as well. My question is, do you think that sometimes it's not the calorie level that needs to change, but the macros? Could I possibly lose on 1200 calories if my macros changed? Thanks, MJ
Protein
Shifting to a protein forward diet has been groundbreaking in my weight loss journey this time around (47 yrs old). I am not a huge meat eater and don't like eggs, and have been relying on turkey sausage, cottage cheese, ground turkey, and chicken breast for protein. However, I struggle to get over 70grams without also adding a protein drink or bar to the day. Is there anything I am overlooking to add more protein by using a whole food, rather than a protein bar/drink? How many grams of protein should come from whole foods over shakes/bars/powders? Thank you!
Started weight loss med and would like extra help
Hi Heather, thank you for all you do! Due to some big health issues I’ve started Zepbound (the weight loss version of Mounjaro). I had already been losing about a half a pound a week on my own, but the meds are pushing things a long a little faster. I see the biggest challenges are people losing muscle mass and not making lifestyle changes as reasons why the medication may not help them lose as much weight or they regain it all. I am ok with starting this medicine since my heath issues are a big concern for me. I am following along with my PPJ and trying to eat at maintenance. Should I add in some basic beginner strength training so I don’t lose a lot of muscle in this process? What would you recommend I do to continue growing my new habits? I am also working through the academy weight management plan and the mindset videos. Both are helping immensely. I really don’t want to be on this medication forever or even go up on my dosage when I can continue to make small changes in my habit and mindset that will help me get to my health goals in a sustainable way. Thanks for your help!
Starting to take a deficit
Hi Heather! First of all, I've got to tell you that yours is my all-time favourite podcast. I love it! Your experience is huge and your insights into human nature are always beyond impressive. I marvel at the way you manage to help each and every caller navigate their way through their unique problems. I'm also impressed with the way you keep your eyes on your own star and do your own thing, which is, of course, what you tell each of us to do. You walk the walk, never getting caught up in what everyone else is doing in social media. In this world that is so impressive. Kudos, my friend! Anyway, now that I've gushed, (LOL!), I want to ask you about starting to take a deficit. In the last few years, I've lost about 16 pounds and maintained that loss for a year or so. I still have 5 lbs to go to get to the lower end of the weight range I want. I'm 61 and have arthritis as a result of Lyme Disease. Keeping my weight down really helps me manage hip and leg pain. Despite listening to your excellent advice and knowing I ought to just cut out extra butter on my bread and stop having a couple of cookies everyday, I'm not making the changes to move from maintenance to losing again. The thing is, part of me is perfectly happy with the weight I am. My clothes are snug but not tight, and I am very physically active, maintaining a large vegetable garden and playing with my grandkids. But at the end of the day when my knees are aching I think about the last five pounds and knock myself about a bit mentally for not making more effort. How do I switch my brain to losing mode again? And more importantly, how do I stick to that mindset longterm. Thanks, again, for all you do, from a lifelong fan, Hettie
Managing my bhesviors
Hi Heather, my question is what behavior change helps with snacking. I have set some food boundaries for myself such as not eating pass 10pm, but then I find myself craving the treat even more. I’m finding that I have delineated snacks and treats and so now I’m avoiding my snacks altogether and only eating treats. I find that snacks vs treats are something that has recently popped up. I only ever really want treats, and I don’t know why I’m having a hard time with snacks. My calorie surplus is mostly within my treat category and I find even if I have them earlier in the day I still want them at night or if I wait too long I get ravenous. I added a second lunch to help stave off hunger and I don’t know if I should count that as a meal or a snack. Should I consider placing snacks and treats at the same time? How do I manage this tricky behavior. I don’t always binge either. It will just be one Reese’s, and then one KitKat and then two-three hours later some crackers and cheese. My eating starts at around 7am and ends around 8pm. So breakfast at 7am lunch at 11:30am second lunch at 3pm and then dinner whenever I get home which most nights is like 730-8? So it’s the in between time from 3-7pm. That I notice the problematic behavior and oftentimes 8-10pm. Thanks :)
I am really struggling with weight gain.
I am really struggling. I Find it very difficult to track. I will do a day or two and then stop. I get overwhelmed and feel like I have no time. I have it on my calendar in the morning to plan my day and I just ignore it. I also have it on my calendar at the end of the day to review my journal. I have been stuck on the Weight management plan in the academy because I have not been able to do PPJ for 2 weeks. My wieight keeps going up and every day I feel like I have no control over what I am eating. I mostly struggle in the evenings and would love to kick this habit of impulsive eating. I am so afraid to be unhealthy and have issues as I age (as my parents have done). My genetics are awful and everyone in my family are severely overweight. This consumes me everyday, yet somehow I still don't follow through on journaling and habit change. Ihave no confidence anymore. I am sure you have dealth with others who have experienced this, do you have any methods to stop this spiraling?
Why are goals hardest to achieve when you’re 95% done?
