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Originally posted by stef
However you say I made an assumption, but so do you! I don't know that Trendle (sorry Trendle) IS morbidly obese.
True, but the statement I was most concerned about was, "How on earth could you realistically do that?" That seemed to imply that it wasn't a realistic objective regardless of the circumstances. It sounds as if we agree that it is an objective that only morbidly obese patients should be directed towards.
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I would also take up what you said about the research showing the skinnier the better'. That isn't the whole message is it?
As I indicated, it was the findings of a study. I mentioned it mainly because sometimes folks look at the "healthy weight ranges" in disgust and say that
those are unhealthy -- when in reality they're probably, for most people, at least healthier than where they are now (body composition differences notwithstanding).
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I personally focussed on the fitness part of the research ...This at least helps divert societys unhealthy obsession wtih skinny!!!
And having different perspectives definitely results in different conclusions. I focus on the weight-loss part of the research, when I'm posting on weight-loss forums; I focus on nutritional aspects of the research when posting on nutrition forums; and I focus on the fitness part of the research when posting on fitness/exercise forums. In the context of weight-loss, it is important to be conscious of the failure syndrome, perhaps to a greater extent than unhealthy obsessions.
Let me go back to something you said a bit earlier...
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- being fat and fit is healthier than thin and unfit.
True, but only given a concrete benchmark for fitness, that isn't sliding-scale with weight. In other words, being "fit for someone so heavy" isn't the same as being "fit, period." Being "fit, period" and fat is healthier than being thin and unfit, but being "fit for someone so heavy" is probably not.
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I can honestly say that I agree with all of your points - and indeed practice weight management with the care and consideration I am sure you would encourage - eg absolutely no calorie counting,
Actually, I employ and advocate calorie counting (and I've been in maintenance for over a year).
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education regarding food make up (lable info etc), focusing on cognitive behavioural changes and absolutely no hint of the word 'diet'.
I've come full-circle on that. It's okay, I suppose, to say it isn't a diet, but it really isn't much more than symantics from my perspective. The point that I'm sure we agree on is that lifestyle change is the key. What I eat is a "diet" -- a diet I've practiced since entering maintenance after my weight-loss in 2002. I'll be "on this diet" for the rest of my life, and perfectly happy with that prospect. I cringe sometimes when I see someone expend a lot more energy on getting people to not call it a diet than on getting folks to understand that permanenet lifestyle changes need to be made (which, I believe we'd agree, is the core of the message).
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We also include physical activity (not exercise) as a day-to-day lifestye choice (not gym based workouts etc).
Though there's nothing wrong with gym-based workouts as one possible choice, of course.
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I think that our apparent disagreement might just be a case of misunderstanding!
Not even. I have a strong aversion to the closing-of-doors via generalization on any option, such as faster weight-loss vis medically-supervised VLCDs in this case, that has viability for anyone.