After thinking on this for a while, I’m changing my review and adding a star. Overall, I liked this and I think I learned some things AND was convinced about making some changes. The sections on exercise, particularly resistance training (weights), and sleep, and even what to eat were great. While not all of the information was new to me, it was mostly presented in a way that got my attention.
There were some things I didn’t care for:
The first 42 pages felt like 100 to me. Lots of acronyms. Gjata does a decent job of making scientific studies understandable; it was simply a lot.
And, while there actually isn’t a lot, the snark felt a bit much after a while.
And Eddie (Dr. Phillips)…. In the section with his daughter discussing her anorexia, he seemed, well, detached or something. Maybe TOO clinical for what was being discussed? I don’t know. It was just off for me.
The reading became easier at page 43.
They cover the main ingredients for a healthy life and are convincing about the elements needed.
Content: strong profanity, which was a surprise; disordered eating and eating disorders explained and described
Things I marked:
Choosing to eat more nutrient-dense foods, moving your body, cultivating a healthier mindset, nurturing better relationships, getting a better night's sleep, reducing stress - all impact short- and long-term health. Sometimes weight loss is a by-product of developing better lifestyle habits. Sometimes it's not, and that's okay.
...people who tend to successfully maintain a meaningful amount of weight loss also tend to eat in moderation, exercise regularly, sleep well, eat breakfast, and monitor themselves and their behaviors.
...exercise may be the closest thing we have to a magic wand in regard to visceral fat. ...even with NO CHANGES in overall body weight, exercise has been shown to lower visceral, abdominal, and subcutaneous fat (the fat you can feel).
Excess fat may be a physical manifestation of the real cause of poorer health outcomes: excess calorie intake, which puts a lot of metabolic strain on your body.
Repeating a behavior that causes negative side effects (post-movie-theater sugar crash), even though you cognitively WANT to stop, is a behavior pattern quite consistent with those that characterize substance addiction.
Ultra-processed food has some interesting similarities to drugs of abuse. For example, addictive substances are usually altered from their natural state - grapes turned into wine, poppies are turned into opium - and it is only in this altered state that they become problematic.
The reward deficit (diminished response to food in the brain) seen in the rats persisted for two weeks after their access to hyper-palatable foods was taken away. (Interestingly, similar reward deficits after rats self-administer cocaine goes away after forty-eight hours.) When the rats went back to eating their standard laboratory chow, they ate substantially less, almost as if they would prefer to starve than eat regular food. Just some hyper-palatable food for thought.
EAT REAL FOOD. It's not that complicated: we need to eat real food, not creations of food science. Real foods are usually on the perimeters on the grocery store. They go bad: they are minimally processed or unprocessed: they don't have health claims on the packaging; they would have been recognized a hundred years ago. Focus less on nutrients and more on where those nutrients come from.
...we should get the following:
150 minutes of moderate-intensity physical exercise per week, OR
75 minutes of vigorous physical activity in bouts of any length, OR an equivalent combination.
For sedentary individuals (performing neither moderate nor vigorous physical activity), adoption of light-intensity activity is beneficial.
(Light-intensity: able to talk in full sentences and sing; moderate-intensity: talk but not sing; vigorous-intensity: not longer able to talk in full sentences without stopping to take a breath.)
I don't spend a lot of time thinking about my behaviors ..... but when I write about them or speak about them, I feel how deeply they impacted me. Those periods of my life are difficult to revisit, and putting them down for others to read, particularly people I love, is scary and uncomfortable. I don't feel shame or regret about sharing my experiences, but I feel anxious at the thought of my friends, my family, and other people who care about me reading this. For some reason, it's easier to let those you don't know witness your lowest moments.
As with many psychiatric disorders, genes load the gun, but the environment ultimately pulls the trigger. [Talking specifically about eating disorders. But, yeah.]