Hi Heather, I feel like I always message you when I am in a ‘deficit fatigue,’ and just the act of reaching out provides some relief. I’ve been a weight-cycler for my entire adult life and finally got ahold of it in 2022 when I found your podcast and embraced maitenance breaks. I started this recent journey in 2022 at 205 pounds and hit my goal of 165 in November 2023. From there, I bounced up a little and have been maintaining between 167-172. In June I decided I wanted to take the next 2 years to lose the last 20 pounds. I set a reasonable goal to lose 5 pounds from June-August. My new starting weight was 170.2. Right now I am 2 months into my summer goal and 165.5. I can feel myself wanting to throw in the towel and super binge-y. The cravings and lower brain chatter have been SO intense. I have been here before, and 165 is a ‘sticky’ weight with a huge story around it. I do plan to go to weekly weigh ins and stick to my habits as a coping tool. Even though I’ve been in this ‘almost there’ position so many times, that urge to give up at 95% of the way is indescribably strong. Did you ever feel this way? What did you do to break through to the other side? Thank you for all you do. You’re saving lives. I know you helped save mine. Bonnie
Food freedom
Hi Heather!! Absolutely love your content and your heart for helping - thank you! My question is about “food freedom”. It sounds fabulous and almost is made to be the righteous path. Unfortunately after swearing off “dieting” and giving up tracking food etc my weight crept up 20lbs and left me feeling awful. I have unfollowed all of the food freedom people, although I do think some of their perspectives are good - such as paying attention to hunger and fullness, not having good or bad foods, etc. I’m approaching my weight loss journey with blinders on and staying focused on what works for me. Tracking and meal planning are non negotiable. Can you share thoughts on food freedom and intuitive eating and how to think about them for weight loss success?
Hi Heather, like so many others I had an accident and couldn't exercise, which you haver said before that is a habit and it may not be there for weight loss and don't depend on it. I had been in maintenance for over a year and gave everything up when I couldn't get in my walking. I went back to binging and and gained in a short amount of time 25 pounds. I stopped weighing myself and had n clue it was that much. I am back on track and recognize am going to learn through this experience but I keep beating myself up. How do I move forward in a positive way and know there was a reason for this weight gain? Thanks for all you do!
Setting good example for teenage daughters
Hi Heather, I am 54 years old, 5'6" and weigh between 165 and 170. I am heavier now that I have been most of my life, and would like to lose about 5 or maybe 10 pounds, and I've listened to your podcast a lot and know how to do it. The trouble that I am having is that I have 3 healthy-weight daughters (ages 16, 19 and 22) and when they see me weighing or measuring my food, they accuse me of having an eating disorder. I REALLY do not want my daughters to develop unhealthy eating (as I did throughout my life) and if my weighing food is going to hurt their body images, I prioritize their mental health. This whole thought process discourages me from measuring any food in front of them, and hiding makes me feel like I'm doing something wrong. So then I just guess on portion sizes. Any thoughts on how to not pass on unhealthy eating to teenage girls while also getting a few pounds off? Thank you!
Struggling to get down to maintenance (keep gaining 1/2 lb a month)
Dear Coach Heather, I have been listening to the podcast for about 7-8 years, and tracking my food since 2017. I’ve been a podcast subscriber for about a year, and I joined the HSM community and started the Weight Management Plan in April. Over this time, I’ve gotten my habits under pretty strict control. My problem is that I seem to gain 1-2 lbs every year, no matter what I do, and it’s getting worse. When I started tracking, my average daily calories was around 1900, and I was gaining ~½ pound a year. Now it’s around 1750, and I’m gaining 3 lbs this year. In 2019, I weighed 152. Now I weigh 163. I’m short, and it’s all around my waist, so this means I’ve outgrown all my clothes. I never go down, only up. I signed up for the HSM weight management plan in April, and I’ve been using a PPJ. I’m Category D: “I am planning my meals and have treats and snacks planned. There are no highlights but my calories are very high.” PPJ definitely helps with unstructured days, but it’s not solving the problem yet. Summary of 2024: Month/Average Calories/Happy Scale Average on last day of month: Jan 1724 159.4 Feb 1700 160.4 March 1823 160.8 April 1789 161.7 May 1736 162.2 June (so far) 1699 162.6 (as of 6/15) Some observations: - I’ve never achieved maintenance yet in 2024 (or ever, really) - I gained about ½ a pound at 1823 cal, at 1736 cal, and at 1699 cal, and the last one was over only 2 weeks! - Using the PPJ definitely helps, especially with unstructured days. - It’s very hard for me to ever eat under 1550 calories. - When I go over maintenance, it's usually 1800-1900, and rarely over 2000. Every time I drop my calories, my weight still goes up. (I could give similar data for past years.) If my maintenance calories are 1650 (maybe?) and I can’t get much lower than 1550, then my ratio of days-under-maintenance to days-over-maintenance is really hard to manage. So my question is: how can I get lower than 1550, to make it easier to balance out the over-maintenance days? My habits: - I track everything religiously, good and bad, for years - I have a whey protein powder that I use 1-3x/day, to get my protein in the 80-100 range - I drink 1-2 glasses of metamucil a day, to make sure my fiber stays high. (I have other medical reasons to be doing that.) - I don’t really drink alcohol or ever binge. I’m starting to feel like there’s nothing left to change, and it’s so frustrating. How do I get under 1550? Some other bio details: - I’m 44, and my youngest child is 9, so I’m looking back over the past 7-8 years. - I’m not dealing with menopause because I had a hysterectomy, and I’m on hormone replacement therapy since then. - I go to an exercise class 3x/week, but that also hasn’t changed in a decade, and try to get out on the weekends and be active. My weight doesn’t fluctuate like other people’s weight seems to. It just goes slowly and steadily up. I know this means I’m eating over my maintenance calories, but each time I implement a habit change, nothing changes. If anything, my weight gain is accelerating. I would be happy getting back to the 150-159 range and maintaining there. But my weight seems to only ratchet one way. I am so frustrated. I have no idea what my blind spots could be. If I keep gaining 1-3 lbs per year, I’m going to outgrow my clothes every couple years! Please help. (Sorry this is so long - I’m trying to provide all information you might need.) Thank you for any help you’ve got, BR