Harvie, M. N., Pegington, M., Mattson, M. P., Frystyk, J., Dillon, B., Evans, G., … Howell, A. (2011, May). The effects of intermittent or continuous energy restriction on weight loss and metabolic disease risk markers: A randomized trial in young overweight women. International Journal of Obesity (London), 35(5), 714–727. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3017674/

“Do what works for you,” Langer says. “And if something doesn’t, change it. There’s a million other ways to go about it. There are no absolutes in nutrition.” Case in point: In a 2018 JAMA study, when more 600 adults who were classified as overweight followed a low-fat or low-carb eating plan over the course of 12 months, everyone lost about the same amount of weight.
Sorry keto -- the Mediterranean diet is king. Endurance athletes and celebrities like LeBron James and the Kardashians have raved about the high-fat, low-carb ketogenic diet -- which was among Google’s most-searched terms this year. But Dr. Louis Aronne, an endocrinologist at NewYork-Presbyterian and Weill Cornell Medicine who runs the Comprehensive Weight Control Center, noted that the Mediterranean diet “is the only diet that has been proven in trials to promote weight loss and reduce the risk of heart attack, stroke and other cardiovascular diseases.” This meal plan includes using olive oil rich in healthy omega-3 fatty acids as your main cooking oil, and loading your plate with fruits and vegetables, whole grains and lean protein like fish and chicken, with the occasional piece of red meat. The American Heart Association recommends a similar diet that emphasizes whole, unprocessed foods, particularly fruits, veggies and whole grains, as well as low-fat dairy products, nuts and legumes, and non-tropical vegetable oils, while reducing salt, sugar and trans fats.
Count calories and macros. You’ll need to track calories and macros (grams of fats, protein and carbs) religiously, at least for the first month. First, use this calculator to determine your body fat percentage- and don’t suck in your gut when you measure your waist. Then, use this calorie calculator (be sure to select the lean mass formula) to determine your Total Daily Energy Expenditure.
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Eating less does more for weight loss than exercising more. Consider putting the money you’d spend on a gym membership toward healthy groceries, instead. “Trying to exercise your way out of your weight problem is very difficult (because) it’s very hard to exercise that much,” explained Dr. Aronne. Burning about 3,500 calories equals one pound; someone weighing 150 pounds walking for an hour would burn around 250 calories. “You really need to cut down on calorie intake to lose the weight. Exercise is better at preventing weight gain.” The recommended daily diet is around 2,000 calories, but if you want to lose weight, Dr. Avigdor Arad, the director of the Mount Sinai Physiolab, suggests that women consume between 1,200 to 1,500 calories a day on average, and men between 1,500 and 1,800 calories. But visit your doctor to see how your own metabolism, family history and any medications you’re taking could be influencing how easily you gain and lose weight, and what your nutritional needs are. “There is a lot of variation,” he said.
"Crash diets (dramatically cutting down how much you eat) might help you to lose a few pounds at first, but they’re hard to sustain and won’t help you keep the weight off. It might seem like a quick and easy option, but eating too few calories can actually do more harm than good. If your calorie intake dips too low, your body could go into starvation mode. This will slow down your metabolism, making it harder for your body to lose weight. Make sensible, healthy changes to your lifestyle that you can stick to and avoid the fad diets."

Some people feel better supplementing the already active T3 (sometimes prepared from pig thyroid glands), as it can give a stronger effect than the T4 hormone, but its effect is often harder to control. Swedish healthcare rarely prescribes or offers such T3 treatment, as it often lacks advantages and may pose a risk when doses are high for an extended period of time.

Switch to Lighter Alternatives. Whenever you can, use the low-fat versions of salad dressings, mayonnaise, dairy products, and other products. "You can trim calories effortlessly if you use low-fat and lighter products, and if the product is mixed in with other ingredients, no one will ever notice," says Magee. More smart substitutions: Use salsa or hummus as a dip; spread sandwiches with mustard instead of mayo; eat plain roasted sweet potatoes instead of loaded white potatoes; use skim milk instead of cream in your coffee; hold the cheese on sandwiches; and use a little vinaigrette on your salad instead of piling on the creamy dressing.
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