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This is a common misunderstanding of the "starvation mode" evidence. Starvation mode is not about preventing starvation, it's about slowing the process. Originally Posted by wannaliveforhim
... if the threat that so many lay claim to behind the "starvation mode" myth was real, (that being that if you eat less than "X" amount of calories, your body will STOP losing weight, and that you MUST eat to lose weight!) then can someone please tell me... how could anorexics get so thin??
The longevity of the average (and unusually long-lived) anorexics are actually often used to support the evidence of starvation mode. Anorexia victims often do lose weight until they starve to death, but many survive much longer than can be attributed to by an unimpaired metabolism. It's not a mystery that anorexics starve to death, but it is a mystery as to how some of them can take so long to do it.
If you take someone who has never been on a single diet and stop feeding them, they will tend (on average) starve to death much sooner than a person of the same weight who has a history of yoyo dieting or bulimic behavior.
In theory, anorexics should die just as fast... but they don't (well some of them do, but many of them don't). Instead, what often happens is that the body stops "wasting" energy (calories) on "unnecessary" processes. First the anorexic will lose their hair, but then later they will develop a downy fur-like covering of hair all over their body (the prevailing theory is that the body does this to preserve body heat... so that fewer calories need to be spent on maintaining a safe body temperature... body temperature also tends to drop several degrees. This isn't great for the body for several reasons, but it does prolong the starvation process. This is starvation mode (survival mode would be a better term - because starvation is not prevented only postponed/prolonged).
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Again, because "starvation mode" doesn't prevent starvation, it only delays/prolongs it. There's nothing magical about metabolic decline. The medical community understands many incidents and ways in which metabolism can slow (and that's all starvation mode is.... slowed metabolism. There seems to be a great variation among individuals, and genetics may be involved. Some people may have inherited very resilient metabolism that slow and speed up as the environment warrants. Or perhaps environmental triggers account for the difference... but many of these metabolic changes are well understood... some are not).Originally Posted by wannaliveforhim
Additionally, how could anyone starve to death?? I mean... according to their theory, the body should just magically STOP this from happening, right? :-)
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Again, this reflects a misunderstanding of starvation mode. Starvation mode doesn't prevent starvation/weight loss, it only slows the process. And people who have gastric bypass do lose weight, but not at the speed that one would expect if their metabolism was not trying to compensate.Originally Posted by wannaliveforhim
Hmmm... and what about the individuals who undergo gastric bypass surgery, and then consume only 700 to 900 calories per day, yet still manage to lose weight??
And again, there's a lot of difference from person to person. Two people with the same starting weight, same surgery, and same diet/calorie intake can lose weight at very different paces. Some lose extremely rapidly, some do not.
And another way in which gastric bypass patients experiences actually support "starvation" (or survival) mode is the number of patients who gain all their weight back and sometimes even more.
Because of the amount of digestive system removed, it should be virtually impossible for a person to regain all of the weight after surgery (and for many of the surgeries, up to 60% of patients regain all their weight if not more). In theory, if metabolism were NOT adversely affected, there would be no way to explain this weight gain (at least not without the person eating tons more than they did before the surgery) (because the rerouting of the digestive system prevents many nutrients and calories from being absorbed).
But that's not what happens. The person doesn't return to their pre-surgery eating. Their eating habits backslide partially, but their weight backslides totally (and sometimes more). Their "new" post-surgery metabolism is often much slower than their pre-surgery metabolism. THIS is evidence of "survival mode."
Starvation mode makes it sound like a person becomes starvation-proof, and they don't. Deprive people of food long enough and severely enough and eventually they die... but take dozens of people of the same weight and fat/muscle rations and starve them to the same degree and some will take weeks to die. Some will take months to die. And some will take years to die. "Survival Mode" may explain why some people die quickly, and some die slowly on the same diet.
The medical researchers understand some of the mechanisms by which metabolism can slow to prolong survival (which is why survival mode is a better description than starvation mode), and others are a mystery. Some believe the traits are inherited, others believe they are triggered by the environment (others argue that both a genetic trait and a triggering event in the environment are needed).
All this does not mean "eat more" is valid advice for all weight loss stalls, but there's ample evidence that the calories out portion of the equation is just as variable as the calories in. You can control your calorie intake, but it's much harder to control your calorie expenditures, especially since you can't choose to force your body to spend calories on body temperature or immune function.
There's a lot more variability in weight loss experience than can be accounted for without metabolic conservation of some kind occuring. Maybe starvation mode is not the best name for it, but that doesn't mean it doesn't exist.



